All posts by Angelo Antoline

Brighten the Holidays for a Hospitalized Loved One

If you have a friend or family member in the hospital during the holidays, there are numerous ways to help brighten his or her spirits and spread some holiday cheer (with pre-approval from the hospital staff, of course):

  1. Help relieve the patient’s stress. If your family member is concerned or worried about tasks that he or she usually performs around the holidays, offer to help. Purchase presents or address holiday cards for the individual (you may even be able to shop online or work on cards together at the hospital).
  2. Decorate the patient’s room with a small tree, menorah, festive blanket, New Year’s hats, or even some drawings from children in your family.
  3. Bring the holidays to the hospital. If your loved one is receiving cards and presents at home, bring them to share. If you’re giving a holiday present, consider something that may be of use in the hospital, like a book or warm socks.
  4. If allowed, bring your loved one special treats or meals that he or she associates with the holidays. In addition, hospital cafeterias often provide special holiday meals that are offered to patients and visitors.
  5. Bring holiday DVDs or music to watch and listen to together in the room.

Most importantly, remember that your loved one is in the hospital to heal, so don’t overwhelm him or her. Typically, you’ll want to keep your visiting time short to allow plenty of time for rest and sleep, which is critical to recovery.

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Tis the Season…for Colds & the Flu

It’s that time of year again. Cold and flu season.

A common cold and the flu are similar because they’re both respiratory illnesses. Even though they’re caused by different viruses, they share many of the same symptoms. This makes it hard to know for sure which you may have unless you visit your doctor.

Symptoms for both illnesses can include a cough, sore throat, runny or stuffy nose, fever, muscle or body aches, headaches and fatigue. However, flu symptoms tend to be worse than cold symptoms, and people with colds are more likely to have runny or stuffy noses.

A cold usually doesn’t result in serious health problems, but the flu can. While most folks can recover from the flu in less than a couple weeks, it can lead to respiratory complications like bronchitis, pneumonia, and bacterial infections. In the worst cases, these complications can lead to hospitalization.

While anyone can get severely sick from the flu, groups at higher risk for complications include adults older than 65, young children, pregnant women, people with chronic medical conditions, or individuals with compromised immune systems.

So how can you prevent these illnesses? Some suggestions include:

  • Stay away from anyone who is sick, and stay away from others when you’re sick.
  • Wash your hands thoroughly and often throughout the day with hot water and soap. Use an alcohol-based sanitizer if hand-washing isn’t possible.
  • Don’t share utensils, cups, toothbrushes, towels or any other personal items.
  • Keep your hands away from your nose, eyes, and mouth.
  • Cough or sneeze into a tissue or the inside of your elbow.
  • Limit what you touch when in public, such as stairway rails. Wash your hands soon after touching.
  • Get plenty of sleep, eat right, and exercise regularly.
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10 Tips for Family Caregivers

Caring, giving, sharing.

For most people, the holidays bring out the best in us when it comes to going the extra mile. But for those who are family caregivers, this is a description of everyday life.

Whether you became a caregiver suddenly (grandma had a stroke), or gradually (aging parents), taking care of a loved one in addition to having a career, family, and children can be a challenge. So, how can a caregiver do it all?

Below are 10 tips for family caregivers provided by the Caregiver Action Network:

  1. Seek support from other caregivers. You are not alone.
  2. Take care of your own health so that you can be strong enough to take care of your loved one.
  3. Accept offers of help and suggest specific things people can do to help you.
  4. Learn how to communicate effectively with doctors.
  5. Take respite breaks often. Caregiving is hard work.
  6. Watch out for signs of depression. Don’t delay in getting professional help when you need it.
  7. Be open to new technologies that can help you care for your loved one.
  8. Organize medical information so it’s up-to-date and easy to find.
  9. Make sure legal documents are in order.
  10. Give yourself credit for doing the best you can in one of the toughest jobs there is!
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Diabetes, Diet & Exercise

For many, a healthy diet and regular exercise are self-prescribed ways to feel better. But for people with diabetes, diet and exercise are key to managing the disorder.

