healthy aging: september 2015
DESCRIPTION
A publications from Monmouth Medical Center, Southern CampusTRANSCRIPT
HealtH CoaCHesto the rescue
do volunteers live longer?
‘broadway’ boogie
a PubliCation from monmouth medical center, southern campus
stay safein tHe sun
HEALTHY aGINGseptember 2015
How To
eat healthy
MSN.JUL15.newsletter9.indd 1 8/20/15 9:20 AM
Even the most social individuals prefer privacy in the hospi-
tal. And soon all of the rooms at Monmouth Medical Center,
Southern Campus, will be private, making it the only hospital
in the region to offer all private rooms for overnight stays.
The new 54 Medical/Surgical and 10 Critical Care Unit
rooms are expected to be ready for occupancy soon. Amenities
will include fat-screen TVs, an updated nurse call system and
special features for geriatric patients, including brighter light-
ing, safer beds and more security.
“Private rooms reduce the risk of transmission of infec-
tions,” says Kelly Zabriskie, director of infection control and
risk management at the medical center. Indeed, studies have
suggested that being in private rooms benefts patients in
several ways.
“Private patient rooms are proven to aid patients in the
healing process by giving them private space to recover,”
adds Michael Mimoso, MHSA, FACHE, president and CEO.
When patients feel they lack privacy or when they’re exposed
to noise and crowding, it can increase their stress level. In
particular, excess noise can lead to increased anxiety and
pain perception.
Patients report higher satisfaction rates when cared for
in a private room. “There was a noticeable spike in our
patient experience ratings when we ran a pilot program that
put patients in private rooms,” says Judy Colorado, R.N., chief
operating offcer and chief nursing offcer. “And the staff
loves private rooms—they only have to care for one patient
at a time.”
The private rooms are the second step in a three-phase
renovation project at the medical center. A main lobby face-
lift was completed earlier this year, and the fnal phase of the
plan—renovating the grounds, parking, lobby area and en-
trance to Outpatient Services on Route 9—is under way. The
hospital also has updated its equipment, adding round-the-
clock telemetry monitoring for all of its inpatient beds.
WElcomE lEttEr
Welcome to the newest issue of
our Healthy Aging newsletter.
It’s no secret that health care
is changing, and every day,
so are lives across the region.
We’re changing, too, to ensure
we remain focused on providing
high-quality patient care and
meeting the needs of the region’s older adults.
One of the most visible displays of our com-
mitment to patient care is our three-phase
renovation project. In this issue, you’ll read more
about the unveiling of our newly renovated, pri-
vate rooms. Expected to be ready for occupancy
soon, this transition means Monmouth Medi-
cal Center, Southern Campus (MMCSC) will be
the only hospital in the region to offer all private
rooms for overnight stays.
You’ll also read about the people who make
a difference in the hospital and outside of our
walls every day—from two remarkable physi-
cians and a dedicated member of the MMCSC
Foundation Board, all of whom were recognized
as this year’s outstanding humanitarians, to
our busy health coaches helping keep seniors
healthy so they can stay out of the hospital, to a
long-time volunteer who is reaping the benefts
of giving back.
We’ve also highlighted a “grandfamily” much
like some of yours to shine a light on a special
support group for the many grandparents who
step in as caregivers for their grandchildren. As
always, you’ll fnd information important to your
health and well-being, such as the dangers of
mixing medications and the sun and top tips for
seniors to maintain a healthy diet.
I hope you fnd this issue of Healthy Aging
interesting and informative. I look forward to
hearing more of your feedback and hope you
continue sharing thoughts on the programs that
mean the most to you.
Best wishes for a healthy and safe fall season!
Sincerely,
Jessica l. Israel, m.D.
Section Chief of Geriatrics and Palliative Care
Monmouth Medical Center
2
prIvatE rooms on thE rIsEInItIatIve Is part of a larger
commItment to patIent care.
This artist’s rendering
shows what the new
private rooms at
Monmouth Medical
Center’s Southern
Campus will look like.
MSN.JUL15.newsletter9.indd 2 8/28/15 9:01 AM
Like more and more grandpar-
ents these days, Herb and
Julian Bellamy, a retired Lake-
wood couple, have taken over
care for their grandchildren—
14-year-old twin granddaugh-
ters and a 5-year-old grandson.
The family has been helped in
numerous ways by Monmouth
Medical Center Southern Cam-
pus’ Grandparents Raising
Grandchildren Support Group.
Recently, in fact, that group
went above and beyond its usual
call of duty.
