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  • 8/10/2019 Health and Wellness Edition 2014

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  • 8/10/2019 Health and Wellness Edition 2014

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    C2 Health and Wellness Thursday, September 11, 2014

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    Wellness challengeunder way, stressmanagement classis later this month

    by JUSTIN R. LESSMANPublisher

    Employees of JacksonCounty are focusing ontheir health this month.

    A 30-day wellness chal-lenge designed to encour-age the establishment ofhealthy behaviors launchedSept. 1 andcounty em-ployees willtake part inone of twostress man-agementsessions of-fered laterthis month.

    JacksonCounty Commiss ioner

    Rose Schultz said researchshows it requires about 30days of consistent actionfor the development of anew habit. Accordingly,the countys benefits com-mittee developed a 30-day wellness challenge forcounty employees in hopesexactly that might happen.

    The thought was to en-courage people to picksomething to promote amore healthy lifestyle,said Jan Fransen, county

    coordinator. That could bedrinking more water, lesssocial media, more walking any number of things.We encourage people to dothis in September in hopesof turning that healthy be-havior into a habit.

    Schultz said remind-er emails are being sent

    throughout the month, aswell as ones of encourage-ment.

    Later this month, countyemployees will have theopportunity to take part ingroup stress managementsessions.

    S o m e e m p l o y e e sa r e conce r ned ab ou tstress, Fransen said.The benefits commit-tee thought these sessionswould be a good idea.Fransen said a consul-tant will travel to JacksonCounty on two separate oc-casions tentatively, Sept.22 and Sept. 30 and workwith groups of employees

    on how to recognize whenthey are feeling stressedand how to cope with it.

    There will be specialsessions with supervi-sors on how to recognizewhen employees are overlystressed, Fransen said.

    Fransen said most ifnot all of the cost of thesessions will be coveredby grant dollars from theSouthwest/West CentralService Cooperative.

    County employeesfocusing on health

    RoseSchultz

    by MIKE JORDANStaff Writer

    Health of the body,mind and spirit for themost senior of the com-munity are the top con-cerns at Doman-RosePlace in Lakefield.

    When a person isconsidering a movehere to Doman-RosePlace, they receive an

    initial assessment asto what that personsneeds are, said Pame-la Kern, Doman-RosePlace/Rosewood Vil-las housing manager.Our registered nurse,Sharon Schlepp, and Ido that.

    Once a person be-co mes a t en an t a tDoman-Rose P lace,he or she receives anytreatments needed, in-cluding for skin andwound care and clini-cal monitoring of suchthings as blood sugar,blood pressure, tubefeedings, sodium lev-els, lung sounds, waterintake and potassiumlevels.

    We also provide spe-cial treatment such asoxygen, wound care,skin care, catheter careand ostoemy care,Kern said. We havethree nurses on staffhere and they can ad-minister CPR, for ex-ample, if a person werehaving a heart attack;but our staff calls 911

    Special care taken, given at Doman-Rose Place

    in emergencies.Tenants at Doman-Rose

    Place are evaluated formental health issues aswell.

    Mental health is a hugeissue in our society, Kernsaid. When a tenant ex-emplifies mental healthissues, our nurses and staffnotify the doctor. Our goalis not to overmedicate peo-ple, but get them involvedin activities of daily livingthat help them maintaintheir mental health.

    One of the things Doman-Rose Place offers tenants isthe opportunity to havetheir hair cut or styled inthe onsite beauty salon.

    I think having a beautysalon here helps our ten-ants, both men and wom-en, Kern said. It is a partof the activities of homeand here as well. Having

    their hair done, a tenantgets a sense of control intheir lives, makes them feelgood about themselves andadds to their personal pridein the way they look. It af-fects many people mentallyhaving their hair done andbeing touched in the pro-cess. It ends up makingthem look and feel better.

    Doman-Rose Place alsoencourages tenants to besocially active. Kern saidsocialization sharing

    information about them-selves with respect to eachtenants personal boundar-ies is very important tothe tenants.

    We encourage posi-tive conversation with andamong our tenants, shesaid. Even though therecan be a lack of conversa-tion at some tables at mealtime, during their coffeetime, they visit very wellwith one another and withour staff, too, which addsto their self-esteem andmental health.

    Kern also noted nutritionis particularly importantto the tenants at Doman-Rose Place, as most of thetenants are on a restricteddiet.

    Menus are created bya registered dietitian thatplans our meals and menusfor spring, summer and

    one for both fall and win-ter, she said. Our RN,Sharon Schlepp, is quiteadamant about followingthose menus. Most of ourtenants are on specific di-etary restraints of one formor another.

