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HEALTHY AGINGmAy 2016
A PublicAtion from monmouth medical center, southern campus
learningself-defense
mammograms after 65
the joy oftai chi
stAysAfe!
HOLISTICheALINGmethODs
HealthyAging.0416.10.indd 1 4/19/16 9:21 AM
WElcomE lEttEr
To our community:
This is the beginning of an exciting new era for health care in New Jersey as Barnabas Health and Robert Wood Johnson Health System have united to create the most comprehen-sive health system in the state, RWJBarnabas Health. We are bring-ing the best of academic medicine, research and teaching and community providers together to create healthier communities.
For our patients this means greater, more convenient access to high-quality care, the development of advanced new services and the expansion of, and ac-cess to, cutting-edge clinical trials. Our systems contributed a combined total of over $550 million a year in community ben-eft services. These investments go toward outreach and engagement programs, pro-grams with schools and religious groups to keep people healthy. Together we will be able to accomplish even more.
As one, we are positioned to better com-bat disease and promote wellness in our region—truly making our communities healthier while also making health care more affordable. Thank you for trusting RWJBarnabas Health as your healthcare partner. We look forward to serving you for generations to come.
Best regards,Frank J. Vozos, m.D., FAcS
Executive Vice President, Barnabas HealthChief Executive, Monmouth Medical Center, Southern Campus
2
The Affordable Care Act has put patient
satisfaction at the top of the list of goals for all health care providers, and Monmouth Medical Center, Southern Cam-pus (MMCSC) recently hired a new Director of Patient Care to oversee that mission. Since start-ing at MMCSC this past October, Suji Thomas, M.S.N., M.B.A.–HCM, R.N., along with her as-sistant clinical nurse directors, has made great strides in improving patient sat-isfaction ratings. Her efforts and those of her team have resulted in dramatically increased patient satisfaction scores for the past two quarters—specifcally in communication with nurses, responsiveness of hospital staff and pain management.
Thomas has monthly staff meetings along with daily hud-dles, where she utilizes an evidence-based approach on educating the multidisciplinary team to strive for improve-ment in patient satisfaction and patients’ perceptions of their hospital experience. “During the daily huddles we focus on quality of care and patient satisfaction data,” Thomas says. “We point out where a good job has been done and where we see a need for improvement.” Awareness is the key to suc-cess. Investing this time and effort into her team’s education on current trends in health care is crucial as it presents a greater understanding of HCAHPS Hospital Survey and value- based purchasing (VBP); this awareness of the front-line staff brings forth high patient satisfaction and quality clini-cal outcomes. The front-line staff members are oftentimes the individuals who make the most impact on patients, which is why it is imperative that they are exhibiting best practices.
Thomas has based much of her practice around Jean Wat-son’s Caring Theory. Watson, an American nurse theorist and nursing professor who is best known for her theory of human caring, believes that to improve self-care and the care of others both staff morale and satisfaction need to be at the forefront of our minds. Thomas, in collaboration with other disciplines in the hospital, is in the process of developing a “caring trolley” for this reason. The “caring trolley” will deliver coffee and refreshments daily to front-line staff on inpatient foors by senior leadership. “This will demonstrate a genuine act of caring and concern for the health and well-being of staff by hospital leaders,” she says.
WORkINg FOR PATIENT
SATISFACTION
HealthyAging.0416.11.indd 2 4/19/16 10:37 AM
3
Do older women still need mam-
mograms? Many such women
mistakenly think that, after a cer-
tain age, these imaging tests are
no longer important. But that’s
not true; in fact, aging is one of
the primary risk factors for breast
cancer. Now Monmouth Medi-
cal Center, Southern Campus, has
secured a Healthy Living Grant
for Cancer Prevention from the
American Medical Association
Foundation to fund education-
al outreach in order to stress the
importance of continuing breast
health screening for women 65
and older.
