Focus on Wellness Summer/Fall 2022

Focus Wellness on

A publication of the Dominican Hospital Foundation and Dominican Hospital Community Health Education Program

SUMMER/FALL 2022

PEP CATALOG INSIDE!

Get Involved!

Contact us to learn how you can impact patient care!

PAGE 37

FOCUS ON WELLNESS | 1

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Summer/Fall 2022 Volume 5, Issue 1

CONTENTS

14

18

24 DOMINICAN HOSPITAL FOUNDATION NEWS 4 | Letter to the Community 8 | Elevating Health Care 10 | Sponsor Spotlight 11 | The Circle of Care

MEDICAL FITNESS & WELLNESS 22 | Events Calendar 23 | Stay On Balance 24 | Therapy Corner 28 | New Mom Health

14 | A Gift of Service

34 | Newborn Feeding

15 | Leave A Legacy

PEP CATALOG 37 | Health & Wellness Courses

18 | Retirement After 40 Years

28

On the cover: The beautiful back garden & deck of the Dignity Health Wellness Center serves our greater Santa Cruz County community providing access to vital prevention and screening services. Open to all and offered at low-cost or by scholarship, we encourage you to check it out today! Call (831)457-7099 or visit dignityhealth.org/dominican/pep Published by: Stephanie Lutz Publishing, LLC Proofreader: Josie Cowden

FOCUS ON WELLNESS | 3

Letter to the Community

BY ALLISON NIDAY

Dear Community Members,

S

ummer is here, along with a feeling that things might just be returning to “normal.” And although the pandemic seems to be subsiding, or at least becoming endemic, the importance of the philanthropic mission of the Dominican Hospital Foundation has not changed. Through our partnership with you, and our many other supporters, we make an impact on patient care and services here at Dominican Hospital.

Dominican Hospital is so much more than emergency, in-patient, or out-patient care! The comprehensive services the hospital offers are laser-focused on improving community health through a wide range of prevention and health improvement programs, many in collaboration with our community partners. Our goal with these investments is to address the social determinants of health and provide the tools and training to keep our community healthy and out of the hospital.

As you know, Dominican serves anyone in need – regardless of ability to pay. In fiscal year 2021 alone, Dominican Hospital provided $41,535,053 in patient financial assistance, unreimbursed Medicaid costs, and community health improvement services. Of that, nearly $13 million was for medically necessary hospital services to patients and community benefit programs that met certain criteria.

Dignity Health, Dominican Hospital’s parent organization, recently announced a $1 million Homeless Health Initiative grant to Housing Matters to build a permanent supportive housing residence. This grant provides the critical funding needed to begin construction on a 120+ unit residence for individuals experiencing chronic homelessness in Santa Cruz County. It also acknowledges that a key factor in maintaining good health is safe and secure housing.

In this FOCUS, we welcome our incoming board member Tom Brezsny. Made up of volunteers within our community, members of the Foundation’s Board of Directors generously donate their time and expertise to raise funds for Dominican Hospital. We thank our outgoing directors Susan MacMillan, MBA, and Roy Martinez, MD, for their years of partnership.

Elsewhere in the magazine, you’ll find stories from grateful patients, as well as educational and wellness opportunities for you, your family, and your neighbors.

Foundation Board of Directors 2022-23 ALLISON NIDAY, PRESIDENT Jared Bogaard, Past President Ciara Harraher, MD, Vice President Jeff Daneff, MBA, MS-BIA, Treasurer William Ow, Secretary Gary Benito Tom Brezsny Isaac Chankai, MD Sister Rita Eileen Dean, OP Drew A. Gagner, MBA Tiffany Hammer Magdy Ismail, MD Julie Jaffe, MD Dean Kashino, MD Patty Kubo Lezin, MD Shawn Lipman Ginny Solari Mazry Manuel Mercado Nanette Mickiewicz, MD Julie Peterson Juan Rodriguez, MD Pam Santacroce Jamie Smith Jerry Souza, RN Rodney Terra, Jr.

Drew A. Gagner, MBA Northern California Division Vice President, Philanthropy

Anthony Pagliaro, Philanthropy Director

Alexandra Van Zanen, Philanthropy Manager

Vice President & Chief Philanthropy Officer

In gratitude, Samantha Polizzi, Philanthropy Manager

Allison Niday President, Dominican Hospital Foundation 4 | FOCUS ON WELLNESS

STAY CONNECTED:

Guinevere Espinoza-Krebs, Development Assistant @DOMINICANHOSPITALFOUNDATION #DOMINICANHOSPITALFOUNDATION

Incoming Foundation Board Member TOM BREZSNY Tom Brezsny is a 44 year resident of Santa Cruz County during which time he has supported and served on the boards of numerous school, charitable, arts and business organizations throughout the community including the Downtown Association, Santa Cruz Area Restaurant Association, the SC Conference and Visitors Council, the Community Foundation of Santa Cruz County, Gateway School and Saint Francis Central Coast Catholic High School. He has coached a long list of local youth sports teams, both on the club and school levels. In addition he has participated in a number of Santa Cruz citysponsored task forces and the Public Works Commission.

Tom has been a professional Realtor for 32 years and is a recognized thought-leader in the local real estate industry. He was recently recognized by RealTrends magazine as a national top-selling Realtor and he received the SC Association of Realtors Community Service Award in 2004. He has authored a weekly real estate column called Real Estate of Mind for more than 25 years. Tom is currently the Coastal Vice President for Christie’s International Sereno Real Estate where he is responsible for the oversight of three local offices in Santa Cruz County.

Thank You to Outgoing Board Members The Foundation would like to extend its deepest gratitude for the following members who will now term off the board after nine years.

Just shy of a decade, Susan MacMillan, MBA, and Roy Martinez, MD, have supported the foundation's efforts to raise funds for major capital improvements such as the Healing Courtyards Initiative, Cardiac Comprehensive Operating Suite and oversight into the purchase of innovative technology such as two da Vinci Xi robots (2018 & 2021), EKSO GT ™ robotic gait trainer, NICU incubators, and isolette transporter.

This is just a sample of the work we do at the Foundation. We support Dominican across all initiatives and projects. Additional funded projects may be found online at supportdominican.org.

SUSAN MACMILLAN, MBA

Vice President Strategy & Business Development, Dominican Hospital and Sequoia Hospital

ROY MARTINEZ, MD

Radiology Specialist, Radiology Medical Group of Santa Cruz

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FOCUS ON WELLNESS | 7

Elevating Health Care

The Dominican Hospital Foundation honors Dr. Michael and Toby Alexander as respected community members and longtime supporters of health care, education, and the arts.

Lifetime Champions of Excellence

F

rom their professional accomplishments to their work on behalf of the Dominican Foundation, to their concern for the well-being of the community, Toby and Dr. Michael Alexander are high achievers of the first order.

For the past 46 years, Dr. Alexander has provided life-saving cancer care to patients in the Santa Cruz region and is presently Dominican Hospital's Medical Oncology Director.

Toby has been a leader in numerous charities. Together, they are champions of excellence in education, the arts, and quality health care.

The Alexanders first came to Santa Cruz in 1976 when Dr. Alexander joined in partnership with colleague and friend, hematologist Dr. Jim Poth. Dr. Alexander became the first medical oncology specialist in Santa Cruz. “Our commitment

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“

The WoW Council attracts career-oriented women who appreciate learning about modern medicine and health care issues.

We are empowered knowing where our charitable dollars go to support vital women’s and children’s programs at Dominican.

–Toby Alexander, Chair of the Women of Wellness (WoW) Council

”

was to provide the highest level of cancer care from day one, ensuring patients received the same level of care found at Stanford School of Medicine, where we both trained,” remembers Dr. Alexander.

“Over the years, we both taught at Stanford and still maintain strong ties there to this day. Local patients benefited from our ability to tap into Stanford oncologists for informal advice or formal consultations and referrals as needed.” Dr. Alexander served as an adjunct faculty at Stanford and volunteered in its oncology clinics. He currently serves as Clinical Associate Professor Adjunct Faculty (Emeritus). “When it was time to expand our practice, we recruited Stanford-trained fellows, which brought a new set of professional connections.”

Dominican also participates in national cancer research clinical trials centered at Stanford.

“Our Stanford ties run deep with several physicians at Dominican,” explains Dr. Alexander. “It has brought a university-level of excellence and quality to the hospital.

Santa Cruz is fortunate because this community has exceptional doctors in many specialties. With the support of administration and the philanthropic Foundation, Dominican has kept up with innovative technologies in all areas of medical care, ensuring we can offer the most advanced treatments.”

“Helping patients with cancer is fulfilling, rewarding work,” says Dr. Alexander. “The best thing about medicine is when patients express gratitude for the care provided during the challenges of cancer. Past patients still call years later to say thank you or seek new advice.”

Dominican’s cancer program is certified by the American College of Surgeons, which requires data collection and studies to document the high quality of the program.

After 36 years in practice, Dr. Alexander stopped seeing patients in 2012 and became Medical Director of the Dominican Cancer Program. He attends the tumor board, oversees the cancer committee and certification, and directs the cancer lecture series for visiting oncologists.

Dr. Alexander also coordinates a lung cancer screening program, which has screened 2,000 patients since 2012.

Active in supporting philanthropic work throughout Santa Cruz County, Toby is a founding member and current chairperson of the Foundation’s Women of Wellness (WoW) Council. WoW provides annual funding of $75,000, or more which is allocated from membership dues of $1,000 each. Members vote and distribute contributions to key initiatives and projects focused on women’s health at the hospital.

“

As we look ahead, we need to continue to modernize our facility and stay equipped with the most advanced tools of medicine.

Dominican Hospital is in your future. If you experience any serious illness, heart attack, stroke, or another acute event, it will be treated at Dominican. We are the primary hospital in the region with the full capabilities and range of specialists for life-saving care.

–Dr. Michael Alexander, Emeritus Foundation Board Member

”

Dr. Alexander served on the Foundation board and continues as an emeritus director. He and Toby together have recruited many dynamic leaders to advocate for the hospital’s fundraising. The Alexanders are longtime donors and members of the Bob Swenson Legacy Society, which honors benefactors who have included Dominican in their estate plans. (They are currently involved in the early leadership planning for a potential future hospital expansion.)

With her own master’s degree from Stanford University, Toby taught high school math while raising two children. She managed Dr. Alexander’s practice and served on the school board for six years where she helped start a foundation that raised funds for public education. Their children are continuing their parents legacy. Daughter, Jane, is an occupational therapist at Dominican and their son Jonathan Alexander, M.D., Ph.D., is a pulmonologist in San Francisco. Five grandchildren add tremendous joy to their family.

Toby and Dr. Alexander have generously helped to further enhance medical care, supported local schools, and raised funds for the local arts; including Santa Cruz Shakespeare and the Kuumbwa Jazz Center.

With passion and a genuine concern for the community, their engagement and investment in Santa Cruz County will impact the quality of living in this region for decades to come.

Learn more on the Foundation's impact of patient care at supportdominican.org

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Sponsor Spotlight

Keeping You in the Know

S

ince 2014, Times Publishing Group, Inc. has supported Dominican Hospital through the years as a partner in patient care. "We are proud to support the hospital through our publications to ensure health care news is readily available to our local community." says Patrice Edwards, founder and publisher of Times Publishing Group, Inc. in Aptos.

"We are grateful to the Dominican staff for taking care of our community especially throughout the COVID-19 pandemic."

A small but committed staff at Times Publishing Group, Inc., produces your Aptos Times, Capitola-Soquel Times, Scotts Valley Times, Holiday Gift Guide, Coastal Wedding, Coastal Home & Garden, Santa Cruz County Fair Guide, Capitola Summer Festivals Guide, the Official 4th of July Parade Program, and the Scotts Valley Chamber & San Lorenzo Valley Business Directory.

“We would not exist if the businesses and community didn’t respond in such a positive and supportive way,” said Patrice. "So thank you for making our publications thrive.

