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Young athletes: Cheer them on to safety

February 3, 2017 Leave a comment

Every kid is a winner when it comes to playing sports. Game time can boost a youngster’s social skills and selfconfidence, while providing plenty of healthy exercise that’s also a lot of fun.

But every sport poses at least some risks. As a parent, you can work with coaches and your young athlete to help reduce these risks.

Stay off the injured list. To help your child score in safety, Emily Peterson, DO, FAAP, a pediatrician at Dignity Health Medical Group’s Henderson location, suggests the following:

ASK QUESTIONS. Learn what your child’s sports program is doing to prevent and respond to injuries, such as ensuring conditioning for players and safety training for coaches.

SCHEDULE A PHYSICAL. A preseason exam from a doctor will help confirm that your youngster is healthy enough to play.

GET EQUIPPED. Depending on the sport, a helmet, body padding, mouthguards or shinguards, eye protection, and proper shoes may be needed.

PLAY BY THE RULES. From football to soccer, many sports have rules designed to prevent injuries. Make sure your child knows—and follows—them.

BEAT THE HEAT. Give your child a water bottle—and encourage frequent drinking.

WARM UP. Encourage warm-up exercises before and cooldown exercises after both practices and games.

TAKE CONCUSSIONS SERIOUSLY. In general, players shouldn’t get back in the game until medically evaluated and cleared to play.

ENCOURAGE REST. Athletes need breaks in between seasons and during practices and games.

SPEAK UP. Teach your child to speak up if he or she is sick or hurt. And remember to check with your child’s doctor if you suspect an injury.

Sources: American Academy of Pediatrics; National Institutes of Health; Safe Kids Worldwide

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Caregiving – Making Time for You

October 22, 2015 Leave a comment

Rest and self-care are so important. When you take time to replenish your spirit, it allows you to serve others from the overflow. You cannot serve from an empty vessel. ~ Eleanor Brownn

Caring for a loved one who is ill or frail can be incredibly rewarding. It can also be one of the toughest things you’ll ever do in your life.

Senior man sitting on a wheelchair with caregiver

Caring for someone is incredibly fulfilling, but it can take a toll. Be good to yourself! 

Preparing meals, giving medicines, arranging medical care, paying bills—tasks like these take a lot of time and energy. So it’s no wonder that caregivers often give short shrift to themselves—there’s not much room on that daily must-do list for anything personal.

Sound familiar? If you find yourself nodding yes, then repeat this caregiving mantra: You can’t do a good job of caring for someone else if you don’t take care of yourself.

Show yourself some humankindness

Here are some suggestions on how to carve out some much-needed—and deserved—me time:

Accept and ask for help. Gladly say yes to offers of help so that you can do something for yourself, whether that’s seeing your own doctor or recharging with a walk. And don’t hesitate to be specific about what might help you most. It’s OK to say, for example, “Can you stay with Mom for two hours this Wednesday so I can see my dentist?”

Seek out community services. These services—such as nursing care, adult day care, and home delivered meals—can help lighten your load. To find out what’s available, call the Nevada Aging and Disability Services at 702.486.3545 or visit http://www.adsd.nv.gov.

Make your own health a priority. Caregivers are often so busy tending to others that they neglect their own health—which helps explain why they’re more likely than other adults to develop serious health problems. So don’t skip checkups, screening tests, or necessary medical care. Learn self-care tools at our Powerful Tools for Caregivers Workshop (call 702.616.4900 for information or to register).

And do your very best to eat well, exercise regularly, and get enough shut-eye. Some days that may be easier than others. Do what you can—and remind yourself why it’s important for you and your loved ones.

Sources: Family Caregiver Alliance; Office on Women’s Health

Protect Your Skin

09917_WOMC_Spring15.inddBeing active outdoors can be an important part of a healthy lifestyle … and with the wonderful climate in southern Nevada, getting regular exercise and fresh air year round is easy. While sun protection is always important, now that we are approaching the warmest time of the year, we all need to be even more aware of the sun’s intensity so we can protect ourselves from UV rays and the damage they cause.

