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Reflections on our progress Dear Friends and Neighbors: After 15 years in administration at Whidbey General, including seven years as CEO, I informed our Board of Commissioners in June that I would not pursue renewal of my contract in 2015. In each of the seven years before becoming CEO, Whidbey General experienced declining patient volumes and declining patient satisfaction. I am proud to report that today we experience high volumes, exceptional quality scores and improving satisfaction. In fact, with recent passage of the hospital bond, I believe our relationship with the community has never been better.
Tom Tomasino, CEO
Thanks to the hard work of many dedicated people, accomplishments of the last several years include: n Primary care and other clinics became part of Whidbey General, preserving local access to high quality, essential services. n Our Cancer Program received a nationally recognized award for excellence. n We have successfully recruited highly sought-after surgeons and other physicians. n The Rural Healthcare Quality Network, a group that comprises 34 rural hospitals across Washington, has recognized us for
excellence 12 times since 2010.
n Community Outreach annually helps thousands of residents achieve and maintain better health through free or low cost
classes, services and consultations.
n Our Telestroke program provides rapid, 24/7 evaluation by a stroke specialist at Swedish Hospital in Seattle. n Women can now choose a certified nurse midwife at Whidbey General for prenatal care and delivery. n Whidbey General was voted best place to work on Whidbey Island in 2013. n Our hospice program became Medicare-certified and we launched a Palliative Care Consultative Service. n Collaboration with the Navy, Island County, CADA and other organizations has improved access to care, often for our most
vulnerable neighbors.
n We improved patient safety and quality by implementing an electronic health record system.
Given recent achievements, our terrific people and a new wing and other major improvements on the way, I believe Whidbey General will be attractive to many excellent CEO candidates. As I prepare to leave next year, I am grateful to all who have worked hard to improve Whidbey General, including our gifted doctors, nurses, clinical and non-clinical staff, volunteers and community supporters. It has not always been easy sitting in this chair, but it has always been an honor. It has been an amazing journey, one which makes me confident that the future of healthcare on our island is bright indeed.
Public Comments
360.678.7656 ext 4001 360.321.7656 ext 4001 myhospital@ whidbeygen.org
Tom Tomasino
Tom Tomasino Whidbey General Hospital CEO
Whidbey island Public Hospital District Board of Commissioners District 1 Grethe Cammermeyer, RN, PhD - 360.221.5882 • District 2 Georgia Gardner - 360.678.4704 District 3 Ron Wallin - 360.675.6674 • District 4 Nancy Fey - 360.240.8822 • District 5 Anne Tarrant - 360.679.9466 A P u b l i cat i o n o f W h i d b e y G e n e r a l Ho s p i ta l f o r t h e W h i d b e y I s l a n d C o m m u n i t y
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2014 FALL Volume 22, No 3
TABLE OF CONTENTS Hospital & Community Services New - Palliative Care Services .............. 3 BUILDING A HEALTHIER FUTURE General Contractor Chosen.................... 4 Architect’s Message................................ 5 HOSPITAL & COMMUNITY SERVICES Compassionate Care for End-of-Life.......6, 7 Connection Between Diet and Pain...... 8 MEDICAL Welcome New Medical Staff................. 9 Dr. Hansen Honored................................ 9
New - Palliative Care Services
Cancer Care Cancer Survivorship........................10, 11 FOR YOUR HEALTH & WELL-BEING The Alzheimer Cafée...............................11 Parkinson’s Support Groups................11 Volunteers Needed................................11 Heartwise Screenings...........................11 PHILANTHROPIC Tour de Whidbey Wrap-up..................12 New Board Member..............................12 Gifts from Our Community..................13 Power of Giving.....................................13 EDUCATION OPPORTUNITIES New Offering: Have You Had the ====Conversation?................................14 Health Ed Classes.............................14, 15 Free Car Seat Checks.............................15 Remembrances of the Heart................15 Call to Artists..........................................16
The Pulse is published three times per year as a public service to our Whidbey Island Community by
Public Relations Whidbey General Hospital 101 N Main Street Coupeville, WA 98239 Whidbey General Hospital is a public district hospital, owned and operated by the residents of Whidbey Island. Telephone 360.678.5151 • 360.321.5151 Fax 360.678.0945 Email and Web myhospital@whidbeygen.org www.whidbeygen.org Administrator Tom Tomasino Publisher Trish Rose Editor Keith Mack Graphic Design Carol Moliter of Big Rock Designs Cover Photograph Gary Taylor, WGH MIS Department
Palliative care focuses on relief of pain, symptoms and stress of serious illness - whatever the diagnosis. The Carla Jolley goal is to help people live comfortably and provide the best possible quality of life for patients and their families. Palliative care helps through all stages of illness, with best results coming when it is introduced early in your care and provided at the same time as curative treatments. People living with any serious or debilitating illness e.g., cancer, congestive heart failure, lung disease, kidney failure, liver disorder, Parkinson’s disease, Alzheimer’s disease or other forms of dementia can benefit from palliative care. At Whidbey General, palliative care starts with Carla Jolley, ARNP. Jolley
provides the initial palliative care consult, which can take place in the hospital if you are an inpatient, in the outpatient setting of the Medical Ambulatory Care (MAC) clinic, or at a skilled nursing facility. Patients experiencing a decline in their ability to function can receive their consultation in their home or in assisted living. Our interdisciplinary team includes a master’s level social worker and an experienced chaplain. Our goal is to support the whole person and their family system. Our team works closely with your primary provider or hospitalist to provide the best supportive care for patients and families facing serious illness. We build a care plan that lessens the physical symptoms of disease, eases the stress of emotional and social worries and helps you decide what kind of care is right for you. We also help you navigate the healthcare system and access community resources through coordination and referral.
