July, 2012 Volume 5, Issue 6 Inside this Issue 1 Advocate Good Shepherd Hospital Opens New 3500 sq. ft. Fitness Department 2 Cardiac Pulmonary Rehabilitation Team Meet the Staff!! Megan Sanders, MPH, CTTS 3 Recommended Exercises cont’ Breathing Techniques By, Danielle Rumachik RT, CTTS Tips on Safe Warm Weather Exercises, by Rosie Jeretina 4 Medical Corner Our Community and Advocate Good Shepherd Events 5 Volunteer, Fitness Tip, Good Shepherd , The Chapel is Always Open July 2012 ● Volume 5, Issue 7● Connections● (847) 381-9600 ext. 26 5062 Both the cardiac and pulmonary rehab programs have been certified by the AACVPR, American Association of Cardiovascular and Pulmonary Rehabilitation. This means that the programs have proven that it meets strict criteria for excellent patient care and patient outcomes. If you have the same questions, please contact us at 847-842-4334. For more information about the Cardiac Pulmonary Rehab Team; read on! (See pages 2 and 3) Advocate Good Shepherd Hospital Office for Mission and Spiritual Care 450 W. Illinois Highway 22 Barrington, IL 60010 Phone: (847)381-9600 ext. 26 5062 Fax: (847) 842-4098 Email: GSHP-Mission-Spirituality@advocatehealth.com “My doctor just told me I have emphysema, what do I do?” “Is it safe to exercise after my heart attack?” These questions are frequently voiced by patients who have contacted Good Shepherd Hospital’s Cardiac Pulmonary Rehabilitation Program. For people diagnosed with heart disease or lung disease, finding a way back to health can be the biggest challenge they've ever faced. In order to help its cardiac and pulmonary patients gain a healthy lifestyle and achieve a better quality of life, Good Shepherd Hospital has expanded its Cardiac Pulmonary Rehabilitation Department. Through the hospital’s cardiac pulmonary rehabilitation program, patients learn how to engage in safe, regular exercise and manage their disease by being an active participant in their recovery. Ultimately, the program helps patients who’ve had a cardiac event or a diagnosis of lung disease improve their quality of life with confidence! It is important to Good Shepherd Hospital that our community members have access to the best possible care available. Good Shepherd Hospital opened a 3,500- square-foot fitness space where cardiac and pulmonary patients can receive the individualized exercise, nutrition and lifestyle counseling they need to regain— perhaps even surpass—their previous strength. Advocate Good Shepherd Hospital Opens a New 3,500 sq. ft. Fitness Department By Rosie Jeretina, Supervisor of Cardiac Pulmonary Rehabilitation
Transcript
July, 2012 Volume 5, Issue 6
Inside this Issue
1 Advocate Good Shepherd
Hospital Opens New 3500 sq. ft.
Fitness Department
2 Cardiac Pulmonary Rehabilitation Team Meet the Staff!!
Megan Sanders, MPH, CTTS
3 Recommended Exercises cont’
Breathing Techniques
By, Danielle Rumachik RT,
CTTS
Tips on Safe Warm Weather
Exercises, by Rosie Jeretina
4 Medical Corner Our Community and Advocate Good Shepherd Events
5 Volunteer, Fitness Tip, Good Shepherd , The Chapel is Always Open
Both the cardiac and pulmonary rehab programs have been certified by the AACVPR, American Association of Cardiovascular and Pulmonary Rehabilitation. This means that the programs have proven that it meets strict criteria for excellent patient care and patient outcomes. If you have the same questions, please contact us at 847-842-4334. For more information about the Cardiac Pulmonary Rehab Team; read on!
“My doctor just told me I have emphysema, what do I do?”
“Is it safe to exercise after my heart attack?”
These questions are frequently voiced by patients who have contacted Good Shepherd Hospital’s Cardiac Pulmonary Rehabilitation Program.
