Focus on Wellness Winter/Spring 2023

Focus Wellness on

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

WINTER/SPRING 2023

PEP CATALOG INSIDE!

Get Involved!

Contact us to learn how you can impact patient care!

PAGE 35

FOCUS ON WELLNESS | 1

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Winter/Spring 2023 Volume 5, Issue 2

CONTENTS

5

8 DOMINICAN HOSPITAL FOUNDATION NEWS

MEDICAL FITNESS & WELLNESS

4 | Letter to the Community

22 | Events Calendar

5 | Tribute to Sister Julie Hyer, OP

24 | Therapy Corner

8 | Innovative Technology

28 | P ulmonary Embolism​​ Awareness

10 | Women's Health 14 | Grateful Patient 18 | Sponsor Spotlight

34 | Mindfulness PEP CATALOG 35 | Health & Wellness Courses

On the cover: Journee Lane Soares was born on August 14th at Dominican Hospital in Santa Cruz, just two days after her mother, Dona Soares’ birthday. Dona gave birth to Journee at the very same place she was born 32 years earlier where she now works as a Patient Care Technician. Dona cuddles Journee in our Dr. Joseph T. Anzalone Newborn Care Courtyard, next to the Celebrating Birth's donor wall on which Dona is honored. Dona’s parents, Tari Schwarz and Lauren Smith were also employees at Dominican for more than 30 years, where they worked as the Post Acute Manager in Care Coordination and the Chief Engineer of the hospital. Making the cover of the Dominigram magazine in the fall of 1990, we can see Tari holding the newly born Dona.

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Published by: Stephanie Lutz Publishing, LLC Proofreader: Josie Cowden

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LETTER TO THE COMMUNITY

BY ALLISON NIDAY

Dear Community Members, Happy Holidays to you and your loved ones!

As this year comes to an end, we must first pay tribute to Sister Julie Hyer, OP, who passed away this summer. As the tenth and final Adrian Dominican Sister to lead Dominican Hospital, Sister Julie (June 23, 1948 – July 27, 2022) was president from 1985 to 2007.

The hospital flourished under her skilled leadership in so many ways, from expanded medical services to the integration of new equipment and technologies, elevating our community hospital to new heights of excellence. Our goal is that our ongoing partnership with you, and our community, will continue to fulfill the legacy of Sister Julie, and all of the Adrian Dominican Sisters, to continue to offer the highest level of patient care and services here at Dominican Hospital.

Over the last few months, we have been happy to see a continued reduction in negative impacts of COVID-19 and its overall effect on our community. In the past months, we’ve seen many able to safely travel and see extended family. Students have safely returned to school and extracurricular activities, and, here at the Dominican Hospital Foundation, we’ve begun to safely gather, in-person, with our community of supporters.

In early Fall, former Chief Philanthropy Officer, Drew A. Gagner, MBA, became the Northern California Division Vice President of Philanthropy, overseeing eight Foundations located in our region. I’m delighted to announce that, stepping into the role of Chief Philanthropy Officer, is Anthony Pagliaro, MBA, who has been with Dominican for eight years – six with the Foundation. Join us in working with him to continue to further our mission to support the hospital in providing excellent medical support to our community.

In this issue of FOCUS on Wellness you’ll find the full PEP Program schedule, located at the new Wellness Center in Live Oak. You’ll also see some photos of events held at the new Center, and if you have not had the chance to visit, it’s a must see. I hope you enjoy this issue of FOW as you read about the new CT Precision Imaging Campaign, grateful patient stories, honor our Partners for Patient Care, and take advantage of the educational and wellness opportunities like the Therapy Corner.

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 Juan Rodriguez, MD Pam Santacroce Jamie Smith Jerry Souza, RN Rodney Terra, Jr.

Anthony Pagliaro, MBA, Chief Philanthropy Officer

Alexandra Van Zanen, Philanthropy Manager

Samantha Polizzi, Philanthropy Manager

Guinevere Espinoza-Krebs, Annual Giving Coordinator

With Gratitude,

Allison Niday President, Dominican Hospital Foundation

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STAY CONNECTED:

@DOMINICANHOSPITALFOUNDATION #DOMINICANHOSPITALFOUNDATION

A TRIBUTE

Sister Julie Hyer, OP June 23, 1948 – July 27, 2022

With Gratitude and Appreciation

S

ister Julie Hyer, OP, led the hospital for 22 years with great foresight and purpose while always viewing the work of all involved in the hospital as a ministry.

As the tenth and final Adrian Dominican Sister to lead Dominican Hospital, Sister Julie was President of Dominican Hospital from 1985 to 2007. The hospital flourished under her skilled leadership in countless ways, including expanding numerous medical services that brought the medical center to new heights of excellence.

During Sister Julie’s tenure and oversight, Dominican opened the level III neonatal intensive care unit (NICU), opened its first cardiac catheterization laboratory in 1988, welcomed the openheart surgery program in 1990, and brought the first MRI to the community. Sister Julie oversaw the purchase and transformation of the Dominican Rehabilitation Services and developed innovative programs there, including the Acute Rehabilitation Unit (ARU) and pediatric outpatient clinic.

Sister Julie Hyer, OP, directed significant growth and development in vital patient care services at the hospital for two decades. Dominican’s imaging services will be named in Sister Julie’s honor to memorialize her distinguished service. The hospital’s comprehensive imaging services encompass breast imaging, ultrasounds, MRI (magnetic resource imaging), PET (positron emission tomography), x-ray and fluoroscopy, nuclear medicine, and interventional radiology.

And, soon, outstanding leading-edge CT scanners, learn more on pg. 8.

She also spearheaded the building of Dominican Oaks and expanded the hospital’s emergency department to its current location.

Over the years, Sister Julie also guided Dominican Hospital in joining Catholic Healthcare West, the predecessor to Dignity Health and now CommonSpirit Health.

Following her retirement from Dominican Hospital 15 years ago, Sister Julie Hyer, OP, remained active on various boards and committees with the Diocese of Monterey.

Following her years of service at Dominican Hospital, she served on the Dignity Health Board of Directors and several Dignity Health system committees and was a leader of Salud Para La Gente in Watsonville.

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INNOVATIVE TECHNOLOGY

“

State-of-the-art CT scanners will aid our medical staff in accelerating clinical decisions while further improving patient quality of care. Using the latest technology in simultaneous imaging of blood, bone, and soft tissue will enhance our capabilities in diagnosing trauma and pain, as well as early detections of cancer and stroke.

”

–Nanette Mickiewicz, MD, President/CEO, Dominican Hospital

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CT Precision Imaging Campaign

D

ominican Hospital Foundation is excited to enhance patient care with the launch of our CT Precision Imaging Campaign to acquire two new CT (computerized tomography) scanners for Dominican Hospital. This fundraising campaign will bring the most advanced CT scanner technology to Dominican Hospital and honor Sister Julie Hyer, OP, the hospital’s past president.

The CT Precision Imaging Campaign will help fund two Siemens Somatom Definition Edge 128-slice computerized tomography (CT) scanners. Two new machines will support patient care daily through multi-purpose utilization across the hospital departments.

“As the most heavily used imaging technology in community hospital settings, and the case here at Dominican, CT scans are a fundamental tool in a patient's care plan,” explains Dr. Nanette Mickiewicz, MD. “As the need increases within our services, we request the support of our generous benefactors and donor community.”

