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Spring 2013

Today’s News for tomorrow’s health

Superheroes

Taking Your Healthcare to a

Higher Level

since 1889


Table of Contents

President’s Letter

  3 Winning by losing with bariatric surgery  4 Breast Care Center   6 Peer support for burn survivors   7 Stroke Gold Plus award   8 Learn the truth about colorectal cancer    9 Events, programs & classes  10 CHI grant aids women 12 Car Seat Inspection Station 13 Distance training for EMTs 14 Summer Internship 15 Community Benefit

Our Values Reverence Integrity Compassion Excellence

Dear Friends, Saint Elizabeth has a long tradition of providing care to those in need in our community, regardless of their ability to pay. We are actively involved in other community programs that go beyond helping the patients we see at our hospital. Every year we talk with civic leaders, social service programs, charitable organizations and local citizens to determine what health-related services and programs are most needed in Lincoln. Then we develop ways to meet some of these needs. We are proud to inform you that in 2012 we contributed more than $2 million to the Lincoln community. This was made possible through a combination of direct financial support and employee participation in community benefit activities. We invite you to read the stories on pages 10–15 to see how the money was used in help those in need. Of course, we continue to provide great care at the hospital and would like to tell you about some of our newest services—the SOAR Program now available in our Regional Burn & Wound Center and a new breast reconstruction technique for breast cancer patients. We have also included information about our Bariatric Surgery Center and why we are especially proud of the Saint Elizabeth Stroke Center. I encourage you to read more about how we are fulfilling our mission of healing ministry. To your good health!

Kim S. Moore President Saint Elizabeth Regional Medical Center

The Official Hospital of the University of Nebraska Athletics


Annette Unger lost 85 pounds with bariatric surgery and the help of the supportive weight-loss program.

Winning by Losing

with Bariatric Surgery Annette Unger likes to run when she is not playing volleyball or softball. But, despite a lifetime of exercise and dieting, the 29-year-old Lincoln resident and nursing student has always been overweight, carrying up to 235 pounds on a 5-foot-5-inch frame. And her inability to keep weight off may have been contributing to ongoing problems with fertility, including three miscarriages. Weight-Loss Seminars

“Last spring, a coworker invited me to a weight-loss seminar at Saint Elizabeth, where she had bariatric surgery.” Unger says, “I already knew a little about the surgery and I liked how the staff explained their supportive program.” Bariatric surgery promotes weight loss in severely obese people by restricting their food intake and/or reducing calorie absorption. “Surgery is always a last resort,” says Dr. Raymond Taddeucci, who performs bariatric surgery at Saint Elizabeth. “Surgery is ideal for very overweight people, like Annette, who have failed repeatedly to lose weight.” What Excellence Looks Like

The Bariatric Surgery program at Saint Elizabeth is a leader in this field. In 2006, the program received a Center of Excellence designation from the American Society for Metabolic and

Bariatric Surgery. The program’s surgical group works with a dedicated bariatric patient team that includes an exercise physiologist, behavioral experts, nutritionists and the patient’s primary care doctor. “All patients receive a thorough physical, behavioral and exercise consultation before surgery,” says Shelly Holman, certified bariatric nurse. Holman, who leads seminars and support groups, also cheerleads patients through the process and aftercare. “It is great when people come back to our bimonthly support group, saying, ‘I cut my blood pressure medication in half,’ or ‘I’m training for my first ever marathon!’” Holman says. Bariatric surgery graduates can also attend education classes where they create a personalized weight management plan, including daily exercise and lifestyle choices. Big Loss, Huge Gain

Surgery to remove 85 percent of Unger’s stomach took place in June 2011. “My husband and I were really nervous, but Dr. Taddeucci and his staff explained exactly what would happen before, during and after the operation,” Unger recalls. “The nurses were wonderful. After surgery, I received visits from a volunteer, the dietitian and, of course, Dr. Taddeucci. Unger went home the next day and returned to work five days after surgery. It took about eight weeks to resume a small portion soft diet. During the first year after her surgery, Unger came back to see Dr. Taddeucci for several follow-up visits. “These visits are essential,” Taddeucci says. “I enjoy them, too, because I really get to know my patients as people.” Now, 18 months later, Unger sums up the benefits of her surgery. “I’ve lost 85 pounds. I can run longer, breathe better and I have much more energy.” The best news of all! Just four months after her surgery, Unger got pregnant. Her healthy baby boy, Sawyer, weighed in at 6 pounds, 2 ounces.

Bariatric patients at Saint Elizabeth have several options for surgery. After a discussion with Dr. Taddeucci, Unger chose laparoscopic sleeve gastrectomy. “This newer option reduces stomach size so smaller portions will be filling,” To learn more about the Saint Elizabeth Taddeucci says. “It offers some of Bariatric Surgery program, call 402-219-7638, the benefits of earlier methods without or register online for the free monthly “Reshape nutritional deficiencies.” Your Life” class. Go to www.SaintElizabethOnline.com

and click on Services and select Bariatric Surgery— Weight Loss Surgery. www.SaintElizabethOnline.com

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Breast Care Center: A Patient’s Story Since Martha Bohling’s diagnosis of breast cancer in June 2011, the 53-year-old grandmother has made some good friends at Saint Elizabeth Breast Care Center. “Having cancer isn’t how I would have chosen to meet them,” says Bohling, a parent educator in the Lincoln Public Schools. “But people in every department cared about what I was going through. It never seemed like just a job to them.” The Breast Care Center isn’t a brick-and-mortar building. Instead it’s a philosophy of collaboration between hospital departments to provide optimal care. From screening and diagnosis through surgery, treatment, and follow-up, a team of health professionals joins forces to offer cutting-edge treatment in a compassionate way. The center also coordinates with community physicians like Bohling’s oncologist, Dr. Alan Berg, to smooth the patient’s path. Indeed, the Breast Care Center is still working for Martha Bohling. Navigating the Journey