    As activity is not only im-portant to physical health,but can aide in mentalhealth and help stave offillness and, in some cases,improve a persons infir-mities, Doman-Rose Place

    encourages activity as well.We encourage our ten-

    ants to continue doing whatthey can for as long as theycan, Kern said. This isassisted living, not a nurs-ing home. Keeping mindsthinking and talking, ten-ants reading and havingthem do as much of theiractivities of daily living asthey can contribute to theirhealth and sense of well-being. Even eye contact isimportant.

    On the spiritual side ofhealth, Kern said, Spiritu-ally, our people need theirreligion and need the sup-port of the people of thechurch, especially pastorsand priests.

    In conjunction with San-ford Health and Compas-sionate Care, Doman-RosePlace has offered onsitehospice services for the

    past six years.Both can be done here,onsite, for hospice carehere, Kern said. Doctorsorder it, interviewing theperson and their family, sothey can all ask questionsabout it. We work with theperson on their journeyand, if the family wants tokeep them here, we do andprefer that they stay withus. We help care for theirneeds.

    Photo by Mike JordanPamela Kern (center), housing manager for Doman-Rose Place, chats with tenantsHarvey Beuthiem (right) and David Nestegard as they get ready for a daily coffeebreak.

  • 8/10/2019 Health and Wellness Edition 2014

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    Thursday, September 11, 2014 Health and Wellness Page C3

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    Local hospitals and nurs-ing homes are among the180 across the state toachieve staff flu vaccina-tion rates of 70 percent orgreater.

    At least 90 percent of staffmembers at Sanford Jack-

    son Medical Center in Jack-son and Colonial ManorNursing Home in Lakefieldwere vaccinated against in-fluenza, with Sanford Jack-son attaining a stellar 100percent vaccination rate.Sanford Worthington Medi-cal Center in Worthing-t o n a n dWindomArea Hos-p i t a l i nWindomalso hit the90-percentmark.

    Reachingthat 90-per-cent mark

    earns the facilities presti-gious blue-ribbon awardsthrough the MinnesotaDepartment of HealthsFluSafe program. In thefourth year of the FluSafeprogram, 213 health carefacilities participated dur-ing the 2013-14 flu season.Of the 180 facilities earn-ing ribbons, 60 reachedvaccination levels of 90percent or greater, earningblue ribbons; 63 were in the80- to 89-percent range,earning red ribbons; and57 reached 70 to 79 percent,earning white ribbons. Theprogram this year awardedmore ribbons than ever

    before.Awarding more ribbons

    means more protectionfrom flu for patients, resi-dents and health care work-ers in our hospitals andnursing homes, said Kris-ten Ehresmann, director of

    infectious disease epidemi-ology, prevention and con-trol at MDH. Were stillstriving for all facilities toreach that blue-ribbon lev-el of 90 percent coverage,but were getting closerevery year.

    The U.S. Departmentof Health and HumanServices has set a goal ofvaccinating 90 percent ofhealth care personnel in itsHealthy People 2020 objec-tives. Since the beginningof the FluSafe programin 2010-11, the numberof facilities achieving 90percent coverage rates orhigher has more than dou-

    bled, from 27 in 2010-2011to 60 in 2013-2014. For the2013-14 season, 28 percentof facilities reached theHealthy People 2020 goal,which was an increase from26 percent in the 2012-13season.

    Ehresmann said unvac-cinated health care work-ers pose a greater risk ofpassing highly contagiousinfluenza to vulnerable pa-tients, without even know-ing it. The FluSafe programaims to get all health carepersonnel, except thosewith medical exemptions,at hospitals and nursinghomes in Minnesota vac-

    Local hospitals and nursing homesrecognized for u vaccination rates

    KristenEhresmann

    FluSafe statewide

    2013-2014 results

    Source: Minnesota Department of Health

    60 Blue-Ribbon Winners 34 hospitals 26 nursing homes

    63 Red-Ribbon Winners 35 hospitals 28 nursing homes

    57 White-Ribbon Winners 31 hospitals 26 nursing homes

    Sanford Jackson MedicalCenter is among 180 hos-pitals and nursing homesfrom around the state rec-ognized by the MinnesotaDepartment of Health forachieving high influenzavaccination rates among thefacilitys employees duringthe 2013-14u season.

