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FA L L

A MultiCare publication

multicare.org

When kids ask

‘Why?’ We can help

Allenmore Hospital ~ Good Samaritan Hospital ~ Mary Bridge Children’s Hospital & Health Center ~ Tacoma General Hospital ~ MultiCare Clinics

SPECIAL ISSUE


spotlight

What’s inside 6

No more whining When it comes to healthy habits, these tactics will help you rid your kids of the “I don’t wannas.”

8

The heart of the matter What kids and adults should know about congenital heart defects.

10

Kids ask questions The ones about cancer can be especially hard to answer. Try these tips for easing their concerns.

12

Bringing home baby How to make it a happy time for everyone— including big brothers or sisters.

MultiCare Health System is a leading-edge, integrated health organization made up of four hospitals, numerous primary care and urgent care clinics, multispecialty centers, Hospice and Home Health services, and many other services. A not-for-profi t organization based in Tacoma since 1882, MultiCare has grown over the years in response to community needs. Today we are the area’s largest provider of health care services, serving patients at dozens of locations in Pierce, South King, Kitsap and Thurston counties. Learn more at multicare.org. HEALTHY LIVING is published as a community service for the friends and patients of MultiCare Health System, a not-for-profi t community organization, P.O. Box 5299, Tacoma, WA 98415-0299. 800.342.9919, multicare.org. For comments or suggestions about HEALTHY LIVING, please write to us at hleditor@multicare.org. Information in HEALTHY LIVING comes from a wide range of medical experts. If you have any concerns or questions about specifi c content that may affect your health, please contact your health care provider. Copyright © 2011 Coffey Communications, Inc. CUN26766c

2 • Healthy Living

A message from the CEo There’s no doubt that in many ways children today are far more sophisticated than those of previous generations—due in no small part to the vast amount of information easily available to them. From the laptops on their desks to the smartphones they carry in their pockets, our kids have 24/7 access to websites, Twitter feeds, streaming videos, online television programming—the list goes on. And since they have never known a world that didn’t have this kind of easy, technology-fed information access, it is a seamless part of their lives. But as sophisticated as our kids may appear, as comfortable as they are in this world of information overload, they still need the adults in their lives to serve as their guides; to help them sort through what they learn online, on television and around the neighborhood; and to answer their questions when they have them. In this issue of Healthy Living, we’ve put together information that parents can use to talk to their children about a range of

health-related topics. For example, on page 6, we offer some tools that parents can use to convince their kids to engage in some simple, common tasks to help them stay healthy, like brushing teeth, getting enough sleep and eating right. On page 12, we discuss how parents can ease their child into the new role of being a big brother or sister. And on page 13, we tackle the diffi cult topic of children and grieving. And for even more great health information, visit MultiCare Mary Bridge Children’s Hospital & Health Center’s KidsHealth Library at multicare.org/kidshealth. The articles and information in KidsHealth Library are researched and approved by medical experts and written specifi cally with kids in mind. This free online library can be a great resource for homework or a class project or to help answer questions your children may have about health and wellness. We hope you and your family enjoy a safe and healthy time this fall. Diane Cecchettini, RN President and CEO MultiCare Health System


MultiCare news spotlight

Early diagnosis is key for treating breast cancer One in eight women will be diagnosed with breast cancer in her lifetime. To India Furman, this was just a random statistic. As a wife, mother and local businesswoman, she was too busy and, at 43, thought she was too young to have breast cancer. But one evening while watching TV, she found a lump in her breast. A subsequent visit Here for her to her provider at Puyallup Tribal Health led her to the Carol daughters: Early Milgard Breast Center in March 2010. detection helped India “I’ll never forget the doctor saying to me, ‘You have invasive Furman fight breast ductal carcinoma’; that phrase just kept repeating in my head,” cancer and win. Furman says. “After the shock, I knew I had to fight.” “I know the Carol Milgard Breast Center saved my life.” Many factors that raise the risk for breast cancer are outside of a woman’s control, such as her age and genes. But one thing that’s proven to lower risk of death from breast cancer is getting a mammogram. The Carol Milgard Breast Center in Tacoma is a regional center for screening, diagnostic mammograms and breast imaging procedures. It was created by the three largest providers of breast imaging services in Pierce County: MultiCare Health System, Franciscan Health System and TRA Medical Imaging. For more information about the Carol Milgard Breast Center, including scheduling information, visit carolmilgardbreastcenter.org or call 253.759.2622.

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MultiCare news

MultiCare hospitals receive cardiac, stroke designations A 2010 state law required a formal cardiac and stroke system of care to be created to help emergency medical services take patients to the right facility. This system went into effect July 1, 2011, with hospitals receiving a level designation of 1, 2 or 3 to correspond with the level of care offered. MultiCare’s adult hospitals received the following designations: Cardiac. Both MultiCare Tacoma General and MultiCare Good Samaritan hospitals offer the highest level of care 24 hours a day,

7 days a week, for patients experiencing cardiac arrest and are designated level 1 cardiac centers by the Department of Health. MultiCare Allenmore Hospital has been designated a level 2 cardiac center and offers rapid assessment and treatment of acute coronary symptoms. Stroke. Tacoma General gives the most advanced level of care for patients experiencing the symptoms of stroke and is designated a level 1 stroke center. Good Samaritan and Allenmore are designated level 3 stroke centers. These facilities have the equipment and staffing to care for acute strokes. For more details on MultiCare hospitals’ cardiac and stroke care designations, please visit multicare.org/home/news/243.

BRIDGES: A Center for Grieving Children

Center recognized for great work In June BRIDGES: A Center for Grieving Children, a program of MultiCare Mary Bridge Children’s Hospital & Health Center, was honored with the 2011 Health Care Champions Award in the Support Services category. The Healthcare Champions Award is a program of the Business Examiner, in partnership with the Pierce County Medical Society. Founded in 2009, the Award is designed to honor champions in the health care field in Pierce and South King counties. BRIDGES provides grief support programs for families with kids ages 4 to 18 who have experienced the death of a parent or sibling, as well as for kids who have a family member currently experiencing a serious illness. Since it opened in 1988, the program has served more than 1,450 children from more than 1,000 families. For more information about BRIDGES, read the story on page 13, visit multicare.org/bridges or view the Business Examiner’s video overview of the program at vimeo.com/26117299.

4 • Healthy Living

Robotic surgery milestone achieved in Tacoma MultiCare Health System surgeons reached a South Sound medical milestone when they performed their 2,000th robotic-assisted surgery on July 18. MultiCare pioneered the use of robotic-assisted surgery in the South Sound, and our surgeons have collectively clocked more hours doing these exacting procedures than anyone else in the area. MultiCare implemented the South Sound’s first robotic-assisted gynecologic surgical and prostate surgical programs in 2005 and expanded the use of robotic-assisted surgery to cardiothoracic procedures in 2008. MultiCare is one of three Epicenter Teaching Centers for robotic-assisted gynecologic surgery using the da Vinci® Surgical System on the West Coast and one of 23 in the nation. John Lenihan, MD, Medical Director of MultiCare’s Minimally Invasive and Robotic Surgery program, was the first gynecological surgeon in the Pacific Northwest to use roboticassisted surgical techniques for gynecologic surgeries. Robotic-assisted surgery offers patients many benefits, including less pain, less blood loss, less scarring, smaller incisions, shorter hospital stays and a faster return to everyday life. Robotic-assisted surgeries are performed at MultiCare Tacoma General Hospital, MultiCare Good Samaritan Hospital in Puyallup, and MultiCare Allenmore Hospital in Tacoma. To learn more about robotic-assisted surgery, call 888.871.7088 or visit multicare.org/robotics.


