Health and Family, May 2015 by Health & Family

Health&Family FREE TAKE ONE! • FREE TAKE ONE! • FREE TAKE ONE! Southern Kentucky

Vol. 11 Issue 5 • May 2015

A PUBLICATION OF THE COMMONWEALTH JOURNAL

Journal

Special Nurses Bountiful Berries Homeless Initiative Efforts

Biking around Lake Cumberland

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Southern Kentucky Health & Family Journal - May 2015

Health Family 13 Journal Southern Kentucky

Volume 11 Issue 5 May 2015

PUBLISHER Rob McCullough

Bouncing Back

by Janie

Slaven

The Chloe Carrick Story

EDITOR-IN-CHIEF Ken Shmidheiser

CONTRIBUTING WRITERS Cindy Lackey Tim Minton Tricia Neal

Catherine Pond Janie Slaven

LAYOUT & DESIGN Pam Popplewell

ADVERTISING

Mike Hornback/ Advertising Director Mary Ann Flynn Kathy M. Lee Mike McCollom Amanda McIntosh Kraig Price Craig Wesley Southern Kentucky Health & Family Journal is a publication of and is distributed by Newspaper Holdings, Inc. All rights reserved. No part of this publication may be reproduced or stored for retrieval by any means without written permission from the publisher. Southern Kentucky Health & Family Journal is not responsible for unsolicited materials and the publisher accepts no responsibility for the contents or accuracy of claims in any advertisement in any issue. Southern Kentucky Health & Family Journal is not responsible or liable for any errors, omissions, or changes in information. The opinions of contributing writers do not necessarily reflect the opinion of the magazine and its publisher. © 2015 Newspaper Holdings, Inc.

Southern Kentucky Health & Family Journal P.O. Box 859 Somerset, KY 42502 Email:

mhornback@somerset-kentucky.com 4

INDEX

Biking: On the Road to Fitness in the Lake Cumberland Region By Cindy Lackey....................................... 26

Lake Cumberland Regional Hospital’s Special Nurses By Tricia Neal.............................................. 5

How to Keep Your Bike in Top Form.. 31

How to Become a Healthy Investor Edward Jones Advertorial.......................... 8 The Continuing Efforts of the Homeless Initiative By Tim Minton........................................... 9 Bountiful Berries: Wilson’s Cedar Point Farm Grows Acres of Strawberries for Annual May Harvest

By Catherine Pond................................... 16 How Do We Get Work Stress? Adanta Advertorial.................................. 22

Senior Care is a Family Issue Comfort Keepers Advertorial................... 35 The Power of Prayer By Catherine Pond................................... 36 Hearing Loss and Diabetes Southern Hearing Advertorial................. 40 Treating Weather-Related Joint Pain.............................................. 42 How to Show a Nurse You Care.......... 44 Senior Calendar Lake Cumberland Regional Hospital....... 46

32 LCRH

Special Care Unit by

Tricia Neal

Cover Photo: Jessica Douglas, Beverly Knight, Jennifer King, and Jaclyn Turner are just a few of Lake Cumberland Regional Hospital’s double-certified nurses. Photo by Tricia Neal

Southern Kentucky Health & Family Journal - May 2015

The Wall of Honor at Lake Cumberland Regional Hospital recognizes the 125 Certified Nurses which have achieved their ranking through the American Nurse Credentialing Center. Nine of the hospital’s nurses are double-certified. Pictured, left to right, are just a few of LCRH’s certified nurses: Jessica Douglas, Beverly Knight, Jennifer King, and Jaclyn Turner.

By Tricia Neal

Lake Cumberland Regional Hospital’s Special Nurses Nurses at Lake Cumberland Regional Hospital are climbing the clinical ladder – being encouraged to further their education and levels of expertise by becoming Certified Nurses through the American Nurse Credentialing Center. The result is a better nursing staff, which leads to better patient services. Jennifer King, RN, CMSRN, a certified nurse who works in the Telemetry Care Unit at LCRH, says the program has had a domino effect. “It gives the nurses confidence, and it encourages their co-workers to participate as well,” she says. “You want to be the best nurse you can possibly be,” adds Beverly Knight,

RN, BSN, JD, SCRN, who works in the Neuro Unit at LCRH. “If someone beside you is certified, you want to be as good a nurse as they are.” There is a cost to bettering oneself as a nurse – but LCRH is making it as easy as possible on its employees by partnering with the American Nurse Credentialing Center’s “Success Pays” program. “The hospital is paying the cost for eligible nurses, which allows them to sit for the exam,” explains Susan Ramsey Wilson, director of marketing and public relations at LCRH. “This removes the barrier of nurses having to come up with funds themselves in order

Southern Kentucky Health & Family Journal - May 2015

to take the exam.” In order to become a certified nurse, a nurse has to work a certain number of hours in a specialized area – whether that be critical care, registered nursing, operating room nursing, or medicalsurgical nursing. (Before Knight took her stroke certification exam, for example, she had to have two years of experience in that specialty area, even though she had been a neuro nurse for years.) Other criteria must be met. The nurse must be directly involved in the care of patients, Knight says, and his or her license must be in good standing. Once all the criteria is met, the nurse must study for the exam, which usually involves a cost 5

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for materials. Finally, the nurse takes the exam, which contains between 200 and 300 questions. “If you pass, you get your credentials, and you’re considered to be knowledgeable in your specialty area,” says Jessica Douglas, RN, BSN, CCRN, a Neuro Unit certified nurse who also acts as the Stroke Coordinator at LCRH. Once a nurse becomes certified by passing the exam, “it’s not over,” Douglas says. Several hours of continuing education must be completed every few years. Several nurses have been so eager to continue their education that they’ve become double-certified. Currently, nine of the 125 certified nurses at LCRH are double-certified. The nurses view the exams as opportunities to measure their knowledge and expand their horizons. “They let you know where you stand,” King notes. “The courses allow you to freshen up on things, and to learn things you haven’t done yet,” says Jaclyn Turner, RN, BSN, CMSRN, also a certified nurse in the Telemetry Care Unit. “I’ve been a nurse for 13 years, and the course covered things I wasn’t familiar with.” Knight says the courses “broaden your horizons” because nurses are able to learn about issues on a broader base. “You find out what’s available in your own hospital, but you also find out what the best practices are nationwide,” she says. LCRH makes sure its certified nurses are rewarded

for their extra efforts. Those who have completed and passed their exams are occasionally treated to a catered dinner and a thankyou gift. Plaques, creating a “Wall of Honor,” bearing the names of all LCRH certified nurses are hanging in a prominent spot outside the hospital’s cafeteria. “Every year, the numbers increase,” Douglas notes. And, of course, there are monetary rewards for the nurses’ efforts to move up the ladder in their careers. Turner says a nurse can add $4 per hour to his or her pay level by becoming certified. “If you’re motivated to seek out certifications, you can raise your own salary,” Turner says. “We recognize those who go above and beyond, and there are rewards for becoming certified,” Wilson says. “But these nurses are also establishing themselves as experts who have gone the extra mile to provide patient care. They are also raising the bar for the nurses with whom they work. It builds enthusiasm, and makes other people want to do better. That translates to better patient care. We are proud of our certified nurses, and we appreciate that they want to be the best they can be. As we increase our number of certified nurses, it helps make us all stronger and better.”

Tricia Neal is a freelance writer

Southern Kentucky Health & Family Journal - May 2015

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Southern Kentucky Health & Family Journal - May 2015

FINANCIAL FOCUS

How Can You Become A “Healthy” Investor? May is National Physical Fitness and Sports Month. This “month” is designed to encourage people to follow a healthy, active lifestyle. You can take steps toward this goal, of course, but why not carry the concept of improving health to other areas of your life — such as your investments? Toward that end, consider these suggestions:

CHUCK SOBIECK

FINANCIAL ADVISOR

BY APPOINTMENT ONLY 71 IMAGING DRIVE SOMERSET, KY 42503 BUS. 606-678-0326 TF. 800-585-2659

www.edwardjones.com Edward Jones Member SIPC

Give your portfolio a regular “checkup.” To maintain your fitness, it’s a good idea to visit a doctor for a check-up on a regular basis. And to help ensure the “health” of your portfolio, you may want to periodically review it with the assistance of a financial professional — someone who can point out gaps in your existing holdings or changes that may need to be made. Follow a balanced investment “diet.” As you know, nutrition experts recommend that we adopt a balanced diet, drawing on all the major food groups. Too much of any one category — for example, an excess of meat or of dairy products — can lead to health concerns. An analogous situation exists when you invest — if you own too much of one particular asset class, such as aggressive growth stocks, you might expose yourself to an “unhealthy” degree of risk, because you could take a big hit during a market downturn. But not all investments move in the same direction at the same time, so if you own a mix of stocks, bonds, government securities and other vehicles, you can lessen the impact of volatility on your portfolio. In investing, as in all walks of life, balance and moderation are important.