For many southern Nevadans, summer means dashing from air conditioned homes to air-conditioned cars to air-conditioned workplaces, but we are still getting some exposure to the sun and its harmful rays even when we are only in the sun for a few minutes at a time. Those who work outside or participate in outdoor activities such as swimming, golfing, tennis, hiking, etc., often get more sun exposure for extended periods of time. In either case, sun protection is essential to preventing skin cancer — the uncontrolled growth of abnormal skin cells.

Protect Yourself
The warmth and light of the sun are relaxing and can boost our spirits, but the benefits come with a dangerous trade off. More than 3.5 million cases of skin cancer are diagnosed in the U.S. each year, and 90 percent of them are caused by the sun’s ultraviolet rays. In fact, the American Cancer Society says Nevada has the highest incidence of skin cancer in the country. And it’s not just about cancer. Most of the skin damage we associate with aging – wrinkles, discoloration, sagging, and leathering – is UV related, and it is cumulative.

According to Dr. Brandon Reynolds, plastic surgeon and third generation Las Vegan, there is still a great deal of confusion about the sun’s risks and cancer. “Many of my patients who grew up in the ‘slather yourself with baby oil and bake’ generation come to get treated for skin cancer and say ‘this is the last skin cancer I’ll ever get because from now on, I’m staying out of sun.’ Unfortunately, the cancers these patients are experiencing have resulted from damage that has already been done. Stopping sun exposure now will help prevent additional damage, but it won’t prevent cancer that was caused by previous  exposure.”

When you’re in the sun, be smart and enjoy it without risking your health. Follow these simple rules:

Seek the shade, especially between 10 a.m. and 4 p.m. when the sun’s rays are the strongest. If you’re outside, try to find shade or carry a sun umbrella. If your favorite activities take place outdoors, enjoy them during early mornings and late afternoons.

Do not burn. Just one sunburn increases your risk of melanoma, the deadliest form of skin cancer. If you have five or more sunburns during your lifetime (not during one summer or one year), your risk doubles.

Avoid tanning and never use UV tanning beds. Tans are never safe … it doesn’t matter if you get tanned on a beach, by a pool or in a tanning bed. The Skin Cancer Foundation indicates that those who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma (SCC), 1.5 times more likely to develop basal cell carcinoma (BCC), and 74 percent more likely to get melanoma. Even occasional tanning booth use triples your chance of developing melanoma.

Many tanning salon operators insist their bulbs are safe and that some exposure to UV rays is necessary for vitamin D, but neither statement is true. It’s much safer to get vitamin D through foods such as salmon, fortified milk, orange juice or dietary supplements. And the new sunlamps used in tanning salons actually emit UV doses as much as 12 times that of the sun.

Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses. Clothes, especially densely woven bright- or dark-colored fabrics, can be your most effective form of sun protection, and the more skin you cover, the better, so when possible, wear long sleeves and long pants in the sun.

Don’t forget your eyes! Serious conditions from cataracts to melanomas of the eye and eyelid can be prevented by wearing wraparound sunglasses that block 99-100 percent of the sun’s UV rays and shield the eyes and surrounding skin. Hats are a great, fashionable way to help protect the face and back of neck. Find one with a brim that is 3” or larger.

Use a broad spectrum (UVA/UVB) sunscreen with an SPF of 15 or higher every day. A sunscreen’s SPF, or sun protection factor, measures how long skin can be exposed to the sun’s ultraviolet rays before burning compared to how long it would take to burn without protection.

“SPF 15 is technically a full block of the sun,” says Dr. Reynolds, “but it has to be put on so thick it would be visible to others. An SPF of 30 doubles the protection, providing substantial protection if it is put on and reapplied as directed. How often you need to reapply depends on the product’s ingredients, how often you get wet or if you’re sweating heavily.”

Look for products that offer “broad spectrum” or UVA/UVB protection, and make sure your sunscreen has one or more of these ingredients: titanium dioxide, zinc oxide, stabilized avobenzone or ecamsule.

Use sunscreen every day and in every kind of weather because:

  • sunlight reflects off snow, ice, sand, and water, all of which intensify UV effects by as much as 80 percent.
  • even on overcast days, 70-80 percent of UV rays travel through clouds
  • at high altitudes, the thinner atmosphere filters out less UV rays.

The Skin Cancer Foundation recommends applying 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside, then reapplying every two hours or immediately after swimming or heavy sweating.