MultiCare news MultiCare Good Samaritan

New docs on the block Dante Jesus D. Arranza, MD

Melinda Hendrickson, MD

Internal medicine Sound Inpatient Physicians

Pediatrics/neonatal medicine Pediatrix Medical Group of Washington

Larry T. Balentine, MD Rheumatology Franciscan Medical Group

Danielle B. Barczak, DO Obstetrics and gynecology MultiCare Medical Associates

John E. Benson, MD Physical medicine and rehabilitation MultiCare Medical Associates

Devin J. Branstetter, MD Anesthesiology Rainier Anesthesia Associates— locum tenens

Jeffrey L. Chen, MD

Donna J. Hephinger, MD Internal medicine Sound Inpatient Physicians— locum tenens

Nithya K. Iyer, MD

Internal medicine Sound Inpatient Physicians

Zephron G. Newmark, MD Otolaryngology MultiCare Medical Associates

E. Christopher Outlund, MD Anesthesiology Rainier Anesthesia Associates— locum tenens

Stephanie S. Roddy, MD

Otolaryngology Ear Nose Throat & Plastic Surgery Associates

June Kim, MD

Hoang H. Dang, MD

Internal medicine Sound Inpatient Physicians

Nancy R. Juhlin, MD

Eduardo A. Chua, MD

Sleep medicine Solo practitioner

Deepthi Mani, MD

Christine M. Puig, MD

Fatima S. Khan, MD

Daniel Clerc, MD

Family medicine MultiCare Medical Associates

Pulmonary diseases MultiCare Medical Associates Pulmonary Critical Care MGSH— locum tenens

Internal medicine Sound Inpatient Physicians— locum tenens Gastroenterology Digestive Health Specialists

William E. Kriegsman, MD

Internal medicine Sound Inpatient Physicians—locum tenens Dermatology Cascade Eye & Skin Center

Kimberly King, MD Pediatrics MultiCare Medical Associates

Bjorn B. Krane, MD Neurology Seattle Neurology, PS

Otolaryngology Ear Nose Throat & Plastic Surgery Associates Anesthesiology Rainier Anesthesia Associates

Sarahi Rodriguez-Perez, MD Internal medicine Sound Inpatient Physicians

Jeremy W. Van Gieson, DO Family medicine Sound Family Medicine

Bhupinder S. Walia, MD Family medicine Sound Inpatient Physicians

Tina Wong, MD Anesthesiology Rainier Anesthesia Associates— locum tenens

Dina C. Deliyanides, DO Pediatrics MultiCare Medical Associates

Cynthia R. Feher, MD Internal medicine Sound Inpatient Physicians

Emma Germann, MD Pediatrics MultiCare Medical Associates

Gaines W. Hammond Jr., MD Urology Puyallup Urological Consultants— locum tenens

Taimoor Hashim, MD Internal medicine Sound Inpatient Physicians

Parta Hatamizadeh, MD Internal medicine Sound Inpatient Physicians

Urgent care in South King County: Available early and late Changes to the hours for MultiCare’s South King County Urgent Care clinics offer patients in the community access to urgent care services from 8am to 9pm during the week. The current urgent care hours at each location are as follows: • MultiCare Auburn Urgent Care Clinic Monday through Friday, 8am to 8pm Weekends and holidays, 8am to 4pm

• MultiCare Covington Clinic Urgent Care Monday through Friday, 8am to 8pm Weekends and holidays, 8am to 6pm • MultiCare Kent Urgent Care Clinic Monday through Friday, 9am to 9pm Weekends and holidays, 9am to 5pm For more information about locations, directions and services available, please visit multicare.org/clinics. multicare.org • 5


‘…go to bed’

I don’t wanna Getting kids to do healthy activities

?

Tired of hearing “I don’t wanna” attached to the myriad tasks you ask your child to do? Test these tactics, recommended by health care professionals at MultiCare.

Family care at MultiCare MultiCare wants to provide for your family’s care. That’s why there are many Family Care Clinics throughout the area to serve every member of your clan. Learn more by visiting multicare.org and clicking on “Family Care.”

6 • Healthy Living

“OK,” you might say. “But don’t you want to have the energy to play with your friends tomorrow?” Getting 10 to 12 hours of sleep each night will ensure that children have plenty of energy for daily activities. Plus, enough sleep translates into healthy growth, says Michelle Show, MD, family practice physician at MultiCare Sumner Clinic. To get kids in bed at a reasonable time, Dr. Show recommends the tried and true: • Stick with a routine. • Have the same bedtime every night. • Read to your child or have your child take a warm bath before bed. And don’t forget to turn off any screens (TV, computer, etc.) at least one hour before bedtime. “The brain needs plenty of time to calm down after stimulation to get good-quality sleep,” says David Ricker, MD, Medical Director of Pulmonary Programs, MultiCare Mary Bridge Children’s Hospital.

‘…turn off the video game’ “I know your video game is fun,” you can reply. “But video games are pretend and nowhere near as exciting as the real thing.” Children need to interact with the real world for the growth of their brains and their bodies, says Peggy Norman, MS, RD, CDE, coordinator, Pediatric Weight Management Programs, Mary Bridge Children’s Hospital. That’s why it’s important to set a two-hour-a-day screen-time limit. However, you need to take another step: Help your child make a list of fun alternatives to keep busy. Suggest flashlight tag, scavenger hunts, ball games and other activities that get kids’ muscles moving, Norman says. It’s also a good idea for parents to do active things with their children, Dr. Show suggests. You might try playing games, riding bikes or practicing a sport.


‘…brush my teeth’

‘…get a shot’

Illustrations by Robert Soto

‘…eat my vegetables’ “At least try one small bite,” you might state. “it may taste different than you think.” Plus, vegetables keep you healthy. Having them in your diet may even help you stay at a healthy weight. for kids, being exposed over and over again to a food can eventually lead to liking it, norman says. But it’s not necessary to force your child to eat vegetables. Simply offer a variety of vegetables on a daily basis. Kids will learn that these foods are an important part of a healthy diet. You might have your child help shop for veggies or make a low-fat dip to add to the vegetable tray. Get your kids involved in gardening and let them grow their own vegetables. When kids help grow or make food, they are more likely to eat it.

“But you don’t want to get sick and miss out on fun activities, do you?” you might ask. Vaccines can teach the body how to recognize and get rid of bad germs. This protects people from becoming sick, both now and in the future. “Because of the importance of vaccines to a child’s health, you need to let your child know that they do not have a choice about getting shots,” says Carolyn Cook, Rn, MSn, Mary Bridge immunizations Program Coordinator. You can sympathize with your child—shots are scary. And be honest about the fact that it will hurt a bit to get a shot. But also stress the positive. Remain calm and confident, and talk about all the unpleasant symptoms of sickness that can be avoided with immunizations.