    More than70 SanfordJ a c k s o nM e d i c a lCenter em-ployees, rep-r e s e n t i n g100 percentof staff, re-ceived influenza vaccina-tions during the past seasonof the Minnesota FluSafeprogram. The facility receiveda certi cate of achievementfrom Minnesota HealthCommiss ioner E dwar d

    Ehlinger for its efforts. The FluSafe program aims

    to get 100 percent of allhealth care personnel athospitals and nursing homesin Minnesota, except thosewith medical exemptions,vaccinated against in uenzaeach season. According tostate healthofficials, un-vacc ina t edhealth careworkers canpass highlycontagiousi n f l u e n z ato their pa-tients, manyof whom are

    at high risk for complicationsfrom in uenza.

    Our patients health isour top priority, said MaryRuyter, CEO of SanfordJackson Medical Center.Participating in the FluSafe

    program helps us increaseemployee influenza vacci-nation rates and prevent ufrom spreading to our pa-tients. We also want all of ouremployees to be as healthyas possible during u season.

    Kristen Ehresmann, direc-tor of the Infectious Disease

    Epidemiology Preventionand Control Division atMDH, praised the efforts ofSanford Jackson employees.

    Sanford Jackson MedicalCenters efforts to vaccinatetheir employees againstflu highlights their ded-ication to keeping theirstaff and patients healthy,Ehresmann said. Facilities

    participating in FluSafe whether they receive a rib-bon or not are key part-ners in preventing the spreadof influenza by increasinghealth care worker vaccina-tion.

    Sanford Jackson Medical Center hitsperfect 100-percent vaccination mark

    EdwardEhlinger

    MaryRuyter

    cinated against influenzaeach season. National ratesof influenza vaccination ofhealth care workers are es-timated at 72 percent.

    Ehresmann said she waspleased with the increasednumber of ribbons awardedby the FluSafe program thispast year and hopes thatmore facilities will takeadvantage of the programto keep that number climb-ing next year.

    There are approximate-ly 375 nursing homes in thestate, where so many of ourmost vulnerable residentslive, so were working withour partners to get morefacilities to take action andparticipate, she said.

    There are around 145hospitals in the state, ofwhich 100 participated lastseason.

    Under the FluSafe pro-gram, health care facilitiesreceive guidance and ac-cess to tools and promotion-al materials from MDH andthe U.S. Centers for Dis-ease Control and Preven-tion to help them increasetheir rates. The facilitiesrecord and document theirvaccination rates throughthe states electronic im-munization informationsystem, the Minnesota Im-munization InformationConnection.

    The program benefitsfacilities by showing theircommitment to patientsafety, said Denise Dunn,immunization educationand partnerships supervi-sor. The part icipating hos-

    pitals and nursing homes

    are actively fighting in-fluenza by encouragingemployees to get vacci-nated. Annual vaccina-tion keeps workers andtheir families healthiertoo.

    Vaccines protect peoplefrom serious and some-times deadly diseases. Yetmost adults in the UnitedStates are not fully vac-cinated.

    Several vaccines arerecommended for adultsbased on age, health con-ditions, job and other fac-tors.

    Here are three reasons

    now is the time to get up-to-date on vaccinations:1. There are disease out-

    breaks in the United Statesand around the world.Measles, which has beenrare in the United Statesfor years, is back. BetweenJanuary and June, therewere 539 cases of measlesin the United States the highest number innearly 20 years. Measleshas been imported frommore than 19 countriesaround the world. Therehave also been outbreaksof whooping cough acrossthe country, with casesreported in every state,and an epidemic level inCalifornia in June. Bothare contagious diseases.

    2. Flu season will behere soon. The Centers forDisease Control and Pre-vention recommends ev-eryone 6 months and olderget an annual flu vaccine.Flu can be serious, evenfor healthy adults.

    3. Its back-to-schooltime. Enough said.

    Tree reasonsfor vaccination

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    C4 Health and Wellness Thursday, September 11, 2014

    From mothers to grandfathers to co-workers and best friends,weve all been touched by cancer. While the faces of cancerchange, Sanford Cancer Center remains the face of cancer care.

    We have brought together a team of experts to deliver care closeto home. Our multi-disciplinary team works with you to develop anindividualized care plan to fit your needs throughout your entire cancer

    journey. Implementing the latest techniques and innovative research,we guide you from your first treatment to survivorship and beyond.

    Choose expert care. Choose Sanford.

    Call (507) 343-6100 to learn more,or visit sanfordhealthcancercenter.org

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    THE FACES OF

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    One in three women and one in two men will be diagnosed with cancer atsome point in their lifetime. It touc hes mothers, grandfathers, co-workersand best friends. Theirs are the faces of cancer. And at Sanford HealthCancer Center in Worthington, we are the face of cancer care.

