&

and
A Special Health Edition Published By
HEALTH
WELLNESS
Your guide to enjoying life with a
healthy outlook
SPECIAL CARE AT
DOMAN ROSE
See page 2
EFFORT PROVIDES
OPPORTUNITIES
See page 7
MOBILE SCREENING
AIDS INITIATIVE
See page 4
C2 Health and Wellness Thursday, September 11, 2014
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Wellness challenge
under way, stress
management class
is later this month
by JUSTIN R. LESSMAN
Publisher
Employees of Jackson
County are focusing on
their health this month.
A 30-day wellness chal-
lenge designed to encour-
age the establishment of
healthy behaviors launched
Sept. 1 and
county em-
ployees will
take part in
one of two
stress man-
agement
sessions of-
fered later
this month.
Jackson
County Commi ssi oner
Rose Schultz said research
shows it requires about 30
days of consistent action
for the development of a
new habit. Accordingly,
the countys benefits com-
mittee developed a 30-
day wellness challenge for
county employees in hopes
exactly that might happen.
The thought was to en-
courage people to pick
something to promote a
more healthy lifestyle,
said Jan Fransen, county
coordinator. That could be
drinking more water, less
social media, more walking
any number of things.
We encourage people to do
this in September in hopes
of turning that healthy be-
havior into a habit.
Schultz said remind-
er emails are being sent
throughout the month, as
well as ones of encourage-
ment.
Later this month, county
employees will have the
opportunity to take part in
group stress management
sessions.
S o me e mp l o y e e s
are concerned about
stress, Fransen said.
The benefits commit-
tee thought these sessions
would be a good idea.
Fransen said a consul-
tant will travel to Jackson
County on two separate oc-
casions tentatively, Sept.
22 and Sept. 30 and work
with groups of employees
on how to recognize when
they are feeling stressed
and how to cope with it.
There will be special
sessions with supervi-
sors on how to recognize
when employees are overly
stressed, Fransen said.
Fransen said most if
not all of the cost of the
sessions will be covered
by grant dollars from the
Southwest/West Central
Service Cooperative.
County employees
focusing on health
Rose
Schultz
by MIKE JORDAN
Staff Writer
Health of the body,
mind and spirit for the
most senior of the com-
munity are the top con-
cerns at Doman-Rose
Place in Lakefield.
When a person is
considering a move
here to Doman-Rose
Place, they receive an
initial assessment as
to what that persons
needs are, said Pame-
la Kern, Doman-Rose
Place/Rosewood Vil-
las housing manager.
Our registered nurse,
Sharon Schlepp, and I
do that.
Once a person be-
comes a t enant at
Doman-Rose Pl ace,
he or she receives any
treatments needed, in-
cluding for skin and
wound care and clini-
cal monitoring of such
things as blood sugar,
blood pressure, tube
feedings, sodium lev-
els, lung sounds, water
intake and potassium
levels.
We also provide spe-
cial treatment such as
oxygen, wound care,
skin care, catheter care
and ostoemy care,
Kern said. We have
three nurses on staff
here and they can ad-
minister CPR, for ex-
ample, if a person were
having a heart attack;
but our staff calls 911
Special care taken, given at Doman-Rose Place
in emergencies.
Tenants at Doman-Rose
Place are evaluated for
mental health issues as
well.
Mental health is a huge
issue in our society, Kern
said. When a tenant ex-
emplifies mental health
issues, our nurses and staff
notify the doctor. Our goal
is not to overmedicate peo-
ple, but get them involved
in activities of daily living
that help them maintain
their mental health.
One of the things Doman-
Rose Place offers tenants is
the opportunity to have
their hair cut or styled in
the onsite beauty salon.
I think having a beauty
salon here helps our ten-
ants, both men and wom-
en, Kern said. It is a part
of the activities of home
and here as well. Having
their hair done, a tenant
gets a sense of control in
their lives, makes them feel
good about themselves and
adds to their personal pride
in the way they look. It af-
fects many people mentally
having their hair done and
being touched in the pro-
cess. It ends up making
them look and feel better.
Doman-Rose Place also
encourages tenants to be
socially active. Kern said
socialization sharing
information about them-
selves with respect to each
tenants personal boundar-
ies is very important to
the tenants.
We encourage posi-
tive conversation with and
among our tenants, she
said. Even though there
can be a lack of conversa-
tion at some tables at meal
time, during their coffee
time, they visit very well
with one another and with
our staff, too, which adds
to their self-esteem and
mental health.
