The Milestone Magazine

INCLUDE S A G OR G E-WIDE SENIOR F O CUSED MEDIC AL DIRE C TOR Y

PRACTICE FITNESS SAFETY Proper hydration is the most crucial aspect of engaging in physical activity.

VOLUNTEER DRIVERS NEEDED IN THE GORGE

The NEMT program connects Oregon Health Plan members who have no other means of transportation with rides to scheduled appointments.

GOING BACK TO WORK

Many retirees find themselves returning to the workforce for a career challenge, to fill time, or to receive health insurance and additional income.

SPRING/SUMMER 2019

Are You In Pain?

Our accredited Total Joint Replacement Team can help you return to the activities you love. At MCMC, most total joint patients go home the next day.

Total Joint Replacement Specialist Dr. James Reardon is passionate about helping patients regain their mobility. For more than 25 years, he has provided the highest quality orthopedic care: ACCREDITED. Certified by the American Association of Orthopedic Surgery, Dr. Reardon also completed completed lengthy and in-depth fellowship training in total joint replacement.

EXPERIENCED. Dr. Reardon has performed thousands of the most common orthopedic procedures, from sports injuries to total hip and knee replacements.

TRUSTED. Before joining MCMC Sports Medicine & Orthopedic Surgery, Dr. Reardon chaired the Orthopedic Division of a large Kansas City hospital.

Dr. Reardon has helped Mid-Columbia Medical Center become one of only two hospitals in Oregon to achieve and maintain The Gold Seal of Approval from The Joint Commission, an independent nonprofit that accredits healthcare organizations in the U.S. Whether you have a simple sprain or need a new knee, shoulder or hip, MCMC Orthopedic Surgery and MCMC Total Joint Program can help you return safely and quickly to the to the highest possible quality of life.

Get started today! Call 541.506.6500 to schedule an appointment with one of our experienced and caring joint specialists.

WHAT’S INSIDE Total Joint Replacement Ends Pain, Promotes Independence.................................... 2 Continuing to Learn........................ 4 Taking Time to Travel..................... 8 Mental and Emotional Health............................ 10 Find Your Balance.......................... 14 Activity Tracker Benefits............ 16 Learn a New Sport........................ 18 Staying Healthy.............................. 20 Transitional Care at Skyline Hospital............................. 22 Medical Directory...........................26 Live Healthy, Live Longer ..................................... 30

THE MILESTONE | SPRING/SUMMER 2019

COVER STORIES

6

Practice Fitness Safety

12

Volunteers Needed in the Gorge

24

Going Back to Work publisher upcoming issue advertising

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Platinum Marketing & Design Fall/Winter 2019 Tonya Flory, Ashley Almas, and Rachel Smith www.platinummarketing.org

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After a total joint replacement on her right knee, Goldendale resident Astrid Frederick (pictured to the left and top right hand page) finally has control over how she spend her time including gardening, taking walks and spending time with her husband.

Total Joint Replacement Ends Pain, Promotes Independence

By Jessica Ablamsky

After decades in the workforce—including the deli of a popular Alaskan grocery store chain, and a preschool in southern Oregon—Astrid Frederick, 67, finally has complete control of how she spends her time.

Now retired, Frederick planned to keep her days exciting by doing the thing she loves most: hiking, gardening, volunteering with young children at her local church, and walking her 12-acre property in Goldendale, Washington.

But knee pain was stealing her hobbies and passions.

“Going upstairs was hard for me,” Frederick said. “We have a lot of land, so I like to walk around the gardens.

I couldn’t do that anymore. I couldn’t hike. I couldn’t kneel, couldn’t bend my knee very much without a lot of pain.”

Last November, Dr. James Reardon, an orthopedist at Mid-Columbia Medical Center, performed a total joint replacement on her right knee. After four months of recovery, Frederick has very little pain and is looking forward to resuming the activities she loves most.

“I may be 67, but I’m young at heart,” she said. “I don’t let age bring me down, because it’s just a number and an attitude. God’s still got things for me to do.”

Total joint surgery can be life changing. Here are answers to a few of the most common questions 2

about total joint knee, hip, and shoulder surgery from Dr. Reardon, a total joint replacement specialist.

Dr. Reardon practiced for 22 years in Kansas City and chaired the orthopedic joint replacement service of a large Kansas City hospital. He has performed thousands of the most common orthopedic procedures, from sports injuries to total hip, knee, and shoulder replacements.

How do patients benefit from total joint replacement?

I’ve done this for 25 years. I have come to the conclusion, both from personal experience and reading the latest medical research, that total joint replacement is a very safe surgery that helps people maintain their independence and enjoyment of life.

There are always risks with any surgery, but the risks are very small with this common orthopedic procedure.

Total joint replacement can be lifesaving. Total joint surgery allows people to continue to exercise, continue to drive, continue to enjoy themselves. All those things add up to enjoyment and longevity.

What is surgery like?

The morning of the surgery, you will meet the anesthesiologist, if you haven’t met him already.

THE MILESTONE | SPRING/SUMMER 2019

You will also meet your surgeon. The surgery takes about an hour and a half, and then you will be in the recovery room.

We are really good now at pain control, which is probably the biggest thing that has changed over the last five years. We’re moving away from narcotics for pain control, due to anti-inflammatory drugs and new surgical techniques.

We still have to use some narcotics, but we use a lot less than we used to. There’s also less pain, fewer complications, and quicker return to full range of motion.

