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N E W S L E T T E R

ISSUE FOCUS

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Women’s Health

Caregivers Need Healthcare, TooTimes are changing, but women still account for two out of three family caregiv-

ers, says the Family Caregiver Alliance (FCA). Whether staying at home or working outside the home, most women have a long list of responsibilities, and all too often

the last thing on the list is self-care. In fact, a recent study by the nonprofit HealthyWomen and Working Mother magazine found that 78 percent of women put the healthcare and general care of their children, pets, elderly relatives and spouse before their own health.

When caregivers neglect to make time for themselves, it’s self-defeating. Caregiving is stressful, and high stress can lead to health issues such as depression, obesity and heart disease.

Female caregivers frequently fail to get needed medical care, fill prescriptions or schedule preventive screening exams such as mammograms, says the Office on Women’s Health. Another study in the American Journal of Public Health found that middle-aged and older female caregivers are more likely to suffer from depression or anxiety than women who do not have these responsibilities.

Your 6-Step, Good-Health PlanYou already know the basics of staying healthy: Eat right; exercise; get enough

sleep; manage stress; and keep up with health screenings. But that’s easier said than done when others are dependent on you. Here’s how to get on track.

1 Decide what you need to do to be healthier. A tool that can help is the H2U Personal Health Assessment (PHA). The PHA consists of questions related to

your lifestyle, medical history and biometric measures. It takes only about 15 minutes Continued on page 2

WWW.H2USUNRISEHEALTH.COM

H2U Sunrise Health 3150 North Tenaya Way, Suite 114Las Vegas, NV 89128

MountainView recently received the American Heart Association/American Stroke Association’s “Get With The Guidelines®-Stroke” Gold Plus Quality Achievement Award with Target: Stroke Honor Roll. The award recognizes the hospital’s commitment and success ensuring that stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.

To receive the Gold Plus Quality Achievement Award, hospitals must achieve 85 percent or higher adherence to all “Get With The Guidelines-Stroke” achievement indicators for two or more consecutive 12-month periods and achieved 75 percent or higher compli-ance with five of eight “Get With The Guidelines-Stroke” quality measures.

To qualify for the Target: Stroke Honor Roll, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hos-pital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.

Continued on page 8

On Target: Stroke

HEALTH TO YOU

continued from front page

to complete and generates a summary of your health status, as well as tips for better health.

2 Set goals and action steps. Choose one or two things to focus on.

Making too many changes at once can backfire. To stay motivated and account-able, track your progress.

H2U’s 14 online trackers can help you monitor weight, sleep patterns, physical activity, nutrition, cholesterol levels and other important metrics.

3 Make time for physical activity. Aim to get 30 minutes of activity daily,

but don’t worry if you can’t do it all at

once. Even 10 minutes can make a differ-ence. Examples: Take a walk; do sets of chair squats or push-ups; do step-ups on your home stairs.

4 Pay attention to your health. If you’re feeling sick or achy, get some

rest or seek treatment. Don’t skip medi-cal checkups; they can identify problems before they get out of hand.

If you have a chronic condition such as hypertension or diabetes, be sure to take your medication as prescribed and follow doctor’s orders.

5 Ask for help. Don’t wait until you’re at the end of your rope to ask for

help. The FCA suggests making a list of ways others can help so you’ll have time for yourself.

For example: Ask a friend to pick up a few items at the grocery store while you do a yoga DVD; find a neighborhood teen to mow the lawn while you relax with a cup of tea; identify a relative who can sit with the person you care for while you go to your book club.

6 Work on stress management. A good night’s sleep is one of the

best ways to counteract a stressful day. Develop good sleep habits like going to bed at the same time, turning off elec-tronics in the bedroom, and cutting back on alcohol near bedtime. Meditation, prayer and journaling are other good ways to de-stress.