We are grateful for being able to serve our communities for 31 years.”

"Our team here at TPG is awesome!” said Cathe Race.

“We work together to publish our great publications and the community thanks us by always letting us know how much they love to read them. I am proud to be a part of the small but mighty team at TPG!" Operations never stopped during the pandemic.

As community newspapers were deemed an essential business, staffers worked from home and met via Zoom.

In fact, the pandemic led to a new magazine, Coastal Health & Wellness.

Editor Jondi Gumz, a longtime journalist with deep roots in the community, joined the staff in 2020 before the pandemic. She provided online updates on the historic CZU lightning wildfires at www.tpgonlinedaily.com even as she was evacuated from her home. “I’m always looking for a story and a photo that touches the heart,” she said.

“I’m grateful to all the people in the community who have shared photos and stories with our readers.”

Times Publishing Group staff includes: Cathe Race, office manager for 26 years, Michael Oppenheimer, graphic artist/layout/website almost two decades, Ward S. Austin, graphic artist/layout, Camisa Composti, daughter of the publisher, production and sales coordinator, Teri Huckobey, Brooke Valentine, Don Beaumont (ret.), media consultants, writer Edita McQuary, Bill Pooley and Taylor Brougham, distribution, and Brad King, website. We will never forget our former editor of almost two decades, the late Noel Smith.

The Annual Healthcare Sponsorship Program Recognizing sponsors year-round who give at levels of $10,000 or $30,000+. For sponsorship information, contact Anthony Pagliaro at 831.462.7712 or visit supportdominican.org/ways-to-give/annual-healthcare-sponsors

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The Circle Of Care

Steve McCarthy, grateful patient and retired Dominican Hospital staff member, pictured with his wife Elaine at his left and daughters (left to right) Stephanie, Erin, Shannon, and Julia.

Sharing of Appreciation

T

ouched by the high-level of care he received during a recent stay at Dominican Hospital, retired laboratory director Steve McCarthy penned a letter to the hospital president/CEO, Dr. Nanette Mickiewicz, MD, to communicate his deep gratitude to the doctors and nurses who saved his life.

“I wanted to convey my sincere appreciation to a bunch of Dominican folks for their fine care during my recent admission,” writes Steve. “Dominican is a stellar facility in our community and should be recognized as such.”

After graduating college in the 1970s, Steve moved to Santa Cruz and served as a laboratory manager first at Watsonville Hospital for a decade, and then landed his dream job as lab director at Dominican Hospital.

“I could’ve taken a job in a private biotech firm after completing school, and got paid really well, but working in health care appealed to me more,” says Steve. “The hospital business is ultimately a service business and there’s inherently a lot of altruism that goes into it.”

Since retiring from his 25 year-long career at the hospital in 2011, Steve has maintained ties with Dominican Hospital not only through the friends he made during his long career, but also through his family.

“I still have a place in my heart for Dominican. One of my daughters works there, and I have a lot of friends there,” says Steve. “I’m still pretty attached at the hip to the hospital, not only in terms of my loyalty because it was such a great place to work. It’s one of the only medical facilities in the county that I consider truly nonprofit.”

“

I can’t tell you the number of times the nurses and physicians came in to check in and see how I was doing. They put so much into their work, and I can’t thank the caregivers enough.

–Steve McCarthy, grateful patient

”

The selflessness and professionalism Steve experienced during his recent admission to the hospital and the emergency room across the nursing staff, doctors, and specialists—especially during the COVID-19 pandemic— only cemented his decades-long loyalty to the hospital.

Sharing gratitude for the caregivers at Dominican Hospital goes a long way.

You can express your appreciation or make a gift in their honor by contacting the Foundation.

Submit a note today and we will be sure to share with your caregiver! 831.462.7712 | supportdominican.org

FOCUS ON WELLNESS | 11

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A Gift of Service

“

For me, this is something I do every week that really enriches the experience of my retirement life.

I think it is a great transition for folks who retire and want to connect with the community or just need something to do.

It’s worked out for me so well.

-Mike Lambert

”

Sharing the Joy of Volunteering at Dominican

B

y his own admission, 81-year old retired potter Mike Lambert is not someone who is inherently compelled to help others in an altruistic way, but after he started to volunteer at the Dominican Hospital on a whim 15 years ago, he found that he truly enjoyed giving his time and energy to others.

“I was used to working 12 hours a day as a potter, and had a lot of time on my hands after I retired. My neighbor across the street was volunteering at Dominican Hospital and I thought I’d try it,” says Mike.

Having owned his own business, Mike wasn’t used to being told what to do, but soon found that he enjoyed his new responsibilities and following the direction of

others rather than leading. He started as a volunteer in the surgery waiting room, and after a few years, and with some encouragement, transferred to the lobby of the Emergency Room (ER).

“I was nervous that I wasn’t prepared to be in the ER, but I loved it. Eventually, I was there three afternoons a week, and have trained many students to do the job over the years,” says Mike.

Through his 15 years of volunteer work at Dominican Hospital, Mike now knows how simple it is to be of service to others. He enjoys the task-at-hand even as simple as directing visitors to the right room, or pushing patients out in a wheelchair when they’re discharged.

“We serve a really helpful function that's hard for the paid staff to do,” says Mike. “We do things that don’t have much to do with medicine but really need to be done. As a volunteer, you’re a part of the hospital.”

Because Mike and other volunteers help keep the hospital running smoothly, the doctors, nurses, and other medical staff are very appreciative of their contribution, especially after the volunteers weren’t allowed in the hospital during the first year of the COVID-19 pandemic.

“When we were finally allowed to come back, all of the doctors and nurses and staff that we hadn’t seen in a year were so thrilled that we were there,” says Mike. “The relationships I have with the staff are really gratifying.”

After 15 years, volunteering has become an important part of Mike’s weekly schedule, and he recommends it to anyone in the community, even if they do not have previous volunteer experience.

Volunteering is just one more way you can give back to the community, if you are interested in learning more please contact Dominican’s Volunteer Services at 831.462.7740.

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Leave A Legacy

Tax-Savvy Giving

W

hen planning to make the most of one’s financial assets in retirement and beyond, former Vice President of Philanthropy at the Dominican Hospital, Bob Semas, urges those considering a legacy gift to Dominican to join him and do so now in the form of a tax-savvy charitable gift annuity.

“The most common way to make a legacy gift is to name a charity in a will or trust, or as beneficiary of a life insurance policy or IRA. While annuities, in general, might have a dubious reputation in the financial world, charitable gift annuities are a different animal and can be a creative way to make a legacy gift to Dominican Hospital,” Bob says.

A charitable gift annuity provides you with income now, and benefits Dominican in the future. You receive a lifetime income at a fixed rate based on your age at the time of the gift, and Dominican receives the residual upon your passing. A two-life variation provides income for as long as either of

Bob Semas, member of the Bob Swenson Legacy Society. two individuals survive – usually, but not necessarily, a spouse.

Annuities can be funded with cash, stock or real estate.

“Charitable annuities have a number of advantages. Payout rates are higher than what you would receive from other fixed-income options. Only a portion of the income you receive each year is taxed as regular income, and donors itemizing contributions receive a substantial tax deduction for the year of the gift.

A charitable gift annuity can be a smart choice for seniors who no longer wish to maintain income property or want to reduce portfolio risk in a fluctuating market. Funding charitable annuities with appreciated stock or real estate, bypasses the capital gains tax normally due upon sale, which for longheld assets is a huge benefit. Charitable gift annuities can be a very tax-wise way to support Dominican,” says Bob. If you’d like to consider joining Bob as an annuitant, the Foundation office would be happy to prepare a no-obligation example specific to your age(s) and funding source.

Giving a legacy gift to the Dominican Hospital Foundation, whether through a charitable gift annuity or otherwise, ensures that the Dominican Hospital will continue to provide a high level of care to the community for decades to come.

“I hope the community continues to support the Foundation and that those considering a legacy gift explore their options with a charitable gift annuity and its many benefits,” Bob says.

Charitable gift annuities ensure the Dominican Hospital will thrive for years to come.

Learn more at dominicangiving.org or call 831.462.7712.

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Retirement After 40 Years

“

All new advances in medical technology are expensive.

Contributors fund key equipment such as surgical robots or endoscopic ultrasound.

We need these tools to care for critically ill patients and to help attract new doctors who have trained on this advanced equipment.

– Dean Kashino, MD

”

Devoted to Family Care and Excellence

S

anta Cruz residents needing basic health care often start with a visit to their primary care doctor. In the past 40 years, there is a good chance that the doctor was Dean Kashino, MD, a devoted general practitioner widely known as “everyone’s physician.” Dr. Kashino cared for generations of local patients and their families until his recent retirement.

In service to the larger community, Dr. Kashino, and his wife Frances played an active role in the growth of Dominican Hospital since he first started seeing patients in 1980.

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“I enjoyed being a primary care and obstetrics physician. When you care for patients, deliver their babies, take care of their kids, and watch the entire family grow, you get close to them and manage their care better,” says Dr. Kashino who delivered more than 1,000 babies in the 1980s. He offered primary care along with sports medicine, minor surgeries, and chronic disease management. “My work guiding patients to better health was rewarding.”

Dr. Kashino reflects on four decades of care. “The family structure certainly saw changes and so did the delivery of health care,” reports Dr. Kashino. “Along with tremendous advances in medicines, treatments, and technology that save lives, there also have been efforts to make better use of health care dollars. Everyone is looking for efficiency in providing care at an affordable cost.” He also saw the development of electronic medical records which help coordinate care for medical groups and the patients they serve.

Forty years in health care gave the Kashino’s a front-row view of the growth and development of Dominican from an independent hospital to an expansive medical center.

“The affiliation with Dignity Health, and now CommonSpirit Heath, is beneficial to patients as large systems offer more resources to help operate efficiently and add key medical services needed by the community. Our advancements in heart care and the upgrade of our Level III Neonatal Intensive Care Unit (NICU) are two examples. We also have strong ties to physicians and programs at Stanford and Sutter Health, which brings high-quality standards to patient care.”

Despite a busy practice, Dr. Kashino found time to serve on the hospital and foundation boards, collaborating with other leaders. “Issues came up in the physician lounge, and I took pride in bringing concerns forward to make improvements. The input from physicians, nurses, and other staff is essential as leadership works towards a shared goal of better patient care.”

Dr. Kashino commends Dominican’s strong commitment to the broader community, as evidenced by its participation in the local safety net coalition that helps uninsured or underinsured patients. He served on the Health Improvement Partnership Council assesses community needs, learns what others are doing, provides outreach services, while avoiding duplication of services. In addition, Santa Cruz County ranks first in the country for controlling costs for all Medicare patients while providing good outcomes.

Dr. Kashino encourages physicians to welcome appreciation and to refer grateful patients to the Foundation where they can learn about projects that are in need of funding.

He remains active both on the Hospital and Foundation boards and as a philanthropic physician leader.

“All new advances in medical technology are expensive.

Contributors fund key equipment such as surgical robots or endoscopic ultrasound. We need these tools to care for critically ill patients and to help attract new doctors

who have trained on this advanced equipment.” states Dr. Kashino. Supporting outstanding care is the vital work of the Foundation and hospital donors.

Frances raised their family and worked as office manager for Dr. Kashino’s office. She also was Director of Physician Services at Dominican for 14 years before retiring in 2016. Frances continues to serve at the hospital as a volunteer. “Serving beside the Adrian Dominican sisters is an inspiration. Our mission is essential to healing and we welcome the support of the community,” says Frances.

“Donors are generous, but we can always do more.”

With retirement, Dr. Kashino and Frances look forward to traveling and spending time with their family. Their son Sean works in accounting and lives in San Bruno, while daughter Stephanie, with her passion for baking, is home in Santa Cruz.

