Salem Health >> Improving the health and well-being of the people and communities we serve. October/November 2012 ‘You’re a nonsmoker— you just don’t know it yet’ Freedom From Smoking classes get to the root of addiction ‘I felt so safe’ Nurses deliver an exceptional experience for first-time mom Salem Health’s Freedom From Smoking classes helped Jeremy Williams quit for good. He is pictured at the Community Health Education Center with class materials.
Transcript
Salem Health >> Improving the health and well-being of the people and communities we serve. October/November 2012
‘You’re a nonsmoker—you just don’t know it yet’Freedom From Smoking classes get to the root of addiction
‘I felt so safe’Nurses deliver an exceptional experience for first-time mom
Salem Health’s Freedom From Smoking classes helped Jeremy Williams quit for good. He is pictured at the Community Health Education Center with class materials.
ContentsI N S I D E T H I S I S S U E
4 Oh, baby!First-time mom gets first-rate care
9 Shine a Light on Lung CancerHonor loved ones and learn about screenings
8
10 Food is fuelTop up your tank with fiber
11Grape escapeMake a splash cooking with wine
The Messenger is published six times a year by Salem Health. If you have questions or comments, or would like to be removed from this mailing list, please email [email protected].
The health information provided in this newsletter is not intended as medical advice and should not replace the advice of a physician.
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Focus on CultureNew display at World Beat Gallery Bulging discs, bone
spurs and cysts in Ron King’s lower back were keeping him from the everyday activities he enjoys most.“My back pain was so severe if I had to walk, stand or sit down for any length of time, even a short car ride, I couldn’t tolerate it,” said Ron. “I couldn’t enjoy spending time with my family or friends because I couldn’t travel that far or merely sit and talk without unbearable discomfort.”
Ron was no stranger to back problems. In 2004, he had back surgery. However, over the years, the discs in his back continued to
degenerate, and the injections that had kept the pain at bay were no longer effective. Ron
suspected he needed surgery again.
After returning to his original surgeon, Ron decided to get a second opinion. He saw a surgeon
in Portland, but didn’t feel confident with that physician either. Then, he decided to see Jerry Hubbard, MD. Ron’s daughter had neck surgery with Dr. Hubbard years before and had great success.
“Dr. Hubbard’s thoroughness and explanation point by point on what was happening in my lower back made me comfortable that indeed he would do a good job,” said Ron. “We had a good rapport. He also had a very positive, confident attitude and explained fully
what to expect and what would be accomplished.”
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Get back on your feetwith help from the Salem Spine Center
Jerry Hubbard, MD
Cysts within the bulging discs in Ron’s lumbar L4 and L5 vertebra, some floating, had to be removed. Dr. Hubbard recommended a laminectomy, where some of the bone on the spinal column would be cut away to relieve pressure on the spinal nerve and create more room in the nerve canals to Ron’s legs.
When Ron decided Dr. Hubbard would be his surgeon, Dr. Hubbard referred Ron to the Salem Spine Center. He transferred all the information necessary for the Spine Center to schedule Ron’s surgery.
“I was blessed with not having to go to a number of places and manage the process,” Ron said.
The Salem Spine Center is a service. It coordinates locally with referring physicians, patients, spine specialists and surgeons to accelerate patient treatment for neck, spine and back problems.
With help from the spine center, people with these problems experience centralized, coordinated care. They avoid waiting weeks to see a physician or having an unnecessary office visit; they enjoy a quick, easy referral process if they have not already seen a specialist; and they receive timely treatment that is guided by a spine specialist.
According to Ron, the Salem Spine Center took care of everything. It was seamless and automatic. The spine center provided information on preoperative classes, how to cope, the recovery process, even how to prevent further problems. They let Ron know the dates and times he could schedule the surgery. Even the bulk of Ron’s preregistration was taken care of before he checked in at the hospital.
“It took a little less than two weeks from the time I saw Dr. Hubbard until I got in for surgery,” Ron said. “It was a very speedy process. In addition to everything else, during that time, the Salem Spine Center was
able to get me and my wife into a very informative preparatory class.”
The Salem Spine Center provided Ron with a patient guide book that walked him through all the pre- and postoperative steps, pertinent care instructions, notes, directions to the hospital and illustrations.