Don’t let investments get “lazy.” Exercise is essential in staying fit and healthy. Yet, exercise can also be hard work, causing many of us to put it off to “another day.” Some of your investments may also not be working hard enough for you. To cite one possibility, you might own quite a few certificates of deposit (CDs). There’s nothing “wrong” with CDs, and they do offer a high degree of preservation of principal, but they provide very little in the way of return, particularly in a low-interest-rate environment, such as we’ve had over the past few years. So, if you have a plethora of CDs, you might be depriving yourself of the opportunity to own other investments that “work harder” by offering you the growth potential you’ll need to make progress toward your long-term goals. Avoid “unhealthy” habits. Many of us are guilty of unhealthy habits, such as eating too much or failing to address stress. Taken together, these bad habits can harm the quality of our lives. As an investor, you can also fall into some bad habits. To name just a couple, you could waste time and effort by chasing after “hot” investments, which may already be cooling off by the time you hear about them, or you could decide to take a “time out” from investing when the markets are turbulent. Another bad habit: Investing either too aggressively or too conservatively for your goals and risk tolerance. By avoiding these and other negative habits, you can help yourself stay on track toward your objectives. It takes diligence and vigilance to stay physically fit and healthy. And these same attributes are just as important in keeping your investment strategy in good shape.

This article was written by Edward Jones for use by your local Edward Jones Financial Advisor. 8

Southern Kentucky Health & Family Journal - May 2015

The Continuing Efforts of the

By Tim Minton

HOMELESS Initiative

The steering committee for the homeless initiative in Pulaski County continues to work at addressing the homelessness issue in the community. The primary organizers have included Steve Hall of High Street Baptist Church in Somerset, KY; Daisha Hall, Director of Housing and Community Development for the City of Somerset; and Robin Wheeldon, Executive Director of Somerset Housing Authority. The organizers have asserted that productive developments have transpired since the homeless initiative began. With the understanding of its complex dilemma, they realize it can’t be undertaken nor solved overnight. However, they continue to explore options and resolutions. Daisha Hall summarized the happenings from the previous meetings, “There have been a large group of people coming to the meetings... The first couple of meetings were open discussion forums and the last two have been our steering committee made up of smaller, focused working groups.” Hall stated that she continues to send information via e-mail from the meetings to all of the 200-plus registered people who initially signed up to be updated and informed about the homeless initiative. The next meeting conducted by the steering committee was set for April 16 at Rocky Hollow’s Community Room at 6:00 p.m. (which had not occurred yet when this article was submitted for publication). Two meetings were conducted in March. At the March 2nd meeting, one purpose was to collect data through the use of questionnaires from its members in attendance. One of the findings from the surveys confirmed what many in the community had believed-- there is an increase of people identifying Daisha Hall Southern Kentucky Health & Family Journal - May 2015

themselves as homeless in Pulaski County when requiring about assistance. “I found that we have people from local agencies such as God’s Food Pantry and the Pulaski Emergency Relief Ministry (PERM) indicating they have weekly encounters with the homeless,” proclaimed Hall. In addition, even those responding they had encounters “every once in a while” noted witnessing the growing incidents with encountering the homeless in recent years. In essence, the data collected from the meetings demonstrated the conviction that the homeless situation in Pulaski County is on the rise. Also from the March 2nd gathering, several ideas and suggestions were submitted to better serve the homeless in the community. Some of these included: • A temporary shelter to help establish resources and connections •Public Transportation to get individuals to various agencies, health care, and other resources • Referral Services • Coordinated efforts from churches acting collectively for greater impact • Consult recommendations from the London and Corbin shelters • Involve all community resources to provide information • Job training programs to the individual and families to become self supporting •Provide support groups based on causes of homelessness : job loss, drug addiction, abuse, mental illness, etc. • Establish a centralized database available to participating agencies/churches to help coordinate and utilize available resources • Organize a time frame and plan for available funding At the March 26th meeting, the steering committee’s focus groups acted upon the data collected from the previous March meeting. The participants began brainstorming various possibilities or solutions to help propel the initiative forward. They identified and addressed key issues as: funding, facility possibilities, transportation, other models, and 9

temporary action. Some resolutions proposed for each of the above issues included: Funding: • Churches giving supplemental income • Application for state and federal funding • Private donations and fundraisers • Money or resources given specifically to food, transportation, etc. • Creating a new 501(c)(3) (a tax-exempt nonprofit organization) or use a parenting organization Facility Possibilities: • Allow the facility to be an “address center” for people to use the facility address to receive mail at the particular location and learn about additional resources. • Provide facility amenities such as: kitchen, shower, washer/dryer, surveillance cameras, and police or security, etc. • Create regulations and policies based upon national mandates and other criteria from funding sources. • Suggest current locations for a facility or shelter: Old Senior Center, Pulaski Central, Cumberland Church of Christ donated house, Trinity Springs, Josh Anderson Baseball Facility, Racquet Ball building. • To use the facility initially as a centralized resource center to direct people in need to the correct person, contact, or service. Transportation: • Establishment of different types of transportation needs: (1) emergency one-time trips (2) local, multiple, small trips to access resources available • Contract with RTEC to transport from the resource hub or facility and/or employ cab service • Coordinate with churches (or community organizations) to use their vans or vehicles, utilizing a referral service from involved agencies (not a free for all or publicized service) • With creation of a nonprofit, having a vehicle purchased or donated for transportation to and from the facility and/or services Other Models: • Evaluation of regional facilities in: London, Monticello, Louisville, Lexington, Corbin, Williamsburg, and Mt. Vernon. • Devise a group to visit and meet with the director and/or board members from other facilities to inquire about information on services, funding, organization, policies, security, etc. 10

Temporary Action: • Modify current resource card to simulate a business card with website address on it (Interagency website) and address of location to access computers (Public Library and/or Somerset Housing Authority) In addition, an Interagency website (http:// somersetpulaskicountyinteragencycouncil.org) has been created and updated that lists or entails agencies and other services that homeless individuals may contact for assistance needs. “We realize that it has to be community-wide and community supported for [the initiative] to be successful,” proclaimed Hall. Currently, there are at least 48 agencies that have already uploaded their information onto the website for it to become a widely used resource in the community. Kathy Hall, President of the Interagency Council, has been checking daily for new entries added. “It is an informative and helpful tool that can provide a one-stop resource for people in need to search and find what assistance and available resources our community provides,” cited Hall. The Interagency Council encourages any agency or organization who hasn’t already registered, and can provide services for the homeless, to enlist upon the website. No charges nor fees are required to enlist or become a part of the website. Besides the work of the Interagency Council and the steering committee, others in the community have also become involved with the homeless initiative. Somerset High School (SHS) Teacher, Courtney Ikerd, and students from SHS and Pulaski High School organized and conducted an event entitled Cardboard Nation (CBN) at Somerset’s

Somerset High School and Pulaski County High School joined together to raise over $12,000 to help the homeless in Pulaski County during Cardboard Nation.

Southern Kentucky Health & Family Journal - May 2015

First Baptist Church on March 27, from 6:00 p.m. until 6:00 a.m. CBNâ&#x20AC;&#x2122;s goal was to make the community more active and aware of the homeless initiative. Its purpose was to bring awareness to the homelessness issue in the community by enticing participants to step outside their comfort zone and sleep outside for the night provided with a box and blanket. The participants were also afforded a soup meal. The event had been planned for months and set far in advance without knowledge that the last weekend in March would bring snow flurries and nighttime temperatures in the 20s. Perhaps in a genuine demonstration of what the homeless must endure, the weather took its toll on the campers. According to reports by Ikerd, out of the more than 200 who started the night, barely more than 70 braved it to the end. CBN helped raise over $12,000 in donations for the homeless initiative. The aim from donations received will be to provide funding towards the future ambition for establishing a permanent homeless shelter in Pulaski County. Thus far, the homeless initiative appears to have continued support and interest from the community. â&#x20AC;&#x153;From the participants who have helped out, everyone has different backgrounds in regards to experience and knowledge and they have brought forth a lot of good ideas,â&#x20AC;? insisted Hall. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s been great to see all the support and cooperation from the

different agencies, the Mayor and County Judge Executive, and other community members for this initiative,â&#x20AC;? stated Hall. At the next steering committee meeting, the goal is to create an action team to begin putting forth the proposed ideas into motion. â&#x20AC;&#x153;I hope that we continue to have the support we have had thus far,â&#x20AC;? Hall said, â&#x20AC;&#x153;And, I hope we continue to have motivated individuals who want to take an active role.â&#x20AC;? The organizers for the homeless initiative request all in the community to consider how you could participate and help out.