Palliative care is not hospice. Both use a team of experts to provide pain relief and comfort care, but palliative care can be appropriate at any stage of serious illness. Hospice care is a type of palliative care intended for patients with six months or less to live. Depending on your needs, a team member can be involved for a short time or as part of your long-term care plan and needs. We are committed to providing excellent palliative care whether a person has been recently diagnosed, is in active treatment, has completed therapy or is nearing end of life. Who Pays for Palliative Care? Medicare, more information Medicaid and private insurers typically cover palliative Carla Jolley care services. It is similar to seeing other specialists such as cardiologists. Palliative care requires a 360.678.7605 provider’s order, however, anyone may request a 360.321.6659 referral, after which we will contact your physician or provider to discuss our program. We work in www.whidbeygen.org/ partnership with your provider to offer an extra layer of services/palliative-care support for you and your family. Carla Jolley, ARNP, joined Whidbey General in 1989. In her newest role as a palliative care advanced practice nurse, she focuses on improving quality of life for those coping with serious illness. Jolley has worked in Home Health & Hospice for nearly 25 years and has provided community and clinical education on topics such as advanced care planning, pain and symptom management, palliative care and end of life care. Her education includes a Master’s Degree in Nursing and nurse practitioner certification in adult and geriatric care, advanced oncology nursing and hospice and palliative care. www.Whidbeygen.org
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General Contractor Chosen for new wing Andersen Construction has been hired to serve as the Andersen Construction team members (from left) Brandon Lawrence, superintendent, Jon Ecklund, project engineer and General Contractor/Construction Manager (GC/CM) Ryan Kessler, project manager, joined our project manager on our building project. Andersen was one of three Marc Estvold after Andersen was chosen as construction firms that came to Whidbey General this general contractor for our new wing. summer to interview with our building committee. A subcommittee had earlier reviewed the qualifications of eight firms and narrowed it down to the three finalists. After nearly four hours of presentations, the building committee scored each contractor on six criteria. Those scores were added to numbers from the subcommittee’s initial review. Scores were further adjusted for low, medium and high bids, which finalized Andersen as the top choice. “Andersen is thrilled at both the opportunity to work with WGH and with the challenge of meeting the high standards of the community,” says Eric Olson, Seattle Operations Manager. “We look forward to delivering a best in class, patient-centered healthcare addition.” Andersen, a family-owned business, has been building in the Pacific Northwest since 1950. They have completed more than $1.5 billion of healthcare construction on more than 30 hospital campuses and dozens of medical office buildings in the region. Modern Healthcare magazine has ranked Andersen in their national Top 20 General Contractors list for the past five years.
Modern Healthcare magazine has
The group working on the Whidbey General expansion has extensive healthcare background and more than 150 years combined construction experience. Calling sustainability “a passion for our team,” Andersen has worked on 40 Leadership in Energy & Environmental Design (LEED) Certified projects, including four LEED Certified Healthcare projects.
Top 20 General Contractors list for
ranked Andersen in their national
the past five years.
Andersen was the general contractor for the $25.5 million Harrison Medical Center expansion in Silverdale, Wash., and the $11 million, 34,600 square foot PeaceHealth St. Joseph Integrated Cancer Center in Bellingham. “This project is immensely meaningful to Andersen and we take our responsibility to deliver excellent quality and tremendous value to the Whidbey Island community and the hospital seriously,” says Olson.
Andersen Construction was general contractor for the 54,000 square foot expansion of Harrison Medical Center, which added 50 patient rooms, four operating rooms and 16 pre-and-post surgical rooms.
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Great Projects Come from Great Clients
By Peter Damento, Senior Project Designer HDR Architecture
Schematic design of the new addition began in August and concludes in November. During this phase, the design team, working with Whidbey General Hospital staff, continued to develop earlier approved concepts in more detail. Working with consultants, we began site development, which includes locating the new addition and indicating new parking, roadways, utilities and site grading. We began the building design, developing room-by-room layouts and studying how users will circulate through the new addition and how the addition connects to the existing hospital. We also began preliminary design on mechanical, electrical and structural systems.
Whidbey General leadership, medical staff and employees have embraced the process and added their commitment and vision.
This is an exciting phase of the work where we begin to develop the architectural language (character) of the project, which includes the building’s general size and shape, window size and placement and materials. We also explore ways to connect to the unique pastoral countryside of Whidbey Island. Evidenced-based design indicates that the connection to nature, natural light and views support a healing environment.
During this phase of the work we begin to look at sustainability opportunities. We have completed a workshop with the hospital’s Green Team that identified goals for the project. We will explore many opportunities that include energy-efficient mechanical systems, use of LED lighting, maximizing natural light and the use of green finishes in the interior. After schematic design we begin design development, which is a refinement of the project in more detail. This includes detailed layouts of medical equipment, lighting, communication and mechanical systems. We will begin to look at all the aspects of the architectural design including landscaping and site details. As project designer I am very excited about our progress. Whidbey General Hospital’s leadership, medical staff and employees have embraced the process and added their commitment and vision. After many years working in the architectural profession I have found that great projects come from great clients, and I am thrilled to say we are well on our way to designing a great project for the Whidbey Island community.
Above: This cardboard model shows one of the potential designs of our new wing being considered, with current building in the background. Right: A cardboard mock-up room provided a chance to better understand the scope, design and scale of our project. Post-it notes indicated potential placement of various items; visitors left notes with comments and suggestions. www.Whidbeygen.org
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Compassionate Care for End-of-Life Hospice of Whidbey General
Hospice provides care to patients with lifelimiting illnesses, in cases where doctors believe someone has six months or less to live. Hospice involves a multidisciplinary approach that includes pain and other symptom management as well as emotional and spiritual support.
Jeanie Norman with grandson Joe Ledford in 2011.
“Hospice focuses on care, not cure,” says Diane Fiumara, RN, manager of Hospice of Whidbey General. “Hospice is for those who have no further curative options or who choose not to continue treatment.” Hospice is provided in different settings, but most people prefer to remain in their own homes.