“i know, but it’s better than having a mouth that hurts,” you can offer. Brushing twice a day helps avoid painful tooth decay and gum disease, Dr. Show says. Plus, it keeps your breath fresh and your smile looking bright. Dr. Ricker recommends that you make brushing fun by letting children pick out their own toothbrushes and toothpaste. Or add stickers to a fun chart after each successful brushing and reward a full chart. “Parents can also model good behavior by making sure their kids see them brushing their teeth and going to the dentist,” says Dr. Ricker.

Getting to yes

“it may take more than one try to get past the ‘i don’t wannas’ and find the things that work in your life for your children,” says Cook. “But you’ll be helping them establish healthy habits that will last a lifetime.”

MyChart: Easy access to your health care MultiCare just made it easier for you to take care of your health care needs. Register for MyChart for 24/7 secure computer access to a website where you can: • Schedule, confirm or cancel appointments • View test results • Renew prescriptions It’s easy to sign up, and it’s free. Visit your provider’s offi ce and ask for your personal access code. Then log on to sign up online at multicare.org.

multicare.org • 7


heart health

Congenital h   eart defects What kids (and parents) should know A congenital heart defect (CHD) happens when a baby’s heart does not grow normally in the womb. These defects can range from small holes in the heart that close as the baby gets older, to serious problems that need to be fixed with an operation within a newborn’s first few hours of life. In the United States, CHD affects around 8 out of every 1,000 babies born each year. Luckily, according to Matt Park, MD, a pediatric cardiologist with NorthWest Children’s Heart Care/Pediatrix, most of those cases are not serious—and those that are serious are usually diagnosed within the first few months of a baby’s life. “It is rare that you actually find something significant in older patients,” Dr. Park says. Here are a few more facts that kids and parents should know about CHD. If you have a serious heart defect, you probably already know about it. As Dr. Park noted above, it is fairly unusual, although not unheard of, for a child to have a life-threatening heart defect that goes undetected until he or she is schoolage or older. “The more complex cardiac deficits will be diagnosed early in life—some of them in utero,” says Karl Welke, MD, a pediatric cardiac surgeon who operates at MultiCare Mary Bridge Children’s Hospital. “About a third of the children that we operate on are newborns.” And although instances of teens or adults who experience sudden death from an undetected heart defect make for great news stories, the chances of this happening are extremely rare. “It’s scary,” Dr. Park says, “but more teenagers die every year from drowning, car accidents and other preventable causes than from heart disease. Signs 8 • Healthy Living

to watch for in teenagers include exerciseinduced shortness of breath, chest pain, fainting or unusual fatigue.” If you have a heart defect, you may need surgery. Pediatric cardiac surgeons will operate on very tiny babies if they have to, but the older the child is when surgery takes place, the better. So depending on the defect, cardiologists and surgeons may work together to plan the best age for children to have surgery if they need it. Most surgeries to correct heart defects still need to be done as open-heart surgeries. But more treatments to correct a CHD can be done in a cardiac catheterization lab, or cath lab, than in the past. Cath lab procedures use only a small incision, which means patients don’t have to stay in the hospital to recover and only have a tiny scar, if they have a scar at all. “The vast majority of atrial septic defects are closed in the cath lab,” Dr. Welke says. “Pulmonary artery stents can be placed in the cath lab. In some cases, valves can even be implanted in a cath lab.”

Learn the signs of heart defects To read about the signs and symptoms of heart defects in infants and children, visit multicare.org/marybridge/ newborn-screening-heart-2.

If you have a heart defect, you don’t have to live like an invalid. It’s important for patients with a heart defect to have lifelong follow-up with a heart specialist. But while in a few extreme cases CHD can limit the kinds of activities you can do, in most cases getting out and being active is just what the doctor ordered. “For the most part, depending on the defect, we don’t limit them,” Dr. Park says. “A lot of that is because of the danger of weight gain. Even if you do have a congenital heart defect, you need to be active, you need to exercise, you need to play.”


brothers and sisters

A special place for siblings

It’s not fair! Talking to your children about a sibling with autism “The impact of autism puts stressors on the entire family, including emotional worries, time constraints and financial worries,” says Dawn Heino, an occupational therapist at the Children’s Therapy unit (CTU) at MultiCare Good Samaritan Hospital. “This impacts the siblings tremendously.” Children who have a sibling with autism may have a lot of negative feelings about the way their sibling’s disorder affects their lives. It’s important for parents to recognize these feelings and be prepared to help their other children deal with them. A child might say something like, “It’s not fair that she can do whatever

Where kids come first Learn more about the Children’s Therapy Unit at MultiCare Good Samaritan Hospital at multicare.org/ctu. The MultiCare Mary Bridge Pediatric Neurosciences Center also offers services for children with autism. Call 253.403.4437 to learn more.

she wants (hit me, have temper tantrums, ignore me and so on) and I can’t.” “Most of the time, kids with autism have difficulty communicating and interacting with others, which often makes them seem aloof; withdrawn; and like they do not enjoy the people around them, including their siblings,” Heino says. For this reason, it’s important to explain early and often why your child with autism behaves differently from his or her siblings, using age-appropriate language, says Betsie Walter, RN, an autism nurse navigator with MultiCare Mary Bridge Pediatric Neurosciences Center. “For example,” she continues, “you could say, ‘Miranda doesn’t know how to talk like you do.’” Your child might say, “It’s not fair that we never get to do what I want to do.” Because children with autism often have trouble dealing with changes in routine or being in places that are more crowded or noisy then they are used to, it can be difficult for families to plan outings or attend school functions. “One of the biggest stressors is often the child with autism doesn’t do well in public settings,” says Walter. Families may also have less money to spend on things like after-school sports, summer camps or other activities that other children in the family may want to do

Sibshop is a Children’s Therapy unit (CTU) program for typically developing brothers and sisters ages 5 through 17 who have a sibling with a disability or chronic health condition, including autism. “Sibshop is a great opportunity for siblings to spend time with other kids who understand what they are going through at home,” says Brandi Livengood, an occupational therapist at CTU. “Sibshop lets them know that they are not the only kid who has a brother or sister with a disability in their life. It gives them a safe place to vent or to ask for help. It also gives them a time when it is all about them.” For more information about the Sibshop program, visit multicare. org/goodsam/sibshops.

because of the added costs of meeting the needs of the child with autism. Solutions to this vary widely but may include allowing the other children to choose one or two activities a year they want to do, enlisting other adult family members to help carpool or attend events, or creating a family schedule so that parents can take turns being available for other children’s activities. Or your child might say, “It’s not fair that you spend more time with her than with me.” “Probably the biggest impact for siblings is that parents have to spend more time and energy managing and helping their child with autism and have less time for the siblings,” Heino says. “This can cause jealously, resentment and a feeling that the parents do not love them as much as their sibling.” Walter adds: “It’s important to remember that each child in the family needs their own time to feel special, even if it’s only five minutes at bedtime.” multicare.org • 9


Kids are remarkably adaptable—even when they have cancer. And according to Ronald Louie, MD, pediatric oncologist at MultiCare Mary Bridge Hematology and Oncology, they don’t often ask “why” questions about their illness. They are more concerned with feeling better and getting back to school or play as soon as possible. But these kids do know they’re sick. And information is the tool that can help them feel in control and be able to handle tough treatment regimens.

will happen during the treatment or visit so that you can properly prepare your child. What other answers kids want, and can understand, depends on their age. Here are some questions and concerns that may arise at different ages: Infant to age 2 or 3 years. These

kids’ biggest fear is being separated from their parents, so be reassuring. Kids with some language skills can be told about appointments that are coming up in the near future.