Remember: You’ll be a better caregiver if you take care of your own health, too. n

Caregivers

Finding Respite Care for Loved Ones

In-home CareRespite care in the comfort of home is

often the best option for those who are frail or uncomfortable in group settings. In-home care can be provided by family members, independent caregivers or home healthcare agencies.

To find the right person, determine whether you only need someone who can assist with daily activities or if you need medical help, such as giving medi-cation or helping with physical therapy.

When hiring a caregiver or using an agency, make sure you:

> Conduct an in-depth interview to confirm the caregiver’s abilities to handle required tasks and schedules.

> Get references and ask them about the caregiver’s reliability, trustworthi-ness and ability to handle stress.

> Do a background check or request one from the agency.

Out-of-home CareAdult daycare services are a good

option for older adults who are mobile and able to enjoy social interactions and activities. Daycare services are typically available only during the day, Monday through Friday.

These guidelines can help you choose a safe and cheerful daycare service:

> Visit several facilities and observe how the staff interacts with participants.

> Ask about the training and level of experience of the care providers.

> Discuss cost of services, transporta-tion and meals. n

If you are caring for an elderly, ill or disabled family member, shoulder-ing all the work yourself can lead to burnout or illness. Finding respite care where other caregivers take over your duties temporarily will give you time to take care of you. Here’s a look at your options:

Despite what you’ve heard, a wide-mouthed yawn may not be a response to sleepi-ness or boredom. A new hypothesis is that yawning helps

keep your brain at a cool, optimal working temperature and prevents overheat-ing. In fact, one study found that placing warm packs on your forehead increases yawning, while placing cold packs on the forehead decreases yawning.

Now you may have noticed that yawn-ing is contagious—someone yawns and before you know it, others are yawn-ing, too. One theory suggests this is because yawners are in the same area and exposed to the same temperatures. Other researchers have theorized that contagious yawning is related to empathy and social bonding. Ultimately, though, contagious yawning is still a mystery to be solved. n

Why Do We Yawn?

CURIOUS MINDS

Don’t wait until you reach the point of exhaustion before

looking into respite care. Having a plan that will give you time to rest and recharge can make your responsibilities easier to bear.

Tip:

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Your skin’s appearance is affected by many things: genetics; what you eat; how much you exercise; and, yes, stress. Sudden changes in your skin can be a minor irritation or a sign something

serious is going on. Here’s a look at three common skin problems.

Rashes: Skin irritants or allergies can cause a rash, also known as contact der-matitis. Your jewelry, makeup, clothing and even washing your hands too much can lead to a mild rash. However, if you experience burning, stinging, swelling, hives and fluid-filled blisters in addi-tion to your rash, you may be having an allergic reaction. Poison ivy is a common cause of allergic contact dermatitis.

Dryness: A reaction to new soap or deodorant could cause dry skin, but if your skin is extremely dry, scaly and itchy, it may be psoriasis. A dermatologist can prescribe a cream or moisturizer to treat these symptoms.

Discoloration: As people get older, age spots can appear on the face and hands.

Though not dangerous, these brown or black patches make some people uncom-fortable with their appearance. Age spots can be lightened with skin bleaching lotions and creams or destroyed with laser treatments.

Rosacea also causes skin discoloration. Those who suffer from rosacea typically have redness on the cheeks, nose, chin or forehead. Though not curable, many patients can get relief by avoiding trig-gers that may aggravate the skin, such as certain foods, drinks, weather conditions or skin care products.

Commonsense Skin CareTo ensure healthy skin, wear sun-

screen with an SPF of at least 15. Limit your bath time and use lukewarm water to shower. Hot water and long baths strip the natural oils from your skin. Gently pat dry and use a moisturizer after show-ering if your skin is dry. n

If menopausal symptoms like night sweats or vaginal dryness are affecting your quality of life, you may wonder if hormone

therapy (HT) is for you. The answer, of course, is “it depends.” Every woman is different, so it’s important to con-sider the risks and benefits. If you are interested in HT, ask your doctor these questions.

