Each year, many of us set New Year’s resolutions to achieve new opportunities and goals. For some of us, it’s to start going to the gym, eating healthy, or getting a promotion. One great resolution to consider, which can be beneficial to you and your community, is volunteering.
Volunteering is a wonderful and fulfilling activity. Whether it is cooking meals at a local shelter, caring for dogs and cats at an animal shelter, or doing something as simple as shoveling a neighbor’s driveway. Volunteering can do so much good for you and the community.
Sprenger Healthcare has many opportunities for one to volunteer across multiple facilities. Some great examples of volunteering are reading books and newspapers to residents, assisting in fundraising, and even just keeping residents company.
Volunteering is not only beneficial for the people you’re caring for, but it’s also for the volunteers too. One of the best reasons to volunteer is to learn from our experienced residents. Our residents have a wide variety of knowledge and insightfulness that they can share with you.
You can meet peers and make new friends when you volunteer. When you volunteer at Sprenger Health Care Systems and help care for residents, you work with like-minded people. When you work together it’s easy to bond with fellow volunteers, employees, and members of the community to create new relationships and connections within the healthcare industry.
Volunteering is a selfless way to feel good about yourself, step back from your hectic life, and help enrich the lives of others. It’s a wonderful feeling to bring a smile or a bit of laughter to someone you just met.
If you are interested in volunteering at any of our Sprenger Health Care communities, please contact us through the website or by calling the facility you’re interested in and ask for the Life Enrichment Director. To volunteer for Sprenger Hospice Care, please contact Toni Rotz, Hospice Volunteer Coordinator, at trotz@sprengerhealthcare.com.
No matter your New Year’s resolutions, we hope you have a happy 2017!
Healthy Initiatives to Prevent Hearing loss & DiabetesBy: Renea Dutton, PT
The Office of Disease Prevention & Health Promotion develops initiatives and goals every decade to promote consumer wellness. The 2020 initiative includes several targets, including being preventative services to help seek and identify illness at earlier stages or further prevent the illness from occurring.
Unfortunately, as illnesses progress so does the risk of co-morbid conditions. With increased research, our understanding of the clear link between the primary disorder and potential secondary disorders can lead to a better diagnosis and treatment of subsequent conditions.
With advancing research, there is a growing awareness of a link between Type 2 diabetes and hearing loss, according to the American Speech-Language-Hearing Association (ASHA). The article “Hearing Loss & Diabetes” by Marilyn Enock (www.asha.org) indicates that 2% of adults aged 45 to 54 have a hearing loss disability, which steadily increases with age to nearly 25% of adults aged 65 to 74, and to half of those aged 75 years or older. Individuals with diabetes were found to be twice as likely to develop hearing loss, which is thought to be related to a chemical change caused by elevated blood sugar levels. The chemical change affects the nervous system’s ability to send typical sound signals to the brain, resulting in affected hearing.
Presbycusis is the type of hearing loss most commonly diagnosed in individuals with Type 2 diabetes. This type of hearing loss is typically slow to progress and predominantly affects the individual’s ability to hear higher pitched sounds including a phone ringing or the voice of a female conversation partner. Consequently, hearing loss can be a risk factor for social isolation and loneliness leading to a feeling of “missing out” on social gatherings or conversations.
Fortunately, both risk of diabetes and hearing loss can be screened or tested relatively quickly. Individuals with diabetes should consider consulting their physician to determine if a routine hearing screening or testing would be an appropriate healthy initiative in order to prevent hearing loss.
BPPV: Managing the Rocks in Your Headby Tyler Sponaugle, DPT
Benign Paroxysmal Positional Vertigo, better known as BPPV, or simply “Vertigo” amongst patient populations, is the most common disorder of the human vestibular system. It is frequently described as an intense spinning sensation brought on by changes in head position1. As the word “benign” suggests, the condition in itself is not life threatening, but depending on the intensity of the spinning sensation, the condition can put a person at an extremely high risk for falls, which can lead to significant injury and hospitalization. Patients often describe the condition as “debilitating” or “terrifying” due to the rapid onset and intensity of symptoms that are brought on by seemingly simple motions such as rolling in bed, standing up/sitting down, or even looking up1. In most cases patients being affected are afraid to move due to fear of onset of symptoms. This article will provide information into the structure of the vestibular system and the specific mechanical problems that bring about an episode of BPPV. It will also describe known treatments for the condition and the steps someone afflicted with BPPV can take to identify key symptoms and seek necessary treatment.