If you have diabetes, be sure to speak to your doctor about developing a healthcare plan that balances what you eat with regular physical activity.
When reviewing your diet, consider creating meal plans that include foods that are rich in vitamins, minerals, antioxidants, and fiber, such as:

  • Beans
  • Dark Green Leafy Vegetables
  • Citrus Fruit Nuts
  • Sweet Potatoes
  • Fish High in Omega-3 Fatty Acids
  • Tomatoes
  • Nuts
  • Whole Grains
  • Milk and Yogurt
  • Berries

When it comes to adding exercise to your plan, a combination of both aerobic exercise and resistance training can have the most positive effect on glucose levels. Aerobic exercises help your body use insulin better, while resistance (or strength) training makes your body more sensitive to insulin and can lower blood glucose.

Examples of aerobic exercises include brisk walking, dancing, biking or hiking – anything that helps get your heart rate up. Strength training exercises can be done by lifting weights, using resistance bands, or using your own body weight to do squats, push-ups, or lunges.

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3 Stretches for a Good Morning

Can’t quite wake up in the morning?

A few good stretches can help you relieve muscle tension, increase circulation, and even help release endorphins (those hormones that make you feel good).
“Wake up” your muscles and add a little energy to your mornings with these three stretches below*:

  1. Knees to Chest
    This stretch lengthens tight lower back muscles and can decrease back pain. Begin by lying on your back with your knees bent and both feet flat on the floor or bed. Brings your hands to rest either behind the knees or right below the knee caps. Slowly bring both knees toward your     chest using both hands to gently pull the knees inward. Hold 20-30 seconds, return to start position.
  2. Upward Stretch
    Lace your fingers together and raise your hands above your head, palms facing upward. Elongate your spine and feel the stretch in your ribcage and arms. Hold for a count of 10.
  3. Neck and Shoulder Stretch
    To stretch the muscles on the right side of your neck, turn your left ear over to your left shoulder and hold for 20 seconds. Repeat on the other side to stretch out your left side. Relax for a moment and then roll your shoulders to the back, and then to the front. Then lift them up to your ears, tensing the muscles, and allow them to drop completely.

As a reminder, always check with your doctor first to make sure these exercises are safe for you.

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Treating Chronic Pain with Physical Therapy

We’ve probably all experienced the nuisance of minor pain. You get a sinus headache, you reach for a decongestant. A backache? Ibuprofen may do the trick.

But for people with chronic pain (it lasts longer than 6 months), the answer may not be as simple. That’s where physical therapy can help.

Physical therapy can help treat not only the pain, but the underlying cause of it as well. Physical therapy can help decrease pain, increase mobility, and improve overall mood.

There are a number of ways that a physical therapist can help a person manage pain depending upon individual abilities, including:

  • Low-impact aerobics
  • Massage
  • Stretching
  • Use of modalities like ultrasound and electrical stimulation
  • Strengthening exercises
  • Movement therapy

Therapeutic treatments are designed to help a person increase muscle strength, endurance, joint stability, and flexibility. In addition, it can help reduce inflammation, stiffness, and soreness. It encourages the body to heal itself by boosting the production of the body’s natural pain-relieving chemicals.

Now, that seems like a smart move!

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Weekend Warriors – Battle Potential Injuries

Are you a weekend warrior?

Check “yes” if you’re someone who’s physically inactive most of the week, and then approaches exercise on the weekend with the rigor of an elite athlete.

If this is your plan of action when it comes to exercise, you may want to rethink it. Weekend warriors have a higher risk of being injured – both because of overdoing it in a short amount of time and because of poor conditioning.

Reduce your chance of hurting yourself with the following:

  • Realize that exercise doesn’t have to be “all or nothing.” Look for ways to sneak extra movement into your day.
  • Increase activity gradually. The American Heart Association recommends 30 minutes of exercise a day, 5 days a week. Break this into smaller goals for yourself so you can attain it. If three 10-minute sessions are easier for you to accomplish, then do it.
  • The “best” time of day to exercise is whatever time works for you.
  • Start at a lower intensity, and warm up before beginning an activity.
  • With any sport or exercise, always learn and use proper techniques and follow safety guidelines.
  • Put your workouts into your calendar as appointments. Be sure to keep them.
  • Wear comfortable shoes every day that you can move about easily in no matter where you are or what you’re doing…and then move!
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Hospitals and Disasters

Are hospitals prepared for disasters?