“I’d always considered Saint Elizabeth my family’s hospital because of the high level of care and caring,” says Bohling, who delivered all five of her children here. It felt natural to her to return to the hospital for her breast cancer surgery. “During my daily antibiotic treatments, Karen Pribnow became a lifeline,” Bohling recalls. Oncology nurse Pribnow is the Breast Care Center’s nurse navigator. She offers breast cancer patients support and promotes coordinated care through the entire process. “Karen came every single day,” Bohling recalls, “She answered my many questions and put my fears to rest. For example, I had been very nauseous after chemotherapy during my first treatment with breast cancer in 1997. Karen reassured me that they now had much better medication to control nausea, and she was right.”

Treatment and Beyond

After Bohling completed chemotherapy with Dr. Berg, her husband accompanied her to Saint Elizabeth, where they met with Dr. Kevin Yiee to discuss her radiation treatments. Bohling says, “The family-friendly atmosphere in the Radiation Therapy department reassured both of us. One day, the technicians asked me what my favorite movie was, and the next week when I came for treatment, that film was playing in the treatment room.” The Breast Care Center provides several free services for women who have completed treatment. The second Monday of each month Bohling attends Expressions of Art & Hope, a collaboration between the Breast Care Center and the LUX Center for The Arts. Bohling says, “It’s a great time to forget cancer and focus on something fun.” In addition, a breast cancer support group, led by Pribnow, meets the first Wednesday of each month. “Usually 15 or 20 people come to share similar experiences or hear a guest speaker on a topic of interest,” Bohling says. The hospital also offers “A Time to Heal,” a 12-week cancer recovery group, led by a licensed mental health professional and a registered nurse. Bohling appreciated receiving a Survivorship Care Plan, including a complete treatment summary along with follow-up recommendations. “It puts all the pertinent information in one place, concise and at my fingertips.” Of course, no one would ever choose to develop breast cancer. But, at the Breast Care Center, Bohling says, “No one needs to go through breast cancer alone.”

Left: Martha Bohling, breast cancer survivor, shares, “No one needs to go through breast cancer alone.” Cover: Bohling reunites with Radiation Oncologist, Dr. Kevin Yiee, and Sarah Spalding RN.

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Spring 2013


Cutting-Edge Treatment At the Saint Elizabeth Breast Care Center, cancer patients benefit from a team of specialists who work together to ensure that the best treatment plan is developed for each patient. Committed, experienced breast surgeons are available to address the concerns of the women diagnosed with breast cancer. The surgeons not only provide a prompt response to patients, they also participate in the treatment planning with the team that includes pathologists, radiologists, radiation oncologists, medical oncologists, plastic surgeons, a genetic counselor and a breast cancer nurse navigator. “Physicians at the Breast Care Center work together to make the surgery process as quick as possible for the patient,” says Dr. Todd Orchard, plastic surgeon. “It is a great collaborative approach that demonstrates how we put our patients first.” Dr. Orchard and Dr. Mathieu Hinze are plastic surgeons who provide a new procedure for breast cancer patients called one-step reconstruction. The benefit to patients is twofold—it allows them to get back to their daily lives quicker and provides a psychological boost.

One-step reconstruction eliminates the need for tissue expansion. Tissue expansion uses expanders (placed in the breast tissue) to create a pocket to hold the implant. After the tissue is expanded, a second surgery is performed to insert the implants. Recovery can take up to five months. With one-step reconstruction, women leave the hospital after their breast cancer surgery with reconstruction in place. Recovery time is reduced from months to weeks. Patients can recover in as little as three weeks. And, it offers patients a mental and emotional advantage. “Instead of waking up and seeing a scar and flat chest, our patients see their reconstruction,” says Orchard. “A second surgery may be necessary to improve the cosmetic appearance, but the benefit is that women know they are on the road to recovery when they leave the hospital.” “The positive response we get from our patients who undergo this procedure is overwhelming,” says Hinze. “The one-step reconstruction that Dr. Hinze and I perform is cutting edge, so much so that many people can’t find it in major metropolitan areas. In our

At the Saint Elizabeth Breast Care Center, we want you to know that you don’t have to face breast cancer alone. Our doctors and nurses approach treatment and

immediate area, I’m not aware of anyone long-term care as a team. And that team includes else who offers one-step reconstruction,” you and your family. We make sure you receive adds Orchard. all the information and support you need to feel Breast cancer nurse navigator, Karen comfortable with each decision. We even have Pribnow RN, shares that breast cancer a designated member—called the breast patients have staff positive feedback about cancer nurse navigator—whose job is to guide one-step reconstruction. “Many patients you through the process and make sure you get choose to have one surgery instead of answers to your questions. You don’t two,” says Pribnow. “I invite women have in to travel far from home to get excellent cancer the community to call me if they wantcare, you findmore it right hereone-step in Lincoln. tocan learn about reconstruction.” SaintElizabethBreastCenter.com or call 402-219-5900

positive response we get from our patients “The that undergo this procedure is overwhelming.”

Regular screenings are important, they can save your life. Schedule your mammogram today!

    ~ Dr. Mathieu Hinze Dr. Todd Orchard

Dr. Mathieu Hinze

For more information, visit www.SaintElizabethBreastCenter.com or call 402-219-5900. Women's_Expo_Handout0113.indd 2

www.SaintElizabethOnline.com

1/16/13 4:37

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In October of 2012, JR Martinez visited Saint Elizabeth and met with members of the SOAR program, offering them words of encouragement. Martinez was severely burned while serving in Iraq in 2003. He is an advocate for burn survivors and appeared on “Dancing with the Stars” and “All My Children.”

