Adventist HealthCare & You Magazine (Winter 2022)

Page 1

YOUR GUIDE TO LIVING WELL

WINTER 2022

SAVING A

HEART with Connected Care Page 4

CLASSES & EVENTS PAGE 8


NEWS BRIEF

ADVENTIST HEALTHCARE HOSPITALS EARN PRESTIGIOUS ACCREDITATIONS IN CHEST PAIN TREATMENT

4

7

11

Adventist HealthCare White Oak Medical Center and Adventist HealthCare Shady Grove Medical Center have been recognized by the American College of Cardiology (ACC) for demonstrated expertise and commitment in treating patients with chest pain. The hospitals earned Chest Pain Center with Primary Percutaneous Coronary Intervention (PCI) Accreditation after rigorous on-site evaluations of their ability to evaluate, diagnose and treat patients who may be experiencing a heart attack. Hospitals awarded PCI designation have round-the-clock capabilities to perform minimally invasive procedures to open clogged arteries. Shady Grove Medical Center also earned ACC Cardiac Cath Lab with Primary PCI Accreditation for its dedication to quality care for patients who come to the hospital for cardiac catheterization, which is used to diagnose heart problems or clear blocked arteries. Accredited labs have proven exceptional competency in treating cardiac cath patients using standardized processes from assessment to discharge.

FORBES AGAIN RANKS ADVENTIST HEALTHCARE AS ONE OF MARYLAND’S BEST EMPLOYERS

16

TABLE OF CONTENTS 3

Lisa Joy Govan Is Ready for a Lifestyle Change

4

Saving a Heart with Connected Care

6

Breaking Through: New Tech for Tough Cases of Heart Disease

7

A Love for Nursing and Each Other

8

Living Healthy

11

Patient’s Best Friend

12

Primary Care Nurses Help Precious Preemies Thrive

14

Heart-Healthy Comfort Food

15

What You Need to Know About Colonoscopy

16

The Lourie Center Receives $2 Million Grant to Advance Mental Health Care for Children

2

WINTER 2022

For the second year in a row, Adventist HealthCare was honored as part of Forbes’ annual list of America’s Best-in-State Employers. The recognition considered many factors, including working conditions, salary, potential for development and company image. The rankings were done by an independent market research company that gathered feedback directly from Adventist HealthCare team members and indirectly from other healthcare workers in our region. “We want to be the best place to work and grow, and milestones like this award help us realize that our team members are making this goal a reality,” said Brendan Johnson, senior vice president for Human Resources.

Want to join our team? Visit AHCYou.com/W22Careers to learn more about current job opportunities.

ADVENTIST HEALTHCARE RECOGNIZED FOR PATIENT SAFETY

Adventist HealthCare has won the 2022 Minogue Award for Patient Safety Innovation from the Maryland Patient Safety Center. The health system topped a list of 10 organizations that will be recognized in March for safety and quality solutions in healthcare. Adventist HealthCare earned the honors for a project titled “Improving Patient Experience and Shared DecisionMaking with Interdisciplinary Bedside Rounding.” The project created a standardized 4-minute check-in involving caregivers, patients and families that was shown to benefit team member engagement, quality and safety, patient centered care, and the timeliness and cost of care.


PATIENT CARE

LISA JOY GOVAN

Is Ready for a Lifestyle Change The Prince George’s County resident has experienced gradual weight gain over the last 15 years despite many attempts to lose it on her own. ’S been treacherous,” Lisa Joy said. “It’s much harder now to lose weight, and I’m finding that I’m having other medical issues, one right after the other. With age, I’m not able to lose weight like I used to, and I knew I needed to find a way to lose weight and get healthier.” She decided to explore bariatric surgery, a new offering at Adventist HealthCare Fort Washington Medical Center, which is close to her home. The availability of the surgery is much needed in southern Prince George’s County, an area that historically has been underserved and lacked access to higherlevel medical and surgical care. About 35% of adults in Prince George’s County suffer from obesity, a higher rate than the averages for Maryland (32.2%) and the nation (31.9%). “I know [obesity is] an issue in Prince George’s County. I know a lot of people who are wanting to do this like me,” Lisa Joy said. Obesity is a chronic, progressive disease resulting from environmental, hormonal and genetic factors, among others. Bariatric surgery can help those with the disease lose weight, maintain the weight loss and reduce the risk of early death. The surgery can improve or resolve over 40 other medical conditions, such as Type 2 diabetes, hypertension and high cholesterol, as Tuesday F. A. Cook, MD, explained. Dr. Cook is a board-certified minimally invasive, bariatric and foregut surgeon with Adventist Medical Group. She joined the Fort Washington Medical Center team in 2021 as medical director of these surgical subspecialties. She has been a bariatric surgeon in Maryland since 2008, including at Adventist HealthCare Shady Grove Medical Center in Montgomery County.

