health perspective

S U M M E R T I M E S A F E T Y

PerspectiveHealth

A Special Supplement to The Valley News and The Herald-Journal.Copyright July 2012

Health Perspective2 July 2012 The Valley News/Herald-Journal

Business Directory:

114 W, Main Suite B, Clarinda712-542-2181

617 W. Sheridan Ave., Shenandoah712-246-3097

Acupressure Access . . . . . . . . . . . . . . . .Pg05

Clarinda Regional Health Center . . . . .Pg09



Community Fitness Center . . . . . . . . . .Pg08

Fair Oaks Residential Care Center . . . .Pg14

George Jay Drug Co. . . . . . . . . . . . . . . .Pg16

Hamburg Chiropractic Clinic . . . . . . . .Pg04

Healthy Homes Family Services . . . . . .Pg16

Home Sweet Home Care Inc. . . . . . . . .Pg08

Miller Orthopaedic Affiliates, P.C. . . . .Pg18

Montgomery County Memorial Hosp. .Pg20

R.H. APOTHECARY . . . . . . . . . . . . . .Pg13

Rosemary A. Els, CFP . . . . . . . . . . . . . .Pg06

Shenandoah Medical Center . . . . . . . . .Pg07



St. Francis Hospital . . . . . . . . . . . . . . . .Pg10

Taylor Pharmacy . . . . . . . . . . . . . . . . . .Pg09

The Ambassador . . . . . . . . . . . . . . . . . .Pg13

Walmart . . . . . . . . . . . . . . . . . . . . . . . . .Pg03

Wilson Insurance Agency . . . . . . . . . . .Pg07

Windsor Manor . . . . . . . . . . . . . . . . . . .Pg04

By KENT DINNEBIERStaff Writer

With the scorching temperaturesresidents of Southwest Iowa have hadto contend with this summer, heatexhaustion and heat stroke havebecome serious health risks for thosewho are not careful.

People who work or exercise in hotor humid conditions may have alreadyexperienced some degree of heatexhaustion. The condition occurswhen the body loses its fluids throughsweat, which in turn causes dehydra-tion. As a result the body will over-heat, with its temperature rising ashigh as 104 degrees.

Meanwhile, heat stroke can be a lift-threatening condition. When peopleexperience heat stroke, their body’scooling system stops working, and thebody’s temperature can rise to 105degrees or more. Since the brain con-trols the cooling system of the body,heat stroke can also damage the brainor other internal organs.

Given these serious health risks, Dr.Gerard Stanley, Sr. of ClarindaRegional Health Center said local res-idents should only be outside whenabsolutely necessary. They should alsomake sure they are consuming plentyof fluids to ensure their body remainswell hydrated and adjust the schedule

for their household chores to avoid thehottest part of the day.

“I tell people to do their work earlyin the morning or late in the eveningwhen it’s as cool as can be, but whenit’s this hot it may not need to bedone,” Stanley said.

Since especially humid days make itdifficult for the body to properly evap-orate sweat, the body will lose fluidsand electrolytes. As this happens, peo-ple who do not adequately replacethose fluids are more likely to sufferfrom heat exhaustion.

Given the high humidity in Iowa,Stanley said even minimal exertioncan put people, especially older resi-dents, at risk for heat exhaustion.

“When you’re over 50 just sittingoutside, even in a covered tent or in theshade, with this heat, can zap yourenergy and your fluids,” Stanley said.

Symptoms of heat exhaustion peo-ple should be aware of include sweat-ing profusely, feelings of dizziness,muscle cramps or pains, fainting,dark-colored urine indicating dehydra-tion, nausea, pale skin, rapid heartbeatand headaches.

Anyone who suspects they are suf-fering from heat exhaustion should getout of the heat immediately. An air-conditioned room is ideal, but even ashaded area such as under a tree canoffer some relief.

If a person cannot keep fluids downor is incoherent, call a doctor immedi-ately. Those who can keep fluids downshould drink plenty of noncaffeinatedand nonalcoholic beverages, andremove any tight or unnecessary cloth-ing. In addition, if there is someone tomonitor his or her condition, a personcould also take a cool shower or bath.

Unlike heat exhaustion, which islargely caused by external conditions,heat stroke can result from existingmedical conditions or medications.People with certain conditions or med-ications that hinder the body’s abilityto sweat may be predisposed to heatstroke because their cooling mecha-nisms are already impaired or compro-mised.

However, heat stroke can also becaused when people exert themselvesin a hot environment, even if thosepeople do not have a preexisting med-ical condition. Since heat stroke ispotentially life threatening, peopleshould dial 911 if they feel they haveheat stroke.

People who suspect someone elsehas heat stroke should administer firstaid while waiting for an ambulance toarrive. Move the person to an air-con-ditioned room and try to lower theirbody temperature by wetting the per-son’s skin and applying ice packs tothe armpits, groin, neck and back.

Heat exhaustion versus heat stroke

Health Perspective July 2012 3 The Valley News/Herald-Journal

712-246-4033Fax: 712-246-1101

OUR NEW LOCATION:705 South Fremont, Shenandoah

Monday - Friday 9:00 am to 9:00 pm • Saturday 9:00 am to 7:00 pmSunday 10:00 am to 6:00 pm

1207

26-4

9631

A Special Invitationto visit the new Walmart Pharmacy

By TESS GRUBER NELSONStaff Writer

There’s a whole host of things peopleneed to bear in mind when it comes to sum-mer sun protection, explained Dr. JimShehan, FAAD with Bergen MercyMedical Center out of Omaha and AlegentHealth Clinic with offices in Omaha,Council Bluffs, Red Oak and Shenandoah.

Sunscreen is very important, but it’s onlyone part of the equation.

When looking at sunscreen, Shehan rec-ommends a SPF of 45 to 50 with broad-spectrum coverage.

“There are a lot of good companies outthere, but Neutrogena makes a lot of goodproducts and put a lot of research into it.Coppertone is also really good,” saidShehan.

However, sunscreen, like everything else,isn’t perfect Shehan pointed out.

“Sunscreen is imperfect. It helps, but Iwant people to use it, not so they can be outlonger, but so they can be out more safely.”

Sunscreen needs to applied about 20 to30 minutes before going outside and againright before going out. If in the water, it

needs to be reapplied every hour and if not,every couple hours because some of thechemicals in there eventually are inactivat-ed by the sunlight.

Additionally, bottles of sunscreen need tobe thrown away after a year since the chem-icals can break down after time, leaving itineffective.

Other things to bear in mind, Shehansaid, includes keeping in the shade as muchas possible and wearing a broad-rimmedhat, which protects the top of a person’shead, neck and ears.

“I take off so many cancers off ears, it’s

hard to fathom,” Shehan said. “That’sanother area that’s commonly missed withsunscreen application is the back of the ears– the same with the eyelids.”

Swimshirts, with a SPF of 50, are alsogreat, Shehan said, whereas a plain white t-shirt only offers a SPF of about three tofour.

“You can sunburn right through a white t-shirt.”

When it comes to spray sunscreen versuslotion, Shehan said although there’s noresearch pointing out that one is better thananother, he recommends the lotion.

“The best data we have on that is com-mon sense. My personal experience is thatthey do not work as well,” he explained.“Something you have to rub on into the skinis going to be a thicker coat.”

Where Shehan does recommend usingsprays are for hard to reach areas, like theback or for the top of the head if a hat isn’tgoing to be worn.

In addition to using sunscreen, Shehanalso suggests staying out of the sun duringpeak daylight hours, which is between 10a.m. and 4 p.m., are when the sun’s rays arethe strongest and therefore most likely to

burn. On top of that, he said people can get

sunburned on a cloudy day and throughwindow glass. And as odd as it may seem,he said sunlight also reflects off pavementand off water.

Not only does sun damage increase therisk of cancer, Shehan said it also speeds upthe aging process.

“Look at supermodels, most of them arenot tan because they know it will onlyshorten their career.”

As for myths about sun safety, Shehansaid there are several, such as a base tan.