The short answer is…yes.

All hospitals are required by laws, regulations, or accreditation requirements to plan for disasters.

Hospitals prepare for both internal and external disasters. Internal disasters are events that occur inside the hospital building like a fire, flood, or power outage and have potential to affect services.

An external disaster is one like Hurricane Harvey or Irma that occurs outside the hospital. This includes severe weather conditions, chemical incidents, or large-scale community accidents. In these situations, the disaster can affect the operations of the hospital or cause an influx of patients to a hospital, depending on the situation and type of hospital.

Every disaster is different. Hospitals prepare for a variety of situations through ongoing planning and practice. This helps everyone understand what to do and how to do it to ensure patients’ safety and well-being.

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Recognizing a Concussion

With fall around the corner, participation in football and other cooler-weather sports and activities will grow – along with the potential for concussions.

A concussion is a brain injury that’s caused by a blow or jolt to the head or body. Concussion symptoms can occur immediately or days/weeks later. Signs of a concussion can include:

  • Headache
  • Nausea
  • Dizziness
  • Blurred vision
  • Concentration or memory issues
  • Change in sleep habits
  • Feeling sluggish/”foggy”
  • Light sensitivity

Early treatment of the symptoms of a concussion may help speed recovery and prevent further injury down the road. If an incident occurs and you suspect a concussion, ask the person immediately and then again a few minutes later:

  • What day is it?
  • What month is it?
  • Repeat these words: Girl, dog, green (ask to repeat again a few minutes later)
  • Repeat the days of the week backward

If the individual appears confused and is unable to answer these questions, it could be a concussion.
End all activity and consult a physician immediately.

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Improving Multiple Sclerosis Symptoms through Rehabilitation

If you live with multiple sclerosis, rehabilitation can play an essential role in helping you function at your best.

From diagnosis on, rehabilitation specialists such as physical, occupational, and speech therapists can help with symptoms of the condition. These usually include muscle control and weakness – affecting the way you walk, move or talk.
Therapies that can help improve these issues include:

  • Physical Therapy – Physical therapists can evaluate and address how your body moves and functions. Therapists can help you with walking, mobility, strength, balance, posture, pain, fatigue, and bladder issues, helping to prevent unnecessary complications.
  • Occupational Therapy – Occupational therapists can help you with everyday activities to increase your independence, productivity, and safety. They can help you modify tasks, use adaptive equipment, and recommend strategies in the home and work place.
  • Speech Therapy – Speech-language pathologists can evaluate and treat any issues you may be having with speaking or swallowing. Some may also help with cognitive issues, which can affect your ability to think, reason, concentrate or remember.
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10 Early Symptoms of Parkinson’s Disease

Michael J. Fox was a 29-year-old actor who woke up one morning and noticed his little finger shaking. What he thought was a side effect of a hangover actually was an early symptom of Parkinson’s disease.

Parkinson’s disease is a chronic and progressive movement disorder that has no known cause. Nearly a million people in the United States live with the disease.

Some symptoms of the disease are easy to see, while others are hard even for a trained healthcare professional to detect.
The National Parkinson Foundation offers these 10 early warning signs of Parkinson’s disease:

  1. Tremor or shaking of a body part
  2. Small handwriting – your handwriting changes to become smaller
  3. Loss of smell
  4. Trouble sleeping
  5. Trouble moving or walking
  6. Constipation
  7. Soft or low voice – your voice changes to be softer
  8. Masked or serious look on your face even when you’re not in a bad mood
  9. Dizziness or fainting
  10. Stooping or hunching over

No one symptom necessarily means that you have the disease; the symptom may be caused by another condition. However, if you feel you are experiencing symptoms, don’t hesitate to visit your physician.

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Rehabilitative Care – It’s Not All the Same

When looking for rehabilitative care, you may have heard of inpatient rehabilitation hospitals, assisted living centers, skilled nursing facilities, and nursing homes. While these may seem like equal choices for care, they’re not.