Questions and concerns

Children need to know that their parents and other loved ones will be there for them. They might be concerned about painful treatments. So it’s important to be honest. Let them know that some procedures may sting or pinch but modern techniques help most kids feel very little pain during cancer treatments. Make sure to ask the nurse or doctor what exactly

Age 2 or 3 years to 7 years. Older kids in this

age group can understand cancer in simple, honest terms. Explain that doctors have ways to help them and that treatments are done in a hospital or doctor’s office. And encourage them to get to know the people there. In fact, getting to know new people is an important step for children with cancer, says John Rieke, MD, radiation

Pediatric oncology at Mary Bridge Children’s Hospital When a child has cancer, it’s a family affair. The Mary Bridge Hematology and Oncology Program always looks for a way to treat children on an outpatient basis and even provides follow-up home care. They also offer

10 • Healthy Living

parent and sibling support groups and hold special events where patients can just be kids. At the same time, the program participates in the latest clinical trials and evaluates the newest cancer treatments. And their full

range of treatments includes medical and surgical services for children from the youngest of babies to teenagers. For more information, call the center at 253.403.3481 or 800.552.1419 or visit multicare.org/marybridge/cancer.


Glossary:

Cancer resource centers at MultiCare People with cancer have unique needs beyond medical treatment. At MultiCare, two cancer resource centers provide services such as nutritional counseling and cancer support groups. Both also offer educational materials and Internet access for health information. The resource center at MultiCare Good Samaritan Hospital (253.697.5820) offers nutritional counseling and comfort therapies for pain. And their specialty shop features cosmetic items that are helpful during cancer treatment. Located conveniently in the Medical Oncology Clinic on the fourth-floor Milgard Pavilion at MultiCare Tacoma General Hospital, The Katterhagen Cancer Resource Center (253.403.1677) also provides nurse navigators and social workers to help guide you through care. Additionally, the center can help you connect with complementary treatments such as yoga and tai chi as well as acupuncture and naturopathic care. Visit multicare.org/cancer for more.

oncologist and medical director of MultiCare Regional Cancer Center. “It can be a challenge to get used to all the new faces,” he says. Having professionals who stay with the child through the full course of treatment—such as the Child Life Specialists at MultiCare Mary Bridge—can help. It’s also important to reassure children that nothing they did caused their cancer. Age 7 years to 10 or 12 years.

According to Robert Irwin, MD, a pediatric oncologist at MultiCare Mary Bridge Hematology and Oncology, getting back to school and friends is an important concern for children at this age. “We strive to keep kids in school as much as possible,” he says. “We encourage that when it’s safe.” To counteract anxiety about treatments, it can help to bring a sibling along to play with. “We encourage siblings to come to visits not only to help things feel more normal for the patients but also to help the siblings feel involved, cared for and special too,” says Dr. Louie. And according to Dr. Rieke, kids this age often respond well to stories. “Storybooks about cancer can lead to discussions that might not happen otherwise.” Teenagers. Older kids can under-

stand more details about their illness. But they are still more likely to focus on short-term concerns. For example, “Will I lose my hair?” is a common question. The answer: Probably. But it will grow back after treatment ends. Teenagers are also likely to be concerned about losing or gaining a lot of weight. This can happen during some treatments. And like younger kids, teens often want to know when they can go back to school.

Cancer terms with kid-friendly definitions Cancer or malignancy: Cells in the body that grow too fast and cause damage Tumor: A lump in the body that’s not supposed to be there Procedure: Any special test or treatment Chemotherapy: Medicine that helps kill cancer Radiation: A beam of energy that you can’t see or feel but that can kill cancer Oncologist: A doctor who takes care of cancer patients Scan or x-ray: A machine that looks inside the body

“They need an area where they can feel successful, and that often is school,” Dr. Irwin says. For this reason, social workers from MultiCare visit the child’s school to make the return easier.

When a family member has cancer

Kids who have a family member with cancer know something serious is going on. Bringing older kids along to routine appointments can take away the mystery and calm fears. And make sure kids of all ages know they’ll always have someone who loves and cares for them. You’ll probably have many conversations with your child about cancer. It’s OK to repeat the same message many times, and it’s also OK to say you don’t know the answer. Overall, being honest is essential. Kids often know when you’re not being straightforward. They need to know they can trust you and what you are telling them. For one person’s journey through childhood cancer, read Shannon’s story at multicare.org/Shannonsstory. multicare.org • 11


family health

Be quiet, Baby!

“Also,” continues Edenholm, “mom and dad need to schedule one-on-one time with the older child every day. It does not have to be expensive or long—just something they can count on, away from baby.”

Helping children adjust

Get them involved

to a new brother or sister Bringing home a new baby is an exciting time for a family. It also means a lot of changes, especially for the first few months. These changes can be especially hard on other children in the family. “There is a big difference between the fantasy of bringing home a new baby and the reality,” says Rhonda Edenholm, instructor for the Big Brother/Big Sister class at MultiCare Tacoma General Hospital. “Fantasy: Once this new baby is born, the new sibling will fall in love with them; everything will be great. Reality: This baby cries a lot; there is less attention from mom and dad; everyone that comes to visit wants to shower this baby with attention—but what about me?”

Support for the whole family The Family Birth Centers at MultiCare Tacoma General and MultiCare Good Samaritan hospitals offer a wide range of classes and groups to help every member of the family get ready for a new baby—and get the support they need after baby is born. See page 17 for a full listing of classes and support groups that are available.

12 • Healthy Living

Read on for some tips on helping your child get used to being the big brother or big sister of the family.

Make them feel special too

Understandably, a new baby demands a lot of attention. But make sure the older child or children in the family don’t feel left out. Edenholm suggests that you enlist a relative or friend to spend a few hours a week with the older child doing something that’s just for them. Encourage guests to pay attention to the older child first. If guests plan to bring a gift for the baby, suggest that they bring something small for the other child, too, to make him or her feel included.

It’s important for older sibling to understand what they can and can’t do with their new brother or sister—no picking up or holding the baby when an adult isn’t around, for example—but encouraging the older child to interact with the baby can help the child bond with their sibling. Some suggestions Edenholm has for ways older children can play with a new baby include: • Talking to or reading a book to the baby • Singing songs to the baby • Making faces at the baby If the child is old enough, parents may even encourage the child to be in the room to help while mom or dad dresses, bathes or changes the baby. But, cautions Edenholm, “It’s OK to have the siblings be helpers— but not caregivers.”