“IT

Lisa Joy recently had a physical and appointment with Dr. Cook to have a clear understanding of where her health stands. To prepare for her weight-loss journey, Lisa Joy has been taking steps – literally – to ensure she is ready for the lifestyle change that bariatric surgery will bring. She’s been walking 3 miles every other day. If it weren’t for having access to a bariatric surgeon so close to home, Lisa Joy said she may not have sought care at all. “I think having Dr. Cook right here in southern Prince George’s County will have a very positive impact,” Lisa Joy said. “I think she will open up a lot of doors for people to get their questions answered, and I think people will feel very comfortable seeing her.”

To learn more about weight-loss surgery options with Adventist HealthCare, visit AHCYou.com/W22Bariatrics and make an appointment.

AHCYOU.COM/W22

3


PATIENT CARE

4

WINTER 2022


Saving a Heart WITH CONNECTED CARE Sangeeta Mody, 54, of Germantown didn’t feel well. When her stomach pain became pain in her back and shoulder and spread to her left arm, she feared that something was very wrong. ANGEETA arrived at Adventist HealthCare Germantown Emergency Center, one of five freestanding emergency rooms in Maryland, where her care team immediately began an EKG, lab work and other tests to understand the cause of her symptoms. “The ER team was focused on caring for me and watching out for me every minute I was there,” Sangeeta said. “Everybody went above and beyond.” Shortly after Sangeeta arrived, she was told she was having a heart attack that required her to be transferred by ambulance and undergo a heart procedure in the Cardiovascular and Interventional Radiology (CVIR) Department at Adventist HealthCare Shady Grove Medical Center in Rockville. Sangeeta’s doctor at Germantown Emergency Center, Jesus Sanchez, MD, coordinated with the CVIR team at Shady Grove Medical Center so they could take over her care the minute she arrived. Sangeeta underwent a non-surgical procedure called a coronary angioplasty that opens narrowed or blocked arteries with a balloon to reduce heart damage during or after a heart attack. “Shady Grove Medical Center delivers more heart attack care than any other hospital in Montgomery County,” explained Rajeev Patel, MD, Sangeeta’s cardiologist. “When a patient is having a heart attack, time matters. The quicker the blocked artery is opened and the heart attack stopped, the more heart muscle can be saved,” Dr. Patel added. Following Sangeeta’s angioplasty to open her blocked arteries, Dr. Patel explained to her and her husband that she had three blockages. One of arteries was completely blocked, causing her heart attack. “We were so grateful that Dr. Patel took the time to show us the pictures of my heart and explain what was wrong, what was done to stop the heart attack and what he recommended next,” Sangeeta said. The next step for Sangeeta was heart surgery. This time her heart care continued at Adventist HealthCare White Oak Medical Center in Silver Spring, which is recognized in the top 10% of hospitals nationwide for heart surgery. Steven Boyce, MD, cardiac surgeon at White Oak Medical Center, met with the family to go over what to expect before, during and after surgery. “We heard he was a very experienced heart surgeon. He was positive, always had a smile and visited me often,” Sangeeta said. “We had complete confidence that I was in the right place.” The surgery went well, and Sangeeta spent a few days in the dedicated cardiac care area at White Oak Medical Center to begin her recovery. She recounted that her nurses and the other team

S

members who cared for her were some of the most special people she had ever met. “They went above and beyond in everything to make me feel at home,” she said. “They were so kind to change my sheets, help me shower and even comb my hair.” Sangeeta went home to continue her recovery with the assistance of nurses and a physical therapist from Adventist HealthCare Home Care Services. After a few weeks at home, Sangeeta was ready to move her recovery forward again. This time, she participated in several weeks of cardiac rehabilitation classes at the Center for Fitness & Health at Shady Grove Medical Center. Her supervised workouts helped to condition and strengthen her heart following her heart attack. “Everything about my heart care was excellent and so seamless,” Sangeeta said. “I understand how care and coordination like this saves lives. It saved mine,” she added. “From start to finish, I was in the best of hands.”

Take a free online Heart Risk Assessment to learn your risk for heart disease at AHCYou.com/W22Heart.