Jeanie Norman was diagnosed with esophageal cancer in December 2012. After a year that included chemotherapy and radiation, the cancer spread, and doctors could do no more for the 71-year-old Freeland resident. In early 2014, Jeanie’s husband of 45 years, Ron, was advised to look into hospice. His search led him to Hospice of Whidbey General. Last February Jeanie became the first patient in the new program, which was working to gain Medicare certification, a process that was recently finalized. A Team Approach
The Normans soon began meeting hospice team members, including medical director Dr. Jerry Sanders; Carla Jolley, ARNP; chaplain Dave Bieniek; Erika Smith, RN; and social worker Catharine Perrin-Martin, MSW. “We had an instant rapport and enjoyed each of their personalities,” recalls Ron. If patients are unable or unwilling to leave home for a doctor’s appointment, Dr. Sanders will come to them. A medical social worker helps with support networks, bereavement and navigating the healthcare system. Of course, as Fiumara notes, at any point in hospice, patients can change their minds and resume medical treatment. Bieniek offers spiritual support regardless of faith or denomination. “Jeanie liked Dave right away,” recalls Ron. “They had their private chats every two weeks and that was quite meaningful to her. She was very strong in her beliefs. She had no fear.” Smith became Jeanie’s primary care nurse, visiting weekly and updating Jeanie’s daughter, Kim Ledford, who lives in North Carolina, after each visit. Smith’s hospice experience was apparent. “Erika did a great job and always kept Jeanie on track,” says Ron. A hospice aide may help patients bathe or shower. Volunteers give the primary caregiver respite. On one occasion, volunteer Kathleen Ottum sat at Jeanie’s bedside so Ron could take a needed walk. “That turned out perfect,” he recalls. Good teamwork is crucial when the unexpected happens. One Saturday, Jeanie fell down stairs and sustained lacerations when a Pyrex dish she was carrying broke. After Ron called the hospice hotline, he was relieved when Patricia (“PC”) Cable, RN, arrived at their home. “It was Compassionate Care continued next page
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Dr. Jerry Sanders Medical Director Hospice of Whidbey General
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Compassionate Care continued
nice she was not a stranger,” he says. Cable’s expertise in wound management and her calm demeanor in traumatic circumstances provided further comfort. “Every time things got difficult, the person who came was perfect,” says Ron. “The team approach worked well for us.” Compassion and Support
Often a patient enters hospice feeling tired and uncomfortable, having been through multiple diagnostic tests, surgeries and/or rounds of chemotherapy, notes Fiumara, who was in acute care for 14 years before finding her passion in hospice. “Patients generally feel better after beginning hospice care,” she says. “We stop all unnecessary tests, procedures and medications. We help patient and family achieve goals such as physical comfort, improved sleep and no further hospitalizations.” The hospice team educates everyone involved about disease progression, which helps alleviate fear of the unknown. Expert symptom management supports clearer thinking and better decision making. “In setting personal goals, some patients reconcile with family members “Time spent with your hospice team minimizes or tie up unfinished fear and enhances acceptance…” business,” says Smith. “If I can improve a patient’s quality of life and help them enjoy the time they have left, I have succeeded.”
Learn about Hospice
Call Diane Fiumara, RN, manager of Hospice of Whidbey General Hospital 360.678.7605 888.737.6611 fiumad@ whidbeygen.org
“We are here for both the patient and the family,” says David Bieniek, chaplain for Hospice of Whidbey General. The Bereavement Program provides support for 13 months, or more if needed, and helps a family through the period of mourning that accompanies any loss. “Mourning is sacred work, and hopefully becomes a period when healing begins.”
“When we got closer to the end, it was time for the hospital bed, oxygen and other items to be moved into our home,” says Ron. “All of that was nicely coordinated. I didn’t have to do anything.” Jeanie Norman passed away May 31, with her husband at her side, in the Mutiny Bay home the couple had loved and enjoyed during their 16 years in retirement. Jeanie’s wedding band would not easily come off, so Nancy Nielsen, RN, who was present at her passing, carefully and tenderly worked to remove the band and handed it to Ron. “Nancy stayed with me until after the funeral home had come and gone,” says Ron. “She offered to cut a lock of Jeanie’s hair for me. She was wonderful. She knew how to provide the best comfort for me.” Minimize Fear, Enhance Acceptance
“It’s difficult to go through this, but it’s beneficial to realize there are people anxious to help in any way whatsoever,” says Ron. Once a terminal diagnosis is confirmed, Ron thinks entering hospice soon benefits both patient and family. “It gives you time to establish rapport,” he says. “You go into the most difficult time of your life with people you have gotten to know.” In contrast, waiting until near the end means that everyone who comes into your home is a stranger and you lose a level of comfort, he believes. The process Ron engaged in with Hospice of Whidbey General Hospital made him confident about the care Jeanie was receiving and lessened his own anxiety. “Time spent with your hospice team minimizes fear and enhances acceptance,” he says.
Bereavement Support
MedicareCertified Hospice
Hospice of Whidbey General is Medicarecertified, which means that someone on Medicare receives hospice care at no cost. This benefit covers care provided by each member of the hospice team, as well as the medications, equipment and supplies needed to provide comfort and appropriate medical care.
Team Support
Certified hospice nurse Erika Smith, RN, is part of a multidisciplinary team that includes the medical director, registered nurses, a social worker, nursing assistants, trained volunteers, a chaplain and bereavement counselor.
Personal Thanks Ron Norman would like to thank Hospice of Whidbey General for the skilled and compassionate care provided to his beloved wife Jeanie. www.Whidbeygen.org
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n Reduce the amount of carbohydrates you eat: Minimize
The Connection between diet and pain
By Whidbey General Hospital Clinical Dietitian Lori Taylor, MA/MS, RD, CD
Chronic pain is a widespread, serious and costly public health issue. The Institute of Medicine reports that more than 100 million adults in the U.S. suffer from chronic pain conditions – affecting more people than diabetes, heart disease and cancer combined. The burden to sufferers and their families is heavy. A 2013 survey of 1,255 adults with chronic pain and 505 caregivers found that: n 94% reported living with pain as a daily struggle n 91% said chronic pain disrupted their day-
to-day lives; 40% described it as VERY disrupted
n 82% turned to family or friends
for help with daily tasks
We know living with chronic pain can cause isolation and depression, and seeing the suffering of a loved one is very difficult for families and caregivers. A strong pain management plan requires an integrated and diverse approach. In addition to treatments such as medication or surgery, patients may benefit from physical therapy, acupuncture, bodywork and massage. Addressing the effects of underlying depression and anxiety can also be healing, as is working to establish a good support structure for daily life. Even with good medical care, however, patients can still experience chronic pain. Fortunately, you may be able to reduce the level of inflammation in your body through what you eat, and reduced inflammation may result in less pain. The following may decrease inflammation and thereby reduce pain: n Increase vegetable and fruit intake: Start moving toward
eating eight to 10 servings of vegetables and fruits per day. Deep red, yellow, orange and green produce provide the phytonutrients, vitamins, minerals, fiber and potent antioxidants that minimize inflammation. A serving is equal to ½ cup, so one cup of green beans counts as two servings. It is not necessary to eat eight to 10 different things. Having a small piece of whole fruit at each meal, along with one to two different vegetables at lunch and dinner, can help meet this goal.