Keep infants out of the sun! “Babies are especially susceptible to the damaging effects of the sun because their skin has very little melanin, the pigment that gives color to skin, hair, and eyes and provides some sun protection,” says Dr. Reynolds. “I ask my patients to be aggressive about keeping their kids out of the sun or covered in sunblock.”

If you take your baby out in his or her first six months, make sure he or she is covered with clothes, wears a hat or sunbonnet, and is shielded by a stroller hood or umbrella. One severe burn in childhood will actually double your child’s chance of developing melanoma later in life.

Examine your skin head-to-toe every month. Inspect your skin in a full-length mirror.

  • Start with your head and face – use a blow dryer to check your scalp
  • Check your hands, including nails. Look at your elbows, arms, underarms, torso, and trunk
  • With your back to the mirror, use a hand mirror to check your back, the back of your neck, and other hard-to-see places
  • Sitting down, check your legs and feet including soles, heels, toes, and nails

See your physician every year for a professional skin exam. Regular total-body checkups are the best way to make sure your skin is healthy. Ask your child’s pediatrician to examine skin as part of a yearly checkup.

At-Risk Skin Types
Certain types of skin are at greater risk for developing sun damage and skin cancer. Light-skinned people who always burn and never tan are at highest risk for skin damage and skin cancers. Those with more pigmentation in their skin (darker skin) have more natural protection from sunlight, but they can still get skin cancer. Bottom line is, everyone is at risk and should follow the prevention tips outlined above.

The most common forms of skin cancer linked to UV exposure are

  • Basal Cell Carcinoma

    Basal Cell Carcinoma

    Basal Cell Carcinoma (BCC) – The most frequently occurring form of skin cancer often looks like open sores, red patches, pink growths, shiny bumps or scars.

  • Squamous Cell Carcinoma (SCC) – The second most frequent form of skin cancer often looks like scaly red patches, open sores, elevated growths with a central depression or warts that may crust or bleed.

    Squamous Cell Carcinoma

    Squamous Cell Carcinoma

  • Melanoma – The most dangerous form of skin cancer, melanomas often resemble moles and some develop from moles. Most are black or brown, but they can be skin colored, pink, red, purple, blue or white. Melanoma can show up at any age and can spread to other parts of the body.

 

 

Melanoma

Melanoma

Treatment Options

According to Dr. Reynolds, the method of treatment depends on how invasive the cancer is. “There are treatments as simple as freezing the cancer off with liquid nitrogen, burning it off or using topical drugs such as Aldera® or Effudex®, or cutting out the growth, along with a surrounding border of skin using a scalpel or curette, an instrument with a sharp, ring-shaped tip.” In most cases, these procedures can be done in the doctor’s office or as an outpatient procedure under local anesthesia. Dr. Reynolds stresses that the method of treatment should be a joint decision between the doctor and patient.

If you have any warning signs, visit your primary care physician. He or she may then refer you to a dermatologist for further examination. For more information or to find a physician, please call 702.616.4900.

Urinary Incontinence is Nothing to be Embarrassed About

“Don’t make me laugh!” “I’m afraid to sneeze or cough.” “I can’t lift anything heavy.” 

If you have urinary stress incontinence (loss of bladder control), you’ve either made
these statements or thought them, and you are NOT alone! Urinary incontinence is very
common – it actually affects 1 in 2 women – and it is a sensitive subject we’re not
prone to talk about because it can be embarrassing. But it shouldn’t be.

Dont SneezeUrinary incontinence isn’t a disease, it’s a symptom that actually affects more women than high blood pressure (1 in 3), diabetes (1 in 10), or depression (1 in 20). And urinary incontinence affects women of all ages (even women in their 30s and 40s) because it is caused by a variety of conditions that stretch or weaken the pelvic floor muscles: pregnancy, childbirth, menopause, hysterectomies, lifting heavy objects, even having a job that requires standing for long periods of time.

Urinary stress incontinence occurs when the pelvic floor muscles weaken so they cannot support your bladder or control the release of urine, especially when certain types of physical activity (sneezing, coughing, bending, etc.) put extra pressure on your bladder.