Dominican Hospital performs approximately 64 CT scans per day for both in- and out-patient needs, across departments including emergency, cardiology, oncology and other critical care areas. Patients who come to Dominican with serious, complex, or rare health challenges benefit from advanced technology and exceptional care.

“Sister Julie was devoted to addressing the changing health care needs of the community,” explains Dr. Mickiewicz. “She was a forward-thinking champion of modern technology, ensuring our patients had access to the latest advances in health care technology which continue to improve each year. CT scanning is the centerpiece of diagnostic services at Dominican Hospital, a fitting tribute to Sister Julie’s relentless pursuit of improved health outcomes.”

$4.3M Philanthropic Goal To make this vision a reality, $4.3 million in funding is necessary. To date, $3.3 million is secured through a $1.5 million investment from CommonSpirit Health and $1.8 million allocated funds from Dominican Hospital Foundation.

High-quality CT Imaging is Essential to Patient Care Diagnostic imaging can be crucial to a patient’s care plan as it helps determine the type of trauma and the precise location in a noninvasive and timely manner. New CT

scanners will advance the hospital’s capability to diagnose disease and injury, plan medical treatment and provide improved image quality with lower doses of radiation more quickly. This will enable clinicians to continue to expand clinical capabilities for cardiology and vascular disease, improve emergency medicine through process optimization, and advance treatment of cancer with greater access to precise imaging.

Whether diagnosing abnormalities, such as tumors or blood vessels, giving a clear picture of an area before surgery, or guiding doctors on where to take biopsy tissue samples, access to modern CT imagery is a critically important technology for patient care. Diagnostic imaging with CT has become a crucial part of the care plan for many patients, particularly in the specialties of emergency, surgical, and cancer medicine.

Make a Year-End Gift to Our CT Precision Imaging Campaign Today We can accomplish remarkable things, together, with generous donors like you, who value health care close to home.

Please give today.

To learn more about the CT Precsion Imaging Campaign please visit supportdominican.org/imaging-campaign.

Please contact the Dominican Hospital Foundation at 831.462.7712.

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WOMEN'S HEALTH

Caring For Your Heart

T

oday, heart disease has become the leading cause of death for women in the United States, responsible for about one in four deaths among women. Stroke is the number four cause of death in women and kills more women than men. In fact, one in five women will have a stroke.

That is why Dominican Hospital is committed to providing the latest advances in heart and stroke care for women right here in Santa Cruz County. Our highly trained staff includes a rapid-response team, emergency physicians, and experienced nurses to offer heart and stroke patients the critical care they need. From innovative diagnostics to the latest in rehabilitation techniques, we offer the most advanced and efficient services available.

Creating awareness is also important since studies show too few women realize the danger of heart disease.

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Less than 50 percent of women recognize the risks of heart attacks and strokes.

Supported by the Dominican Hospital Foundation, the Women of Wellness Council (WoW) voted this past spring to support our “Women Have Strokes Too” program. Now we can help educate women on how to recognize female-patten heart disease studies show women differ from men in the structure of their hearts, the types of heart problems they have, and even the risk factors for heart disease they carry.

We invite you to join the campaign for women’s health and help us fund additional vital women’s health programs and services - that need our group’s support. Our council members take immense pride in helping support and expand women’s health services, acting as advocates for specialized health care for women and children close to home.

We ensure that 100 percent of all donations fund modern technologies and programs that our members vote on each year. WoW has raised close to $300,000 in membership dues and private support to fund many lifesaving health care initiatives.

With your membership, you will learn more about women’s health, and serve as a community leader keeping Dominican Hospital at the forefront of excellence for all the patients we serve.

The WoW Council gathered at the new Dignity Health Wellness Center this past August to celebrate their accomplishments over the last few years and hear project updates from funding recipients.

2022 WOW COUNCIL FUNDED PROJECTS ⊲ $10,750 - Innovation and

⊲ $2,550 + $6,000 additional member

⊲ $25,221 - Knowledge Center

⊲ $28,050 - Dominican Employee

Integration of Simulation Training (Emergency Department - Education)

(Clinical Informatics/Nursing Education)

contribution - Perinatal Pelvic Floor Health Program (Community Health Education)

Resiliency Coping Program (Community Health Education)

⊲ $5,579 - Women Have Strokes Too (Cardiovascular Services)

Join the 80+ women on the WoW Council, chaired by Toby Alexander and Anissa Novak.

If you have any questions, contact Alexandra at 831.462.7712 or Alexandra.VanZanen@DignityHealth.org and visit us online at supportdominican.org/women-of-wellness-council.

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GRATEFUL PATIENT

Chris and Alison Olsen, joined by their twin boys Ben and Sam.

Sharing of Gratitude to the Life-Saving Treatment at Dominican

T

he journey to good health can feature life-saving moments. Alison Olsen, a 35-year-old Santa Cruz mom, was finally on her road to good health. She had suffered from severe pelvic pain for years and was happy to be home, recovering from surgery at Dominican Hospital. Alison had endured a total robotic hysterectomy required to treat endometriosis, a painful disorder in which scar tissue grows

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outside the uterus. Alison’s surgery was a success, performed

by Sienna Titen, MD, a surgical obstetrician specializing in robotics, who was instrumental in diagnosing her pelvic pain and guiding her through surgery to better health.

Alison and her husband, Chris, had good reasons for her to be healthy. Waiting at home were Ben and Sam, their two recently adopted one-year-old twin boys.

“

I want to thank everyone for what you do each and every day, year after year to make Dominican the place it is - where nearly all staff are overflowing with compassion for their patients, and where clinical excellence drives life-saving outcomes. Each and every day of the last 7 ½ years that I have come to work, I have been in awe of the dedication and expertise of the individuals I get to work with.

- Alison Olsen

Three days into her recovery from surgery, Alison was preparing for a walk and suddenly felt dizzy.

She had shortness of breath, and her heart was pounding with knife-like pain in her chest and head.

An ambulance was called to rush Alison back to Dominican Hospital. In the Emergency Department, an ultrasound revealed a blood clot in her leg, not an uncommon complication after major surgery. In Alison’s case, the blood clot that formed in her thigh during her healing from surgery broke off and lodged in her lungs.

Each year, two million Americans experience deep vein thrombosis. The condition arises when a clot develops in a vein surrounded by dense connective tissue, typically in the arms or legs, and begins to block blood flow. About a third of the time, a piece of the clot breaks off and travels to the lungs, becoming a pulmonary embolism (PE) that interferes with breathing or causes worse problems. In this country, pulmonary embolisms kill about 60,000 people a year.

Alison was now under the care of the Pulmonary Embolism Response Team at Dominican, the first in the Monterey Bay region. Only three days after major surgery, Alison could not receive standard blood clot treatment for blood thinners. She spent the night under observation in the intensive care unit. With signs of cardiac decline, Juan Rodriguez, MD, an

”

interventional radiologist, was called to utilize new technology to remove the clot from Alison’s body.

Alison benefitted from a new treatment called the FlowTriever Retrieval/Aspiration System, which can quickly resolve a pulmonary embolism and reduce the risks of side effects with traditional therapies. If a large clot stays in place, the heart must work extra hard to push blood to the lungs.

That can strain the heart and may even cause it to stop working. Tests showed that Allison’s heart was under strain, and her clot needed to be addressed immediately.