    Our team provides screenings, surgery, radiation therapy, chemotherapyand survivorship programming. We not only deliver outstanding care butalso offer support, compassion and hope to every patient. We are with youevery step of the way, developing a personalized plan to take you from yourfirst treatment to survivorship and beyond.

    Choose expert care. Choose Sanford.

    Call (507) 343-6100 to learn more, or visitsanfordhealthcancercenter.org

    The face of expertise

    THE FACES OFCANCER CARE

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    Liangping Weng, MD

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    Liangping Weng, MD provides outreach services close to home at Sanford Jackson.

    At Sanford Health, we believe quality care should bedelivered close to home. Sanford Health specialists providehealth and healing where its convenient to you. Whereyou feel at home.

    Common Procedures:

    Gall bladderHerniaMastectomyLumpectomy

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    Sanford Jacksonhoping for moreregular scheduling

    by JUSTIN R. LESSMANPublisher

    Sanford Health broughtits massive mobile heart,lung and vascular screen-ing center to Jackson lastweek, a key component ofSanford Jackson MedicalCenters plan to accom-plish its goal of proactively

    promoting health and well-ness.

    The goal is to try topromote and maintainhealth, rather than simplytake care of people whenthey are sick, said MaryRuyter, Sanford Jackson

    CEO. These screeningsare key to accomplishingthat goal.

    The goal is part of thepush to address whatRuyter terms populationhealth. Rather than reac-tively focus on individuals

    Mobile screening key to local population health initiativeas they come through thedoor of the clinic, Ruytersaid, Sanford Health seeksto get ahead of potentialproblems and addressthem before they surface.

    Its really all about pop-ulation health, but popu-lation health at a locallevel, she said. What dowe, as the sole hospital inthe county, need to do tomove forward in promoting

    health and wellness?The screenings, Ruytersaid, are a good start.

    The heart screen

    The heart screen usesadvanced tools and diag-nostics to uncover criticaldetails about the healthof the heart. The screenconsists of computed to-mography calcium scoring,electrocardiogram testing,cholesterol testing, bloodpressure testing, Body

    Mass Indexing and Fram-ingham scoring.

    CT calcium scoring ana-lyzes the amount of plaqueon the coronary arteries.The higher the score onthe CT calcium testing, themore plaque in the arteriesof the heart, which increas-es the chances of having aheart attack.

    The EKG test recordselectrical impulses as they

    travel through the heart.Patterns in heartbeats andrhythms may show variousheart conditions.

    The cholesterol test mea-sures total cholesterol,high-density lipoproteinscholesterol and the TC/HDL ratio. Abnormal re-sults indicate a higher riskof heart disease and stroke.

    The blood pressure testmeasures the pressure ofthe blood against the wallsof the arteries. Elevated

    See SCREENINGon C3

    Photos by Justin Lessman Appointment slots for heart and vascular screens on-board Sanford Healths mobile screening center werefull last week in Jackson, leading local Sanford off icialsto hope for increased regularity of visits.

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    Thursday, September 11, 2014 Health and Wellness Page C5

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    You and your family have access to expert care right in yourcommunity at Sanford Jackson and Lakeeld Clinics. Ourfamily medicine providers are your health partner for life,from prenatal care to geriatrics.

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    blood pressure increasesthe risk of heart diseaseand stroke.

    The BMI compares a per-sons height and weight toestablish a healthy weight,while a Framingham scoreestimates the risk of devel-oping heart disease withinthe next 10 years.

    The heart screen may berecommended by a physi-

    cian if patients have riskfactors for coronary ar-tery disease but no clinicalsymptoms yet. Physiciansmost often suggest thisprocedure for anyone 40years of age or older andfor women who are post-menopausal.

    Some patients chooseto have the test on theirown, even if their doctorshave not recommendedit, in order to discover ifearly-stage CAD is pres-ent or reassure themselvesthey probably do not haveadvanced CAD. Major riskfactors for CAD, other thanage, include abnormallyhigh blood cholesterol lev-els, a family history ofheart disease, diabetes,high blood pressure, ciga-rette smoking, being over-weight or obese and beingphysically inactive.

    The heart screen is rec-ommended every 10 years.

    The lung screen

    Much like the heartscreen, the lung screen em-ploys the use of low-doseCT technology to uncoverany potential concernsand find lung cancer whentreatments will work best.Screening for lung can-cer with low-dose CT hasproven to reduce the riskof lung cancer death by 20percent.