AHCYOU.COM/W22

5


HIGH-TECH HIGHLIGHTS

BREAKING THROUGH:

NEW TECH FOR TOUGH CASES OF HEART DISEASE A new technology adapted from the treatment of kidney stones is helping to safely restore blood flow to heart patients at Adventist HealthCare Shady Grove Medical Center. patients with coronary artery disease, deposits of cholesterol and other substances build in the walls of the arteries that supply blood to the heart. This build-up causes the arteries to narrow over time, partially or totally blocking the blood flow. The blockages can cause chest pain and lead to heart attack or heart failure. Shockwave takes a novel approach to clearing blocked arteries with lithotripsy, a procedure that for decades has been used to dissolve kidney stones. Intravascular lithotripsy, or IVL, uses sonic pressure waves to safely break apart problematic calcium deposits in the arteries. The technology is a first-of-its-kind treatment for the most common form of heart disease. Coronary artery disease affects more than 18 million Americans and accounted for approximately 13% of deaths in the United States in 2018, according to the American Heart Association. To clear blockages and restore proper blood flow to the heart, doctors typically use a balloon, or angioplasty, to open the artery and place a stent. However, when plaque build-up along the arteries hardens, it can resist even high-pressure balloons and make reopening an artery more difficult and potentially dangerous. A 2014 study in the Journal of the American College of Cardiology noted that 30% of the approximately one million patients who undergo a stent procedure each year have this harder, problematic calcium. In another treatment, atherectomy, small drills can crack the calcium and open the artery. However, the procedure can be challenging to perform. The new IVL technology allows physicians to fracture the problematic calcium more easily, safely expand the artery, place a stent and restore blood flow without unnecessary complications.

IN

PATIENT BENEFITS The technology further enhances the quality cardiac care available to patients at Shady Grove Medical Center. The Shockwave procedure takes place in the hospital’s cardiac catheterization lab, which is the only lab in the Washington, D.C., region to hold accreditation from the American College of Cardiology. In 2021, Shady Grove Medical Center earned the American Heart Association’s Mission: Lifeline® STEMI Receiving Center Gold recognition for its quality standards in the treatment of the deadliest form of heart attacks. “The cardiology team at Shady Grove is committed to giving our patients access to the latest cardiovascular innovations to treat heart disease,” said Michael Chen, MD, chair of cardiology at Shady Grove Medical Center. “Shockwave is game-changing for our most complex cases and improves the safety of life-saving stent procedures for our community.”

To learn more about nationally recognized heart care services at Adventist HealthCare, visit AHCYou.com/W22HeartCare.

6

WINTER 2022


PATIENT CARE

A Love for

NURSING AND EACH OTHER Brian and Kristin Manahan met and fell in love in 2012 while working in a hospital emergency room in the Philippines. Ten years later, the setting has changed – they’re now working in the ER of Adventist HealthCare White Oak Medical Center. But their love for each other has not changed. In fact, they’re now married and have two daughters.

F

OR the Manahans, service to others just comes naturally. And the care they give to their patients is the same as the care they give to one another.

FOLLOWING A CALLING

Brian never thought he’d be a nurse. It was a field he studied on his way to becoming a doctor. But the more he learned about nursing, the more he realized how much he’d be able to serve patients in that role. He quickly let go of his plan to become a physician to focus on becoming a nurse. Kristin fell in love with nursing at a young age. Her aunt worked as a nurse and encouraged Kristin to pursue the same path. “It didn’t take long for me to realize that nursing fit my personality and skills,” she said. After Brian and Kristin met through their work in the Philippines, they moved to Dubai together to pursue nursing opportunities there. Then, when they learned of ER nursing positions at White Oak Medical Center in 2018, they got married and settled down in Maryland. “We’ve stayed at Adventist HealthCare because of the wonderful working environment,” Brian said. “The teamwork and camaraderie are amazing.”

THE COVID CHALLENGE That’s not to say their work doesn’t come without difficulties — especially since the beginning of the pandemic. “There have

been times where we’ve had to restrain ourselves from hugging or kissing our daughters because of COVID,” Brian said. “That’s been an emotional and mental challenge for us.” At the end of the day, the same values that drew Brian and Kristin to nursing continue to guide their lives. “We just have to be there for each other, whether that be at home or at work,” Brian said. Using their service to others as an inspiration to their daughters also drives them. “Nursing has molded me to be a caring and nurturing person to others, especially to the family I now have,” Kristin said. “Brian and I hope our work helps our daughters pursue whatever it is they love in the future.”