Getting relief

Problems with loss of bladder control can often be relieved simply by making a few behavioral and physical changes. It does not mean that surgery is going to be required. According to Victor Grigoriev, M.D., board-certified urogynecologist (certified in both urology and in female pelvic medicine and reconstructive surgery), many noninvasive treatment options are available.

Dr. Grigoriev-84Urogynecologists diagnose and treat pelvic floor disorders (a wide range of problems, including urinary incontinence, that occur when the pelvic floor muscles are weak), and pelvic organ prolapse, when organs such as the bladder, uterus, or rectum drop from their normal locations.

Dr. Grigoriev says those with overactive bladders can often find relief just by changing their diets. “Dietary changes can make a tremendous difference,” he says. “Avoiding things that irritate the bladder, regulating your amount of fluid intake, and increasing your dietary fiber are just a few ways you can help your overactive bladder.”

Strengthening the pelvic muscles can also help those who leak just a few drops of urine while sneezing, laughing, or coughing, or who have a strong, sudden urge to urinate or leak stool. Kegel exercises are the most commonly used. Learn more about Kegel exercises at lasvegasurogynecology.com.

Surgical options

Depending on what is causing the urinary incontinence, conservative measures such as behavioral or physical therapy may not work, so surgery can also be an option. While every woman’s problems differ and require individualized treatment approaches, many minimally invasive techniques are available today.

At St. Rose Dominican, Dr. Grigoriev, who began using the daVinci® Surgical System for other procedures approximately five years ago, is now using the system to correct pelvic floor disorders. The minimally invasive procedure is done using small incisions in the abdomen. “This robotically controlled procedure decreases the risk of infection and allows me to put the pelvic organs back into a more correct anatomical position while avoiding the use of vaginal mesh,” says Dr. Grigoriev. “Repositioning the organs takes the pressure off of the muscles, which relieves symptoms, and women typically recover within 1-2 weeks depending on the degree of their prolapse.”

How to train your bladder

  1. Keep a diary of fluid intake and urination – just the simple act of keeping a diary has been shown to decrease urinary frequency and incontinence by 40 percent
  2. Timed voiding – Use the restroom on a schedule (e.g., every two hours) before the urge occurs; this trains the bladder and decreases episodes of leakage
  3. Drink fluids in moderate amounts and slowly over the course of the day. Your bladder can accommodate more volume if it is filled slowly
  4. Work on constipation and regular bowel movements


Incontinence: Foods to avoid

Doctors have identified a number of foods and drinks that can worsen overactive bladders as they contain irritants that, when collected in the bladder, can cause the bladder muscles to spasm. Those spasms can create the sudden urge to urinate and increase your frequency of urination.

  • Tomato-based products
  • Coffee and tea
  • Chocolate
  • Citrus fruits
  • Alcohol
  • Carbonated drinks
  • Artificial sweeteners
  • Spicy foods
  • Raw onions
  • Cranberries


Incontinence: Foods to eat

Make your diet as simple as possible, says Dr. Grigoriev. “Very often, I have my patients start off with cream of wheat and baby food and then add foods back little by little to see what causes problems.” Constipation can cause or exacerbate an overactive bladder, so eat plenty of

  • Grains
  • Legumes
  • Vegetables

Juices that won’t irritate your bladder include apple, grape, cherry, and cranberry juices. They also help by making urine more acidic, preventing the spread of bacteria and controlling urine odor. Drink plenty of water to hydrate your body.

If you are having problems with urinary incontinence, know that you’re not alone and that there are things you can do to relieve your symptoms. Talk with your doctor to learn about your options or find a St. Rose physician who treats urinary incontinence by calling 702.616.4900.

Our Three WomensCare Centers of Excellence are Here to Serve You!

The demand for women’s and children’s health care services in southern Nevada continues to grow. So much so that Dignity Health – St. Rose Dominican has opened a third WomensCare Center of Excellence to meet that demand.

The WomensCare Centers of Excellence have embraced women, men, and children of all ages by providing no or low-cost health, support, and fitness services since 1998, when the first Center opened. The second WomensCare Center opened near the San Martín Campus in 2007 to expand services into the southwest part of Las Vegas, and a third WomensCare Center has now opened on the Rose de Lima Campus at 98 E. Lake Mead Pkwy., Suite 301, in Henderson.