    Those eligible for lungscreening are adults ages50 to 74 who are currentsmokers or former smok-ers who have quit withinthe past 15 years.

    Each screening result isreviewed by a multidisci-plinary team of experts. Ahealth provider will man-age any necessary follow-up care for patients who

    require further testing andconsultative services withSanfords lung specialistteam is available for pa-tients and their physicians.

    The vascular screen

    The vascular screen usesadvanced tools and diag-nostics to uncover criticaldetails about the health

    of the vascular system.The screen is for thoseage 40 and over, thoughType I diabetics should getscreened at age 30 or older.

    Screenings include astroke/carotid artery ul-trasound, abdominal aorticaneurysm ultrasound andankle/brachial indexing.

    The vascular screen isrecommended every threeto five years.

    Increasing regularity

    Last weeks visit to Jack-

    son was the latest local stopfor the mobile heart, lungand vascular screeningcenter. Appointment slotsfor the heart and vascular

    screens were full, Ruytersaid. With a response likethat, it is not unthinkablethe mobile screening cen-ter could be scheduled inJackson on a more regu-lar basis perhaps evenquarterly.

    The hope is to get thishere on a more regularbasis, Ruyter said. If wewould get it here quarterly,

    I believe our physicianscould fill the schedule. Itsreally an excellent and im-portant tool.

    SCREENING : Key to local health initiativeContinued from C2

    Photos by Justin LessmanLow-dose computed tomography technology is em-ployed for both heart and lung screens onboard SanfordHealths massive mobile screening center. Lung screensare done via ultrasound.

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    C6 Health and Wellness Thursday, September 11, 2014

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    It was a regular Wednes-day, but it wasnt off to agreat start. Brock woke upat 3 a.m. for a snack and,when I went to get him,I had a pounding head-ache and a dizzy feeling. Iknew I hadnt been sleep-ing enough and hoped acouple more hours in bedwould help.

    It didnt, but I went towork anyway. By that time,I also had the chills, pro-found fatigue, nausea anda weird pain in my chestwhen I breathed. An In-ternet search was not com-forting I had a bunch ofsymptoms associated withheart attacks in women.

    At 27 and having justspent a cons iderableamount of time beingchecked over during preg-nancy, I didnt think I washaving a heart attack. Thenagain, Im sure a lot of peo-ple who have heart attacksthink to themselves theyare not, in fact, having one.

    I didnt want to get tothe hospital and suffer theembarrassment of findingout I had the flu. So I went

    to an interview I alreadyhad scheduled and eventhought I felt a little better.

    If I were having a heartattack, I rationalized, Idalready be passed out onthe floor. Wouldnt I? MoreInternet searching ensued,but surprisingly I didntdiscover a succinct answerto how long it takes to havea heart attack.

    At lunch, I was feelingworse. As I drove to feedBrock and struggled tofocus, my hands startedgoing numb. Instead ofturning in at his daycare,I went to the hospital andsaid, Im going to feel re-ally foolish if Im not, but Ithink I might be having aheart attack.

    The good news is I wasnot having a heart attack.The electrocardiogram,chest X-ray and comput-erized tomography scanall came back clear. I didfeel foolish. The bad newsis I was having an anxietyattack.

    I should have seen itcoming. After Brock wasborn, I dealt with postpar-

    tum depression and wason anti-depressants. Id re-cently stopped being strictabout taking them. Foranyone whos taken medi-cations for mental health,this is a huge no-no.

    Id also turned my wholeworld upside down by re-turning to work and takingBrock to daycare. Therewas never enough time foranything, and I made it tothe end of the day only tofind one or five more littlethings that needed to bedone before I could go tobed.

    In the weeks prior, Idsuddenly get this feelinglike my blood was racing inmy veins; I figured it wasmy daily half-cup of coffeeand quit drinking it. Turnsout it was my body warningme to cool it. I was trying tocarry on with life as it hadbeen before, but life wasntlike that anymore.

    Fortunately, everyone atthe hospital was extremelyunderstanding and kind.Even though I felt like ahypochondriac (I men-tioned to them I found the

    heart attack symptoms onthe Internet. Now Im thatperson.), they assured meit was better to be safe thansorry.

    I havent told many peo-ple about my anxiety attackor postpartum depression.Talking about it conflictswith the person I wantto be, how I want othersto perceive me level-headed, joyful, competent.It can also be a real conver-sation killer. People, me in-cluded, dont always have aresponse to something thatseems so weighty and inti-mate. And no one wants tobe looked at with that mix-ture of terror and pity thatoften accompanies mentalhealth revelations.