Kern also noted nutrition
is particularly important
to the tenants at Doman-
Rose Place, as most of the
tenants are on a restricted
diet.
Menus are created by
a registered dietitian that
plans our meals and menus
for spring, summer and
one for both fall and win-
ter, she said. Our RN,
Sharon Schlepp, is quite
adamant about following
those menus. Most of our
tenants are on specific di-
etary restraints of one form
or another.
As activity is not only im-
portant to physical health,
but can aide in mental
health and help stave off
illness and, in some cases,
improve a persons infir-
mities, Doman-Rose Place
encourages activity as well.
We encourage our ten-
ants to continue doing what
they can for as long as they
can, Kern said. This is
assisted living, not a nurs-
ing home. Keeping minds
thinking and talking, ten-
ants reading and having
them do as much of their
activities of daily living as
they can contribute to their
health and sense of well-
being. Even eye contact is
important.
On the spiritual side of
health, Kern said, Spiritu-
ally, our people need their
religion and need the sup-
port of the people of the
church, especially pastors
and priests.
In conjunction with San-
ford Health and Compas-
sionate Care, Doman-Rose
Place has offered onsite
hospice services for the
past six years.
Both can be done here,
onsite, for hospice care
here, Kern said. Doctors
order it, interviewing the
person and their family, so
they can all ask questions
about it. We work with the
person on their journey
and, if the family wants to
keep them here, we do and
prefer that they stay with
us. We help care for their
needs.
Photo by Mike Jordan
Pamela Kern (center), housing manager for Doman-Rose Place, chats with tenants
Harvey Beuthiem (right) and David Nestegard as they get ready for a daily coffee
break.
Thursday, September 11, 2014 Health and Wellness Page C3
Comprehensive Health
Services For All Ages!
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Well Baby & Child Physicals
School/Sports Physicals
Immunizations/Flu Clinic
Well Adult Physicals and Chronic Disease
Management
Treatment of Infertility/Natural Family Planning
Please call 507-847-3571
for an appointment!
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www.sacredheartmercy.net
507-847-3571 803 Fourth Street Jackson, MN
8333
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From the left: Linda Miller, receptionist;
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Sat. 9 a.m.noon
(507) 847-3282
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908 Hwy. 71N
Jackson, MN
8321
Local hospitals and nurs-
ing homes are among the
180 across the state to
achieve staff flu vaccina-
tion rates of 70 percent or
greater.
At least 90 percent of staff
members at Sanford Jack-
son Medical Center in Jack-
son and Colonial Manor
Nursing Home in Lakefield
were vaccinated against in-
fluenza, with Sanford Jack-
son attaining a stellar 100
percent vaccination rate.
Sanford Worthington Medi-
cal Center in Worthing-
t o n a n d
Windom
Area Hos-
p i t a l i n
Windom
also hit the
90-percent
mark.
Reaching
that 90-per-
cent mark
earns the facilities presti-
gious blue-ribbon awards
through the Minnesota
Department of Healths
FluSafe program. In the
fourth year of the FluSafe
program, 213 health care
facilities participated dur-
ing the 2013-14 flu season.
Of the 180 facilities earn-
ing ribbons, 60 reached
vaccination levels of 90
percent or greater, earning
blue ribbons; 63 were in the
80- to 89-percent range,
earning red ribbons; and
57 reached 70 to 79 percent,
earning white ribbons. The
program this year awarded
more ribbons than ever
before.
Awarding more ribbons
means more protection
from flu for patients, resi-
dents and health care work-
ers in our hospitals and
nursing homes, said Kris-
ten Ehresmann, director of
infectious disease epidemi-
ology, prevention and con-
trol at MDH. Were still
striving for all facilities to
reach that blue-ribbon lev-
el of 90 percent coverage,
but were getting closer
every year.
The U.S. Department
of Health and Human
Services has set a goal of
vaccinating 90 percent of
health care personnel in its
Healthy People 2020 objec-
tives. Since the beginning
of the FluSafe program
in 2010-11, the number
of facilities achieving 90
percent coverage rates or
higher has more than dou-
bled, from 27 in 2010-2011
to 60 in 2013-2014. For the
2013-14 season, 28 percent
of facilities reached the
Healthy People 2020 goal,
which was an increase from
26 percent in the 2012-13
season.