AHCYOU.COM/W22

7


CLASSES NOW BEING OFFERED ONLINE

LIVING healthy

Adventist HealthCare offers classes, events and activities to support a healthy body, mind and spirit. Many in-person classes and events have been canceled due to COVID-19. Some of our classes are now being offered online. For the most up-to-date information about our classes, visit AHCYou.com/W22Calendar.

PRENATAL, FAMILY AND WOMEN’S HEALTH Adventist HealthCare offers online pregnancy, childbirth and breastfeeding classes so that you can prepare for baby in the comfort and safety of your own home. Classes include: • Childbirth & Infant Care • Breastfeeding To learn more and register, visit AHCYou.com/W22Birth.

Support Groups Adventist HealthCare offers several online support groups for parents. To learn more, visit AHCYou.com/W22Calendar or call 1-800-542-5096. BEST: Breastfeeding Education, Support and Togetherness When: Wednesdays from 10:30–11:30 a.m. Preregistration is required.

8

Where: Visit AHCYou.com/W22Support for more details. Discovering Motherhood: Adjusting to Your New Role When: Mondays from 10:30–11:30 a.m. Preregistration is required. Where: Visit AHCYou.com/W22Moms for more details. Navigating Fatherhood Meets one Saturday a month; check website for dates. When: noon–1:30 p.m. Preregistration is required. Where: Visit AHCYou.com/W22Dads for more details. Perinatal Loss Support This six-week support group for those who have experienced a loss related to pregnancy is run by an experienced perinatal loss specialist. When: 7–8:30 p.m. Preregistration is required.

Where: Visit AHCYou.com/W22Support for more details. Info: Call 1-800-542-5096 for dates and more information Brazos Vacíos Grupo de apoyo para el duelo de perder un bebé o embarazo, para ayudarte a navegar tu pérdida. Cuándo: Martes as las 7 p.m. por Zoom Para mas información o, para confirmar tu asistencia, favor de llamar al: 240-637-5265

MENTAL HEALTH SUPPORT GROUPS Virtual support groups are offered by the Outpatient Wellness Clinic and are open to patients and their families, community members and employees. Visit AHCYou. com/W22Support or call 301-838-4912 with questions.

LEARN MORE OR REGISTER AT AHCYou.com/W22Calendar.


NUTRITION, FITNESS AND WEIGHT LOSS Weight-Loss Program CoreLife and Adventist HealthCare’s unique program combines medical expertise, nutrition, fitness and behavior modification under one roof to empower patients to live healthier lives. Schedule your first appointment by calling 800-905-3261 and learn more by visiting us at AHCYou.com/W22CoreLife or on Facebook @CoreLife.

Weight-Loss Surgery Informational Seminars Learn about the life-changing weightloss surgery options offered at Adventist HealthCare Shady Grove Medical Center. Info: Ongoing series, open to all; call 240-826-5278 for information.

Post-Op Weight-Loss Surgery Support Group This group provides ongoing support for those who have had weight-loss surgery. Registration is not required. Info: Call 240-826-5278 for more information.

CPR CLASSES

Cost: $125 for one attendee, discounts for multiple registrants. When: Monthly; please visit AHCYou. com/W22Calendar. Info: Call 240-826-2673; email LifeSupport@AdventistHealthCare.com.

American Heart Association: Infant Safety & CPR This class teaches safety, choking management and CPR for newborns through age 1. An AHA Family & Friends CPR attendance card will be given to each participant upon completion. Grandparents welcome. NO BABIES PLEASE. Cost: $75 for main registrant, discounts for additional registrants When: Monthly; please visit AHCYou. com/​W22Calendar. Info: Call 240-826-2673; email LifeSupport@AdventistHealthCare.com.

American Heart Association: BLS, ACLS, PALS, NRP We offer the full suite of AHA clinical courses. If you are a healthcare professional needing basic or advanced CPR certification, please contact us for details about class schedules and pricing. Info: Call 240-826-2673, email LifeSupport@AdventistHealthCare.com.

Home Alone Class Adventist HealthCare’s Home Alone Program provides children with the skills and knowledge to be safe and responsible when home alone for short periods of time. This course is intended for children ages 8 to 12 who are ready to take their first steps toward independence and being without adult supervision. Cost: $50/individual, discounts available for multiple registrants. When: Monthly; please visit AHCYou.com/ W22Calendar. Info: Call 240-826-2673; email LifeSupport@AdventistHealthCare.com.

Child and Babysitting Safety (CABS) Child & Babysitting Safety is an education program from the American Safety & Health Institute for children ages 12 and older who are planning to provide babysitting services for young children and infants. This four-hour course will help students develop the knowledge, skills and confidence to effectively supervise and manage children in their care. This program is not designed to meet any regulatory requirements for childcare providers. This is NOT a CPR/AED or First Aid course. A two-year ASHI certification eCard is issued to each participant upon course completion.