The FlowTriever system quickly removes even large clots. A catheter, a thin, flexible tube, is navigated through a large vein in the groin, up to the heart, and into the pulmonary arteries. With the catheter in position, clots are removed by suction into a syringe. The treatment mechanically removes clots more immediately than medication, though medication may also be used. FlowTriever treatment spares patients large doses of thrombolytic medicines, which may lengthen the time spent in the intensive care unit and increase the risk of bleeding.

Alison and her family have expressed gratitude for the fast-acting PE Response Team and acknowledge the lifesaving care she received at Dominican Hospital. A return to good health lets everyone focus on doing what they love.

Share your gratitude.

There are many ways to say thank you to those who care for us at Dominican Hospital.

Contact the Foundation at 831.462.7712 to learn how you can impact the care received for future patients.

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Wonderful ways to give back!

Do you work for a ‘‘Match-Maker’’?

Find out if your employer will double or even triple your donation! Many companies offer a matching gift program to encourage philanthropy among their employees, spouses, and retirees. Look into your company’s matching gift program to double your impact today!

Support us when you shop this holiday season and year-round!

Buy your gifts and everyday essentials at smile.amazon.com and select our organization: Dominican Hospital Foundation.

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SPONSOR SPOTLIGHT

An Opportunity to Give Back

G

rowing up in Mexico, Manuel Mercado, learned the value of hard work and the importance of giving back. He came to the United States at age 18, harvesting strawberries in the fields of Watsonville. After several years, he was introduced to Delores Medina, who he would later marry and build a life together in Watsonville.

From harvester to tractor driver, to crew leader and ranch manager, Manuel worked his way up the ranks for 14 years. He was then given the opportunity to become a co-owner with Tom Driscoll, a shareholder and independent grower for Driscoll’s. “If you have good fields and take care of your people, those are basically what you need to be successful,” says Manuel. Twenty-one years later, Manuel

continues to dedicate himself to those basics under his own growing operations at River Valley Farms.

In 2021, Manuel joined the Board of Directors at Dominican Hospital Foundation, to support the healthcare needs of farmworkers.

“I am incredibly proud to be part of the Foundation’s work to bring direct mobile clinic outreach with high-quality healthcare directly to our farmworker community.” The Foundation’s efforts to promote health services in the South County led Manuel to become a direct sponsor. “I wanted my three children, and especially my youngest son, Gabriel, to see that whatever you can do to help your community, it’s well worth it, no matter what you are able to contribute. Whatever we can do, we need to offer that back.”

The annual Partnership for Patient Care program recognizes sponsors year-round who give at levels of $10,000 or $30,000+. For sponsorship information, contact Alexandra Van Zanen at 831.462.7712 or visit supportdominican.org/partnership-for-patient-care.

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Partner With Us. Partnership for Patient Care Presenting Sponsors

Hope Sponsors

Trust Sponsors Pam Santacroce In Honor of Nello Santacroce

Kindness Sponsors 1st Capital Bank Steve’s 76 Sturdy Oil Company The Wedeen Hammer Group at Morgan Stanley James C. Thompson Vituity

Call us at 831.462.7712 or visit supportdominican.org

Sponsorship Levels Presenting $30,000+ Hope $10,000 – $29,999 Trust $5,000 – $9,999 Kindness $2,500 – $4,999 FOCUS ON WELLNESS | 1 9

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Community Education & Health Screening

Events Calendar January ⊲F irst Step in Weight Loss • The physical, emotional and health benefits of weight loss can put life on a whole new path. Take that first step: join us for a virtual seminar to meet the Dominican Bariatrics team and have your questions answered.

• Dr. Paul Nguyen, DO will discuss surgical options • Melissa Devera, registered dietitian, will discuss healthy eating habits • Virtual event hosted via Zoom Thursday, January 26, 2022 5:30 - 6:30 p.m.

February

⊲ Happy Heart Month!

• Learn from local experts on how to reduce your risk factors for diabetes, stroke, heart and peripheral artery disease.

• Understand what you can do through diet and exercise to take control.

• Learn how to integrate mindfulness into your daily habits to help reduce stress.

March ⊲C olon Cancer prevention and detection

• Get home tests to detect for cancers that you can mail • Learn from experts about the latest understanding of detection and treatments.

• Hear from our wellness experts on what you can do to reduce your risks.

May

⊲ Managing Menopause • Understand the changes that occur and what steps you can take to manage your symptoms while reducing your risks for associated problems.

Available Monthly

⊲ Health Screening Appointments • Are you trying to manage your blood pressure, blood sugar or cholesterol? If so these free monthly appointments can help you take charge of your health.

• Administered by our Lifestyle Management Clinical Team, you will get the advice you need to understand the results and know the next steps.

• Please call to make an appointment.

Join us at these FREE educational and health screening events to ensure you have the most up to-date information to live your healthiest life. Local experts are scheduled to present health care information while offering you clinical screenings and further resources both virtually and in-person.

More details will be provided on our website as we get closer to the event. Dates and times may change based on availability of our experts. Please check our website for updates and to register at: dignityhealth.org/dominican/pep 2 2 | FOCUS ON WELLNESS

13th Annual She.Is.Beautiful Santa Cruz SATURDAY, MARCH 18, 2023 Presented by Dignity Health, this event welcomes all levels of participants (5K or 10K) from those running or walking their first 5K, to those bringing a stroller or their girlfriends, and to those racing for prize money. The energy is incredible and fun, the vibe is positive, and you'll walk away feeling inspired. The local benefiting charity of this event is Walnut Avenue Family & Women’s Center.

Learn more at runsheisbeautiful.com or follow @runsheisbeautiful.

REGISTER NOW

25th Annual Symposium PRESENTS A LIVE IN-PERSON EVENT

Friday, March 10, 2023 from 8:30am – 4:00pm Cocoanut Grove, Santa Cruz, CA

Youth Suicide: Updates on Risk & Prevention, Recovery & Resilience For more information please visit calcianoyouthsymposium.org FOCUS ON WELLNESS | 2 3

THERAPY CORNER

Exercise Rx

I

f you could package exercise in a pill, it would be the most powerful medication in the world. Exercise helps primary risk factors for heart disease, such as: • • • •

Lowering blood pressure Improving your cholesterol Reducing depression Lowering the risk of type II diabetes

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Exercise helps you manage stress and is a key component in maintaining a healthy weight. There are many immediate benefits as well. For example, a single bout of moderate-to-vigorous activity can: • Improve sleep quality • Reduce feelings of anxiety • Lower blood sugar levels • Increase your metabolism

According to Jennifer Spurlock, MA, EP, Cardiac Quality Coordinator, Cardiac Cath/Cardiovascular Services at Dominican Hospital, studies have shown that regular exercise may also help curb cravings for nicotine and alcohol, help maintain youthful skin, and even boost libido.

So if exercise is medicine, what’s the prescription?

exercise. For those who are wanting to pursue the optimal health benefits of exercise, there does appear to be a realistic “sweet spot.”

n Exercise Rx: “Sweet Spot” ⊲ 1 50 min. per week of moderate-intensity aerobic physical activity (example: 30 min., 5x/week)

First, just going from nothing to something is powerful. An article published in the New York Times last year shared results from a large-scale study conducted in the UK. Researchers found that just moving from the “least-active group” to the “not-quiteas-inactive group” dropped the risk of heart disease by almost 30 percent. And they found no upper limit to the benefits.

n First things first.