Ehresmann said unvac-
cinated health care work-
ers pose a greater risk of
passing highly contagious
influenza to vulnerable pa-
tients, without even know-
ing it. The FluSafe program
aims to get all health care
personnel, except those
with medical exemptions,
at hospitals and nursing
homes in Minnesota vac-
Local hospitals and nursing homes
recognized for fu vaccination rates
Kristen
Ehresmann
FluSafe statewide
2013-2014 results
Source: Minnesota Department of Health
60 Blue-Ribbon Winners
34 hospitals
26 nursing homes
63 Red-Ribbon Winners
35 hospitals
28 nursing homes
57 White-Ribbon Winners
31 hospitals
26 nursing homes
Sanford Jackson Medical
Center is among 180 hos-
pitals and nursing homes
from around the state rec-
ognized by the Minnesota
Department of Health for
achieving high influenza
vaccination rates among the
facilitys employees during
the 2013-14
fu season.
More than
70 Sanf or d
J a c k s o n
M e d i c a l
Center em-
ployees, rep-
r e s e n t i n g
100 percent
of staff, re-
ceived influenza vaccina-
tions during the past season
of the Minnesota FluSafe
program. The facility received
a certifcate of achievement
f rom Mi nnesota Heal th
Commi s s i oner Edwar d
Ehlinger for its eforts.
The FluSafe program aims
to get 100 percent of all
health care personnel at
hospitals and nursing homes
in Minnesota, except those
with medical exemptions,
vaccinated against infuenza
each season. According to
state health
officials, un-
vacci nat ed
heal th care
workers can
pass hi ghl y
cont agi ous
i n f l u e n z a
to thei r pa-
tients, many
of whom are
at high risk for complications
from infuenza.
Our patients health is
our top priority, said Mary
Ruyter, CEO of Sanford
Jackson Medi cal Center.
Participating in the FluSafe
program helps us increase
employee influenza vacci-
nation rates and prevent fu
from spreading to our pa-
tients. We also want all of our
employees to be as healthy
as possible during fu season.
Kristen Ehresmann, direc-
tor of the Infectious Disease
Epidemiology Prevention
and Control Division at
MDH, praised the eforts of
Sanford Jackson employees.
Sanford Jackson Medical
Centers eforts to vaccinate
their employees against
flu highlights their ded-
ication to keeping their
staf and patients healthy,
Ehresmann said. Facilities
participating in FluSafe
whether they receive a rib-
bon or not are key part-
ners in preventing the spread
of influenza by increasing
health care worker vaccina-
tion.
Sanford Jackson Medical Center hits
perfect 100-percent vaccination mark
Edward
Ehlinger
Mary
Ruyter
cinated against influenza
each season. National rates
of influenza vaccination of
health care workers are es-
timated at 72 percent.
Ehresmann said she was
pleased with the increased
number of ribbons awarded
by the FluSafe program this
past year and hopes that
more facilities will take
advantage of the program
to keep that number climb-
ing next year.
There are approximate-
ly 375 nursing homes in the
state, where so many of our
most vulnerable residents
live, so were working with
our partners to get more
facilities to take action and
participate, she said.
There are around 145
hospitals in the state, of
which 100 participated last
season.
Under the FluSafe pro-
gram, health care facilities
receive guidance and ac-
cess to tools and promotion-
al materials from MDH and
the U.S. Centers for Dis-
ease Control and Preven-
tion to help them increase
their rates. The facilities
record and document their
vaccination rates through
the states electronic im-
munization information
system, the Minnesota Im-
munization Information
Connection.
The program benefits
facilities by showing their
commitment to patient
safety, said Denise Dunn,
immunization education
and partnerships supervi-
sor. The participating hos-
pitals and nursing homes
are actively fighting in-
fluenza by encouraging
employees to get vacci-
nated. Annual vaccina-
tion keeps workers and
their families healthier
too.
Vaccines protect people
from serious and some-
times deadly diseases. Yet
most adults in the United
States are not fully vac-
cinated.
Several vaccines are
recommended for adults
based on age, health con-
ditions, job and other fac-
tors.
Here are three reasons
now is the time to get up-
to-date on vaccinations:
1. There are disease out-
breaks in the United States
and around the world.
Measles, which has been
rare in the United States
for years, is back. Between
January and June, there
were 539 cases of measles
in the United States
the highest number in
nearly 20 years. Measles
has been imported from
more than 19 countries
around the world. There
have also been outbreaks
of whooping cough across
the country, with cases
reported in every state,
and an epidemic level in
California in June. Both
are contagious diseases.