“The hardest part of retirement is leaving patients we’ve known for decades.” Dr. Kashino’s very first patient back in 1980 also booked his last appointment time, bringing full circle his decades of devotion, quality care, and concern for the broader community. “It certainly made the last patient visit a special moment,” reflects Dr. Kashino. “Together with Frances, we have a deep sense of accomplishment in our service to patients and Dominican Hospital.”

The Dominican Hospital Foundation expresses true gratitude for the devotion of Dr. Dean Kashino who has cared for our community over the last forty years. We have been privileged to work alongside Dr. Kashino and now honor him in his retirement.

FOCUS ON WELLNESS | 1 9

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Caring For Our Community At Reiter Affiliated Companies, we are honored to support the Dominican Hospital Foundation and their leadership and commitment to bringing quality healthcare to the farmworkers, growers, and families of the Pajaro Valley. We are proud to be partners in making our community a better and healthier place to live.

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MEMBER FDIC 831.457.5000 FOCUS ON WELLNESS | 2 1

EVENTS CALENDAR

Community Education & Health Screening Please join us for these FREE educational and health screening events to ensure you have the most up-to-date information to live your healthiest life. The educational events will be offered in-person and virtual-live (via zoom) for your convenience. The screening events will be in person, with infection prevention practices in place.

August 2022

October 2022

n Wheelchair User Wellness Fair

n Comprehensive Cardiovascular

• Designed for people who use a wheelchair as their primary mode of mobility.

• Be evaluated by a team of experts to look at your equipment, your posture and your function.

• Make sure you have access to all the necessary resources to stay as active and healthy as possible.

September 2022

n Thriving in the Fourth Trimester!

• A health fair for new and expectant families.

• Make sure you have access to all the necessary resources to ensure your baby has the best start in life.

• Learn how to continue to prioritize your health while bringing a new life into the world.

• Staffed by experts in childbirth, lactation and pre and postpartum women’s health.

Health Fair

• Join us at the Dignity Health Wellness Center for stroke prevention screening. Learn from local experts on how to reduce your risk factors for diabetes, stroke, heart and peripheral artery disease.

• Learn how to integrate mindfulness into your daily habits to help reduce stress and the risk for stroke and heart disease.

November 2022

n Women’s Health Webinar • Learn how to address pelvic floor and gynecological issues to improve your quality of life.

• Ask your questions of our expert panel.

Please check our website for the most up-to date information and schedule, or call the PEP Office.

Dates and times may change based on availability of our experts.

Contact Us:

Phone: 831.457.7099 Online Registration and Check for Updates: dignityhealth.org/dominican/pep 2 2 | FOCUS ON WELLNESS

Stay On Balance STAIRS: • Keep stairways (inside and out) adequately lit • Stair steps should have a non-slip surface • Stair edges should be visually marked • Have secured handrails present on both sides of staircase

EXTERIOR HAZARDS • Coil up garden hoses • Create outdoor lighting to provide safe walking at night

INTERIOR • Have lights bright enough in all rooms for those with limited vision • Remove throw rugs, or secure underside with non-slip backing • Keep rooms uncluttered to allow unobstructed mobility • Make sure chairs are stable enough to provide support when standing up from, or when leaning on them.

• Consider using a “First Alert” system

KITCHEN • Make sure floors aren’t slippery • Use a non-slip mat by the sink area to soak up spilled water; secure the underside with nonslip backing

Reduce Your Risk of Falls

M

ore than one out of four people fall each year and one in five falls causes serious injuries. The good news is that many risk factors can be reduced; Improving your strength and mobility, adapting for low vision and hearing, wearing good shoes and removing home hazards can all decrease your risk for falls. As 60% of falls happen in the home, here are some suggestions for easy modifications you can do to make your home a safer environment:

• Avoid using step stools; if needed, use safe steps with hand supports

BATHROOM • Make sure thresholds don’t present tripping hazards • Keep floors dry • Place skid-proof strips or mats in the tub or shower • Use tub and toilet grab bars, if needed • Get an elevated toilet seat to assist you in standing up, if needed Performing simple balance exercises in your daily routine can improve your balance and reduce your risk of falling. Check out the THERAPY CORNER on the next page for some tips.

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Therapy Corner

It's All About Balance

T

he old saying, “Move it or Lose it” can apply to both activity and balance. The GOOD news is that balance, strength, endurance, and flexibility can all be IMPROVED at any age! So NOW is the time to get moving.

Balance is a complex task for our bodies.

We use multiple systems to keep us upright and moving. Our vestibular (inner ear), our visual (eyes), and our proprioceptive (body movement sensory and muscle) systems all work together to keep us balanced. Beyond doing these simple exercises, you can join a balance class to make it more fun. Be sure to make time to get your hearing and vision tested.

Even a few exercises added to your daily routine can help improve your balance.

1

HEEL RAISES 1. Standing tall and using a solid support for safety, rise up onto your toes, hold for 1 count and then slowly lower.

2. Use your hands lightly for support.

3. Repeat 10 times.

2 SIT TO STAND 1. Scoot toward the end of your chair, place your feet hip width apart, lean forward while looking forward (you can also reach forward).

2. Push through your legs and heels to come to standing.

3. Stand tall, pressing arms back and hips forward.

4. Then slowly lower to return to sitting, leading with your hips.

5. Repeat 1O times.

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Read This First!

These next exercises can get tricky– you want to be able to challenge your balance but at same time remain safe.

Always have solid support to be able to steady yourself as needed. Any exercise can be made harder by closing your eyes, or adding a softer surface, but make sure to progress slowly and safely, listen to your body and rest when needed.

3

4

TANDEM BALANCE WITH EYES CLOSED 1. On foam or on firm ground.

2. Use a solid support surface for your hands (railing or counter top) and place one foot in front of the other in a heel toe position as able, 3. Keep equal weight in both feet and stand tall, activating abdominals and hips, 4. Hold 30 seconds 5. Repeat with the other leg in forward position.

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SINGLE LEG STANCE 1. Use a solid surface for your hands, shift your weight to one leg and then slowly lift other foot off the ground.

2. Stand tall on your standing leg with a slight bend in your knee (don't lock your standing knee). Hold for 30 seconds 3. Repeat 3 times on each leg.

ADVANCED TANDEM BALL TOSS ON FOAM 1. Stand near a solid support surface (counter or railing), place feet in tandem position (one foot in front of other) on foam.

2. Toss ball for 10 catches.

3. Repeat with other leg forward. *You can also try this activity on firm ground.

There are many balance exercises classes available through the PEP program; check out Balance Basics, Balance Bones and Strength, Boxing for Balance and Your Bones, and various Tai Chi classes.

You deserve to live life fully and enjoy it along the way!

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FOCUS ON WELLNESS | 2 7

New Mom Health

Pregnancy – The Fourth Trimester and Beyond!

H

aving a baby is an exciting time that can inspire women to make healthier life choices. Many of these choices will not only help with the pregnancy, but will be great for the development of the baby and can set the whole family up for a lifetime of good health.

The “fourth trimester” is a time of major transition and growth that can be a challenge even with good preparation.

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Dominican Hospital is here to help you through all stages of pregnancy, and offers comprehensive expert support.

Dr. Sienna Titen, MD, obstetrics & gynecology specialist with Dignity Health Medical Group states, “It’s important not to forget the fourth trimester where you learn to balance your needs with that of your newborn, and create your new regimens to start your new family on the right track to health.”

Trimester Tips

Through the Four Trimesters of Pregnancy: 1st Trimester Tips (conception-12 weeks) □ Take prenatal vitamins □ Exercise regularly □ Drink lots of water □ Eat a diet high in fruits, vegetables, protein, and fiber □ Schedule prenatal appointments

2nd Trimester Tips (13 week-27 weeks) □ Continue trimester 1 tips □ Keep your teeth and gums healthy □ Take prenatal education classes (pg. 44) Birthing, breastfeeding, and newborn care □ Tour Birth Center at Dominican Hospital □ Make nursery or space in home for baby

3rd Trimester Tips ( 28 week- 40 weeks) □ Continue with your regular exercise routine, but don’t exhaust yourself □ Review early signs of labor □ Pick a pediatrician □ Meet with your local IBCLC (International Board Certified Lactation Consultant) □ Make birth plan with partner □ Pack hospital bag

4th Trimester Tips (birth-12 weeks postpartum) □ Eat food that is comforting, nutritious, and nourishing □ Be gentle with yourself and practice self-compassion, finding opportunities for rest and recovery □ Ask for help as needed; you’ve done an amazing job bringing this little being to the planet and you deserve support □ Get sleep when baby sleeps, or do comforting activities for yourself □ Follow your baby's feeding cues, which may be as often as every 2-3 hours initially □ Alternate nighttime waking/feeding schedule with partner, if available and if possible □ Practice skin-to-skin contact with your baby □ Be breast aware and meet with your lactation consultant for infant feeding support (pg. 47) □ Be aware of postpartum depression symptoms and seek medical guidance if needed □ Schedule regular pediatrician check-ups for baby and postpartum check-ups for birth parent

Healthy Moms Raise Healthy Babies: New mothers tend to forget that they need to care for themselves as well as the baby. However, it is essential to take care of your needs as well as those of your infant.

Nutrition and Hydration: Overall health is dictated by nutrition and activity, both essential components for a healthy pregnancy. During pregnancy you need more vitamins and minerals such as folate, iron, and calcium. You may need to change your eating habits including amounts and times, all of which should be discussed with your doctor. If you are breastfeeding, there is an additional need for calories and good nutrition for you and your baby.

• Fruit and vegetables are essential to provide vitamins, minerals, and fiber.

• Lean protein provides essential amino acids that your body can’t manufacture on its own. Healthy sources include beans, peas, quinoa, soy, lean meats, and seafood low in mercury.

• Whole grains such as brown rice, quinoa, and oatmeal provide necessary fiber for a healthy breastfeeding diet.

• Healthy fats like olive oil, walnuts, almonds, and avocados provide beneficial nutrients such as vitamin E, omega-3, omega-6, and antioxidants.

• Low-fat milk and milk products provide needed calcium to protect your own bones and teeth.

You can also try non-dairy milks like soy, almond, or rice milk that have added calcium and vitamin D. • Drink at least 8 cups of water each day to reduce the risk of dehydration, especially if breastfeeding.

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New Mom Health

Physical Activity: Most postpartum women need the same amount of physical activity as they did before becoming pregnant and should gradually work up to at least 150 minutes a week of moderate-intensity aerobic activity. It is important to choose moderate activities that aren’t likely to hurt you. A great idea is to choose specific prenatal group exercises where you can gain peer support as well as vital education. After childbirth it is important to check in with your doctor about your specific needs for resuming your activity levels.

If you exercised during pregnancy and had an uncomplicated vaginal delivery, it's generally safe to begin light exercise as soon as you feel ready. If you had a C-section or a complicated birth, talk to your health care provider about when to start an exercise program.

• Start slowly with simple exercises that strengthen major muscle groups, including your legs, abdominal, and back muscles.

• Finding the time to exercise can be hard, so include your baby in your routine, and make sure to take breastfeeding into account.

Feed your baby right before you exercise to avoid discomfort caused by engorged breasts and wear a supportive bra.

• Joining a postpartum exercise class can help to motivate you while providing more guided exercise progression.

• Make sure to drink fluids before, during, and after physical activity.

• Wear comfortable clothing that fits well and supports and protects your breasts.

• Stop exercising if you feel nauseated, dizzy, excessively tired or short of breath or experience pain. This may be a sign of overexertion.

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Weight Management:

Emotional and Mental Health:

Gaining a healthy amount of weight during pregnancy is vital to help your baby grow to a healthy size, but gaining too much weight can increase your risk for pregnancy related high blood pressure and gestational diabetes. Your doctor can guide you through what is an appropriate amount of weight for you, helping you have an easier pregnancy and delivery.

While the initial weight loss after childbirth can be fast as you shed retained fluids, the necessary stored fat may take longer to lose. It is important to set realistic goals for your overall fitness and health. Appreciate all that your body has done to bring this new person into the world, and be gentle with yourself as you accept the changes in your body.