The vestibular system is a sensory system responsible for providing information regarding the orientation of the body in space and is a primary contributor to coordinating movements necessary to maintain a sense of balance2. The entire vestibular system shares the space of the inner ear with the auditory system, and though it can sit comfortably on top a pencil eraser, the effect the vestibular system has on the way the human body moves and interacts with the surrounding environment is quite profound. There many unique structures and mechanisms at work in the vestibular system, which provide data to the brain regarding the body’s position in space. For the sake of brevity, this article will focus only on those structures that are directly involved in an episode of BPPV.
The primary structures of the vestibular system involved in an episode of BPPV include the utricle and the semicircular canals2. The utricle is a chamber in the inner ear lined with very sensitive hair cells. On top of these hair cells sit the proverbial “crystals” or “rocks” in your head. These rocks are made up of calcium carbonate and are essentially microscopic pieces of limestone referred to as Otoconia. The otoconia sit all together on top of the hair cells of the utricle, held together by a gel like substance. As the head accelerates or changes position, the otoconia move on top of the hair cells and create a shearing force on the hair cells, which in turn send a message to the brain alerting it of a change in position or acceleration3.
The semicircular canals are a set of 3 fluid filled semicircular tubes that are responsible for perceiving rotation or angular acceleration of the head2. When the head is turned, it will cause the fluid to accelerate and bend a sensory receptor mass called the cupula which in turn sends a signal to the brain regarding the direction and intensity of the acceleration. They are oriented so that in a specific plane of motion will stimulate only one canal (i.e. spinning in a chair will stimulate the horizontal canal, a front flip or backflip will stimulate the anterior canal, and a cartwheel will stimulate the posterior canal.)
In a normal functioning vestibular system, the utricle and semicircular canals operate primarily independent of one another. They are, however, located in very close proximity to one another, separated by only a thin membrane. In a case of BPPV, this thin membrane breaks down, along with the gel that holds the otoconia in a mass. With the right positioning and movements, the loose otoconia can leak out of the utricle and into the semicircular canals. The fluid in the semicircular canals has the consistency of honey or nectar and normally does not react to gravity3. When the loose otoconia, which are affected by gravity, leak into the canal, this causes a relative disruption and movement of fluid (think of dropping rocks into a well) that causes the cupula to send a false message to the brain that the head is moving. Since BPPV usually only affects one ear at a time, the false signal will not match the normalized signal of the opposite ear, or the visual input from the eyes. The discrepancy in signals causes brain to perceive a spinning sensation3. The brain then makes the eyes move in an attempt to keep them focused on the environment. These involuntary eye movements (or nystagmus) are what cause those individuals afflicted by BPPV to experience the hallmark “room spinning around me” sensation.
As stated previously, BPPV is the most common disorder of the vestibular system with occurrences in up to 2.4% of the population. It accounts for up to 20% of all cases in specialized dizziness clinics. It seems to be most prevalent in 50-70 year olds, but has been known to affect adults of all ages. Very rarely will BPPV affect children3. In the majority of cases, there are no symptoms or precipitating factors leading up to onset1. There have been increased associations of the disorder with certain triggering factors in recent research, including head trauma, history of migraines or inner ear infections, diabetes, osteoporosis, and prolonged bed rest2.
Treatment for BPPV
Any type of dizziness should be considered a serious medical symptom and should be evaluated by a physician. With that being said, there are a number of signs and symptoms that are unique to the dizziness experienced with BPPV. The primary symptom of BPPV is an intense feeling of the environment spinning around the individual that lasts for less than 1 minute. After the actual spinning subsides, the individual may experience a lingering feeling of nausea or imbalance up to several minutes. The symptoms are consistently brought on by quick changes in head position such as looking up, rolling over in bed, getting in/out of bed, bending over, or looking over one’s shoulder4. BPPV is not accompanied by hearing loss despite the proximity of the vestibular systems to the auditory system. There should not be any feeling of numbness or tingling, weakness, pain, or decreased coordination3. It is important to note that BPPV is a transient disorder and often resolves on its own after several days. However, treatment provided by an appropriate healthcare professional is highly effective and fast acting.
