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Looking forwardto caring for you.Clinic & Hospital
caringforyouSPRING 2014
www.granditasca.org
Find out more » pg. 4
Set up baby for a lifetime
of good health
Taking control of asthma Find out more » pg. 10
Cut your cancer riskFind out more » pg. 6
Foundation updateFind out more » pg. 3
WHAT’S NEW Grand Itasca Foundation announces new mission statement and guiding principles
HEALTHY LIVING Set up baby for a lifetime of good health
HEALTHY LIVING 4 easy ways to cut your cancer risk
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CONTENTS
COMMUNITY CALENDARCommunity workshops and support groups
HEALTHY LIVING Breathe easy: Taking control of asthma
www.granditasca.org2
Banana walnut oatmealThis heart-healthy recipe is high in fiber and low in cholesterol. A great way to start your day!
Number of servings: 4
Ingredients2/3 cups milk (nonfat, dry)1 pinch salt2 ¾ cups water2 cups oats (quick cooking)2 bananas (very ripe, mashed)2 tablespoons maple syrup2 tablespoons walnuts (chopped)Optional: Substitute 2 cups water or 2 cups skim milk for the reconstituted nonfat dry milk.
Directions1. In a small saucepan, combine
reconstituted nonfat dry milk, salt and additional water. Heat over medium heat until steaming hot, but not boiling.
2. Add oats and cook, stirring until creamy, 1 to 2 minutes.
3. Remove the pan from heat and stir in mashed banana and maple syrup. Divide between four bowls, garnish with walnuts and serve.
Per serving: 340 calories, 6g total fat, 0g saturated fat, 5mg cholesterol, 190mg sodium, 60g carbohydrates, 6g dietary fiber, 25g sugar, 14g protein, 10 percent vitamin A, 10 percent vitamin C, 30 percent calcium, 15 percent iron. Percent daily values are based on a 2,000 calorie diet.
Recipe courtesy of the U.S. Department of Agriculture, recipefinder.nal.usda.gov.
3SPRING 2014
WHAT’S NEW
Grand Itasca Foundation announces new mission statement and guiding principles
Chances are, if you’ve been a patient, friend or
loved one positively affected by the caring
staff and medical excellence at Grand Itasca
Clinic & Hospital, you may not know that state-of-
the-art equipment, resources and programs were
made possible by generous community donors.
“Philanthropy is vital to Grand Itasca’s ability to
provide the best care to every patient every day,” says
Foundation Director Kelly Kirwin. “With rising costs
and diminishing reimbursements, the community’s
support and belief in our mission has a direct impact
on the quality of care for patients and their families.”
Creating more believers is the reason the Foundation
and its board of directors released a new mission
statement and three guiding principles to serve as a
clear guide for the present and the future. The new
mission states: To build philanthropic partnerships to
support the mission of Grand Itasca Clinic & Hospital.
The new guiding principles state:
• Grand Itasca Foundation will help support the internal needs of Grand Itasca Clinic & Hospital.
• Grand Itasca Foundation will promote a healthy community by supporting wellness initiatives.
• Grand Itasca Foundation will raise community awareness about the impact and value of Grand
Itasca Clinic & Hospital.
“For us these are more than just words,” says Kirwin.
“They are powerful drivers that help our donors
understand what we do, what we’re focused on and
where we’re going.”
The new mission and guiding principles went in to
effect on January 1, 2014. Kirwin commends the board
for their support and effort on this initiative and
believes the result tells a stronger story — one that
embodies everyone.
Grand Itasca Foundation is a local non-profit
organization founded in 1986 with the sole purpose of
raising awareness and funds to better serve the health
care needs of the community. Thanks to donors who
believe in Grand Itasca’s lifesaving work, they’ve funded
digital mammography and cardiac rehab treadmill
equipment, heated infusion chairs for cancer patients
and wellness outreach programs for all ages.
“Personalized health care close to home — there’s
such a value to that,” says Kirwin. “Our new mission
and guiding principles will help us foster meaningful
relationships and support for this outstanding
community asset.”