Ron felt the guide book was very helpful. “I have been given these types of books at other hospitals and not bothered to read them because they were useless. This book was so helpful and effective; I read it front to back.”
On the morning of his surgery, Ron said everything went like clockwork. Check-in was efficient, the people were professional and friendly, the room was very nice and the bulk of the preregistration was already completed. Ron was taken into the preparatory room, had a very short wait and went into surgery.
Ron was up and walking the day after his surgery, and released later that afternoon. He remembers that the Salem Spine Center even scheduled his follow-up appointment.
“The Salem Spine Center, Dr. Hubbard, Salem Hospital, and every nurse, anesthesiologist, and attendant were amazing,” according to Ron. “It was really a stress-free process.”
Just two weeks postsurgery, Ron was driving occasionally and able to enjoy a night out to dinner with friends and family—a basic luxury he had missed out on for months. The surgery was a success, and his progress has been remarkable. As Ron continues to recover, he is now enjoying daily activities that most people take for granted.
“Spine surgery is scary,” said Ron. “I was apprehensive, but I had a truly great experience. I have had surgeries elsewhere and this was plainly on a level above and beyond what I have ever experienced!”
The Salem Spine Center, Dr. Hubbard, Salem Hospital, and every nurse, anesthesiologist, and attendant were amazing.”
—Ron King
“
“I was apprehensive, but I had a truly great experience.”
—Ron King
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Get back
| 4 | Messenger: October/November 2012
Jasmine Vo, a, first-time mom, had a good pregnancy that was thankfully, “uneventfully” normal. She delivered her daughter at Salem Hospital’s Family Birth Center. According to Jasmine, her delivery experience was exceptional. “Everyone keeps telling me how lucky I am,” she said.
Two weeks before Jasmine’s due date, her obstetrician told her she was 100 percent effaced. If the baby was not born by Jasmine’s due date, he recommended inducing the labor.
Jasmine went into labor with an open mind. She decided she would try to go through labor naturally, but if it was too painful, would request an epidural. The maternity staff respected her wishes and administered the epidural upon her request.
“On my due date, I checked into the hospital to be induced,” said Jasmine. The doctor gave her pitocin to help induce the labor. About two hours after receiving the pitocin, Jasmine started feeling contractions. By the time she was five centimeters dilated, she was ready for an epidural.
“Throughout labor and delivery, my nurse, Lacey [Lacey Weishaar, RN], kept me informed of my progress,” said Jasmine. “She was amazing. She was encouraging, calm and respectful.”
Six pounds, one ounce of
With most first pregnancies and births, expecting mothers are offered information on everything from diet and exercise to risks and postpartum expectations. But nothing can totally prepare you for the actual experience.
Jasmine and baby Kassidy
Expect the unexpectedWhen you’re planning for a birth, you may find yourself with a lot of questions:
Do I want a doctor or a midwife? Do I want a natural birth, a c-section or a VBAC? Is pain medication right for me? What will happen if something goes wrong?
The Salem Hospital Family Birth Center thinks about those questions too. That’s why we offer all of the above for your labor plan.
Your safety and the safety of your baby are always our priority, even as we strive to give you a picture-perfect delivery. If your baby comes early or is born with complications, you’ll have the comfort of knowing that we have expert OB physicians on-site 24/7. And Salem Hospital’s Level III neonatal intensive care unit is only a few steps away from our birthing suites.
“As the fourth-largest hospital in Oregon, we can offer services that smaller hospitals can’t,” said Sarah Horn, director of Women’s and Children’s Services at Salem Hospital. “This combination of safety and comfort is something we’re proud to have for the moms in our community.”
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Within a few hours of receiving the pitocin, it was time to push. However, each time Jasmine pushed, her daughter’s heart rate would drop. The doctor and nurses explained the situation and had Jasmine stop pushing as soon as the heart rate dropped.
“My close friend Mary Jean and my boyfriend’s mom were all in the room, a bit panicked,” said Jasmine. “I was nervous because another nurse was called in to watch the monitor and the baby, but never too worried. Lacey was with me the whole time and made us all feel comfortable and confident. She kept me aware of all the possibilities, so I didn’t have any questions.”