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your intake of highly processed carbohydrates such as bread, pastas, cakes, candy, fruit juice and corn syrup and sugarsweetened foods. These cause rapid rises in blood sugar, which may increase inflammation. Your starch intake should ideally be no more than ¼ of your plate. Focusing on whole grains or fruit may help prevent overeating. Too much of even a good carbohydrate can increase inflammation.
n Consume high quality fats: The types of fat we eat affect
which inflammatory molecules are made in the body. Choose olives and extra virgin olive oil, avocados, nuts and seeds, as well as cold water fatty fish such as salmon, sardines or mackerel. more information Whenever possible, choose pastured or Lori Taylor grass-fed products when 360.678.7656 ext 3202 purchasing meat and dairy. Avoid soy or corn 360.321.7656 ext 3202 oils as well as trans-fats, taylol@whidbeygen.org since these fats increase inflammation and have a high pesticide load. This can be challenging, since it means avoiding most commercially produced pastries, fried foods and salad dressings. n Test wheat and gluten: For reasons we don’t
completely understand yet, some people report less pain when they reduce or eliminate gluten, a protein found in wheat and many food additives. Since wheat is the major source of gluten in our diets, a trial of one to two weeks without wheat, followed by a reintroduction, can help determine whether you are affected by gluten.
The above recommendations are a starting place. Other strategies, such as taking certain nutritional supplements, may also lead to reduced inflammation and pain. For more information on how to reduce pain and inflammation through diet, come to the class described below. New Class - Reducing Inflammation through Diet
What you eat can decrease the level of pain and inflammation you experience, as well as help reduce the symptoms of many autoimmune disorders. This free class will overview an anti-inflammatory diet and highlight how carbohydrates, fats, fruits, vegetables and supplements may affect inflammation. Learn practical strategies as we explore the effect of gluten intolerance and other food sensitivities. Discussion will include a comparison of popular antiinflammatory diets such as the Dr. Weil Diet, the Abascal Way (Vashon Island Diet) and the Paleo diet. Your instructor is a biochemist and nutritionist with degrees from UC Berkeley, Stanford University and Bastyr University. Please preregister with Bobbi Silor at 360.678.7656 ext 4001 or 360.321.7656 ext 4001. INSTRUCTOR: Lori Taylor, MA/MS, RD, CD LOCATION: Board Room DATE: Wed Dec 10 TIME: 5:30-7pm FEE: Free
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Dr. Hansen honored Welcome New Medical Staff Whidbey General welcomes Rosa Rangel, MD as the Director of our Hospitalist Program. Dr. Rangel earned her medical degree from Baylor College of Medicine in Houston, Texas. She then completed a residency and internship in internal medicine at Loyola University Medical Center in Illinois. Dr. Rangel has served in a variety of roles in different hospitals through the Southern half of the United States. Before coming to Whidbey General, through our partnership with Sound Physicians, Dr. Rangel served as an Internist, Director of ICU and EKG Reader at Redwood Memorial Hospital in Fortuna, California. Rosa Rangel, MD Whidbey General and WGH Surgical Services welcomes John T. Hassapis, MD. Dr. Hassapis, his wife Dr. Rosa Rangel, and their daughter Sofia relocated from Humboldt County California. Dr. Hassapis completed his undergraduate training at the University of Chicago, his medical school training at the Loyola Stritch School of Medicine and his surgical residency at Loyola University Medical Center. His surgical John Hassapis, MD practice and interests encompass endoscopy, laparoscopy, and general surgery including select thoracic disease, thyroid and parathyroid disease, anorectal disease, hernia repair, and abdominal disease. Whidbey General welcomes James W. Winde, MD to South Whidbey Healthcare (SWH) in Freeland. SWH treats patients of all ages, from infants and children to grandmothers and grandfathers and everyone in between. Their board certified physicians provide preventive care such as well child and well adult exams and treat all types of acute and chronic health care concerns. Dr. Winde attended Medical School at Texas Tech University Health Sciences Center and performed his James Winde, MD internship and residency at Pocatello Regional Medical Center. Dr. Winde is board certified by the American Board of Family Medicine and enjoys providing exceptional primary care to the residents of Whidbey Island.
Brenden Hansen, MD
Dr. Brenden Hansen, medical director of the Whidbey General Hospital Emergency Department, was honored as Medical Director of the Year at the TEAMHealth Emergency Medicine Leadership Conference held in Seattle Oct. 1. The award recognizes exceptional leadership, management and clinical performance among medical directors of emergency departments of TEAMHealth hospitals in the Northwest.
Dr. Hansen was one of more than 100 medical directors under consideration for the award. Dr. Hansen, who is also the Whidbey General Hospital Chiefof-Staff elect, is certified by the American Board of Emergency Medicine. The hospital’s 13-bed Emergency Department sees approximately 21,000 visits per year. “Dr. Hansen has met and successfully managed a number of challenging circumstances this past year,” said award presenter Dr. Clark Morres, TEAMHealth Northwest Chief Medical Officer. These included surging volumes of patients following the closure of urgent care at Naval Hospital Oak Harbor; changes related the Affordable Care Act; and implementation of a new electronic medical record. “Dr. Hansen leads by example,” said Tana Snyder, RN, vice president of Client Services at TEAMHealth. “We believe this year’s Medical Director of the Year award could not have gone to a more deserving physician leader.”
www.Whidbeygen.org
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Ten tips for successful survivorship
Cancer Survivorship
Renee Yanke, ARNP, MN, AOCN Oncology Nurse Practitioner
n Have a plan and stick to it! n Learn symptoms to be aware of and to report to providers. n Ask for help! You cannot expect to jump right back into life as if nothing ever happened.
n Embrace your emotions – acknowledge them instead of stuffing them away – then plan what you want to do about them.
n Healthy lifestyle choices – no tobacco, limit alcohol.
Emily “I’m different than I was – I take each day as it comes now.” Carlos “Once you have cancer, you have cancer for a lifetime. You
learn to deal with it every day and try not to let it consume you.”
Lisa
“Getting back to living has been most challenging due to fear of recurrence – I don’t have the luxury of having an ache be just an ache.”