“There’s no such thing – it’s a fallacy. It’sall damage.”

Another myth is that people with a dark-er complexion can’t get sunburned.

“I take cancer off Hispanic individuals, Itake skin cancer of African American indi-viduals and definitely people who are dark-er skinned Caucasians.”

Shehan said he realizes people can’tavoid the sun, but they can be smart aboutit.

“They need to be mindful, cautious anduse your common sense,” Shehan said.

For your health, it’s important to protect your skin from the sun


Assisted Living Community601 Harrison Street • Shenandoah, IA • www.windsormanor.com

120726-46905

Our mission is to provide an atmosphere of respect, comfort and grace, where quality of life is of the

utmost importance.

Call Today for a Tour • 712.246.2194Call Today for a Tour • 712.246.2194

Now OpenNow Open

Assisted living provides individualsassistance with activities of daily liv-ing (ADL) as well as healthcare serv-ices as outlined by the State of IowaDepartment of Inspections andAppeals (DIA). When administrationin a nursing home or assisted livingcommunity refers to “StateInspections” they are referring to DIAinspections.

In short, assisted living has rules forwho they can admit and keep as resi-dents. Common obstacles preventingindividuals from having the option ofassisted living are: being permanentlybed bound, unable to ambulate (getfrom one place to another) withoutalways requiring two individuals tohelp them, or unmanageable verbal orphysical behaviors. (Complete list ofcriteria in 481-69.23(231C) “Criteriafor admission and retention of ten-ants”, IAC 9/23/09).

If an assisted living residentbecomes ill and has limitations tem-porarily, certified assisted living com-munities can apply for a 30-day waiv-

er for up to six months from DIA to beallowed to accommodate them whilethey rehabilitate. In the interim, theymay have a home health agency orhospice program provide the full timehealthcare until they recover andreturn to the regulatory status of assist-ed living criteria.

The purpose of assisted living is togive its residents extra care and peaceof mind. Done correctly, assisted liv-ing can ward off serious illnesses andinjuries that may prevent them fromhaving the option of assisted living atall. It may seem costly, but in the longrun it adds quality and quantity to lifefor those who need some extra assis-tance with their everyday routine.Immediate benefits are companion-ship, regulated balanced meals ormedications, regular oversight ofhealthcare professionals and regularevents and activities for cognitivestimulation. Everyone will have differ-ent needs as they age. Start exploringoptions before a decision becomesimminent.

What is assisted living?

Hamburg Chiropractic ClinicDr. Michael J. Gallagher

An Advanced Activator Practitioner

1108 Main StreetHamburg, Iowa 51640

712-382-2003www.hamburgchiroclinic.com

120726-46635

By JASON GLENNStaff Writer

The pool is a staple of summertime funand recreation, an oasis during the swelter-ing Dog Days and a great place for familiesto relax, exercise and generally enjoy timetogether.

But the pool is also a far cry from a play-ground, with pitfalls and dangers thatdemand constant vigilance on the part oflifeguards and parents alike. There’s no rea-son a day at the pool, or even every day atthe pool, can’t be anything but a wonderfulexperience, but there are also few days at apool that don’t see a potential tragedy avert-ed by trained and responsive staff members.

“Usually, it happens maybe once or twicea day where there’s a kid that’ll go downthe slide and can’t actually swim and theguard gets in and gets them or they go toofar out of the baby pool and get into thelanes and don’t realize how deep it is. It’snot rare, it happens a lot actually,” saidWilson Aquatic Center Manager GabbyTuck.

Tuck, who has worked at the Shenandoahpool for eight years, the last three as man-ager, said every preparation and precautionis taken to make sure the lifeguards thereare equipped to handle almost any emer-gency that might come their way.

“All the lifeguards are First Aid, CPR andAED certified. That really helps in casesomething were to happen outside the water

as well, we’re able to recognize the signsand symptoms and take care of the situa-tion,” Tuck said.

As a certified Water Safety Instructor,Tuck spends a lot of time teaching kids howto swim, how to be safe in and around thepool and, perhaps most importantly, how tosimply be comfortable in the water. Shesaid acclimating to the water, as well as toall the activity going on around them, canbe pretty overwhelming for small childrenand requires real hands-on attention.

As children get older and do get morecomfortable, even a bit over-confident, inthe environment, she said, maintaining asafe pool area demands regular interventionon the part of lifeguards to curtail bullyingand horseplay and keeping their eyes openfor kids or people who may be bringingoutside issues into the pool. To that end, shesaid, lifeguards have their trusty whistles toget attention and are also empowered to dis-cipline patrons – adult and child alike – bymaking them sit out the day, week or what-ever is called for.

“The guards, they’re always on their toes,but they know how to handle it,” Tuck said.

Tuck added that there are currently 23guards on staff, which is about an averagenumber, and there are always nine of themon duty, with six manning various stationsand three on a kind of hyper-alert, ready-to-act lunch break.

While the guards are all well-trained,love their jobs and love to work with kids,

Tuck said, they aren’t the only resource fora safe day at the pool.

“We’ll keep an eye on them and do the

best that we can to make sure they stay safebut we also ask that parents keep an eye onthem,” she said.

Health Perspective July 2012 5The Valley News/Herald-Journal

1207

26-4

6638

For acute issues, get faster results with

the 5 Day Intensive.

Now $150 (25% discount off

regular, per session, pricing!)

Call to schedule your Intensive today!

(712) 542-1100

[email protected]

www.acupressure-access.blogspot.com

Now at 218 E Main, Clarindabehind Crowded Closet!

Beth SteeveCertified Practioner

Licensed Massage

Therapist

Knowing your pool safety is a must during the summerCOOL AT THE POOL... The Wilson Aquatic Center in Shenandoah always has several certified life-guards on duty.

FUN IN THE SUN... The local swimming pool is a great place to cool off in the summer, but it’s impor-tant to know pool safety.

When the weather gets warmer, a greatnumber of people take to the outdoors toparticipate in athletics, to enjoy a meal alfresco or to take a dip in a pool. However,fun in the sun does come with risk, mostnotably overexposure to the sun's potential-ly harmful rays.

Misinformation often reigns supremewith regards to sun exposure. Here are somecommon sun myths debunked.

Myth: I don't have to worry about the sunon cloudy days.Truth: There is a risk of exposure to UVradiation even on cloudy days, necessitatingthe application of a sunscreen or sunblock.According to the Skin Cancer Foundation,up to 80 percent of the sun's ultraviolet rayscan still pass through the clouds. Even if theweather is cool or overcast, apply sunblockbefore going outdoors.

Myth: Most sun damage occurs before age18.Truth: Recent studies indicate that previ-ous estimates were inaccurate and that only25 percent of sun exposure occurs duringchildhood. That makes being sun-smartimportant at any age.

Myth: Establishing a base tan provides asafe way to tan afterward.Truth: There is no such thing as a safe tanif it's coming from the sun or a tanning bed.Spending prolonged periods of time out-doors unprotected from the sun can damagethe skin. For those who want to have skinthat glows, consider a self-tanning lotion.

Myth: Light clothing reflects the sun's rayswhile dark colors absorb it.Truth: UV rays tend to pass through light-colored fabrics easier than darker ones. Ifyou are able to see light through a piece ofclothing, there's a good chance UV rays canpass right through to the skin. Choose deepcolors to protect the skin better.

Myth: Sun rays do not pass through win-dows.Truth: UVB rays cannot pass through win-dows but UVA rays can. While you may notget a sunburn sitting next to a window, you

may experience premature aging fromfreckling and wrinkles.

Myth: A beach umbrella is adequate pro-tection from the sun at the beach.Fact: Although the umbrella will shade yousomewhat, the surrounding sand reflects upto 17 percent of UV radiation. That meansyou can still get skin damage if you don'tapply sunblock.

Myth: Makeup that contains SPF is protec-tion enough.Fact: Some makeup will offer a light meas-ure of protection from the sun, but will notbe adequate. Furthermore, some shiny orglossy products actually can draw the UVrays to areas where the product was applied.