Each of the facilities mentioned above has rehabilitation professionals on staff, but only one – the rehabilitation hospital – specializes in rehabilitation, offering 24-hour rehabilitative nursing care, along with daily physician management and intensive rehabilitation therapies.

So, why is this important?

Simply put, when it comes to your health, you want the best option provided.

A national study commissioned by the ARA Research Institute shows that patients treated in inpatient rehabilitation hospitals have better long-term results than those treated in skilled nursing facilities.
The study shows that patients:

  • Live longer
  • Have less hospital and ER visits
  • Remain longer in their homes without additional outpatient services

In addition, patients in the study:

  • Returned home from their initial stay two weeks earlier
  • Remained home two weeks longer

So the bottom line is, as a patient, you get to choose where you want to go. Don’t ever hesitate to research, observe and ask questions about a facility to be sure you receive the level of rehabilitative care that you want and need.

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Lower Your Stroke Risks this Summer

Summer is a great time for a lot of things – barbecues, outdoor activities, vacations…but what you may not think about when it comes to summer is using all it has to offer to lower your stroke risks.

Strokes – or brain attacks – are the leading cause of adult disabilities in the United States, and can happen to anyone at any time. According to the National Stroke Association, nearly 800,000 people experience strokes every year.

One of the biggest myths regarding strokes is that they can’t be avoided. But in reality, nearly 80 percent of all strokes can be prevented by controlling lifestyle risk factors, or habits that we engage in that can be changed to improve our health.

Summer provides easy-to-find opportunities to lower stroke risks, such as:

  • Buy and eat fresh produce. Visit your local farmer’s market or grocery store to find in-season, fresh fruits and vegetables. Eat them in their natural states.
  • Eat less salt. Eat fresh vegetables versus canned items, and your salt intake will decrease.
  • Visit the beach. Eat more seafood (at the beach or not) instead of red meat.
  • Enjoy the outdoors. Get active outside during the warmer and longer days.
  • Put the cigarettes down. Summer usually is less stressful. Use it to your advantage to try to break the habit.
  • Shoot for your healthy weight. Healthy eating and activities may help you reach a healthy weight (if you’re not already at it).
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After a Stroke — Finding the Right Words

It’s common to struggle at times to find the right word during a conversation. But for an individual who has had a stroke, finding the right word may be much more difficult.

Aphasia can be a side effect of a stroke, which can affect a person’s ability to communicate by impairing the ability to speak, read, listen or write. When a person with aphasia has word-finding difficulty, it’s called anomia.

Anomia makes it difficult to find the words or ideas that a person wants to share. Sometimes the word may come, and sometimes it won’t.

When this happens in a conversation, the person who is speaking to the stroke survivor may want to jump in quickly to supply the word. But in reality, that can be more of a hindrance than a help. It would be more beneficial to help the person find the word they are looking for rather than supplying it.

So, how can you best communicate with someone under these circumstances? Here are a few suggestions:

  • Allow plenty of time for a response. Talk with the individual, not for him or her.
  • Ask “yes” or “no” questions that can be answered simply and without a lot of explanation.
  • Use photographs or pictures to help provide cues.
  • Write your cues – such as a letter or a drawing – on a piece of paper to share.
  • Confirm and repeat back what the person has said. Use paraphrases or key words to be sure that you’re understanding properly.
  • Use gestures as you ask questions.
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Act FAST and Save a Life

FAST is an easy way to identify the most common symptoms of stroke:

F – Face drooping. Ask the person to smile. Note if one side of the face is drooping.
A – Arm weakness. Ask the person to raise both arms to the side. See if one drifts downward.
S – Speech difficulty. Ask the person to repeat a simple phrase. Listen if the speech is slurred or strange.
T – Time to call 911. If you observe any of these signs, call for help immediately.

Take note of the time of the first symptom so you can tell medical personnel because this can affect treatment decisions. Rapid access to medical treatment can make a difference between full recovery and permanent disability.