    But when I do have achance to talk about it,theres a sense of relief.Something youre not al-lowed to discuss forreal or imagined reasons feels much worse thanit is. If you can bring it upin conversation, its not soscary.

    This is a threefold pub-lic service announcement.

    First, know the signs of aheart attack. Heart diseaseis the No. 1 killer of women;about one woman dies ev-ery minute from it, accord-ing to the American HeartAssociation. Symptoms ofa heart attack can includeshortness of breath, backpain, jaw pain, nausea andflu-like symptoms.

    If you arent feelingnormal or are experienc-ing any of the symptomsabove, head to your localemergency room. It is bet-ter to take care of yourselfand prevent damage toyour heart, in the event youare having a heart attack,states the AHA website.

    Second, take care of yourmental health. I receivedthe following from my reg-ular doctor at a follow-upvisit after my anxiety at-tack: In todays world,there is often too much todo in too little time. It mayseem hard to make time foryourself. But try to spend

    just a few minu tes eachday doing something youenjoy. This can improvethe quality of your life and

    your mental outlook.Enjoying yourself sounds

    extraneous compared tomaking sure everyone inthe house has clean un-derwear, but its not. Thealternative could be spend-ing an afternoon in thehospital.

    Finally, talk about mentalhealth. If someone bringsup depression and anxi-ety in conversation and itmakes you nervous, thinkabout what you might sayif they had brought up akidney stone instead: askquestions, show your con-cern and offer support.Easier than it sounds, butpractice makes perfect.

    What might have been a heart attack turned out to be something else

    MISS COMMUNICATIONSMarie Zimmerman

    Virtual attendanceoption is available

    The Minnesota Psycho-logical Association willhost the sixth annual RuralBehavioral Health PracticeConference focusing on theintegration of behavioraland medical health care onOct. 24 at the University ofMinnesota-Morris.

    Participants can also at-tend by individual webcastand at group webcast sitesat Bemidji, Grand Rapids,Mankato, Marshall, Min-neapolis, Rochester andSt. Cloud.

    Conference hours are 8a.m. to 4:30 p.m.

    Up to seven continuingeducation hours are avail-able, and practitionersin all behavioral healthprofessions, as well as

    advocacy and consumerspecialists, are invited. Theconference will providea knowledge base at theintermediate to advancedlevel for implementingrural integrated services.

    The research basis forintegrated care is convinc-ing, and it is even morecritical in rural areas, withtheir relative shortagesof health and behavioralhealth providers, accord-ing to MPAs website.

    The keynote speaker will

    be Gina Lasky, a nationallyknown expert on imple-menting integrated healthcare. She will speak aboutIntegrating Primary Careand Behavioral Health inRural Settings.

    Other speakers includeCraig Sawchuk of the MayoClinic, who will present onThe Integrated Behav-ioral Treatment of AnxietyDisorders in Primary Care:Extension to Rural Prac-tice; Kristen Roessler and

    Casie LaMunyon, a ruralColorado pediatrician andcounselor, who will presenton Lessons from the FrontLines of Rural Pediatric In-tegrated Care; and JosephE. Troiani, who will pres-ent on The Challenge ofTreating Individuals withboth Mental Illness andSubstance Use Disordersin Integrated Rural Set-tings.

    Registration and moreinformation is available atmnpsych.org/3786-2.

    Annual Rural BehavioralHealth Practice Conferencefocuses on integrated carein rural practice situations

    If you go . . .What: Rural Behavioral

    Health PracticeConference

    When: Friday, Oct. 24, 8

    a.m. to 4:30 p.m.Where: University ofMinnesota-Morris

    No one questions thatfruit is an essential partof the diet. But morethan 70 percent of Amer-icans do not eat the rec-ommended amount offruit.

    One hundred percent ju ice is a con ven ien tway to get the importantfruit nutrients every-body needs.

    Juice doesnt just tastegood, it also fulfills anessential part of the dai-

    ly diet. Nutritionist andregistered dietitian Di-ane Welland of the JuiceProducts Associationprovides informationon whats so good about

    juice: How does juice fit

    into a healthy diet?Because the majority

    of Americans arent eat-ing the recommendeddaily amount of wholefruit, theyre missingout on many importantnutrients. Fruit juiceis an easy way to makesure a body is gettingkey nutrients like potas-sium, vitamin C, folate,magnesium, riboflavinand niacin. Some 100percent juices are alsofortified with vitamin Dand calcium.