Myth: Sunscreens can increase skin cancerrates.Truth: Research indicates this is only thecase if you use sunscreen to spend moretime out in the sun. When used correctly,sunscreens can lower skin cancer rates.

Myth: Dark-skinned individuals do not getsunburn.Truth: Although people with more melaninpigment in their skin may not burn at thesame rate as lighter-skinned individuals,there is still the chance for skin damage ifsunscreen isn't used.

Myth: Vitamin D deficiency will occur if Idon't spend long times out in the sun.Truth: While it's true that sunlight expo-sure is necessary for the body to producevitamin D naturally, it doesn't take thatmuch exposure to do so, even when wearingsunscreen. The Cancer Council of NewSouth Wales says most people get enoughvitamin D from their everyday activitiesduring the summer, even when protectedwith hats, sunscreen and clothing. Duringthe months when there is limited sunlight, asupplement may be needed.

Getting outdoors when the weather ispleasant can be enjoyable provided revelersare smart about using sun protection.

www.metrocreativegraphics.com

Sun myths exposedHealth Perspective6 July 2012 The Valley News/Herald-Journal

Summer draws peopleoutdoors to enjoy fun in thesun. But not every aspect ofsummertime weather can bepleasant, especially whensunburn rears its blisteryhead.

Despite the health warn-ings about sun exposure,people still venture out-doors repeatedly withoutthe use of a protective prod-uct with a high enough SPF.Side effects of failing toprotect the skin can includenasty burns and anincreased risk of skin can-cer later in life. Perhapsindividuals fail to take sun-burns seriously becausethey don't associate sun-burns with anything danger-ous. But sunburn is just likeany other burn and the skinpays the price.

Most people wouldn't

intentionally set fire to theirskin or play with causticchemicals. But they willspend hours in the sununprotected. Just like theflames of a fire, the sun can

cause serious burns, evensecond- and third-degreeones. A second-degree burncauses not only damage tothe epidermis, or the outerlayer of skin, but extends

deeper into the dermis aswell. A third-degree burnseriously harms the entireepidermis and dermis, aswell as nerves and fatty tis-sue contained within,according to The Children'sHospital of Wisconsin.Because the epidermis andhair follicles are destroyed,new skin will not grow.

Sunburn can occur afterroughly 15 to 30 minutes ofexposure to the sun. Theburn itself may not show upfor hours later, which iswhy people often thinkthey've avoided a burn. Theresults of sunburn are oftenpain, redness and potential

blistering, depending on thelevel of damage. Althoughthere is no specific treat-ment for sunburn, there aresome remedies that can helpthe pain and help to speedup recovery.

Drink plenty of water.Damaged skin may not beable to properly inhibit theloss of moisture from thebody, resulting in dehydra-tion. Drinking water canreplenish fluids needed forcomfort and health.

Over-the-counterpain medications mayalleviate the stubbornpain. If the pain is verysevere, consult a physician,

who might feel prescrip-tion-strength pain relieversare necessary. There alsoare topical pain-reliefsprays that temporarily dullthe pain and cool the skin.

Cool, wet compressesas well as lotions thatsoothe can also be helpfuland reduce swelling. Lookfor ones with natural ingre-dients, such as aloe vera.

Oral antihistaminescan help when the skineventually starts to peel andbecomes itchy.

If blisters are present,leave them be until theybreak on their own.Prematurely breakingsunburn blisters canincrease the risk of infec-tion. An antibiotic creammay be applied after theblisters break to speed uphealing and prevent infec-tion.

If the sunburn issevere or accompanied bya fever, consult a physi-cian.

The best way to treat sun-burn is not to get it in thefirst place. This meansbeing diligent about apply-ing sunblock before goingoutdoors.

www.metrocreativeg-raphics.com


Wilson Insurance Agency110 N. Elm, Shenandoah, Iowa712-246-2336 • 800-732-0246

You’re one call awayfrom a greatMedicare Supplementplan from The Blues®. Brian SteinkuehlerBob Wilson

Wellmark Medicare supplement insurance plans are not affiliated with any government agency.Wellmark Blue Cross and Blue Shield of Iowa is an independent Licensee of the Blue Cross andBlue Shield Association. © Wellmark, Inc., Des Moines, IA.

22P009-2010-IA (U 4/10)

1207

26-4

7121

We Want to Know!Shenandoah Medical Center has partnered with HealthStream ResearchTM to conductPatient Satisfaction Surveys.

Following your stay with us you may receive a telephone call from HealthStreamResearchTM. This call will only take a few minutes and your feedback will be used byShenandoah Medical Center to continually provide excellent patient care.

Questions?If you have any questions about the survey process or your stay with us, please contactScott Garland; Director of Quality and Risk Management at 712-246-7165.

120726-46899

Get relief from the pain of sunburn


Home Sweet Home Care Inc.Home Health Care Services

Call today fora free consult!

Tish Frazier, Administrator213 N. 16th St. • Clarinda712-542-4181 • 800-362-1600

• Nursing

• Occupational, Physical &

Speech Therapy

• Home Health Aide

• Homemakers

• Medicare & Medicaid Certified

• Insurance and Private Pay

Accepted

1207

26-5

0561

• OPEN 24/7• CARDIO• CIRCUIT TRAINING• FREE WEIGHTS • CORE TRAINING• SPINNERS• TV’s & STEREO • SECURITY CAMERAS• STATE OF THE ART

LIFE-FITNESS ANDHAMMER-STRENGTH EQUIPMENT!!!!

COMMUNITYFITNESS CENTER

Come join the Fitness explosion at theShenandoah Community Fitness Center

COMMUNITYFITNESS CENTER

Monthly membership:$15/month for adults 18 years old and over

$10/month for 7th grade to 17 yrs old(minors must be accompanied by adult)

Zumba,Spinning &Jazzercise!

Located at 113 N. Elm St. • Shenandoah, IAFor membership information, contact

City Hall at 246-1213 or the Parks and Recreation office at 246-3409

1207

26-4

6608

April showers may bring May flowers, but May flowersstill bring bugs, which can be nuisances to people trying toenjoy the warmer weather outside. Biting flies, mosquitoes,gnats, bees, and beetles can make outdoor excursions unen-joyable. People often rely on insect repellents to keep bugsaway. Though there are many repellents on the market, onlya few of them may be considered safe. Repellants, such asthose that contain DEET, may prove more hazardous tohuman health than the insects themselves -- even if a personhas been bitten. To repel insects safely, experiment withthese different methods.

Aloe vera, lavender, peppermint, and clove are knownto repel mosquitoes.

Grow herbs and flowers like garlic, rosemary, tansy,catmint, basil, pennyroyal, and marigolds. These plants nat-urally repel many bugs.

Avoid lotions or perfumes with a floral scent, whichattract bugs.

Remove standing water around the house where pestsmay gravitate to and lay eggs.

Citronella candles and sprays may work for a fewhours in relatively small areas.

KKeeeepp bbuuggss aawwaayy ssaaffeellyy


Dr. James StoneGeneral Surgeon

CRHC’s Surgery Center is pleased to offer thearea’s only INCISIONLESS surgical

solution for ACID REFLUX & HEARTBURN.(T.I.F. Procedure is FDA Approved)

Call (712) 542 8349for a consultation with Dr. Stone.

To learn more, visit...www.clarindahealth.com

Finally, an effective solution for chronic acid reflux!

1207

26-5

0564

EveythingYouu Need

forYOUR

summerr funand

Wellness!

Taylor PharmacyClarinda, 712-542-3522

Hours: M-F 8:30-6:00; Sat. 8:30-3:00 p.m.1207

26-4

6628

www.clarindahealth.com

By SUE SMITH, OTR/L, CLTOccupational Therapist/Certified

Lymphedema TherapistClarinda Regional Health Center

It doesn’t cross the minds ofmost people about the physicaland occupational therapy needs of

c h i l d r e n .H o w e v e r ,there’s ane v o l v i n gcompilationof datashowing thebenefits ofp e d i a t r i ctherapy pro-grams for a

variety of kids.Children from

birth up with a medical diagnosisand/or difficulty in function, suchas Autism, developmental delay,cerebral palsy, Down’s syndrome,muscle weakness or difficultycompleting age-appropriate activ-ities of daily living, are all candi-dates for special therapy services.