Lacey explained why the heart rate might be dropping. Jasmine did test pushes to see how the baby responded. The nurses rolled Jasmine back and forth, trying to find a position that would relieve the baby during contractions. Jasmine was told if the baby’s heart rate continued to drop when she pushed, she may need to have a Cesarean birth (c-section).
However, on her next push, baby Kassidy was born in perfect condition.
“The whole process was pretty smooth,” said Jasmine. “The epidural took care of all my pain. I only pushed for about 15 minutes , and I haven’t had any troubles since. My nurses were perfect.”
“Lacey communicated in a collaborative, confident manner that demonstrated she was partnering with us in the process,” said friend Mary Jean. “And, Dr. Robert Harder was professional, but able to use humor to lighten the anxiety level in the room. He had such a positive, warm approach to eliminating stress for all of us.”
According to Mary Jean, the entire staff was friendly and welcoming from the time they checked in until Jasmine and baby Kassidy were released. “The overall experience was so warm and inviting. Dr. Harder even participated in the follow-up celebration of Kassidy’s arrival.”
During that time, Jasmine’s care was great. “The Salem Hospital maternity staff was kind, professional, informative and experienced,” she said. “I felt so safe having my baby there.”
Go online >> Find out more about special deliveries at Salem Hospital. You’ll find us under “Services” at salemhealth.org.
Learn More >> Whether you’re already expecting or just starting to think about it, we’d love to give you a tour of our Family Birth Center. Go to salemhealth.org/chec to register.
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If you’ve never been a smoker, it’s easy to assume that quitting is just a matter of willpower. Once your body stops craving nicotine, there’s no more reason to smoke. Unfortunately, it’s not that simple, said Nancy Baldwin, a health educator at the Community Health Education Center (CHEC) at Salem Hospital.
“You can’t just look at smoking as a chemical addiction, because, really, the addiction to the substance itself only lasts 48 hours,” she said. “Beyond that physical need, it becomes a lot more psychological. Those are the biggest obstacles. How do you get people over those mental barriers?”
Removing mental barriers is what Freedom From Smoking classes at the CHEC are all about. The seven-week course helps smokers recognize the situations that trigger their desire to smoke and gives them strategies to overcome the urge permanently.
“A lot of smokers have built their lives around smoking without realizing it,” said Baldwin. “They build up their daily routine around the process of
at last! smoking. For a lot of people, when they quit, they have to learn how to do normal activities again.”
Jeremy Williams knows all about that. Jeremy, who is in his early 30s, quit smoking more than a year ago after attending the classes at the CHEC.
“Smoking was just second nature,” Jeremy said. “Friends would show up; we’d go outside and smoke. It wasn’t like one huge trigger that would hit me, it was little stuff like getting in the car to go to work in the morning, or having coffee, or doing yard work.”
“The biggest joke is that I’ve had to re-learn how to barbecue and cook steak,” he said. “I always knew when it was time to flip it by how many cigarettes I’d had.”
Getting out of the habitTo help Jeremy and other class members work around the little voice telling them to smoke, Baldwin made sure her Freedom From Smoking classes kept everyone occupied. She handed out small jars of Play-Doh,
Get the tools to quit for good at Freedom From Smoking classes
Free
Jeremy Williams, a Freedom From Smoking graduate, checks out what’s new at the CHEC.
>>
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puzzles and brain teasers—anything to keep people’s hands and minds busy.
Jeremy said he used techniques from class to outlast his cravings after he quit. “If you can just occupy yourself for that jolt of ‘I need a fix,’ in five minutes it will ease off,” he said. “Being a stay-at-home dad, it was a little easier. When I needed to occupy my hands, I’d pick up toys or stack blocks for my son.”
Baldwin said that one of the things that makes the class so successful is the support network that develops. “The group dynamic is the driver for quilting for a lot of these people,” she said. “They get in these groups; they get to know one another. And, boy, are they different people! We’ll have people of all ages and every kind of background. And they all have their own reasons for quitting.”
Jeremy said that several people in his class were facing serious health problems. “Some had stage two or three emphysema and maybe 10 percent of their lung capacity left,” he said. “There were people who were smoking and using the patch at the same time. They just couldn’t quit. It was really a mixed bag of ‘I know this is bad for me, it’s just time, and I can’t do it on my own.’ Everybody hits that point in their life for different reasons.”