“Our team of nurse practitioners,
breast surgeons, genetic counsel-
ors and oncology nurse navigators
will go out into the community
to lecture groups of women in
Ocean and Monmouth counties,”
says Laura Gallo, special projects
manager for cancer services. The
educators will appear at various lo-
cations including hospitals, senior
and community centers, libraries,
houses of worship, worksites and
shopping malls.
During education events, which
feature both a lecture and a Q&A
session, the team will address all
the issues and myths related to
breast health, including the fear
some women feel about mammo-
grams. The breast health educators
will conduct risk assessments, dis-
cuss risk factors, help patients to
make convenient appointments
based on their own schedules and
even help arrange transportation to
and from the hospital.
Mammography is proven to fnd
cancers early, when they are most
easily treated and cured, yet many
women have never had a mammo-
gram, while others have stopped
their regular screenings.
“Ultimately, the program will
result in more early detection,
more hope and more survivors,”
Gallo says. “If you are interested
in having us speak to you—it can
be for an organization or just a
group of friends—we are willing to
come out.”
To better serve patients, the
Monmouth Medical Center, South-
ern Campus Jacqueline M. Wilentz
Breast Center was permanently
relocated to the main hospital last
month. Services will now include
breast screening mammography,
diagnostic mammography, breast
surgery consultation and high-risk
cancer assessment.
To fnd the location of future
events, or to schedule an event for
your group, contact Laura Gallo
at [email protected] or
732.923.6509. Or to schedule a
mammogram, call 732.923.7700.
MAMMOGrAMSKeep up the habit of
Older wOmen still need this screening, as an Outreach team explains.
HealthyAging.0416.9.indd 3 4/18/16 4:19 PM
4
Meditative movesTai chi, a centuries-old Chinese martial art, is some-
times called “moving meditation.” Practitioners move their bodies slowly and gently through postures while focusing on breathing and relaxation. The movements can be adapted or practiced while walking, standing or sitting, making tai chi an excellent exercise for older adults and those with chronic health concerns.
And it provides more than exercise. Scientifc research has found that practicing tai chi may improve balance and stability in older people and those with Parkinson’s, which can help reduce the risk of suffering a harmful fall. Studies also show that tai chi may ease pain from knee osteoar-thritis, help people cope with fbromyalgia and back pain and promote quality of life and mood in people with heart failure and cancer. It also offers psychological benefts, such as reducing anxiety.
For all these reasons, the Center for Healthy Aging at Monmouth Medical Center, Southern Campus is offer-ing tai chi classes for Better Health members. Classes are available for both those experienced at tai chi and those who are not.
Instructor Kit Lau, who has been teaching tai chi for more than 10 years, will instruct Better Health members in the fne art of tai chi from both standing and sitting positions. “We feel that tai chi is wonderful opportunity for members to improve their balance and to also socialize
and meet new people,” says Kelly DeLeon, health coach.Classes will be offered throughout the year and begin-
ers are welcome. All seniors age 55 and older are invited to participate, regardless of medical conditions. The cost is $5 for one class or $40 for eight sessions, all held at the Center for Healthy Living, located at 198 Prospect Street in Lakewood. Space is limited and registration is required;
call the Barnabas Health LINK at 888.724.7123.
Tai chi for seniors offers beTTer healTh and balance—and fun.
A tai chi class can be good exercise,
spiritual centering and social fun.
HealthyAging.0416.12.indd 4 4/19/16 1:32 PM
5
You don’t want to mess withWalter Miller. He has a black
belt in three martial arts: judo, self- defense and jiu-jitsu. He teaches these techniques to men and women of all ages—which is remarkable, because Miller is in his 80s.
“Walter understands the needs of older adults,” says Kelly DeLeon, a health coach with Monmouth Medi-cal Center, Southern Campus. He is offering two classes in self-defense—one specifcally for adults 60 and older and one for all ages—to help people learn to protect themselves from personal assaults, street at-
tacks and abductions. The classes also promote physical activity and social-ization along with safety, DeLeon says.