Anyone desiring additional information, questions, concerns, or how you can contribute may contact either Steve Hall or Daisha Hall at: DAISHA HALL Housing and Community Development City of Somerset Cell: 606.383.0166 dhall@cityofsomerset.com or BRO. STEVE HALL Music Minister High Street Baptist Church Office: 606.678.8973 steve_hall@windstream.net

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Southern Kentucky Health & Family Journal - May 2015

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Southern Kentucky Health & Family Journal - May 2015

N U BO NCI G

By Janie Slaven

Back

Preschooler Chloe Carrick is a giggly ball of fire, even more energetic than most four-year-olds. She says she enjoys reading, playing on her tablet, tractor rides and looking for turkeys around her home on Hayes Creek in McCreary County. Perhaps her favorite pastime is playing with the family’s three dogs: Sophie, Mickey and Jake. Seeing her good-naturedly tussle with Sophie, it’s hard to believe that just five months ago, Chloe’s life hung in the balance. Her story begins the Monday before Thanksgiving. Chloe’s mother, Latoya, recalls that it was about 10 p.m. that night when she and her husband, Bruce, were roused by Chloe’s screams — shortly followed by vomiting and hallucinating. But the little girl recovered well enough for her parents to attribute the incident to a stomach virus which had been going around at the time. The Carrick family — including two-year-old Nate — proceeded with plans to spend the holiday with Bruce’s family in Ohio. By Wednesday evening, Chloe’s illness required a trip to the emergency room where she was given fluids and sent home. But the Carricks had to bring her back the next day — Thanksgiving — and she was admitted to Cleveland Children’s Hospital with rising sodium levels. A CT scan revealed that Chloe was suffering from an aneurysm which took three attempts to repair. During her month-long hospitalization, she experienced two minor strokes and had to have a feeding tube. “At one point, her left side was paralyzed,” Latoya explained. “We had to hold her head like a newborn’s.”

Southern Kentucky Health & Family Journal - May 2015

The Chloe Carrick Story 13

Chloe Carrick poses with her bulldog Sophie. She’s the picture of health, just four months after suffering an aneurysm.

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But with the resilience often seen in children, Chloe did begin to recover. She was using a walker when she came home on December 27. With physical therapy, she’s now running around like any kid her age. “Jesus helped me this whole time,” Chloe said. Her condition does require constant monitoring. Chloe has been left with diabetes insipidus, a fairly uncommon disorder which affects sodium levels rather than sugar. It affects the production of vasopressin, a hormone regulating hydration. The cause of diabetes insipidus is not always known, but can be hereditary or due to head injury. To control her condition, Chloe now takes seven pills a day and will have to remain on her feeding tube for at least a year. But that’s not slowing her down. In March, she returned to Karen Wilson’s afternoon class at McCreary County Preschool where she enjoys watching

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Southern Kentucky Health & Family Journal - May 2015

movies and singing “Herman the Worm.” Chloe’s care has been largely transferred to the University of Tennessee Medical Center since she came home. Her doctor there, Latoya said, actually trained with the physician who treated her in Cleveland. In addition to her medical care, the Carricks are grateful for the community’s support during Chloe’s illness. Efforts to help included Team Chloe t-shirts and a preschool penny war. “We would like to thank the community, preschool and churches for their prayers,” Latoya said. “We just had really good support from everyone.”

Janie Slaven Commonwealth Journal Writer Family shot: Latoya and Bruce Carrick with their children, two-year-old Nate and fouryear-old Chloe.

Southern Kentucky Health & Family Journal - May 2015

Bountiful

Berries

By Catherine Pond

Catherine Pond Freelance Writer

Southern Kentucky Health & Family Journal - May 2015

Wilson’s Cedar Point Farm Grows Acres of Strawberries For Annual May Harvest It’s an annual rite of spring that April showers bring May flowers. On Wilson’s Cedar Point Farm in Nancy, seasonal rains and warm sun also bring luscious field-grown strawberries. Since 2007, Joel Wilson, 50, has grown strawberries for the public, as well as wholesale. In eight years he has grown the business from ½ an acre to ten and has become the largest strawberry grower in the state. Every May, customers are welcome to come out to the farm to buy pre-picked gallons for $13 or to pick their own (sold this year at $2 per pound, or about $10 a gallon). The farm is located a few miles down Hwy 837, south from Hwy 80 at Cain’s Store, in western Pulaski County. Customers from as far as Tennessee and throughout Kentucky come to pick the berries for freezing, jam, baking, or just fresh out of the bowl. Some even buy them for their annual strawberry winemaking. “The season generally runs Mother’s Day through Memorial Day,” Wilson said. “Sometimes a bit before or after.” While berries are picked throughout May, there is usually only a three-week window for pick-your-own. “Ours is a shorter season, versus somewhere like Florida, because we grow for local consumption, not for widespread shipping or a larger retail market,” he continued. Wilson’s berries are the opposite of the bigger, often tasteless, berries found in stores. “Ours are sweet but last only a few days after picking, so you need to eat or use them right away or within 48-hours,” Wilson added. Cedar Point Farm also grows tomatoes, peppers, and corn for the wholesale market with large buyers such as Walmart, who are now making an effort to support local agriculture throughout the country. This partnership requires a third-party food safety audit from the USDA and a barcode labeling system, something that the Old Order Mennonites in nearby Casey County were not able to provide when they grew melons and peppers for Walmart. “You have to be large scale to go wholesale—it’s Southern Kentucky Health & Family Journal - May 2015

an economy of scale,” Wilson said. Before he got into the produce business, Wilson grew up on the family farm, where he now lives with his own. They had a dairy and also raised tobacco and beef. “My wife Beth got me into the produce business.” Perhaps, then, it is no surprise that Joel’s wife, Beth Wilson, is the Extension Agent for Agriculture at the Cooperative Extension

Some of the Chandler variety of strawberries grown at Wilson’s Cedar Point Farm.

Office for Pulaski County. They met after she came to the farm for a field consultation, and married in 2001. “We kind of dated in the pepper patch,” Wilson smiled. While their strawberries are not entirely organic, “We don’t spray anything we don’t have to,” Wilson said. “You can eat our berries without washing them. I’m not going to jeopardize my 17

fix we have to buy them at the store. But they’re just not the same.” The Wilsons like to make freezer jam out of their own haul. The farm grows two kinds of berries: the smaller, sweeter Chandler (good for eating fresh or for jam) is prolific and varies in size; the larger variety, Camarosa, is preferred by wine-makers and also good for jam. The latter is also more rain-tolerant and is a better shipper to wholesalers. Wilson said that they mix the varieties for retail but u-pickers can only pick Chandlers. This variety is cold hardy and is grown throughout the more mountainous regions of Appalachia. Because it needs to be picked when at a certain ripeness the Camarosa berries are only picked by the farm staff. The fifteen pickers, all Mexican workers, are on a special contracted 6-month farm visa through an agricultural program called H-2A. They live in employee housing on the farm, are hardworking, and can better tolerate the summer heat. [In recent years, farms both large and small across the United States have relied

daughters.” Katie, 13, and Sarah, 11, love fresh strawberries and help on the farm when they can (Sarah enjoys picking berries and Katie likes to sell them). “We just use a little fungicide and that is one reason our season is shorter because we don’t like to spray.” Natural pests like the black sap beetle arrive in late May and if they don’t finish off what is left of the crop, the increasing late spring humidity might. “Our daughters prefer them right out of the field but sometimes, before the season begins, to give them a strawberry 18

Joel Wilson in one of his strawberry patches, mid-April 2015. His family farm in Nancy, and Green River Knob, are in the background. Inset: Abundant blossoms on lush strawberry plants are getting ready to set fruit in time for the May season. © Catherine Pond

Southern Kentucky Health & Family Journal - May 2015

A large inviting banner welcomes visitors to Wilson’s Cedar Point Farm. © Catherine Pond

upon the H-2A program because it has become increasingly more difficult to hire local people to do the work.] Strawberries have become even more popular because they are among the fruits with proven antioxidants. They don’t need added sugar, unless that is your preference (or in cooking), so they make a healthy snack. And just one cup of fresh strawberries, at 46 calories, provides 113% of daily Vitamin C requirements. Strawberries also contain anti-inflammatory nutrients, support regulation of blood sugar, and help in the prevention of certain cancers. Above all, they are tasty. By mid-April, the farm’s ten acres of strawberry plants were covered with blossoms and Wilson is expecting an excellent, abundant season despite the prolonged winter and late spring. He encourages families to come out to the farm, enjoy some fresh air in the country—and bring your mother along, too. There are plenty of berries for everyone but they won’t be here long. After the season, strawberry fans will just have to wait another year, so get them while they’re fresh—and local! Strawberries are sold by the gallon at the farm, to wholesale markets, and at some farmer’s markets in Kentucky. © Catherine Pond

Southern Kentucky Health & Family Journal - May 2015

ESSENTIALS:

Wilson’s Cedar Point Farm 66 Garfield Tarter Road Nancy, KY 42544 Cell: 606-305-8762 FACEBOOK: Wilson’s Cedar Point Farm TWITTER: @WCPF_FarmerJoel WEBSITE: WilsonsCedarPointFarm.com E-MAIL: WilsonsCedarPointFarm@gmail.com

MAY HOURS:

For u-pick or pre-picked strawberries, Mon-Sat, 9am-8pm Sunday afternoons (after church)

NOTE:

Wilson’s is wholesale only, except during strawberry season. You can also find their berries, and produce, at some farmer’s markets. Call, email, or check social media pages/website for further information or to inquire about their CSA program [a Community Supported Agriculture seasonal subscriber program to receive weekly farm produce and egg shares]. Wilson’s Farm strawberries make lovely jam. © Catherine Pond

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Southern Kentucky Health & Family Journal - May 2015

WAYS TO EAT LOCAL STRAWBERRIES

Store-bought berries just don’t have the flavor or tenderness that locally grown berries can provide in season. Here are some ideas for eating local strawberries: • Great for jam (high pectin content) • Slice and freeze some for wintertime use • Delicious in fruit smoothies— fresh or frozen • Pour over vanilla ice cream (or make strawberry ice cream) • Toss some in a spinach salad or serve with chicken salad • Use fresh or baked in strawberry pie • Slather on cheesecake • Mix into plain yogurt with a bit of local honey • Serve with homemade vanilla custard • Serve with sponge cake (or angel food cake, or shortcake) and whipped cream [ideal for Mother’s Day or Memorial Day weekend].

WE’RE ‘BERRY’ EXCITED! STRAWBERRIES

Strawberries available COMING MAY 2013! the first week in May!

We offer fresh fruits and vegetables for sale during the growing season. We are a U-PICK PRE-PICKED Kentucky Proud producer.

per $2.00 $13.00gallon

2013 CSA Membership Forms are Available!!!

CSA stands for Community Supported Agriculture. Basically, it is a subscription service for fruits and vegetables. What this means is that you sign up with us to receive a basket of food each week throughout the growing season. The Community part of CSAs is the different part. When you sign up with us, you pick us as your farmer to supply most of the fruit and vegetable needs of your family (instead of noname ag businesses). We'll provide you with seasonal and nutritious produce from close to home.

per lb.

Week 3 Produce Box

W h a t W e O f f e r: Full share = weekly share will have about 5-12 different items. This amount is geared to provide a family of 4 enough fresh produce for half their meals or a 2-person family all their meals during the week. Half share = weekly share will have about half of a full share. This amount should provide a family of 2 enough fresh produce for half their meals during the week. Egg share = weekly share will be a half-dozen eggs.

STRAWBERRIES Joel’sCOMING Cell Phone: (606) 305 - 8762 2013! MAY Week 8 Produce Box www.wilsonscedarpointfarm.com

South 837 • Nancy, KY 42544 When you sign up with us, you'll receive a weekly share of produce and a newsletter about what's in your share, a recipe or two, and the goings-on at the farm.

We offer fresh fruits andACCEPTING vegetables forCREDIT CARDS! NOW ALL Garfield Tarter Nancy, sale during the growing66season. WeRd, are a KY 42544 Joel's Cell Phone: (606) 305-8762 606-305-8762 Kentucky Proud producer. “Where nothing else is close” www.wilsonscedarpointfarm.com 2013 CSA Membership Forms are Available!!!

Southern Kentucky Health CSA & Family May 2015 stands forJournal Community-Supported Agriculture.

Basically, it is a subscription service for fruits and vegetables. What this means is that you sign up with us to receive a basket of food each week throughout the growing season.

How do we get work stress? While some workplace stress is normal, excessive stress can interfere with your productivity and im-pact your physical and emotional health. And your ability to deal with it can mean the difference be-tween success or failure. You can’t control everything in your work environment, but that doesn’t mean you’re powerless—even when you’re stuck in a difficult situation. Finding ways to manage workplace stress isn’t about making huge changes or rethinking career ambitions, but rather about focusing on the one thing that’s always within your control: you. Work stress comes from a variety of avenues: fear of failure, not able to reach an important deadline due to something out of your control, budget cuts, layoffs, losing your job, get-ting along with co-workers, learning a new computer program, more overtime due to staff cutbacks, pressure to work at optimum levels - all the time! Our body links this psychological fear to danger and pumps adrenaline through our systems, keeping us fired up, essentially to run from danger! In the long term this means our body is continuously using its resources, pumping adrenaline, not minding what our immune and other key systems are telling our body what to do, which causes us to become ill when highly stressed. Your emotions are contagious, and stress has an impact on the quality of interactions with others. The better you are at managing your own stress, the more you will positively affect those around you, and the less other people’s stress will negatively affect you!

Southern Kentucky Health & Family Journal - May 2015

Don’t let yourself be “stuck” on something, reach out to a trusted friend or colleague, or a professional and ask for help! A second opinion and a fresh perspective can get you back on track.

Yes, really! Workers who accept that they are stressed and work to deal with the stress are far happier. Take a quick break, look for humor in the situation, connect with others at work. A positive attitude makes all the difference! It’s not the load that breaks you down, it’s the way you carry it. - Lou Holtz Adanta Behavioral Health Services has licensed and certified staff in nine outpatient clinics located in Adair, Casey, Clinton, Green, McCreary, Pulaski, Russell, Taylor, and Wayne counties who can provide assistance with work stress, as well as mental health counseling, alcohol and drug abuse counseling, medication management, and more. If you need help or would like more information, call toll free 1.800.954.4782 x 0, or visit Adanta’s website at www.adanta.org. For resources to assist with stress, visit Adanta’s Facebook page at www.facebook.com/The.Adanta.Group. Adanta has been providing services to community partners and members of the Lake Cumberland area since 1969. Adanta is CARF accredited in Adult, Child, & Adolescent Outpatient Treatment: Mental Health and Alcohol and Other Drugs; Adult Mental Health Crisis Intervention and Crisis Stabilization; and Adult, Child, and Adolescent Mental Health and Alcohol and Other Drugs: Prevention. #EnhancingTheLivesOfOthers is our Purpose. Resource: helpguide.org; nextgeneration.ie Submitted by: Jamie S. Burton, Chief Executive Officer, Adanta

Southern Kentucky Health & Family Journal - May 2015

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Southern Kentucky Health & Family Journal - May 2015

Biking:

By Cindy Lackey

On the Road to Fitness in the Lake Cumberland Region

“Get moving” is a message that people in the Lake Cumberland area are taking to heart. “I feel like the attitudes and atmosphere are changing to embrace physical activities,” said Jaclyn Hodges, Health Educator for the Green and Taylor County Health Department. “There are many more people participating in recreational activities now than in the recent past.” Lake Cumberland communities are expanding the recreation activities they offer, too, she said. For example, Taylor County and Somerset have been working on pedestrian plans. Adair, Green, McCreary, Russell and Taylor Counties are seeking Trail Town Certifications. Improvements to community parks are underway in Somerset and Clinton, Green, McCreary, Pulaski, Russell and Wayne Counties. “Many communities are hosting multiple 5k races and similar events,” she added. Each community seems to have its favorite activities, according to the health educators serving the 10-county area through the Lake Cumberland District Health Department. In Clinton and Cumberland Counties, gyms and parks are popular. In McCreary County, hiking is the big thing, and youth visit the Lord’s Gym every day. In Adair, Casey and Green Counties, canoes and kayaks are common. In Russell County, Refit 26

is the rage. Running is widespread in Wayne County and several others. Bicycling is becoming more popular in many communities, especially in Pulaski and Taylor Counties. Almost anyone can ride a bike, and this area has beautiful scenery to enjoy. It is among the lower impact activities, and it burns calories, builds stamina, strengthens the heart and lungs, and tones and builds muscles. Bicycling to Good Health Aaron Denny, 31, and his wife, Jenny, began bicycling in 2006. “We had been married about a year, and she was worried that I would die of a heart attack at a young age,” Aaron said. “I was 22 then, and I weighed 230 pounds,” said Aaron, who is 5’8” tall. “I couldn’t walk up a flight of stairs without losing my breath.” Aaron had no problem with his weight when he was young. He was active, running track and cross country at Pulaski County High School. Then, he pulled a muscle before his senior year, and he could no longer run. “The weight just piled on,” he recalled. “I didn’t exercise at all. I played video games. I drank Mountain Dew all the time and ate whatever I wanted. Same thing in college.” When Aaron and Jenny decided they needed to change their sedentary lifestyle, they chose cycling. “I always enjoyed bikes as a kid,”

Aaron said. “Jenny and I wanted to meet people. We wanted to be outside and explore the countryside, so we chose road bikes.” “I can remember walking my bike up every hill on my first ride,” Aaron said. Now, each week he bikes 15 to 20 hours, traveling 150 to 300 miles. “I love it,” he said. “I live, eat, sleep cycling. My daily life is scheduled around cycling. Anyone who knows me, knows that I’m a cyclist.” “The fitness and social sides are fantastic,” he said. On the fitness side, Aaron now describes his lifestyle as extremely active, thanks to cycling. He also pays attention to what he eats. “I weigh 174 pounds now, and I would say that I’m at my highest fitness level in years as I return back to racing,” he said. “At my lightest, when I raced more often, I weighed 145 pounds.” He and Jenny still bike together, but she has taken a break from racing after having their two sons, three-year-old Isaac and one-year-old Levi. Their active lifestyle carries over into their parenting. “Isaac has been on a balance bike since he was 18 months old, and he already is embracing the sport and taking part in kids’ races,” Aaron said. On the social side of biking, Aaron said, “I have met so many people, from here to Colorado to California. It’s a great network of friends.”