Many medical centers are doing total joint surgery as outpatient now. At MCMC, most total joint patients go home the next day. We probably could let them go home from the recovery room, but we like to keep them overnight to make sure they are ok.

What’s recovery like?

After surgery, you will be in physical therapy. For a total knee replacement, for example, you will go to therapy for several months to strengthen and improve the motion of your knee. This optimizes your results after the surgery. But like all your joints, your new joint will require lifelong maintenance.

Am I too old for surgery?

It has more to do with health than age. My oldest total knee patient was a 95-year-old that lives independently but had a terrible knee.

Your surgeon will want to make sure you don’t have any health conditions that will cause problems during surgery. You may need to visit your primary care doctor, a cardiologist, sleep doctor if you have obstructive sleep apnea, a hematologist if you or any close relatives have had blood clots, and an endocrinologist if you have diabetes.

• Does the hospital provide recovery support, such as inpatient therapy, visiting nurses, or home health?

If you’re not certain about your total joint replacement, get a second opinion. You won’t hurt your doctor’s feelings. The best way to find a qualified orthopedic surgeon is to ask a physical therapist. They see everybody’s patients. If you’re considering surgery, ask a physical therapist who they would go to.

Most of the time the joint will last the lifetime of the patient. As with anything in your life, the more you take care of it the longer it will last.

Before surgery, on a scale of 1 to 10, Frederick’s pain was a 10. She relied on ice packs and Tylenol to get through the day. Now, she is looking forward to hiking with her family and is planning a trip to Germany and France, where she lived as a young child.

“Sure, there’s a little bit of pain involved afterwards,” she said. “It’s certainly worth it to be able to go and do the things you liked to do before, like walking and hiking, seeing the world. Just do it. You’ll be happy you did.”

I’m considering total joint surgery. What questions should I ask my doctor?

• Is there anything you can do other than joint replacement?

• How many surgeries have you done?

• Can you provide patient referrals?

Dr. James Reardon (pictured) is an orthopedist and total joint replacement specialist at Mid-Columbia Medical Center. He practiced for 22 years in Kansas City and chaired the orthopedic joint replacement service of a large Kansas City hospital before relocating to The Dalles. Dr. Reardon has performed thousands of the most common orthopedic procedures, from sports injuries to total hip and knee replacements.

Continuing To Learn You’re never too old to learn a new skill, take up a

school full-time to earn that second bachelor’s degree

new hobby or even go back to school. Not having a

or sign up for a graduate program.

full-time job opens up your schedule and your energy level to try something you’ve always wanted to learn.

Read All the Books You Can

It’s also a great way to keep your brain active and

Now’s your chance to knock out “War and Peace”

engaged.

or that series you’ve had on your shelf for years.

Retirement provides a great opportunity to spend

Sign Up for a Class at Your Local College

time reading. You can join (or start) a book club and

If you live near a community college or university, see

explore different genres and authors. Check out your

what classes are available to take for non-degree-

library for reading groups or lists.

seeking students. Some colleges have community-

You can also find a group of students to read to.

oriented classes with a variety of skills, but retirement is also a great opportunity to take classes you didn’t

Find a New Hobby

have time to in college. Sign up for world history or

Go to your local senior center and learn a new dance,

anthropology courses or take a voice or music class.

take a cooking class or break out an old camera

Or, if you’re ready for a major commitment, go back to

and go to a photography class. Cities and towns of

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THE MILESTONE | SPRING/SUMMER 2019

all sizes have these gathering places, and in addition to learning something new, they provide great opportunities to meet new people and find people with similar interests to yours.

If you can’t go to a senior center or yours doesn’t offer the classes you want, check out online options. Many groups, including major universities throughout the world, offer online courses; there also are companies that offer classes from the best of the best, including acting from Oscar winners, photography from professional photographers, cooking from the best chefs in the world and more.

Alternatively, volunteer to teach a class at your local senior center, or think about starting a quilting or hiking club.

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Practice Fitness Safety Fitness isn’t all fun and games without the proper safety precautions. While every person should consider the same basic safety concerns, as we age, our bodies need a little extra care. Being aware of potential threats allows everyone to exercise safely.

Heart Health Your heart is responsible for sending oxygen-rich blood throughout your body. Aging can cause changes in your heart. It cannot beat as fast as it once did in times of stress or physical activity.

This is what causes us to feel tired more quickly.

It is a good idea to keep an eye on your heart rate before, during and after physical activity. Most activity trackers on the market have a heart rate monitoring function, which makes this easy.

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Staying Hydrated Proper hydration is the most crucial aspect of engaging in physical activity. After all, the human body is comprised of more than 60 percent water — and we lose it constantly through breathing, urinating and perspiring.

But it is often neglected in everyday life, much less when people exert themselves. According to Medical Daily, approximately 75 percent of the American population is functioning in a chronic state of dehydration. Stay hydrated by taking a water bottle with you wherever you go, and add flavoring if it helps you drink more.

Take regular breaks from activity to drink water. Set a timer if you tend to get distracted easily.

THE MILESTONE | SPRING/SUMMER 2019

Sun Concerns Sun exposure can trigger all sorts of problems for people — especially during times of heightened activity. The sun can make us hot, which causes our body temperature and blood pressure to rise.

It is important to not only take regular breaks when engaging in physical activity, but to rest in shaded areas. Be sure to also apply sunscreen with an SPF of 30 or higher before going outside to protect skin from unnecessary burns.