There are many highs and lows during the transition of welcoming a new baby into the world. Most new moms experience postpartum "baby blues" after childbirth, which can include mood swings, crying spells, anxiety and difficulty sleeping. Sometimes new moms can experience a more severe, long-lasting form of depression known as postpartum depression. Talk with your doctor if you are experiencing symptoms of postpartum depression. Things that can help improve emotional health include: • Build a support system • Get help from family, friends and professionals as needed • Rest when you can • Talk about your feelings • Take time for yourself • Prepare for weaning • Learn the signs of postpartum depression

Many pre- and post-natal classes are offered by health professionals at the Dignity Health Wellness Center; please see the Childbirth & Parenting section of the PEP catalog for details (pg. 45)

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IT’S ABOUT WHERE OUR CABLE CAR TAKES YOU!

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Newborn Feeding

Preparing to Feed Your Baby

T

he Dignity Health Lactation Program provides patients with comprehensive clinical lactation support that starts prenatally and continues through the weaning process.

Housed in the Pediatric Clinic, it is a dynamic, team-based program that bridges multiple specialties, and is built upon the highest clinical standards including the Gold Standard of International Board Certified Lactation Consultants.

In addition to holistically supporting our patients, the Lactation Program complements, enriches, and expands upon the top notch care that our physicians provide. Each program component positions the Dignity Health Medical Foundation as a leader in Maternal Child Health in our community.

Breastfeeding is very healthy for both you and your baby.

Breast milk is the only food or liquid your baby needs for about the first 6 months after birth. At about 6 months, you’ll start to feed your baby complementary foods in addition to breast milk.

It is recommended that you continue to breastfeed your baby for at least the first 12 months.

Breastfeeding is natural, but that doesn’t mean it’s always easy. You and your baby may need practice, and some help in the beginning.

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Why Breastfeed?

• Breast milk is the best source of nutrition for most babies.

As the baby grows, the mother’s breast milk will change to meet her baby’s nutritional needs.

• Breast milk shares antibodies from the mother with her baby.

These antibodies help babies develop a strong immune system to protect them from illnesses. Breastfed babies have a lower risk of asthma, obesity, Type 1 diabetes, and sudden infant death syndrome (SIDS). Breastfed babies will experience less frequent ear infections and stomach bugs.

• Breastfeeding has health benefits for the mother. It can reduce the mother’s risk of certain cancers, like breast and ovarian cancer, as well as reduce the incidence of Type 2 diabetes, and high blood pressure.

• Mothers can breastfeed anytime and anywhere. They can feed their babies on the go without worrying about having to prepare formula and bottles. Breastfeeding can also provide a source of comfort for babies when normal routines are disrupted.

Steps for Breastfeeding Prenatal Care:

Talk to your doctor or midwife about breastfeeding. Get connected with an International Board Certified Lactation Consultant to schedule prenatal lactation and pump consult appointments.

• Take a Prenatal Breastfeeding class through the Wellness Center (pg. 44) • Prenatal Lactation Appointment • Orientation to Dignity Lactation Programs, both inpatient and outpatient and how to access services.

• Answer any questions about breastfeeding.

• Review any individual clinical risk factors.

• Discuss breast pumps and review the process for obtaining one through your insurance plan.

• Prenatal Pump Consult • Bring in your breast pump to receive instruction provided on proper set up, use, and cleaning.

• Patients will be fitted with proper flange size.

Steps for Breastfeeding Postpartum Care:

Let your doctor, nurse or midwife know you want skin-toskin contact with your baby right away. Try to keep baby skin to skin and enjoy that "golden hour", and nurse whenever your baby is showing feeding cues. Seek help from your nurse or Lactation Consultant if you have any concerns or challenges with feeding your baby.

• Newborn Feeding Assessment • In conjunction with the Newborn Well-Child Check with the pediatrician, a comprehensive feeding assessment is scheduled with our Lactation Consultant right after or before your appointment with the doctor.

• If scheduling doesn't allow for both of these to happen at the same time, the feeding assessment will be scheduled within 1-2 days of the appointment with the pediatrician.

• Infant weight gain, milk transfer assessment, proper positioning and latching, breast care, sore nipples, and milk supply are addressed.

• Feeding assessments and consultations can be accessed by any parent-baby couplet, not just breastfeeding patients. Our Lactation Consultants help with bottle feeding, safe formula preparation, proper feeding volumes, as well as breast care during the engorgement period.

Sarah Fulop-Furlano, BS, IBCLC and Erin Respicio, IBCLC, RLC, are both International Board Certified Lactation Consultants (IBCLC) who are available both in- and out- patient to help you manage breastfeeding your infant.

• Lactation Consultation • Any infant feeding issues can be addressed at these visits including: low milk supply, clogged milk ducts, mastitis, slow infant weight gain, painful feeding, weaning, bottle feeding, over-supply of breastmilk and induced lactation.

• Patients can self-refer for these appointments and/ or infants’ or parents’ medical providers can refer for these visits.

• Back to Work Consult • 2-3 weeks before going back to work.

• Discuss lactation accommodation rights in the workplace.

• Create a sample pumping plan based on your work schedule.

• Provide strategies for maintaining parents’ lactation goals while working.

• Discuss tips for working with childcare providers on the handling and storage of human milk, as well as appropriate feeding volumes for infants while in their care.

Be Breast Aware:

Make sure to look at your breasts in the mirror, and check them regularly for signs of tenderness. The proper bra, hygiene, latch and routine can reduce many problems. Make sure to talk to your provider if you have flu-like symptoms and painful breasts that can be symptoms of mastitis.

For More Information: Visit Dignity Health Pediatric Clinic at 1820 41st Avenue Ste D, Capitola, CA 95010 or Call: 831-476-3000

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COMMITMENT TO COMMUNITY We are grateful to our community of individuals, local organizations, and patients who partner with us to ensure a healthier tomorrow. Together, we provide the resources needed to offer the best medical care available at Dominican Hospital and in Santa Cruz County.

Thank you for your commitment to philanthropy and caring.

TOGETHER, WE MAKE AN IMPACT. Donate Now www.supportdominican.org 831.462.7712 GivingtoDominican@DignityHealth.org

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@DominicanHospitalFoundation #DominicanHospitalFoundation

JULY–DECEMBER

2022 Your Resource for Community Health & Wellness Education

For the most up-to-date information, check out our website! dignityhealth.org/dominican/pep CONTENTS | Health & Wellness....................... 38-39 | Exercise & Fitness.......................40-44 Medical Fitness, Mind-Body

| Childbirth & Parenting................ 45–47 | Cancer Resources..................... 48–59 | Lifestyle Management....................... 50 | Support Groups................................ 51 To help you we’ve categorized each class with the following symbols: Mind Body

Total Joint

Back And Neck

Heart Health

Improving Neurological

Function

REGISTRATION & PROGRAM DIRECTORY

How to register Online Registration: dignityhealth.org/dominican/pep Phone-in Registration: Call 831.457.7099 10 a.m.–4p.m., Monday–Thursday Mailing Address: PEP – Community Wellness Education Dominican Hospital 1555 Soquel Drive, Santa Cruz, CA 95065 Registration: Advanced registration is required for all classes. Please register at least two days before class starts as classes may be canceled due to low enrollment.

Closed for the following dates: July 2-10, Independence Week September 3-5, Labor Day November 19-27, Thanksgiving Week December 17-January 2-Winter Holidays The PEP Office is located at: 21340 East Cliff Drive, Santa Cruz, CA 95062 PEP Refund & Cancellation Policy: Full refund must be requested 3 days prior to the start of the first class. Partial refunds will only be considered for medical reasons. Thank you for helping us keep our PEP program available to as many people as possible.

Program directory Class Registration and PEP Office:

831.457.7099

Class Proposal Information: Terri.Primavera@CommonSpirit.org and Juliette.Espiritu@CommonSpirit.org Lifestyle Management Program: 831.457.7077 Katz Cancer Resource Center: 831.462.7770 Total Joint Care / Back & Neck: Margaret.Gniewosz@DignityHealth.org or 831.462.7597

PEP CATALOG | 3 7

Health and Wellness

President's Note: PEP

BY NANETTE MICKIEWICZ, MD

Dear Community Members,

W

e are excited to now offer year-round outdoor exercise classes and events on our recently completed outdoor patio and deck at the new Wellness Center. If you have not had a chance to visit our center, please check out one of the classes or sign up for a health fair (pg.

22). You will be impressed by the level of professionalism and expertise ready to support your health needs.

We continue to prioritize infection prevention in all of our health care areas with your safety as our top priority. We also will continue to offer virtual and hybrid classes to meet the varied needs of our community.

Please check our website, dignityhealth.org/Dominican/pep for the most up-to date class times, events, and for class registration. You may also call our office, at (831) 457-7099 if you have any questions.

We hope to see you soon at the Wellness Center!

Nanette Mickiewicz, MD President/CEO Dominican Hospital

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Medicare 101

Freedom from Smoking

VIRTUAL-LIVE

IN-PERSON

Whether you’re turning 65 or helping a family member navigate the system’s complexities, understanding Medicare can be overwhelming. At this virtual seminar, a registered HICAP counselor will help demystify:

Freedom from Smoking is the American Lung Association's program, designed for adults who want to quit smoking. Based on research and trials, it is considered the gold standard of smoking cessation programs. The Freedom from Smoking program has helped hundreds of thousands of smokers quit for good. The program emphasizes understanding the psych-social and behavioral aspects of nicotine addiction and methods to "kick the habit". A supportive group atmosphere is led by Dominican Hospital Respiratory Therapists.

The course lasts 7 weeks with an additional meeting scheduled following the quit date in week four.

• The A, B, C’s (and D) of Medicare • When and how to enroll • Supplementing Medicare • Choosing a drug plan • Original Medicare vs. Medicare Advantage Health Insurance Counseling and Advocacy Program (HICAP) counselors provide complete, accurate, unbiased information on Medicare. Counselors are highly trained and registered with the California Department of Aging. HICAP is not associated in any way with insurance companies, products, or agents. HICAP of Santa Cruz and San Benito Counties is a program within Senior Network Services, a community-based non-profit organization.

Class may be repeated. 1 session Instructor: Pamela King & William Proudfoot Class fee: No charge to participate

7/22; 8/11; 9/20; 6:30–8:30 pm

Instructor: Dominican Hospital Respiratory Therapists Class fee: $85

Tue 7/12-8/23 Thu 8/4; 3:30-5pm Tue 9/20-11/1 Thu 10/13; 3:30-5pm

Health and Wellness PEP is following recommended protocols for a safe community.

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

Reducing Inflammation with Diet VIRTUAL-LIVE Do you suffer from a painful inflammatory condition? Our registered dietitian will virtually teach you what foods can help lower inflammation and what foods are considered pro-inflammatory.

1 session Instructor: Melissa DeVera, RD, CWC, CLT Class Fee: $ 20

Tue 8/9 Wed 10/19, 12-1 pm

Leakproof: Way Beyond Kegels IN-PERSON & VIRTUAL-LIVE This class will include exercise and education to understand what type of incontinence you have. Gain insights to the behavior modifications and physical hacks to prevent leaking in the moment. Retrain your pelvic floor for functional activities throughout your day, return to fun activities you have been avoiding and significantly improve your orgasms.

5 sessions Instructor: Katie Milano, DPT, Registered Yoga Teacher Class Fee: $100

Thu 9/6-10/4; 6-7 pm

Health and Well-Being Coaching Series IN-PERSON The primary goal of this new form of lifestyle coaching is to encourage positive behavior changes in areas such as nutrition, physical fitness, smoking cessation and stress management. You will create/write your Wellness Vision and set goals around behavior changes you want to make. On subsequent weeks you will review these goals and create new ones. As your health and well-being coach, I will help you identify your current strengths to achieve your behavior change goals. Please bring a notebook or notepad, pen or pencil to class.