The focus of pediatric therapyincludes strengthening and exer-cising the upper and lower

extremities through bands, freeweights, body weight and throughplay; Improving fine motor skillsthrough games and activities;Building visual motor skills withgames, wipe board activities, andwriting activities; as well asincreasing independence withactivities of daily living throughpractice of skills (feeding, dress-ing, buttons, zippers, and bath andtoilet skills).

Another focus of pediatric ther-apy is “sensory therapy” which isintended to stimulate a child’ssensory system. Children withvarious diagnoses may have sen-sory problems and may have trou-ble combining their senses ofsight, sound, smell, touch, taste,balance, and sense of body inspace in order to make sense oftheir environment. This disorgan-ization can lead to behaviors suchas stemming, hyperactivity,decreased attention, or acting out.Pediatric occupational and physi-cal therapy services can utilizeactivities specifically designed tostimulate and challenge senses.Therefore the goal of sensorytherapy is to improve the ability ofthe brain to process sensory infor-

mation so that a child functionsmore adaptively in his/her dailyactivities. Examples of sensoryactivities include swinging, rock-ing, jumping, balancing, spinning,using weight for body pressure, orfeeling textures and various sub-

stances.Pediatric therapy is unique from

traditional adult physical andoccupational therapy in that thetreatment activities are fun andcreative. Occupational therapistsand physical therapists put their

professional training to work insuch as way it doesn’t look like“therapy” to kids. Children thinkthey are having fun when they areactually working strenuously atbuilding essential skills with theirbodies and improving their neuro-logical systems.

One local family has seen thebenefits of this focused pediatrictherapy. Seth and Christy Watkinsof Clarinda have nothing but goodthings to say about the pediatrictherapy program. “We have seenthe benefits of this type of therapyfirst hand. Our son, Spencer, con-tinues to make strides thanks tothe benefits of this type of therapy.We are thankful CRHC offers thisservice locally. They have been anasset to guiding continued activi-ties in improving Spencer'sstrength and development.”

To learn more about how thistherapy could assist your child,please contact Sue Smith,Occupational Therapist, or PeggyMarriott, Physical Therapist, atClarinda Regional Health Center’sPhysical and OccupationalTherapy Department – (712) 542-8224.

PPhhyyssiiccaall aanndd OOccccuuppaattiioonnaall TThheerraappyy ffoorr kkiiddss

Sue SmithOTR/L, CLT


Great Doctors.

GREAT COMMUNITY. GREAT HOSPITAL.

A great community deserves a great hospital. And a great

hospital starts with an exceptional medical staff. At St. Francis

Hospital, we believe our physician staff is second to none. Each

and every day, these dedicated individuals work to raise the level

of care at our hospital. And thanks to their ongoing commitment

to excellence, their professional dedication and their expertise in

a comprehensive range of medical specialties, they are making

our community a healthier place to live.

Raising the Level of Medical Excellence and Dedication

1207

26-4

9627

By now most people know that the deertick is responsible for carrying and trans-mitting Lyme disease among animals. Lymedisease is a debilitating inflammatory con-dition that can cause body and joint aches,fever, pain, itching, and lethargy. If Lymedisease is diagnosed in the early stages, itcan be cured with antibiotics. Without treat-ment, however, complications involving thejoints, heart, and nervous system can occur.To understand how Lyme disease is trans-mitted, one must first understand the bugthat is responsible for spreading it.

Ticks are commonly thought of asinsects, but they're actually arachnids -- likespiders and scorpions. Adults have fourpairs of legs and no antennae. Ticks start outas an egg, turn into a six-leggednymph, molt into a larger, eight-legged nymph, then grow intoan adult. Blood meals arebehind the growth of thetick.

There are two maintypes of ticks: Softand hard ticks. Hardticks, like the com-mon dog tick, has ahard, protective outershell. It resembles aflat seed when it hasnot yet fed. Soft ticksdo not have the hardshell, and they lookmore like a large raisin.Soft ticks generally feedon birds and bats, which iswhy they are not oftenencountered by people. Ticks thatare engorged after feeding can be quitelarge and much more visible.

Attaching firmly to their host of choice,ticks eat slowly -- sometimes over thecourse of days. As such, they may go unno-ticed for a while, which gives the tick moretime to feed and potentially spread bacteriaharboring inside of the parasite.

Ticks cannot jump or fly. They lie in waiton the tips of brush or grass for an animal tocome by. When the animal brushes upagainst the shrubs or grass, the tick quicklylets go and climbs upon the host. The tickmay continue to climb until it finds thedesired spot to latch on to, generally a dark,

warm place. It's common to find ticksbehind the knees, under the arms, or if theytravel upward, on the scalp behind the ears.

Ticks are active from early spring untilfall. They can be found if the temperature isabove 45 F.

The types of ticks people generallyencounter are the dog tick, the deer (black-legged) tick and the Lone Star tick. All ofthese have the potential to spread diseases.

The best way to prevent tick bites and dis-eases is to avoid becoming a host for a tick.Follow these guidelines:

When hiking, stay on the trail andavoid tall grasses or brushing againstshrubs.

Wear light-colored clothing, preferablylong pants and sleeves. Tuck pants

into socks and secure to preventticks from getting underneath

and on the skin.Use a tick-repellent

product, primarily onclothes and sparinglyon the skin.

Check yourselffor ticks after spend-ing time outdoors.

Use flea and tickprevention on dogsyear-round. Checkyour dog regularly for

ticks.If a tick is found

embedded, remove itpromptly. The mouthparts

of a tick are barbed and mayremain embedded and lead to

infection at the bite site if notremoved promptly. The best way to

remove a tick is to grasp it firmly withtweezers as close to the skin as possible andgently, but firmly, pull it straight out. A tickmay have secretions that spread diseases, sodon't touch it with your bare fingers.

Do not burn the tick with a match orcover it with petroleum jelly or nail polish.Ticks can be safely disposed of by placingthem in a container of soapy water or alco-hol, sticking them to tape or flushing themdown the toilet. If you want to have the tickidentified, put it in a small vial of alcohol.


KKeeeepp ttiicckkss aatt bbaayy iinntthhee ggrreeaatt oouuttddoooorrss


“Advancing Exceptional Care”

Call (712) 542-8216to make an appointment

SPECIALTYY CLINICS � � � �

� � �

� � �

� www.clarindahealth.com

New Hospital & Clinic Facility Opened January 2012

Experts near YOU!

120726-50566

By MAGGIE BROWNRN, BS, CWOCN

Wound and Ostomy Care NurseWound-Ostomy-Continence ClinicClarinda Regional Health Center

The field of Wound Care in the medical profession is likeany other medical specialty - technological advances com-

bined with a trained and experiencedprofessional typically result in betteroutcomes for patients.

Over 90 million patients are treatedannually for wound conditions in theU.S. alone. More than 6 million ofthese patients experience non-healingwounds that do not respond to standardwound care treatment. This trend isanticipated to increase with our agingpopulation. The treatment of thesenon-healing wounds is not only chal-

lenging but has become cost prohibitive.Before we go further, let me give examples of the types of

wounds that wound care specialists treat. I see a wide vari-ety of patients and wound conditions in my wound clinic.

Everything from diabetic ulcers, to colostomy incisions, tosurgical wounds, to chemotherapy ports.

Most wounds heal without any problem using propercleaning and bandaging. However, occasionally wounds get“stuck” and fail to respond to care. Certain factors candelay healing such as medications, nutrition, and diseaseslike diabetes. Given these factors, treatment of non-healingwounds can be challenging and advanced therapies are

needed in order to advance the wounds to healing.A recent advancement in wound care is MIST® therapy

which is a clinically proven treatment delivering low-ener-gy ultrasound through a saline mist without contacting thewound (see illustration). The ultrasound waves gently pushagainst the cells to “wake” them so they can continue theirnormal healing process. Because the rigid walls of bacteri-al cells are more vulnerable to ultrasound energy, in manycases these “crack or break” which reduces bacteria that canslow healing.