What are my risks if using HT?HT increases your risk for blood clots,

breast cancer, heart disease and stroke, reports the National Institutes of Health. Women with certain health histories—breast, uterine or ovarian cancer, for instance—should not receive HT.

Some HT users experience side effects like bloating, mood swings, nausea, sore breasts, headaches and irregular bleed-ing. The National Institutes of Health reports that changing the dosage or the

type of hormone used may eliminate these side effects.

Which therapy would be best for me and why?

Different types and combinations of hormones are available and can be prescribed based on your symptoms

and medical history. Your doctor may recommend systemic estrogen therapy, estrogen-progesterone treatment or bio-identical hormones. Though bio-identical hormones are marketed as safer than traditional prescription hormones, the FDA says the evidence suggests the risks are probably the same as other hormones.

If hormones are not appropriate, there are new FDA-approved, non-hormonal medications for severe hot flashes and dyspareunia (painful intercourse).

How will I take hormones?Depending on the hormone pre-

scribed, it can come in the form of a pill, skin patch, gel, cream, suppository or vaginal ring. Some hormones are injectable.

No matter which hormone you take, the FDA recommends using the lowest helpful dose for the shortest time. Talk with your doctor every 3 to 6 months to determine whether you still need them. n

Hormones or No Hormones?Questions to Help You Decide

Skin Talk

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HEALTH TO YOU

All H2U classes and events require registration 48 hours in advance. To register, call (702) 233-5300 or log onto the hospital website of your choice to register online.

H2U MountainView Hospital

Rita A. MooreProgram Manager(702) 255-5404

To make reservations call (702) 233-5474 or log onto mountainview-hospital.com to register online two business days prior to event.

Mitch’s Tai Chi/Ki Gong ClassMondays, 10 - 11 a.m.$5 per class Blood PressureTuesdays, 10 - 11 a.m. Yoga with ChristianThursdays, 9 - 10 a.m.$5 per class Cards and GamesMondays, Aug. 3, 17 and 31Noon - 3 p.m. Diabetes Overview Class + Medication ReviewTuesday, Aug. 411:30 a.m. – 1 p.m.MountainView HospitalMark Howard/Lobby ClassroomBegin your diabetes educational journey at our overview class. Learn about diabetes and join us for a discussion about how disease management is essential to living a happy and healthy life. In addition, bring your questions and your medications for a review with our knowledgeable pharmacy staff. Lunch will be served.

Stroke Support GroupTuesday, Aug. 4, 2 - 3 p.m.FreeWe invite you to take advantage of the collective knowledge and experience that MountainView Stroke Support Group offers. Nutrition Heart ClassWednesday, Aug. 5, Noon - 1 p.m.MountainView HospitalMark Howard/Lobby ClassroomBring your own brown bag lunch and join us for a discussion about the role nutrition plays in a healthy heart, with MountainView’s registered dietitians.

July and August Birthday PartyWednesday, Aug. 5, 1:30 - 3 p.m.If you were born in July or August, you and a guest are invited to play bingo for prizes and enjoy coffee, cake, ice cream or fruit.

Movie Matinee: ‘McFarland USA’Thursday, Aug. 6, 1:30 – 3:45 p.m. BuncoMonday, Aug. 10 and 241:30 - 3 p.m. Wii™ GamesWednesdays Aug. 12 and 261:30 – 3 p.m. Lunch and Learn: ‘Free Workshop to Pre-Plan Funeral Arrangements’Thursday, Aug. 13, Noon – 1:30 p.m.Please Join Charles Cimino, Community Education and Marketing Specialist, from La Paloma Funeral Services for this informative and important workshop. Parkinson Caregivers Support GroupFriday, Aug. 1410 - 11 a.m.

Alzheimer’s Caregivers Support GroupTuesday, Aug. 1810 - 11 a.m.

AARP Smart Driver ClassTuesday, Aug. 18, 11:45 a.m. - 4 p.m.$15 for AARP members$20 for non-members

One-on-One Medicare CounselingWednesday, Aug. 19, 9:15 a.m. to 11:15 a.m.By appointment only.