3 sessions Instructor: Joanne Noce, RN Class fee: $45

Tue 9/13-9/27; 10/6-10/20; 11/2-11/16; 6-7 pm

Mindful Listening

Connecting With Mindfulness

IN-PERSON

IN-PERSON

In this interactive 3-hour class we focus on bringing attention to listening with mindfulness as a foundation for more effective communication in our day-to-day interactions. We will explore the essential nature of paying attention to our own internal experience as a key component to effective listening. The class structure is a mixture of lecture and learning-by-doing, and includes interactive exercises to experience listening with awareness, kindness, openness, and compassion. This class is helpful for anyone who feels life is speeding by while important connections are getting missed, whether at work, at home, with care providers, or generally in the world. 1 session

This 4-week class will offer an overview of mindfulness meditation and its benefits for helping with stress management, increasing well being, and staying balanced in our lives. Through practicing guided meditations we will explore how enhanced and focused awareness of our mind-body experience can help us live with more ease and grace. We will build skills in connecting with greater presence to our own experience as well as in relating to others. The class is a mixture of lecture, group discussion and experiential learning, including guided meditations, and interactive exercises to practice new skills.

Please bring a yoga mat to class. 4 sessions

Instructor: Meg Corman, MHSA Class fee: $55

Instructor: Meg Corman, MHSA Class fee: $120

Wed 9/7-9/28, 6-8 pm

Thu 8/4, 2-5 pm

To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099. Register at least two days prior to the class.

PEP CATALOG | 3 9

Exercise & Fitness /

Medical Fitness

Balance, Bones and Strength IN-PERSON Beginners wanted! Class will learn good form using our body weight in everyday functional movements such as modified squat, lunge in all directions, suitcase carry and others. We will progress slowly, adding very light weight and more complexity to the movements. Balance skills practice will start at the beginning-on two feet! Class will progress making the balance challenging mentally and physically in safe increments.

Walking and balance is essential to enjoy life. Let’s make these strong comfortable skills. Warm up and cool down will be included in the class.

Class goal is to develop more confidence through skills practice in movements that we need to successfully negotiate movement in our mature years. Participant should able to get up and down from the floor without assistance. 10-12 sessions Instructor: Marilyn MacKimmie, NASM Personal Trainer, Functional Aging Specialist Class fee: $90-108

Circuit and Stretch

Better Bones

IN-PERSON

IN-PERSON

This fast paced class will focus on circuit training with emphasis on core strengthening and stretching. Participants will get their heart rate up and then follow up with circuit training using a variety of equipment, ending with 20 minutes of stretching. All participants must be able to be walk 500 feet without assistive device and be independent getting down to and up from the floor. 10-12 sessions

Join our therapists for an invigorating class specializing in exercises designed to strengthen your bones! Classes will include a variety of weight-bearing aerobic exercise, strength training, balance, coordination, all wrapped into a fun, sustainable exercise program. 10-12 sessions

Instructor: Dominican Therapy Team Class fee: $90-108

Instructor: Dominican Therapy Team Class fee: $90-108

Quarterly Classes: Tue 11-11:50 am Thu 12-12:50 pm

Thu 10-10:50 am

Balance Basics IN-PERSON Group exercises designed to improve balance and strength for people who may be fearful of falling or are looking to improve their stability. Exercises are fun and safe but those who are at high risk for falling must bring a caregiver as a precaution.

Participants must be able to walk 100 ft. independently with or without an assistive device. 10-12 sessions Instructor: Dominican Therapy Team Class fee: $90-108

Bodyweight & Suspension Training for Healthy Movement

Boxing for Balance and your Bones

IN-PERSON

IN-PERSON

This group class will explore a variety of fun and safe bodyweight movements to improve strength, mobility and balance using the support of suspension straps or the available environment. All exercises can be modified to individual levels and are designed to improve movement quality throughout your daily life to prevent injury and maintain an active lifestyle. 10 sessions

This fun and dynamic class provides a full body workout based around non-combat boxing exercises paired with balance and strength exercises. It is designed to improve eye hand coordination, strength, posture, gait and balance. Participants also often see better cognitive processing and reaction time. Individuals with high fall risk should bring a caregiver. 10 sessions

Instructor: Michelle "Chelle" Strade OTR/L Class fee: $125

Instructor: Michelle “Chelle” Strade OTR/L Class fee: $90

Thu 9-9:50 am

Wed 9-9:50 am Thu 8-8:50 am

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Tue 1-1:50 pm Thu 1-1:50 pm

All classes listed above offered at the Wellness Center Center.

Quarterly Classes: Mon 1-1:50 pm Wed 1-1:50pm Thu 11-11:50 am

Medical Fitness

/ Exercise & Fitness PEP is following recommended protocols for a safe community.

Parkinson's Cardio-Stretch

Parkinson’s Movement Flow

IN-PERSON

IN-PERSON

This class will offer participants time on aerobic exercise equipment followed by full body stretching. The aerobic section utilizes interval training to improve participant’s aerobic capacity. The stretching portion of the class will help lengthen postural muscles that are often affected in individuals with Parkinson’s disease.

Participants must be able to independently get up and down from the floor to attend this class. 10-12 sessions

This advanced-level exercise class is a progression of the intermediate class. The class includes many exercises designed specifically for those living with Parkinson’s Disease and also includes PWR exercises.

Participants must be able to get up and down from the floor independently and must be able to walk 200 ft. independently without an assistive device.

10-12 sessions

Instructor: Dominican Therapy Team Class fee: $80-96

Quarterly Classes: Fri 10-10:50 am

Parkinson’s Movement Foundation IN-PERSON

This beginning-level exercise class is designed to improve functional mobility in individuals living with Parkinson’s Disease.

The class includes many exercises designed specifically for those with Parkinson’s and also includes PWR exercises. Participants will learn the basic movements in seated and standing positions. Participants should be able to walk 50 ft. with an assistive device and with the support from their caregiver as needed. 10-12 sessions Instructor: Dominican Therapy Team Class fee: $80-96

Quarterly Classes: Wed 11–11:50am

Parkinson’s Movement with Ease

Instructor: Dominican Therapy Team Class fee: $80-96

Quarterly Classes: Tue or Thu 9–9:50 am

Build Better Movement IN-PERSON This introductory level class is designed to help improve one’s general functional mobility, strength, flexibility and balance.

This class includes fun strength training, aerobic training, and balance-specific exercises. Participants should be able to walk 150 ft. with or without an assistive device. 10-12 sessions Instructor: Dominican Therapy Team Class fee: $90-108

Quarterly Classes: Mon 10–10:50am; 12–12:50pm Wed 10–10:50am; 12–12:50pm Thu 10–10:50am

Instructor: Dominican Therapy Team Class fee: $80-96

Quarterly Classes: Tue 10–10:50am

IN-PERSON

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

This advanced level exercise class is designed to help improve one’s general functional mobility, strength, flexibility and balance. This class includes fun strength training, aerobic training, and balance specific exercises. Participants should be able to walk 300 ft. independently and be able to get up and off the floor independently.

10-12 sessions Instructor: Dominican Therapy Team Class fee: $90-108

Quarterly classes: Mon: 8–8:50am; 11–11:50am Tue 11–11:50am; 2–2:50pm Wed: 8–8:50am; 11–11:50am Thu: 11–11:50am; 12–12:50pm

Specialized Gym Training IN-PERSON Therapists will help develop individual exercise routines for those who want to work outeither standing or in a wheelchair. Caregivers should accompany participants requiring continuous supervision, or more than just set-up assistance, as training takes place in a group setting. Some equipment may not be appropriate for all participants. Registration is required; we are unable to accommodate drop-ins. 10-12 sessions

Explore Better Movement

Instructor: Dominican Therapy Team Class fee: $80-96

IN-PERSON

Quarterly Classes: Tue 12–12:50pm; 1–1:50 pm

IN-PERSON

This intermediate-level exercise class is designed to improve functional mobility in individuals living with Parkinson’s Disease.

The class includes many exercises designed specifically for those living with Parkinson’s and also includes PWR exercises.

Participants must be able to get up and down from the floor and walk 100 ft. independently without an assistive device.

10-12 sessions

Challenge Better Movement

This intermediate level exercise class is designed to help improve one’s general functional mobility, strength, flexibility and balance. This class includes fun strength training, aerobic training, and balancespecific exercises. Participants should be able to get up and down from the floor without assistance. 10-12 sessions Instructor: Dominican Therapy Team Class fee: $90-108

Quarterly Classes: Mon 9–9:50am Wed 9–9:50am Thu 1-1:50 pm Fri 11-11:50 am

Gym Time for Recovering Function IN-PERSON Therapists will develop individual exercise routines for continued function and home program maintenance either sitting and/or standing, in a wheelchair, or on a mat. This class is designed for wheelchair users as well as ambulatory students. Caregivers should accompany persons requiring continuous supervision, or more than set-up assistance, since classes take place in a group setting.

Registration is required, we are unable to accommodate drop-ins. 10-12 sessions Instructor: Dominican Therapy Team Class fee: $80-96

Quarterly classes: Mon 2–2:50pm; 3–3:50pm Wed 2-2:50 pm; 3-3:50 pm Thu 2-2:50 pm; 3-3:50 pm To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099. Register at least two days prior to the class.

PEP CATALOG | 4 1

Exercise & Fitness /

Mind-Body

TAI CHI FOR HEALTH PROGRAM Tai Chi is a gentle form of exercise that has been found to be beneficial for improving balance, flexibility, strength, endurance, and overall well-being. The instructor will be able to provide modifications as needed for physical ability and age. Students should be able to walk without assistive devices to participate in these classes.

Beginning Tai Chi/Qigong with Melinda

Intermediate Tai Chi/Qigong with Grace

IN-PERSON

IN-PERSON

IN-PERSON

Students will learn Qigong practices from the Nam Hoa Internal Arts tradition and Tai Chi for Health program including movements that support the balance of the five elements. Instructor will also lead students in a variety of guided relaxation practices that support mind/body balance.

This class is for everyone and beginners are warmly welcome. Students that use assistive devices or need to sit for class are welcome. 5-7 sessions

The focus of this class is on slow, gentle movements designed to strengthen muscles, improve balance, flexibility, and range of motion; prevent falls and help manage stress.

Tai Chi practice is considered a moving meditation. This class includes the Tai Chi for Arthritis form, first 6 movements and Qigong warm-up exercises. No prior experience required. This class is recommended for participants who do not need assistive devices for mobility. 6-7 sessions

Class includes Qigong warm-ups, concentration practice and instruction in the Tai Chi for Arthritis Form movements 7–12. Students should have completed the Beginning Tai Chi/Qigong series.

Modifications in practice are incorporated as needed for students. This class is recommended for students who do not need assistive devices for mobility. 5-7 sessions

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $63-88

Instructor: Melinda Roy, Certified Tai Chi for Health Instructor, RN Class fee: $90-105

Mon 10:30-11:30 am

Thu 1:30–2:45pm

Intermediate Tai Chi/Qigong with Melinda

Beginning Tai Chi & Qigong with Grace

Qigong and Guided Relaxation Practices with Grace

IN-PERSON

IN-PERSON

This class is a continuation of the Tai Chi form presented in the Beginning Tai Chi/Qigong class. We will learn movements 7-12 of the form. Participant should have completed Beginning Tai Chi/Qigong series.

This class is recommended for participants who do not need assistive devices for mobility.

6-7 sessions

Class includes Qigong warm-ups, concentration practice and instruction in the Tai Chi for Arthritis Form. Tai Chi is a gentle form of exercise that improves balance, strength, endurance and overall well being.