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Taking Time to Travel Retirement means unlimited vacation days! Time to take all those trips you couldn’t fit into your few weeks of annual vacation during your working life. With your new found energy for day and weekend trips, explore your own region that always seemed like too much after working 40 hours.

While there are plenty of trips that are fun for any traveler, senior citizens have additional options to see the world.

Find A Senior Travel Group ElderTreks and Road Scholar offer adventures of all kinds for senior citizens, including short and inexpensive trips to places throughout the United States and longer excursions to Central and South America, Europe, Africa and more. These programs 8

allow you to sign up for the trips you want to take, browsing through different adventure options like train travel, hiking, sea trips and more, and they do the planning for you.

Traveling by yourself ? There are tour groups that cater to single senior citizens as well.

Look Into Discounts AARP and other organizations for senior citizens offer travel discounts on flights, hotels, rental cars, cruises and tours. Check out what options are available.

Often insurance companies and big box stores offer discounts as well, so find the best deal you can. When you go to museums and other sights, ask about a senior discount. You also can get deal on some train tickets throughout Europe. Ask at the train station THE MILESTONE | SPRING/SUMMER 2019

what discounts are available.

Even without special deals, retirees have the advantage of more open schedule. Consider traveling during shoulder season (April-May, September-October), when prices are lower because it’s not peak season, but the weather is still fairly good.

Invest in a National Parks Pass Seniors can get a lifetime National Parks pass for $80, allowing entry into all the national parks and monuments throughout the country.

For the outdoorsy types, this is an inexpensive way to spend a day or a weekend hiking or camping. Even the less outdoorsy types can find easy hikes or beautiful drives through some of the country’s most pristine, gorgeous landscapes, including the red rocks of Zion National Park, the geysers of Yellowstone or the green, rolling hills of Shenandoah National Park.

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Mental and Emotional Health

Studies show that more than 90 percent of physical ailments are caused or exacerbated by stress.

Mental and emotional issues also can bleed into the body, with depression and isolation contributing to physical pain and a lowered immune system.

People 65 and older need to be extra careful to stay sharp and take care of themselves as they move into retirement.

Keeping Your Brain in Good Shape One in eight people 65 years and older has Alzheimer’s disease, and that number gets bigger with other forms of dementia. We’ve all heard about the need to do crossword puzzles to keep your mental faculties intact, and studies have shown that, while some cognitive decline is normal as you age, working in cognitive stimulation like word or logic puzzles, trivia games, reading books and other activities that 10

stretch your brain can help with mental acuity.

Want something a little more active? Take a dance class that requires you to learn new steps, learn a new language (or remind yourself of one you used to know), go to lectures or the local museum, learn an instrument or join a choir.

Working on Your Relationships Retirement can be isolating. Many adults spend most of their working lives going to the office and building relationships with coworkers. Not seeing friends as frequently and even not having the routine of getting up and ready and going to the office can be isolating.

The death of a spouse or retired friends relocating somewhere warmer or closer to family can also cause isolation. Losing these relationships can contribute to depression.

THE MILESTONE | SPRING/SUMMER 2019

Combating isolation often means a concerted effort to cultivate relationships. About a quarter of retired adults live alone, which requires even more effort.

Set up a regular call with children, grandchildren, siblings and friends who live out of town. Meet for lunch, dinner or coffee; find other retired friends who want to travel and take trips together; invite people over for dinner; and join groups for people with similar hobbies.

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Managing Stress Stress may become more of a health factor as we age.

Long-term stress can damage your brain and lead to depression, memory loss, fatigue and a lowered immune system. Learn what your stressors are and do what you can to avoid or mitigate the effects of stress, then find healthy ways to handle it — yoga, exercise, therapy, journaling or meditation.

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www.oamh.org THE MILESTONE | SPRING/SUMMER 2019

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Volunteer Drivers Needed In the Columbia Gorge

Nonprofit expands access to Non-Emergent Medical Transportation services

By Crystal Ross, Greater Oregon Behavioral Health, Inc.

Would you like to make a real difference in the health of your community?

Greater Oregon Behavioral Health, Inc. (GOBHI) Non-Emergent Medical Transportation (NEMT) is expanding its volunteer driver program to better connect community members who need rides to scheduled healthcare services. The program is seeking volunteers in the Columbia Gorge and Eastern Oregon.

“This is an opportunity to make a positive impact in your community,” said Dan Schwanz, community development manager at GOBHI. “Medical transportation is critical in rural Oregon, but resources are stretched thin. That’s why — as part of the solution — we are inviting qualified volunteers 12

who are ready to step up and take the wheel.”

The NEMT program connects Oregon Health Plan members who have no other means of transportation with rides to scheduled appointments. Unlike 9-11 emergency transportation, NEMT covers prescheduled trips for non-emergency care.

GOBHI operates the free ride program PacificSource Community Solutions (Columbia Gorge Coordinated Care Organization), Eastern Oregon Coordinated Care Organization (EOCCO), and the State of Oregon (Oregon Health Plan Fee for Service).

The NEMT program is seeking drivers in Hood River and Wasco counties, as well as the following counties: Baker, Malheur, Morrow, Umatilla, and Union.

THE MILESTONE | SPRING/SUMMER 2019

“We offer training, support, and reimbursement at the federal rate for our drivers. We just need individuals who are giving in nature, love to drive, and mostly importantly are eager to help their neighbors,” Schwanz said.