Let them express their feelings

“The No. 1 thing parents can do for their kids to help adjust to a new baby in the family is communication,” says Edenholm. Giving your child permission to be open with thoughts and feelings— even negative feelings—is important. Answer their questions honestly, and let them know the way they are feeling is OK. “Reassure the child,” Edenholm says, “that while the new baby will need a lot of attention from mom and dad at first, that does not mean that your love for them is less.”


grief

‘Will you die too?’  Understanding children and grief

The death of a parent, sibling or “Tears and talking aren’t to be expected,” other important person in a child’s life Schuyleman agrees. has a profound impact on that child. Children often won’t open up and talk But children often grieve in very differabout their grief. It’s far more common for ent ways from adults, which can make it their grief to come out in physical or behard to understand their grief—or know havioral ways. how to help the child deal with it. “Kids can go We advocate for honesty. Use the words, in and out of grief and joy much such as death or suicide. But be gentle. easier than adults,” —Darren Wenz, LICSW CT, Coordinator for BRIDGES says Michelle Schuyleman, MA, LMHC, Family “They may act out, regress in behavior, Support Coordinator for BRIDGES: or they may be clingy,” says Schuyleman. A Center for Grieving Children. “Some kids develop anxiety or fears around “Generally kids’ grief span is shorter,” safety. Teens might deal with their grief by agrees Darren Wenz, LICSW CT, Coorditaking unhealthy risks, by isolating or by nator for BRIDGES, “meaning that kids completely avoiding the topic at all.” are in the ‘depths of grief ’ for shorter periPhysical symptoms, such as headaches ods of time. They don’t intentionally hide their grief, but they still want to do normal and stomachaches, are also not uncommon. kid stuff.” Grief in children, as in adults, is a deeply Looking for answers Death is hard to understand no matter individual experience. But children do have what age you are. Some questions children some things in common with each other may have about death include: when it comes to grieving. • When are they coming back? “This is a Grieving as they grow big question from little kids,” Wenz says. Grieving is a process that may take many “It’s not until the late elementary school years for children, cycling back in different years that kids start to understand the ways as they get older. irreversibility of death.” Variations on this “A child who loses her father when she question include wondering if the person is 7 will not have the full grasp on how who has died is cold or hungry. many changes that will mean in her life,” • Was it my fault? “Kids are egocentric,” says Schuyleman. “As she gets older, as the Schuyleman says. “They will figure out how brain develops and life experiences add up, it was their fault. Sometimes it’s just absurd the child will re-grieve as she understands what they come up with, but that’s what more and more.” they believe.” • Will you die too? “After a child Using actions, not words experiences a loss, they are often fearful “With kids, you can’t go right at the about losing others,” Schuyleman says. grief,” Wenz says. “They will pull back and Sometimes questions kids ask about resist. You have to be a bit more subtle.” death may seem inappropriate or

downright gross. But it’s just a way for kids to understand what’s happened, so adults should answer any questions children ask in a sensitive, age-appropriate way. “We advocate for honesty,” Wenz says. “Use the words, such as death or suicide. But be gentle.”

BRIDGES helps families heal BRIDGES: A Center for Grieving Children offers support to families with children ages 4 through 18 who have experienced the death of a parent or sibling. Support groups are led by trained facilitators and include groups for both parents and children. For more information about BRIDGES, visit multicare.org/bridges.

multicare.org • 13


sma r t Take control

Education and support for managing your health and safety

Biggest Winner Series

• Current members of theYMCA of Pierce and Kitsap Counties: $299 • Nonmembers: $389 Visit piercecountygetsfi t.org for upcoming sessions and application deadlines.

Fee: $30/person; $45/couple MultiCare South Hill Clinic 253.697.8141

A variety of education programs, including insulin pump instruction, and individual appointments are available. Program costs may be covered by your insurance plan. Doctor referral needed. • Tacoma, Gig Harbor: 253.403.1726 • South King County: 253.372.7010 • East Pierce County: 253.770.2300

Pulmonary Rehabilitation

Classes for adults with chronic lung conditions. Cost may be covered by insurance. MultiCare Allenmore Hospital 253.459.6623

free

Third Wednesday of the month, 2:30 to 3:30pm Dr. Richard C. Ostenson Cancer Center at Good Samaritan 253.697.4899

14 • Healthy Living

Staying Safe: First Aid

Understand standard first aid and adult CPR. Certification requires written and skills exams.

Need help quitting tobacco? Join MultiCare’s four-week web-based tobacco cessation series. Each one-hour online class will be structured to provide behavior change skills and participant support group interaction. Behavior change skills include creating a quit plan, nutrition, physical activity and stress management. This program will be ongoing, cycling through the topics every four weeks. Participants can start the program at any time in the series. Fee: $10 Mondays, noon and 5:30pm 800.485.0205

Diabetes Education

Monthly nutrition class offered for before, during and after cancer.

253.459.6999

Quit Smart on the Web

Perfect for anyone with a personal or family history of heart disease or high cholesterol. Learn how fats, cholesterol, carbohydrates and salt affect heart health plus how to look out for your heart at the grocery store and in restaurants.

The Power of Nutrition

MultiCare Rehabilitation Specialists.

253.474.0600

Heart Healthy Eating Class

for a healthy life

Unless otherwise noted, visit multicare.org/class or call 800.342.9919 for information or to register.

Aquatic Therapy Rehabilitation

This 12-week program includes before-and-after health assessments, weekly group workouts led by a YMCA health and wellness coach, a 12-week exercise program at the YMCA, and a lot of encouragement along the way. Books and materials will be provided, and prizes will be awarded to the biggest winners.

October to January

NEW! Gentle Yoga Classes for Cancer Patients– Breath and Movement

Gentle movements are adapted to the individual, allowing participants to ease into relaxation. Led by a certified yoga instructor and a cancer retreat yoga facilitator. Registration not required. Dropin participants welcome.

Free for cancer patients in active treatment and their support partners MultiCare Regional Cancer Center, Tacoma 253.403.2551 or 253.403.6834

Relax and Review—Restorative Yoga for Cancer Patients

Certified yoga instructor and cancer treatment yoga facilitator create a calm environment for participants to relax and find peace. Registration not required. Drop-in participants welcome.

Free for cancer patients in active treatment and their support partners MultiCare Regional Cancer Center, Tacoma 253.403.2551 or 253.403.6834

Gentle Chair/Mat Yoga for Cancer Survivors Cardiac Health & Rehabilitation Program

Medically monitored exercise therapy and lifestyle education about risk-factor reduction, medications, nutrition and stress reduction for patients who have had a heart attack, cardiac bypass surgery, angioplasty/stents, heart valve surgery or angina. Doctor referral needed. • MultiCare Tacoma General Hospital 253.403.1058 • MultiCare Gig Harbor Medical Park 253.403.1058 • MultiCare South Hill Clinic 253.697.8141

free

Eight-week session, Thursdays, 10 to 11am Dr. Richard C. Ostenson Cancer Center at Good Samaritan 253.697.4899

Gentle Pilates for Cancer Survivors Eight-week session, Mondays, 5:30 to 6:30pm Eight-week session, Fridays, 8:30 to 9:30am Dr. Richard C. Ostenson Cancer Center at Good Samaritan 253-697-4899

Stretch and Strength for Cancer Survivors Eight-week session, Tuesdays, 9 to 10am Dr. Richard C. Ostenson Cancer Center at Good Samaritan 253-697-4899

free


Girls Night Out Bring your friends for some girl time! The evening’s events will include sample spa treatments and products as well as delicious hors d’oeuvres. Thursday, Nov. 17, 5:30 to 8:30pm Healthy Reflections Medical & Day Spa, MultiCare Gig Harbor Medical Park $30 800.342.9919 Registration required

Check your health Screenings to help you stay healthy Breast Health and Bone Density Screenings

The following locations offer comprehensive DXA screening for osteoporosis as well as everything you need for breast health: mammography, ultrasound, stereotactic biopsy, clinical breast exams and education.