The twins, Meisha and Alisha,
were assaulted in school and no lon-
ger felt safe there. “They are talented
and bright, but they live in challeng-
ing circumstances,” says Kathleen
Holahan, coordinator of the support
group. “These are tough girls who
can take care of themselves, but one
ended up in the emergency room af-
ter she was thrown to the foor in
gym class.”
Immediately, the support group
began searching for another school
for the twins and approached Sisters
Academy in Asbury Park. The school is
dedicated to providing a quality educa-
tion to girls from urban environments
in grades fve through eight, but it typi-
cally doesn’t accept eighth graders.
However, after meeting with Meisha
and Alisha, Sisters Academy not only
accepted them, it offered a generous
scholarship, which was supplemented
by an anonymous Barnabas Health em-
ployee to fund their entire tuition.
At Sisters Academy, the twins
thrived—so much so that they ap-
plied to Red Bank Catholic High
School. “These girls were very well
prepared,” says Holahan. “They
had all of their paperwork done.
They had a lot of questions for the
school—very adult questions—and
I was just amazed by them. The
school was too.” So amazed, in fact,
that Red Bank awarded Meisha and
Alisha a full scholarship to start
there in the fall.
The grandparents support group,
which began in 2009, has evolved
over time, according to Holahan. “It
started as just a support group, but
as the kids get older, the issues be-
come larger and the amount we do
is larger.” The Bellamy family has
participated in the group from its
start, and Holahan is thrilled to see
the twins do so well. “These kids are
extraordinary, and the way that every-
thing fell into place is extraordinary,”
she says. “It’s onward and upward for
them now. This is what happens when
a village comes together to help.”
Grandparents raisinG
Grandchildren
support Group
At the free weekly meetings spon-
sored by Monmouth Medical
Center’s Southern Campus, partici-
pants learn from and share with
others facing the challenges of be-
ing a “grandfamily.” The group
meets at the Center for Healthy
Living, 198 Prospect St., Lakewood,
every Wednesday from 10:30 a.m.
to 12:30 p.m.
For more information, please
contact Kathleen Holahan or Janis
Marler at 732.730.9112.
3
Support for ‘GRAndFAMILIeS’Weekly group
meetings
help a lakeWood
couple navigate
the challenges
of parenting
their grandkids.
MSN.JUL15.newsletter9.indd 3 8/28/15 9:01 AM
There’s no such thing as a typical day for Kelly DeLeon
and Peggy Lomerson, health coaches at Monmouth
Medical Center, Southern Campus. But they’re always
busy with some activity that involves educating seniors,
providing advice and immersing themselves in the
community.
For the past three-plus years, the pair have been out
in the Ocean County community, giving lectures at li-
braries, providing free screenings at senior centers and
offering other services, reaching roughly 4,000 people a
year. Sometimes they are accompanied by a physician or
a nurse, but many times they go on their own, individu-
ally or together, depending on their schedule and the
numbers of people at the venue. Either way, says Lo-
merson, “we work together to get it done.”
Their audiences may consist of hundreds of people, or
just two. The people they see are active 55+-year-olds
who typically still live at home. Topics for the health
coaches’ lectures vary and include things like how to
avoid falling, how to spot warning signs of conditions
such as diabetes and heart disease and what women
should know about the danger to their bones from os-
teoporosis.
The health coaches’ main service is education, and
their goal, as DeLeon says, “is to help keep seniors
healthy so they can stay out of the hospital.” To that
end, DeLeon and Lomerson provide a wide range of
nonclinical services. For example, they help seniors
schedule appointments, help arrange their transporta-
tion to treatment, help determine what their insurance
covers and who is “in network,” and answer questions
like “Where can I get an MRI?”
It takes special individuals to sift and sort through
people’s medical and sometimes personal issues to
get them to the right place and people they need. “I
never have a boring day,” says Lomerson. She worked
previously as a case manager assisting patients re-
cently discharged from psychiatric hospitals. Now she’s
thrilled to be
helping seniors.
“I adore se-
niors,” she says.
“They’re like
living history.
They’ve seen
things I will
never see.”
Prior to be-
coming a health
coach, DeLeon
was an elementa-
ry school teacher.
She has gone
from working
with kids to ad-
vising seniors.
She has also
made several
trips to earth-
quake-ravaged
Haiti to volun-
teer her services
working with
children there.
As for the role
she now plays as
a health coach helping the community’s seniors, she says,
“I thrive on working with people.”