Volunteer services provide personalized help to meet the needs of members. Volunteers also help inform the community about the work of the NEMT program.

Those interested in applying or learning more about the volunteer driver program can visit: www.gobhi.org/about/careers For questions, please contact Crystal Ross at GOBHI; call 541-298-2101 or email cross@gobhi.org.

Rider information For Oregon Health Plan members who are seeking a ride, please call GOBHI during office hours, Monday through Friday, 7 a.m. to 5 p.m. The toll-free phone number is: 1-877-875-4657. For TTY users, 711 or 1-800-735-2900. Please call to schedule at least two

business days before your healthcare appointment, if possible.

Rides are available for covered services under the Oregon Health Plan. Services may be medical, mental health, and dental. Participants must have no other ways to get to these services.

About GOBHI Greater Oregon Behavioral Health, Inc., headquartered in The Dalles, is a 501(c)(3) nonprofit corporation that is a National Committee for Quality Assurance accredited Managed Behavioral Healthcare Organization and is charged with administering all or part of the behavioral health Medicaid benefit in 17 rural and frontier counties in Oregon. GOBHI is a co-owner of the Eastern Oregon Coordinated Care Organization, and is responsible for the administration and oversight of behavioral health services for Columbia Pacific Coordinated Care Organization.

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Find Your Balance Personal balance is often taken for granted, but it is a fundamental quality of daily life.

According to the Center for Disease Control, 2.5 million older Americans are treated each year in the emergency room for injuries caused by falling.

Therefore, improving your balance is an essential component of preventative care.

Losing Your Balance Seniors most commonly lose their balance due to: • Poor vision • Weakened joints • Poor posture • Dragging feet • Increased dizziness • Delayed responsiveness 14

Many of these afflictions come as part of the natural aging process, but this does not mean you can’t work to improve your balance.

Regaining Your Balance The good news is your balance can be strengthened and regained through training. Much of our balance is lost as we age due to inactivity.

Simple stretching and sports, such as yoga or Pilates, are easy and effective ways to retrain your body and regain balance you once had.

Chair Exercises If you are looking for something you can do a little each day (without a yoga mat) then grab a chair.

Standing directly behind it, rest one hand on the back THE MILESTONE | SPRING/SUMMER 2019

of the chair and the other on your hip.

Lift one leg, bending your knee slightly. Hold this leg up for a count of 10, bring it back down to the floor for a moment of rest, and then repeat. Do nine additional repetitions on that side, before repeating the exercise with your other leg.

Increase Your Flexibility Flexibility plays a large role in maintaining and strengthening your balance. Have you noticed it’s not as easy to complete everyday tasks, such as reaching for items on high shelves or bending over to put on shoes?

Stretching for 10 minutes each day will vastly improve your range of motion. Just be sure not to over extend yourself. Stretching should produce a nice pull — never pain.

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Health Care That Comes With Heart.

Since 1986, One Community Health has won the hearts of many people throughout the Gorge.

Independent surveys show 96% of our patients refer us to friends and family. Patients thrive through an integrated approach to medical, dental and behavioral health.

We serve Hood River, Wasco, Klickitat, Skamania and Sherman Counties with convenient locations in Hood River and The Dalles.

Come experience affordable and compassionate care.

THE MILESTONE | SPRING/SUMMER 2019

For more information, contact us!

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Activity Tracker Benefits Tracking habits has become quite the rage — from sleep to water consumption to steps taken. It’s really no surprise that activity trackers have become an essential fitness accessory. If you’ve been on the fence about investing in one, consider the following six benefits of adding an activity tracker to your fitness regime.

Accountability Fitness trackers are a great way to not only keep track of your activity but your progress as well.

Making strides in your fitness journey is necessary for steady improvement in your physical health.

Personalized Goals Activity trackers allow you to set, work toward and meet your own personal fitness goals. Your friends might be making 10,000 steps a day, but if you are 16

just beginning your fitness journey, you might not be ready for that.

Activity trackers let you set goals you can increase gradually. You also can evaluate where you’re beginning. You might be doing better than you think.

ROI Motivation One potential drawback of most activity trackers is cost. They can get pricey. This investment, however, can provide quite the motivation to take advantage of all your tracker’s benefits.

By striving to get the most out of your money, you can develop healthy habits that will become second nature.

Heart Health Awareness Many activity tracker models include continuous and THE MILESTONE | SPRING/SUMMER 2019

automatic heart rate tracking — straight from your wrist. This can help you both make sure you work hard enough during physical activity and make sure you don’t overdo it.

Reminders A reminders feature can be invaluable to those striving to fight a sedentary lifestyle.

If you’ve been stationary for a certain amount of time, many trackers will give you friendly reminders to get up and move.

Fashionable Fitness This feature might be less important to some than others, but activity trackers have gone great lengths toward making fitness fashionable. Many come with interchangeable accessories, so that bands can be exchanged to suit any occasion.

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Pre-planning is a wonderful gift to give your family and will ease the burden on them. Let our caring staff walk you through this simple process. Affordable payment plans available. Call for an informative appointment today.

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THE MILESTONE | SPRING/SUMMER 2019

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Learn A New Sport Trying out something new benefits us all on all levels — conditioning our bodies and challenging our minds.

Performing the same tasks over time can get redundant. Switch it up and add a new activity to your routine. Learning a new sport is a healthy way to meet new people and pick up a new hobby — all while bolstering your physical activity and your mental stamina.