Smoking and stressFor Jeremy, becoming a dad was the extra push he needed to seriously consider quitting. “When my son was born—four years ago in January—I said to myself, ‘OK, that’s it, I’m quitting.’”
But then Jeremy’s wife had to return to the hospital because of complications after the birth. Jeremy had to cope with caring for a newborn and making time to visit his wife. “The stress pushed me right back in to smoking,” he said. “And then it was ‘I’ll quit when he’s 3; I’ll quit when he starts school.’ That was the scenario.”
“I needed a cigarette to kick back and take off the edge,” he added. “Some people smoke, and some people sit on the couch and eat Cheetos. For me, smoking was my reward for getting through the day.”
at last!
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Join the class >> Freedom From Smoking classes are forming in both Salem and Dallas. There is a $120 fee for materials, but it is covered by most insurance, including the Oregon Health Plan. Discounts and scholarships are also available. See the calendar on page 11 for more information or go to salemhealth.org/chec.
Baldwin says that smoking to relieve stress is one of the most common struggles for people who are trying to quit. “We hear from people all the time: ‘My job is stressful, and smoke breaks are the only way I can relax.’ Well, there are so many other ways to deal with stress, which is why we give people a workbook to take home. All the information is in there so they have the resources to make good choices outside of class. It’s all about helping people move past their worries and think about the bigger picture.”
“I remember what Nancy said to me,” Jeremy added. “She said: ‘You are already living a nonsmoker’s life. You don’t smoke in your house. You don’t smoke in your car. You smoke outside regardless of the weather. You’re a nonsmoker—you just don’t know it yet.’”
“I had tried the patch, I tried gum, all that stuff,” he continued. “It’s not—and it wasn’t ever—easy. I couldn’t have quit without the class. I went in thinking that I wasn’t ready. The biggest thing is that the whole group is there to help out with whatever other smokers are going through.
We’d talk about what worked for us or if we tried something someone suggested the week before. It was almost funny how supportive everyone was.”
Baldwin says that positive support is ultimately what makes the class work.
“I think that everybody can be successful,” Baldwin said. “Our biggest hurdle is just making sure that they know they can be successful. We give them a little boost, and they just run with it.”
Jeremy credits his wife and son with putting him on the
road to quitting.
BriefN E W S F R O M S A L E M H E A L T H
How does culture shape your view?It’s hard to know what to say to a friend or neighbor who is dealing with the loss of a loved one. It can be even harder if that person comes from a different culture than your own. An exhibit at the World Beat Gallery, 189 Liberty St. NE, explores those questions and gives surprising insight into Salem’s diverse communities.
Salem Multicultural Institute and Salem Health have teamed up to present “The End of Life… Cultural Perspectives on Mortality,” a group of interviews with local community members representing Hispanic, Russian Old Believer, Micronesian Islander and Ukrainian cultures. The resulting exhibit shows how culture plays a role in attitudes about death and bereavement, and how people remember and honor loved ones.
“Many of us in modern American culture have little experience with death,” said Dr. Nancy Boutin, a palliative medicine specialist with Salem Health. “We may not know what we’re supposed to do or say—even doctors and nurses. Add in the complexity of language and cultural differences and caregivers risk turning a sacred experience into a dark one. This exhibit offers the health care community—and the Salem community in general—insight into what constitutes ‘a good death’ in the eyes of our multicultural neighbors.”
For more information, call Graham Morris at Salem Multicultural Institute at 503-581-2004 or go to salemmulticultural.org/gallery.shtml.
The gold standard for breast imagingYour health matters. Your diagnosis matters. The quality of your care matters. When selecting where to have your breast imaging, you should choose a facility that is accredited.
Salem Hospital’s Women’s Diagnostic Center recently earned certification as a Breast Imaging Center of Excellence (BICOE) by the American College of Radiology (ACR). As a Center of Excellence, the Women’s Diagnostic department is now fully accredited in mammography, stereotactic breast biopsy, breast ultrasound and ultrasound-guided breast biopsy.