• MultiCare Auburn Clinic: 253.876.8190 • MultiCare Covington Clinic: 253.372.7240 • MultiCare Gig Harbor Medical Park (DXA screening and breast health screening only): 253.792.6220 • Carol Milgard Breast Center in Tacoma: 253.759.2622 • Diagnostic Imaging Northwest – Puyallup Imaging Center: 253.841.4353 • Diagnostic Imaging Northwest – Sunrise Imaging Center: 253.841.4353 • Diagnostic Imaging Northwest – Bonney Lake Imaging Center: 253.841.4353

Heart Check Screening

A personalized consultation with a cardiac prevention specialist, a heart disease risk analysis and basic lab tests. Fee: Starts at $55 • MultiCare Tacoma General Hospital • MultiCare Gig Harbor Medical Park: 253.403.1726 • MultiCare South Hill Clinic: 253.697.8141

Power Shopper

Develop your cart-smart skills by joining a tour of your local supermarket, led by a MultiCare dietitian. Save time and money as you learn the top decision points to make more informed choices. 253.403.1503

MultiCare Mobile Health Services

Health screenings and immunizations for adults and children. 253.697.4010 multicare.org/ mobile-health-services

Weight Management

• Body Composition Testing Check your body fat percentage and lean mass percentage, and set a goal for your weight. • Resting Metabolic Rate Screening Get the exact measurements you need to successfully lose weight. The comprehensive target calorie report will show you how to eat the maximum amount of food and still lose weight. • Nutrition Counseling nutrition counseling sessions, offered by MultiCare dietitians and tailored to meet your individual needs. Call for more information about these services and pricing. • Gig Harbor: 253.530.8970 • Tacoma: 253.403.1503 • Puyallup: 253.530.8974

Our healthy community Programs and activities to help build a healthier community MultiCare Center for Healthy Living

education and programs for community members and corporations. We promote health and wellness with exercise, nutrition, weight loss, life balance and tobacco cessation. This community resource is made possible by generous gifts donated through the MultiCare Health foundation.

Sports Nutrition

• Sport-specific nutrition counseling • Body fat testing using the Bod Pod • Resting metabolic rate testing

Call for more information and pricing. 253.403.1503

253.403.1519

Coalition for a Healthy Community (CHC) Healthy@Work

Boost productivity and reduce absenteeism with this work-site wellness program. Program offerings include health screenings, health education programs and classes, all taught on-site for both large and small companies. 253.403.1503

Become a volunteer for CHC and help make a difference in the health of your community. Meets monthly MultiCare Covington Clinic 253.372.7245 (Tuesday through Thursday) pamela.kramer@multicare.org

Nutrition and Exercise Workshop: From Science to Practice Supported by MultiCare Center for Healthy Living Friday and Saturday, Nov. 4 and 5 University of Washington in Tacoma Featuring: • Sports nutritionist Nancy Clark, MS, RD, CSSD • Exercise physiologist William Evans, PhD For coaches, athletic trainers, exercise physiologists, sports nutritionists, sports medicine professionals and athletes to find answers to their questions about: • Eating for health, enhanced performance and longevity • Balancing carbs, protein and sports supplements • Managing weight and eating disorders Cost: $229; $134 for full-time students and dietetic interns CEUs available To learn more or register, visit www.sportsnutrition workshop.com


Family health and safety Classes and resources to help keep your kids safe and healthy Kids in the Kitchen Cooking Class

Kids in grades four through seven will enjoy learning about nutrition while cooking up some wonderful, delicious, kid-friendly recipes, all ensured to add a bit of health to their bodies. The class includes recipes, an apron and prizes! Space is limited, so sign up today! Fee: $25 Thursday, Oct. 20, 5 to 6:30pm MultiCare Covington Clinic, Conference Room 3 800.342.9919 multicare.org/class

Parent Autism Education free Series

A three-session series for parents of children ages 2 to 5 who have been newly diagnosed with an autism spectrum disorder. We regret that we are unable to provide child care. Registration is required; space is limited. Thursdays, Jan. 12, 19, 26, 1 to 4pm Mary Bridge Children’s Health Center 253.697.5225

Children’s Asthma Education

free

education for children with asthma and their families. Mary Bridge Children’s Health Center 253.792.6630

PowerCook: A Month of Healthy Meals

looking for a way to save time and make healthy family meals on a budget? learn to PowerCook! fix and freeze 30 nutritious meals, and sample a few finished products. Class taught by a registered dietitian and certified diabetes educator from MultiCare Health System.

Fee: $35; $20 for YMCA members and MultiCare employees • Wednesday, Nov. 16, 6 to 9pm, Tacoma piercecounty getsfi t.org

Join in the Spirit of Giving This year celebrates Mary Bridge’s 25th Annual Festival of Trees—“The Spirit of Giving.” Each year the festival kicks off the season in the South Sound with a glittering display of about 70 exquisitely decorated trees and a host of holiday events—all while raising money to support the lifesaving efforts of MultiCare Mary Bridge Children’s Hospital & Health Center. Start your holidays with one of the many festive events taking place in our forest of decorated trees. Events open to the public include a Ladies Night Out Thursday, Dec. 1, from 6 to 9pm (registration is required); Kids Day Saturday, Dec. 3, from 10am to 3pm; and public viewing Sunday, Dec. 4, from 11am to 4pm. For more information, visit marybridge.org/fot or call 253.403.3095. Or follow the Mary Bridge Festival of Trees on Facebook at facebook.com/marybridgefot.

Shapedown

Ten-week weight management groups for children and teens ages 6 to 17 and their families. Referral and assessment required.

For more information, call Peggy Norman, MS, RD, CDE, at 253.403.1256.

Life Jacket Loans

free

free life jacket loaners available year-round. loaned for up to one week. limited quantities. Wearer must be present.

Available in Tacoma by appointment. 253.403.1234 multicare.org/ childhoodsafety

Mary Bridge Mobile Immunization Clinic free

for children 0 to 18 years old in Southwest Washington.

Available at various locations. 253.403.1767 or 800.552.1419, ext. 1767 multicare.org/ immunizationclinic

Car Seat Inspections

free

Car seat inspections and phone consultations by certified technicians.

Call for schedules. Available in Puyallup and Tacoma. 253.403.1234 multicare.org/ childhoodsafety

Asthma study open MultiCare Pulmonary Research Department is now seeking volunteers 18 years or older for the bronchial thermoplasty asthma study. Call 253.301.6855 for details. 16 • Healthy Living

Children’s Diabetes Education and Clinic

individual education for children newly diagnosed with diabetes and their families. By appointment for those who need further education or review. Classes, camps and support groups also available. Mary Bridge Children’s Hospital & Health Center 253.792.6630

Custom-Fit Helmets

Bring in your helmet, and have our trained staff custom-fit it. Wearer must be present.