Check with your doctor before starting any exercise program or if you have any heart issues, diabetes, high blood pressure, or arthritis. If at any point you feel symptoms such as pain or discomfort in your chest, arm, jaw, shoulder, or feel dizzy or faint during exercise - stop and contact your doctor.

n Start with small steps.

Try going for a 10-20 min. walk 3x/week. Then work on gradually increasing your exercise duration and frequency. Progress slowly, allowing your joints and muscles time to adapt. If you cannot walk or have knee or hip problems, consider cycling, stationary bike, elliptical, seated step machines, and/or water

⊲ Or, 75 min. per week of vigorous-intensity aerobic physical activity - if you are cleared by your doctor to perform vigorous or strenuous activities (example: 25 min, 3x/week) ⊲ Moderate-intensity exercise tends to be safe for most people. However, please contact your doctor if you are unsure on the level of exercise intensity just right for you.

⊲ C omplement with resistance exercise and/or

balance exercises 2-3x/week with at least one rest day in between bouts. Resistance training is extremely beneficial, especially as we age and lose muscle mass. Examples are: hand weights, weight machines, bands, and floor exercises resisting your own body weight.

⊲ W arm up (5-10 min.), and cool down (5-10 min.)

before and after your exercise routine, followed by some stretching. Stretching is best performed after aerobic exercise when your muscles are warm and can prevent injury and soreness.

Based on the American College of Cardiology and the American Heart Association’s recommendations for the prevention of heart disease.

Dominican Hospital has many resources and exercise professionals available to assist you with the specific exercise program that is best for you. Check out the Lifestyle Management programs which include cardiac rehab and medical fitness or the PEP exercise classes held at the Dignity Health Wellness Center. Group classes such as these are a great option especially if you have health issues or if you simply need help with motivation. See page 47

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PULMONARY EMBOLISM AWARENESS

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Clot Warriors

P

Pulmonary embolism (PE) is the third-leading cause of cardiovascular death (following heart attack and stroke) in the United States, with an annual mortality of approximately 100,000 people per year.1 Acute pulmonary embolism is a medical emergency and should be addressed immediately by your doctor or local emergency department.

A pulmonary embolism is caused when a blood clot breaks free in the deep veins of the body and travels through the venous system to become lodged in the pulmonary arteries. The blockage of blood flow results in significant strain on the right ventricle of the heart and it is unable to push blood past the clot. In severe cases, heart failure may occur leading to a fatal event.

⊲ The most common symptoms of PE include: • • • • • • • • •

Sudden shortness of breath Chest pain, usually worse with breathing A feeling of anxiety A feeling of dizziness, lightheadedness, or fainting Irregular heartbeat Palpitations or heart racing Sweating Low blood pressure Coughing up blood

⊲ Risk factors for PE include: • • • • • • •

• • • • •

Genetic conditions that increase the risk of blood clot formation A family history of blood clotting disorders Surgery or injury (especially to the legs) Situations in which mobility is limited, such as extended bed rest, flying or riding long distances, or paralysis Previous history of clots Cancer and cancer therapy Certain medical conditions, such as heart failure, chronic obstructive pulmonary disease (COPD), high blood pressure, stroke, and inflammatory bowel disease Certain medicines, such birth control pills and estrogen replacement therapy During and after pregnancy, including after cesarean section Obesity Enlarged veins in the legs (varicose veins) Cigarette smoking

1 Wendelboe AM, Raskob GE. Global Burden of Thrombosis. Circ Res. 2016; 118(9):1340-1347

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PULMONARY EMBOLISM AWARENESS

PE Prevention Because PE (pulmonary embolism) is often caused by a blood clot that originally formed in the legs, and because it is often difficult to detect a DVT (deep vein thrombosis) before problems start, the prevention of DVTs is vital for the prevention of PE.

⊲ Maintaining a healthy lifestyle can help with PE prevention, including: • Engaging in regular exercise • Maintaining a healthy weight • Eating a balanced diet • Taking medicines as prescribed • Not smoking

⊲A fter surgery the following methods are used to help prevent DVT’s: • Compression stockings that squeeze or compress the veins and prevent blood from pooling • Pneumatic compression devices which are sleeves on the legs that provide alternating pressure on the legs to keep blood moving.

• Getting up and moving as soon as possible after surgery or illness. Movement can help keep clots from forming by muscle pump action to assist with blood circulation.

• Medicine, anticoagulants and aspirin are often given to help prevent DVT. Many people remain at risk for developing DVTs for a period after they are discharged from the hospital. It is important that treatment to prevent DVTs continues until the risk has been resolved, usually about 3 to 6 months.

3 0 | FOCUS ON WELLNESS

PULMONARY EMBOLISM AWARENESS Comprehensive Treatment for Pulmonary Embolism at Dominican Hospital Dominican is the first hospital in the Monterey Bay area to create a Pulmonary Embolism Response Team (PERT)—a multidisciplinary team equipped to make complex and time-sensitive decisions regarding treatment of PE. This team comprises emergency medicine, pulmonary/ critical care medicine, interventional radiology, cardiology and cardiothoracic surgery in offering additional strategies to treat and resolve acute PE. Treatment for pulmonary embolism include anti-coagulation (blood thinners) but patients that exhibit symptoms such as blood pressure instability and require supplemental oxygen to maintain adequate blood oxygen levels may be at high risk for death and may benefit from the additional therapies available at Dominican Hospital.

These additional therapies include catheter-directed therapy (blood thinner is delivered directly to the blood clot in the lung), mechanical thrombectomy (the clot is removed from the pulmonary artery directly via catheter inserted into a peripheral blood vessel), surgical embolectomy (clot is removed in surgery) and extracorporeal membrane oxygenation (ECMO) where blood is circulated through an external oxygenation device while the PE is treated.

“These therapy advancements would not be possible without strong collaboration among our emergency, radiology, intensive care and cardiothoracic surgical teams here at Dominican,” comments Juan Rodriguez, MD, Medical Director of Interventional Radiology. “We’ve seen tremendous positive outcomes for many patients with very severe cases of PE.”

Chris and Alison Olsen, joined by their twin boys Ben and Sam.

Alison’s Story As you have read on pg. 14, Alison Olsen experienced a PE post-surgery and subsequent life-saving treatment. She also shares her experience of the symptoms to be aware of.

“The discomfort and pain that I was in can only be described as torturous. While recovering from surgery, the pulmonary embolism caused extreme chest pain and I had a searing headache causing me to be rushed to the emergency department and hospitalized. I was extremely anxious, and just wanted to get home to my twin two-year old sons.

Unfortunately, because my body was receiving so little oxygen, my heart needed to keep up its increased activity, and I could not take anything to help me calm down and sleep. I was so weak that I was rendered breathless just by lifting up my cell phone in one hand to try to text my husband updates. I had been under observation for 24 hours to then be taken to Interventional Radiology for the thrombectomy.of my saddle pulmonary embolism.

The relief was immediate and there may be no better sensation than the absence of pain. I am very grateful for Dr. Juan Rodriguez and the PERT team, and I want to thank you for helping me. I know that your work takes years of dedication, education, and training. Thank you for your commitment to your specialty, to our hospital, to our community, and to me as your patient."—Alison Olsen

FOCUS ON WELLNESS | 3 1

MINDFULNESS

Stroke Prevention

O

n a sunny Sunday afternoon Molly was walking on West Cliff with her friend. All of a sudden her left arm and left side of her face go numb, and she is unable to lift her left arm. Her friend, Rosa, calls EMS and she is transported to Dominican Hospital.