If you’d like to support, enhance, expand and
improve the health and well-being of Grand Itasca
patients and their families through a cash gift, stock
or planned gift, visit www.granditasca.org or call
Kelly Kirwin at 218.999.1009.
www.granditasca.org4
HEALTHY LIVING caringforyou
9 smart things you can do for your baby
Set up baby for a lifetime of good health
How you treat your infant
now can affect his or her
health, safety and intel-
ligence throughout childhood and
beyond. Consider these recommen-
dations to:
1. Breastfeed. The Surgeon General
recommends that all babies be
breastfed exclusively for the
first six months. Breast milk
Dr. Keith Murphy joined Grand Itasca in September 2013 as a Pediatrician and Internist.
is the most complete form
of nourishment for babies, is
easier to digest than formula,
and may even help to increase
children’s IQs. Breastfeeding is
the best nutrition for baby, and
has been shown to be beneficial
for both mom and baby’s health.
“I emphasize that new moms
who want to breastfeed and
are having difficulty should
see a lactation nurse who can
help them work through any
problems,” says Keith Murphy,
MD, pediatrician and internist.
2. Go back to sleep. Since the
American Academy of Pediatrics
(AAP) began recommending
that all babies always sleep on
their backs to reduce the risk of
5SPRING 2014
HEALTHY LIVING
sudden infant death syndrome
(SIDS), the SIDS incidence has
dropped considerably.
3. Properly install the car seat.
Baby car safety is so important
that hospitals don’t release
newborns without car seats.
But research shows that many
people don’t install the seats
properly, which can lead to
death or serious injury during
an accident. See your local
police or fire station for free car
seat installation checks.
4. Fight germs. Infants don’t have
fully developed immune systems,
so they need to avoid people with
contagious illnesses. Demand
that anyone who touches your
baby washes his or her hands
first. “It’s especially important for
older siblings, who may pick up
germs outside the home,”
Dr. Murphy notes. This can help
stop the spread of disease.
5. Provide tummy time. Babies
need time on their stomachs to
strengthen muscles they’ll use to
roll over and crawl. Aim for three
to five minutes, a few times a
day. As your newborn gets older,
do it more often.
6. Vaccinate. Babies are vulnerable
to many diseases. Stay on
pace with the Centers for
Disease Control and Prevention
recommended schedule. Don’t
forget the flu shot: All children
ages 6 months and older need
one every year.
7. Read together. Introduce books
as early as possible. Babies love
the closeness, attention, and
sound of a parent’s voice, even
if they don’t understand the
words. Choose durable books so
your baby can’t rip them. Read
for only a few minutes at a time,
but lengthen reading sessions
as your baby grows. Point to
pictures and use silly voices to
make reading fun.
8. Childproof your home. “When
baby is getting ready to crawl,
invite friends or family with
toddlers over to play,” Dr.
Murphy suggests. “Keep a close
eye on the toddlers! They’ll find
all the things they shouldn’t get
into more quickly than adults
will.” An alternative is to crawl
around to see the home through
a child’s eyes. Remove dangerous
items from reach; and consider
installing safety latches on
cabinets, soft bumpers on table
corners, safety gates at stairways,
and child-proof covers on
electrical outlets.
9. Turn off the TV. Kids who
watch TV are more likely to be
overweight and sedentary. The
AAP recommends that children
younger than 2 watch no televi-
sion. Instead, have them play or
read to them.
We’re here for you
Keep your baby healthy with
regular well-child visits. To find
a physician, visit our website, www.granditasca.org.
How you treat your infant now can affect his or her health, safety and intel ligence throughout childhood and beyond.
www.granditasca.org6
caringforyouHEALTHY LIVING
4 easy ways to cut your cancer risk
It seems every time you pick up a newspaper,
thumb through a magazine, or flick on the
television, you see another nerve-wracking report
about a newly discovered cancer-causing substance
or behavior.
While many things can cause cancer, some risk
factors are far more powerful than others. Bonnie
McGuire, DNP, specializes in hematology/oncology
at Grand Itasca Clinic & Hospital. She offers these
lifestyle changes you can make that are most likely to
reduce your risk of getting cancer — without reducing
your life to one big list of forbidden activities.
1. Quit smoking. As everyone knows by now, smoking
causes cancer. It’s responsible for nine out of 10 cases
of lung cancer in men and eight out of 10 in women.
“But not everyone knows that smoking is linked
to many other cancers including pancreatic and
stomach cancers as well as cancer of the esophagus
and bladder.” Some 30 percent of cancer deaths are
attributed directly to smoking.
Kicking the habit is vital to reducing your cancer risks
which is why McGuire offers a variety of treatment
plans to patients. “It depends a lot on the person
which method is best,” says McGuire. “We refer them,
or make them aware of, their options including the
QUIT plan, talking to their primary doctor about
medications, or other alternative therapies such as
hypnosis.”