    How much fruit juic e shou ld a pers ondrink each day?

    Recommended serv-ing sizes vary with a per-sons age. The AmericanAcademy of Pediatricsrecommends 4 to 6 ounc-es of 100 percent fruit

    juice for children ages1 to 6 and 8 to 12 ouncesfor those ages 7 to 18.

    Tips to get the recommended amount of fruit in your daily diet

    Submitted photoFruit juice is an easy way to make sure a body is gettingkey nutrients like potassium, vitamin C, folate, magne-sium, riboflavin and niacin.

    As an alternative to wholefruit, the U.S. Departmentof Agricultures DietaryGuidelines for Americansconsider one-half cup of100 percent fruit juice tobe equal to one half cup ofwhole fruit.

    Does fruit juice containsugar?

    There is no added sugarin 100 percent fruit juice;it contains only the naturalsugars found in whole fruit.

    Does drinking juice

    contribute to weight gain?Fruit juice is definitelypart of a healthy eatingplan. New scientific stud-ies show juice drinkershave better quality di-ets than those who do notdrink juice. Other studiesindicate that children andadolescents can drink juicein appropriate amountswithout gaining weight.

    I recommend that par-ents follow the guidelines

    HEALTH AND WELLNESS September 11, 2014

    Orange Cranberry Oatmeal

    Ingredients:2 cups orange juice1 cup water

    1/4 teaspoon salt1/8 teaspoon ground cinnamon2 cups oatmeal (quick or old-fashioned, uncooked)1/2 cup dried cranberries1/4 cup chopped toasted walnuts1 cup low-fat or fat-free vanilla yogurt (optional)Additional dried cranberries (optional)

    Directions:In medium saucepan, bring orange juice, water, salt and cinnamon to a gentle

    boil. Stir in oats and cranberries. Return to a boil; reduce heat to medium. Cookone minute for quick oats, five minutes for old-fashioned oats or until most ofliquid is absorbed, stirring occasionally. Let stand until desired consistency. Spoonoatmeal into four cereal bowls. Top each serving with one tablespoon walnutsand, if desired, a quarter-cup yogurt and additional cranberries.

    of the American Academyof Pediatrics when it comesto serving sizes, Wellandsaid.

    Welland suggests add-ing fruit and fruit juiceinto a diet in subtle wayslike incorporating juice

    into traditional recipes.Fruit juice can add newflavors to any recipe fromsnacks like ice pops to sa-vory dinners. This OrangeCranberry Oatmeal Recipeshowcases how easy it canbe to incorporate juice intofamily favorites.

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    Thursday, September 11, 2014 Health and Wellness Page C7

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    Edina, MN 55435 www.eriksranch.org3420 Heritage Drive Office: (612) 401-3080

    Stay With Us

    Sheets, Towels and LIVES changed daily!

    Make a difference in the lives of adults with autism

    Jenny Rowe Glass, VP of Development

    8354

    by MIKE JORDANStaff Writer

    Two area natives areworking to improve thelives of those with autism.

    Back in 2008, Windomnative Kathryn Fuller Nor-dberg was searching foroptions that would provideher son, Erik, a moderatelyfunctioning young adult onthe autism spectrum, thekind of life he deserves active and full of possibil-ity and purpose.

    Her search came upempty, said Jackson na-tive Jenn Rowe Glass, mar-keting and fundraisingofficer at Eriks Ranchand Retreats, the organi-zation Nordberg foundedin response. She quicklyfound that there were fewgood options for moder-ate- to high-functioningadults with autism, includ-ing those with Aspergersyndrome. So, Kathryn anda team of psychologists,attorneys, architects andmarketing and business

    professionals created thisinnovative model for youngadults with autism.

    Eriks Ranch and Re-treats provides safe andunequaled living, work-ing, social and recreationalenvironments for youngadults with autism using itsguiding principles of life-long learning, individualcommunity building andbidirectional integration.

    Our model offers a self-sustaining living and work-ing residence for adultswith autism that includesguest accommodations de-signed to attract visitorsfrom all over the world,

    Glass said. What sets Er-iks Ranch and Retreatsapart is that these destina-tions are run by the indi-viduals who live there, indesirable locations, andmentored by life coaches.Our members live, learn,work and excel, using theirpersonal abilities to helpus operate two locationsfor visiting guests: EriksRetreat in urban Edina,Minn., and Eriks Ranchnear scenic Bozeman,Mont.