Adventist HealthCare Life Support partners with the American Heart Association to provide convenient CPR and First Aid courses. Visit AHCYou.com/​ W22Calendar for course schedules, locations and registration.

AHA Heartsaver CPR/ AED and First Aid The AHA’s Heartsaver course is designed for individuals with little or no medical training who need first aid and CPR training for a job, regulatory or other requirements. This five-hour combined program is for teens and adults who want to be prepared to act in an emergency. Healthcare professionals should contact Adventist HealthCare Life Support for information on clinical course options. This class meets in person. There is no scheduled lunch break; students may bring non-perishable snacks as needed. A completion eCard, good for two years, will be issued when the course is completed.

LEARN MORE OR REGISTER AT AHCYou.com/W22Calendar.

9


Cost: $75/individual, discounts available for multiple registrants. When: Monthly; please visit AHCYou. com/W22Calendar. Info: Call 240-826-2673; email LifeSupport@AdventistHealthCare.com.

COMMUNITY HEALTH For locations and additional information on all programs listed below, visit AHCYou.com/W22Calendar. Love Your Heart! Join Daisy F. Lazarous, MD, cardiologist, for a virtual webinar to learn more about heart disease, prevention and tips for a healthy heart. When: Feb. 23 from 1-2 p.m. Info: Visit AHCYou.com/W22HeartEvent to register. What Science Tells Us About Happiness Does happiness really help you live longer? March 17–22 is World Happiness Week. Join us as we discuss how happiness affects your life. Together we will examine decades of studies and learn what science tells us about the state of happiness and its impact on health. When: March 17 from 1-2 p.m. Where: Visit AHCYou.com/W22Calendar for information. “Your Heart, Your Life” Series Cardiovascular disease (CVD) is the No. 1 killer in the U.S. High blood pressure, high cholesterol, obesity, smoking, physical inactivity and diabetes are all factors that increase a person’s risk of CVD. By making lifestyle changes, people

10

can lower their risk. “Your Heart, Your Life” is an NIH evidence-based program designed to lead all workshop members to a healthier cardiovascular outcome. Join us on this nine-week journey as we explore how to live a heart healthy life! Classes are offered virtually. Each session will cover a different topic about heart health. Family members are welcome. Sessions include: • Are You at Risk for Heart Disease? • Act in Time: Heart Attack Signs • Take Heart: Say YES to Physical Activity •H elp Your Heart: Control Your High Blood Pressure •B e Heart Smart: Keep Your Cholesterol in Check •K eep Your Heart in Mind: Aim for a Healthy Weight •P rotect Your Heart: Take Good Care of Your Diabetes for Life •M ake Heart Healthy Eating a Family Affair •E at in a Heart Healthy Way: Even When Time or Money is Tight • Enjoy Living Smoke Free Info: For dates and more information, visit AHCYou.com/W22Calendar.

REHAB SUPPORT GROUPS Brain Injury Support Group When: Meets every second and third Thursday of the month from 6:307:30 p.m. Info: Contact BISupportGroup@ AdventistHealthCare.com for more information. Family members are welcome.

Grupo de apoyo de daño cerebral en español Cuándo: Se reúne el tercer Martes de cada mes a las 6:30 p.m. en Zoom. Información: Escriba a BISupportGroup@ AdventistHealthCare.com para más información. Familiares también son bienvenidos.

Parkinson’s Disease Support Group Our support group welcomes individuals and care partners living with Parkinson’s disease. We invite you to connect with others facing similar challenges in a safe, comfortable and supportive environment. Topics include guest speakers, networking, and sharing of resources. This virtual group is facilitated by a physical therapist and speech-language pathologist. New members are always welcome. When: Second Thursday of the month Info: Call 240-637-6040 for more information.

Adaptive Fitness Class Join us for our virtual adaptive fitness class. Free and open to those with limited to no mobility and seniors. Register online to receive the Zoom link prior to class. When: Monday and Wednesday, from 4-5 p.m. on Zoom Info: Visit DisabilityPartnerships.org to register. Have questions? Email Info@DisabilityPartnerships.org.

LEARN MORE OR REGISTER AT AHCYou.com/W22Calendar.


PATIENT CARE

PATIENT’S BEST FRIEND Meet Peru, a golden retriever who serves as Adventist HealthCare Rehabilitation White Oak’s facility dog. ERU is trained by Canine Companions, an organization that places service dogs with people who have disabilities, to support her handler, rehabilitation psychologist Heather Tropiano, Psy.D.