Team Sports Team sports are the perfect choice for those actively looking to meet new people and form new relationships. They also are the perfect opportunity to refine communication and collaboration skills, which tend to diminish as we age.

Bowling, golf and tennis are all great choices, and are sports that commonly have leagues and tournaments specifically for seniors.

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Solo Sports Perhaps you are looking for something you can do on your own. Solo sports offer more flexibility because they release you from keeping to a specific practice or meet schedule, and you don’t need to rely on others in order to learn or play.

Both swimming and golf are ideal solo sport options for seniors because they are low impact on joints but still offer arduous physical activity.

Hire a Professional Hiring a professional local trainer for a few hours each week is a great way to hone your skills.

Investing in a coach is ideal for those who already participate in a sport but want to advance their “game.” A coach is devoted to your improvement and will point out your bad habits without bias.

THE MILESTONE | SPRING/SUMMER 2019

Facing the Challenge It is important to remember that you are tackling a new project and may feel overwhelmed at times.

Don’t let feelings of “not being good enough” or “too old” sneak into your head and set up camp.

Research shows we do what we set our minds to quite literally. If you feel like you might fail, you will subconsciously hold yourself back.

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Foster care is a rough road to walk down alone for a child. Walk with them and be their voice.

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THE MILESTONE | SPRING/SUMMER 2019

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Staying Healthy Healthy choices are just as important during retirement as they are in your younger years.

That doesn’t make it easy all the time, though.

Exercise, sleep, healthy eating and regular visits to the doctor can often be more complicated as your body ages. Here are some tips to stay healthy so you can fully enjoy retirement.

Eat Healthy Foods Talk to your doctor about how many calories are good for you and make sure you’re sticking within a good range. But developing healthy eating habits is about more than calories. Pay attention to sodium, cholesterol and other ingredients on the label. Studies show most Americans eat twice as much sodium as the recommended daily amount, which can lead

20

to hypertension and heart disease. Eat whole foods like fruits, vegetables, whole grains like wheat bread and pasta, brown rice, while minimizing fast food and highly processed foods.

Get Plenty of Sleep Your body may not be growing like a teenager’s, but older adults still need seven to nine hours of sleep a night (perhaps with a nap thrown in since afternoons are free). Not getting enough sleep can lead to depression, irritability and memory problems and just make your day-to-day functioning more difficult.

Get into good sleep habits such as going to bed and getting up at roughly the same time each day, and keep your bedroom screen-free — no taking your laptop to bed! Avoid caffeine late in the day.

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Preventative Care Keep your vaccines up to date, including the annual flu vaccine; flu tends to be much more dangerous for older patients. Be aware of fall risks around your home and take precautions to reduce those risks.

See an eye doctor regularly and keep glasses and contacts up to date, which will make getting around your house and neighborhood more safely. Talk to your doctor about vitamins or supplements like calcium or vitamin D.

Proudly serving older adults in Skamania County since 1998

Exercise Find what works for you and do it regularly. You don’t have to be the 90-year-old running a marathon; a brisk walk around your neighborhood or a low-impact class at the gym work just as well. Weight lifting, cycling, yoga and hiking all are good ways to stay fit.

If you’re not sure, talk to your doctor or a trainer about a good exercise routine.

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Scott Clements spent 10 days at Skyline recovering from his surgery. “The Transitional Care Program at Skyline is remarkable. They were the most attentive staff I’ve ever experienced. The team worked together and in sync to ensure I received the most personalized and highest quality of care.”

Transitional Care at Skyline Hospital A Kickstart to Your Recovery

At some point, many of us have to spend time in the hospital for an illness or surgery. While you can get many of your health care needs met locally, there are services you can only get in a larger city, such as Portland or Vancouver.

What if you have made progress in the large hospital, but still need some additional time for physical, occupational or speech therapy “rehab”, under the watchful eye of a full hospital-based care team? What if you have other medical conditions making your full recovery more challenging? Wouldn’t it be great to recover in a place – close to home – that provides the highest level of care? The good news is you can through Skyline Hospital’s Transitional Care Program!

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We asked Diane Matthews, chief nursing officer at Skyline and Robb Kimmes, chief executive officer at Skyline some questions about the program.

What exactly is “Transitional Care”?

Matthews:

“Transitional Care is a high-quality, evidence-based program for patients who are well enough to leave a traditional hospital setting but still have nursing, therapy, or respiratory needs that may not be optimally met in their homes or skilled nursing facilities. Some examples of these needs would include frequent intravenous medications, wound care, breathing treatments, or intensive physical, occupational, or speech therapy.”

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What makes the program different?

Who can use the Transitional Care Program?

Kimmes:

Matthews: “Most patients receiving this care at

“Skyline Hospital partnered with Allevant Solutions, a joint venture of Mayo Clinic and Select Medical, to develop our Transitional Care program.

The program is designed to provide access to high-quality post-acute services in familiar, easy to navigate rural hospitals. Currently, most patients who need this type of care after a hospital stay are cared for in a skilled-nursing facility. These facilities are often not equipped with the staffing or resources needed to provide optimal post-acute care, especially for more complex patients. As a rural hospital, we offer many supportive services skilled nursing facilities cannot, such as an on-site physician, physical therapy, respiratory therapy, lab and radiology, and very good nurse to patient ratios.”