• Tacoma (fi ttings only, by appointment) 253.403.1234 • Puyallup (sales and fi ttings—call for prices and times) 253.697.7385 multicare.org/ childhoodsafety


Childbirth and family education

MultiCare Family Birth Centers

MultiCare Good Samaritan Hospital and MultiCare Tacoma General Hospital are here to help you and your family better understand and prepare for the arrival of your baby. Our classes and experienced educators help you enjoy a more satisfying birth experience. For a current schedule or to sign up for classes, visit multicare.org/childbirthclasses. To sign up over the phone, call 800.342.9919. For other questions, or to use your ProviderOne card, call 253.697.5300. Five-week Childbirth Series

A comprehensive class covering everything from pregnancy, birth, comfort techniques, medications for birth and cesarean birth to postpartum, breastfeeding and newborn care. Meet other expectant parents, tour our Birth Center with your educator and have plenty of time to get your questions answered. if you are hoping to avoid the use of pain medication for childbirth, this class offers the most practice with non-medication pain relief techniques. Per class: 2½ hours; total series time: 12½ hours. Fee: $90 or ProviderOne card

Childbirth: Two-day Class

All the information of a five-week series, but moves much more quickly over two weekend days. labor coping and support techniques will be practiced both days. Tour of our Birth Center included. each class day is 6½ hours with a lunch break. Fee: $90 or ProviderOne card

Childbirth: One-day Class

Just the basics for those too busy to attend the longer classes or who desire a class that moves quickly. While all subjects are touched on, the primary focus of this class is to prepare you and your birth partner for the birth itself. eight-hour class with a lunch break. Fee: $80 or ProviderOne card

Childbirth: Online Class NEW! This online class offers prepared childbirth instruction in an easy-to-navigate, self-paced and convenient format. Topics covered are pregnancy, labor, birth stories, comfort techniques, medical procedures, cesarean birth, newborn care and postpartum. This class offers information in text, animation, videos and 11 printable handouts. Total average viewing time is four to six hours. Fee: $40 (not ProviderOne-eligible)

NEW! Online Plus One-Night Class This package includes the online class plus a onenight class with the opportunity to meet with a childbirth instructor to practice breathing, relaxation and hands-on labor support techniques and get questions answered. A tour may be provided if time permits. 2½ hours for one-night class. Fee: $65 includes both online and one-night class (not ProviderOne-eligible)

Just for You

if you prefer a private childbirth class, this 4½-hour private class covers the prenatal education topics you select. Time and subjects are arranged with the instructor. Fee: $175 (not ProviderOne-eligible)

Newborn Basics

This one-night class offers an in-depth preparation on what to expect from your newborn and how best to care for him or her when you get home from the hospital. Sleeping, feeding, diapering, bathing and safety issues will all be covered with extra time for your questions or concerns. Three hours. Fee: $30 (not ProviderOne-eligible)

Big Brother/Big Sister

A fun 1½-hour class for 3- to 7-year-olds that helps prepare children to become older brothers or sisters. Class includes activities, safety issues and a Birth Center tour. Parents attend with their children. Fee: $15 per family (not ProviderOne-eligible)

Mom and Baby Support Group at Good Samaritan

This support group offers informative speakers; discussion of sleep, feeding and adjustment issues; baby weight checks; and encouragement and support. no need to sign up.

free

Tuesdays, 10:30 to 11:30am (for infants 0 to 6 months) and 11:30am to 12:30pm (for infants 6 to 12 months) Birth Center Classroom, Good Samaritan Hospital

Birth Center Tours

free

View the private birthing suites, and get your questions answered about giving birth at Good Samaritan and Tacoma General hospitals. information about registration, arrival at the hospital and what to expect during your stay will be included. • Good Samaritan Hospital (30-minute tour) Saturdays, 1pm Family Birth Center lobby; no need to sign up • Tacoma General Hospital (45-minute tour) Three times monthly (see class schedule online) Call 800.342.9919 to sign up.

Mom and Baby Breastfeeding Support Group at Tacoma General Hospital

free

This support group offers professional support for breastfeeding; baby weight checks; and discussion of sleep, feeding and adjustment issues. no need to sign up. Second and third Tuesdays, 10:30am to noon Family Education Center, Rainier Pavilion, third floor, MultiCare Tacoma General Hospital

Boot Camp for Dads

A “dads-only” class taught by an experienced father to help expectant dads prepare for their new role. Veteran dads bring their babies to class to help offer a realistic, hands-on learning opportunity for the rookies. Three hours. Fee: $25 (not ProviderOne-eligible)


Stay healthy Resources to help adults stay active

Home Health Resources

Comprehensive inhome services provide nursing, therapy, social work and aide care to help people manage their illness and recovery at home. 253.301.6400 or 888.516.4504

Enhance Fitness

An ongoing senior exercise class, offered by the MultiCare Celebrate Seniority program, designed to improve strength, flexibility and balance as well as improve your cardiorespiratory system. 253.697.7389

The Y is for everyone “Whether it’s training for my next race, preparing a presentation for work or keeping up with my two boys, I am always on the go. The Y helps me balance my life with state-of-the-art wellness facilities and running groups to help me achieve my goals. Also, the family-friendly atmosphere and youth programs, such as the Y’s nursery and kids’ swimming classes, help my family learn, grow and have fun together.” —Cheryl, YMCA member The YMCA is for everyone

Kids have fun with classes and activities that keep them fi t. From swimming to sports, drop-in gym and arts and crafts, kids of all ages will develop new skills and enjoy unique experiences while learning the core character values of caring, honesty, respect and responsibility. Classes include swimming lessons, sports, dance, gymnastics, martial arts and more. Most classes are included in your YMCA membership with registration. Teens become civically engaged and develop leadership skills through our Youth and Government program or get fi t and healthy with our Teen Fitness Program. All teens ages 15 to 18 are invited to come to the Y every Saturday night from 9pm to midnight for our Teen Late Nite Program. No membership required. Adults build a healthy spirit, mind and body with group exercise classes, state-of-the-art cardio equipment, our 12-week Personal Fitness Program, Zumba, yoga, Pilates, water aerobics and more. Small group activities, including nutrition classes, self-help groups, book clubs, knitting, dog walking, games, bridge clubs, running groups and more provide adults the chance to socialize and get involved in the community. Activities vary by location.