This is fortunate for Molly as she suffered from a stroke, in particular a large vessel occlusion. Stroke is the leading cause of long term disability. Thus, getting Molly to the hospital in a timely fashion is crucial. Both Molly and Rosa are fictional characters, but this is a potential scenario of an emergency resulting in a stroke.

3 2 | FOCUS ON WELLNESS

Luckily, Dominican Hospital is a Primary Stroke Center (PSC). This means that we can treat Molly and others that present with advanced therapy if they come in a timely manner. The advanced therapy available here at Dominican is tissue plasminogen activator (tPA) when administered quickly after stroke onset can help restore blood flow to the brain regions affected by a stroke, thereby limiting the risk of damage and functional impairment.

Although Dominican is a PSC, the best option, as with most health issues, is prevention. Stroke prevention can be categorized broadly as physical and mental.

Physical

A great way to protect yourself against stroke is by protecting your cardiovascular health. Stroke prevention can be summed up with the American Heart Association's “Simple 7”, which includes seven risk factors for improvement of an individual's cardiovascular health.

“Simple 7” Lifestyle Changes • Don’t smoke cigarettes or use other tobacco products • Reach and maintain a healthy body weight (body mass index < 25/kg/m2) • Get at least 150 minutes of moderate-to-intense physical activity or 75 minutes of vigorous-intensity activity (or a combination) each week • Eat a healthy diet consistent with the American Heart Association • Get your cholesterol checked and talk to your doctor about your number and they impact your health • Keep your blood pressure below 120/80 • Keep your fasting blood sugar < 100 mg/dl

Mental

The mental aspect of stroke prevention is addressing the psychological stress of stroke. According to the American Institute of Stress, the current stress level experienced by Americans is 20 percentage points higher than the global average. Unfortunately, in the past few years, there have been increased levels of stress due to COVID-19 pandemic.

In evidence-based research, mindfulness-based interventions are showing promise to help with psychological, psychosocial, and physical limitations of strokes. By creating a routine of mindfulness practices, you can help to reduce stress and how you cope with stressful situations.

Mindfulness Practices • • • •

Meditation Walking Deep breathing Gentle yoga or other exercises

Developing a mindfulness practice is advantageous if you have had a stroke and/or for prevention. For our friend, Molly, such a technique would help her remain calmer and more balanced as she is transported to Dominican Hospital compared to if she did not have such practices.

Adopting both physical and mental activities can help greatly with stroke prevention.

Dominican hospital offers a variety of options for both the physical and mental stroke prevention. Including many PEP exercise classes; yoga for stress, Tai Chi, and Mindfulness Stress Reduction Program. Starting with just one from each category can help you along the pathway and start the journey without making the new habit too cumbersome!

FOCUS ON WELLNESS | 3 3

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

3 4 | FOCUS ON WELLNESS

@DominicanHospitalFoundation #DominicanHospitalFoundation

JANUARY – JUNE

2023 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....................... 36-37 | Exercise & Fitness Medical Fitness....... 37-39 | Exercise & Fitness Mind-Body...........40-41 | Exercise & Fitness Aquatic................... 42 | Childbirth & Parenting................ 43–45 | Cancer Resources..................... 46–47 | Lifestyle Management....................... 48 | Support Groups................................ 49 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: • January 1–8 Winter Holidays • February 18–20 Presidents Day • April 1–9 Spring Break • May 27–29 Memorial Day 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 5

Health and Wellness

PRESIDENT'S NOTE: PEP

Healthy Nutrition for Living Well-series

Reducing Inflammation with Diet

IN-PERSON & VIRTUAL-LIVE

VIRTUAL-LIVE

Join a Dignity Health registered dietitian for a series of informative talks to improve your diet and lifestyle.

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

• Unhealthy Eating-Breaking the Cycle-4/25 • ABC's of Mindful Eating-1/31; 5/30 • Emotional Eating and Stress- 2/28; 6/27 • Plant-Based Flexitarian Eating-3/28 Instructor: Melissa DeVera, RD, CWC, CLT Class Fee: Registration required-no fee to participate

BY NANETTE MICKIEWICZ, MD

Dear Community Members,

W

e are pleased to be able to offer a diverse and varied selection of both indoor and outdoor classes at the Dignity Health 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) 4577099 if you have any questions.

We hope to see you soon at the Wellness Center!

Nanette Mickiewicz, MD President/CEO Dominican Hospital 3 6 | PEP CATALOG

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

Tue 2/7 Wed 3/8 Mon 4/10, 12-1 pm

Tue 4-5 pm

Mindful Listening for Better Communication 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 learningby-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

Connecting With Mindfulness IN-PERSON 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: $120

Instructor: Meg Corman, MHSA Class fee: $50

Wed 3/8-3/29, 6-8 pm

Tue 4/18, 1:30-4:30 pm

SoulCollage ®Creative Fun and New Insights

Building Resilience: Creating your personal plan to thrive IN-PERSON This class will focus on providing tools and science based techniques to build resiliency, find joy and manage stress. Each class will focus on a particular topic and offer practical methods that have proven effective in building mental, emotional, physical and spiritual resourcefulness. Learn how to become more flexible, adaptable, innovative and skills in handling adversity, transition and stress.

Participants will practice and engage in thoughtful, experiential learning experiences and have a chance to create their own resiliency plan moving forward. 4 sessions Instructor: Jen Karno, Certified Integrated Wellness Coach; Team Building Facilitator Class Fee: $50

Thu 3:30-4:30 pm

IN-PERSON SoulCollage® is a fun practice of selfdiscovery. In SoulCollage® we use images from magazines to collage the many different parts of our unique personalities.

SoulCollage® is an artistic and expressive format to gain access into our souls. It is simple, yet sophisticated. It is healing, it is fascinating, it is creative, and it is Fun. SoulCollage® requires no artistic background and it is not considered a form of therapy. An important aspect of SoulCollage® is to bring people together-into community-to share with each other the discoveries we learn from the SoulCollage ® cards that we make in our workshop.1 session Instructor: Melinda Martindale; LCSW Class Fee: $25

Sat 2/11; 3/11; 5/13, 11am-12:30pm

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

Medicare 101 VIRTUAL-LIVE 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: • 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 nonprofit organization. Class may be repeated. 1 session Instructor: Pamela King & William Proudfoot Class fee: No charge to participate

1/12; 2/23; 3/23; 4/13: 5/11; 6/8 6:30–8:30 pm

Freedom from Smoking IN-PERSON 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.

Instructor: Dominican Hospital Respiratory Therapists Class fee: $85 Fee waived for Medi-cal patients

Wed 1/18-3/1 Fri 2/10; 2-3:30 pm Wed 4/12-5/24 Fri 5/5; 2-3:30 pm

Exercise & Fitness

Sheng Zhen: Heaven Nature Heart Contemplation

Medical Fitness

IN-PERSON & VIRTUAL-LIVE Sheng Zhen Meditation is a heart opening, healing practice of unconditional love. It strengthens the body, improves circulation, increases flexibility and fortifies the immune system. It relaxes the mind, balances the emotions, reduces stress, anger and anxiety.