Miller teaches participants how to use leverage and balance, rather than brute strength, to fend off would-be assailants. He says he is happy to provide this class because it teaches people “how to stay safe using hands-on techniques for protect-ing themselves during attacks. Older women and young girls are the big-gest targets of crimes.”
You do not need any prior experience in self-defense to attend the classes, DeLeon says. There is no protective
gear needed, and the classes are safe and designed to meet the age-appro-priate needs and physical abilities of participants. Be sure to wear comfort-able, loose-ftting clothing to class.
The classes are held the second and fourth Tuesday and Thursday of every month, and open enroll-ment means you can start at any time. They are held at the Center for Healthy Living at 198 Prospect Street in Lakewood. The cost is $15 for fve one-hour classes.
Space is limited and registration
is required. Call 888.724.7123 to
register or fnd out more.
Don’t be a viCtim
Techniques for self-protection taught
by Walter Miller, right, can increase the
confdence of seniors—or anyone else.
an octogenarian teaches
the art of self-defense.
HealthyAging.0416.11.indd 5 4/19/16 10:37 AM
6
I n the past few decades, Western
medicine has caught up to what
Eastern health care practitioners
have known for centuries: healing
sometimes works best with both the
expertise of medically profcient phy-
sicians and holistic modalities that
soothe the mind and spirit as well
as the body. “Monmouth Medical
Center, Southern Campus [MMCSC]
wants to be moving with current
trends in healthcare to ensure that
our staff and community receive
what is helpful in addition to what
conventional medicine has to offer,”
explains Donna Cetroni, board certi-
fed holistic nurse and performance
improvement coordinator.
“There is ample research support-
ing the benefts of the integration of
holistic modalities to improve out-
comes and honor each person as an
individual,” she continues. “Our goal
is to provide evidence-based scientifc
methods for holistic healing to our pa-
tients, their caregivers and our staff.”
These evidence-based methods of
complementary and integrative holis-
tic care are defned by the American
Holistic Nurses Association as an
all-nursing practice that has healing
the whole person as its central goal.
These modalities serve to enhance
the person’s experience and en-
rich healing potential. They include
healing arts such as yoga therapy,
massage therapy, aromatherapy and
the healing touch amongst others.
The hospital has opened a Tran-
quility Room that is available for staff
to use to reenergize in a peaceful set-
ting. The Healing Garden is also part
of the facility and it is available to
patients, families and staff to refect
and restore in a natural setting with a
calming and soothing atmosphere.
MMCSC is embodying a Barn-
abas Health Corporate approach in
the development of standardizing a
special outlet to support staff mem-
bers facing emotional and spiritual
challenges with what is called Code
Lavender. The purpose is to initiate
and provide a formal setting for emo-
tional support for an employee who
was exposed to a critical incident in
the acute care setting of the hospital.
It provides an immediate vehicle for
healthcare providers to express them-
selves amongst colleagues, to share
their emotions and relieve stress.
In addition, the Monmouth Medi-
cal Center, Southern Campus
Holistic Council wants to provide
bedside nurses with tools for self-
care so they are balanced and
mindfully present to provide the fn-
est care for their patients. “We are
committed to providing skilled care,
empathy and compassion as this is
what our staff and community de-
serve,” Cetroni says.
A HOLISTIC AppROACH to heAlth
the medical center offers spiritual
healing to patients and staff.
Suji Thomas, director, Patient Care; Donna Cetroni, coordinator,
Performance Improvement; Geraldine Smith, administrative
director, Surgical Services; Wendy Mahne, critical care nurse;
Jennifer Lees, assistant director, Patient Care; Rosalina
Manongdo, assistant vice president, Patient Care; Judy Colorado,
chief nursing ofcer; Chela Rajakumar, staf nurse, Med-Surg.
HealthyAging.0416.9.indd 6 4/18/16 4:19 PM
7
HealthyAging.0416.8.indd 7 4/18/16 10:02 AM
DoctorAsk the
Can ExErCisE HElp my
pEripHEral artErial DisEasE?