Southern Kentucky Health & Family Journal - May 2015

Aaron’s passion for cycling has turned into a career. He is certified as a USA Cycling Level 2 Coach and USA Triathalon Level 1 Coach. His company, Volo Sports, provides endurance sports coaching and event planning. He is a board member for Indiana-Kentucky Cycling Association. Other Reasons to Ride “Cycling is for everyone, truly,” said Marc Travis, 45, Owner/Operator of Cumberland Cycles Bike Shop in Somerset. “Not all sports offer that.” “Whatever your age or your reason for getting active, biking is a good fit,” Marc said. “Whether your goal is to get fit or to compete or to spend time together as a family, then try biking.” “Two wheels are my sanity,” laughed Marc, whose lifelong love of bikes turned into his profession 25 years ago. “Cycling is my way to escape the stresses of life. No matter how heavy the load, I can leave it behind when I bike. Everyone needs that.”

AFTER

BEFORE

Aaron Denny and his wife, Jenny, before and after cycling helped him shed 80 pounds. Now, Aaron cycles 10-15 hours per week, races and has built a business around his passion for the sport. Photos provided by Aaron Denny. Southern Kentucky Health & Family Journal - May 2015

“Cycling offers freedom, like people say about riding motorcycles,” he added. “There’s the wind in your hair and the constant change of scenery.” “Biking is a great family activity,” said Kevin McKinney, General Manager of the Southern Performance Center, a Somerset bike shop. “My 11-year-old son, Kellan, has raced with me,” Kevin said. “My wife, Amy, and 15-year-old son, Austin, don’t race, but they enjoy road biking with us.” Like Aaron and Marc, Kevin is passionate about bicycling in his own life and encourages other to try it. He also sees it as a key to his personal fitness. “I took up cycling eight years ago, and I fell in love with it,” said Kevin, who is now 45 years old. “Now, I’m in the best shape since I left basic training.” “I was an athlete in high school and then spent 10 years in the military,” he explained. “After that, I stopped being active, and I gained 60 pounds. I started running to get fit. I ran competitively, and I ran marathons. I turned to cycling as

Get Moving! “Being physically active should be a normal part of everyone’s day,” advised Tracy Aaron, Health Education Director at the Lake Cumberland District Health Department, which serves 10 counties. “People of all ages, shapes, sizes and abilities can benefit from being physically active,” she said. “The more physical activity you do, the greater the health benefits.” She listed the following benefits of being physically active: •Increase your chances of living longer. •Feel better about yourself. •Decrease your chances of becoming depressed. •Sleep well at night. •Move around more easily. •Have stronger muscles and bones. •Reduce high blood pressure. •Reduce risk for type 2 diabetes, heart attack, stroke and several forms of cancer. •Reduce arthritis pain and associated disability. •Reduce risk for osteoporosis and falls. •Reduce symptoms of depression and anxiety.

Somerset’s Premier Bike Shop Offering something for EVERYONE Hours: Monday - Friday 8 am - 6 pm • Sat. 9 am - 3 pm

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Southern Kentucky Health & Family Journal - May 2015

The Pulaski County Eagle Scout Trail at Pulaski County Park in Nancy offers safe hiking and mountain bike trails for all ages and skill levels.

cross training because it was easier on my knees. I got hooked on it.” Getting Started Aaron, Marc and Kevin realize that most people will not become racers when they take up biking. They just want people to take up biking. “We want people to enjoy a healthy lifestyle, to find what works for them,” Aaron said. He offered several tips for anyone looking to start biking: •Get to know your local bike shops. Not only will they guide you to the right equipment, but they also are the best source of information on riding locations, events and groups. •Get the right equipment. “Buying the right bicycle is expensive, but you have to realize that it’s an investment in your health,” Aaron said. “When people

give up cycling, it’s often because they chose inexpensive bikes that didn’t suit their purposes or weren’t efficient or had mechanical problems. They got frustrated and quit.” •Find a community of cyclists. There are several cycling clubs in the Lake Cumberland area. They organize group rides, and they tend to welcome all ages and skill levels. In Somerset, there are also two racing teams. “If you want to ride on the road, but you’re nervous about driving in traffic, then take your bike downtown after 5:30,” Marc suggested. “There is very little traffic, and it’s beautiful.” For mountain biking, try the Pulaski County Eagle Scout Trail at Pulaski County Park in Nancy. The county obtained grant funds to professionally design and build the trails to the standards of the International Mountain Biking Association. Since opening

Southern Kentucky Health & Family Journal - May 2015

in 2013, the trails have become very popular and undergone expansion. “That trail system is safe for beginners, but advanced riders also will enjoy it, too,” Kevin said. “It’s a great place for families.” “There’s also a mountain bike trail at Laurel Lake,” he added. “The trail head is at the dam there.” Overweight people may shy away from bikes because they worry about their appearance on a bike. “Regardless of your size or shape, there’s a bike for you,” Marc emphasized. “Even if you can’t picture yourself on a racing bike, there are other options, like comfort bikes, hybrids, mountain bikes, road bikes and even classic cruisers.” “I love to see athletes overcome obstacles,” Aaron said. “Maybe they finally ride up a hill that they couldn’t, or they become comfortable riding with a group. It’s very gratifying.” 29

Share the Road: Safety Tips for Motorists and Bicyclists

Under Kentucky Law, bicycles have the right to use Kentucky’s roadways. Bicyclists and motorists have the same rights, rules and responsibilities on all Kentucky roads. Below are tips for sharing the road, provided by the Kentucky Transportation Cabinet. BICYCLISTS: •Obey all traffic laws, signs and signals. •Always wear a properly fitted helmet. •Use the travel lane farthest to the right unless you are turning left or passing another vehicle. •Always ride in the same direction as other traffic and in a straight line. Do not swerve between parked cars. •Do not ride on sidewalks unless you are a child. •Use hand signals to alert motorists of your intentions when changing lanes and turning. •Ride a well-equipped bike with a headlight, taillight, bell and rearview mirror. •Wear reflective materials to increase visibility at night. MOTORISTS: •Obey all traffic laws, signs and signals. •Expect cyclists on the road at any time, especially on signed bike routes. •Don’t honk your horn when approaching cyclists. You can startle the cyclist and cause a crash. •Wait until road conditions allow you to safely pass. •Realize the air turbulence your vehicle can create. Leave at least three feet of space between your car and the cyclist when passing. •Stay behind a cyclist when you are turning right. •Cyclists may take the lane (position near the center of the lane) when hazards, road width or traffic speed dictate. •Yield to pedestrians at crosswalks and intersections. Source: http://sharetheroad.ky.gov

Southern Kentucky Health & Family Journal - May 2015

How to keep your bike in top form Bicycle riding is one of the best things a person can do for the environment and his or her personal health. Riding a bike requires only the power of the body and does not produce any noxious emissions. It’s quiet, and bikes are able to gain access to places where cars are not permitted. According to Glumac, a full-service engineering company specializing in sustainable design, using one gallon of gasoline in a car produces about 20 pounds of carbon dioxide emissions directly, or 26 pounds if you account for processing the fuel. Opting for a bike instead of a car can have profound environmental benefits. Bicycles are most useful and efficient when they are properly maintained. Failing to maintain a bike means it could be relegated to a dusty corner in the garage. To keep bikes in ideal working order, consider these bike maintenance tips. ·Keep the bike clean. A bicycle is a collection of moving parts. Over time mud and debris can get lodged in gears, tires and other components, impacting the performance of the bike. Regular washing ensures that the bike will operate at peak capacity whenever you decide to go for a ride. High-pressure hoses may damage sensitive bearing systems, so it’s better to use a damp rag to carefully clean the bike. Brushing or buffing away debris can be handy as well. Consider how frequently you ride the bike and where you ride it when determining how often to clean the bike. ·Maintain proper tire pressure. Much like with car tires, air pressure in bicycle tires can impact the ride and likelihood of damage. According to the CARE Exchange, a group of

Maintenance is a part of keeping bikes on the road and ensuring they operate efficiently.

riders involved in fundraising cycling events, too little air in tires can increase the likelihood of punctures to the inner tube. Low air pressure can put more pressure on bike components and accelerate wear and tear. Plus, it can make for an uncomfortable ride. Similarly, too much pressure can cause the tires to blow out or provide a less enjoyable ride. Always keep tires at the pressure rating listed on the tire’s sidewall. · Keep the chain well lubricated. One of the most crucial steps to maintaining a bicycle is to keep the bike chain and other moving parts lubricated. This reduces excessive wear caused by friction and can prevent gears from ceasing up. Lubricants also can help prevent rust and corrosion. Apply lubricant to the chain, brake and derailleur levers and cables.