It opens the heart, cultivates compassion, joy, and an understanding of oneself and the world. The forms are accessible to all ages and all abilities, and are both moving and non-moving, opening the heart to the tangible and accessible experience of unconditional love. Participant can sit or stand during class. 9 sessions

Gentle Conditioning for Your Back and Neck IN-PERSON

Mon 4/17-6/19

Gentle group exercises designed to improve mobility and strength in a safe pain free manner for people who may have neck and back discomfort or limitations. Exercises are fun and safe and any precautions by your MD need to be given to instructor. Class includes education on safe use of your body during everyday activities, relaxation training and other helpful tips. Participants must be able to walk 100 ft. independently with or without as assistive device. 4 sessions

Sheng Zhen Healing Stage II

Instructor: Dominican Therapy Team Class fee: $40

IN-PERSON & VIRTUAL-LIVE

Tue 1-1:50 pm

Instructor: Kathy Welch, Certified Sheng Zhen Teacher Class Fee:$90

Sheng Zhen Meditation is a heart opening, healing practice of unconditional love. It strengthens the body, improves circulation, increases flexibility and fortifies the immune system. It relaxes the mind, balances the emotions, reduces stress, anger and anxiety.

It opens the heart, cultivates compassion, joy and an understanding of oneself and the world. The forms are accessible to all ages and all abilites, and are both moving and non-moving, opening the heart to the tangible and accessible experience of unconditional love. Sheng Zhen Healing Stage II is practiced sitting in a chair and has 10 movements. 9 sessions

Gentle Conditioning for Your Back and Neck-Phase II IN-PERSON Once you have completed the Gentle Conditioning for Your Back and Neck series we encourage you to continue your exercises in this part two program to strengthen, stretch, use appropriate posture and technique, while providing a positive place to safely exercise in a group setting.

Participants must be able to walk 100 ft. independently with or without an assistive device. 7-11 sessions

Instructor: Kathy Welch, Sheng Zhen Certified Teacher Class Fee: $90

Instructor: Dominican Therapy Team Class fee: $70-110

Mon 1/9-3/2

Mon 5:30-6:20 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 7

Exercise & Fitness / Medical Fitness

PLEASE CALL THE PEP OFFICE (831)457-7099 to speak to a Physical therapist if you need help deciding which class is best for you

Circuit and Stretch 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. 12 sessions Instructor: Dominican Therapy Team Class fee: $120

Thu 10-10:50 am

Bodyweight & Suspension Training for Healthy Movement 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. 12 sessions Instructor: Michelle "Chelle" Strade OTR/L Class fee: $150

Thu 9-9:50 am Wed 5-5:50 pm

Boxing for Balance and your Bones IN-PERSON 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. 10-11 sessions

Better Bones IN-PERSON

Balance, Bones, and StrengthAdvanced IN-PERSON

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. 12 sessions Instructor: Dominican Therapy Team Class fee: $120

Tue 11-11:50 am

Balance, Bones and Strength-Beginning IN-PERSON Practice good balance and form beginning with body weight exercises and progressing to using dumbbells for functional movements including squats, lunges, rows, and planks. Class progresses slowly to gain balance and strength in our core, backs, legs and arms, pain-free. Participants must be able to get down and up from the floor without assistance. 12 sessions Instructor: Marilyn MacKimmie, NASM Personal Trainer, Functional Aging Specialist Class fee: $120

Tue 1-1:50 pm, 2-2:50 pm Thu 1-1:50 pm, 2-2:50 pm

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. 11-12 sessions Instructor: Dominican Therapy Team Class fee: $110-120

Mon 1-1:50 pm; 2-2:50 pm Wed 1-1:50pm; 2-2:50 pm Thu 11-11:50 am

This advanced class uses dumbbells and progresses to barbells for functional movements including squats, lunges, rows, and planks. Balance is challenged using mental and physical stressors. If this sounds like fun, please come and join us!! 12 sessions Instructor: Marilyn MacKimmie, NASM Personal Trainer, Functional Aging Specialist Class fee: $108

Tue or Thu 4–5 pm

Gentle Movement and Stability IN-PERSON Group exercises designed to improve balance and aerobic capacity for people who may be fearful of falling or are looking to improve their stamina. Exercisess 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 feet independently without an assistive device.12 sessions Instructor: Korrine Fitz, Fitness Instructor Class fee: $120

Wed 1/11-3/29; 4/12-6/28; 3-3:50 pm

Joint Replacement Prep & Recovery IN-PERSON Come take care of your joints, hips, knees, shoulders, and more with proper exercise to maintain your range of motion and strength!

No matter what your plan, exercise, joint replacement, etc. this class can help give you the proper mechanics and help you maintain or regain your mobility in a pain free manner. Pre-surgery strengthening has shown improved post-surgical outcomes.

Come to prepare before and recover afterwards. We will modify the class dates for each individual person's orthopedic joint health plan. 10-11 sessions Instructor: Dominican Therapy Team Class fee: $100-110

Mon 5:30-6:30 pm

Instructor: Michelle “Chelle” Strade OTR/L Class fee: $100-110

Wed 9-9:50 am

3 8 | PEP CATALOG

If registering for a class after the start date, please call the PEP office, for an adjusted rate.

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

Parkinson's Cardio-Stretch

Parkinson’s Movement Flow

IN-PERSON

HYBRID

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. 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.

12 sessions

Instructor: Dominican Therapy Team Class fee: $108

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. 12 sessions Instructor: Dominican Therapy Team Class fee: $108

Wed 11–11:50am

Parkinson’s Movement with Ease 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.

12 sessions Instructor: Dominican Therapy Team Class fee: $108

Tue 10–10:50am

Challenge Better Movement IN-PERSON

Need help finding the right class for you? Call us at (831) 457-7099 to speak to a physical therapist today!

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: $108

Instructor: Dominican Therapy Team Class fee: $100-120

Tue or Thu 9–9:50 am

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

Build Better Movement IN-PERSON

Adaptive Gym Class 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. 10-12sessions Instructor: Dominican Therapy Team Class fee: $100-120

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

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 accomodate dropings. 10-12 sessions

Explore Better Movement

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

IN-PERSON

Mon 1-1:50 pm; 2-2:50 pm; 3-3:50 pm Tue 12-12:50 pm; 1-1:50 pm Wed 1-1:50 pm; 2-2:50 pm; 3-3:50 pm Thu 2-2:50 pm; 3-3:50 pm

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: $100-120

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

Beyond Physical Therapy: Body, Mind, Soul Tune Up IN-PERSON A non-traditional method to movementbased healing. Incorporating aspects of yoga, Pilates, meditation, and breath work with influence from traditional physical therapy. a treatment that looks at you as a whole person and treats not just the body, but mind and soul as well. 4 sessions Instructor: Shannon Escarra, DPT, Certified Yoga Teacher-200, Polestar Pilates Certified Instructor Class fee: $60

Mon 1/9-2/6; 5:30-6:30 pm

Discounts available when registering for multiple exercise classes. Contact PEP office for details.

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 / 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.

One Day Intro Class: Beginning Tai Chi & Chi Gong with Grace

Guided Relaxation Practices with Grace

IN-PERSON

IN-PERSON

Have you ever been curious about Tai Chi? Would you like to learn more? Join us for a day to learn about the philosophy and physically try this beginner Tai Chi Class. Tai chi improves balance, strength, endurance and overall well-being. This class is recommended for students who do not need assistive devices for mobility. 1 session

Have you ever been curious about Qi Gong and Guided Relaxation? Would you like to learn more? Come join us for a day to learn about the philosophy and physically try a beginner QiGong and Guided Relaxation class which supports 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 also welcome. 1 session

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $15

Mon 1/23: 2/13; 11:45am-1pm

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $15

Mon 1/23; 2/13; 10:30-11:30 am

One Day Intro Class: Qigong & 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. 3-6 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 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. 6-7 sessions

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $38-75

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

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 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. 3-6 sessions

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

Thu 12-1:15 pm

4 0 | PEP CATALOG

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $45-90

Mon 11:45am-1 pm

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

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. 6-7 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.