For people diagnosed with heart disease or lung disease, finding a way back to health can be the biggest challenge they've ever faced. In order to help its cardiac and pulmonary patients gain a healthy lifestyle and achieve a better quality of life, Good Shepherd Hospital has expanded its Cardiac Pulmonary Rehabilitation Department.
Through the hospital’s cardiac pulmonary rehabilitation program, patients learn how to engage in safe, regular exercise and manage their disease by being an active participant in their recovery. Ultimately, the program helps patients who’ve had a cardiac event or a diagnosis of lung disease improve their quality of life with confidence! It is important to Good Shepherd Hospital that our community members have access to the best possible care available.
Good Shepherd Hospital opened a 3,500-square-foot fitness space where cardiac and pulmonary patients can receive the individualized exercise, nutrition and lifestyle counseling they need to regain—perhaps even surpass—their previous strength.
Advocate Good Shepherd Hospital Opens a New 3,500 sq. ft. Fitness Department By Rosie Jeretina, Supervisor of Cardiac
Pulmonary Rehabilitation
Registered Nurses: Registered nurses (RNs) care for patients and educate them on health issues to prevent future illnesses. Along with technical skills necessary for the medical profession, the rehab registered nurses have the people skills to work closely with patients and their families. All the nurses in the outpatient cardiac pulmonary rehab have been certified by the ANCC, American Nurses Credentialing Center. This translates into a staff that is highly qualified. Comments from patients to have completed the program:
“The nurses were very helpful. I enjoyed coming to class.” “Staff exhibited a great sense of humor to encourage us.” Exercise Specialists: Exercise specialists work closely with the patients to assist in reaching the goals set on the first visit. They develop exercise programs based on a patient's health and abilities. Specialists have strong knowledge of personal fitness, exercise techniques, exercise equipment, body systems and human behavior. Comments from patients to have completed the program:
“I am not in the habit of giving a top grade for everything when completing surveys, but I would do a disservice to the
staff if I did not do it.”
Registered Respiratory Therapists: Respiratory Therapists care for patients who have trouble breathing due to an underlying lung condition. Their specialization includes education and proper technique of inhaled medications, instruction and demonstration of proper breathing techniques as well as energy conservation. If a patient is new to oxygen (classified as a medication) the respiratory therapist is there to evaluate the patient’s knowledge and compliance. Comments from patients that have completed the program:
“The hospital should be very happy to have an excellent (pulmonary rehab) staff as these ladies!”
Social Worker: Social workers help patients and their families adjust to new or chronic health issues. In an individualized session the social worker assesses needs and then finds the appropriate resources to help with the issue.
Dieticians: There is more and more focus being placed on eating healthy and sensibly. However, food labels are often confusing to the average consumer and with many restaurants serving large portions, customers are not always aware of the amount of calories and fat they are consuming. Diet also plays a large role in many chronic conditions such as heart disease and lung disease. Patients are invited to attend a dietary class. Information is also shared in the rehab as patient’s exercise.
What are we telling our patients about exercise?
Effects of Exercise on Cardiovascular Risk Factors and overall Health
Lipid abnormalities Total cholesterol – little effect
Triglycerides – Inconsistent effects This research should tell you that monitoring your lipid levels is not a one step process but a lifestyle management that should include exercise, eating healthy and medications if indicated.
Good Shepherd Hospital has appointments for Cholesterol Screenings. “The Check and Chat Program,” is an individual consult with a cardiac rehab nurse with immediate results and recommendations for healthy lifestyle management. Call 1-800-3ADVOCATE (1-800-323-8622) and mention Code 3C23 to schedule.
Smoking Exercise by itself has little or no effect on smoking cessation. However, many successful tobacco cessation programs include regular exercise as part of the quitting process. Cardiac Pulmonary Rehab Tobacco Cessation program, involves a 1:1 consult with a Certified Tobacco Treatment Specialist. For more information contact the Tobacco Line at: 1-847-620-7600.