It is important for a person experiencing a possible case of BPPV to make an appointment with their primary care physician (PCP), to receive a diagnosis of vertigo. The PCP may do some preliminary testing with head movements to assess for nystagmus (involuntary eye movements), but will likely refer the patient to a physical therapist (PT) with specialized training in treatment of vestibular disorders.
Upon seeking treatment for BPPV following referral from a PCP, a new patient will likely fill out a questionnaire or outcome measure to allow the PT to better understand what activities or movements bring on episodes of dizziness. The pt. will then undergo a series of tests in sitting focused on eye movements to rule out any red flags such as stroke or other central vestibular dysfunctions. Vital signs will also be collected to ensure the dizziness episodes are not caused by changes in blood pressure.
Since the cause of BPPV is mechanical in nature, so is the treatment. The physical therapist will guide the patient through a variety of very specific positioning maneuvers (performed with patient laying on a mat table or plinth) in an attempt to reproduce a spinning sensation and to observe the subsequent nystagmus that presents with it. The clinic will likely have a specialized pair of goggles that will be placed on the patient and will assist the therapist in observing eye movements. Based upon the maneuver that stimulated dizziness and the direction of the nystagmus observed, the therapist will be able to pinpoint which canal the otoconia have drifted into.
Once the appropriate canal has been identified, the therapist will guide the patient through a series of maneuvers directed at guiding the otoconia back into the utricle by simply utilizing appropriate positioning and the effects of gravity. At each position, the patient may experience symptoms such as nausea or dizziness, once the symptoms subside, the therapist will wait 30 seconds before moving on to the next position3. This indicates that the otoconia have collected/settled in a specific portion of the affected canal and can be maneuvered with minimal residual debris. At the end of the treatment maneuver, the otoconia should be out of the canal and the patient will feel symptom free. A follow up appointment may be scheduled if symptoms persist or to ensure there is no immediate recurrence. When performed correctly, positioning maneuvers are 90% effective in resolving cases of BPPV within 2 visits or treatment sessions.
Due to the orientation of the canals to the utricle, 85% of BPPV cases involve the posterior semicircular canal primarily diagnosed via Dix-Hallpike maneuver4. This is evidenced by the therapist observing a nystagmus that beats upward and has a rotational component towards the affected side. Primary treatment is via the Epley maneuver
Lateral canal involvement is noted in 5-12% of BPPV cases1. It is known for producing a more intense spinning sensation and is often accompanied by nausea. It is primarily triggered by rolling over in bed. Diagnosed with sit to supine and rolling L and R tests4. Nystagmus will be purely horizontal and more intense toward the affected ear. Treatment in uncomplicated cases will be via a 270 or 360 degree barbecue roll.
Though there are several other possible causes of BPPV including anterior canal involvement and cupulolithiasis, occurrences are rare and explanation is beyond the scope of the article.
In conclusion, BPPV is a fairly common vestibular disorder that presents with intense, room spinning dizziness. Though it is benign in nature, in can lead to increased fall risk and is very debilitating at onset. BPPV is caused by a rather unique mechanical failure of the inner ear and will likely require a physician visit. Treatment of BPPV is highly effective and fast acting when performed by an appropriate healthcare professional.
Works Cited
1. Parnes, Lorne S., Sumit K. Agrawal, and Jason Atlas. “Diagnosis and management of benign paroxysmal positional vertigo (BPPV).” Canadian Medical Association Journal 169.7 (2003): 681-693.
2.Goodman, Catherine C., and Kenda S. Fuller. Pathology: implications for the physical therapist. Elsevier Health Sciences, 2014.
3.http://vestibular.org/understanding-vestibular-disorders/types-vestibular-disorders/benign-paroxysmal-positional-vertigo Accessed 4/14/16.
4.Hornibrook, Jeremy. “Benign paroxysmal positional vertigo (BPPV): history, pathophysiology, office treatment and future directions.” International journal of otolaryngology 2011 (2011).
By: Steve Mankins, PT
Imagine waking up in an unfamiliar room to unfamiliar faces, struggling to answer simple questions and complete routine tasks; all while you are unable to accurately communicate what you are experiencing. A stay in a skilled nursing facility can be a frightening time for a patient with Alzheimer’s disease or dementia and interacting without consideration for his or her disease can make that experience worse. Interactions with these patients can lead to frustration on both sides or a positive experience that leaves the patient feeling valued.