SOAR

Peer Support for Burn Survivors Sue Tillemans of Gibbon will always remember the volunteer who came to see her at Saint Elizabeth Regional Burn & Wound Center in 2008. Tillemans had suffered severe burns on more than 20 percent of her body in a propane fire at home. Her hands were so badly damaged that she couldn’t manage the contact lenses she normally relied on. “This gentleman visited only once, and I couldn’t even see him,” she says. “But he told me about a place that makes eyeglasses at cost for burn survivors. If I could pass on even a tidbit like that to another burn patient, I would be so happy.” Providing Much-Needed Support

Tillemans can now do that and more at the 16-bed Burn & Wound Center. On December 1 she and her husband, Cliff, completed the eight-hour training program to become qualified SOAR peer-support volunteers. “SOAR stands for Survivors Offering Assistance in Recovery,” explains Christi Chaves, the center’s director. This hospital-based, nonprofit program was designed by The Phoenix Society for Burn Survivors, in 2001. SOAR can now be found in 30 U.S. hospitals.

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Spring 2013

“A group of nine peer-support volunteers, including the Tillemans, learned to help burn survivors and their families who agree to see them in the hospital,” Chaves says. “Volunteers and survivors will be matched on the basis of their location and experience. After that first visit, the parties can maintain contact as they both desire.”

the SOAR program takes “Ioffhope and soars.” ~ Sue Tillemans “It’s important for burn survivors to talk to someone who has gone through similar experiences.” Someone Who Understands

Having lived through this life-changing experience, Sue Tillemans couldn’t agree more. “A burn is totally different than any other injury; if you haven’t experienced it, you do not know,” she says. “Survivors and families need to hear from someone who has gone through it that their pain won’t always be the same or their face so red—that afterward they will look different, and they will have a new normal.”

Tillemans realizes how crucial long-term support is to burn survivors and their families because it took her two and a half years to regain the use of her hands. “For a long time I couldn’t do a lot for myself, and that was tough,” the enthusiastic quilter recalls. “I wish I could have talked to someone who could follow up after I went home.” A Double Win

“Our staff, led by Dr. David Voigt and Dr. Zijun Hao, have really taken this program to heart,” says Crystal Berner, a SOAR coordinator. “Research shows that ongoing peer support helps burn survivors with their emotional recovery. It’s a double win, because it benefits the current patient and it also lets someone who received help give back.” Saint Elizabeth treats approximately 500 burn victims each year, and now has the only SOAR program in Nebraska. “Seven of our SOAR coordinators received training from the Phoenix Society on how to start up, choose peer supporters and make it happen effectively,” says Berner. As for Tillemans she is eager to start helping, “I hope the SOAR program takes off and soars.”


Craig Connell shares his remarkable stroke recovery. The American Heart Association and American Stroke Association awarded Saint Elizabeth the highest level of recognition for their commitment to stroke care.

Stroke Gold Plus Award June 7, 2012 is the day that Craig Connell says his wife saved his life. Connell had just gone outside to go for a walk when he says a strange feeling came over him. He immediately returned home. He sat down in his favorite chair and was paralyzed. He couldn’t move. He called for Vera, his wife of 56 years. She acted quickly and called 911. Emergency responders took him to Saint Elizabeth Regional Medical Center. He was having a stroke. Connell doesn’t remember much. But, he expresses his gratitude for the lifesaving work of the Saint Elizabeth stroke team. He shares, “I’m grateful for the excellent care I received at Saint Elizabeth.” Saint Elizabeth was recently awarded the highest level of recognition for their commitment to excellent stroke care from the American Heart Association and American Stroke Association. The hospital received the Get With The Guidelines® Stroke Gold Plus Award and is the only hospital in the state to be recognized on the Target: Stroke Honor Roll. Both awards demonstrate the ability of the Saint Elizabeth team to be ready at any time to treat stroke patients as quickly as possible.

Libby Raetz, chief nursing officer at Saint Elizabeth, says, “With a stroke, every minute counts. Our entire team is ready to treat a stroke patient at any time.” Once a patient arrives at the hospital, the goal is to evaluate and, if possible, treat the patient with tPA in 60 minutes or less. tPA is a clot-busting drug that has been proven to significantly reverse the effects of a stroke and reduce permanent disability. Each minute treatment is delayed results in the equivalent of 11 days off a person’s life. Administering the tPA drug quickly becomes very important. In order to give the tPA in less than 60 minutes, all departments within the hospital must work together. Raetz says, “Saint Elizabeth has worked extremely hard to decrease the amount of time that it takes for eligible stroke patients to receive tPA.” In order to receive the awards, the Saint Elizabeth team met or exceeded the American Heart Association and American Stroke Association’s quality measures for stroke care for 24 consecutive months.

Joni Rosenthal, former stroke patient, shares her experience complete and awesome “Icarewasofinthethedoctors and nurses in the emergency department and the stroke center. I don’t know what all happened. But, I do know that I felt no fear—only love and concern. I don’t know how a hospital can do this for a patient but Saint Elizabeth can and did.” “All of the doctors and nurses were gifted with such a caring attitude and somehow knew that they were part of a miracle. The entire time was more of a positive experience for me than anything

else.” ~ Joni Rosenthal

www.SaintElizabethOnline.com

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cancer is a silent killer. “Colorectal  Have you had your screening?” ~ Dr. Michael Jobst

Dr. Kelly Krier (left) and Dr. Michael Jobst (right)

Learn the Truth About

Colorectal Cancer Colorectal cancer is the third most common cancer in both men and women. It is estimated that nearly 150,000 people are diagnosed with colorectal cancer each year and more than 50,000 die from the disease. The good news is that when colorectal cancer is found at an early stage it is more treatable. “Colorectal cancer screening saves lives,” says Mary Trauernicht, director of oncology services at Saint Elizabeth Cancer Institute. “When colorectal cancer is found early, the five-year survival rate is 90 percent. However, only 25 percent of diagnosed cases are found at an early stage.” There are many reasons people do not get tested. Some people fear the screening; others don’t have access to screenings or are uninsured. Many people are not aware that they can take steps to prevent colon cancer or the importance of catching it early. More than 12 years ago, a coalition called the Lancaster County Crusade Against Cancer was formed to educate the community about the importance of colorectal cancer screening. The coalition has since grown to ten organizations, including Saint Elizabeth Regional Medical Center.