Hypertension Regular aerobic exercise has been shown to reduce resting blood pressure in both people with high blood pressure and those with normal blood pressure.
Obesity Exercise by itself has modest reductions in weight. To have the most impact, exercise must be coupled with diet modification. Optimal body weight does not need to be achieved to receive the health benefits of weight reduction. Reductions in body weight of 5% to 10 % are associated with health benefits for patients with and without CAD, including lower resting blood pressure, improvements in lipid levels and factors related to the onset of type II diabetes. One pound of fat is 3,500 calories…. Calories in vs. calories out
Diabetes Regular exercise is an important part of diabetes management. It can:
Improve blood sugar control
Help prevent type II diabetes in high-risk individuals
Improve circulation
Help control stress and depression (which can negatively affect blood glucose levels)
Help patients come off of their medications or possibly reduce the amount of medication being taken (Continued on Page 3)
Meet the Cardiac Pulmonary Rehab Team of Good Shepherd Hospital!
Aerobic exercise—Resistance training—Flexibility training How much is recommended? Aerobic exercise – Accumulation of 30 minutes of moderate intensity per day, most, if not all days of the week Resistance training – 2 non-consecutive days per week. 1-2 sets of 10-12 repetitions focusing on the major muscle groups in your body (roughly 8-10 different exercises) Flexibility training – 2-3 days per week minimum. Hold each stretch for 15-30 seconds per exercise. How difficult should it be? Moderate intensity: slightly short of breath while talking and exercising. Should be able to talk! Calories Calories – ACSM (American College of Sports Medicine) recommends 150 – 400 kcals of physical activity and/or exercise energy expenditure per day. The recommended amount of 150-400 kcals is anywhere from 1,000 kcals per week (initial goals) – to an excess of 2,000 kcals per week for with short term and long term weight loss goals. Often times this requires moderate intensity exercise to be 60 minutes or more per day. Calories expended per minute during exercise will vary for individuals due to differences in intensity and body weight. If a 200 lb individual walks at 3.5 mph on a flat, firm surface, they are burning about 4.5 kcals per minute. If a 150 lb individual walks at 3.5 mph on a flat, firm surface, they are burning about 3.4 kcals per minute. The 200 lb individual will have to walk at that speed for 33 minutes to burn the minimum calories recommended for the day. The 150 lb individual will have to walk for 44 minutes to burn the minimum of 150 calories for the day. This minimum is often not enough to promote weight loss.
Breathing techniques that can make a difference in the life of someone with Pulmonary Disease
Pursed-lip breathing can be particularly useful to COPD
patients who have emphysema. People with emphysema
have very collapsible airways. People with lung disease
should try to breathe in normally but breathe out through a
narrow orifice of their lips; this keeps the pressure up in their
airways and tends to prevent the large airways from
collapsing.
This technique may allow some air that's trapped in the lungs
to be exhaled out, so it decreases the amount of gas trapped
in the chest.
To do pursed lip breathing:
1. Relax your neck and shoulder muscles. 2. Breathe in for two seconds through your nose,
keeping your mouth closed. 3. Breathe out for four seconds through pursed lips. If
this is too long for you, simply breathe out twice as long as you breathe in.
Tips On Safe Warm Weather Exercise By Rosie Jeretina
Watch the temperature. Pay attention to weather forecasts and heat alerts.
Drink plenty of fluids. Dehydration is a key factor in heat illness. Help your body sweat and cool down by staying well hydrated with water. Don't wait until you're thirsty to drink. If you plan to exercise intensely or for longer than one hour, consider a sports drink instead of water. Sports drinks can replace the sodium, chloride and potassium you lose through sweating. Avoid alcoholic drinks because they can actually promote fluid loss.
Dress appropriately. Lightweight, loose fitting clothing helps sweat evaporate and keeps you cooler. Avoid dark colors, which can absorb heat. If possible, wear a light-colored, wide-brimmed hat.