The BICOE designation is awarded to breast imaging centers that achieve excellence by voluntarily completing all of the ACR’s breast-imaging accreditation programs and modules, as well as the ACR’s mandatory mammography accreditation program or an FDA-approved state accrediting body in mammography.
With this designation, patients benefit from a facility that meets or exceeds national standards in image quality, personnel qualifications, facility equipment, quality control procedures and quality assurance programs.
The Women’s Diagnostic Center also now has access to the National Mammography Database (NMD). From its collection of data gathered from participating peer facilities nationwide, the NMD offers comparative information and provides reports on various data such as cancer detection rates and recall rates.
Look for the gold seal of approval, and be confident that you are receiving quality care from a devoted team of experts.
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You wouldn’t buy a dishwasher
without checking consumer ratings.
Shouldn’t you do the same when you
choose a hospital?
On of the nation’s most trusted
sources for consumer product
and service ratings is now rating
hospitals. You can use their
research to make better-informed
decisions when it comes to health
care and choosing a hospital.
Shine a Light on Lung Cancer
Scan the code with your smartphone to learn more.
On the web: A new look for Salem Health
Please join us for this informative inspiring event. Dr. McDonald’s presentation will discuss lung cancer screening guidelines, the benefits of screening and when your doctor might refer you for screening. The event will conclude with a special time to honor and remember loved ones touched by lung cancer.
Tasha McDonald, MD
On Tuesday, July 31, salemhealth.org officially went live with an updated look.
The changes are more than skin deep, though. The pages for many of our major services have already been updated with new information geared to making your visit as easy and stress-free as possible. Check out updated features and expanded information in the “Patients & Visitors” and “Locations” sections. We’ll be adding even more cool features throughout the fall and winter.
Until then, we invite you to explore the new and updated sections of the site, including:
• New and improved navigation—one click and you’re there!
• A new location map feature that makes it easier than ever for patients to find their way to us.
• An online patient and visitor guide.
• An interactive version of Messenger.
We need your input! What can we do to make the site even more useful? Let us know at facebook.com/salemhealth.
For more information or to register, call the Community Health Education Center at 503-814-2432.
Wednesday, Nov. 14Salem Hospital Campus,
Featured Speaker: Tasha McDonald, MD
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Pumpkin spice pancakesIngredients
1 cup whole-wheat flour 2 teaspoons baking powder1/4 teaspoon salt1/2 teaspoon cinnamon1/2 teaspoon pumpkin spice2/3 cup canned pumpkin1 tablespoon brown sugar1 cup 1 percent milk1/4 cup oats 2 large eggs1 teaspoon vanilla
Instructions
Measure out the milk and add the oats. Mix all dry ingredients in a bowl. Combine milk with oats, egg, and canned pumpkin; mix until smooth. Combine wet ingredients with the dry and mix well with a spoon until there are no more dry spots. Don’t over-mix.
Heat a large skillet on medium heat. Spray oil to lightly coat and pour 1/4 cup of pancake batter. When the pancake starts to bubble and the edges begin to set, flip the pancakes. Repeat with the remainder of the batter.
Optional: To make fun shapes, spray a heat-safe cookie cutter with cooking spray and place it on the skillet. When the skillet is hot, pour the batter into the cookie cutter. Remove the cookie cutter once the pancake begins to set. Flip and serve as normal.
Wake up and eatBreakfast isn’t a chore—it’s fuel for your dayYour body is like a machine, and like all machines, your body needs fuel. Starting out each morning with a balanced meal fuels your machine and prepares it for the tasks that lie ahead. Eating breakfast, especially within the first half hour after waking, boosts metabolism and is the key to living a healthy and balanced life.
Many people view breakfast as an option instead of a necessity. Like sleep, food is not something that should be pushed to the side until you think it convenient. To live a healthy and balanced life you need to eat the proper meals at the proper times.
“All night long your heart is beating, your lungs are breathing and your brain is running,” said Salem Hospital dietitian Jessica Short. “These functions burn fuel. When you wake up in the morning it’s time to fill up the gas tank (your stomach) for the activities of the day. Our bodies don’t do well running on empty. You wouldn’t drive a car out of town with an empty gas tank. You shouldn’t try to make your body function without fuel.”