MIST® therapy treatment typically takes just five toseven minutes depending on the size of the wound and isdelivered three times per week for at least 2 weeks.

Clarinda resident and patient Dee Slough, comments onthe effects of her recent MIST® therapy treatment. “Mywound was getting smaller in a very rapid manner…I wastotally impressed! It’s just amazing how quickly my heal-ing had progressed.”

So far we are seeing positive results using MIST® thera-py with a variety of our patients. If you are interested inlearning more about Wound Care in general or MIST® ther-apy, contact me at the Wound-Ostomy-Continence Clinic atthe Clarinda Regional Health Center, (712) 542-8271.

LLaatteesstt wwoouunndd ccaarree ttrreeaattmmeenntt aavvaaiillaabbllee llooccaallllyy

Maggie Brown


New Beds Delivered for New MomsShenandoah Medical Center recently replaced the beds in the Obstetrics unitfor moms in labor and delivery. The new beds by Stryker have many new features which make them more comfortable for patients and assist with laborand delivery.

During labor, patients can adjust the pelvicsupport built into the bed for greater comfort and the lumbar support fills withair which the patient controls. Even themattress covers are more comfortable.

Nurses can attach a pushing bar to grabonto during labor and there are handles onthe sides of the bed to provide supportwhen pushing.

The foot of the bed is lighter and comesapart easily when it is time for delivery.

The beds come with an automatic “scoot-er” mechanism. This is helpful when awoman in labor has received an epidural which numbs the feeling and controlof her lower extremities. This situation makes it difficult for a woman to scootor move closer to the end of the bed when the doctor asks. The automatic scooter carefully brings the woman in labor closer to the end of the bed to assist in the delivery. The patient controls the level and angle of the bed supporting her.

Another feature is the nurse call button which is built into the bed so the control buttons are always handy.

Shenandoah Medical Center has two birthing suites which allow for labor,delivery, recovery, and post-partum care all in the same room. The beds areaesthetically pleasing and compliment the home-like atmosphere in the room.

The new beds were made possible with money received from the ShenandoahHealthcare Foundation, a large portion of which was raised during their annual golf tournament.

“We as healthcare providers specializing in the care of women greatly appreciate the Shenandoah Healthcare Foundation’s investment in the care ofwomen. With their previous donation, we have new fetal monitors and thesewonderful, state-or-the-art birthing beds,” says Dr. Scott King MD, FACOG,FACS, obstetrician/gynecologist with SMC Women’s Health Center.

Over 100 babies a year are delivered at Shenandoah Medical Center. Dr. Kingsees patients needing general and high risk obstetrical care and delivery. Thenursing staff at SMC includes three certified breastfeeding educators and twoneonatal instructors in newborn life support.

120726-46900

Obstetric nurses Maria Annan RNand Amy Bengtson RN beside one

of the new birthing beds atShenandoah Medical Center.

300 Pershing Avenue, Shenandoah, Iowa 51601712-246-1230

www.shenandoahmedcenter.com

Summertime and the livin is easy;Fish are jumpin' and the cotton is high ...George Gershwin wrote these lyrics for

the 1935 opera "Porgy and Bess." Theyseem fitting to many people, as summertimeis seen as a time to kick back, relax andenjoy a slower pace.

While summertime is a season to liveeasy, there are some inherent dangers tosummer that can halt plans of fun in the sun.From skin cancer to insect bites, summer-time can be dangerous for those who don'tplay it safe.

With a greater number of people out andabout enjoying the warm weather, the riskfor accidents and injuries increases. TheNational Safe Kids Campaign says statisticsindicate children will be rushed to emer-gency rooms around the country nearlythree million times this summer. Higherrates of drowning, motor vehicle accidentsand bicycle injuries occur this time of year.

There are a number of potential summer-time hazards men, women and children cansafeguard themselves against.

Sun-Related InjuriesWhile skin cancer and sunburn are the

most obvious dangers from the sun, thereare other hazards as well. Failure to protectthe eyes from UV sun exposure can result inphotokeratitis, irreversible sunburn of thecornea. While it may cause temporaryvision loss, recurrent incidences of photok-eratitis can lead to permanent vision loss aswell.

Individuals who are exposed to sunlightbetween 10 a.m. to 4 p.m. without UV pro-tection may become sunburned, increasingtheir risk for skin cancer. According to theAmerican Cancer Society, this year morethan one million Americans will be diag-nosed with skin cancer and about 9,500people will die from it.

Dehydration and heat stroke are otherpotential hazards. Drinking plenty of waterand other hydrating fluids (not diuretics likealcohol) can keep the body cool andrefreshed. Headaches, acting angrily, dizzi-ness, and excessive sweating or cessation ofsweating may be signs of a serious sun-related health condition.

Water HazardsThe Maryland CARES Program, which

educates health care professionals and thepublic about pediatric care and safety, offersthat drowning incidents increase 100 per-cent over the summer months. It takes onlyinches of water to drown a person, especial-ly a young child. Every year the newsbroadcasts stories of children who fell intobackyard pools or adults swept out to sea bychoppy waves.

People should never take bodies of waterfor granted. Swimming only where there isa certified lifeguard can make water recre-ation safer. Individuals should follow theguidelines posted regarding swimming andavoid oceans when storms are brewingbecause of rip tides and undertows.

Children should always be carefullymonitored around water. Self-latching gatesaround pools can help deter entry as well assafety covers or retractable pool ladders.Remember, pool floats and water wings(swimmies) should not be used as a substi-tute for a life vest.

Wildlife DangersJust as many people come out of hiberna-

tion when the weather warms, so do ani-mals and insect life.

Tick bites are common when the weatheris warm. Experts say that the months ofMay, June and July are peak times for expo-sure to ticks, which may carry LymeDisease or another dangerous parasite.Ticks are small and can be difficult to spot.People can do a tick check after coming infrom outside, paying careful attention to theareas to which ticks tend to migrate: In ears,in and around the hair, under the arms,behind the knees, around the waist, andbetween the legs.

Mosquitoes, biting flies, bees, wasps, andother insects are in full force. Using aninsect repellent can help keep them at bayand avoid bites.

In addition to insects, animals like bats,squirrels, raccoons and bears are moreactive in the warm weather. During the timeof dawn and dusk deer may be on the prowlfor food before the heat of day. People canpay attention to wildlife when driving, hik-ing or bicycling to avoid altercations.

SSuummmmeerrttiimmee ssaaffeettyyaa mmuusstt tthhiiss sseeaassoonn


(MS) -- Family members never had tofret if they were feeling under the weatherat grandma's house -- she always had a mir-acle solution. Perhaps homespun love andaffection did much to heal a bruised ego,but it was the traditional remedies found ingrandma's medicine cabinet that were mosteffective in healing rashes, insect bites, ath-lete's foot, sunburn, and poison ivy.

What ever happened to those "old fash-ioned" medicines that grandma reliedupon? Products containing steroids, antibi-otics, perfumes, preservatives, and artificialcolors seem to be popular today. However,there are some products available at phar-macies and online that have been used bygenerations of people to successfully treatirritations of the skin. These products aresafe, effective and many of them cost lessthan the newer items du jour.

Not Fancy, But Functional

One such product, Columbia AntisepticPowder, is produced by a small, family

owned company and has been on the mar-ket since the 1870's. A company spokesper-son said the formula is original andunchanged in 134 years! This product hasbeen used by doctors and health care pro-fessionals -- as well as regular folks -- totreat fungal infections like athlete's foot andjock itch, as well as poison ivy, diaper rash,insect bites, and chafing.

The "secret" is an ingredient called car-bolic acid. This combines with the otheractive ingredients in Columbia AntisepticPowder to form a very effective medicine.

"While other companies put their moneyinto promotions and advertising, we preferto spend more on the quality ingredients weput into the product," says Eric Brooks, acustomer service representative.