Lunch and Learn: ‘Thinking FAST can be a Stroke of Genius’Wednesday, Aug. 19, Noon – 1:30 p.m.Topic: “Stroke signs, symptoms and stroke preventionGuest speaker: Tina Meredith, RN, Stroke Coordinator for MountainView Hospital MS In-Balance Exercise ClassThursday, Aug. 20 and 27, 10:30 - 11:30 a.m.Free for individuals with multiple sclerosis; $5 fee for all others. Diabetes and NutritionThursday, Aug 20, 1 – 2:30 p.m.MountainView Hospital1 South Conference RoomJoin us for a discussion about the role nutrition plays in diabetes management. Light refreshments will be served. O2 on the Go Support GroupFriday, Aug. 2110 a.m. – Noon Parkinson Support GroupTuesday, Aug. 251:30 - 3 p.m. BingoThursday, Aug. 27, 1:30 - 3 p.m.Prizes awarded for the winners. Light refreshments will be served.

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Does Crossing Your Legs Cause Varicose Veins? Crossing your legs probably doesn’t cause varicose veins, but other controllable factors can, such as obesity and standing for long periods. To help prevent varicose veins, exercise daily and watch your weight. Opt for shoes with arch support instead of high heels. And, at the end of the day, prop your legs up higher than your heart to help with blood circulation.

H2U Southern Hills Hospital

Jasmine SmithMarketing/Volunteer Coordinator(702) 880-2918

To make reservations call (702) 880-2700 or log onto southernhillshospital.com to register online two business days prior to event, unless otherwise noted.

Seminars are held in Southern Hills Hospital’s Education Room on the first floor across from the cafeteria, unless otherwise noted. Lunch and Learn with ABC Home HealthWednesday, Aug. 12, 11:30 a.m. - 1 p.m.Please join Debbie Armstrong, Community Liaison with ABC Home Health, to learn the ins and outs of advanced directives. Lunch provided by ABC Home Health. Pulmonary Hypertension Association (PHA) Support GroupSaturday, Aug. 8, 11 a.m. - 1 p.m.Knowledge, support, hope and empowerment are just a few of the things the PHA Support Group can offer. This free event is intended for pulmonary hypertension patients, caregivers and those involved in the PH community. Lunch will be provided. Call PHA Support Group Leader, Wendy Turpin at (702) 427-3835 to register. The Alzheimer’s Association Support GroupSaturday, Aug. 8 and 22, 1:30 - 2:30 p.m.Free and open to the publicThe Alzheimer’s Association Support Group provides a forum to share feelings, concerns, information, support and encouragement with others.

Lunch and Learn: What is Early Heart Attack Care (EHAC)?Tuesday, Aug. 25 11:30 a.m. - 1 p.m. Did you know that heart attacks have beginnings? Please join Care Assure Nurse Supervisor/Chest Pain Coordinator Nydia Pendlene to learn about the early signs and symptoms, and possibly prevent a heart attack. Lunch is provided free.

BuncoTuesday, Aug. 25, 2 - 3:30 p.m.Free with light refreshmentsJoin us for a fun-filled afternoon, play a fast-paced dice game with fellow H2U members. Easy to learn to play and a blast with your peers!

H2U Sunrise Hospital Tracy NethertonManager, Guest Services(702) 735-5510

To make reservations call (702) 233-5454 or log onto sunrisehospital.com to register online two business days prior to event.

Limited office hours on Thursdays and closed on Fridays. Please call ahead to (702) 735-5510.

H2U member meal coupons are available in the H2U office, located at 3131 LaCanada Street, Suite 107, or at the front desk of the Sunrise Hospital Main Lobby. All events are held at the H2U office unless otherwise indicated. Tai Chi ClassThursdays, Aug. 6, 13, 20, 27, 11 a.m. - NoonBreast Center Multipurpose Room$5 fee to attend this class.