2. Watch your time in the sun. That tan, supposedly
“healthy glow,” could cause skin cancer down the line.
More than a million cases of skin cancer are diagnosed
annually and the sun is to blame for most of them.
Avoid excessive time in the sun, wear a hat, and use
sunscreen. “And not SPF 4 or 8, use at least an SPF
30,” says McGuire. “Also don’t forget that you need to
reapply sunscreen every hour or two.”
McGuire discourages the use of tanning lamps or
beds as a substitute for sun tanning because these,
too, expose the body to dangerous ultraviolet rays.
“Tanning beds put you at a 40 percent higher risk Bonnie McGuire, DNP, works alongside Dr. Anastas Provatas treating
oncology and hematology patients.
7SPRING 2014
for melanoma, a dangerous form of skin cancer, than
individuals who don’t use a tanning bed.” Instead, try
one of the many sunless tanning creams now available
at drugstores and cosmetics counters.
3. Eat more healthful fats and fewer unhealthful
ones. In contrast to previous recommendations to
consume no more than 30 percent of your calories
from fat, researchers now urge people to step up their
consumption of certain heart-healthy types of fats.
“We need fat, it is one of the building blocks of our
body’s cells,” says McGuire. “Healthy fats come from
foods such as nuts, seeds, avocados, and olive oil,”
Limit saturated fats such as those in full-fat dairy
products or red meat. Hydrogenated fats such as those
found in packaged cakes, cookies, crackers, and chips
should be avoided at all costs.
4. Drink only in moderation. Drinking a lot of alcohol
on a regular basis increases your risk of developing
liver cancer. Heavy drinking is especially risky where
cancer is concerned if you combine it with smoking
or chewing tobacco. “If you don’t drink alcohol,
don’t start,” says McGuire. “But if you do drink, I
recommend one drink per day for women and two
drinks per day for men as a safe amount.”
Grand Itasca received a grant from Allina Health and the George Family Foundation to screen, assess and improve the health of our community. We are working to partner with local employers and community groups to offer health screenings and wellness coaching to increase health awareness and identify risk factors for chronic disease.
As a wellness partner, Grand Itasca can provide:• Free biometric health screenings for all employees,
which includes: • Blood pressure • Glucose • Body Mass Index (height and weight calculation) • Lipid (cholesterol) panel• Free wellness coaching for participants to help
them understand their screening results and educate participants about health risks
• Access to an online health risk assessment to assess lifestyle choices and overall well-being.
Are you an employer or part of a community group interested in these free resources? If so, please contact Bri Solem, Wellness Coordinator, at 218.999.1018 or [email protected].
Your wellness partner
Free wellness resources available to employers and community groups
HEALTHY LIVING
Please see your primary care provider for a referral to Grand Itasca's Oncology specialists, Bonnie McGuire, NP or Anastas Provatas, MD.
www.granditasca.org8
Support GroupsCANCER SUPPORT GROUPThis is a time to share stories and
concerns about diagnosis and treat-
ment for those who are dealing with
cancer. For more information, call
218.326.3815 or 218.697.2357.
1st Monday of the month, 3:30–5:30 pmColony Square, 1850 SE 2nd Ave., Grand Rapids
CAREGIVER SUPPORT GROUPElderCircle’s Adult Day Service
hosts a support group for care-
givers of those with Alzheimer’s,
dementia, or other diseases. Call
218.326.9163 for more information
and to make arrangements for care
recipients during the meeting.
3rd Tuesday of the month, 1–2 pmManor House, 722 N. Pokegama Ave., Grand Rapids
CARDIAC SUPPORT GROUPMonthly speakers cover topics
related to cardiovascular condi-
tioning, diet and exercise, and
other areas of interest for persons
recovering from a heart attack,
bypass surgery, valve replacement
surgery, or cardiac ballooning. For
more information, call 218.999.1038.
3rd Monday of the month (September-May), 7 pmGrand Itasca, ARU 201
COMMUNITY CALENDAR
PARKINSON’S SUPPORT GROUP OF THE ITASCA AREAThe support group provides educa-
tion, networking, and support for
people diagnosed with Parkinson’s
disease, their spouse, and/or care-
givers. For more information, call
218.326.2766 or 218.328.5378.