P

Q: What is a facility dog?

Q: What is your typical day like?

A: Facility dogs like me help patients work toward specific treatment goals.

long have you been working Q: How Adventist with HealthCare Rehab? A: I became an official member of the inpatient rehab team on Sept. 21, 2020, after a year of acclimating to the hospital environment. Now, Dr. Tropiano has set goals for me, and we are measuring my success in helping patients heal.

you learn how Q: Hto owhelpdidpatients?

A: I engaged in extensive, focused training for two weeks to learn more than 40 commands. During that time, Dr. Tropiano and I also learned how to work with one another and the best ways to utilize my abilities in a rehabilitation setting.

A: Dr. Tropiano and I check into Rehab White Oak in the morning. I practice my “push” command by summoning the elevator to the sixth floor, where I work. Dr. Tropiano plans my schedule. On a recent day, I started by spending 30 minutes playing ring toss with a patient while Dr. Tropiano assessed their progress. Next, I helped another patient use their stroke-affected hand to string beads. At lunch, I go for a long walk around the hospital campus and complete a quick 5- to 10-minute training session on a new command. In the afternoon, I join Dr. Tropiano to help a patient who is having a hard time adjusting to a spinal cord injury. I am commanded to visit while the patient talks about adjusting to their new condition. I provide comfort in ways that humans sometimes cannot. Before getting into the car to go home, I am rewarded with a few rounds of fetch outside!

Read more about how facility dogs help patients heal here at AHCYou.com/W22Dogs.

A FEW OF THE 40 COMMANDS THAT PERU USES IN THERAPY “Get” Pick up an item in your mouth. “Give” Let go of an item when a person’s hand is on it or near it. “Hold” Clutch and keep an item in your mouth.

“Up” Raise front paws up and place them on a surface.

“Push” Shove an indicated item with your nose.

“Here” Return or go to your handler or patient.

“Tug” Pull at an item with your mouth.

“Jump” Place all four paws on a surface.

“Visit” Rest head in patient’s lap.

AHCYOU.COM/W22

11


PATIENT CARE

PRIMARY CARE NURSES

Help Precious Preemies Thrive Shaniqua Thomas, 31, of Rockville, was on bedrest at Adventist HealthCare Shady Grove Medical Center due to a high-risk pregnancy when she started experiencing contractions.

OB-GYN said, ‘This baby is coming tonight. She just kicked me,’” remembered Shaniqua. During an emergency cesarean section, beautiful baby Adley entered the world almost four months early – weighing only 1 pound, 13 ounces. “She was a little nugget, so small her lungs were not fully developed,” Shaniqua said. In addition to having underdeveloped lungs, premature babies like Adley are at risk for many other serious health conditions. “Many of these babies require a vent to help them breathe, are at risk for brain bleeds and risk developing retinopathy of prematurity, which causes blindness,” said Susan D’Angelo, a neonatal intensive care unit (NICU) nurse at Shady Grove Medical Center. The care premature babies receive in the first few days, weeks and months of their lives is critical and requires a special relationship with their nurses. Because of this, Susan spearheaded the NICU’s primary care nursing program. Whenever on duty, a specific nurse cares for the same newborn – for the entire length of the baby’s stay. “You get to know the baby like your own child,” Susan said. “You build an incredible trust and partnership with the family. So much good comes from it.”

“MY

BENEFITS OF PRIMARY CARE NURSING After delivery, Adley was taken to the Shady Grove NICU and became one of the first babies to receive care using the new primary care nursing model. Susan took expert care of her – and her parents. Adley needed a breathing machine, feeding tube, brain monitor and a central line catheter to receive medicine and blood. To regulate her temperature, she was kept in a heated isolette, a special medical-grade bassinette. “We were so nervous. To safely touch her, we put our hands in a special hand pocket on the incubator,” Shaniqua said. She and her husband Andre visited the NICU as often as they could. When they had to stay home and care for their older child, they were grateful to be able to call Susan for updates about Adley. “We asked about her numbers. Did she have wet diapers?” Shaniqua said. When Adley needed special care, like a blood

12

WINTER 2022

transfusion, Susan explained the procedures and reassured Shaniqua and Andre. “As a primary care nurse, you care for the same baby each day for 12-hour shifts. If something isn’t quite right, you know it before anyone else,” Susan said. “You pick up on subtle cues and take action – sometimes before the baby gets very sick.” Susan often partnered with Yanique Roberts, Adley’s primary care nurse at night. “They were very loving and cared for Adley as their own,” Shaniqua said. “They gave us peace of mind.” When premature babies are ready to go home, some still need monitors, oxygen and special medication. Primary care nurses like Susan make sure parents are prepared. “In the weeks prior to discharge, we slowly taught Adley’s parents everything from feeding to temperature-taking to changing diapers while the baby is connected to wires,” Susan explained. “We want every patient’s discharge to be a day of celebration, not a day of panic. We work toward safe, effective discharges.”