The goal of working with patients with dementia is to understand their abilities and establish a plan to maximize those abilities. In general, we as therapists typically focus on deficits in patients and how we can improve those deficits. Unfortunately in patients with dementia, we need to focus on the present abilities and how those abilities can be improved on to maximize the patients’ independence. Many patients are unable to provide the therapist with accurate assessments of their abilities, which can lead to disconnect between patients’ and therapists’ goals.
An excellent way to gain a better understanding of these abilities is an in-depth discussion with family members and/or close friends. This conversation can provide information about the patient’s mobility level and learning style, as well as likes/dislikes, hobbies and activities of enjoyment that allow the therapist to develop a global picture of the patient. This global view gives the therapist the opportunity to intertwine therapy objectives with activities or topics that are of importance to the patient. Therapy sessions can be a difficult time for patients with dementia because they may have difficulty communicating their needs with the therapist as well as completing tasks that are challenging and frustrating that may have been completed before with ease. Incorporating hobbies or discussing topics of interest can add enjoyment to an otherwise stressful situation and allow the patient to feel that the therapist working with them has a genuine interest in them as a person.
The last key to every interaction with a patient with dementia is patience. It is important to remember that the patient is experiencing changes in their living environment that they may or may not understand, meeting a large number of new people, and are being instructed to do and not do specific tasks; all of which can be very confusing and frustrating. Allowing additional time for the patient to process information and explaining tasks in a variety of ways gives the patient the best chance at understanding; drastically changing your interaction and their experience.
Interacting with patients with Alzheimer’s disease or dementia can pose unique challenges and can leave both parties feeling frustrated and confused. Focusing on the patient’s abilities, getting the family involved, and incorporating hobbies and topics of interest can lead to everyone receiving the maximum benefit from the experience. Above all, be patient because your caring and understanding nature reminds them how valuable they are.
Help Your Body Age Healthy With YogaExercise is a key component when it comes to healthy aging. One form of exercise that has become more popular among older adults is yoga. Yoga is a low-impact exercise that can benefit both your physical and mental health.
Here are some of the health benefits it may offer you:
Low impact: As mentioned, yoga is a low-impact exercise. This is beneficial to older adults, as it offers range of motion without putting too much strain on your body. Finding a physical exercise can be difficult for older adults with limitations. Yoga can be a great solution people with joint pain, arthritis, fibromyalgia, asthma and more!
Improve balance: Yoga is a great activity for improving strength and balance. This type of exercise is meant to create a sense of body awareness, which can help prevent falls. Since falls are the leading cause of injury among older adults, this can be a huge benefit.
Sharpen your mind: This exercise routine puts a strong focus on concentration by encouraging you to clear your mind and calm your senses. By removing all of the outside noise from your head, you can learn to focus and help your mind perform better.
Keep off excess weight: It is always important to maintain a healthy weight no matter what age you are. This is done with proper diet and physical exercise. Incorporating yoga into your daily routine is a great way to shed and keep off excess weight, which can help improve your overall heath.
Relieve anxiety and depression: Yoga has been known to also help with anxiety and depression. Yoga can also help lower blood pressure and heart rate, which can help with symptoms that come from anxiety. It is also a way of relaxing, exercising, meditation and socialization, which can help fight depression.
As you can see, yoga offers benefits through mind and body for people of all ages. Before you start a new exercise routine, it is important to consult your doctor. If you are an older adult, you may want to look for beginners classes. Some studios even offer classes tailored to older adults. Remember to never push yourself further than your body can handle.
Members of Smithville Western Care Center Receive Dementia Care Specialist CertificationFor more information, please contact:
Jaime Marino-Freetage
Therapy Regional Director
Phone: (440) 935-5487
Email: jmarino-freetage@sprengerhealthcare.com
FOR IMMEDIATE RELEASE
Sprenger Healthcare is raising the standard for memory care by providing many of its Smithville Western Care Center staff with the tools necessary to complete Dementia Care Specialist Certification.