One-on-One Medicare CounselingTuesday, Aug. 11, 10 a.m. - NoonJoin a Medicare State Health Insurance Assistance Program (SHIP) volunteer as they help you navigate through the Medicare process. By appointment only, every 20 minutes. Diabetes Education ‘Overview and Medication’ ClassTuesday, Aug. 11, 2 - 4 p.m.3121 S. Maryland Pkwy #600Educational class for adult patients recently diagnosed with diabetes. The “Overview & Medications” class is taught by a Nurse Educator. Spouse/guest/significant other may attend with diabetes patient. Class is taught only in English and intended for Adult patients.

AARP Smart Driver ClassWednesday, Aug. 12, Noon - 4:15 p.m.$15 for AARP members$20 for non-members Lunch and LearnDiabetes UpdateWednesday, Aug. 19, 11:30 a.m. - 1:30 p.m.Join Penny Harrow, Director of Nursing from ABC Home Health as she provides an informative talk on diabetes. Diabetes Education “Nutrition” ClassWednesday, Aug. 19, 2 - 4 p.m.3121 S. Maryland Pkwy #600Educational class for adult patients recently diagnosed with diabetes. The “Nutrition” class is taught by a Registered Dietitian/Medical Nutrition Specialist. Spouse/guest/significant other may attend with diabetes patient. Class is taught only in English and intended for Adult patients.

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H2U National Office P.O. Box 1300Nashville, TN 37202-1300

This newsletter is not intended to provide advice on personal medical matters, nor is it a substitute for consultation with a physician.

HEALTH TO YOU

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MONTHLY CHALLENGE:

Pay It Forward

Since peanuts have heart-health benefits, why not mix them into a savory chicken stir-fry?

Directions: Brush each chicken breast with 1 Tbsp. olive oil, then sprinkle with pepper and garlic powder. Place on baking sheet and bake in a 400-degree oven, uncovered, for 10 minutes. Flip chicken breasts, sprinkle more seasonings, and bake another 10 minutes.

Peanut sauce: While chicken is baking, whisk peanut butter, ¼ cup water, brown sugar, 1 Tbsp. of soy sauce and 1 Tbsp. vin-egar in a medium bowl until smooth; set sauce aside.

Heat 1 Tbsp. of oil in a large skillet over medium heat. Add broc-

coli and cook, stirring frequently, about 6 minutes. Add ¼ cup of water and 1 Tbsp. of soy sauce to the pan, along with garlic and bell pepper. Cook, stirring frequently, until the pepper has soft-ened and all liquid has evaporated. Remove from heat; stir in the reserved peanut sauce and season with crushed red pepper. Dice chicken breasts; mix in with broccoli and peanut sauce. Serve over brown rice and garnish with peanuts. Makes 4 servings.

Nutrition Info (per serving): Calories 505; Total Fat 31 g; Protein 42 g; Sodium 512 mg; Fiber 4 g; Sugars 9 g; Carbs 16 g n

Peanuts for the Heart

Spicy Peanut

Chicken Stir-Fry

Have you ever been wait-ing in the drive-thru line at Starbucks only to pull up to the window and learn the person in front of you paid for your coffee? How did it make you feel? What did you do next? Sometimes people do kind things and we can’t pay them back—so the next best thing is to pay it forward.

This month we challenge you to “pay it forward” by doing random acts of kindness—pick up the tab at a restaurant, mow the neighbor’s lawn, write a thank-you letter to someone who influenced you, compliment someone, yield even when you have the right of way, or send an anonymous bouquet. If recipi-ents want to pay you back, encourage them to pay it forward by doing a kind act for someone else.

Doing random acts of kindness doesn’t just give you warm, fuzzy feelings—these actions can have health benefits, as well. A study in the Proceedings of the National Academy of Sciences suggests doing good may improve the body’s ability to fight dis-ease. Other research suggests that those who regularly do acts of kindness experience less stress, chronic pain and insomnia. n

Peanuts—yes, peanuts—may offer similar heart-health benefits as nuts like walnuts, almonds and pecans, says a study in JAMA Internal Medicine. The researchers looked at the nut consumption of more than 200,000 adults, and found that those who regularly ate nuts, including peanuts, were less likely to die from heart disease.