Matthews: “The hospital-based resources we can offer our transitional care patients set our program apart from other care options. However, to use those resources to their full potential they must be coordinated to meet the needs of our patients. That’s why we offer our patients and families team bedside rounding.”

What is team bedside rounding?

Matthews: “Each week – or more often if necessary – the care team meets with the patient and their family right in their room to identify short-term and long-term goals. They talk about the plan of care, identify risks to the patient’s recovery and put plans in place to address those risks, and plan for the patient’s after-hospital needs. It’s also a time to celebrate patient and team successes in reaching goals, to provide teaching and listen to concerns.

Patients and families know ahead of time when these rounds will be, so they can make arrangements to attend, preventing them from having to sit in the hospital wondering when they will get to talk to members of the care team. The rounds even include a physician, nurse, physical therapist and pharmacist so specific medical questions can be addressed through the process.”

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Skyline will be covered by the Medicare Swing Bed Reimbursement Program, although other insurers may participate as well. In general, patients need to have a qualifying hospital stay before being admitted for Transitional Care, and have a need for skilled nursing or therapy services. ”

Why did Skyline Hospital develop this Program?

Kimmes:

As the nation’s population ages, there will be an increasing need for facilities with the expertise and capability to care for patients with medically complex conditions. Our community is no different.

By enhancing our ability to provide this care, we are not only meeting the post-acute care needs of our current and future patients, but also providing increased stability and excellent employment opportunities for our community as a whole.

Will this program affect Skyline Hospital’s ability to take care of regular hospital patients?

Kimmes:

In short, no. We can determine how many Transitional Care patients to admit at any given time, so we will be able to guarantee the program will not limit our ability to take care of the day-to-day needs of our local patients, yet still take full advantage of the capacity of our facility and staff. This is a win for our patients, our employees and our community.

What do you want readers to take away from this conversation?

Matthews: I want them to know Skyline offers a high-quality post-acute option, right here in Gorge and we’d love to take care of you if you have the need!

For more information, call 509-637-2900.

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Going Back To Work Retirement is a great opportunity to travel, learn, read, rest and spend time with your family. The last thing you want to think about is going back to work.

However, many retirees find themselves heading back into the workforce out of a desire for more career challenges, a way to fill time or a need for money or health insurance in retirement.

As you’re thinking about returning to the workforce for full- or part-time work, consider several questions.

Health insurance may be a big factor, according to New Retirement. People who retire before age 65, when Medicare kicks in for all Americans, may find insurance and other out-of-pocket costs eating into their retirement savings, so getting a job that provides health insurance can be the most financially sound

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option. There are some part-time jobs that offer health insurance, so consider those options as you’re looking at a return to the workforce.

Other people find they have not saved enough money for retirement and need the salary. Determine how much additional money you need each month to determine if you need full- or part-time work. It’s also a good idea to talk to your financial planner to see if you’ll face any tax implications.

In addition to your planner, talk to the Social Security Administration in your area. According to New Retirement, Social Security income could be reduced if you go back to work, depending on what age you were when you retired. Full retirement age is 67 for

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people born 1960 or later, and if you retire before 67, you will receive less money from Social Security each month. If you retire and go to back to work before you reach 67 (or the full retirement age, which may be younger for those born before 1960), Social Security deducts a dollar in benefits for every $2 you earn above the annual limit, though this is not a permanent change.

Finally, if you have a pension, it could be affected if you go back to work for the same company or organization that you worked during your career.

Often, companies will suspend benefits when you get back on their payroll, so check with the company so you don’t get an unpleasant surprise your first month. Your pension shouldn’t be affected if you work somewhere new.

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THE MILESTONE | SPRING/SUMMER 2019

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THE MILESTONE SENIOR DIRECTORY ▌ADULT FOSTER CARE HOMES A Home Sweet Home Hood River, OR • 541-387-5335 Anita Allen Foster Care The Dalles, OR • 541-352-3504 Carolyn’s Adult Care The Dalles, OR • 541-298-2554 Cascade Senior Care The Dalles, OR • 541-993-2910

Providence Brookside Manor Memory Care Hood River, OR • 541-387-6370

▌ASSISTED LIVING, NURSING & ▌RETIREMENT HOMES Ashley Manor Hood River, OR • 541-387-4514 Bobbi’s Way In-Home Health Care Hood River, OR • 541-436-4515

Cherry Street Manor II Canyon Rim Manor White Salmon, WA • 509-493-1084 Maupin, OR • 541-395-2515 Eastern Oregon Center for Independent Living The Dalles, OR • 541-370-2810 Margie’s Lyle Adult Family Home Lyle, WA • 509-365-5500 New Hope Farms Goldendale, WA • 509-773-3939

▌ALZHEIMER’S & MEMORY CARE Ashley Manor Hood River, OR • 541-387-4514 Flagstone Senior Living The Dalles, OR • 541-298-5656 26

Cascade Senior Care The Dalles, OR • 541-993-2910 Cherry Heights Retirement The Dalles, OR • 541-296-6880 Columbia Basin Care The Dalles, OR • 541-296-2156 Flagstone Senior Living The Dalles, OR • 541-298-5656 Hawks Ridge Assisted Living Hood River, OR • 541-387-4087 Hearts of Gold Caregivers Hood River, OR • 541-387-0207