These comments expressed by people on cancer survivorship blogs may seem familiar to you. This article will introduce survivorship. It will address basic facts, provide tips for survivors and caregivers, and share information about what’s on the horizon for Whidbey General’s cancer program. Thirty plus years ago, our focus was on treatment and hospice. This progressed to improving symptom management, prevention, and detection of cancer. Now, survivorship is gaining importance, in large part, from the success we experienced with those prior improvements. Celebrities now share their survivorship experiences and inspire others on their journey. Oscar winning actress Kathy Bates took inspiration from Grammy Award winning singer Melissa Etheridge. After seeing Melissa in concert, bald, Ms. Bates decided she did not have to hide her cancer diagnosis either. A survivor is generally defined as a person with cancer, from the time of diagnosis through the end of life. There are 12-13 million cancer survivors, as compared to three million in 1971; and that number is expected to hit 20 million by 2020. Nearly 60% of survivors are 65 years or older. When treatment is finished, it is a time to step forward. We clinicians want to honor and celebrate that accomplishment, but the perspective of the survivor and their family may be different. Many feel uncertain about not seeing their care team as often. Some have concerns about the lingering side effects. Families might expect a person to jump back into living again, when in reality, the survivor might not be quite ready. The good news is the sense of achievement one feels at the completion of treatment can often lead to a new survivor support community and the opportunity to make those desired changes in regard to career or life goals. Survivors contend with many changes in their lives - how to resume a “normal” life with various roles and relationships, as well as financial and employment concerns. A study by Fred Hutchinson Cancer Research Center showed that common concerns of survivors included ongoing fatigue, neuropathy, intimacy/sexuality, emotional distress, and anxiety. These can cause a great deal of distress in the life of a survivor and caregivers. That is where Survivorship continued next page survivorship comes in. 10
n Participate in your care - understand what is planned and what needs follow-up.
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n Healthy weight, diet and exercise – statistics show that people going through cancer treatment have higher rates of diabetes and heart disease, often related to treatment. As we know, healthy diet and exercise can help prevent/manage these conditions. n Screening and prevention – survivors are sometimes susceptible to other cancers; this can help prevent and/or find other cancers early. n Regular health checkups – if you have a history of diabetes, heart disease of other health issues, it is important to continue to manage them, as well as monitor for problems related to cancer treatment. n Find meaning in your cancer journey! What do you value, what changes can you make – how can you give back?
1989 2014 Whidbey General Hospital
Medical Ambulatory Care/Oncology
Marks 25 years of skilled, compassionate cancer treatment
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For Your Health and Well-being
Cancer Survivorship continued
The Alzheimer Café
Survivorship is the next phase of care for the cancer survivor -- shifting from active treatment to ongoing follow up and monitoring. We work with the survivor and family to help them through the lingering side effects or possible recurrence. As more people live longer, we learn more about the long term effects of treatment and the importance of helping people cope with them. Maintaining contact and long term follow up can be a challenge. Since people sometimes move from one part of the country to another, it can take multiple calls and additional paperwork to obtain records about previous treatment. To address this, survivors need to have a concise record of their treatment as well as a “road map” for ongoing care and follow up. For example, because of a higher risk of breast cancer in radiated areas, women who were treated with radiation in their 20s for Hodgkin’s lymphoma need to start mammograms earlier than the usual age of 40. Three helpful tools are listed at right. These tools are part of the standards required by the Commission on Cancer’s program accreditation in 2015. Whidbey General’s Lisa Toomey, RN, OCN and Sue Cary, RN, BSN, OCN are participating in a national program for providing survivorship care. Their insight will help us improve our structure as we continue to support people as they move through survivorship. We are currently piloting a few different treatment summaries to find the best fit. Patient navigation and survivorship are closely related, and we’ll be working to streamline and improve our navigation process.
Lisa is now paddling Dragon boats and having red streaks put in her hair – to feel alive. Emily is working and participating in yoga and other activities to maintain her health and wellbeing.
Treatment Summary
given to patients at the end of treatment with:
The Café is a welcoming place where people living with dementia in any of its many forms, along with their care partners and family members, come together for a casual social gathering. Spend an afternoon enjoying interesting conversation with both old and new friends who are experiencing similar circumstances. Everyone is welcome. Third Thursday of each month • 3-4:30 pm Zorba’s Restaurant, Oak Harbor Contact Karen Cowgill, Home Place Memory Care 360.279.2555
Whidbey Island Parkinson’s Support Groups
• Contact information: Oncology team and clinic name
Second Tuesday of each month • 10 am Bayview Senior Center • 14594 SR 525, Langley
• Diagnosis: Type of cancer and staging
First Friday of each month • 1 pm Cherry Hill Clubhouse • 549 NW 12th Loop, OH
• Treatment: Surgery, chemo/ biotherapy, radiation - Type and dosage for each treatment Survivorship Plan
providing information about what needs to be followed long term: • Monitoring plan: “Road map” for care • Referrals for follow up: referrals to PT and OT to assist with rehab/employment • Health promotion: how to decrease risks for other cancers/health condition that a person might be predisposed to such as other cancers, diabetes or heart problems Distress Screening
a tool to identify needs of survivors and families – physical, emotional, financial and day-to-day concerns such as transportation. Screening is recommended to be done at the start of treatment and periodically thereafter to identify needs and concerns of survivors and caregivers.
Carlos has support of his family and keeps busy with other activities to keep his mind off the diagnosis.
Volunteers Needed
Our hospital needs volunteers. We currently have openings at our front desk reception area and various offices in the hospital. If you are interested in giving back to your community and want something meaningful to do, please contact us. Volunteer applications are available on our website under the “My Hospital” tab. Nancy Bailey, Manager Volunteer Services 360.678.7656 ext 3246 • 360.321.7656 ext 3246 bailen@whidbeygen.org
Heartwise Screenings
and the Heart of a Woman (HOW) Program Whidbey General promotes community wellness by offering low-cost cholesterol/triglyceride/blood sugar screenings. The cost is $50 for the general public. If you’re a woman with financial challenge the screening is covered for free by a Soroptimist HOW grant. The screening includes: total cholesterol, HDL, LDL, triglycerides, fasting blood sugar, blood pressure, heart rate, body mass index (blood sample is obtained from a finger stick and you’ll know your results in 10 minutes). A detailed education segment discusses lab results, cardiac risk factors and preventative actions to take. If you are interested in signing up for a Heartwise Screening, please contact: Janie Keilwitz Whidbey General Life Center 360.678.7656 ext. 2132 • 360.321.7656 ext. 2132 www.Whidbeygen.org
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Welcome! 12th Annual
Tour de Whidbey A Huge Success!
Sunny skies, happy riders and hardworking volunteers came together on Saturday, September 20th to make the Tour de Whidbey one of our most successful ever. Our beautiful island hosted 450 riders for 100-, 50-, 40-, 30- and 10-mile routes. Over a hundred volunteers hosted breakstations, offering riders refreshment and a chance to rest as they pedaled along their chosen routes. The Tour de Whidbey is the major fundraising event of the Whidbey General Hospital Foundation, and this year’s sponsorship was led once more by Whidbey Island Bank, Radia and the Whidbey General Hospital Medical Staff. They joined with dozens of others to meet our goal of raising money for the purchase of an orthopedic arthroscopy tower for our Surgical Services department. Whidbey General has been fortunate to have recruited three skilled orthopedic surgeons to the Island who have revitalized the local orthopedic specialty practice. This imaging system is the fundamental tool required to perform minimally invasive orthopedic surgery, which is the standard of care. As a result, fundraising for a comprehensive orthopedic arthroscopy tower was identified as a key fundraising priority. With lots of help from our community, we met and exceeded our goal of raising $40,000 – over $50,000 was raised! We could not have done it without each and every participant, so THANK YOU to our sponsors, volunteers and riders – and see you on September 19, 2015 for next year’s Tour de Whidbey!