Eating a small bowl of high-fiber cereal or oatmeal with a glass of fruit or vegetable juice will help meet your daily servings of fruits, vegetables and fiber. Your suggested daily consumption is three servings of fruits, six servings of vegetables and 25 grams of fiber.
Breakfast gives you the vitamins and minerals you need to work hard throughout the day and be in a good mood while you are doing it. People who skip or constantly delay their meals experience a decrease in blood sugar, and in turn their mood and energy will also go south.
The pumpkin pancakes featured on this page are a delicious, low-fat, high-fiber, fun way to start the day. Serve yours with peanut butter and fruit to increase the nutritional value and feel the impact of a healthy breakfast. Your machine will feel better in no time and you’ll be off to a great start!
A nutritious breakfast is the foundation to living a healthy, balanced lifestyle, but most of us don’t take the time. So next time you get out of bed treat your body like your car—fuel up!
Recipe
Learn More: For more healthy recipes, visit the Gehlar Wellness Kitchen online at salemhealth.org or call 503-814-2432.
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Health CalendarO C T O B E R – N O V E M B E R 2 0 1 2
Classes
The Community Health Education Center (CHEC) offers a variety of health education classes. For more information on these and other classes, or to register, visit salemhealth.org/chec or call 503-814-CHEC (2432).
S U p p O R T G R O U p S
Bone, Muscle, and Joint Conditions Arthritis Support GroupSecond Saturday of every month, 11 a.m. to 12:30 p.m. SH/D.
Fibromyalgia Support GroupFirst Thursday of every month, 6:30 to 8:30 p.m. SH/D.
C A N C E RCancer Caregiver Support Group First and third Thursday of every month, 4 to 5 p.m. SH/C.
M E N ’ S H E A L T H
Men’s Support GroupSecond and fourth Sundays of every month, 5 to 6:30 p.m. (except on holidays) SH/D.
O T H E R
Neuropathy Support GroupFourth Monday of every month,6:30 to 8 p.m. SH/D
Recovery InternationalMeets every Tuesday, 5:30 to 7:30 p.m. SH/D
SH/A - Salem Hospital Campus, Bldg. A, 890 Oak St. SE, Salem
SH/B - Salem Hospital Campus, Bldg. B, 890 Oak St. SE, Salem
SH/C - Salem Hospital Campus, Bldg. C, 890 Oak St. SE, Salem
SH/D - Salem Hospital Campus, Bldg. D, 890 Oak St. SE, Salem
RRC - Salem Hospital Regional Rehabilitation Center, 2561 Center St. NE, Salem
WVH - West Valley Hospital, 525 SE Washington St., Dallas
LOCA
TIO
N K
EY
n C O O K I N G F O R H E A L T H
Creative Cooking: From Vine to TableAnne Theis, Vice President and Chief Marketing Officer for Salem Health, will put her “day job” aside for the evening to celebrate Willamette Valley’s grape harvest with healthy recipes that feature wine as a special flavor enhancer. $24. Oct. 3, 6 to 8:30 p.m.
n C A N C E R
Lymphedema Management for Breast Cancer This one-time explains lymphedema and it’s prevention and treatment. It is taught by a physical therapist from Salem Hospital’s Rehabilitation Center. Free. Oct. 15, 1:30 to 2:30 p.m.
RISE: Recovery in Strength and ExerciseRISE is a unique cancer exercise program designed specifically for people suffering from fatigue and loss of strength that can result from surgery, chemotherapy or radiation. This four-week class covers several different modes of exercise to promote total body wellness. $10. Mondays, Wednesdays and Fridays, Oct. 22 through Nov. 16, 1 to 2 p.m.
n G E N E R A L H E A L T H
Women’s Self-DefenseDo you know how to avoid potential attack situations? Unfortunately, these attacks happen more often than we might like to think. Join this class, taught by Salem Health’s Security Director, Walt Myers, to learn important information to help you avoid potential problems. $10. Oct. 8, 6:30 p.m. to 8:30 p.m.
Heartsaver First Aid and CpR/AEDHeartsaver CPR with AED and Basic First Aid is intended for those who have a duty to respond as a first responder to an emergency because of job responsibilities or regulatory requirements. The class is in two parts: CPR/AED in the morning and Basic First Aid in the afternoon. $85. Oct. 17, 8 a.m. to 4:30 p.m.