Chair and Standing Pilates IN-PERSON AND VIRTUAL-LIVE

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

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

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

Mon 3:30-4:20 pm

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 are needed. 8-10 sessions Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $100-125

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

Pilates with Props: Intermediate/ Advanced

Pilates: Aging with Grace and Strength (Beginning)

IN-PERSON AND VIRTUAL-LIVE

IN-PERSON

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 sessions

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. 8-10 sessions Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $100-125

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

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

Mon 4:30-5:20 pm

Beginning Essentrics: Aging Backward with Stretch and Strength

Aging Backwards with Essentrics (Intermediate) IN-PERSON Designed for those experienced with this method, this dynamic movement class will continue to explore the strengthening, lengthening and re-balancing effects of the Essentrics approach. Standing, barre and floor work are included and new choreography will be regularly introduced. If you are not familiar with this method, please check in with the instructor before registering to be sure it is the right class for you. 4-10 sessions Instructor: Susie Durant, Certified Pilates Instructor Class fee: $50-125

Wed 10-10:50 am

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. 10-11 sessions Instructor: Korrine Fitz, Certified Yoga Instructor Class fee: $125-138

Mon 11am–11:50am

Gentle Yoga Before, During and After Cancer Treatments

IN-PERSON

IN-PERSON AND VIRTUAL-LIVE

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.

4-10 sessions

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: Susie Durant, Certified Pilates Instructor Class fee: $50-125

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

Fri 11-11:50 am

Instructor: Michael Dini, Certified Yoga Instructor Fee: no fee to participate, sponsored by Katz Cancer Resource Center

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 / Aquatic Program Aquatic Exercise for Back Pain IN-PERSON Do you have back pain? The pool is a wonderful place to move more freely! Join us for a gentle class with emphasis on movement, core strength, flexibility and body mechanics training to decrease back pain.

8-9 Sessions Class fee: $72-81

Wed 10-10:50 am

Intermediate Aquatic Exercise IN-PERSON

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

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. 6-8 Sessions Class fee: $54-72

Mon 11-11:50 am

Prenatal Aquatic Exercise IN PERSON

Aquatic Exercise for People Living with Parkinson’s Disease

Advanced Aquatic Exercise IN-PERSON

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. 8-9 sessions Class fee: $72-81

Wed 10-10:50 am

Aquatic Exercise for Lymphedema IN-PERSON

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. 8-9 Sessions Class fee: $72-81

Wed 11-11:50 am

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. 6-9 sessions Class fee: $54-81

Mon 12-12:50 pm Wed 1-1:50 pm

Intermediate/Advanced Aquatic Exercise 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. 6-9 sessions Class fee: $54-81

Mon 9-9:50 am; 10-10:50 am Wed 9-9:50 am Fri 9-9:50 am

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Beginning Aquatic Rehabilitation and Exercise IN-PERSON Join us for an entry level Aquatic Class focusing on balance, strength, flexibility and gentle aerobic exercise. Please bring your caregiver in the pool if you need assistance for safety or getting dressed before or afterwards. 8-9 Sessions Class fee: $72-81

Wed 12-12:50 pm

Join the Dominican Team for a mixed level class to challenge your balance, core stability, endurance, & strength. 8-9 sessions class fee: $72-81

Fri 10-10:50 pm

Please check the PEP Website in May for Summer Aquatic Classes

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

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

Prenatal & Postpartum Yoga Circle

Baby Bootcamp

IN PERSON

IN-PERSON

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.

Mindfulness Based. 4 sessions

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: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $60

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

Instructor: Dominican Hospital Therapy Team Class fee: $30

Mon 3-3:50 pm

New Parents Support Group

Prenatal Support Group/ Connection Circle

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.

Please join us to connect and build your new parent community. Educate and empower yourself-get your questions answered live, not on the Internet! Learn about in-person and virtual Prenatal/Postpartum classes to support you and your family during this special time.

You can join the group at any time during the 1.5 hour session, the last 10 minutes are reserved for a guided Mindfulness meditation to send you off to your evening relaxed and reconnected with yourself and your baby. register online to receive the Zoom link and maintain the privacy of the participants Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate; register online to receive the Zoom link and maintain the privacy of the participants Funded by: Dominican Hospital

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: No charge to participate, prior registration is required

IN PERSON Join us for an in-person suport group designed for parents of babies 0-12 months of age. The first year of a baby's life brings lots of new family dynamics. Bring your questions about sleeping, feeding, playing and anything baby related, to the group led by an experienced mother/Lactation Consultant. Open to all parents in the community regardless of birthplace. Baby Weigh (R) scale available.

Facilitator: Dignity Health Lactation Consultant Funded by: Dominican Hospital Fee: No charge to participate, prior registration is required

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.

1 session Instructor: William White, BS Class fee: $45 per participant or couple

Tue 12-1 pm

Offered select Tue, Thu, & Sat

Online Baby Sign Language Series

NICU Graduates Developmental Play Class

VIRTUAL-LIVE

IN-PERSON

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

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 sessions

Tue 6-7 pm

New Moms Support Group

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

Instructor: William White, BS Class fee: $145. per participant or couple

Offered select Tue, Thu, & Sat

Instructor: Dominican Hospital Therapy Team Class fee: No fee to participate

Mon 1:30–2:30pm

Wed 12-1 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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Childbirth & Parenting Childbirth Express VIRTUAL-LIVE

Latch Clinic, Breastfeeding Support IN-PERSON

Join us virtually for the Express 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 pain coping techniques, such as mindfulness, sounding, etc. You will have fun, be amazed, and enjoy meeting other expectant families!

2 Sessions Instructors: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $150 for mom and support person

Sat & Sun 1–5:30pm

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

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, 10 am-noon, ; 1-3 pm

Newborn Care IN PERSON OR VIRTUAL-LIVE Join this class in-person or virtually, learn 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.

We will practice hands-on skills, including: bathing, diapering, dressing, swaddling, burping and soothing your newborn. We will touch on some key breastfeeding skills as well, but won’t be able to offer as much information in this class, as in the comprehensive Breastfeeding class, (offered separately). Important safety considerations for cribs, car seats, and other essential baby equipment will be discussed. This is a great opportunity to meet other expectant parents in a fun, interactive environment and build your new parents’ community. The instructor is Nurse Practitioner/Lactation Consultant and fellow parent. This is a fun, fast paced and practical class that both you and your support team will enjoy together. 1 Session

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 1/18; 2/15; 3/15; 4/19; 5/17; 6/21, 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: • Inspect, educate, and help families install the car seat correctly prior to discharge.

• Ensure the car seat has not been recalled by the manufacturer.

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $50 for mom and support person

• Demonstrate how to install and use the car seat.

1/21; 3/18; 5/13; 2–6pm

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

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $300/mom and support person

Thu 1/19-2/23; 3/2-4/13; 4/27-6/1; 5:30-8 pm

Dominican is officially designated as a Baby-Friendly® hospital 44 | PEP CATALOG

All classes listed above offered at the Wellness Center

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 a Video Tour of Our Family Birth Center VIEW THE VIDEO TOUR AT ⊲ dignityhealth.org/dominicanbirthcenter Take a video tour of the Dominican Hospital Family Birth Center and discover the many ways we provide comfortable, safe and secure care for mom and baby.