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Jonathan Everidge was elected to the Foundation Board of Directors in July. A resident of Coupeville, Jonathan works for Slalom Consulting in Seattle as an expert in Information Systems development. Through the community involvement and philanthropic arm of Slalom, Slalom.org, Jonathan has organized volunteers and funds for many local and national organizations, including Union Gospel Mission, Community for Youth, Habitat for Humanity, Ronald McDonald House, Boys and Girls Club, Dignity for Divas, American Heart Association, Make-a-Wish Foundation, and many more. Here on Whidbey Island, Jonathan and his husband Collin Curtis have been involved with supporting the Pacific Northwest Art School, the Whidbey Giving Circle, Island County Historical Society, and CADA. Welcome, Jonathan!
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Gifts from our Community May 2014 - September 2014
Clare Christiansen Renee Faber Janice Fischer Lynn & Wayne Flaaten Jan Hayes Carolyn Milat Helen Rideau INDIVIDUAL Frances Schultz & CONTRIBUTIONS Constance Sullivan Carol Ann Jane & Gerald Selene Judy Brown Michelle Suggs Carol Byng Thelma White Grethe Cammermeyer In memory of Ann Kennedy L.F. Chase Clare Christiansen Carol Byng Carol Doering To thank Emergency Ralph P. Edwards Services Karen Epifano Grethe Cammermeyer & Richard Epstein Diane Divelbess Maija Eerkes Richard Goldstein, MD & Helen In memory of Andy Hawken Susan Jones Kinsella, MD To thank Peter Jiang, MD Kenneth & Maria Gunther Stephanie Haskins Michael Mosbrooker Marchele Hatchner To thank Michele, Karla, Kim, Mary Heck Kyrstie, Janie, Mary & Peggy Tom & Gerri Hiestand Susan Sibbald Geraldine Howard In honor of Kurt Johnson Cecily Molesworth Carla Jolley Janie Keilwitz Dean Weldon Mary Ann Kirkland In memory of Michele Lambert Laurie B. Mosolino Mary Leengran Jeannette & Gary Axtell Laurie Leonetti Greg & Gail Bergere Nan & Ken Leaman Cedar Street Community Jana Madrigali Gary & Linda Davis Kristy Mathenia & Manuel Gretchen & Robert Dixon Velasquez Eaton Hydraulics John McNamara Joan & Gordon Eustis Michael & Nicole Merkulovich J.K. & H.G. Landau Virginia & Joseph Merrion Leone & Brent Olsen Marilyn & Paul Messner John & Annette Roberts Sharon Peabody In memory of Muriel Pickard Jeanie Norman Carolyn & Edward Plitt Roberta Pollard WGH Medical Staff Patty Radvick In honor of Helen Rideau John Oakland, MD Lucie Riederer, MD Carl, Brittani & Aspyn Sheri Sayre Morgan Ellen Sargent In honor of Melva Robison Dot Sennstrom & Aspyn Morgan Janice Stallbaum Jim & Mary Bergman Lynn & Jeffrey Stiern Kristy Fedrick Debra Stone Lane Powell PC Carolyn Terada In memory of Ron Wallin Linda Lowe Sheedy Peggy & Mac Whitford, MD Lynn & Blake Willeford Shari Stokes Robert & Patricia Wolfe In memory of Betsy Summers
Endowment/Major Gift
Puget Sound Energy Foundation Radia Waterman Medical Foundation Whidbey Island Bank
REMEMBRANCES Robin Mueller In memory of Beverly J. Aldrich
A. J. Krininger Mitzi Ohlstrom In memory of Judy Allison Gene Kelly Barner In memory of Annie Lee Barner & Kenneth Rainey Barner Sr. Staff of the Cytogenetic Lab, C&W To remember David Dowsley
COMMUNITY BENEFITS
Fall Charity Bridge Tournament Useless Bay Golf & Country Club Women’s Association
Grants
Puget Sound Energy Foundation
BUSINESS/ ORGANIZATION PHILANTHROPY The Clyde Theatre Radia
Soroptimist International of Coupeville Soroptimist International of Oak Harbor Soroptimist International of South Whidbey Island Whidbey Telecom
TOUR de WHIDBEY
Andersen Construction Cardinal Health Coldwell Banker Tara Properties Foster Pepper PLLC HDR, Inc. Medline Foundation Moss Adams P and L General Contractors Parker, Smith, Feek PeaceHealth Puget Sound Energy Radia Skanska USA Building Stericycle TEAMHealth Northwest Tesla Valic
Tour IN__-KIND GIFTS
Big Rock Designs Ace Hardware - Freeland Biofreeze Ciao Clif Bar Crystal Springs Family Dermatology Co. The Goose Community Grocer Oak Bowl Papa Murphy’s Pizza Sodexo Webb’s Department Store Whidbey Coffee Whidberry Frozen Yogurt Whidbey Island Bicycle Club WhidbeyLocal.com Whidbey SeaTac Shuttle Whidbey Weekly
WORKPLACE GIVING Rebekah Allred Roxanne Alves Wyn Andrews, MD Jun Aquino Christine Aries Karen Backman Christina Barker Michelle Beesley
Ann Bell Christopher Bibby, MD Laura Black Lauren Bock, PA-C Caren Bohardt Sue Bottorff Emily Brink Jacqueline Bruns Melinda Buchholz Katherine Carr Colleen Childs Titia Chilton Cheri Christensen Erin Christensen Whitney Christiansen Elizabeth Coursey Kathryn Cox Linda Cross Laurie Davenport Vera Demers Tracy Deskin Tonya DeYoung Nicolette Diaz Wayne Donaldson Sharon Ehler Kimberly Ferguson, PA-C Diane Fiumara Heather Forrest Teresa Fulton Emily Gabelein Linda Gipson Kathleen Glaze Line Goulet Diana Graham Virginia Green Lisa Grentz Julie Guilbert Hank Hanigan Karen Harder Rebecca Harless Kellie Harris Porter Blue Haught Belinda Hawkins Pam Hawley Linda Hegburg Megan Hill Troy Holmes Betty Hunter Mary Hunter Alana Hutchinson Erin Jackson Elsienor Java Barbara Johnson Janie Keilwitz
Arlene King Colleen Klamm Patsy Kolesar-Hynson Linda Krueger Tara Law Nomi Lev Sharon Lyson Megan Manker Robert May Patricia Meyers Donald Miller Alyssa Moore Frank Mueller Molly Nagel Jessica Naples Trish Nilsen Mary Leah Oman, MD Gaila Palo Gwen Parrick Catherine Perrin-Martin June Peteroli Gary Piazzon Mario Porras, MD Pamela Putney Richard Ralston Michele Renninger Maria Reyes Suzanne Reynolds Angela Richardson Helen Rideau Trish Rose Mariam Ross Jules Sacerio, PA-C David Serle Marie Shaw Curtis Shumate Lorijean Spear Beth Stout Kathryn Sutherland Barbara Thelen Sam Thierstein Tom Tomasino Lisa Toomey Chris Tumblin Christian Vasquesz Mervyn Wagstaffe Susan Walker Jennifer Wesley Connie Wheeler Debbi Williams Renee Yanke Ginger Yost Other Workplaces IBM Corporation
The Power of Giving