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In March, Colon Cancer Awareness month, the Lancaster Crusade organizes the distribution of a free colon cancer test called fecal occult blood test (FOBT). FOBT kits are delivered to pharmacies across Lincoln. A campaign informs men and women 50 or older that they can pick up a test for free. “The number of people being screened in the Lincoln community has increased due to the work of the Lancaster County Crusade Against Cancer,” says Trauernicht. “People who may not have been able to afford a screening test can now receive a FOBT for free. In 2012, nearly 1,800 FOBT kits were distributed and a nurse called every patient with a positive test result to ensure that follow-up tests were done.” The work of the Lancaster Crusade is saving lives. Take the time to learn the truth about colorectal cancer. If you are 50 or older, get screened for colon cancer and encourage a loved one to get screened. For information on where you can pick up a free FOBT kit, www.LancasterCrusade.org.

Q&A If I had colorectal cancer, I would have symptoms. True or False? False. Many people have no symptoms of colorectal cancer, which makes it very difficult to detect at an early stage. Talk with your doctor to see what screening tests are right for you. You should get screened for colorectal cancer starting at age 50. True or False? True. The risk of developing colorectal cancer increases with age. More than 90 percent of all colorectal cancers are found in people who are 50 and older. If you have a history of colon cancer in your family, talk to your health care provider about getting screened at an earlier age. Colorectal cancer can be prevented. True or False? True. In many cases, colorectal cancer can be prevented. Most colorectal cancers develop from polyps, which are abnormal growths in the colon. Screening tests can find polyps, so they can be removed before they turn into cancer. Eating a healthy diet is one way to reduce your risk for colorectal cancer. True or False? True. One way to reduce your risk is to eat a healthy diet that includes at least five servings of fruits and vegetables a day. Other ways to reduce your risk include maintaining a healthy weight, being physically active, limiting alcohol consumption and not using tobacco.

Learn more about colorectal screening tests at an educational class presented by Dr. Kelly Krier and Dr. Michael Jobst on Tuesday, March 26. To register, call the Telephone Line to Care, 402-219-7000 or sign up online: www.SaintElizabethOnline.com.

Spring 2013


Events, Programs & Classes Truth About Colon Cancer

Tuesday, March 26 6–7 p.m. Many people have no symptoms of colorectal cancer, which makes it very difficult to detect at an early stage. If found early, it is highly treatable. Find out what screening tests are available and learn about treatment options from Dr. Kelly Krier and Dr. Michael Jobst. FREE

Taking Control of Incontinence for Women

Tuesday, April 30 6–7 p.m. Do you leak urine when you sneeze or laugh, or have trouble making it to the restroom in time? There is help! Urologist, Dr. Lance Wiebusch will share different types of treatment options to help you regain control and get back to the activities you enjoy. FREE

Asthma Care Class

Emphysema and COPD

Wednesday, April 10 7-8 p.m. Learn to self-monitor your asthma, how to use inhalers correctly and how to recognize your asthma triggers and symptoms. FREE

Tuesday, May 14 1–2:30 p.m. Learn the proper use of inhalers and medications. How to recognize the warning signs of infections and the benefits of Pulmonary Rehab for anyone with emphysema or COPD. FREE

Breast Cancer Support Group

First Wednesday every month 7–8:30 p.m. Our breast cancer support group offers an informal atmosphere to discuss your concerns about breast cancer and your treatment. Meet with other women who share your experience. FREE Expressions of Art & Hope – for Cancer Survivors

Second Monday every month, 6–8 p.m. Cancer survivors are invited to attend free art classes to help them meet the challenges of diagnosis, treatment and beyond. Classes are taught by instructors from LUX Center for the Arts. A different art medium is explored each month. FREE

Let’s Talk Pregnancy

Wednesday, April 10 6–7p.m. Dr. Jenna Fiala, Dr. Terra Bowers, Karen McGivney-Liechti, CNM and Jearlyn Schumacher, CNM will be available to answer your questions about fertility, pregnancy and becoming a healthy mom. FREE Prediabetes…….Me?

Saturday, April 20 9–Noon What you can do to lower your risk of diabetes. Advice on how to get started, what changes to make and what guidelines to follow. Cost: $15/person

It’s Not your Mother’s Surgery

Wednesday, May 15 6–7 p.m. The times they are a-changing. Don’t let things like heavy bleeding, endometriosis or pelvic pain slow you down. Dr. Emily Neri, Dr. Shari Hier-Duffin and Tami Clark, PA-C will share the latest minimally invasive surgical options. FREE

Reshape Your Life and Improve Your Health

Second Thursday every month 7–8:30 p.m. Join Dr. Benjamin Hung or Dr. Raymond Taddeucci and receive information on surgical weight loss procedures such as Roux-en-Y Gastric Bypass, Sleeve Gastrectomy and the LAP-BAND®. FREE

Diabetes Education Update

Planning For A Baby?