DeLeon says she enjoys bumping into people in the
supermarket who have attended her programs and stop
to thank her for her advice. Such encounters are more
evidence of what is already clear: The health coaches
have made an impact on the community, touching in-
dividuals and improving their lives. “We even have
‘groupies’—some of the same people who follow us from
place to place,” DeLeon reports with a smile.
4
‘health coaches’ FOR A WINNINg TEAM This dynamic duo works Tirelessly To help
ocean counTy seniors sTay healThy.
Peggy Lomerson
Kelly DeLeon
MSN.JUL15.newsletter9.indd 4 8/20/15 9:21 AM
It began with gratitude. When Annemarie Gilman’s
2½-year-old son suffered an eye injury that could have
permanently damaged his eyesight, she took him for
treatment to Kimball Medical Center (now Monmouth
Medical Center, Southern Campus), and under the care
of its clinicians he fully recovered.
“I was very, very grateful to the hospital, and I
started volunteering then in the maternity ward,” she
recalls. That was in 1967.
It’s not quite accurate to say Gilman is nearing the
half-century mark as a volunteer, because her work
eventually led to a full-time job at the medical center,
and the skills she thereby acquired helped to prepare
her for her next position—as executive director of a
Swiss social service agency. (She is Swiss-born.) She
took a break from the medical center while she had
that demanding job, but upon her retirement seven
years ago Gilman came right back and resumed her
volunteer efforts.
Now Gilman comes in about two days a week and
handles duties ranging from filling water pitchers to up-
dating databases in Excel to performing general office
duties to wheeling patients or their guests to their des-
tinations. Like many who donate their time and effort,
she fills in as needed, doing pretty much anything, any-
where in the medical center. In her spare time at home,
she’s also one of several volunteers who knit lap robes
for patients.
Besides being a volunteer, a staffer and the mother of
a patient, Gilman has been a patient at the medical cen-
ter herself. “Years ago I had a bone-marrow puncture,”
she recalls. “It was very painful. But the nurse put her
hand on my shoulder during the procedure, and that
meant a lot to me. It was very comforting.”
Volunteering helps patients and busy clinicians, of
course, but it’s also widely reported to be good for the
volunteers, and Gilman gives it a hearty endorsement.
“It keeps me on my toes,” she says. “I have to use my
brain, and it’s physical exercise too. Volunteering makes
me feel appreciated. And the staff is warm, friendly and
upbeat.”
People like Gilman are appreciated, says Donna Salin,
the medical center’s director of Volunteer Resources,
who oversees its roughly 400 volunteers. And they
benefit as well. She remembers one volunteer recently
confiding that “‘I tell people, ‘You’re going to live a lot
longer if you volunteer.’” And while there’s no guaran-
tee of that, Salin adds: “It does tend to be true—you get
older faster if you’re idle at home.”
For some older adults, it’s a way to beat the blues.
“Volunteering brings the focus outward, not inward,”
says Salin. “It’s a cure for boredom.” She adds that for
people who would benefit from having more human
contact, volunteering can be an elixir. “There’s a big so-
cial aspect to it. People who are engaged are healthier
and have a better mental outlook.”
To find out about joining Annemarie Gilman as a
volunteer and becoming part of the Monmouth Medical
Center, Southern Campus, family, please call Donna
Salin at 732.886.4650.
5
A volunteer’s 50 years This busy, TalenTed worker has
long devoTed herself To helping oThers—and she’s benefiTed Too.
MSN.JUL15.newsletter9.indd 5 8/20/15 9:21 AM
6
Trick question:
“Now that you’re a
senior, eating healthy
is just as important
as it was when you
were young. True
or false?”
Answer: False.
It’s actually much
more important!
Don’t be tricked into
believing you can live
on donuts, pizzas, chips,
colas and beer as you may
have at 18. Older adults have
different nutritional needs
and, in terms of the potential
effects of diet on health, they’re
playing for higher stakes.
For one thing, you’ve likely
become less physically active
as you’ve aged, so you
need to take in
few-
er calories to maintain the
same weight. Choosing most-
ly nutrient-dense foods can
give you the good stuff you
need while limiting calories.
Also, age-related changes may
mean you now have greater
diffculty absorbing certain vi-
tamins and minerals—such as
Vitamin B12, which promotes
healthy nerves and red blood
cells, and folate, which helps
ward off anemia. (B12 sourc-
es include meat, fsh, poultry,
eggs and milk; folate is plenti-
ful in fruits and vegetables and
fortifed breakfast cereals.)