2nd Wednesday of the month, 12–1:30 pm (lunch provided)Grand Rapids Area Library,140 NE 2nd St., Grand Rapids
PROSTATE EDUCATION AND SUPPORT GROUPLearn of treatment options and
lifestyle impacts of prostate cancer
from men who have been diagnosed
with the disease. Spouses and other
family members are welcome and
encouraged to attend. For more infor-
mation, call 218.999.9384.
2nd Tuesday of the month, 5:30 pm Grand Itasca, Grand Eatery (meal together) & ARU 202 (education and discussion following meal)
DIABETIC SUPPORT GROUPThis is an opportunity to meet
other members of our community
who have diabetes and share suc-
cesses and experiences regarding
diabetic care. For more information,
call 218.999.1934.
4th Thursday of the month, 6:30–7:30 pmGrand Itasca, Grand Oaks Conf Room
MENTAL ILLNESS SUPPORT GROUPNational Alliance on Mental Illness
(NAMI) offers family and friends
of people with mental illness an
opportunity to share concerns,
compare experiences, and learn
from each other. For more infor-
mation, call 218.326.8565.
3rd Tuesday of the month, 5–6:30 pmGrand Rapids Area Library, 140 NE 2nd St., Grand Rapids
MS SUPPORT GROUPThis group is open to those diag-
nosed with MS as well as family
members, caregivers, and friends
to offer support, awareness, and
education about the everyday
traumas, challenges, and hardships
for those afflicted with the chronic
disease. For more information,
please call 218.326.1371.
2nd Thursday of the month, 12:30 pmSt. Joseph’s Catholic Church, 315 SW 21st St., Grand Rapids
caringforyou
NEW JOINT CAMP Coming to Grand Itasca
in June 2014! Joint Camp is
designed for people suffering
with hip and knee pain
who are considering or are
scheduled for total joint
replacement. For questions or
to register, contact Brandi at
218.999.1174.
9SPRING 2014
Community EventsMARCH OF DIMES — MARCH FOR BABIES Join Grand Itasca’s team of walkers
and others from the community
for a day filled with passion for
improving the health of babies.
Join a team or start your own.
More information available at
www.marchofdimes.com.
April 12, 9:30 amCivic Center, Grand Rapids
CHILDREN’S FAIR The 16th Annual Children First!
Children’s Fair is for families and
caregivers to explore services and
businesses in the county all while
providing a fun environment for
children.
April 26, 9 am-1 pmCivic Center, Grand Rapids
MS WALKWalkers raise money and choose
a 1k, 2k, or 5k route. Participants
embrace the connection between
people living with Multiple Scle-
rosis and those who care for them.
More information available at
walkmnm.nationalmssociety.org.
May 4, 11 am-1 pmCivic Center, Grand Rapids
ClassesCHILDBIRTH PROCESS CLASSThe weekend class is designed to
help prepare parents for child-
birth, and includes a tour of the
labor, delivery, and nursery area of
the hospital. Cost is $45 for mom
and coach (fee includes all class
material and refreshments). Call
218.326.7344 to register.
April 5, June 7, August 2 9 am–4 pm, Grand Itasca, ARU 202
INFANT CARE/BREASTFEEDING CLASSThis class is designed to help
prepare you for some of the
changes that occur once your baby
enters the world. Breastfeeding
techniques and benefits will also
be covered. Class offered free of
charge. Call 218.326.7344 to register.
April 12, June 14, August 9 9 am–1 pm, Grand Itasca, ARU 202
To make an individual appointment with Grand Itasca’s Certified Lactation Consultant, Lisa Vekich, RN, IBCLC, please call 218.326.7344.
10 www.granditasca.org
caringforyou
Breathe easy: Taking control of asthma
Asthma is on the upswing in this country.
Currently, more than 25 million people have
asthma in the United States, according to the
National Institutes of Health. About 7 million of these
people are children. Among children, more boys tend
to have asthma than girls. When it comes to adults, the
condition affects men and women equally.
Is It asthma?“The symptoms of asthma include difficulty breathing,
tightness in the chest, coughing, and wheezing,” says
Ann Hauser, RRT, RPFT, supervisor of the Respiratory
Therapy Department at Grand Itasca Clinic & Hospital.
“Severe attacks may cause sweating, increased pulse
rate and extreme anxiety. If breathing is so labored
that the body can’t get enough oxygen, the face and
lips may turn blue.”