Baby Care Basic

Originally used to treat diaper rash,Columbia powder has been described by acustomer this way: "Nothing clears up dia-per rash faster than Columbia. When used

everyday on a baby's diapers, diaper rashnever occurs." But the product works wellon so many other skin irritations.

Everyday Healing

The powder works well for life's every-day bumps and bruises. Active people of alltypes can enjoy the powder's soothingeffect on overworked areas of the body.Athletes have long relied on the powder toreduce inflammation on sore and tired feetand limbs. A great item to have along oncamping trips and hikes, the powder ishypoallergenic and it will help keep one dryand comfortable under the most strenuousconditions.

"My family has used ColumbiaAntiseptic Powder for well over 50 years ...thank you again (F.C. Sturtevant Co.) forhaving a product that is truly the best on themarket," says Elizabeth Hilton of Kent,Ohio.

Ideal for Sensitive Skin

"Just about everyone at one time oranother has skin that reacts to something,"says retired physician Richard Kline. "Itcould be the environment, exposure to cer-tain chemicals or plants, excessive exerciseor just plain allergies. Columbia AntisepticPowder offers safe, effective and fast-actingrelief for all of these situations."

A Medicine For Your Pets As Well

Columbia Veterinary Antiseptic Powderwas originally made to treat collar galls onthe horse of the company founder, FrancisCrayton Sturtevant. It is still produced thesame way, using the best natural ingredientsand proudly manufactured in the U.S. Thereare thousands of grateful pups and houndswho no longer suffer from hot spots afterusing this product. It is also very effectivein treating your horse for thrush.

To learn more, check out their Web siteat: www.fcsturtevant.com.

114400 yyeeaarrss ooff...... ggoooodd oolldd ffaasshhiioonneedd ffiirrsstt aaiidd

Gardening is often described as a relax-ing and beneficial hobby regardless of aperson's age. While time outdoors in thegarden can prove calming and enjoyable,there is a dark side to gardening as well.Namely the injuries that may result fromvarious activities.

According to the Consumer ProductSafety Commission, emergency rooms inthe United States treat more than 400,000outdoor garden-tool-related injuries eachyear. Additionally, the American Societyfor Surgery of the Hand has issued warn-ings that caution gardeners about hand-related injuries.

Doctors from the British College ofOsteopathic Medicine have also warnedthat pruning, mowing and weeding can bedangerous -- even comparable to competi-tive sports. People don't often associate agarden with danger, but this line of thinkingcan be dangerous in itself.

Bites and bruises

Infection is another injury that peoplemay not associate with gardening.Gardeners often come in contact with manydifferent types of organic matter when gar-dening. Bacteria, fungi, and insects, as wellas chemical fertilizers and pesticides, maybe found in soil. Failing to protect hands,especially those with a small abrasion orcut in the skin, enables these substances topotentially enter the body and bloodstream,and infections or rashes may result.

Contact with poisonous insects is anotherconcern. Some ants have irritating bites.There are many types of spiders that can bepoisonous or inflict a painful bite.Scorpions in dry climates can sting whenuncovered in burrows.

Wearing gloves, particularly leather ones,can offer protection against thorny objects,insect bites, chemicals, and other skin irri-tants found in the soil.

Hand injuries

Cuts and even finger amputations mayresult from unfamiliarity with pruningtools, such as hedge clippers or handheldpruners. The design of these tools is sothey'll be able to cut through small to mod-erately sized branches, which means itwould not be too difficult for a pruner tosnap through a finger bone. Injuries withthese tools often occur when the gardener isdistracted or the tool slips during use.

Pruners may also exacerbate conditionsof carpal tunnel syndrome, usually causedby repetitive hand movements, such as typ-ing or repetitious work. The ASSH says thatprolonged, repetitive motions, such asweeding or pruning, can cause skin, tendonor nerve irritation. Rotate tasks every 15minutes to give certain areas of the body abreak.

The use of battery-powered andergonomically designed hand tools canalleviate pain and may prevent someinjuries. Power tools require less effort forcutting, which may reduce tool slippage ormisuse.

Sun damage

Spending time outdoors subjects a personto UV exposure each and every time.Gardening unprotected can mean a bad caseof sunburn and the potential to develop skincancer at a later time.

Whenever spending time outdoors prun-ing or just admiring the landscape, garden-ers should apply a broad-spectrum sun-screen and wear a wide-brimmed hat. Try todo the majority of yard work in the earlymorning or early evening when the sun'srays are the least harmful.

Additional injuries

Many gardeners fail to ease back intogarden activities after the winter respite.Should a gardener dive right into strenuousgardening tasks, injuries may ensue. Manyhospitals see an influx of back-relatedinjuries, heart attacks, muscle strains, andlacerations come the first stretch of warmweather.

Just like an athlete wouldn't start the newseason off right in a professional game, soshouldn't a gardener start strenuous activi-ties without gradually warming up to them.

Gardening can be quite an enjoyableactivity but not if a person is sidelined by aninjury. Use caution and common sensewhenever landscaping.



COME JOIN COME JOIN THE FTHE FAIR OAKS FAIR OAKS FAMILAMILYY

“On a quiet street worth looking for.”

At Fair Oaks, everyone is family. Our home-style, full service facility offers just theright amount of assistance and indepenence. Worry free living. We have plenty of roomfor family gatherings and social clubs. Fair Oaks provides residents with a wide variety

of regularly scheduled activities for their enjoyment.

FAIR OAKSRESIDENTIAL CARE CENTER 12

0726

-471

22

E.O.E.

Contact JoElla Travis for a tour.1201 South Walnut Street, Shenandoah, IA 51601

712-246-2055

Garden injuries are a major concern


New Ambulance Joins the ForceShenandoah Ambulance Service has a different look. (SAS) purchased a 2012Ambulance to replace an older rescue squad. The new squad is a 2012 FordF450 Chassis Cab 4WD 189”WB-Diesel, unlike the current Van Chassis style.The new ambulance has a GPS navigation system which will give directions tothe exact location. This is especially helpful in rural settings and when findingaddresses at night. The emergency lights are LED high intensity lights whichare brighter and provide better visibility than halogen lights, especially in thedaytime. There is even a camera on the back to give drivers a full view of what’sbehind when backing up. This ambulance joins two others in the fleet.

The Shenandoah ambulances are equipped with advanced life saving equipmentsuch as 12 Lead Cardiac Monitoring equipment with capabilities to transmit 12 lead EKG’s from the scene to the hospitals and cardiologists to be read toreduce any delay in treating cardiac emergencies, these machines can detect abnormal heart rhythms, administer cardiac defibrillation and with theadditional CO2 detection, we can endotracheally detect carbon dioxide from thelungs. The radio equipment has been upgraded to better communicate with eachother and nearby agencies. Other features include an electric cot that can holdup to 700 pounds and refrigeration for perishable drugs.

Even with the best equipment available you cannot have a successful servicewithout capable, competent, and caring employees. SAS employs 27 technicians, from Basic Emergency Medical Technicians to Critical CareParamedic Level. It takes a lot of dedication to be able to be available 24 hoursa day 7 days a week, to be called out at a moment’s notice to major traumascenes, cardiac arrests, respiratory emergencies, diabetic emergencies. In 2011,the ambulance service responded to 1,297calls, averaging 3.5 calls per day.

Please remember, drivers must pull over to the right when an ambulance isapproaching from either direction. Someone’s life depends on it.

120726-46906

300 Pershing AvenueShenandoah, Iowa 51601

712-246-1230www.shenandoahmedcenter.com

What is the most dangerous creature onEarth? No, it's not a jaw-snapping alligator,enormous elephant or even the king of thejungle himself. The Illinois Department ofPublic Safety says the tiny mosquito haskilled more people than all the wars in his-tory and more than many of the most fero-cious animals.

Mosquitoes may be a nuisance in mostbackyards, but these small insects also havea dramatic impact on how diseases aretransferred. Genetic manipulation of wildmosquitoes could help reduce the numberof people who become sick or die becauseof mosquito bites.