Though peanuts aren’t real nuts—they’re legumes—they are rich in monounsaturated fat, the good fat that is plentiful in the heart-healthy Mediterranean diet. Another bonus: Peanuts are considerably cheaper than other nuts, making it easier to enjoy them as a snack or ingredient in salads and other dishes.

Peanuts do have a lot of calories, however, so keep your

portion size at about a quarter cup, and make sure they’re low

in sodium. n

Ingredients1 lb. boneless, skinless chicken breasts, halved1 tsp. garlic powder1 tsp. pepper1⁄3 cup creamy peanut butter½ cup water2 Tbsp. brown sugar2 Tbsp. reduced-sodium soy sauce, divided

1 Tbsp. rice vinegar2 Tbsp. extra-virgin olive oil1 ½ cups broccoli florets1 cup red bell pepper, cut into strips2 cloves garlic, minced½ tsp. crushed red pepper¼ cup unsalted, dry-roasted peanuts, chopped

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All About Health … All About YouJoin H2U today, and we’ll help you reach your health goals—and live life to the fullest! With H2U membership, you receive valuable resources you can use at home, at work or on the go, including these:

However, back pain doesn’t have to keep you from enjoying the things you love. Telespine’s online healthy back program by Dr. Mark Barnes can help ease common causes of back pain in just eight weeks, without the expense of doctors’ visits, therapy, prescriptions, injections or surgery.

When you sign up for the program, you’ll have a chance to take a healthy back assessment to ensure the program is right for you. Once you’re approved and complete your purchase, you can log in to a personalized portal for daily vid-eos of simple exercises, lifestyle tutorials and encouragement.

H2U members can purchase this online program for a discounted rate of $29.95 (regular price $39.95) on the Telespine website. When purchasing, choose your credit card option, and look for the Discount Coupon box where you’ll enter your H2U discount code. To locate the H2U code and link to the Telespine website, please log in to H2U.com and visit the Health and Wellness Discounts tab. n

H2U Benefit

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Give gift memberships to friends and loved ones; call (800) 771-0428.With the submission of my membership application, I understand that $8 of my annual membership fee contributes to the H2U Magazine subscription. Memberships are non-refundable and non-transferable, and privileges are subject to change without notice. Special rates for two-person households are available. Contact H2U at (800) 771-0428 for more information. For additional new member applications, please photocopy this form or download forms at H2U.com.

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Find Relief for Back PainDo you or a loved one ever experience low back pain? If so, you are not alone. According to the American Chiropractic Association, low back pain is the single leading cause of disability worldwide.

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HEALTH TO YOUM

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For more information on H2U programs, visit www.h2u.com or call (800) 771-0428.

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If given intravenously in the first three hours after the start of stroke symptoms, tPA has been shown to significantly reduce the effects of

stroke and lessen the chance of permanent disability. MountainView earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period.

These quality measures are designed to help hospital teams provide the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients.

MountainView is part of the Sunrise Health System and a network of Stroke Certified hospitals, including Sunrise Hospital and Southern Hills Hospital.

Why is it so important to go to a stroke certified hospital?

About 795,000 Americans each year suffer a new or recurrent stroke, according to the American Stroke Association. That means, on average, a stroke occurs every 40 seconds. Stroke kills more than 137,000 people a year. That’s about 1 of every 18 deaths. It’s the No. 4 cause of death. On average, every 4 minutes someone dies of stroke.

To learn the signs of stroke, visit mountainview-hospital.com/service/stroke-warning-signs. If you think you are having a stroke, call 911 immediately.

On Target: StrokeContinued from page 1

H2U Sunrise Healthwww.H2USunriseHealth.com

(702) 233-5300