Maintaining a healthy diet
and weight can help stave off a
host of conditions common in se-
niors, including heart problems,
diabetes, high blood pressure,
high cholesterol and
constipation. And
though the most nu-
tritious foods may
not rival cream-flled
cupcakes in the imme-
diate “wow” they give
your taste buds, over
the long haul they’ll
make you feel better too,
boosting your energy level and
improving your quality of life.
You probably know what
to avoid—too much sugar or
salt, too many fried foods and
high-fat items (though fatty fsh
are healthy) and too much red
meat. So what should you eat?
The National Institute on Ag-
ing says these foods should be
the foundation of a healthy diet
for older people:
• Raw vegetables, fruits,
dairy products in moderation
and lean sources of protein.
• Foods low in added sugars
and solid fats.
• Foods low in sodium (par-
ticularly important for seniors
with hypertension).
• High-fber foods and
whole grains, such as brown
rice, whole-grain cereals and
whole-wheat bread.
Also, drink plenty of water,
consider a daily multivitamin
tablet (but don’t use it as an ex-
cuse for unbalanced meals!) and
get plenty of calcium. (Good cal-
cium sources include milk, green
beans, broccoli and fsh canned
with bones.)
Make it taste great!
Does healthy eating in your older years mean
putting up with bland, boring meals? No way,
insists Diane Henderiks. This well-known chef
and dietician is one of America’s top healthy
cooking experts. On TV she has appeared on
Good Morning America, Fox and Friends, The
CBS Early Show and Good Day New York, and
she’s been featured in The New York Times
and Shape magazine. Now the Monmouth
University grad is partnering with the Better
Health program at Monmouth Medical Center,
Southern Campus, in a series of initiatives.
Henderiks is making the rounds in Ocean
County, attending social events, giving talks
at senior communities, and otherwise spread-
ing the healthy-eating gospel. For example,
she’ll demonstrate better ways to cook up nu-
tritious meals that your conscience and your
taste buds can agree on.
“Any dish can be revamped to be good for
you,” says Henderiks on her website. “It just
takes a little education and fnesse.
Your keys to eATING RIGHT
Lighten up on saLt, sugar and red meat; go heavy on fiber, water, fruits and veggies, and Lean protein sources.
MSN.JUL15.newsletter9.indd 6 8/20/15 9:21 AM
FOUNDATION FOCUS
7
The Monmouth Medical
Center, Southern Campus
Foundation recently had its an-
nual Humanitarian Gala at Eagle
Oaks Country Club in Farming-
dale. The foundation honored
three individuals for their phi-
lanthropy and leadership within
the hospital community. And
while the work of the medi-
cal center is certainly serious,
the gala itself was…a ball! The
Broadway-themed event includ-
ed live performers and even a
paparazzo.
Honorees Munir Ahmed, M.D.,
Thomas Calabro and James T.
Zipagan, M.D., were fêted for
helping the medical center adapt
to the changing health care
landscape while continuing to
offer outstanding service to the
surrounding community.
Dr. Ahmed is a board-certi-
fed orthopedic surgeon who
has been chief of orthopedics for
both his private practice, Jer-
sey Shore Orthopedics in Toms
River, and Monmouth Medi-
cal Center, Southern Campus.
He is credited with serving ap-
proximately 100,000 patients in
Ocean County, among his other
accomplishments. Calabro has
been on the foundation’s board
since 2005. Owner of Twin City
Jewelers, he played a critical role
in the development of the Geriat-
ric Emergency Medicine Unit. As
emergency medicine physician
and past chair of the Emergen-
cy Department at the Southern
Campus, Dr. Zipagan was re-
sponsible for orchestrating the
development of the Fast Track
Department, which manages mi-
nor emergency cases.
Trio honored at ‘BROADwAy’ BASHAt this AnnuAl gAlA, humAnitAriAns were recognized for leAdership And philAnthropy.
“Gala” moments, from top, left to right: Michael Mimoso, president and CEO of Monmouth Medical Center,
Southern Campus (MMCSC); Thomas Calabro; James Zipagan, M.D.; Munir Ahmed, M.D.; James Maida,
chairman of the Foundation Board; Denice Gaffney, vice president of the MMCSC Foundation. Irene
McNamara, manager of community education and wellness, is greeted by the “paparazzi” as ft the Broad-
way theme. Entertainment included Mama Mia! MMCSC Foundation’s Michelle Ressalei enjoyed “Broadway”
food: a soft pretzel and a famous NYC hot dog. A parade of Lion King characters got guests off their feet.