Perinatal Pelvic Floor Workshop IN PERSON AND VIRTUAL LIVE

Group Perinatal Pelvic Floor Class Series HYBRID

Symptoms such as incontinence, pain with sex, pubic pain, tailbone pain, diastasis recti, low back pain and prolapse can all be resolved with proper guidance. In this workshop, Jenny Putt PT, a pelvic floor physical therapist, gives an overview of what the pelvic floor is, how it works, and how it relates to your function. She encourages lots of questions and is comfortable answering all of the questions you might not feel comfortable asking most people including: questions about your whole body leading up to having a baby or after you’ve had a baby.

Bring your questions about incontinence, prolapse, hemorrhoids, painful sex and all types of pain in both pregnancy and postpartum. 1 session Instructor: Jenny Putt PT, OCS, FAFS, CMP, CFL1, Certified Sex Educator, Certified Childbirth Educator Class fee: $30

Wed 1/11; 6:30-7:45 pm Mon 2/6; 6:45-8 pm Mon 3/6 6:30-7:45 pm

Over the course of this series you will learn tricks to navigate pregnancy, labor, and/or postpartum with the confidence an unprecedented understanding of your body. This class will be a very comfortable and safe space for participants to take steps toward where they would like to be.

If you are trying to conceive and want to prepare for pregnancy; if you are pregnant, you can optimize your body’s ability to grow and carry a baby, prepare for labor and delivery; or if you are postpartum, and experiencing prolapse, in continence, pelvic pain, this series addresses all of these topics and more. 7 sessions

The video tour provides an orientation to our Family Birth Center, and shares many of the offerings we have for our new families. You will learn about our private labor and delivery rooms, postpartum suites, commitment to breast feeding and skin-to-skin contact, and our on-site Level III NICU, which provides the most advanced maternity care in the area. The tour also provides information about our Baby Friendly registered designation as well as our pre and post-natal education and support classes.

Instructor: Jenny Putt PT, OCS, FAFS, CMP, CFL1, Certified Sex Educator, Certified Childbirth Educator Class fee: $300

WEd 1/11-2/22 6:30-7:45 pm

To register for PEP classes go to dignityhealth.org/dominican/pep or call (831) 457-7099.

Dominican is officially designated as a Baby-Friendly® hospital

PEP CATALOG | 4 5

Katz Cancer Resource Center SUPPORTIVE CARE PROGRAMS

Eating Well Through Cancer: Cancer Guidance for Patients & Families

Chemo 101 / Radiation 101 English and Spanish

IN-PERSON OR VIRTUAL-LIVE

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.

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

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

Gentle Yoga Before, During and After Cancer Treatments

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.

IN-PERSON OR VIRTUAL-LIVE

THE KATZ CANCER RESOURCE CENTER SURVIVORSHIP SEMINARS 11 AM - NOON VIA: ZOOM Guest experts present information on topics surrounding cancer survivorship.

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

Wed, January 25

Minimizing Financial Toxicity Following Diagnosis

Wig Bank– IN-PERSON

4 6 | PEP CATALOG

To register call Dignity Health Wellness Center: (831) 457-7099

Creative Expression Through Art VIRTUAL-LIVE

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.

Wed, March 8

To register call (class size is limited to 5 participants): (831) 462-7770

Navigating Work & Cancer Melissa Salamon, Staff Attorney Triage Cancer

Mindfulness & Cancer Kerry Larkey, MSN, RN

Location: Katz Cancer Resource Center

Appointment required, call (831) 462-7770.

Each Mon/Wed/Fri offered in-person and virtual-live (Zoom). Time: 12–12:50pm

Instructor: Heidi Brancatelli, LCSW Location: Zoom

Wed, May 10 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.

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

Melissa Salamon, Staff Attorney Triage Cancer

Location: Katz Cancer Resource Center

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

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

Katz Cancer Resource Center 831.462.7770

1/18; 3/15; 5/17, 11am–12:30pm

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

Sat 2/11; 4/22,11:30am–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.

Katz Knitters – IN-PERSON A knitting group for patients during and after cancer treatment. Drop-in support group.

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

Second Monday of every month; 11am–12pm

Caregiver Support Group VIRTUAL-LIVE

Location: Katz Cancer Resource Center

Dates: Second and Fourth Wed of every month Time: 10 am-12 pm

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

Cancer Support Group

Facilitator: Nancy Samsel, LMFT Location: Zoom

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

Lymphedema Education & Support Group – IN-PERSON This educational and supportive group welcomes men and women with lymphedema and their friends and families. Call the Dignity Health Wellness Center 831.4577099 to register Facilitator: Dominican Hospital Certified Lymphedema Therapists Location: Dignity Health Wellness Center

1/11; 3/15; 5/10; 5:30-7pm

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

Second and fourth Tuesday of every month.

Time: 5:30–6:30om

Bone Marrow Transplant Support Group VIRTUAL-LIVE

Drop-in support group.

Facilitator: Nancy Samsel, LMFT Location: Zoom

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

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

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

Llame (831) 462-7870 para una cita con la navegadora de oncologia.

Luzca Bien … Siéntase Mejor 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/

VIRTUAL-LIVE

Grupo hispano de apoyo para el cancer/Hispanic Cancer Support Group – VIRTUAL EN VIVO

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

Via: Zoom Llama para mas informacion al (831) 462-7870

Prostate Cancer Support Group

Facilitator: Bob Gallo, LCSW, BCD Location: Zoom

Last Wednesday of every month: 7–9pm

Debe registrar por teléfono: (831) 462-7870

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

PEP CATALOG | 47

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)

FITNESS & HEALTH SERVICES

IN-PERSON

Cholesterol Screening IN-PERSON

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.

4 8 | PEP CATALOG

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.

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

New Parents Support Group

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

VIRTUAL-LIVE

VIRTUAL-LIVE This educational and supportive group welcomes men and women with lymphedema and their friends and families. Preregistration with PEP required to acquire virtual access.

Facilitators: Certified Lymphedema Therapists

Wed 1/11; 3/15; 5/10; 5:30-7 pm

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

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.

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.

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: No charge to participate, prior registration is required

Tue 12-1 pm

New Moms Support Group IN PERSON Join us for an in-person suport group designed for parents of babies 0-12 months of age. The first year of a baby's life brings lots of new family dynamics. Bring your questions about sleeping, feeding, playing and anything baby related, to the group led by an experienced mother/Lactation Consultant. Open to all parents in the community regardless of birthplace. Baby Weigh (R) scale available.

Facilitator: Dignity Health Lactation Consultant Funded by: Dominican Hospital Fee: No charge to participate, prior registration is required

Wed 12-1 pm

Heart Connections: A Heart Health Support Group VIRTUAL-LIVE

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.

Better Breathers Pulmonary Support Group VIRTUAL-LIVE

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

Prenatal Support Group/ Connection Circle VIRTUAL-LIVE

Please join us to connect and share our feelings, enjoy a mindfulness meditation exercise, and learn about the 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; register online to receive the Zoom link and maintain the privacy of the participants Funded by: Dominican Hospital

Tue 6-7 pm

Second Monday of each month, 6–7:00pm Third Tuesday of each month, 2–3:00pm

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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