Helping Hands Home Care The Dalles, OR • 541-436-4430 Hood River Care Center Hood River, OR • 541-386-2688 New Hope Farms Goldendale, WA • 509-773-3939 Oregon Veterans’ Home The Dalles, OR • 541-296-7190 Parkhurst Place Assisted Living Hood River, OR • 541-387-4600 Providence Brookside Manor Hood River, OR • 541-387-6370 Providence Dethman Manor Hood River, OR • 541-387-8278 Providence Down Manor Hood River, OR • 541-387-8290 Summit Springs Village Condon, OR • 541-384-2101 Rock Cove Assisted Living Stevenson, WA • 509-427-7272 The Dalles Health & Rehab The Dalles, OR • 541-298-5158 The Springs at Mill Creek The Dalles, OR • 541-296-1303

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▌DENTURISTS The Denture Specialist Hood River, OR • 541-386-2012 The Dalles, OR • 541-296-3310

▌ELDER ABUSE PREVENTION ▌ASSISTANCE & ADVOCACY Adult Protective Services 800-452-2333

Spencer Libby & Powell Funeral Home The Dalles, OR • 541-296-3234

One Community Health Hood River, OR • 541-386-6380 The Dalles, OR • 541-296-4610

▌HEARING AIDS TESTS & ▌COUNSELORS

White Salmon Family Practice White Salmon, WA • 509-493-1470

Cascade Hearing Aid Center Hood River, OR • 541-386-1666 The Dalles, OR • 541-296-3300

MCMC Internal Medicine The Dalles, OR • 541-506-6920

▌HOME HEALTH SERVICES

Columbia Gorge Hearing Care Hood River, OR • 541-298-8676 Bobbi’s Way In-Home Health Care Helping Hands Against Violence Hood River, OR • 541-436-4515 The Dalles, OR • 541-298-8676 Hood River, OR • 541-386-6603 Haven from Domestic & Sexual Violence The Dalles, OR • 541-298-4789 Skamania County APS 877-734-6277 (TTY) 1-800-977-5456 Klickitat County APS 800-459-0421 (TTY) 509-568-3086

▌FUNERAL HOMES Anderson’s Tribute Center: Celilo Chapel Hood River, OR • 541-386-1000 The Dalles, OR • 541-296-2600

Hear’s The Answer Hearing Center The Dalles, OR • 541-298-5558 Hearing Aid Counselors Hood River, OR • 541-387-3277 My Hearing Centers Hood River, OR • 541-716-4086

▌HEALTH CLINICS Columbia Gorge Family Medicine Hood River, OR • 541-386-5070 KVH Family Medicine Goldendale, WA • 509-773-4017

Mid-Columbia Family Health Columbia Hills Memorial Center Chapel Stevenson, WA • 509-427-4212 Goldendale, WA • 509-773-4646 NorthShore Medical Group Gardner Funeral Home Inc White Salmon, WA • 509-493-2133 White Salmon, WA • 509-493-1323 THE MILESTONE | SPRING/SUMMER 2019

Hearts of Gold Caregivers Hood River, OR • 541-387-0207 Helping Hands Home Care The Dalles, OR • 541-436-4430 MCMC Visiting Health Services The Dalles, OR • 541-296-7280 Providence Home Health Hood River, OR • 541-387-6339

▌HOSPICE CARE Heart of Hospice Hood River, OR • 541-386-1942 Klickitat Valley Health Hospice Goldendale, WA • 509-773-0380 Providence Hospice of The Gorge Hood River, OR • 541-387-6449 The Dalles, OR • 541-296-3228

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▌HOSPITALS Klickitat Valley Health Goldendale, WA • 509-773-4022 Mid-Columbia Medical Center The Dalles, OR • 541-296-1111 Providence Hood River Memorial Hospital Hood River, OR • 541-386-3911

▌MENTAL HEALTH AND SUPPORT ▌GROUPS

Mid-Columbia Center for Living The Eyeglass Store Hood River, OR • 541-386-2620 Hood River, OR • 541-386-3937 The Dalles, OR • 541-296-5452 White Salmon Eye Care Brookside Manor Alzheimer’s White Salmon, WA • 509-493-2020 Dementia Support Group Hood River, OR • 541-387-6370

Flagstone Alzheimer’s & Skyline Hospital Dementia Support Group White Salmon, WA • 509-493-1101 The Dalles, OR • 541-298-5656

▌MEALS & FOOD ASSISTANCE ▌PROGRAMS FISH Food Bank Hood River, OR • 541-386-3474 Goldendale Food Bank Goldendale, WA • 509-773-5220 Meals on Wheels Hood River, OR • 541-386-2060 The Dalles, OR • 541-298-8333 Stevenson Food Bank Stevenson, WA • 509-427-4334 St. Vincent DePaul Meals The Dalles, OR • 541-296-9566 WGAP Food Bank Bingen, WA • 509-493-2662 800-755-1192

Grief Share Hood River, OR • 541-386-1049 Parkinson’s Support Group Hood River, OR • 541-340-0142 Cancer Support Groups The Dalles, OR • 541-296-7585 Cancer CARE Support Group Hood River, OR • 541-387-6445

▌OPTOMETRISTS Cascade Eye Center Hood River, OR • 541-386-2402 The Dalles, OR • 541-296-1101 Hood River Vision Clinic Hood River, OR • 541-386-2747 Indian Creek Family Eye Care Hood River, OR • 541-386-1700 Mid-Columbia Vision The Dalles, OR • 541-296-2911

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Preferred Optical The Dalles, OR • 541-296-5878