The Crisis Prevention Institute (CPI)’s Dementia Care Specialist Certification is a formal recognition of an individual’s commitment and leadership as a professional caring for patients with Alzheimer’s disease or other related dementias. Dementia Care Capable Training helps caregivers work together more cohesively and consistently to deliver a higher standard of dementia care.
At Smithville Western Care Center, training in dementia care allows the memory care team to demonstrate an understanding of dementia and its impact on cognitive function. Trained staff can identify key care approaches for each stage of the disease in order to promote the highest possible level of function in activities of daily living (ADL), mobility, and leisure activity. The team also learned strategies to enhance communication, minimize negative behaviors and support families.
Perhaps the most important skill gained through the certification is the ability to identify and report predictors of cognitive decline or transition, further assisting Sprenger clinicians in the development of care plans that promote successful outcomes.
According to CPI, when this compassionate, results-oriented approach is embraced and implemented, staff attitudes shift, confidence soars, and quality of life improves for dementia clients and their families. This is why staff members involved in the care of dementia patients at Sprenger communities will be given the opportunity to become a Dementia Care Specialist, including therapists, nurses, nursing assistants, life enrichment staff and housekeepers.
Dementia Care training is not only a benefit to the staff at Smithville Western Care Center, but also to patients receiving memory care at each Sprenger community. Trained memory care staff strive to lessen the symptoms of dementia by helping patients with self-care and teaching them to manage activities of daily living, such as dressing, bathing and toileting. They provide support while encouraging patients to achieve the highest possible level of independence.
In addition to the benefits of having on-staff Dementia Care Specialists, Sprenger Healthcare provides Excellence in Memory Care, a specialized team approach to quality patient-centered care. Having a team of Dementia Care Specialists raises the bar for Sprenger Health Care’s already high standard of dementia care at its communities.
“It is our goal at Sprenger Health Care to provide our patients with the highest quality of care. Having Dementia Care Specialists on our team only furthers our commitment to our Excellence in Memory Care,” said Jaime Marino-Freetage, Executive Therapy Director.
In addition to enhancing a commitment to Excellence in Memory Care, Sprenger Health Care offers excellence in Neurological Care, Orthopedics, Osteoporosis, Amputee Care and Respiratory Care, and Cardiac Care.
About Sprenger Healthcare
Sprenger Healthcare has been family owned and operated since 1959. With 10 facilities throughout Northeast Ohio and Indiana, Sprenger offers the full continuum of aging services including: Short Term Rehabilitation, Skilled Nursing, Memory Care, Assisted Living, Independent Living, Hospice, and Home Health. Our innovative care, excellent customer service, and compassionate, dedicated employees have made Sprenger Healthcare a leader in providing exceptional health care. Sprenger communities have a history of excellent Resident and Family Satisfaction Surveys, 5 Star Ratings, Deficiency Free Surveys, and US News & World Report Rankings. For more information on the programs we offer and to hear more about the Sprenger difference, please visit our website, www.SprengerHealthCare.com or follow us on Twitter and Facebook.
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How To Stay Connected With Your Loved One in Assisted LivingWhen your loved one is staying in Assisted Living, you want to be sure they’re getting the care they need and enjoying their time. We at Sprenger Healthcare understand that it can be difficult to have your loved one away from you at an Assisted Living facility. This is why we do everything we can to make it as easy as possible for you to stay connected to them and their caregivers.
Although you can always call your loved one or visit whenever possible, there are other ways to keep a strong connection with them while in Assisted Living. To help, we’re sharing some of our tips for staying connected:
- Participate in activities: A variety of life enrichment opportunities are provided daily at our Sprenger Health Care Assisted Living communities. Interact with your loved one by participating in an activity with them. Not only does this allow you to spend time with your loved one in Assisted Living, it gets them to get out and socializing with others.
- Join them for dinner: Sharing a family meal is a great way to stay close to your loved one. After all, some of the best conversations and memories come from sitting around the dinner table. Stop by and enjoy Sprenger’s chef-prepared meals. Guests are always welcome. If you want to make it even more special, trying bringing your loved one their favorite home-cooked meals.
- Use Smile: Sprenger makes staying connected easy with Smile – an online tool used by caregivers to communicate with each resident’s family. With Smile, you can stay up to date on the activities your loved one is participating in and effectively interact with staff caring for them. Sprenger Health Care is one of only two companies in Ohio to offer Smile and now provides it at every Sprenger Assisted Living community.