Support Groups
Support groups can be a source of strength during a difficult time. Here are a few of the groups that meet in our facilities. For a full list of support groups, visit salemhealth.org/chec or call 503-814-CHEC (2432). You can participate free of charge.
American Lung Association: Freedom From Smoking®
Quitting smoking is the single most important step a smoker can take to improve the length and quality of his or her life, and this program from the American Lung Association is considered the “gold standard” for helping adult smokers quit. The program teaches skills and techniques that have been proven to help you quit. $120. Scholarships available. Mondays, Nov. 5 through Dec. 17, 6:30 to 8:30 p.m.
Healthy BackGood posture, body mechanics and exercise are essential to maintaining a healthy back. Learn how to keep your back strong and decrease risk of injury. This class is offered by the Salem Spine Center and is taught by a physical therapist. $5. Nov. 16, 1 to 2 p.m.
n S E N I O R S
Brain AgilityA seven-week program to help you keep a healthy and youthful brain. The Brain Agility program combines weekly presentations on brain health with a unique program of mental exercises designed by a psychologist to enhance your brain’s ability to remember, stay focused, be aware, and be alert. $35. Thursdays, Oct. 4 through Nov. 15, 10 to 11 a.m.
n F I T N E S S
Lunch Hour powerHave you been looking for a way to gain strength and reshape your body? Do you lead a busy lifestyle and have trouble finding the time to exercise? Does lifting weights on your own seem confusing or dull? Lunch Hour Power is the answer to all! $40. Mondays, Wednesdays, and Fridays, Oct. 8 through Nov. 5, 11:30 a.m. to 12 p.m.
n C L A S S E S AT W E S T VA L L E Y H O S p I TA L
Key Conversations about End-of-life CareHow can you ensure your end-of-life wishes are respected? The answer lies in a document called an advance directive which allows you to express your decisions about care before a medical crisis occurs. Free. Oct. 16, 2 to 4 p.m.
American Lung Association: Freedom From Smoking®See description under “General Health.”Thursdays, Oct. 11 through Nov. 15, 6:30 to 8:30 p.m. salemhealth.org | 11 |
890 Oak Street SE P.O. Box 14001Salem, Oregon 97309-5014
salemhealth.org
Breathe easierFreedom From Smoking classes at CHEC (P. 6)
Salem Spine CenterIt’s time to put your back pain behind you (P. 2)
And…Support groups so you never have to go it alone (P.11)
NONPROFITORGANIZATIONU.S. POSTAGE
PAIDSALEM OR
PERMIT NO. 67
| 12 | Messenger: October/November 2012
The body is a complex thing. That’s why medical experts specialize—to give you the best care. Don’t miss this opportunity to hear from, and talk with, the experts in a whole range of specialties. Watch your local paper for details or visit salemhealth.org/LearnWell.
Register online at salemhealth.org/LearnWell or call the Community Health Education Center at 503-814-CHEC (2432) or toll-free 866-977-CHEC (2432).
Oct. 2—Dallas
West Valley HospitalTopics: ◆ Q&A: Facts About the
Heart◆ Q&A: Foot Care
Toe-to-Toe◆ Modern Spine Care:
Management and Treatment
◆ Turn Limited Joint Mobility into Endless Possibilities
Oct. 9—Lincoln City
Lincoln City Cultural Center Topics:◆ Is My Sleep Normal? A
Review of Sleep Disorders ◆ Breast Health and You◆ Turn Limited Joint Mobility
into Endless Possibilities◆ Artery 911: Vascular
Conditions and Treatments
Oct. 23—McMinnville
Evergreen Space MuseumTopics:◆ Managing Pain with an
Elimination Diet◆ Turn Limited Joint Mobility
into Endless Possibilities◆ Modern Spine Care:
Management and Treatment
◆ Heart and Vascular Disease: Prevention and Treatment
Oct. 16—Woodburn
Woodburn Public LibraryTopics:◆ Types Of, and Treatments
For, Heart Failure◆ Modern Spine Care:
Management and Treatment
◆ Turn Limited Joint Mobility into Endless Possibilities