Avoid midday sun. Exercise in the morning or evening, when it's likely to be cooler outdoors. If possible, exercise
in shady areas — or do a water workout in a pool.
Wear sunscreen. Sunburn decreases your body's ability to cool itself.
Have a backup plan. If you're concerned about the heat or humidity, stay indoors. Work out at the gym, walk laps inside the mall or climb stairs inside an air-conditioned building.
Understand your medical risks. Certain medical conditions or medications can increase your risk of a heat-related illness. If you plan to exercise in the heat, talk to your doctor about precautions. Heat-related illnesses are largely preventable. By taking some basic precautions, your exercise routine doesn't have to be sidelined when the heat is on.
Remember, exercise is a journey, not a destination! Have fun! People are more successful when they enjoy exercise. Enlist a friend or relative to exercise with you or join a group exercise class to keep you motivated. Please call the Cardiac Pulmonary Rehab if you have any questions. We are here to help! Call, 847-842-4334
Our Community and Advocate Good Shepherd Hospital Events
Community HealthBeat—Summer Series
(Click on above link to view details)
Can You Hear Me Now? Good
Dr. David Goodman, Board-Certified Otolaryngologist
Noise pollution; it’s painless, odorless, tasteless, invisible and toxic. And in summer months, it can be particularly bad.
Warm days bring fun in the sun, but some activities pose hidden dangers to your hearing health. More than 30 million Americans are exposed to damaging sounds (80 decibels and higher) on a regular basis. Prolonged exposure damages the hair cells of the inner ear, resulting in permanent hearing loss. The hearing loss people experience isn’t acute or pronounced, but rather it sneaks up on a person because it’s gradual. Take precautions when participating in these activities:
Mowing the lawn (90 decibels). Warm weather means work around the house. Grass trimmers and power saws deliver a similar auditory punch.
Attending a rock concert (110 decibels). All-inclusive front row seats can be more costly than you bargained for. Standing four to six feet from amplifiers increases the music volume to 120 decibels.
Sporting Events (100 decibels). Certain stadiums are built to capture noise. The home field advantage your team thrives on can hurt your hearing in the long run.
Listening to music with headphones (100 decibels). Walking or running with your iPod is enjoyable, but staying fit is no good if you damage your ears. As a rule of thumb, if someone can hear the music from three feet away, it’s too loud.
4th
of July fireworks (150 decibels). Watching fireworks is a summer tradition, but the loudest firework explosions reach 190 decibels.
Using a blender (100 decibels). Backyard parties are in full swing, and you may kick back with friends and a few smoothies or daiquiris. Maybe it’s time to consider drinking your margaritas on the rocks.
Power boating and jet skiing (80 decibels). Traveling to the lake means a great time on the water. But remember, your ears won’t be relaxing with the sounds of boats circling the lake.
Hearing loss by external sources affects about 30 million children under the age of 18. With school done for the summer, parents should pay special attention to their children’s toys. Toys with sirens can emit noise at 90 decibels. When held to the ear, some squeaky rubber toys emit 120 decibels, the same as standing next to a jet plane taking off. Other noisy toys include: cap guns, walkie talkies and musical instruments.
Protect your ears by following these three tips:
1. Use ear plugs or ear muffs. Both methods block the ear canal to prevent noise from entering the ear. Ear plugs come in different shapes and sizes, and can be found at local drug, hardware or sporting goods stores.
2. Limit periods of exposure. The amount of noise and length of exposure determines the damage to your ears.
3. Turn down the volume. Music played at 100 decibels can damage the ear in less than 15 minutes.
Ask that a hearing test is part of your annual
wellness check-up with your physician. Catching hearing loss early is as important as identifying potential hearing loss.
Protecting your hearing is a part of life you can control on a daily basis. You may be able to hear me now, but what about a few years from now?