Smile at Sprenger Healthcare
Using Smile is easy! When your loved one is placed in a Sprenger Healthcare’ Assisted Living Community, ask the Assisted Living Manager or Life Enrichment Director for information about Smile. You will be given a pamphlet with all of the information you need and instructions on how to sign up.
Why should you participate in Smile? This program gives families 24/7 access to their loved one’s daily activities and also allows our staff to securely send positive messages, pictures, and videos to families. Family members can also connect with the caregivers and staff at Sprenger by sending communications back through the system. Smile can be used on any computer, tablet or smart phone as long as you have access to the internet.
If you’re interested in learning more about Smile and how it can help you stay connected to your loved one in our Sprenger Assisted Living communities, please call 800-772-1116.
Prevent Mosquito-Borne Illnesses This SummerBy: Western Reserve Area Agency on Aging (WRAAA)
Mosquitoes are more than just summertime pests – many carry viruses and bacteria that can cause serious illness. Older adults are no more likely than younger people to be bitten by mosquitoes, but they are at higher risk for complications from mosquito-borne illnesses. You can minimize your risk by protecting yourself from mosquito bites and taking steps to control mosquitoes outside and inside your home.
Protect yourself from mosquito bites:
- Minimize time outdoors during peak time for mosquitoes (from dawn until dusk), and be mindful that mosquitoes can bite at any time of the day or night.
- While outdoors, use an insect repellent with one of the following active ingredients: DEET, picaridin, IR3535, oil of lemon eucalyptus or para-menthane-diol.
- Follow insect repellent product label instructions and reapply as directed.
- Apply sunscreen first if you are also using sunscreen with insect repellent.
- Wear long-sleeved shirts and long pants outdoors, if possible, during peak mosquito times.
Control mosquitoes outside your home:
- Eliminate breeding sites. Mosquitoes breed in water. Look for any items around your home that can hold rain water (e.g., buckets, rain barrels, bird baths, tires, planters and puddles);
- If possible, remove these from your property, cover them or move them to where they won’t catch water.
- If removal is not possible, empty any water at least once a week and scrub the sides of the containers to remove potential mosquito egg deposits.
- Use larvicides to treat large containers of water that will not be used for drinking and cannot be covered or dumped out.
- Use an outdoor flying insect spray in dark humid areas where mosquitoes rest, like under patio furniture, or in the carport or garage; always follow label instructions.
- Repair cracks or gaps in septic tanks and cover open vent or plumbing pipes using wire mesh with holes smaller than an adult mosquito.
Control mosquitoes inside your home:
- Keep doors and windows closed or covered with screens as much as possible.
- Check window and door screens and repair or replace any that are worn, torn or have mesh larger than an adult mosquito.
- Empty and clean household items that hold water (vases and flowerpot saucers) at least weekly.
- Use an indoor flying insect fogger or indoor insect spray to kill mosquitoes and treat areas where they rest; follow label instructions and reapply as directed.
No single strategy will help you avoid every mosquito bite, but a combination of the steps above will greatly reduce your risk of a bite and related illness. If you experience flu like symptoms, especially if you have been exposed to mosquitoes, talk to your doctor.
Have a Safe, Not Sorry SummerBy Dr. Jim Collins
Summer is finally here and with it comes lots of fun, outdoor activities, and some of our favorite foods. The days will be longer, warmer and many of us will want to be outdoors as much as possible. While there are great times ahead, summer also brings a few dangers, especially to people over 65 years of age. Some older adults can experience heat exhaustion, dehydration and foodborne illnesses. Here are some tips to enjoy the summer and remain safe.
Protect Yourself from Heat-Related Illness
Hyperthermia refers to a group of heat-related conditions such as heat stress, heat stroke and heat exhaustion. Annually, thousands of people experience these conditions, but they could be avoided altogether. Older adults are especially vulnerable to heat-related illnesses because the aging body cannot compensate for the heat and cool itself down. Older adults run a higher risk of hyperthermia due to being overweight, having poor circulation or high blood pressure.