MSN.JUL15.newsletter9.indd 7 8/20/15 9:21 AM
We all know too much sun exposure can harm the skin. But did you realize that medications you’re taking could interact with sunlight or heat to make you burn more easily?
“Take a moment to read the printed informa-tion you get with your medication,” advises Kim Walsh, director of pharmacy at Barnabas Health Behavioral Health Center. While taking certain medications, you may need to limit sun exposure even more than you normally would.
Some common prescription and over-the-counter medications can trigger an increase in sensitivity to sunlight, known as photosensitiv-ity, explains Henry Leach, a pharmacist at the Behavioral Health Center. Interactions with medications can cause edema (fuid buildup in tissue), heart problems and other issues.
Extra caution may be needed if you’re taking:Antibiotics. “They can give you a wicked
burn—and raise your core body temperature so you feel like a steam engine inside,” says Walsh.
Mood stabilizers. These can help trigger reac-tions such as hives, sunburn and rashes.
Blood-pressure medications. Beta blockers, vasodilators and diuretics often require extra
care in the sun, our experts say. So how should you protect yourself? With
careful use of sunblock, for one thing—and make sure it’s rated with an “SPF” (sun protection fac-tor) of 30 or higher. “Put it on at least 45 minutes to an hour before you go outside,” says Walsh. “And reapply it at least every two hours—more often if you go swimming.”
Wear a hat with a brim to protect your scalp and forehead. And don’t lose track of time. Besides a sunburn, warns Leach, “you could get an electrolyte imbalance from sweating out too much fuid.”
“When you’ve been outside for a while, come in, cool down and drink some water,” suggests Walsh. “Not sports drinks. Not iced tea. Water! If you need a favor, put an orange or a lemon in it.”
Finally, because heat itself can sometimes be an extra hazard, seek out air conditioning if you’re uncomfortably warm indoors.
The bottom line: Be safe, not sorry. When you receive a prescription from your doctor and when you fll it with your pharmacist, ask about any increased risks with sun exposure. Take notes on what you learn and heed their warnings!
8
They can be a hazardous combinaTion. sTay safe!
MedicAtions + sun
siMple sundried toMAto, cheddAr & herB FrittAtA By diAne henderiks
Here are some upcoming events that will be of interest to seniors. The location is the Center for Healthy Living, Monmouth Medical Center, Southern Campus, unless otherwise noted.
septeMBer
• 8,22 SelF-deFense
For older Adults Tuesdays 10–11 a.m.
• 8,22 BereAveMent
support group Tuesdays 2:15–3:30 p.m. & 3:30–4:45 p.m.
• 8,9,15,16,22,23,29,30
cAregivers
support group Tuesdays 12–2 p.m., Wednesdays 12:15–2:15 p.m.
• 9,16,23,30
grAndpArents
rAising
grAndchildren
support group
Wednesdays 10:30 a.m.–12:30 p.m.
• 11,18,25
chAir yogA Fridays, 2–3 p.m. ($5 per class)
• 21
FAll prevention
lunch And leArn
12 p.m. at the Center for Healthy Aging
COMMUNITY CALENDAR
• 1 tsp. olive oil
• ¼ cup red onion (sliced thinly)
• 3 whole eggs plus 3 egg whites
• ½ cup low-fat cot-tage cheese
• ½ cup sliced sun-dried tomatoes
• 1 Tb. of your favorite fresh herbs (I like basil, parsley and thyme in this one.)
• 1 pinch freshly ground black pepper
• ½ cup shredded sharp cheddar cheese, divided
1. Gather ingredients.
2. Place oven grate about 8 inches from broiler and preheat oven to 375 degrees.
3. Heat olive oil in medium cast iron pan over medium heat. Add onion and saute 2–3 minutes until soft.
4. In large bowl, whisk whole eggs and whites well. Add cottage cheese, sundried toma-toes, herbs and black pepper. Whisk well.
5. Stir in ¼ cup cheddar cheese and pour egg mixture into pan with onions, reduce heat to low and cook about 10 minutes until the eggs are just set.
6. Place in oven and bake for 10 minutes.
7. Top with reserved ¼ cup cheddar cheese.
8. Remove from oven and place in center of the table and serve right from the cast iron pan.
9.Enjoy!
Recipe brought to you by Better health, a free membership program created just for seniors from Monmouth Medical Center, Southern Campus. To learn more, visit barnabashealth.org/betterhealth and click ‘Join Today.’
INGREDIENTS Serves 4
MSN.JUL15.newsletter9.indd 8 8/28/15 9:01 AM