▌SENIOR SERVICES & ASSISTANCE Addus Healthcare Vancouver, WA (serving Klickitat County) 360-699-1222 ADRC Aging and Disability Resource Connection 855-673-2372 Chesterfield Services, Inc. Stevenson, WA • 509-427-0068 877-509-6847 Department of Human Services Hood River, OR • 541-386-3199 The Dalles, OR • 541-298-4114 Eldercare Locator 800-677-1116 Gorge Action Program Main Office Bingen, WA • 509-493-2662 (800) 755-1192 Gorge Action Program Goldendale, WA • 509-773-6834 800- 755-1192 Ext 300

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Gorge Action Program Skamania County Stevenson, WA • 509-427-8229 800-755-1192 Ext 311

Senior Health Insurance Benefits Assistance 541-645-5351 541-298-4101

Hood River Valley Adult Community Center Hood River, OR • 541-386-2060

Washington State Department of Social and Health Services 877-501-2233

Klickitat County Senior Services Washington State Home & White Salmon, WA • 509-493-3068 Community Services Goldendale, WA • 509-773-3757 Referral Line 1-866-323-9409 Mid-Columbia Council of Governments Area Agency SOCIAL, EDUCATIONAL & on Aging RECREATIONAL The Dalles, OR • 541-298-4101

▌ ▌

Mid-Columbia Community Action Hood River, OR • 541-386-4027 The Dalles, OR • 541-298-5131 Mid-Columbia Senior Center The Dalles, OR • 541-296-4788 Oregon Senior Peer Outreach Program Columbia River Gorge 833-736-4676 Programs for Peaceful Living Goldendale, WA • 509-773-6100 800-755-1192 Ext 320 Bingen, WA • 509-493-1533 800-755-1192 Ext 334 Social Security, Medicare, Medicaid 1-800-772-1213

Hood River Valley Adult Center Hood River, OR • 541-386-2060

Link Bus The Dalles, OR • 541-296-7595 Mt. Adams Transportation Service White Salmon, WA • 509-493-4662 Goldendale, WA • 509-773-3060

▌VETERANS’ SERVICES Veterans’ Services Hood River County • 541-386-1080 Wasco County • 541-506-2502 Oregon Veterans’ Home The Dalles, OR • 541-296-7190 American Legion Hood River, OR • 541-308-0000 The Dalles, OR • 541-296-9633

Mid-Columbia Senior Center The Dalles, OR • 541-296-4788

For additional resources visit your counties senior services online at

Community Education Hood River, OR • 541-386-2055

Hood River County www.hoodrivercounty.org

Hood River Aquatic Center Hood River, OR • 541-386-1303

Klickitat County www.klickitatcounty.org

Wasco County Aquatic Center The Dalles, OR • 541-296-9533

Sherman County www.co.sherman.or.us

▌TRANSPORTATION & SERVICES

Skamania County www.skamaniacounty.org

CAT Bus Hood River, OR • 541-386-4202

Wasco County www.wascocounty.org

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According to the Mayo Clinic, less than 3 percent of Americans meet the basic qualifications for a “healthy lifestyle.”

Live Healthy, Live Longer A report published by the National Academies of Sciences, Engineering and Medicine asserts that Americans’ health ranks below 16 other developed countries.

The good news is that living healthy is (mostly) in your control. Before we can improve, it is important to understand the current state of our health.

This is what we know, according to the U.S. Department of Health and Human Services: • Less than 5 percent of adults participate in 30 minutes of physical activity every day.

• Only 40 percent of adults 75 years of age and older are physically active in any capacity.

• An older adult is treated in the emergency room for injuries related to falls every 15 seconds.

• Every 29 minutes, a senior adult dies following a fall.

• Approximately 90 percent of Americans consume more sodium than recommended for a healthy diet.

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• If Americans reduced their sodium intake by just 1,200 mg per day, more than $20 billion could be saved in medical costs each year.

Here are some statistics from the National Council on Aging: • Approximately 80 percent of older adults have at least one chronic disease and 77 percent have more than one.

• 90 percent of Americans age 55 and older are at risk for high blood pressure.

• Approximately 20 percent of senior suffer from depression but only 3 percent receive treatment.

• Studies show exercising your brain is just as important as exercising your body as you age. The longer you stay a student, the more likely you are to ward off dementia.

• It is important to keep your thoughts positive. Those who worry about falling tend to fall more often that those who don’t.

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Creative challenge GAME ONE

GAME TWO

GAME THREE

GAME FOUR

Answer Key on page 32 THE MILESTONE | SPRING/SUMMER 2019

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Creative Challenge Answers

32

GAME ONE

GAME TWO

GAME THREE

GAME FOUR

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No one plans No plans for foran anemergency, emergency,but but

WE DO!

When the the unexpected unexpected happens, team at at When happens,the thecompassionate compassionate team to to deliver thethe very Skyline Hospital’s Hospital’s Emergency here deliver very Skyline EmergencyDepartment Departmentis ishere best service service and and highest your family. best highestquality qualityofofcare care– –totoyou youand and your family.

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by Emergency Emergency Medicine ••Led Medicineboard-certified board-certifiedphysicians physicians Open 24/7 24/7 ••Open Helipad located located on ••Helipad on Skyline’s Skyline’sCampus Campus Located in in White White Salmon, ••Located Salmon,Wash.

Wash.

Skyline’s ER ER Team Skyline’s Team –– here herefor foryou! you!

21134Skyline Drive, White Salmon, Wash.

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