Southern Kentucky Health & Family Journal - May 2015

But too much lubricant can be a bad thing, attracting dirt and reducing performance. Use only as much as the bike needs and wipe away the excess. ·Get a tune-up. It’s beneficial to periodically have an experienced bike mechanic look over your bicycle. Bearings may loosen slightly, and brake and gear cables can stretch. Take the bicycle into a bike shop so the staff can give it an overhaul, addressing any areas that may need a little fine-tuning. Bike shop employees typically are knowledgeable in bicycle maintenance, and they can provide a wealth of information on other cycling-related subjects. Bike riding is a popular pastime and an activity that is beneficial to the environment. Maintaining a bicycle is a great way to ensure it operates as efficiently as possible. 31

LCRH Special Care Unit provides all the comforts of home for short-stay recovery By Tricia Neal When families think of nursing homes, they often picture facilities where their loved ones can receive long-term care, possibly for the duration of their lives. But there’s another option for some families – short-stay facilities, also known as skilled nursing facilities – and an award-winning one is located right here in Somerset, Ky. The Special Care Unit, located in Lake Cumberland Regional Hospital,

is a 12-bed facility (ten private rooms and one semi-private room) where patients can receive therapy services, skilled nursing services, and plenty of other support necessary to help them on their road to recovery. The goal of the facility, says Tanya Nelson-Hackney, MBA, BSN, RN, NHA, Nursing Home Administrator and Senior Director of Acute and Sub-acute Services, is to get patients back into their home settings in an average of 15 days. “Because we’re hospital-based, we

can provide more complex delivery of care than the community-based nursing homes,” Nelson-Hackney says. Examples include an ability to provide more complex wound care and to perform blood transfusions. While the goal at LCRH’s Special Care Unit is to get patients back home, sometimes it becomes obvious that it won’t be possible for a particular patient. In that case, they work with communitybased long-term nursing home facilities to place the patient in a setting with

Pictured above are several of Lake Cumberland Regional Hospital’s Special Care Unit team members who helped achieve the outstanding nursing home rating by U.S. News & World Report. First row: Jessica Simpson, RN, Nurse Manager, and Jennifer Goode, BSN, RN, Charge Nurse. Second row: Pamela Smith, SRNA; Regina Warren, RN; Bonita Lynn, RN; Rhonda Beaty, SRNA; Tanya Nelson-Hackney, MBA, BSN, RN, NHA, Senior Director Acute/Sub Acute Services; and Charlotte Rotrekl, LPN. Back row: Ron Cook, RN, Charge Nurse, and Sandra Warren, LPN.

Southern Kentucky Health & Family Journal - May 2015

which they and their family members are comfortable. Since the facility’s goal is to get patients accustomed to being in a home environment again, the Special Care Unit features a “fine dining program” in which patients eat at a table with linens and glasses rather than being served a meal on a tray while they’re in bed. Families can reserve the dining room and bring in their own food for birthdays and other special events. Like many other nursing homes, activities are scheduled throughout the day to provide “recreational therapy” for patients. Many times, individuals or groups will come to provide entertainment or education for the patients. There is time to do crafts and play games, and also time to read a book or watch television. “Patients have a voice in choosing their activities,” Nelson-Hackney explains. “We try to provide all the comforts of home.” Extra measures are taken to make sure

patients have everything they need both while they’re in the facility and when they’re ready to go home. While most Special Care Unit patients enter the facility after having been a patient at LCRH, patients are accepted from anywhere. Many come from Lexington, and Nelson-Hackney says, one hospital employee even had a family member transferred to the Special Care Unit from Arkansas because of the facility’s outstanding reputation. Jessica Simpson, RN, Special Care Unit and Rehab Unit Nurse Manager, says most patients start their day around 7:30 a.m., although some prefer to sleep in. After breakfast, patients begin therapy, and then they have time to themselves before lunch. Activities are held in the afternoons. Dinner is served in the evenings, and patients are allowed to go to bed whenever they feel like it. Visitors are welcome, and arrangements are made for family members who might want to stay with a patient overnight. The Special Care Unit received a

five-star rating in U.S. News & World Report’s “Best Nursing Homes 2015” list, highlighting the top nursing homes in every state. Susan Ramsey Wilson, Director of Marketing and Community Relations at LCRH, says fewer than 15 percent of the nursing homes and skilled nursing facilities in Kentucky made the list – and LCRH is the only facility in Somerset on the list. Now in its seventh year, the Best Nursing Homes list is designed to help the several million Americans who will spend at least some time in a nursing home in 2015 rehabbing after a hospital stay or as long-term residents. On a given day, 1.4 million people, most of them 65 and older, live in nursing homes. To create “Best Nursing Homes 2015,” U.S. News & World Report drew on data from Nursing Home Compare, a program run by the Centers for Medicare and Medicaid Services, the federal agency that sets and enforces standards for nursing homes. A “Best Nursing Homes” designation was awarded to

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Southern Kentucky Health & Family Journal - May 2015

Several patients in Lake Cumberland Regional Hospital’s Special Care Unit spent a recent afternoon putting together Easter baskets for the infants in the hospital’s nursery. Pictured, left to right, are: Carol Smith, a patient from Liberty, Ky.; Becky Mofield, volunteer; Phyllis Babcock, a patient from Jamestown, Ky.; Darren Mofield, volunteer; Jessica Simpson, RN, Nurse Manager; and Jackie Wilson, a patient from Eubank, Ky.

facilities that earned the agency’s highest overall rating of five stars. The rating was based on health inspections, nurse staffing, measures of medical quality of care, and fire safety. The Special Care Unit was deficiencyfree last year following its annual health inspection by the Office of the Inspector General. In fact, the report says the facility has not been cited for any deficiencies in the last 3 years. The health inspection rating indicates how well the facility has complied with standards for food preparation and other health-related activities. Nelson-Hackney gives credit to the facility’s experienced nurses and dedicated therapy staff for their excellent rating. The “nurse staffing” five-star rating was based on the average number of hours per day of care received 34

per resident from nurses and physical therapists. Overall, nurses in the Special Care Unit spend nearly eight hours per day with patients. The national average is less than two hours. The Special Care Unit received four stars in its “Quality Measures” report, which measures percentages of residents who got recommended care, such as flu vaccinations, and percentages of residents who had pain, bedsores, urinary tract infections, and other care-related problems. Wilson explains that this lower rating came due to their number of patients who complain of pain. “Since we are an in-hospital unit, we have a large population of post-operative patients who answer ‘yes’ to having pain on assessment,” she says. “Even though we manage pain well, according to our annual survey visits, we will continue

to (be flagged) here because we are being compared to nursing homes where people ‘live’ long-term, and are not likely to have acute pain.” The final category used to rank nursing homes is their “fire safety” rating. The facility met all National Fire Protection Agency standards in its most recent inspection. “To us, this high rating means we’re a place where people want to come,” Nelson-Hackney says. “It means we are a provider of choice, and we want the community to recognize that we are an option as a place to go when these services are needed. … It’s also a huge honor to be able to recognize our nurses and therapists for a job well done. They work hard every day, and it’s not often that you get to hang a big sign like this that says, ‘You did it!’”

Southern Kentucky Health & Family Journal - May 2015

It takes a family working together to choose the most appropriate option for a loved one’s senior care — to make sure all the senior’s needs and wishes are addressed. Why Is It Important? For starters, seniors are at a vulnerable stage of life. They often face multiple health concerns and loss of physical and cognitive function. More than ever, seniors need the support and love of family members. Seniors often have difficulty expressing their needs, desires and preferences, so they must have someone to advocate for them. And who is more qualified for that than the people who know them better than anyone else in the world? Even if your family chooses to involve outside help in providing your loved one’s elder care — an in-home care agency, an assisted living community or a nursing home — you need to be involved. You can communicate to the professional caregivers your loved one’s likes and dislikes, habits, routines, concerns and all the other things that make them an individual. Without your help and involvement, their senior care may fall short of what they deserve. Today, 80 percent of older Americans prefer to stay at home as they age. This means families are more directly involved than ever in their loved ones’ senior care. So, it is more important than ever that families be involved in the planning stage together. No single individual can adequately handle the responsibilities of caregiving alone — certainly not on top of other work, family and community responsibilities. In most families, there is usually one sibling who, based on proximity to the aging parent, becomes the chief caregiver.