    Eriks Ranch and Re-treats offers work oppor-tunities that allow adultswith autism to use theirstrengths as they interactwith the broader com-munity, strengthen theircommunication and socialinteractions skills and en-able them to live as inde-pendently as possible. Noother program for youngadults with autism in theUnited States combinesindependent living withmeaningful employmentopportunities, Glass said.

    Eriks Ranch and Re-treats recognizes how toengage the talents and

    skills of young adults withautism to create careersin the hospitality industrythat are personally re-warding, Glass said. Ourmembers work with us torun our guest accommo-dations at Eriks Retreatand lead tours for EriksMinnesota Adventures, ourtour guide company.

    As an example, one teammember is a young manwho is a talented artist, sohe serves as artist-in-res-idence and leads tours oflocal museums and privatecollections.

    Erik himself loves hors-es, Glass said, so he leads ahorseback-riding tour thatteaches all level of ridersthe fine points of saddlingand leading, riding andtrotting.

    We offer gratifying on-site jobs for members re-lated to serving guestswho stay at the retreatsuch as artist/musician-in-residence, building andgrounds maintenance,equestrian groomer, event

    planner, historian, horti-culturist/gardener, per-sonal concierge, recreationcoordinator, chef/sous chefand tour guide, Glass said.

    Members run the guestaccommodations in Edinaand are tour guides for Er-iks Minnesota Adventures.Members who choose tobecome tour guides leadvisitors and guests on out-ings related to sports, thearts, history and more.Activities may be as di-verse as taking guests toCanterbury Park for a be-hind-the-scenes visit to theracetrack or gaining accessto a private art collection,Glass noted.

    Our goal is to buildskills and continued inde-pendence, while helpingmembers to learn to thebest of their ability, Glasssaid. We have taken theold paradigm of grouphomes and institutionsand created a model thatoffers independent livingand meaningful job oppor-tunities where adults withautism can develop andgrow. We have partneredwith the University of Min-nesota Research Instituteto evaluate the efficacy ofour program and these re-searchers say society canchange the group home andinstitutional models if wechange our systems.

    Glass said Eriks Ranchand Retreats is helpingto change the way peopleperceive people with au-tism by focusing on theirabilities instead of theirautism. The organizationis putting them in posi-tions where they are suc-cessful because they areusing their talents andabilities instead of pushingthem into jobs that do not

    Area natives working to provide opportunities to autistic

    fully utilize their skills.Eriks Ranch and Re-

    treats is funded by pri-vate donations from in-dividuals, corporationsand foundations. Revenuefrom guest accommoda-tions at the locations in

    Edina and Paradise Valley,Mont., provide salaries formembers and helps theorganization create moreindependent living andmeaningful job opportuni-ties for young adults withautism.

    Eriks Retreat, locatedin Edina, currently offersindependent living andmeaningful career oppor-tunities for young adultswith autism, while EriksRanch in Montana current-ly offers vacation accom-modations for travelersand provides respite op-portunities for families af-fected by autism.

    Once we have raised thefunds needed to build ourMontana location, it willalso provide independentliving and meaningful jobsfor up to 42 young adultswith autism, Glass said.Adults with autism whowish to explore indepen-dent living and career op-portunities can apply formembership. A member-ship at Eriks Ranch andRetreats opens the doorto helping create a mean-ingful life. A membership

    offers more than just aroof overhead; it offers alife of possibility. EriksRanch and Retreats is a liv-ing and working environ-ment where we take intoaccount the individualsstrengths and abilities. We

    help members use theirabilities and talents, as wellas expand and explore newskills and opportunities.What sets us apart is thatthese destinations are runby the individuals who livethere. Our members live,learn, work and excel, us-ing their personal abilitiesto help us operate EriksRanch and Retreats.

    To date, Eriks Ranchand Retreats has matched12 young adults with au-tism to jobs that make fulluse of their talents andabilities.

    Our program is de-signed to help young adultswith autism live a life fullof possibility, Glass said,adding it can help youngadults with autism live asafe, independent and ful-filling life.

    Nordberg is a graduateof Windom High School,where she was active inmusic, dance, drama andsports.

    Glass is a Jackson HighSchool graduate. Shelaunched her career as aprofessional communica-tor as a student broad-

    Submitted photoKathryn Fuller Nordberg and Jenn Rowe Glass, in front of Eriks Retreat building in Edina, are working to im-prove the lives of those with autism.

    caster at KKOJ radio inJackson and a writer andeditor of the Jay Jargon,

    published weekly in theJackson County Pilot.

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