T he short answer: YES! Periph-
eral arterial disease (PAD) is a
condition that usually affects lower-
extremity blood vessels. Fatty mate-
rial (plaque) causes the hardening
and narrowing of arteries, result-
ing in lessened blood flow, which in
turn may produce weakness as well
as pain and other abnormal sensory
symptoms of legs and feet.
These symptoms first appear
with long walks and then recede
with rest, but over time they occur
when walking even short distances.
Legs may become cool to the touch
or feel numb at rest. When PAD be-
comes severe, one may experience
nighttime leg cramps and/or con-
stant pain or tingling of the feet,
which may become hypersensitive
to even the lightest touch. Calf mus-
cles may atrophy and shrink as well.
In addition, feet may appear pale or
bluish with toenails thickening, and
non-healing skin sores may develop.
Treatment for PAD may include
medication, dietary changes (in-
cluding weight loss if indicated),
avoidance of smoking and vascular
surgery if necessary.
Exercise is a proactive way to
help control PAD, while at the same
time contributing to a healthier, more
active lifestyle. Symptom reduction
by exercising, including distance im-
provement while walking, has been
established by medical research. A
balance program involves supervised
leg exercises and walking (with or
without a treadmill) to the point of
pain, followed by rest periods. Your
circulation may improve over time, as
small new (collateral) blood vessels
form in response to the exercise.
Always consult with your doctor
before starting an exercise program.
The Comprehensive Vascular Center
at Monmouth Medical Center, South-
ern Campus, stands ready to assist
you and your primary physician.
For a referral to a primary care
physician, call 888.724.7123. To learn
more about The Comprehensive
Vascular Center, call 732.923.5030.
A question for ChArles MArkowitz, M.D., PhysiCAl MeDiCine AnD rehAbilitAtion sPeCiAlist, MonMouth MeDiCAl Center, southern CAMPus.
LunCh & Learn: undersTanding
MediCare and your opTions For
CoMprehensiVe CoVerage
Wednesday, April 20, 11:30 a.m.
Center for Healthy Living
Register by calling 888.724.7123
LunCh & Learn: under pressure—
heaLing probLeMaTiC Wounds
WiTh oxygen
presenTed by Johnny Larsen, d.o.
Friday, April 29, 11:30 a.m.
Center for Healthy Living
Register by calling 888.724.7123
gLuCose sCreening
Tuesday, May 10, 9–10 a.m.
Center for Healthy Living
Register by calling 888.724.7123
audioLogy prograM
WiTh dr. boyer
Wednesday, May 11, 12:45 p.m.
Jackson Twp. Senior Center
45 Don Connor Blvd., Jackson
Register with Jackson Senior Center at
732.928.1323
skin CanCer sCreening
WiTh dr. TarLoW
Thursday, May 19, 5:30–7:30 p.m.
Center for Healthy Living
Register by calling 888.724.7123; by
appointment only for people aged 60
and older.
aging eyes WiTh dr. paTeL
Tuesday, May 24, 11 a.m.–noon
Howell Senior Center,
251 Preventorium Rd., Howell
Register with Howell Senior Center
at 732.938.4500
CoMMuniTy CaLendar Here are some upcoming events that
will be of interest to seniors.
apriL
May
8
reCurring groups
bereaVeMenT supporT group
2nd & 4th Tuesdays (April 12 & 26;
May 10 & 24)
2:15–3:30 p.m.
Center for Healthy Living
For more information, call 732.730.9112
CaregiVers supporT group
Every Tuesday
12:15–2:15 p.m.
Center for Healthy Living
For more information, call 732.730.9112
diabeTes seLF-ManageMenT
eduCaTion
Every Thursday
10 a.m.–noon
Center for Healthy Living
Register by calling 732.886.4731
grandparenTs raising
grandChiLdren supporT group
Every Wednesday
10:30 a.m.–12:30 p.m,
Center for Healthy Living
For more information, call 732.730.9112
HealthyAging.0416.12.indd 8 4/19/16 1:33 PM