THRIVING NOW Adley went home with her joyous parents after 85 days in the Shady Grove NICU, weighing 5 pounds, 12 ounces. And now, she’s thriving. She crawls, tries to pull herself up and laughs at her big sister. “Premature babies are evaluated based on their corrected age – the age that they would have been if they had been born full-term. Adley is far exceeding her expectations, reaching milestones and is way ahead neurologically,” Susan said. Shaniqua said she and Andre owe Adley’s success to the team at Shady Grove Medical Center. “We thank our primary care NICU nurses at Shady Grove. They were phenomenal,” Shaniqua said. “We greatly appreciate the care they gave us.”

Learn more about our maternity services at AHCYou.com/ W22NICU.


AHCYOU.COM/W22

13


LIVING HEALTHY

Heart-Healthy Comfort Food “Heart-healthy eating doesn’t mean you have to sacrifice flavor,” said Ogechi Anyaoku, MD, an internal medicine physician with Adventist Medical Group. She has a go-to dinner recipe that’s full of flavor and healthy for your heart.

“I

hope you enjoy this colorful dish as much as my family does! The combination of butternut squash hash with smoky Dijon-flavored salmon makes a meal rich in vitamins such as lycopene, magnesium, folic acid and omega-3 fatty acids – all of which help reduce the risk of developing heart disease and stroke, along with lowering blood pressure,” Dr. Anyaoku said.

BUTTERNUT SQUASH HASH

SMOKY DIJON SALMON

Serves 4

Serves 4

INGREDIENTS 1 tablespoon extra virgin olive oil 2 tablespoons chopped garlic 15 ounces no salt added diced tomatoes 8 ounces no salt added tomato sauce 2 cups water 1 teaspoon salt-free substitute 1 teaspoon bouillon, any flavor 1 teaspoon curry powder 2 teaspoons smoked paprika

INGREDIENTS ½ teaspoon coriander powder ¼ teaspoon black pepper 2 teaspoons Italian seasoning 1 teaspoon dried basil 1 cup cubed sweet potatoes 1½ cups cubed butternut squash 1 cup sliced sweet bell peppers ½ purple onion, sliced 3 cups fresh spinach

DIRECTIONS 1. Drizzle olive oil in a pan and place on medium heat. Add garlic and cook until fragrant, one to two minutes. 2. Add diced tomatoes, tomato sauce and water. Allow to cook on low heat for 10 minutes. 3. Add salt-free substitute, spices and sweet potatoes. Allow to cook for eight minutes. 4. Add butternut squash. Cover pot and cook for additional five minutes, stirring occasionally. Once cooked, turn off heat. 5. Add sweet bell peppers, onions and spinach. Cover pot to allow spinach to wilt. Stir to combine and serve by itself or alongside Smoky Dijon Salmon.

To learn your risk for heart disease, take our online heart risk assessment at AHCYou.com/W22Heart.

14

WINTER 2022

4 3½ ounce salmon fillets, skin removed ½ teaspoon salt-free substitute 1 teaspoon black pepper Dash of lemon juice 4 teaspoons extra virgin olive oil

6 tablespoons stone ground Dijon mustard 3 tablespoons maple syrup 4 teaspoons smoked paprika 2 teaspoons garlic powder 1 teaspoon onion powder 1 tablespoons plus 2 teaspoons of water

DIRECTIONS 1. Coat both sides of salmon with salt-free substitute, pepper and a dash of lemon juice. Set aside. 2. In a small bowl, combine mustard, maple syrup, smoked paprika, garlic powder, onion powder and water. 3. Brush both sides of salmon with mustard mixture. 4. Drizzle olive oil in pan on medium heat and allow pan to get warm. 5. Place fillets in pan. Brush with additional rub and cook for five minutes. Flip over, brush with rub and cook for another five minutes. 6. Remove from heat. Rest salmon for five minutes. Serve alongside butternut squash hash.


PATIENT CARE

What You Need to Know

ABOUT COLONOSCOPY When you turn 45, it’s time for a colorectal cancer screening.