Saturday, June 8 9a.m.–Noon Variety of topics presented by local medical providers with the opportunity to ask questions. Vendors of diabetes supplies also available. FREE

Ongoing classes will help you prepare for childbirth and parenting: Lamaze, Sibling Tours, Having Multiples, Infant Care and CPR, Breastfeeding and Pregnancy Exercise.

Men’s Health Night

Thursday, June 13 5–8:30 p.m. Join us for an evening of health information, food and fun. Shawn Eichorst, the new Husker athletic director will speak, followed by two physicians talking about current health issues. Health displays will be open from 5-6 p.m., with a light buffet served at 5:30 p.m. FREE

Please register at

www.SaintElizabethOnline.com select Events, Programs & Classes or call Saint Elizabeth TLC at 402-219-7000.

For more information go to wwwSaintElizabethOnline.com www.SaintElizabethOnline.com

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Community Benefit ... extending our healing ministry into the community

DECEMBER 1, 2012

CHI grant aidsdomestic women CHI grant aids women escaping violence escaping domestic violence

G. was 39 years old and an immigrant assistance through the Catholic Health Initia- physical, intellectual, emotional, occupational, mother of three when she discovered she was tives Mission and Ministry Fund. The Saint spiritual and social. She provides resources to pregnant with her fourth child in 2010. At the Elizabeth Foundation of CHI’s Saint Elizabeth help women achieve personal goals. time, she was living in Georgia with her long- Regional Medical Center in Lincoln secured prevention grant time whoand abused her. When he tried Solid footing G. was 39boyfriend, years old an immigrant mothertheof3-year, three$315,000 when violence Discovering Dignity to force her to have an abortion, a panicky G. from Englewood, Colo.-based CHI shortly after St. Gianna is transitional housing — resisituation is necessary to emotional she discovered she was pregnant with her fourth child in 2010. A safe and stable living took whatever cash she could find at home and the opening of St. Gianna’s apartments. dents usually stay no longer than a year there, it is not enough to help battered At the shechildren, was living in15Georgia longtime average, a victim ofhealing, domesticbut violence fledtime, with her then 21, and 3. with her On butnecessarily can stay as long as they need, saysaFr. Kubat. return abuser seven times until she “I didn’t haveher. a plan. I washejust try- to will The safely Marianapart Sistersfrom who serve as caseworkers woman restart her life her abuser. boyfriend, whoreally abused When tried force hertotoherhave leaves for good, Fr. Kubat. “We want ing to get aaspanicky far away from him as possible — and operate the facility for Catholic Social Serthis, “Hope Through Healing & Wellness: an abortion, G. took whatever cashfinally she could find at saysRecognizing maybe Washington state — to try to start over to help these women not return to abusers. vices meet with clients on a weekly basis to help The St. Gianna Women’s Homes Project” brings additional homeagain, and” fled with her children, then 21, 15, and 3. says G., who, along with other domes- They need to discover their dignity. They were them achieve their goals and transition to a resources toWhen the table toproductive support life counseling, accessSchulte to health “Itic didn’t really have a plan. Ifor was just trying to get as far image and created in God’s likeness. violence victims interviewed this story safe, in the community. care,areand support job hunts. program receives awayasked fromthat him possible—maybe try they come to St. Gianna treated with for heras name not be used. WhenWashington her car they state—to touches base asThe needed — sometimes daily, and love. They are not used through to that. the broke down in bitterly cold weather tiny Ashsometimes everyHealth few months. assistance Catholic Initiatives Mission and to start over again,” says G., who,inalong withrespect other domestic land, Neb., police took the family to a homeless They are used to being treated as an object.” “It takes a long time to get people motivated Elizabeth Foundation of CHI’s Saint violence victims interviewed for this story askedWhen that her name Ministry Fund. The Saint the apartment complex was on and to help them obtain needed services,” she shelter in Lincoln, Neb., 25 miles away. Facing Elizabeth Regionalsays, Medical Center in Lincoln the not be used. Whenofher cold board, market the drawing demand analysis health problems her car ownbroke — G. is down diabeticin —bitterly “but I’ve seen more progresssecured with these 3-year, $315,000 prevention fromwho Englewood, weather in tinytoAshland, police took family a showed thattoLincoln, a city of 225,000 with a violence she decided stay there Neb., for the remainder of the clients than those in thegrant community have metro Facing area population of Colo.-based more than 300,000, her pregnancy. not gotten thisthe kindopening of support.of ” St. Gianna’s CHI shortly after homeless shelter in Lincoln, Neb., 25 miles away. Soon after, G. suffered a heart attack. Then could have filled 240 transitional housing units G. could not agree more. apartments. health problems of her own—G. is diabetic—she decided to her baby was born prematurely and required a with domestic violence victims, Fr. Kubat says. “My family was so vulnerable when we average, of domestic violence will return stay there remainder herunit pregnancy. is in the metroa victim monthfor in athe neonatal intensiveofcare before “That is how much need thereOn came here, but the people at St. Gianna gave us to until shethan finally leaves for good, says Soon after, G.enough suffered a heart attack. Thenarea. herIt’sbaby was problem,her a horrible andabuser it’s beenseven on my times he was strong to leave the hospital. so much more an apartment. They gave us heart for a number of years.Fr. ” Kubat. “We want Fortunately, two after G. s baby was food, assistance, emotional help, cititomedical help these women not return to born prematurely andweeks required a ’month in a neonatal intensive discharged, was oneenough of the first counseling, says. “ItThey will bewere hard tocreated abusers. They need zenship to discover their” she dignity. care unit beforeher hefamily was strong to toleave the hospital. move into St. Gianna Women’s Homes apart- Breaking the cycle move out, but I am no longer afraid to live outGod’s image likeness. When they come to St. Gianna Fortunately, twoThe weeks after G.’scomplex baby was discharged, her chiefindevelopment ment complex. 24-unit secure of a shelter. ” Donna Hammack, offi-andside they are says treated and love. arebynot used family was oneis dedicated of the first to movesafe, intotranSt. Gianna Women’s in Lincoln to providing Those sentiments areThey echoed other for- to cer at Saint Elizabeth Foundation, Saintwith respect sitional housing complex. for victims The of domestic vioSt. Gianna residents Elizabeth usedin the largestthat. portion of the They areCHI usedmer to being treated as as anwell. object.” Homes apartment 24-unit secure complex lence women to facing pressuresafe, to abort S., who fled anwas unhealthy in grant tohousing hire a nurse to specialize health Wheninthe apartment complex on therelationship drawing board, Lincoln is and dedicated providing transitional pregnancies. The Catholic Social Services and wellness coaching. It has flexibility in por- Mississippi to return home to Nebraska with market demand analysis showed that Lincoln, a city of for victims of domestic violence and women facing pressure facility is in its second year of operations and is tioning out the funds for incidental expenses her now 2-year-old daughter, says she felt 225,000 with a metro area population to abort pregnancies. TheofCatholic facility sponsored by the Diocese Lincoln. Social Services “incredibly fortunate” toofbemore able than to stay300,000, in a such as tuition for a St. Gianna client taking typical year story is woman tells aand man,is‘I’m “clean, safe and secure” place like St. Gianna, coursesby at athe community college. grant has 240 couldThe have filled transitional housing units with domestic is in its “Asecond ofa operations sponsored pregnant, ’ he says, ‘Get rid of it, or I’ll kill you’ bought electric outlet plugs rather thansays. a shelter. Afteris 10how months there,need she and other safety Fr. violence victims, Kubat “That much Diocese of Lincoln. and she runs,” says Fr. Christopher Kubat, exec- equipment for women childproofing their is now living in an apartment, has a permanent, there is in the metro area. It’s a horrible problem, and it’s “Autive typical story is a woman tells a man, ‘I’m pregnant,’ director of Catholic Social Services for the apartments. It’s paid for self-defense courses part-time job and hopes for a better life for her been on my heart a number of years.”life is still hard, but at he says, ‘Getofrid of it, While or I’llnot kill runs,” through says the police Diocese Lincoln. allyou’ of theand resi-she offered little family. “Financially, department and for Fr. Christopher Kubat, executivehedirector Socialin support of other collabo- least I have a court order in place so I feel more dents of St. Gianna are pregnant, adds, “I’mof Catholic it’s been tapped amazed theDiocese number ofofwomen whoWhile come to notrations Services for atthe Lincoln. all ofwith the the University of Nebraska, legal protected,” she says. It long time get Sudanese people mother motivated and us fleeing extreme pressure to have an abortion aid services, and credit counseling N., to a young with a 3-yearresidents of St. Gianna are pregnant, he adds, “I’m amazed  takes aservice when they don’t want to.” old and an infant, spent 10 weeks at St. Gianna providers. to help them obtain needed services, but I’ve seen at the number of women who come to us fleeingNurse extreme Cheryl Schulte, who has an exten- before moving to an apartment earlier this year. these in my the pressure to have dignity an abortion when they don’t sive want to.” “I literally hadclients nowhere than to live those when I left background in publicmore health,progress says she with Discovering boyfriend, but once I got to St. Gianna, I never opportunity to A safe and stable living situation is neces- “practically jumped” at the community who have not gotten this kind of support.” sary to emotional healing, but it is not neces- work at St. Gianna. “I passionately believe the felt alone. There is a sense of community there, and so much support,” she says. “It is crazy is by teaching chil- Schulte sarily enough to help a battered woman restart way to change the world ~ Cheryl her life safely apart from her abuser. Recog- dren — and the best way to do that is by sup- how much the people there do for you. They’ve nizing this, “Hope Through Healing & Well- porting mothers through parenting programs. helped me with citizenship papers, and when ness: The St. Gianna Women’s Homes Proj- It’s the only chance we have to stop the cycle I moved, they gave me a crib, couch, clothes, Spring diapers … Now I’m dedicated to getting my stuff ect”2013 brings additional resources to the table to of violence.” Since she began her job in March, Schulte together and moving forward.” support counseling, access to health care and