Senior Care iS a Family iSSue

Deciding who that person will be is a good topic for the first conversation with aging parents. Parents, of course, need to be involved in every step of the decisionmaking process, so they can maintain as much control of their lives as possible. But no matter who is the chief caregiver, all siblings need to share the responsibility in some way. This could involve home maintenance, managing bill paying and finances, or taking care of insurance and medical claim issues. Also, do not forget the importance of frequent visitation. As you brighten your parents’ day, you can monitor their health and mental status and share concerns you have with their professional caregiver. You may find that their elder care plan needs to be modified to address changing circumstances. What Should I Consider? In choosing the most appropriate care for a senior loved one, there are a number of decisions to make and questions to ask. How do I begin talking with my parent about their care needs?

How will the care be funded? What is the safest, most comfortable, most appropriate care option for my parent? Is a family member nearby who can be of assistance at a moment’s notice? What types of help does my parent need — for instance, bathing, eating, transportation, etc.? How do my parent’s religious affiliation and other personal preferences influence the type of care we choose? What types of senior care are available? How do they differ? And how does each one address my parents’ needs? To help find the senior care solution most appropriate for your parents, you may consider having their physician conduct an evaluation. You may also consider options that match your parent’s unique traits and temperament. For instance, is your parent typically a thinker or a socializer? Thinkers desire space and privacy. They prefer independence, reading and working quietly alone. On the other hand, socializers are energized by people. They enjoy interactions with others and become lonely without regular interaction. Also consider your parents past living experiences. Are they accustomed to owning a home where they have acquired many valued items? If so, they may find it difficult to leave. Or, are they accustomed to an apartment or condo? This setting may make it easier to adjust to smaller living areas with others nearby. Choosing the best senior care option is a difficult decision. Involving family members helps ensure that you consider all factors and choose the best possible solution for your loved one.

About Comfort Keepers

With over 650 independently owned and operated locations, Comfort Keepers is a leader in in-home senior care to promote independent living. Services include companionship, meal preparation, light housekeeping, grocery shopping, incidental transportation, laundry, recreational activities, personal care and technology products. Comfort Keepers is locally owned and operated by Mary Perkins and Sarah Short. Short holds a Master of Social Work degree, with a specialization in geriatrics. For more information on interactive caregiving and the services that will ensure your loved ones remain living independently at home, visit us at www.cksomerset.com <http://www. cksomerset.com/> or call us directly at 606.676.9888.

Southern Kentucky Health & Family Journal - May 2015

The

Power

of Prayer -

Southern Kentucky Health & Family Journal - May 2015

One Day Since 1952, and amended in 1988, the first Thursday of every May has been designated by the U.S. Congress as a National Day of Prayer for people “to turn to God in prayer and meditation.” Of note, days of fasting and prayer were first organized by the Second Continental Congress from 1775-1783 and by President John Adams in 1798-99. All presidents have issued proclamations for this day, including President Obama, except for Thomas Jefferson and Andrew Jackson who believed strongly in recognizing the separation of power between church and state. Prayer is the key of the morning and the bolt of the evening. ––Mahatma Gandhi The public day of prayer is recognized by Christian denominations as well as those of the Jewish, Muslim, Sikh, and Hindu faiths. Its intention is to unite all people to come together in prayer and to recognize God in the world. The theme of this year’s event is “Lord, Hear Our Cry!” and the honorary chairman is Dr. Jack Graham, a Texas preacher and head of PowerPoint Ministries. Recent scientific studies have shown that areas of the brain fire up while someone is praying, or meditating, and the healing results of prayer have sometimes mystified medical doctors. Those who pray regularly—whether individually or in groups—can also attest to its calming influence, contemplative moments, or even results. Above all, the

or Every Day

Southern Kentucky Health & Family Journal - May 2015

the corner of every street is a closet of devotion…we cannot shut our eyes to the conclusion, that, every desire of the human mind, is a prayer uttered to God and registered in heaven.” God warms his hands at man’s heart when he prays. ––John Masefield For some, prayers are offered up daily; for others when the mood strikes or when in certain need, or in groups praying over the same matters. In the age of social media, prayer circles have become even more immediate and involved. Friends share with other friends their prayer requests and those friends share with their friends. There is a potent immediacy to the dialogue and a sense that everyone’s routing for the person or the situation, often someone they don’t even know. And we pray, not for new earth or heaven, but to be quiet in heart, and in eye clear. What we need is here. –– Wendell Berry

mind quiets and pauses to reflect. There are even entire religious orders devoted to prayer—whether spoken or sung— such as the contemplative and cloistered monastery in Trappist, Kentucky where Thomas Merton lived and wrote. The United Society of Shakers who once lived, among other places, at Pleasant Hill in Harrodsburg, Kentucky, devoted their “hands to work and hearts to God.” Their belief was that one could pray silently, or in song, throughout their daily tasks while working for the good of the community, and the world. Each task

became its own quiet prayer. Old Order Mennonites and Amish people, such as those living and working in areas near Pulaski County, bow and offer silent prayers when gathered before each meal. Other faiths are more emotive or demonstrative but prayer can be quiet, boisterous, or, as the Transcendentalists of the 19th century believed—such as Henry David Thoreau—in and amongst nature. Thoreau’s contemporary and friend Ralph Waldo Emerson wrote, “We pray without ceasing. Every secret wish is a prayer. Every house is a church;

Shirley Dobson, chairman of the National Day of Prayer Task Force, a non-profit organization, wrote, “It’s my heartfelt prayer that this year’s theme, “Lord, Hear Our Cry,” will prompt our fellow citizens to turn to God in reverence and humility. As 1 Kings 8:28 reminds us, ‘Hear the cry and the prayer your servant is praying in your presence this day.’ The Almighty is waiting for Americans to turn back to Him in a posture of prayer and repentance.” This year the 64th annual National Day of Prayer will be recognized on Thursday, May 7th. Somerset has traditionally held a prayer service on this day in the plaza next to the Judicial Center at 12pm. It is requested that Dr. Jack Graham’s prayer be read at the same time throughout the nation. All are welcome to attend. • For information, see NationalDayofPrayer. org

AUTHOR’s NOTE: All images were taken at the Abbey of Gethsemani in Trappist, KY when I was on a silent retreat in 2013. Here you can participate in sung prayer with the monks throughout the day and evening, beginning at 3am and ending at 7:30pm. The image of Christ, and the crucifix, are inside the Rosary Prayer Shelter on one of the many hiking trails on the property. Here people write and post prayers on the inside wall. [Photographs © Catherine Pond]

Southern Kentucky Health & Family Journal - May 2015

2015 National Prayer by Dr. Jack Graham

Heavenly Father, We come to You in the Name that is above every name—Jesus Christ our Lord and Savior. Our hearts cry out to You. Knowing that You are a prayer-answering, faithful God—the One we trust in times like these—we ask that You renew our spirits, revive our churches, and heal our land. We repent of our sins and ask for Your grace and power to save us. Hear our cry, oh God, and pour out Your Spirit upon us that we may walk in obedience to Your Word. We are desperate for Your tender mercies. We are broken and humbled before You. Forgive us, and in the power of Your great love, lift us up to live in Your righteousness. We pray for our beloved nation. May we repent and return to You and be a light to the nations. And we pray for our leaders and ask that You give them wisdom and faith to follow You. Preserve and protect us, for You are our refuge and only hope. Deliver us from all fears except to fear You, and may we courageously stand in the Truth that sets us free. We pray with expectant faith and grateful hearts. In Jesus’ name, our Savior. Amen.

DONNA V. FOSTER Principal Broker/Owner

FOSTER REAL ESTATE

Each Office is Independently Owned and Operated

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Southern Kentucky Health & Family Journal - May 2015

Your Health Is In Good Hands With The Cardiac Care Specialists Now performing Transradial (ARM) approach to heart catheterizations. A cutting edge procedure performed by Dr. Iqbal DR. IBRAIZ IQBAL, MD, M.P.H., F.A.C.C., F.A.C.P. Board Certified in Cardiology and Fellowship Trained In Intervention Cardiology and Heart Failure Dr. Iqbal has extensive training in all modalities of cardiology, interventional cardiology, peripheral interventions & heart failures. Dr. Iqbal has been seeing patients in Pulaski and Wayne Counties for nine years and counting.

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Article submitted by Southern Hearing Aid, Inc.

Greater emphasis is being placed on hearing health in 2015. Local physicians have already likely begun routinely asking patients whether they have had their hearing checked. Beyond referring patients for hearing tests and encouraging treatment of hearing loss, it is important for physicians to inform patients of the risks they run if they ignore hearing loss - dangers that include certain life-threatening co-morbidities.