Modifications in practice are incorporated as needed for students. This class is recommended for students who do not need assistive devices for mobility. 5-7 sessions

Instructor: Melinda Roy, Certified Tai Chi for Health Instructor, RN Class fee: $90-105

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $90-105

Thu 12-1:15 pm

Mon 11:45am-1 pm Tue 9:30-10:45 am

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All classes listed above offered at the Wellness Center

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee:$90-105

Mon 11:45 am-1 pm Tue 9:30-10:45 am

Tai Chi/Qigong: Sun 73 Form with Grace IN-PERSON

This class is recommended for students who have completed the Beginning through Advanced Tai Chi/Qigong series. This class will include Qigong warm-ups, concentration practice, and instruction in the Sun 73 Form. In order to learn the entire form students must take consecutive classes over a period of 24–36 months. This class is recommended for students who do not need assistive devices for mobility. 5-7 sessions Instructor: Grace Sanchez, OT/L Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $$75-$105

Tue 11–12:30pm

Mind-Body

/ Exercise & Fitness PEP is following recommended protocols for a safe community.

Pilates: Aging with Grace and Strength (Beginning)

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

IN-PERSON

Chair and Standing Pilates

Designed for those looking to begin, resume or enhance a fitness program, this beginning Pilates series will take a thoughtful approach to managing balance issues, osteoporosis/ osteopenia, and developing useful strength and mobility. Simple movements, focusing on alignment and precise muscular engagement, will work the body efficiently with therapeutic and challenging movement.

No Pilates experience necessary. We are looking to serve those who are interested in giving Pilates a try and would also benefit from a measured approach to fitness that provides ease in daily life. Modifications will be offered for individual needs; however, participants should be able to get up and down from a mat on the floor. 9-11 sessions

IN-PERSON AND VIRTUAL-LIVE

Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $113-138

Looking for the benefits of Pilates, but wanting to avoid getting down and up from a mat? This is the class for you! Using a chair for seated exercises and as a standing balance support, you will experience a full body workout to strengthen and stretch your muscles, create ease and flexibility in your joints, enjoy better posture and develop body awareness. Props will be incorporated in the class to provide intensity and variety. Join us on Zoom or in person at PEP's beautiful new studio. 8-11 sessions

Mon 9-9:50 am Fri 9-9:50 am

Instructor; Irina Seminova, Certified Pilates Instructor Class fee: $100-138

Mon 3:30-4:20 pm Thu 3:30-4:20 pm

Pilates with Props: Intermediate/ Advanced IN-PERSON AND VIRTUAL-LIVE

This is an intermediate to advanced level class designed for those with Pilates and/ or fitness class experience. The class combines Pilates classical exercise with therapeutic strengthening and stretching modalities. Props are used to provide variety and intensity. This class is dynamic and moves quickly and is designed to serve those looking to enhance an established fitness program. 8-11 sessions Instructor; Irina Seminova, Certified Pilates Instructor Class fee: $100-$138

Mon 4:30-5:20 pm Thu 4:30-5:20 pm

Pilates Aging with Grace and Strength (Intermediate) IN-PERSON

This intermediate Pilates class offers variety, intensity and fun to each workout with the use of resistance bands, weights, balls and more.

Emphasis is on proper alignment and posture, core and joint strength, flexibility and balance.

Designed for those with Pilates experience.

Contact the instructor if therapeutic modifications may be needed. 9-11 sessions Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $113-138

Mon 10-10:50 am Fri 10-10:50 am

Essentrics: Aging Backward with Stretch and Strength IN-PERSON In this movement class, we will learn and practice a dynamic routine designed to lengthen, strengthen and tone our muscles and increase joint mobility and ease. Elements of Pilates, dance and fascial release will be explored. Both standing and mat exercises are included: participants must be able to get up and down from the floor. 9-10 sessions Instructor: Susie Durant, Certified Pilates Instructor Class fee: $113-125

Yoga for Stress and Strength IN-PERSON

Reduce stress, depression and anxiety with yoga postures, movement, breath work, and meditation in this class. No previous yoga experience necessary. Feel better living in the moment. 6-8 sessions Instructor: Korrine Fitz, Certified Yoga Instructor Class fee: $75-100

Mon 11am–11:50am Wed 1-1:50 pm

Gentle Yoga Before, During and After Cancer Treatments IN-PERSON AND VIRTUAL-LIVE Gentle stretching, yoga and relaxation to help ease discomfort and improve overall sense of well-being. Adaptable to all physical abilities.

Option for in-person at the Wellness Center or virtual-live to join the class from the comfort of your home.

Instructor: Michael Dini, Certified Yoga Instructor Fee: Sponsored by Katz Cancer Resource Center

Mon 12–12:50pm Wed 12–12:50pm Fri 12–12:50pm

Calm and Lengthen through Yoga IN-PERSON

Begin to move in your current range of motion allowing your muscles and joints to gently increase in flexibility. Includes various postures to create balance and calm through breath and gentle movement. Class will be suitable for beginners and more experienced.

Participants must be able to move to their mat and up to standing without assistance.

10-12 sessions Instructor: Merily MacKimmie, Certified Yoga Instructor Class fee: $125-150

Tue 2-2:50 pm Thu 2-2:50 pm

Wed 10-10:50am

To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099. Register at least two days prior to the class.

PEP CATALOG | 4 3

Exercise & Fitness /

Aquatic Program

AQUATICS REQUIREMENTS All pool participants must be able to move through the water unsupported or have a caregiver who can provide one-on-one assistance. This includes using the lift to enter/ exit the pool, dress safely before/after the pool. For the safety of everyone, pool participants must be continent of bowel and bladder and may not have open wounds, leakage, infection or uncontrolled seizures.

PEP pool classes are held at Simpkins Family Swim Center; 979 17th Ave., Santa Cruz, CA 95062

Prenatal Aquatic Exercise IN PERSON

Come join other new mamas-to-be for some fun and gentle movements to help your pregnant body feel its best. The warm water pool, 86-88 degrees, is comfortable year-round. Gentle aerobic, flexibility and relaxation exercises, in the chest deep water, help discomfort and aid sleep.

Aquatic Lymphedema Decongestion IN-PERSON Water is a great way to manage swelling. Join the Dominican Therapy Team to promote a healthy lymphatic system in this warm water class focusing on decongestion for both upper and lower body using a sequential program of decongestion and exercise. For the safety of everyone, participants must not have open wounds, leakage or infection, they must be continent.

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Aquatic Exercise for People Living with Parkinson’s Disease IN-PERSON

Intermediate Aquatic Exercise

Join Dominican’s Therapy team for a complete workout in the water designed specifically for people living with Parkinson’s Disease. This class will include strength training, aerobic exercise, balance, stretching- and functional mobility training in a warm-water pool heated to 88 degrees.

Please bring a caregiver with you if you need assistance changing or to participate safely in the pool.

Water exercises are fun, low impact, and are aimed at improving general flexibility, strength, balance, gait, endurance and posture. This is an intermediate -level class that includes a cardio component as well as strengthening exercises of intermediate difficulty. To participate in this class, it is strongly suggested that you are independent with your mobility.

Beginning/Intermediate Aquatic Rehabilitation and Exercise IN-PERSON Water exercises are fun, low impact, and are aimed at improving general flexibility, strength, balance, gait, endurance and posture. If you want to get into shape but have difficulty with exercise on land, join our Dominican Therapy Team for gentle aerobic exercise, balance and flexibility training using special water exercise equipment.

All classes listed above offered at the Wellness Center

IN-PERSON

Advanced Aquatic Exercise IN-PERSON Join the Dominican Therapy Team for a challenging, but fun, aquatic workout that builds on our Intermediate Aquatic Exercise class challenging your balance, improving your core stabilization, endurance, strength and overall well-being.

Childbirth & Parenting PEP is following recommended protocols for a safe community.

Prenatal & Postpartum Yoga Circle

New Parents Support Group

IN PERSON

VIRTUAL-LIVE

Each week you will enjoy a yoga class designed specifically for your pregnant or postpartum body. You will be guided safely through an insightful yoga practice designed to build strength and confidence in your changing body. This class is so much more than just a yoga class! You will be part of a strong circle of support with fellow mothers and mothers-to-be! Join each week for the sharing circle to empower you and support your path through pregnancy and parenting.

Class ends with a Mindfulness Based meditation to send you out into the world, connected and ready to face the day!

4-6 sessions Instructor: Journey Talkovic, CNM, WHNP Class fee: $38-75

Mon 6-7:30 pm Fri 9:30-11 am or 10-11:30 am

This virtual support group is intended for parents of babies 5-12 months of age. Now your baby is no longer a newborn, and is moving in the exciting direction of sitting up, starting solids, and so much more. Join an experienced Nurse Midwife and other parents in support of each other and our growing babies. All topics are welcome, including returning to work, sleep training, baby weaning, and much more! Open to the community regardless of birthplace or Pediatric affiliation.

Facilitator: Journey Talkovic, CNM, WHNP Funded by: Dominican Hospital Fee: No charge to participate, prior registration is required

Tue 12–1:30pm

NICU Graduates Developmental Play Class IN-PERSON

Prenatal Support VIRTUAL-LIVE Congratulations on your upcoming baby!

Please join us to connect and share your feelings, enjoy a mindfulness meditation exercise, and learn about latest updates of the local Prenatal community offerings to keep you feeling connected and supported during this special time in your life.

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate Funded by: Dominican Hospital

Tue 5:30–7pm

When a family graduates from the NICU, there is an overwhelming amount of information and many unknowns about your child’s development. This play class will bring families with a shared NICU experience together to focus on their infant’s development in a fun and approachable way. Families will have opportunities to share successes and struggles as well as learn and practice different strategies each week to support their baby’s development with guidance from a NICU developmental therapist. Caregivers should come prepared to sit on the floor and move with your baby. 3-4 sessions

Newborn Support Group

Instructor: Allison Smith, PhD, OTR/L, BCP, CNT Class fee: No fee to participate

VIRTUAL-LIVE

Mon 1:30–2:30pm

This virtual support group is intended for parents of babies 0-5 months of age. The Newborn phase is a time of great change in the life of a family. Whether this is your first child, or a beautiful addition to your family, this is an amazing and challenging experience! Come talk with an experienced Nurse Midwife, and mother, and other parents about sleep, feeding, and how to thrive, not just survive, in the 4th Trimester and beyond! Open to community regardless of birthplace.

Baby Bootcamp

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate Funded by: Dominican Hospital

Wed 10-11:30am

IN-PERSON

This is a play-based class for babies 0-6 months old with activities to get your baby moving towards their developmental milestones. Parents will learn new ways to play with your baby, to encourage your baby to move their body, and to stimulate the senses as your baby starts to engage in the world around them. This class is led by a therapist with specialized training in infant development who will provide guidance and answer questions. 3 sessions Instructor: Allison Smith, PhD, OTR/L, BCP, CNT Class fee: $30

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

Baby Sign Language Introductory Workshop VIRTUAL-LIVE This virtual 90-minute workshop gives parents the opportunity to learn how sign language helps babies communicate effectively long before they can verbalize their wants and needs. Signing with babies has been proven to help accelerate language development, reduce frustration, enhance a child’s self-esteem and deepen the bond between parent and child. This workshop is based on American Sign language (ASL). You will learn about the latest research and how to teach your baby to sign. Fun activities and songs will show you how easy it can be to integrate more than 20 simple signs into everyday routine.

Recommended for babies from birth to 18 months. Expectant parents are welcome.

Grandparents and other family members are very welcome to join the fun as well.

Guests logging in from different locations are required to register separately. After you have completed the registration, the Zoom meeting information will be provided to you via email prior to class. 1 session Instructor: William White, BS Class fee: $45 per participant or couple

Offered select Tue, Thu, & Sat

Online Baby Sign Language Series VIRTUAL-LIVE The introductory workshop is followed by this six-day virtual series. Build your signing vocabulary with themes like mealtime signs, colors, animals, family, bedtime, and more. Eighteen sessions are split into two different six-day series. No need to take in order. Just dive in and start learning now.

Recommended for babies from birth to 18 months. Expectant parents are welcome.