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Community Benefit


Donna Hammack and Cheryl Schulte meet to discuss the St. Gianna Women’s Homes.

Breaking the Cycle

Donna Hammack, chief development officer at Saint Elizabeth Foundation, says Saint Elizabeth used the largest portion of the CHI grant to hire a nurse to specialize in health and wellness coaching. It has flexibility in portioning out the funds for incidental expenses such as tuition for a St. Gianna client taking courses at a community college. The grant has bought electric outlet plugs and other safety equipment for women childproofing their apartments. It’s paid for selfdefense courses offered through the police department and it’s been tapped in support of other collaborations with the University of Nebraska, legal aid services, and credit counseling service providers. Nurse Cheryl Schulte, who has an extensive background in public health, says she “practically jumped” at the opportunity to work at St. Gianna. “I passionately believe the way to change the world is by teaching children—and the best way to do that is by supporting mothers through parenting programs. It’s the only chance we have to stop the cycle of violence.” Since she began her job in March, Schulte has focused on six dimensions of wellness: physical, intellectual, emotional, occupational, spiritual, and social. She provides resources to help women achieve personal goals. Solid Footing

“It takes a long time to get people motivated and to help them obtain needed services,” she says, “but I’ve seen more progress with these clients than those in the community who have not gotten this kind of support.” G. Could Not Agree More.