Contributions to the Foundation have made it possible for the Whidbey General Hospital Foundation Board of Directors to fund grants May 2014 – September 2014 totaling $73,850 for equipment and programs at the Hospital, and $3,750 for community health initiatives May 2014 through September 2014 • Wireless-capable telemetry units for our Post-Anesthesia Care Unit • Ambulatory infusion pumps for our Medical/Surgical Unit • Amy Ayers Scholarship Awards, given to two nurses here at Whidbey General Hospital for assistance with their continuing education • Replenish Vial of Life supplies for Emergency Medical Services community outreach program • Funding for 2014 Nurse Appreciation Week activities • Scholarships for Heart of a Woman screenings at the Life Center for Essential Wellness • Mammography service vouchers for women with limited resources • NRT prescriptions for Tobacco Cessation class participants • Prescription drug vouchers for low income patients discharging from emergency, community clinics, medical-ambulatory care/oncology and inpatient medical-surgical units www.whidbeygen.org
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Health Education Classes Newest Offering! Have you had the Conversation?
Palliative Care Advance Practice Nurse Carla Jolley and Chaplain David Bieniek BC, invite you to join them to Have the Conversation. The Conversation Project is a “public health campaign to help individuals and their loved ones live out their final days in the way they would choose, honoring their wishes in death the same way we do in life - with dignity, respect, and deep compassion.” We and our loved ones are often faced with, but not prepared for, lots of decisions related to end of life wishes. Studies show that when there is meaningful conversation about end-of-life choices, survivors feel less guilt, less depression, and experience an easier process of grieving. This is not about filling out David Bieniek and Carla Jolley advanced directives or medical forms, but using the Conversation Starter Kit to think about and communicate what is important to ourselves and to those we care about. If you can’t join us, check our website under advanced directives for other dates, invite us to speak to your group, or download the Starter Kit for yourself at http://theconversationproject.org
Consider the facts
n More than 90% of people think it’s important to talk about
their loved ones’ and their own wishes for end-of-life care, but less than 30% of people have discussed what they or their family wants when it comes to that topic.
n 60% of people say that making sure their family is not
burdened by tough decisions is “extremely important,” but 56% have not communicated their end-of-life wishes.
n 70% of people say they prefer to die at home, however
70% die in a hospital, nursing home, or long-term-care facility.
n 80% of people say that if seriously ill, they would want
to talk to their doctor about end-of-life care, but only 7% report having had an end-of-life conversation with their doctor.
n 82% of people say it’s important to put their wishes in
writing, but only 23% have actually done it.
One conversation can make all the difference. Let’s have it. INSTRUCTOR: David Bieniek, BCC and Carla Jolley, ARNP LOCATION: WGH Conference Room A DATE: Wed Jan 7 TIME: 6-7:30pm FEE: Free 14
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ABDOMINAL DEEP BREATHING and Relaxation This powerful class teaches abdominal deep breathing and relaxation techniques which help to relieve tension, stress and lower blood pressure. Stress influences everyone and this technique instantly counteracts the harmful effects of stress. Blood pressure/heart rate are taken before and after breathing exercises. Handouts and time for questions are included in this free class. No special clothing or mat is required. To register call 360.678.7656 ext 2130 or 360.321.7656 ext 2130. INSTRUCTOR: Janie Keilwitz, RN, MN, Heartwise Coordinator LOCATION: WGH Life Center Classroom DATE: 1st Wed ea month TIME: 3:30-4:30pm FEE: Free Becoming TOBACCO free INFORMATION & SUPPORT Whidbey General offers free information/support sessions for quitting tobacco for good. These one-hour sessions will help you learn about health issues related to tobacco, the many tools that are now available for helping you quit, and how to find resources to serve you. Whether you use cigarettes or smokeless tobacco, if you’ve tried to quit before or not, there are many resources to help you. Get inspired to “Quit for Good.” Those who have recently quit and are looking for support are also invited. Refreshments will be provided. For questions please call 360.678.7656 ext 2130 or 360.321.7656, ext 2130. No registration required. INSTRUCTOR: Katherine Riddle, RRT, CTTS LOCATION: WGH Life Center DATE: Wed Nov 19, Dec 17 TIME: 6:30-7:30pm FEE: Free CHILDBIRTH EDUCATION This one-day class will discuss labor, delivery, going home with your baby as well as breastfeeding during the early days. Taught by a certified childbirth instructor and lactation consultant, the format includes practice time for coping strategies that may be used during labor. Information about medication and epidurals is included. To register email or call Loretta Bezold at bezoll@ whidbeygen.org or 360.679.0902. INSTRUCTOR: Loretta Bezold LOCATION: WGH Conference Rooms A & B DATE: 1st Sat of each month TIME: 9am-3pm (includes half hour break for lunch) FEE: $80 (DSHS medical coupon accepted) Grief and the Holidays A one night workshop for those dealing with a loss of a loved one in the last year and facing a holiday season without that loved one. This workshop is being offered by Hospice of Whidbey General. Please preregister at 360.678.7656 ext 8245 or 360.321.7656 ext 8245 or email bienid@whidbeygen.org INSTRUCTOR: David Bieniek, BCC, Bereavement Coordinator for Home Health Care and Hospice of Whidbey General LOCATION: WGH Conference Room A & B DATE: Thu Nov 6 TIME: 6:30-8:30pm FEE: Free LIVING WITH LOSS A six week class (five weeks for Jan/Feb class) designed to help you through the common and needed process of grief following the death of a loved one. Please preregister at 360.678.7656 ext 8245 or 360.321.7656 ext 8245 or email bienid@whidbeygen.org INSTRUCTOR: David Bieniek, BCC, Bereavement Coordinator for Home Health Care and Hospice of Whidbey General LOCATION: WGH Conference Room B DATE: Tue Jan 20-Feb 17 TIME: 1:30-3:30pm FEE: Free DATE: Thu Apr 9-May14 TIME: 6:30–8:30pm FEE: Free