Grandparents and other family members are very welcome to join the fun as well. Guests logging in from a different location are required to register separately. 6 Sessions Instructor: William White, BS Class fee: $145. per participant or couple

Offered select Tue, Thu, & Sat

Mon 3-3:45 pm To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099. Register at least two days prior to the class.

PEP CATALOG | 4 5

Childbirth & Parenting Childbirth Express Class VIRTUAL-LIVE

This is a virtual childbirth class. You will learn about the stages of labor, when to go to the hospital, pain medication options, medical interventions, Cesarean birth, postpartum recovery, and newborn procedures. There is also a focus on training your partner to be the best support they can be; learning effective hands-on techniques such as massage, acupressure points, breathing patterns, and guided visualization.

We will explore the concept of optimal fetal positioning prior to labor onset, and we will actively practice positions of labor and birth, so please be dressed for movement. You will also learn several non-pharmacological paincoping techniques, such as mindfulness, sounding, etc. This is a fun and interactive class led by a Nurse Midwife who is also a Certified Doula, Childbirth Educator and Prenatal Yoga Instructor. You will have fun, be amazed, and enjoy meeting other expectant families! 2 Sessions

Latch Clinic, Breastfeeding Support IN-PERSON

Dominican Hospital is recognized as a Baby-Friendly Hospital ™ and prioritizes breastfeeding, skin-to-skin contact, and provides a weekly Latch Clinic, by appointment only. We provide information and resources for common concerns, as well as latch and positioning assistance from an International Board Certified Lactation Consultant. A Baby Weigh® Scale is also available. The Dominican Hospital Latch Clinic is FREE and open to the community, regardless of where you gave birth! Call the Lactation Warm Line at 831.462.7862 for more information or to schedule an appointment.

Fee: No charge to participate Funded by: Dominican Hospital Location: Wellness Center

Wednesdays, 10am–3pm

Newborn Care

Instructors: Journey Talkovic, CNM, WHNP or Sandra Aguilar Wiley, BS, CPSP, IBCLC Class fee: $150 for mom and support person

VIRTUAL-LIVE

Sat & Sun 1–5:30pm

This virtual class will give you great insights into newborn behavior and development, including: sleep-wake cycles, newborn reflexes, coos and cries, how to soothe a fussy baby and how to identify a baby who is sick and needs medical attention. You will have the opportunity to learn important handson skills, such as: bathing, diapering, dressing, swaddling, burping and soothing your newborn. You will learn some key breastfeeding skills as well, but won’t be able to offer much information in this class, as in the comprehensive breastfeeding class, which is offered separately. We will cover important safety considerations for cribs, car seats and other essential baby equipment.

This virtual class is a great opportunity to meet other expectant parents in a fun, interactive virtual environment and build your new parents’ community. Your instructors are highly experienced health and lactation educators, who are also fellow parents. This is a fun, fast paced and practical virtual class that both you and your support team will enjoy together.

1 Session

Mindfulness Based Childbirth Class IN PERSON

Congratulations on your pregnancy!

As you are learning the wondrous journey of having a baby it can also be stressful.

Mindfulness Based Stress Reduction techniques can help you to achieve deep states of relaxation, allowing you to better cope with life’s stressors. This class will teach you to be more comfortable with the changes of pregnancy, the intensity of birth and to help you to become a more present parent.

You and you partner will learn skills to help you manage the pain of labor and birth. It is also an opportunity to explore your emotions around birth, to connect more deeply with yourself and your partner, and to improve your stress management skills in preparation for parenting. It also covers anatomy and physiology of labor and birth, pharmacological pain options, potential medical interventions, cesarean birth and what to expect in the early postpartum period-including breastfeeding basics. 6 sessions Instructor: Journey Talkovic, BS, CPSP Class fee: $300/mom and support person

Thu 9/1-10/6 5:30-8 pm Thu 10/13-11/17, 5:30-8 pm

4 6 | PEP CATALOG

Breastfeeding Basics VIRTUAL-LIVE This virtual class will help you learn the information you need for getting breastfeeding off to a good start. This one-session class will cover how to ensure a good milk supply, techniques for getting a good latch, how to know if your baby is getting enough, and ways you can avoid common problems.

Recommended for mothers in mid-to-late pregnancy. Support person welcome.

1 session Instructor: Holly Goetz, IBCLC Class fee: $45/mom and support person

Wed 7/20; 8/17; 9/21; 10/19; 11/16 6:30–8:30pm

Car Seat Safety Checks at Dominican Hospital Did you know that three out of four car seats are installed incorrectly?

Thanks to the support of the Dominican Hospital Foundation, families giving birth at Dignity Health Dominican Hospital are offered free individual car seat fittings so that you can go home safely. Our certified car seat technicians will visit you to schedule a car seat check or to give you more information about car seat safety.

All car seats are checked by certified technicians who will: • I nspect, educate, and help families install the car seat correctly prior to discharge.

•E nsure the car seat has not been recalled by the manufacturer.

•D emonstrate how to install and use the car seat.

• I nstruct how to correctly place a child in the car seat.

Instructor: Journey Talkovic, BS, CPSP, and Sandra Aguilar Wiley, BS, CPSP, IBCLC Class fee: $35 for mom and support person

7/16; 9/24; 11/5; 2–6pm

All classes listed above offered at the Wellness Center

Dominican is officially designated as a Baby-Friendly® hospital

Childbirth & Parenting PEP is following recommended protocols for a safe community.

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

Dominican Welcomes You To Our Virtual-Live Tour Of Our Birth Center TUESDAY EVENINGS, 6–7 p.m.

7/13, 8/10, 9/14, 10/6, 11/9, 12/14 Registration is available at dignityhealth.org/dominican or call (831) 457-7099.

Explore all the options and make an informed choice for your birth experience. Take a live virtual tour of the Dominican Hospital Family Birth Center, and discover the many ways we provide comfortable, safe, and secure care for mom and baby.

Prenatal Pelvic Floor Workshop

Postpartum Pelvic Floor Workshop

IN PERSON

IN PERSON

Are you worried about how your body is going to make it all the way through pregnancy? Are you experiencing symptoms such as incontinence, pelvic heaviness, pelvic, pubic, tailbone, sacral, low back, or hip pain? Do you want to prepare your body for labor and delivery? Are you wanting to do everything you can to optimize your postpartum recovery? This workshop on prenatal pelvic floor addresses all of these concerns and more.

Do you feel like your body is no longer recognizable? Are you experiencing symptoms such as incontinence, pelvic heaviness, pain, hemorrhoids, frequent urination, incomplete emptying, or pain with sex? Have you been diagnosed with diastasis recti or prolapse?

Do you have pain at your scar (c-section or perineal)? Are you worried you will never feel like yourself again? Do you want to know how to find your abs again and build strength? Do you want to feel better than you ever have?

You will learn:

This workshop on the postpartum pelvic floor addresses all of these concerns and more.

• Pelvic floor anatomy and function •S igns and symptoms of pelvic floor dysfunction •O ptimizing pelvic floor function in isolation and integrated as the bottom of the core •P reparing the body for labor and delivery including positioning and pushing strategies •W hat to expect in early postpartum and how to set yourself up for the fastest possible recovery.

• Pelvic floor anatomy and function.

• Signs and symptoms of pelvic floor dysfunction.

On this virtual tour, you will visit our private birthing rooms and postpartum suites where mom, baby, and partner can stay together. Hear about our Level III Neonatal Care Unit, where the sweetest and smallest patients in need receive the most advanced emergency care available.

Discover our emphasis on breast feeding and skin-to-skin contact, as a certified Baby-Friendly registered hospital.

Recorridos son solamente por computadora.

Llame para hacer una cita (831) 457-7099.

7/14, 9/7, 11/2, 6–7 p.m.

• What happened to your body during pregnancy, labor, and delivery.

• Common diagnoses, what they mean, and what to do about them include incontinence, diastasis recti, prolapse, hemorrhoids, and pain.

• How to restore your pelvic floor and find your core to be strong and feel good again

1 session

• Baby ergonomics.

Instructor: Jenny Putt PT, OCS, FAFS, CMP, CFL1, Certified Sex Educator, Certified Childbirth Educator Class fee: $25

• Returning to exercise.

Mon 8/15; 10/24; 12/5, 6:30-7:30 pm

Instructor: Jenny Putt PT, OCS, FAFS, CMP, CFL1, Certified Sex Educator, Certified Childbirth Educator Class fee: $25

• Postpartum sex.

1 session

Mon 7/18; 9/26; 11/28; 6:30-7:30 pm

Dominican is officially designated as a Baby-Friendly® hospital

To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099. Register at least two days prior to the class.

PEP CATALOG | 47

Katz Cancer Resource Center SUPPORTIVE CARE PROGRAMS Chemo 101 / Radiation 101 English and Spanish IN-PERSON OR VIRTUAL-LIVE

A class to help cancer patients and families understand and manage the side effects of chemotherapy and radiation treatments.

Recommend taking this class before treatment begins. Physician approval required.

Location: Katz Cancer Resource Center

Individual meeting with an oncology certified nurse. Call (831) 462-7770 for appointment.

Survivorship Care Plan IN-PERSON OR VIRTUAL-LIVE

Survivorship Care plan is a comprehensive care summary and follow-up plan. It records treatment received and addresses posttreatment needs to improve health and quality of life.

Location: Katz Cancer Resource Center

Individual meeting with an oncology certified nurse. Please call (831)462-7770 for eligibility requirements.

Look Good and Feel Better VIRTUAL-LIVE

A program to help women who are undergoing cancer treatment look their best.

Licensed cosmetologists teach women how to enhance their appearance. Learn how to choose a wig, tie scarves, and manage skin and nail changes.

Location: Katz Cancer Resource Center

Call (831) 462-7770 for more information or to register at: http://lookgoodfeelbetter.org/ workshop-registration/

Wig Bank– IN-PERSON Select a wig from our collection of many styles and colors, for women and men who are losing their hair due to cancer treatment.

Hats and scarves are also available.

Location: Katz Cancer Resource Center

Appointment required, call (831) 462-7770.

4 8 | PEP CATALOG

Katz Cancer Resource Center 831.462.7770

The Katz Cancer Resource Center Survivorship Seminars Guest experts present information on topics surrounding cancer survivorship.

Please call (831)462-7770 to register and/or to receive zoom links.

11 am - Noon VIA: ZOOM

Wednesday, July 27 Art Therapy for Cancer Survivors Heidi Brancatelli, LCSW

Wednesday, Sep 7 Coping with Cancer through Survivorship

Eating Well Through Cancer: Cancer Guidance for Patients & Families IN-PERSON OR VIRTUAL-LIVE

Learn ways to eat during cancer treatment that can help in the recovery process, how to establish nutritional goals, stay hydrated and cope with changes in appetite.

Location: Katz Cancer Resource Center

Call (831) 462-7770 for appointment with an Oncology Dietitian

Gentle Yoga Before, During and After Cancer Treatments IN-PERSON OR VIRTUAL-LIVE

Gentle stretching, yoga and relaxation to help ease discomfort and improve overall sense of well-being. Adaptable to all physical abilities.

Instructor: Michael Dini, CYI Location: Wellness Center or Zoom

Each Mon/Wed/Fri offered in-person and virtual-live (Zoom). Time: 12–12:50pm To register call Dignity Health Wellness Center: (831) 457-7099

Creative Expression Through Art VIRTUAL-LIVE

Allison Brookes, LCSW

Wednesday, Nov 2 Managing Chemotherapy Induced Peripheral Neuropathy after Treatment Dominican Hospital Outpatient Rehab Physical Therapist

Making art to express one’s journey through cancer can be healing, inspiring and transforming. This class requires no art experience, just your willingness to participate.