“We’ve wanted to open a WomensCare Center near the Rose de Lima Campus for several years,” says Holly Lyman, Director of WomensCare and Community Outreach. “We’re thrilled that we will now be able to offer our services at a more convenient location for those who live in this part of Henderson.”

Helping Hands will have an office at the Rose de Lima location, and programs and services will be similar to those offered at the other two Centers:

  • Breastfeeding support and pump rentals
  • Chronic disease management
  • Diabetes education and management
  • Exercise and fitness programs
  • Family to Family Connection services
  • Health screenings
  • Parenting classes
  • Physician lectures
  • Prenatal education
  • Safety and injury prevention
  • Support groups
  • WIC (Women, Infants & Children) Programs

“The staff and volunteers at our WomensCare Centers – many of whom used our services before joining us – share in the commitment to delivering high quality, compassionate health services,” says Holly. “We truly bond with the women we assist and consider it a privilege to be of service.”

For information on our WomensCare Centers and the services they offer, please call 702.616.4901.

Attention New Nursing Graduates!

St. Rose Dominican Hospitals invites recent nursing graduates to apply for our RN Residency Program, which begins October 22, 2012. This 12-week program is designed to help Graduate Nurses transition from students to professional nurses while enhancing their clinical competence. Participants in this program develop clinical proficiency through evidence-based practices and supervised clinical experience, with an emphasis on clinical application in the hospital setting. The program is designed around the goal of providing a nurturing, enriching environment where new RNs can safely, effectively care for patients independently. 

Interview Process & Timeline

  • August 1:  New graduates are invited to complete the online application .
  • August 7:  Last day to apply and submit all required documents online. 
  • August 9 – September 5: Managers will review applicants. Selected applicants will be contacted directly to take and successfully pass the Math and Behavior Assessments. Selected applicants will then be contacted directly to schedule an interview for September.  
  • September 6: Interviews will be held. 
  • September 6 – September 28: Offers will be made to the selected graduates. 
  • October 22: St. Rose Dominican Hospitals orientation begins. 
  • October 29: RN Residency Program begins. 

 Please go www.strosehospitals.com. to apply.

The position is listed under the Siena Campus although we may be placing New Grads at all three campuses.

If you have questions regarding your GPA or other concerns, please call 702-616-4618.

“Women of St. Rose” Collection Unveiled at Henderson Library

L-R: Sister Katie McGrail, OP, Vice President of Mission Integration-Siena Campus, Tom Fay, Director-Henderson District Public Libraries; Wendy Walker, Digital Projects Librarian

Representatives from St. Rose Dominican Hospitals and the Henderson District Public Libraries unveiled its “Women of St. Rose” digital historic collection today. The collection preserves and documents more than 65 years of history of St. Rose Dominican Hospitals and the women who were an integral part of that history.

The extensive collection even includes the 1947 dedication book of St. Rose Dominican Hospitals – Rose de Lima Campus that features intricate drawings and signatures of those who attended the opening ceremony. The collection features previous volunteer applications which reflected the times by asking female applicants such questions as “What does your husband do?” and “Do you drive?” Hospital annals are also preserved within the collection, thoroughly documenting the early days of what was then called Rose de Lima Hospital.

Wendy Walker, Digital Projects Librarian, oversaw the project, which included scanning and preserving all documents in archival-quality document holders. The digital collection is searchable by key words to help researchers or those simply interested in the history of St. Rose and the community.

“It was such a joy to work with St. Rose in preserving these materials for future generations,” said Wendy. “What stood out to me in going through the materials were the central roles not just the Adrian Dominican Sisters played in shaping the hospital but those the women of our early community played.”

Walker said documents such as meeting minutes and the volunteer applications are windows into the past for women, their roles in family and society and how the hospital was an anchor within the community.

“We are so thankful that the Henderson Libraries reached out to us to help us preserve our historic documents,” said Sister Katie McGrail, Vice President of Mission Integration at St. Rose Dominican Hospitals – Siena Campus. “This collection makes the history of St. Rose and the Adrian Dominican Sisters available to the community.”

The collection can be accessed digitally by visiting the library website, clicking on the Research tab, then the Local History tab or at: www.mypubliclibrary.com/catalog/library/userdef/digitalcollections.aspx

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