“My family was so vulnerable when we came here, but the people at St. Gianna gave us so much more than an apartment. They gave us food, medical assistance, emotional help, citizenship counseling,” she says. “It will be hard to move out, but I am no longer afraid to live outside of a shelter.” Those sentiments are echoed by other former St. Gianna residents as well. S., who fled an unhealthy relationship in Mississippi to return home to Nebraska with her now 2-year-old daughter, says she felt “incredibly fortunate” to be able to stay in a “clean, safe, and secure” place like St. Gianna, rather than a shelter. After 10 months there, she is now living in an apartment, has a permanent, part-time job, and hopes for a better life for her little family. “Financially, life is still hard, but at least I have a court order in place so I feel more protected,” she says. N., a young Sudanese mother with a 3-year-old and an infant, spent 10 weeks at St. Gianna before moving to an apartment earlier this year. “I literally had nowhere to live when I left my boyfriend, but once I got to St. Gianna, I never felt alone. There is a sense of community there, and so much support,” she says. “It is crazy how much the people there do for you. They’ve helped me with citizenship papers, and when I moved, they gave me a crib, couch, clothes, diapers … Now I’m dedicated to getting my stuff together and moving forward.”

St. Gianna is transitional housing—residents usually stay no longer than a year there, but can stay as long as they need, says Fr. Kubat. The Marian Sisters who serve as caseworkers and operate the facility for Catholic Social Services meet with clients on a weekly basis to help them achieve their goals and transition to a safe, productive life in the community. Schulte touches base as needed—sometimes daily, sometimes every few months. Reprinted from Catholic Health World, Dec. 1, 2012 Copyright © 2012 by The Catholic Health Association of the United States

Community Benefit

www.SaintElizabethOnline.com

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A Great Fit

Helen Kampfe, a child passenger safety technician, installs a car seat. Children should ride in rear-facing car seats until they are two years old.

SECURE Car Seat Inspection Station Car accidents are the leading cause of death among children in the United States. When properly used, child car seats could reduce the number of serious or fatal injuries by more than 50 percent. But according to the Centers for Disease Control and Prevention, the problem is that they are often used incorrectly. To complicate matters, many parents may not even realize a car seat is improperly installed. To help ensure infants and young children are safe and secure on the road, Saint Elizabeth Regional Medical Center has an established car seat inspection station. It is the only ongoing, stationary car seat fitting site in Lancaster County. The program is based on the child passenger safety curriculum of the National Highway Safety Traffic Administration. The SECURE car seat inspection station gives parents the opportunity to have their child’s car seat installed or checked by a certified child

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Spring 2013

passenger safety technician. They also receive one-on-one instruction on how to use their car seat and secure their child properly. Helen Kampfe, a child passenger safety technician and instructor at Saint Elizabeth, said approximately 95 percent of the car seats she checks are installed incorrectly. “Often times it’s just a simple adjustment,” Kampfe said. “But simple adjustments can make a big difference.” Parents can schedule an appointment even before their baby is born. Experienced parents, frustrated by complicated car seat instruction manuals, are also encouraged to take advantage of the program. “I enjoy working with parents, seeing that light bulb come on and helping them understand why it’s so important,” said Kampfe. “Some people are astonished because they didn’t know there was a problem.”

The 45-minute fittings are held at the on-site inspection station at Saint Elizabeth. Initial appointments for one car seat cost $25. Individuals and families in need may request financial assistance for a fitting and car seat for their child. “About 60 percent of the parents and caregivers that come in for a car seat check qualify for the free fitting and car seat,” said Donna Hammack, chief development officer at Saint Elizabeth Foundation. “We provide more than 150 car seats each year to income eligible families.” “The program is part of the mission at Saint Elizabeth,” said Hammack. “We are committed to community health. We have always been in the business of helping children. Our car seat program is a natural fit,” she said.

To schedule a car seat fitting, call Telephone Line to Care, 402-219-7000.

Community Benefit


The Telehealth Program gives rural EMTs access to education in their own community.

Distance Training

for EMTs Across Nebraska When tragedy strikes or accidents happen, emergency medical technicians (EMTs) are often the first to arrive on the scene. They must be ready to handle everything from chest pain to burns or other injuries. In rural communities, however, EMTs are often volunteers who may have trouble accessing the instruction they need to fill this vital role. As part of the Nebraska Statewide Telehealth Network, which connects more than 100 hospitals and health departments, Saint Elizabeth Regional Medical Center is working to ensure that EMTs across Nebraska are trained to meet the needs of their communities. “Because many are volunteers, it’s difficult for them to obtain their continuing education requirement to work with the local fire department or ambulance squad,” said Donna Hammack, chief development officer at Saint Elizabeth Foundation.” We provide critical state-approved education for EMTs to ensure this need is met.”

Community Benefit

The EMS Telehealth program The Telehealth program also provides consists of live, two-way interactive EMTs with training on burns. “Saint videoconferences. The two-hour Elizabeth is accredited by the American lectures are free and held once a month. Burn Association. Hospitals across “EMTs from small communities Nebraska, as well as surrounding states, attend the training from their local look to us for help with burn injuries,” hospital,” said Hammack. “By day EMTs may be We are committed to community teachers or store clerks. This is a way for them to health and keeping people well.” get credible education.”     ~ Donna Hammack A wide variety of topics are covered through the Telehealth program. In the past six Hammack pointed out. “Chemical months, nurses and doctors at Saint burns from inhaling fertilizer can also be Elizabeth have educated EMTs deadly. EMTs need to know what to do on chest pain, OB/GYN emergencies to stabilize patients in these situations.” and updated CPR guidelines. EMTs who take advantage of the A teleconference was also held on Telehealth program can also save time sports injuries to coincide with the start and avoid the expense of having to of the school year. “At rural schools, travel to continue their education. ambulances are often parked by the “I think that this is really a part football field,” Hammack noted. of our mission. We are committed to “If a player is hurt, this training helps community health and keeping people EMTs deal with a specific injury.” well,” said Hammack. “Our program supports the quality of services EMTs provide to the communities they serve.”