Other symptoms of a stroke also may include sudden onset of:

  • Confusion, trouble speaking or understanding what someone is saying
  • Numbness or weakness of face, arm or leg – especially on one side of the body
  • Trouble seeing out of one or both eyes
  • Severe headache with no known cause
  • Trouble walking, dizziness, loss of balance or coordination

Even if you’re unsure if someone is having a stroke, don’t delay in calling 911 to get the person medical help immediately.

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Don’t Have a Stroke

Dick Clark. Sharon Stone. Rick James.

When you think of these celebrities, you probably think of their talents. What you probably don’t realize is that each suffered a stroke.

Strokes – or brain attacks – can happen to anyone at any time. Strokes are the leading cause of adult disability in the United States, and the fifth leading cause of death.

According to the National Stroke Association, about 800,000 people suffer from strokes every year. What’s notable, however, is that nearly 80 percent of strokes can be avoided.

Certain traits, conditions and habits can raise an individual’s risk of having a stroke. Many of these lifestyle risk factors can be controlled and may actually help prevent a stroke from occurring.

That’s good news, right? So, how do we lessen our chances of having a stroke?

We can start by controlling these lifestyle risk factors:
• High blood pressure
• Smoking
• Diabetes
• Poor diet
• High blood cholesterol
• Physical inactivity
• Obesity
• Heart diseases
• Alcohol consumption

If you think you can improve any of these lifestyle risk factors, do it.
The changes you make now may affect what happens – or better yet, what doesn’t happen – later.

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Groundbreaking for the Rehabilitation Hospital of Northwest Ohio

Ernest Health, Inc., and The University of Toledo announce the groundbreaking for the Rehabilitation Hospital of Northwest Ohio. The hospital will be constructed and operated by Ernest Health and located on the Health Science campus of The University of Toledo.

The new hospital, which will be known as the Rehabilitation Hospital of Northwest Ohio, will provide intensive physical rehabilitation services to patients recovering from strokes, brain and spinal cord injuries, and other impairments as a result of injuries or illness.

As an affiliate of The University of Toledo, the hospital will provide training opportunities for resident physicians of the university through a physical medicine and rehabilitation residency program and for students through clinical rotations for physical, occupational, speech therapy as well as nursing.

“We are excited to work with The University of Toledo and establish our first physical medicine and rehabilitation educational program. It’s been rewarding to collaborate with the university’s leadership to meet this community need.” said Angie Anderson, senior vice president of development for Ernest Health.
Ernest Health currently operates 23 post-acute care hospitals, including 15 rehabilitation hospitals that have consistently been recognized as being in the top 10 percent of inpatient rehabilitation hospitals nationwide for care that is patient-centered, effective, efficient and timely. The national ranking is provided by the Uniform Data System for Medical Rehabilitation (UDSMR), a not-for-profit corporation that was developed with support from the National Institute on Disability and Rehabilitation Research, a component of the U.S Department of Education.

“We have been supported and warmly welcomed by the University of Toledo and other healthcare and community leaders,” says Darby Brockette, CEO of Ernest Health. “We consider it a privilege to be able to serve the area and look forward to becoming an active member of the community.”

As part of the agreement between the two organizations, the Rehabilitation Hospital of Northwest Ohio will absorb operations of inpatient rehabilitative services currently offered through the medical center. There will be no interruption of services, and current staff can retain employment with the university or apply for positions at the new hospital. Officials estimate approximately 120 jobs will be created.

“This collaboration is an important step forward,” says Dr. Cooper, senior vice president for clinical affairs and dean of the College of Medicine and Life Sciences, “and signifies the value we can create for our community when we bring together the University’s assets with forward-thinking, well run community partners.”

Ernest Health will break ground on the 49,000-square foot facility at 10 a.m., May 12 during a ceremony on the site located at 1445 West Medical Loop. The public is invited to attend.

“I am pleased to welcome Ernest Health and the Rehabilitation Hospital of Northwest Ohio to Toledo. Our community will only be strengthened by the care and support given to Toledo residents by this hospital. Welcome to Toledo and thank you for enhancing our community,” said Mayor Paula Hicks-Hudson.

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