There are many ways to protect yourself from heat-related illnesses. Stay inside air-conditioned places during extreme heat. Limit your exposure to the sun and get rest inside cool and comfortable places. The sun is hottest between 10am and 2pm, so stay inside during these peak hours. Wear light, loose-fitting clothes, wear sunglasses and wide-brimmed hats. Always drink extra fluids during hot weather and limit the amount of caffeine and alcohol you would normally consume. Sunscreen, especially SPF 30 or higher is recommended.
Enjoy Summer Activities Safely
The summer is a great time for gardening, swimming, walking, golfing, and going on short or longer trips. Studies show that older adults who remain active have higher life satisfaction than those who do not. Remaining active is also a great way to prevent or treat depression and loneliness.
To better ensure safety during the summer, talk to your doctor to make sure you are in good shape to handle physical activities. Any physical activity is better than none, so to improve cardiovascular health, go for walks, try biking, hiking, yoga, and watch your emotional state go from good to great! Keep an eye on community programs that may be interesting such as museum exhibits, gardening clubs, farmer’s markets, or outdoor symphonies. Summer is also a great time to volunteer and help children and animals in your community. In addition, since many younger people prefer not to attend college classes in the summer, you may want to take a couple courses yourself while there are fewer people on campus and more parking spaces.
Summer Foods and Eating Wisely
Far too many people become sick annually due to eating contaminated foods that have sat out in the heat for too long. Bacteria and viruses can make us very ill and cause death. Symptoms of food poisoning can occur within 24 hours or even days or weeks later. Symptoms of food poisoning include fever, abdominal pain, vomiting, diarrhea and nausea.
Tips to avoid food poisoning include washing your hands before and after you handle food. Scrub your hands with soap for at least 20-30 seconds with warm, soapy water and rinse. Use a food thermometer to ensure that cooked foods reach safe temperatures. Hamburgers should be 160 degrees, steaks 145 degrees, chicken 165 degrees and fish should be cooked to 145 degrees.
Never place cooked food on a plate that previously had raw foods like meat, poultry, seafood or eggs. Always use clean and sanitized utensils, plates and cookware. Don’t allow raw meat, poultry, eggs, seafood, cut fresh fruits or vegetables sit at room temperature for more than 2 hours. Be sure to scrub out your cooler before filling it with ice.
Although summer is full of fun, activities, and outdoor living, it can also bring many dangers that can be easily avoided. To maximize your summer, stay cool, limit direct sun exposure and wear sunscreen. Get some exercise, but be careful and consult your doctor before adding too much physical activity to your daily routine. Get out and volunteer. Eat, drink and enjoy all that summer brings, but do it carefully and safely. Have a wonderful summer!
Sprenger Healthcare adopts innovative and fun physical therapy with JintronixJintronix is a new, FDA approved, virtual rehabilitation platform designed by leading experts in physical and occupational therapy as an exciting and effective tool for physical rehabilitation. It offers “gamified” exercises that are designed to improve a patient’s functional abilities.
“Our patients seem to truly enjoy Jintronix. It has increased their willingness and the amount of time they participate in therapy” says Laura Toetz, Director of Rehabilitation at Amherst Manor Retirement Community.
This easy to operate system supports the treatment of multiple conditions, providing activities optimized to target specific clinical outcomes, such as, fall prevention, motor control, balance, muscle strengthening, postural control and flexibility. It offers seated and standing tasks from low to high levels of difficulty. In addition, each activity can be customized by therapists to suit the needs of each individual patient.
Jintronix participants are guided by on-screen indicators that provide immediate feedback and help patients perform each task with correct form and technique while being overseen by a physical therapist. With the assistance of Jintronix, Sprenger therapists can increase productivity by spending less time setting up exercises and more time assessing and manually working with patients. They can also easily monitor and track patients’ progress, allowing them to adjust therapy regimens accordingly.
Sprenger Health Care is leading the way in innovative care, as it’s one of the earliest companies to partner with Jintronix. Currently, this platform is used along with other more traditional therapy techniques at four Sprenger Health Care communities; Amherst Manor Retirement Community, Sprenger Health Care of Mishawaka, Grande Village Retirement Community and Towne Center Community Campus, with plans for introducing it into more communities in the future.
To learn more about Jintronix, please contact Laura Toetz at ltoetz@sprengerhealthcare.com. Visit www.sprengerhealthcare.com to find the Sprenger Health Care community nearest you and find out more about the therapy and rehabilitation programs we have to offer.