Y

OU may have heard stories about the “dreaded” colonoscopy: what the prep is like, what’s involved in the procedure or what happens afterward. T Newsome, MD, an internal medicine physician with Adventist HealthCare Adventist Medical Group helps to break down what to expect with this important cancer screening and when to consider newer stool-based tests.

45

WHEN SHOULD YOU START SCREENINGS?

The American Cancer Society says cases of colorectal cancer are increasing in those younger than 50. As a result, it recommends people of average risk begin screenings at age 45. “Screenings can identify cancer early and help prevent colon cancer by removing growths before they become cancerous,” Dr. Newsome said. If you have a family history of colon cancer or are diagnosed with certain gastrointestinal or genetic diseases, your doctor may recommend earlier screenings.

WHAT TYPES OF SCREENINGS ARE OFFERED? Your doctor may recommend screening annually or every few years depending on the test. • At-home stool-based tests can be completed yearly or every three years, depending on the type. At-home tests look for abnormalities in your stool. If anything is found, you will need to follow up with a colonoscopy. • Visual exams look directly inside your colon and rectum to find any abnormal areas that may be cancer or polyps/ growths and could turn into cancer. These types of exams

should be repeated every five to 10 years. Dr. Newsome said, “While the newer stool-based tests are a great addition and should be used when appropriate, colonoscopies remain the best tool for identifying cancer early.”

WHAT IS A COLONOSCOPY REALLY LIKE? We’ve heard the stories and maybe even joked about it with family and friends. Dr. Newsome said colonoscopies are not as bad as they are made out to be. Here are a few facts: • The prep is easier than it used to be. Yes, you need to spend time in the bathroom, but you don’t have to camp out. Even the taste and the needed amount of the liquid prep solution have improved in recent years. • The procedure isn’t painful. You’ll be asleep and most people don’t remember the test. There is no pain once you wake up. Some people experience slight side effects from the Colorectal cancer sedation. screenings aren’t as • Colonoscopies are safe. The risk is bad as you may think. minimal and outweighed by the benefit Talk with your doctor of early detection. Your risk of developing about which screening cancer is higher than any risk associated option is right with the procedure. for you.

Early detection is key to finding cancer early when it’s the most treatable. To learn your risk, take our colorectal cancer health risk assessment by visiting AHCYou.com/W22Risk. AHCYOU.COM/W22

15


Z IP C O 24 5 0 6

M AILED

OM

DE

FR

NONPROFIT ORG. U.S. POSTAGE

PAID

PERMIT NO. 830

ADVENTIST HEALTHCARE, INC. 820 W. DIAMOND AVE, SUITE 600 GAITHERSBURG, MD 20878

Adventist HealthCare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. For more information, see link on our homepage at AdventistHealthCare.com. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 301-315-3333. 注意:如果您使用繁體中文,您可以免費獲得語言援助 服務。請致電 301-315-3333。

This publication does not serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

COMMUNITY BENEFIT

The Lourie Center Receives $2 Million Grant to Advance Mental Health Care for Children DVENTIST HealthCare’s The Lourie Center for Children’s Social & Emotional Wellness has received a five-year, $2 million grant to implement FASTT, its Family Attachment-focused Services, Treatment & Training program, in Montgomery and Prince George’s counties. The University of Maryland School of Social Work in Baltimore is the evaluation and training partner in the program. The grant from the federal Substance Abuse and Mental Health Services Administration will increase access to critical early childhood mental healthcare by supporting workforce development in the field. With the funding, The Lourie Center will train its own team members, graduate students and community practitioners in best practices for early childhood mental healthcare. More trained professionals will make it possible to serve more at-risk children and families, improve the quality of care and reduce assessment wait times, which now can be as long as one year. Earlier intervention also will reduce the number of emergency room visits by children in crisis and help lessen family stress that often comes with socioeconomic challenges.

A

The FASTT program will serve children from birth to 12 years old with significant mental health complications. The children will benefit from The Lourie Center’s unique model, which provides care from a specialized team using attachment-centered, trauma-informed and equity-advancing principles. A national leader in early childhood mental and behavioral health interventions, The Lourie Center has Maryland’s only therapeutic nursery program focused on preschool children with mental health complications. The Lourie Center also will become part of the National Child Traumatic Stress Initiative, a network of U.S. service providers who share best practices, research results, training and strategies. “We’re proud of the work we do at The Lourie Center,” said Jimmy Venza, executive director. “The grant will allow us to extend our reach and impact.”

To learn more about The Lourie Center and how you can help, visit AHCYou.com/W22Give.