According to an abstract titled, "AFitness Advantage for Ades Aegypti and theViruses It Transmits When Females FeedOnly on Human Blood," published by TheAmerican Society of Tropical Medicine andHygiene, mosquito-transmitted diseases areon the rise, including a dramatic increase inthe incidence of infections caused by thedengue virus. Two billion people might beat risk each year.

There are also scores of other diseasesthat are passed on through the bite of a mos-quito. West Nile virus, malaria andencephalitis are just a few of the diseases orviruses transmitted by mosquitoes. Mostmosquitoes attack birds and mammals,although some will feed on the blood ofamphibians and reptiles. Only the femalebites, as she needs a blood meal for egg lay-ing. All males and the females of only a fewspecies do not bite, feeding rather on nectarand plant juices.

There are reasons to be cautiously opti-mistic that the mosquito population can becontrolled. Pesticide is one such method.But even pesticides have not been hugelysuccessful at stopping the spread of disease,partly due to mosquito insecticide resist-

ance. Changes in weather patterns, includ-ing warmer winters, have helped the mos-quito repopulate.

Over the past 20 years, researchers haveattempted to genetically modify mosquitoesso that they cannot infect humans withmalaria -- one of the most common mosqui-to-spread diseases. But up until very recent-ly the efforts fell short. However, in 2010,University of Arizona entomologists suc-ceeded in genetically altering the insects ina way that renders them completelyimmune to the malaria parasite. The mos-quitoes are then incapable of passing thedisease along to others as vectors.

The team that completed the geneticwork relied on molecular biology to createa piece of genetic code that was insertedinto a mosquito's genome. Then the con-struct was injected into the eggs of mosqui-toes. The hatched larva contained thealtered genetic data and then proliferated --passing on the new information to futuremosquito generations. Even after being fedblood infected with malaria, the mosquitoesinfected with the malaria parasites were notable to infect other insects.

According to Michael Riehle, a professorof entomology in the UA's College ofAgriculture and Life Sciences, who lead theresearch on genetic manipulation, of theestimated 250 million people who contractmalaria each year, 1 million -- mostly chil-dren -- do not survive.

Although this genetic research is still inits infancy and no modified mosquitoeshave yet been released into the wild, it mayprovide the blueprint for making mosqui-toes immune to the parasites that lead toother serious diseases. Still, scientists maybe able to remove the danger of mosquitobites, but not the pain.


MMaakkiinngg mmoossqquuiittooeesslleessss ddaannggeerroouuss .. .. ..


Parent-Child Interaction Therapy

(PCIT) is an empirically-supported treat-ment for young children with emotional andbehavioral disorders that places emphasison improving the quality of the parent-childrelationship and changing parent-childinteraction patterns. PCIT International wascreated to promote fidelity in the practiceand training of Parent-Child InteractionTherapy through well-conducted research,training, and continuing education of thera-pists and trainers. By creating an interfacebetween the scholarly activities of PCITresearchers and the expertise of front-lineclinicians, PCIT International promoteshealthy family functioning.

Efficacy

PCIT outcome research has demonstratedstatistically and clinically significantimprovements in the conduct-disorderedbehavior of preschool age children: Aftertreatment, children’s behavior is within thenormal range. Studies have documented the

superiority of PCIT to wait list controls andto parent group didactic training. In additionto significant changes on parent ratings andobservational measures of children’s behav-ior problems, outcome studies have demon-strated important changes in the interaction-al style of the fathers and mothers in playsituations with the child. Parents showincreases in reflective listening, physicalproximity, and pro-social verbalization, anddecreases in sarcasm and criticism of thechild after completion of PCIT. Outcomestudies have also demonstrated significantchanges on parents’ self-report measures ofpsychopathology, personal distress, and par-enting locus of control. Measures of con-sumer satisfaction in all studies have shownthat parents are highly satisfied with theprocess and outcome of treatment at itscompletion.

The Theoretical Underpinnings of PCIT

The development of PCIT was based onBaumrind’s developmental research associ-ating parenting practices with child out-

comes. Baumrind demonstrated the impor-tance of parents meeting young children’sdual needs for nurturance and for limits,which she described as authoritative parent-ing. Her research showed that to promoteoptimal child outcomes, we must focus onpromoting optimal parenting styles and par-ent-child interactions.

PCIT draws on both attachment andsocial learning theories to achieve authorita-tive parenting. Attachment theory assertsthat sensitive and responsive parenting pro-vides the foundation for the child’s sense ofknowing that he or she will be responded towhen necessary. Thus, young childrenwhose parents show greater warmth,responsiveness, and sensitivity to the child’sbehaviors are more likely to develop asecure sense of their relationships and moreeffective emotional and behavioral regula-tion. For this reason, in the first phase ofPCIT parents learn the Child-DirectedInteraction (CDI), which aims to restructurethe parent-child relationship and provide thechild with a secure attachment to his or her

parent. Social learning theories emphasizethe contingencies that shape the interactionsof children and their parents. Patterson’scoercion theory provides a transactionalaccount of early conduct-disordered behav-ior in which child conduct problems areinadvertently established or maintained bythe parent-child interactions. Thus, in thesecond phase of PCIT parents learn theParent-Directed Interaction (PDI), whichspecifically addresses these processes byestablishing consistent contingencies forchild behavior.

History

Reference: Funderburk, Beverly W.,Eyberg, Shelia. History of psychotherapy:Continuity and change (2nd ed.).Norcross, John C. (Ed.); Freedheim, DonaldK. (Ed.); Washington, DC, US:American Psychological Association, 2011.pp. 415-420. [Chapter]

©2011 Copyright Parent ChildInteraction Therapy. All rights reserved.

712.307.6014

Dedicated to serving families...

• Individual Counseling

• Children/Adolescent/Adult

• Couples/Family Counseling

• In Home Services • PCIT

• Meditation/Conflict Resolution

• Family Team Meetings

• Community Outreach

...in 3 locations across Iowa118 North Elm, Avoca, IA 51521

306 Coolbaugh, Red Oak, IA 51566806 Fifth Avenue, Grinnell, IA 50112

120726-46904

What exactly is Parent-Child Interaction Therapy

612 W. Sheridan, Shenandoah • 712-246-2635Hrs: Mon.-Sat. 8:30 am - 5:30 pm • Visit us online at: www.jaydrug.com

• Old Fashioned Ice Cream Sodas• Cherry and Vanilla Cokes• Phosphates, Malts

Old Fashioned Soda Fountain

GEORGE JAy DRUG CO.Dependable Druggists

Jay’s Gold Crown Hallmark Shoppe

• Collectibles • Gifts, Cards • Home Decor

1207

26-4

7126

• Diabetic Supplies• Complete Pharmacy Services• Medical Supplies• Vitamins & Supplements• Free delivery in Farragut, Essex,

Shenandoah, & Imogene

Serving DowntownShenandoah Since 1888


“Advancing Exceptional Care”

We want to be your primary medical provider!

Clarinda Medical Associates Villisca Family Health Center (712) 542-8330 (712) 826-3003

CRHC Surgery Center CMA Bedford Clinic Dr. James Stone (712) 523-3604 (712) 542-8349

Dr. Bill Richardson Dr. Gerard Stanley, Sr.Dr. William Shelton Dr. Autumn Morales Ron Pederson, ARNP Effie Martinez, ARNP Michele Bjorn, ARNP Amy Wilmes, ARNPCris Meacham, ARNP, PhD

(Emergency Department)

ONLINE APPOINTMENT SCHEDULINGWWW.CLARINDAHEALTH.COM

Clarinda’s new hospital & clinic facility opened

January 2012

1207

26-5

0565

By JAMES STONE, MDMedical Directory

EMS/Emergency Department/TraumaGeneral Surgeon

Clarinda Regional Health Center

In September, ClarindaRegional Health Center willbecome the base for a new 24/7medical helicopter service forsouthwest Iowa. The new servicewill be a joint venture between AirMethods/LifeNet (Omaha NE),MercyOne (Mercy MedicalCenter-Des Moines), and ClarindaRegional Health Center. This newservice will serve 16 countieswithin a 40-mile radius in south-west Iowa and northwestMissouri.