18 • Healthy Living

MultiCare Celebrate Seniority

This senior membership program for people 55+ consists of people like you who are interested in maintaining good health and vitality throughout life, regardless of age. This program provides access to health education, information, discounts, socializing and volunteer opportunities. 253.697.7385

Adult Day Health

Promoting independence for older (and disabled younger) adults in Tacoma. 253.459.7222

Exercise for Seniority

Exercise for Parkinson’s Thursdays, 11am to noon LifeCare Center of Puyallup 511 10th Ave. SE, Puyallup Call Daisha Cruz, 253.845.7566

Thursdays, 11am to noon LifeCare Center of Puyallup 511 10th Ave. SE, Puyallup Call Daisha Cruz, 253.845.7566

Join the Y today Visit ymcapkc.org, or check out the location nearest you: • Gig Harbor Family YMCA: 253.853.9622 • Mel Korum Family YMCA: 253.841.9622 (Puyallup) • Morgan Family YMCA: 253.564.9622 (Pearl Street, Tacoma) • Lakewood Family YMCA: 253.584.9622 • Tacoma Center YMCA: 253.597.6444 (Downtown Tacoma) • Bremerton Family YMCA: 360.377.3741 • Haselwood Family YMCA: 360.698.9622 (Silverdale) Before- and after-school child care at your school YMCA Child Care provides a curriculum-based program ensuring your child is learning and growing well beyond the school day. Our fully trained staff members lead and facilitate a structure-based program in which your child is empowered and equipped to lead others. Licensed by the Washington State Department of Early Learning, we ensure a safe and enriching environment. Services are available in the following school districts: • Steilacoom • Franklin Pierce • Bethel • Tacoma • Peninsula • Clover Park • Puyallup • Dieringer For more information, call 253.534-7840 or visit ymcapkc.org/childcare.


Get support Alzheimer’s Support Group

A support group for people who are caring for a loved one with dementia.

Third Tuesday of each month, 5 to 6:30pm Good Samaritan Behavioral Health, 325 E. Pioneer Ave., Puyallup 253.697.8400

Cancer Care Support at Good Samaritan

A wide range of cancer support services. 253.697.4899

Pediatric

NEW! Epilepsy

and Seizure Support Group

for parents and caregivers of children and adolescents who have seizures or epilepsy.

Last Wednesday of the month, 6 to 8pm Mary Bridge Children’s Hospital & Health Center, large boardroom, first floor, East Wing 253.792.6630

Groups and services to give you the support you need

Puyallup Cancer Support Group

for patients, caregivers, adult family members and friends.

First Thursday of each month, 1 to 3pm Dr. Richard C. Ostenson Cancer Center at Good Samaritan 253.697.4899

Covington Women’s Cancer Support Group

for women who are currently battling cancer or are survivors. Second Tuesday of each month, 7 to 8:30pm MultiCare Covington Clinic, Conference Room 1 253.372.7293

Food Allergy and Asthma Support Group

Knowledge, ideas and expertise with families handling a child’s allergies, food allergies and asthma. 253.792.6630

Good Samaritan Mom & Baby Group Caregiver Support Group

Open to anyone in the community who is providing physical or emotional care or financial assistance to an older or disabled person.

Second Monday of each month, 1:30 to 3pm Good Samaritan Behavioral Health, room C113, 325 E Pioneer Ave., Puyallup Facilitator: Shannon Tait shannon.tait@ multicare.org 253.697.8533

Support, education and information regarding community resources. Tuesdays • 10:30 to 11:30am: 0 to 6 months old • 11:30am to 12:30pm: 6 to 12 months old 253.697.5366

Lymphedema Networking Group

facilitated by Julie Venn, lMP, MlD/CDT. Second Thursday of each month, 7pm Dr. Richard C. Ostenson Cancer Center at Good Samaritan 253.697.4899

Living Well With Chronic Conditions

This six-week workshop, offered through MultiCare’s chronic disease management program, was developed at Stanford University and helps patients with chronic diseases learn self-management skills. Topics covered include eating well, managing medications, setting goals, working with your health care team and more. • MultiCare Allenmore Hospital Wednesdays, Feb. 1 to March 7, 9 to 11:30am • MultiCare Covington Clinic Tuesdays, Jan. 31 to March 6, 9 to 11:30am • MultiCare Good Samaritan Hospital Fridays, Feb. 3 to March 9, 2 to 4:30pm Call 253.792.6710 to register.

Man-to-Man Prostate Cancer Support Group

facilitated by trained volunteers who have recovered from prostate cancer. First Wednesday of each month, 7 to 9pm Dr. Richard C. Ostenson Cancer Center at Good Samaritan Call Weldon Plett at 253.691.2267.

Hospice Bereavement Services

One-on-one support, groups and community referrals through our Grief Support Services Program. 253.301.6400 or 888.516.4504

Tacoma Prostate Cancer Support Group

for the newly diagnosed as well as those with recurring disease. family members, friends and medical professionals are welcome.

Second Thursday and fourth Tuesday of each month, 6pm University Place Presbyterian Church, 8101 27th St. W, University Place tpcsg.info

Parkinson’s Support Group

for people who have been diagnosed with Parkinson’s disease and their support partners.

Third Thursday of each month, noon to 1:30pm LifeCare Center of Puyallup, 511 10th Ave. SE, Puyallup Facilitator: Karen Williams karen_williams@ lcca.com 253.845.7566

Discoveries Support Groups

for families with children 4 to 18 years old who are coping with a family member’s serious diagnosis. Concurrent groups for parents and children. Mary Bridge Children’s Hospital & Health Center 253.272.8266

Living With Grief Through the Holidays Sunday, Nov. 13, 3 to 5pm University Place Presbyterian Church 253.301.6400

Light Up a Life Memorial Celebration Sunday, Dec. 4, 3 to 5pm Rogers High School Performing Arts Center, Puyallup 253.301.6400

BRIDGES: A Center for Grieving Children

Grief support groups for families with children 4 to 18 years old who have experienced the loss of a parent or sibling. Concurrent groups for parents and children. Mary Bridge Children’s Hospital & Health Center 253.272.8266


MultiCare Health System P.O. Box 5299 Tacoma, WA 98415-0299

Nonprofit Org. U.S. Postage

PAID

MultiCare Health System

Kids and cancer What to say when they ask diffi cult questions. Page 10

Get a healthy glow Sun spots, begone! Has summer fun left your skin feeling distressed and looking damaged? Let our skillful estheticians and clinical skincare products work their magic to produce the healthy, radiant skin you deserve. You can expect to see lightening and improved pigment for any sun or age spots and replaced hydration, eliminating vascular imperfections and creating textural improvements for younger-looking skin. Package includes: • Three personalized chemical peels. • Six Foto Facials. • A new home-care hyperpigmentation kit from Innovative Science. Take advantage of this package now to see your beautiful skin revealed! $1,220 ($1,660 value) Purchase by Nov. 15, 2011. Services must be completed by Dec. 31, 2011.

Tropical spa escape We have created a brand-new service to treat your body to a Hawaiian escape, with our Ola Hawai‘i Passion Citrus Body Treatment. Let us soothe your senses and smooth your skin with our tropical passion fruit citrus organic line. This salt scrub will sweep away dry dead skin cells and help make your skin smoother and look more even. A luxurious application of our lotion and body butter provides a rich moisturizing of your skin, leaving your body and spirit feeling completely replenished. $75 for 50 minutes For only $15 more, enjoy the relaxing sensation of a waterfall trickling over you with our nine-headed Vichy shower experience (Gig Harbor only). Expires Nov. 15, 2011

MultiCare Gig Harbor Medical Park 4545 Pt. Fosdick Drive NW | 253.530.8005 MultiCare Covington Clinic 17700 SE 272nd Street | 253.372.7008

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Healthy Living Magazine-Fall 2011  

multicare.org/home/healthy-living-magazine

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