David Goodman, M.D., F.A.C.S. is a board-certified
Otolaryngologist. He serves on the medical staff at Advocate Good Shepherd Hospital in Barrington, Illinois. He attended medical school at SUNY Syracuse College of Medicine in Syracuse, New York, completed his residency at the University of Illinois, and obtained a Ph.D. in Physiology and Hearing
Hurray for the red, white and blue! Midwestern summers are full of opportunities to get out and connect with others and appreciate the good things in life. While you are doing that, think about the reasons you would enjoy volunteering at Advocate Good Shepherd Hospital:
• Helping others • Making new friends. • Building self-confidence. • Having a sense of well-being and connectedness to others. • Gaining personal growth. • Fighting boredom. • Establishing a new direction in life. • Giving something back to the community and/or our hospital. • Sharing talents, abilities, and experiences. • Learning new skills. • Gaining training. • Feeling needed, useful, and appreciated. • Having fun and enjoying yourself! Download an application from our website at www.advocatehealth.com/gshp/volunteer or e-mail me at [email protected]. You can contact the Volunteer Services Department at 847-381-0123, extension 265093 for more information. We would love to have you on our team!
This publication may be copied for use by individuals
with printed acknowledgment of the source.
More Calcium, Less Weight
Calcium may be the latest arsenal in the war
against excess weight and fat. Researchers at
the University of Tennessee in Knoxville believe
they have discovered a potential link between
calcium and fat metabolism. In a study funded
by the National Dairy Council, obese mice placed
on high-calcium, low-calorie diets ''lost roughly a
fifth of their body weight and 42 percent of their
body fat'' in just six weeks. The mice that
followed a low-calcium, low-calorie diet lost just
11 percent of their total body weight and a
meager 8 percent of total body fat.
''For any given level of energy balance — of
calorie intake and physical activity — dietary
calcium helps determine whether calories go to
storage in the form of fat, or get burned,'' says
lead researcher Dr. Michael Zemel, who reported
on his team's findings at the Experimental
Biology 2000 conference in April. He also notes
that mice that consumed calcium from low-fat
dairy sources rather than supplements lost even
more — 25 percent of their body weight and 60
percent of their body fat.
In addition to dairy products, calcium can be
consumed from soy products and calcium-
fortified foods such as orange juice and cereals.
While calcium may not be the magic bullet so
many keep looking for, Zemel believes it can
''markedly inhibit the machinery for making fat
and really rev up the machinery for breaking
down fat.''
Fitness Tip!
Good And Gracious God , On this Independence Day we are reminded of all those who have sacrificed for our freedom. Let us not take our freedom for granted. Lord today and always, bless those who have served and continue to give their lives for our freedom. We pray you watch over them and their families. Help us to live life in a way that glorifies you Lord. Give us strength and wisdom to be a blessing in someone’s life today. AMEN
Staff:
The Reverend Frederick Rajan, Vice President Reverend Digna Campanano, Staff Chaplain Rabbi Jodie Futornick, BCC, Staff Chaplain Chaplain Suzanne “Sam” Martinez, Staff Chaplain, Hispanic Liaison And Congregational Coordinator, Reverend Moses O. Taiwo, Ph.D. ACPE Associate Supervisor, Clinical Pastoral Education Linda DeGrazia, Secretary
On-Call Staff
Chaplain Liz Fjortoft Rev. Jeannie Hanson Chaplain Kathleen Milone Chaplain Michael Monteleone Chaplain David Orth The Reverend Tom Tews Chaplain Wendy Wasilewski Chaplain Catherine Watkins Chaplain Phil Surdynski
Spiritual Welcome
Volunteers Don Andler May Lou Anderson Jane Busse Char Campbell Josette Carpenter Lee Hoffing Mary Hoffing Lou Petersen Donnaruth Schaul Carol Svoboda Carol Troka Bob Wilkans Eileen Zeplin