During an asthma attack,
breathing is obstructed by
three physical changes that
occur in the lungs, usually
as a reaction to an allergen
(a substance that can cause
an allergic reaction). “One is broncho-constriction, or
tightening of the muscles
in the airway, causing
inflammation (swelling)
of the lining of the air
passages in the lungs,”
says Hauser. “In addition, the cells lining the passages
produce more mucus than usual. Together, these
changes make it difficult to breathe.”
Allergens from dust, molds, pollen, and animal
dander can trigger an asthma attack. So can air
pollutants, such as cigarette smoke, exhaust fumes,
paint fumes, smog, and smoke from a wood fire.
Having a cold or a respiratory infection brings on
asthma attacks in some people. Exercise, changes in
weather, and certain foods can do the same. Some
people with asthma are sensitive to pain relievers,
including aspirin and ibuprofen, or to dusts or
chemicals they’re exposed to at work.
The best advice if you or a family member has asthma
is to stay away from what causes your attacks. Hauser,
also a certified asthma educator, suggests, “One way
to find out what’s causing asthma attacks is to keep a
journal. This is a record of the frequency and severity
of attacks, and of how often the attacks coincide with
exposure to a suspected allergen. If you are aware of
your triggers and know you are going to be exposed,
take your rescue inhaler 15-20 minutes prior to the
exposure to reduce symptoms. This is especially true
for exercise-induced asthma.”
hoW asthma Is treated
There are many drugs available to treat asthma. The
two most common types are anti-inflammatories
(used to reduce swelling in the lining of the air
Watch for these emergency symptoms• Extreme difficulty breathing
• Bluish cast to the face and lips
• Increased pulse rate
• Sweating
HEALTHY LIVING
SPRING 2014 11
HEALTHY LIVING
passages) and bronchodilators (used to relax the
muscles in the air passages). Although each of these
drugs can be used to both prevent and treat asthma
attacks, anti-inflammatories are most often used to
prevent attacks and bronchodilators to treat attacks
in progress.
A severe attack may require hospitalization. Once
admitted, patients may need to be connected
to a ventilator (a machine that does the work of
breathing) and given drugs designed to relax the
chest muscles.
The path to better breathing includes a combination
of lifestyle changes and compliance with a treatment
plan prescribed by a physician. “People who have
asthma should have a spirometry test (a breathing
test) done when first diagnosed, and periodically
afterward to ensure their medication regimen is
appropriate,” says Hauser.
to learn more
In addition to treating asthma and allergies, the
testing, treatment, and rehabilitation of other
respiratory conditions, including chronic obstructive
pulmonary disease (COPD), is available at Grand
Itasca. Hauser and the rest of the department staff
provide respiratory education. To learn more, call the
Respiratory Therapy Department at 218.999.1694.
If someone you’re with has an asthma
attack, you can help in the following ways:
1. Get the person’s prescribed asthma
drugs and inhaling equipment.
2. Note the time that the person takes
the first dose of any medication.
3. Help the person get comfortable.
Usually, the most comfortable position
during an asthma attack is sitting up,
leaning slightly forward and resting
the elbows or arms on the upper legs.
4. Remain calm to reduce the level of
anxiety for the person with asthma.
5. Call the person’s physician.
6. If the person exhibits emergency
symptoms, take him or her to the
nearest hospital emergency room
or call 9-1-1.
What to do for an acute attack
Grand Itasca’s Respiratory Care Team (left to right): Kristina Bloom, RRT; Lucas Landgren, RRT; Ann Hauser, RRT; and Shea Finke, RRT.
12 www.granditasca.org
Looking forwardto caring for you.Clinic & Hospital
1601 Golf Course RoadGrand Rapids, MN 55744
Grand Itasca Clinic & HospitalAppointment Line: 218.326.7344Main Line: 218.326.3401
Email: [email protected]: www.granditasca.org
Clinic Hours:Monday through Thursday 8 am-6 pmFriday 8 am-4:30 pm
Rapid Clinic Hours:Monday through Friday 2-8 pmSaturday and Sunday 12-6 pm
Emergency Room:Open 24 hours a day
Professional Building111 SE Third StreetGrand Rapids, MN 55744218.326.3401
Professional Building Hours:Monday through Thursday 7 am-6 pmFriday 8 am-5 pm
This publication does not constitute professional medical advice. Although it is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. Websites not belonging to this organization are provided for information only. No endorsement is implied. If you have a medical question, consult your medical professional. Images may be from one or more of these sources: ©Thinkstock, ©iStock, ©Fotolia, ©2014 Grand Itasca Clinic & Hospital.