What makes this new service

different and what does it mean tothe residents of those 16 counties?

Currently air medical service tothis region comes from Omaha,Nebraska or Des Moines, Iowa.That translates to a 25 to 45

minute flight to get to a patientwhether that patient is in an emer-gency room or at the scene of anaccident. But the new service willmean a patient 40 miles out willwait about 17 minutes for the hel-

icopter. Patients at St. FrancisHospital in Maryville, MO andMontgomery County MemorialHospital in Red Oak, Iowa willwait about 13 minutes. Patientsat Shenandoah Medical Center inShenandoah, Iowa will wait about12 minutes. Accident victimsalong highway 2 and 71 half-waybetween any of those hospitalsmay see the helicopter arrive in 6to 8 minutes.

This allows that the care neededwill be available faster. If youneed cardiology and a cardiac cathlab you will save 30 to 45 minutesover the current system. If youneed a Level I or II trauma center,you will be there 30 to 45 minutesearlier than currently. If you needto come to a local hospital for sta-

bilization, diagnosis, emergenttreatment, or admission, you willbe there faster than ever before.

And we now know time is criti-cal in many diseases. Cardiacconditions, stroke, asthma, trau-ma, and obstetrics are just a few.And this aircraft will take you towherever your physician or youwant to go.

So this new program will giveresidents of southwest Iowa andnorthwest Missouri a new sense ofsecurity. No longer will the heli-copter be coming from that “bigcity” down the way. It is nowcoming from your neighborhoodand you will know it upclose….and personal if you needit!

UUPP CCLLOOSSEE AANNDD PPEERRSSOONNAALL!!

www.clarindahealth.com

Many people assume that simply wearinga life jacket or another personal flotationdevice is enough to provide adequate safetywhile enjoying activities on the water. Butjust as important as wearing the PFD is thatit fit properly.

Selecting a life jacket is not a one-size-fits-all scenario. Nor are all life jackets suit-able for all types of water sports and othermarine activities. The amount of buoyancythe jacket provides is relative to the activityand the size of the person wearing the jack-et. Furthermore, it is unwise to think thatchildren can simply wear an adult life jack-et in a pinch.

According to the Pennsylvania Fish &

Boat Commission, life jackets that are toosmall or too large can come off or ride up inthe water. A jacket that rides up can end uprising over the mouth and nose, makingbreathing difficult. The proper fit of a lifejacket is one where the jacket is snug, butnot suffocating. All of the zippers, ties,straps, snaps, and other connection pointsshould be correctly secured.

Those who have experience in the watercan test out the fit of a life jacket by walk-ing into the water up to the neck. After lift-ing up the legs and tilting the head back, theperson should be able to float comfortablyand not have to put any effort into stayingabove water. Furthermore, the life jacket

shouldn't obstruct the mouth. The personshould also be able to swim easily on theback or side without restriction of the arms.

In terms of children and life jackets orflotation vests, the Division of Boating andOceanic Recreation of Hawaii says that fit-ting children with PDAs is one of the mostfrequently asked questions of boating safe-ty educators.

Typically, children 12 years and youngerare expected to wear a life jacket at alltimes when in a boat or around the water.This means kids will spend significant timewearing the life jacket, so it should be com-fortable and fit properly.

According to DOBOR, children's lifejackets are typically designed around threesizes. An infant device is for children under30 pounds. A small child is appropriate forchildren 30 to 50 pounds. A youth size isright for children 50 to 90 pounds. Largerchildren may graduate to a small adult'ssize. Life jackets for young children mayhave a flotation collar that helps to keep the

head upright, as a child's head tends to behis or her heaviest part of the body. In addi-tion, there will likely be a strap that securesbetween the legs to prevent vest from ridingup.

All life jackets should be replaced whenthey start to fade to the color of the insidelabel. This might be indicating that theirsafety protection may have started to deteri-orate.

In addition to properly fitting a life jack-et, it is important to practice being in one inthe water. While life jackets may keepadults and children afloat, they may notkeep a struggling person face up. Therefore,it is adviseable to remain calm in the waterwhile wearing the PFD.

Life jackets can save lives when properlyfitted and worn correctly. Also, many peo-ple prefer to purchase life jackets that are aCoast Guard approved device for addedprotection.



How to fit a life jacket correctly to keep you safe

www.swiowasports.comLocal Sports Coverage...


By LINDA HEADMD

Your thyroid is a gland in the front ofyour neck and it is part of the endocrinesystem. It controls your metabolism, whichis how your body turns food into energy. Italso affects your heart, muscles, bones, andcholesterol. Hyperthyroidism means yourbody is producing too much thyroid hor-mone. Thyroid ablation is a radioactivetreatment for people with thyroid diseasewhich stops the thyroid’s ability to producethis hormone.

People who are experiencing hyperactivethyroid disease, have hyper-functioningnodules on their thyroid, or Graves Disease(an immune system disorder that leads toover activity of the thyroid gland, hyperthy-roidism) may benefit from thyroid ablation.There are three common treatment optionsthat a patient and their physician may con-sider. One option is medication which canbe expensive and have potential side

effects. A second option is surgery whichposes several risks including damage to

vital organs nearby such as the parathyroidor your vocal chords. The third option isradioactive thyroid treatment. “I personallythink this is the best way to go,” says radi-ologist Linda Head MD. “The benefits out-weigh the risks.”

With thyroid ablation, a small amount ofradioactive iodine is ingested in capsuleform which is then absorbed by the thyroidgland. Thyroid ablation reduces the thy-roid’s ability to function. It may take sever-al months to get the desired effect and thepatient will need to take a thyroid hormonereplacement from then on.

Thyroid ablation is a short, outpatientprocedure. Prior to the treatment, patientswill undergo an ultrasound and a nuclearmedicine scan as part of their diagnosis. Apregnancy test will also be conducted onpre-menopausal women. Thyroid ablationshould not be used on children, women whoare pregnant or breastfeeding, or womenwho want to become pregnant in the near

future. Tests are done to calculate the exactamount of radiation so patients receive theproper dosage. Afterwards, patients aregiven some precautionary instructions asresidual radiation is eliminated from thebody through the bladder and saliva so asnot to pass it on to other people, especiallyinfants. Thyroid ablation has been aroundfor many years and it is highly regulated toensure patient safety.

The ordering physician, usually a pri-mary care doctor or endocrinologist, who isknowledgeable about thyroid disease, willschedule follow up visits with the patientand monitor the correct medication needed.

Patients can have thyroid ablation treat-ment done at Shenandoah Medical Center.This procedure, along with their nuclearmedicine camera, contributes to SMC’sstate-of-the-art nuclear medicine programconveniently located in Southwest Iowa.Two radiologists, Dr. Linda Head and Dr.Al Dvorak, see patients each week at SMC.

TThhyyrrooiidd AAbbllaattiioonn:: aann ooppttiioonn ffoorr ttrreeaattiinngg TThhyyrrooiidd DDiisseeaassee

Linda Head, MD

www.shenandoahmedcenter.com

Every day, locals look to us for the latest shoppingnews, sales and coupons. Put your business in thespotlight with professionally designed print and onlineadvertising, or pinpoint your market in one of our themedspecial sections. Research shows that 79 percent

of readers acted on a newspaper ad in the past month,and newspaper advertising is still the number-oneresource consumers use to plan shopping and purchasingdecisions. So why are you still waiting? Put newspaperadvertising to work for you today!

To Advertise, Calll 712-246-3097

The Valley News & Weekly Timeswww.valleynewstoday.com / www.SWIweeklytimes.com

SHOPPING STARTSNEWSPAPERADVERTISINGWORKS!HERE

health perspective

Documents

clarindaregional health

sufferfrom heat exhaustion

peopleexperience heat

pg07shenandoah medical

pg12shenandoah medical

health perspective2

serious health risks

body remainswell