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DATE: Thu Jul 23-Aug 27 TIME: 6:30-8:30pm FEE: Free DATE: Tue Oct 13-Nov 17 TIME: 1:30–3:30pm FEE: Free Medicare 2015 - Time to Get Ready! For those joining Medicare either because they have turned 65 or due to a disability. Medicare Parts A and B, the Medigap/ supplemental plans and the Medicare Advantage plans will be explained. If you need help finding a drug plan, bring a detailed list of your medications including the dosage. SHIBA stands for Statewide Health Insurance Benefits Advisers, volunteers who work under the guidance of the State Insurance Commissioner’s Office. No registration required. INSTRUCTOR: Annette Barca, SHIBA LOCATION: WGH Conference Room A & B DATE: Sat Nov 15 TIME: 9:30-Noon FEE: Free SHIBA appointments are available at WGH two Wednesdays a month. Call 360.678.5151 or 360.321.5151 for an appointment. Medicare 2015 - Drop in Sessions These sessions provide individual assistance to people already on Medicare who wish to review the supplemental and/or Medicare advantage plans available in our area. We will also help individuals find the best drug plan for their use. There are no appointments, it is first come, first served. If you need help finding a drug plan, please bring an accurate list of your medications and the dosage(s) you take. LOCATION: WGH Conference Room A & B DATE: Wed Dec 3 TIME: 12:30-3:30pm FEE: Free PREVENTING DIABETES Learn how to lower your risk for diabetes including lifestyle changes. This interactive class will cover risk factors, blood glucose and cholesterol targets, the American Diabetes Association guidelines, glucose meters, and ideas for healthier eating. For adults. To register, contact Line Goulet, 360.678.7656 ext 2661, 360.321.5173, or email: goulel@ whidbeygen.org. INSTRUCTOR: Line Goulet, RN, BScN, MEd Cert. Diabetes Educator LOCATION: WGH Conference Room A DATE: Sat Nov 15 TIME: 10am-Noon FEE: Free Reducing Inflammation through Diet
What you eat can decrease the level of pain and inflammation you experience, as well as help reduce the symptoms of many autoimmune disorders. This free class will overview an anti-inflammatory diet and highlight how carbohydrates, fats, fruits, vegetables and supplements may affect inflammation. Learn practical strategies as we explore the effect of gluten intolerance and other food sensitivities. Discussion will include a comparison of popular anti-inflammatory diets such as the Dr. Weil Diet, the Abascal Way (Vashon Island Diet) and the Paleo diet. Your instructor is a biochemist and nutritionist with degrees from UC Berkeley, Stanford University and Bastyr University. Please preregister with Bobbi Silor at 360.678.7656 ext 4001 or 360.321.7656 ext 4001. INSTRUCTOR: Lori Taylor, MA/MS, RD, CD LOCATION: Board Room DATE: Wed Dec 10 TIME: 5:30-7pm FEE: Free What you should know about Chronic HEART FAILURE - America’s silent epidemic! Are you or someone you know suffering from high blood pressure, high cholesterol, diabetes or obesity? Have you had a heart attack or damage to your heart valves? You could be one of the five million people suffering from heart failure - a frighteningly common but under recognized condition in which the heart muscles weaken and gradually lose ability
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to pump enough blood to supply the body’s needs. To find out more about chronic heart failure, the only major cardiovascular disease on the rise, call 360.678.7656 ext 2130 or 360.321.7656 ext 2130. INSTRUCTOR: Kim Arends, RN LOCATION: WGH Life Center DATE: By appointment only FEE: Free WHIDBEY WELLNESS Do you have the desire to learn realistic and useful strategies to improve your life? Each class will consist of 12 Sessions (twice a week for six weeks) with each session including: 45 minutes of education and 45 minutes of exercise. To schedule an interview, contact Mary Waters at 360.678.7656 ext 2130 or 360.321.7656 ext 2130 or you can e-mail her at waterm@ whidbeygen.org. LOCATION: WGH Life Center DATE: Tue & Thu, Jan 20-Feb 26 TIME: 4-5:30pm (Interview prior to Jan 3) FEE: $160 for hospital employees or hospital volunteers $250 for non-employees
Diabetes Health Group
Sponsored by the Whidbey General Diabetes Program which is an accredited provider of diabetes education by both Medicare and private insurances. You may want to consider a referral from your physician for either comprehensive classes or individual appointments which address a diverse range of diabetes needs. Facilitator: Don Miller, RN, OCN, CDE MONDAY, Nov 24 • Diabetes Medication Update
Learn about the medications, oral and injectable, that are used in treating Type 2 diabetes. Factors affecting medication choices will be reviewed. LOCATION: WGH Board Room TIME: 6:30-8:30pm FEE: Free
Other offerings of Interest Free Car Seat Check-Ups
Did you know that most child car safety seats are installed incorrectly? Want to learn how to install your car seat for free? Whidbey General hosts car seat safety checks every other month. We ensure it is installed correctly and check seats for damage and consumer recalls. We instruct on how to install the seat, and discuss future seat needs as the child ages. Our nationally certified technicians are available for individual car seat checks should you not be available during our scheduled checks. If you can’t make the next date and would like an individual session, contact WGH EMS at 360.678.7620. INSTRUCTOR: Nationally certified technicians LOCATION: EMS parking lot (north of the WGH parking lot) DATE: Tue Dec 2 TIME: 4-6pm FEE: Free Remembrances of the Heart
An annual memorial service sponsored by Whidbey General Hospital, Home Health, Hospice, and MAC Clinic celebrating the lives of loved ones who have died in the last year. Invitations will be mailed out in early January, but all are welcome to attend. More details on the Whidbey General Hospital website. The public is invited. Please RSVP to the Home Health office at 360.678.7605 or 360.321.6659. LOCATION: Trinity Lutheran Church in Freeland DATE: Sat Feb 7 TIME: 2pm FEE: Free www.whidbeygen.org
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