Southern Kentucky Health & Family Journal - May 2015

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Southern Kentucky Health & Family Journal - May 2015

501 College Street • Somerset, KY • (606) 679-9289 • www.saindonfamilydentistry.com 41

Treating weather-related joint pain

Early spring is often marked by wind and rain that precedes the more welcoming warmth synonymous with late spring and summer. Rainy, damp conditions may be great for homeowners looking to revitalize their lawns and gardens, but such conditions can wreak havoc on achy joints, especially for those who experience arthritis. Although there is no concrete proof to link aching joints and muscles with damp weather, rheumatologists are often asked why achy joints and muscles tend to ache that much more in damp weather. Dropping barometric pressure, which occurs when rain is on the horizon, may cause tissues to swell. Swelling tissues in already inflamed joints can add to pain, especially if these tissues push into nerves and muscles in the area. According to a survey published in the journal Pain, twothirds of people living with chronic joint pain believe there is a link between their pain and weather changes. Changes in humidity and temperature also may play a role, affecting pressure all over the body. Joint pain may

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Southern Kentucky Health & Family Journal - May 2015

· Keep the body warm. Cold limbs and joints may be more prone to stiffness and pain. Dress in layers and use heating pads to combat chilly temperatures. · Exercise painful joints. Rely on low-impact exercises, such as walking or swimming, to loosen up stiffness in the body. Loosening up and stretching before any intense workouts is recommended. Rainy weather may be in the forecast, and that can mean increased pain for those with achy joints. Working with a medical professional can help take the “ouch” out of seasonal changes. not be the only effect, as some people get headaches as well. While spring may be a painful time of year for sufferers of joint pain, there are steps such men and women can take to alleviate some of those aches. When rainy or cooler temperatures loom, try these ideas.

PHIL LOSEY, SR.

· See your doctor. If your pain is growing more severe, consult with your doctor, who may be able to develop a plan that helps you deal with the changing seasons more comfortably. Doctors may suggest chiropractic manipulation, or physical therapy or prescribe pain medications.

PHIL LOSEY, JR.

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How to show a nurse you care

Nurses bring smiles to the faces of their patients. Find out how you can show your appreciation and garner a few smiles in return.

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Nurses are often the first people patients see when visiting hospitals. According to the United States Department of Health and Human Services Health Resources Services Administration, there were 2.8 million registered nurses,

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Southern Kentucky Health & Family Journal - May 2015

including advanced practice RNs, and 690,000 licensed practical nurses, or LPNs, in the United States between the years of 2008 and 2010. Nurses fill many roles in the medical community, assisting doctors and helping to make in-patient stays more comfortable for men and women who are ill or injured. Specialized nurses, such as nurse practitioners, may even serve as the primary healthcare provider, offering diagnoses and writing prescriptions. While there is a specific week set aside to show appreciation to nurses, many people agree that they deserve recognition throughout the year. Any instance is a good time to give back to nurses, and the following are a few ways to honor the nurses in your life.

appreciation to a nurse who has helped them in their lives can present the nurse with a gift card for a massage and soothing spa treatment.

· Play caretaker to him or her. Nurses tend to the needs of others all the time, but some nurses do not get the respite they deserve. Those who want to show

· Create a charmed existence. Charm bracelets are the rage right now, and nurses may appreciate a bracelet that highlights their career path with specific

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· Cater a meal. Offer to cater a meal at the hospital or medical office so that all nurses on staff can benefit. If there is one nurse in particular you want to treat, give that nurse a gift card to a nearby restaurant. · Provide foot relief. Nurses spend hours on their feet, and that can cause pain or stiffness throughout the body. Present a gift card to a store that specializes in comfort shoes or custom orthotics. A certificate for a pedicure or foot massage would no doubt be appreciated as well.

charms. For something they can wear on the job, treat nurses to a Steth-oCharm®, which is a charm that slides securely onto stethoscopes. These charms come in many designs and can make for a memorable gift. · Give a decorative badge reel. Nurses must wear identification or have swipe cards on their person to gain access to areas of hospitals. Many badges are standard items without any flare or style. A colorful or decorative badge reel can be a nice way to brighten up a nurse’s day. · Give verbal or handwritten thanks. One of the easiest and most heartfelt ways to show your appreciation to nurses is to simply tell them how you feel. Offer a handwritten note or speak with a nurse in person. Such a simple gesture does not take much effort, but it is bound to make an impact.

Southern Kentucky Health & Family Journal - May 2015

May 2015 Calendar Should there be a change in location, date or time for any Senior Friends event for which you have pre-registered, we will notify you prior to the event.

SENIOR FUN & FITNESS CLASS Each Tuesday and Thursday, 10 a.m.11:00 a.m. through May 07, 2015. Lake Cumberland Cancer Treatment Center Community Classroom; 112 Tradepark Drive. These are gentle exercises for EVERYONE- the overweight, the diabetic, those recovering from surgery, illness or injury, heart patients, and especially those who are sedentary. Every joint and muscle in the body will be utilized yet the exercises are not difficult. The purpose is to regain use and strengthen muscles and joints, improving posture and mobility, increase circulation and to enjoy fellowship with others. For more information or to register, since space is limited, call (606) 678-3274.

if you have never been a member before. Come to this “Get Acquainted Brunch” and enjoy a FREE delicious breakfast in Chatters Café & Grill while hearing about all the benefits of your free NEW one-year membership – a $15 value! Call (606) 678-3274 for your required reservation by Friday, May 08, 2015. FRIDAY, MAY 15 PARKINSON SUPPORT GROUP 10:00-11:00 a.m. LCRH Conference Center, Ste. A A support group for persons affected by Parkinson’s disease - open to persons with Parkinson’s disease, their family, caregivers, and friends. For additional information please call (606) 678-3274.

TUESDAY, MAY 19 SUNDAY, MAY 10 MONTHLY MEETING HAPPY MOTHER’S DAY! LCRH Conference Center, Ste. A “A Mother’s Love is 2:00 p.m. Unconditional” “May is Stroke Awareness” TUESDAY, MAY 12 Act F.A.S.T. Stroke is an Emergency! DINE WITH THE DOCS Do you know the signs of a stroke? Do 5:30 p.m. - Complimentary dinner in you know what to do if you think you, or Chatters Cafe someone else, may be suffering from a 6:30 p.m. - Speaker: To be announced stroke. Jessica Douglas RN, BSN, CCRN,Topic: To be announced LCRH Stroke Program Director/Neuro Join us on the 2nd Tuesday Clinical Coordinator and Heather Ramsey, of each month for a special RN - Stroke Abstractor / Educator will be complimentary dinner and presenting a program for Stroke Awareness an informative program Month with free stroke risk screenings. presented by leading Also, some tasty refreshments will medical specialists. Space be provided. You can build your own is limited. Call (606) 678-3274 for your “Strawberry Shortcake”. Reservations are required reservations. required and must be received by Tuesday, May 12. Please call (606) 678-3274 to WEDNESDAY, MAY 13 reserve your spot. GET ACQUAINTED BRUNCH 9:15 a.m. – Free Breakfast in Chatter’s THURSDAY, MAY 21 MOVIE - N - MUNCH Café and Grill Please stop by the Senior Friends Office to “Mom’s Night Out” Conference pick up your free meal ticket for Breakfast. LCRH 10:00 a.m. – Senior Friends Benefits Center, Ste. A 1:30 p.m. Presentation Synopsis of Have you ever been a Senior Friend? “Mom’s Night Out” Our Get Acquainted Brunch is designed All Allyson and her friends to offer you a free one-year membership want is a peaceful, grownup evening of dinner and 46

conversation . . . a long-needed moms’ night out. But in order to enjoy high heels, adult conversation and food not served in a paper bag, they need their husbands to watch the kids for three hours—what could go wrong? MOMS’ NIGHT OUT is an endearing true-to-life family comedy that celebrates the beautiful mess called parenting.. Please call for required reservations by Thursday, May 14 (606) 678-3274. MONDAY, MAY 25 MEMORIAL DAY In observance of Memorial Day, the Senior Friends Office will be closed. THURSDAY, MAY 28 BIRTHDAY PARTY LCRH Conference Center, Ste A 2 p.m. –4 p.m. It’s time for those May “Senior Friend” babies to come and party. Bring a friend and share an afternoon of fun, games, delicious cake and ice cream. Call (606) 678-3274 by Thursday May 21, for your required reservations. FRIDAY, MAY 29 B-U-N-C-O P-A-R-T-Y LCRH Conference Center, Ste A 2 p.m. – 4 p.m. Beginners welcome. Senior Friends is having a BUNCO party! Come enjoy an afternoon of the game of dice with fun and laughter while supporting a great cause - American Cancer Society “Relay for Life”. Bring a $5.00 donation to show your support to this worthy cause. Prize for the Highest Scorer and the lowest scorer. Reservations are required and must be received by May 22. Please call (606) 678-3274 to reserve your spot.

Southern Kentucky Health & Family Journal - May 2015

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Southern Kentucky Health & Family Journal - May 2015