Instructor: Heidi Brancatelli, LCSW Location: Zoom

7/20, 9/21, 11/16, 11am–12:30pm To register call: (831) 462-7770

Parent Child Art Class VIRTUAL-LIVE

Art event for parents with cancer and their children (ages 4 yrs and up) Facilitators: Allison Brookes, LCSW and Heidi Brancatelli, LCSW

9/24, 12/3,, 11:30am–1pm To register call: (831) 462-7770

All KATZ programs are offered at no cost. For more information, call The Katz Cancer Resource Center, (831) 462-7770.

Katz Cancer Resource Center PEP is following recommended protocols for a safe community.

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

CANCER SUPPORT GROUPS Ongoing professionally facilitated support groups for people with cancer and/or support persons.

Call 831.462.7770 for information and/or the Zoom link.

Cancer Support for Young Adults VIRTUAL-LIVE For men and women 19–40 years old with a diagnosis of cancer.

LAS PROGRAMAS EN ESPAÑOL Quimoterapia 101/Radioterapia 101 VIRTUAL EN VIVO

Katz Knitters – IN-PERSON

Family & Friends Cancer Support Group– VIRTUAL-LIVE

A knitting group for patients during and after cancer treatment. Drop-in support group.

Drop-in support group for families and friends of cancer patients.

Una clase que ayuda a los pacientes y sus familias entender y manegar los effectos secundarios de la quimoterapia y radiacion.

Recomendamos tomar este clase antes de comenzar su tratamiento.

Cancer Support Group

Facilitator: Nancy Samsel, LMFT Location: Zoom

Lugar: El Katz Cancer Centro de Recursos 3150 Mission Drive, Santa Cruz 95065

Second and fourth Tuesday of every month.

Time: 5:30–6:30om

Llame (831) 462-7870 para una junta individual con la enfermera navegadora de oncologia

Bone Marrow Transplant Support Group

Luzca Bien … Siéntase Mejor

VIRTUAL-LIVE

Drop-in support group for cancer patients whose lives are challenged by cancer.

Facilitator: Allison Brookes, LCSW Location: Zoom

First and third Tuesday of every month, 2-3 pm

Advanced/Metastatic Cancer Support – VIRTUAL-LIVE Drop-in support group for cancer patients whose lives are challenged by cancer.

Facilitator: Allison Brookes, LCSW Location: Zoom

VIRTUAL-LIVE

Drop-in support group.

Facilitator: Nancy Samsel, LMFT Location: Zoom

Second and fourth Thursday of every month Time: 6:30–7:45pm

Prostate Cancer Support Group VIRTUAL-LIVE

Second Monday of every month; 11am–12pm

Lymphedema Education & Support Group – VIRTUAL-LIVE This educational and supportive group welcomes men and women with lymphedema and their friends and families.

Facilitator: Dominican Hospital Certified Lymphedema Therapists Location: Zoom

Drop-in support group for men and their partners dealing with the issues of prostate cancer. No registration required.

Facilitator: Bob Gallo, LCSW, BCD Location: Zoom

Last Wednesday of every month: 7–9pm

VIRTUAL EN VIVO

Un programa que ayuda a las mujeres que están bajo el tratamiento del cáncer lucir mejor. Cosmetólogas ensenara a las mujeres como mejorar su apariencia, escoger una peluca, y manejar el cambio de la piel y unas durante el tratamiento del cáncer.

Llame al (831) 462-7770 Para registrarse o ingrese al: http://lookgoodfeelbetter.org/ workshop-registration/

Grupo hispano de apoyo para el cancer/Hispanic Cancer Support Group – VIRTUAL EN VIVO Via: Zoom Llama para mas informacion al (831) 462-7870

Debe registrar por teléfono: (831) 462-7870

7/13, 9/14, 11/9: 6–8pm

All KATZ programs are offered at no cost. For more information, call The Katz Cancer Resource Center, (831) 462-7770.

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Lifestyle Management LIFESTYLE MANAGEMENT PROGRAMS Cardiac Risk Reduction Program (Cardiac Rehabilitation) IN-PERSON

Lowering risk factors such as high cholesterol, weight, high blood pressure and stress has been shown to significantly reduce future cardiac problems. Designed for individuals who have had angina, heart attack, cardiac procedure (angioplasty, atherectomy, stent), bypass surgery, valve surgery or congestive heart failure. This nationally certified program includes cardiac education classes, nutrition assessment, risk factor counseling, lifestyle coaching, and monitored exercise therapy.

The Dominican Cardiac Risk Reduction Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation.

Diabetes Management (Type 1 & 2) VIRTUAL-LIVE

The Diabetes Management Program provides information and support to help create a personal, successful path to diabetes management. The program includes education classes and individual appointments provided by our team of health care professionals including certified diabetes educators, registered nurses, and registered dietitians.

The Dominican Diabetes Management Program is recognized by the American Diabetes Association.

Supervised Exercise Therapy for Peripheral Artery Disease (SETPAD) IN-PERSON

Cholesterol Screening Are you an individual living with symptomatic peripheral artery disease (PAD), including discomfort or cramping in the legs? This program is designed for individuals like you, offering customized therapy in a supervised setting. The goal of the program is to increase stamina, mobility, improve overall health and quality of life. To reach these goals, the individual receives supervised exercise therapy, education classes, a nutrition assessment, risk factor counseling and lifestyle coaching. Led by a multi-disciplinary team of registered nurses, exercise physiologists and dietitians.

Nutrition Counseling VIRTUAL-LIVE

Pulmonary Rehabilitation Program IN-PERSON

This nationally certified program provides education, breathing retraining exercises and a monitored exercise program to increase functional ability in individuals coping with COPD, chronic bronchitis, emphysema, bronchiectasis and pulmonary fibrosis.

Specially trained professionals will develop individualized program on initial assessment.

The Dominican Pulmonary Rehabilitation Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation.

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FITNESS & HEALTH SERVICES

Meet with a Registered Dietitian to assess and plan personal and medical nutrition goals. Receive nutrition and lifestyle guidance for weight management, cholesterol, hypertension, pre-diabetes, intestinal disorders, eating disorders, and general healthy eating.

IN-PERSON

30 MINUTES Blood test provides complete cholesterol panel (total cholesterol, HDL, LDL, triglycerides) and glucose levels. A health professional will explain the test results and provide recommendations.

Price: $64

Medical Fitness Program IN-PERSON Whether you are managing chronic medical issues or simply prefer a supervised exercise setting, this is the program for you. Meet individually with one of our clinical specialists for an assessment prior to starting the program. The small-group 60 minute sessions include warm-up, stretching, aerobic exercise, resistance training and cool-down.

Initial Assessment: $116 Monthly Fee: $80 2x/week (8 sessions) Please note that pricing listed in this catalog is subject to change.

Call for price. Insurance may cover based on diagnosis.

FOR MORE INFORMATION ABOUT THE CLASSES ON THIS PAGE, CALL LIFESTYLE MANAGEMENT AT (831) 457-7077.

All classes listed above offered at Lifestyle Management 1555 Dominican Way, in the Dominican Employee and Conference Center 831.457-7077

Support Groups PEP is following recommended protocols for a safe community.

Lymphedema Education & Support Group

Heart Connections: A Heart Health Support Group

VIRTUAL-LIVE

VIRTUAL-LIVE

This educational and supportive group welcomes men and women with lymphedema and their friends and families. For more information contact Katz Center at (831) 462-7770.

A monthly peer support group for individuals and their families making lifestyle changes that support heart health, offered in a safe place to share ideas and find solutions. The group is coordinated by Dominican Hospital’s Cardiovascular Services and Center for Lifestyle Management and is open to the community. All meetings are currently being held online. No registration required. Please call (831) 457-7077 for more information.

Facilitators: Certified Lymphedema Therapists Location: Dignity Health Wellness Center

Wed 7/13, 9/14, 11/9; 5:30-7 pm

Multiple Sclerosis Self-Help Group IN-PERSON OR VIRTUAL-LIVE

Second Monday of each month, 6–7:00pm Third Tuesday of each month, 2–3:00pm A support group for those affected by MS in any way. The group brings people together for support, education, and mutual aid. It’s a very proactive group encouraging others to try new things and live each day to its full potential.

Please call (415) 699-2574 or email eva@ evamclark.com for more information.

Facilitator: Eva M Clark Fee: No charge to participate Funded by: Dominican Hospital Location: Wellness Center

Second Saturday of most months, 11:30am–1:30pm

Bariatric Support Group VIRTUAL-LIVE

This is a virtual monthly peer support group for anyone considering, or who has already gone through bariatric surgery. This is a place to share experiences, and support each other throughout the weight-loss journey.

Email Melissa.Devera@commonspirit.org for information or to register.

Facilitator: Melissa DeVera, RD Fee: No charge to participate Funded by: Dominican Hospital Location: ZOOM

Wheelchair Support Group IN-PERSON

Come check out this monthly peer support group for those living “life on wheels." This group is geared towards connecting people utilizing manual and power wheelchair mobility. It will serve as a place to share resources, receive education, and engage in discussion amongst peers and community guest speakers alike. Let’s get rolling!

Contact Roger.McKowan@commonspirit.org for more information.

Better Breathers Pulmonary Support Group VIRTUAL-LIVE

For the most up-to-date information, check out our website: dignityhealth.org/ dominican/pep

Prenatal Support VIRTUAL-LIVE Please join us to connect and share your feelings, enjoy a mindfulness meditation exercise, and learn about latest updates of the local Prenatal community offerings to keep you feeling connected and supported during this special time in your life.

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate Funded by: Dominican Hospital

Tue 5:30–7pm

Newborn Support Group This virtual monthly program offers education and support for adults with chronic lung disorders, their families and caregivers.

The group is coordinated by Dominican’s Pulmonary Rehabilitation Program and is open to the community. No registration required. For more information or to join email list call (831) 457-7077 or email nicole.sato@commonspirit.org.

Facilitator: Respiratory Therapist/Registered Nurse Fee: No charge to participate Funded by: Dominican Hospital Location: Zoom

Second Monday of each month 2:30–3:30pm

New Parents Support Group VIRTUAL-LIVE

VIRTUAL-LIVE This virtual support group is intended for parents of babies 0-5 months of age. The Newborn phase is a time of great change in the life of a family. Whether this is your first child, or a beautiful addition to your family, this is an amazing and challenging experience! Come talk with an experienced Nurse Midwife, and mother, and other parents about sleep, feeding, and how to thrive, not just survive, in the 4th Trimester and beyond! Open to community regardless of birthplace.

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate Funded by: Dominican Hospital

Wed 10-11:30 am

This virtual support group is intended for parents of babies 5-12 months of age. Now your baby is no longer a newborn, and is moving in the exciting direction of sitting up, starting solids, and so much more. Join an experienced Nurse Midwife and other parents in support of each other and our growing babies. All topics are welcome, including returning to work, sleep training, baby weaning, and much more! Open to the community regardless of birthplace or Pediatric affiliation.

Facilitator: Journey Talkovic, CNM, WHNP Funded by: Dominican Hospital Fee: No charge to participate, prior registration is required

Tue 12–1:30pm

Second Tuesday of month 3-4 pm To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099. Register at least two days prior to the class.

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NONPROFIT ORG U.S. POSTAGE

PAID SANTA CRUZ PERMIT 44

1555 Soquel Drive Santa Cruz, CA 95065 Contact Us: call 831.462.7712 or visit supportdominican.org

Dignity Health Wellness Center — 21340 E. Cliff Drive, Santa Cruz, CA 95062 also pictured on front cover

Dominican Hospital's PEP Catalog Inside!

Learn more and register for classes at dignityhealth.org/Dominican/PEP or call 831.457.7099.

PEP offers something for everyone in our community: • Mind/Body Training • Health and Wellness Classes • Exercise and Fitness • Aquatic Rehabilitation Programs • Improving Neurological Function • Back and Neck Program • Total Joint Care • Cardiac Risk Reduction • Nutrition Counseling • Childbirth and Parenting • Support Groups

21340 E. Cliff Drive, Santa Cruz, CA 95062 5 2 | FOCUS ON WELLNESS

• Katz Cancer Resource Center Support Groups