“

www.SaintElizabethOnline.com

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Summer Internship in Health Care Careers

Students involved in the summer internship program get the opportunity to learn first-hand from health care professionals. Pictured from left: Dr. Art Molnar, Tammy Strait RN, Jeanne Hupp RN, Dr. Kevin Yiee and Rob Stevenson, PA.

What is it like to be a nurse in the neonatal intensive care unit? Or an anesthesiologist in the operating room? This summer another six high school seniors from Lincoln will find out. Since 2007, Saint Elizabeth Regional Medical Center has sponsored a six-week summer internship program that allows high school students to explore health care occupations. “We sponsor the program to inspire students to go into the health field,” says Donna Hammack, chief development officer at Saint Elizabeth Foundation. “Hopefully, the students will go on to become health care professionals and will come back to our community to practice their profession right here in Lincoln.” Each student intern spends time in one area of the hospital such as oncology services, anesthesia, NICU or nursing services. “We try to match the students with their interests and with our doctors and nurses who volunteer to supervise them and be their mentors,” Hammack says. “What makes our program special is that we have doctors and nurses who volunteer to have students shadow them.”

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Spring 2013

Helping Students Succeed

The program is open to those who have completed their junior year at a public high school in Lincoln. Students from Lincoln Lutheran or Pius X High School are also eligible. Students must have some background in health occupations. They must have taken at least two courses in health occupations, medical terminology, anatomy/physiology and fundamentals of health careers. The program is highly competitive. The interns are chosen by Carol Andringa, curriculum specialist at Lincoln Public Schools Career and Technical Education. “Many of the students who are chosen also participate in a one-week summer camp at Saint Elizabeth that explores health careers. The summer camp is open to 20 students after their sophomore or junior years. The summer camp often piques their interest in the health field,” Hammack says. Dr. Art Molnar, an anesthesiologist at Saint Elizabeth, recommended starting the internship program. After participating in a high school, summer internship in Chicago, he decided to become a doctor.

Molnar says the program is a “lifealtering event for the students. It opens their eyes, so they can decide if they really want to go into health care.” Students Keep Journals

The students are required to keep a daily journal and assist in a research project. At the end of the six weeks, they make oral presentations about their experiences. “I have listened to some of the presentations,” Hammack says, “and what the students observe makes quite an impression on them.” Students are exposed to a wide range of medicine and have observed a baby being born and a patient undergoing heart surgery. Summer interns are not paid; they are awarded $800 to help with future higher education costs.

How to Apply

Contact Carol Andringa, CTE Curriculum, Lincoln Public Schools, 949 West Bond, Lincoln, NE 68521. Applications are due Tuesday, April 23.

Community Benefit


Community Benefit 2012

People Served

Community Benefit

3,657

$4,948,754

Unpaid costs of Medicaid and other public programs

14,707

$9,849,480

Total for Low Income

18,364

$14,798,234

129,232

$1,225,494

2,086

$258,879

—

$19,982

5,311

$806,812

492

$222,554

Total Other Benefits

137,121

$2,533,721

Total Community Benefits

155,485

$17,331,955

Unpaid Cost of Medicare

32,431

$10,030,809

187,916

$27,362,764

Services Provided

Community Benefit for People of Low Income Charity Care Helping support personal and family missions by covering necessary medications and medical costs for those who otherwise could not afford them

Community Benefit for Broader Community Community Health Improvement Helping advance science and technology through research for cutting-edge treatment options

Health Professional Education Training student nurses, pharmacists and other medical professionals, Lincoln Medical Education Partnership and similar programs

Research Clinical research is a unique initiative used to advance health care delivery, the benefit to the patient is the opportunity of a new therapeutic approach

Financial and In-Kind Contributions Supporting programs and not-for-profit organizations that offer services to underserved citizens and others in need

Other Benefits

Total Community Benefit Including Unpaid Cost of Medicare

Community Benefit

www.SaintElizabethOnline.com

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Saint Elizabeth Regional Medical Center 555 South 70th Street Lincoln, NE 68510

NONPROFIT ORG US POSTAGE PAID Long Prairie, MN Permit No. 1052

2013. Our articles are reviewed by medical professionals for accuracy and appropriateness. No magazine, however, can replace the care and advice of medical professionals, and readers are cautioned to seek such help for personal problems.

©

10484M

Berry, Berry Good Healthy and tasty, berries are great for smoothies, salads and much, much more. Berries are fabulous. They are full of flavor and flavonoids, those little plant chemicals that dietitians and food scientists love to promote. If there is a health claim to be made, you’ve heard it about berries. Berries are low-calorie, virtually fat-free and good for your general well-being.

strawberry spinach salad Dressing: 1 cup balsamic vinegar 1 tablespoon sugar 1 tablespoon extra virgin olive oil In a small saucepan, bring balsamic vinegar to a boil. Add sugar and cook until syrupy, about three minutes. Remove from heat and stir in olive oil. It may appear to separate.

4 cups baby spinach 2 cups strawberries (whole if they’re small; halved or quartered if large) ½ cup thinly sliced red onion Wash and dry spinach. Put into a large salad bowl with strawberries and onion. Pour warm (not hot) dressing over spinach salad. Toss and serve immediately.

berry-banana smoothie 1 banana 1 cup blueberries 1 cup fat-free vanilla yogurt 1 cup low-calorie cranberry juice 1 cup chopped ice Put all ingredients in blender and blend. Pour into two 16-ounce glasses.

cut out and save


Today's News for Tomorrow's Health Spring 2013