2. Flu season will be
here soon. The Centers for
Disease Control and Pre-
vention recommends ev-
eryone 6 months and older
get an annual flu vaccine.
Flu can be serious, even
for healthy adults.
3. Its back-to-school
time. Enough said.
Tree reasons
for vaccination
C4 Health and Wellness Thursday, September 11, 2014
From mothers to grandfathers to co-workers and best friends,
weve all been touched by cancer. While the faces of cancer
change, Sanford Cancer Center remains the face of cancer care.
We have brought together a team of experts to deliver care close
to home. Our multi-disciplinary team works with you to develop an
individualized care plan to fit your needs throughout your entire cancer
journey. Implementing the latest techniques and innovative research,
we guide you from your first treatment to survivorship and beyond.
Choose expert care. Choose Sanford.
Call (507) 343-6100 to learn more,
or visit sanfordhealthcancercenter.org
sanfordhealthcancercenter.org
These are the faces of hope
THE FACES OF
CANCER CARE
646-12400-0477 6/14
8331
One in three women and one in two men will be diagnosed with cancer at
some point in their lifetime. It touches mothers, grandfathers, co-workers
and best friends. Theirs are the faces of cancer. And at Sanford Health
Cancer Center in Worthington, we are the face of cancer care.
Our team provides screenings, surgery, radiation therapy, chemotherapy
and survivorship programming. We not only deliver outstanding care but
also offer support, compassion and hope to every patient. We are with you
every step of the way, developing a personalized plan to take you from your
first treatment to survivorship and beyond.
Choose expert care. Choose Sanford.
Call (507) 343-6100 to learn more, or visit
sanfordhealthcancercenter.org
The face of expertise
THE FACES OF
CANCER CARE
646-12400-0482 6/14
Liangping Weng, MD
8337
Liangping Weng, MD provides outreach services close to home at Sanford
Jackson.
At Sanford Health, we believe quality care should be
delivered close to home. Sanford Health specialists provide
health and healing where its convenient to you. Where
you feel at home.
Common Procedures:
Gall bladder
Hernia
Mastectomy
Lumpectomy
Colonoscopy
Upper endoscopy
Appendectomy
Appointments can be scheduled with Dr. Escobar at Sanford
Jackson and Worthington. Talk with your local physician or
call (507) 372-3800 for more information.
sanfordhealth.org
Fernando Escobar, MD
Surgery
6
4
6
-1
2
4
0
0
-0
2
3
2

4
/1
2
8338
Sanford Jackson
hoping for more
regular scheduling
by JUSTIN R. LESSMAN
Publisher
Sanford Health brought
its massive mobile heart,
lung and vascular screen-
ing center to Jackson last
week, a key component of
Sanford Jackson Medical
Centers plan to accom-
plish its goal of proactively
promoting health and well-
ness.
The goal is to try to
promote and maintain
health, rather than simply
take care of people when
they are sick, said Mary
Ruyter, Sanford Jackson
CEO. These screenings
are key to accomplishing
that goal.
The goal is part of the
push to address what
Ruyter terms population
health. Rather than reac-
tively focus on individuals
Mobile screening key to local population health initiative
as they come through the
door of the clinic, Ruyter
said, Sanford Health seeks
to get ahead of potential
problems and address
them before they surface.
Its really all about pop-
ulation health, but popu-
lation health at a local
level, she said. What do
we, as the sole hospital in
the county, need to do to
move forward in promoting
health and wellness?
The screenings, Ruyter
said, are a good start.
The heart screen
The heart screen uses
advanced tools and diag-
nostics to uncover critical
details about the health
of the heart. The screen
consists of computed to-
mography calcium scoring,
electrocardiogram testing,
cholesterol testing, blood
pressure testing, Body
Mass Indexing and Fram-
ingham scoring.
CT calcium scoring ana-
lyzes the amount of plaque
on the coronary arteries.
The higher the score on
the CT calcium testing, the
more plaque in the arteries
of the heart, which increas-
es the chances of having a
heart attack.
The EKG test records
electrical impulses as they
travel through the heart.
Patterns in heartbeats and
rhythms may show various
heart conditions.
The cholesterol test mea-
sures total cholesterol,
high-density lipoproteins
cholesterol and the TC/
HDL ratio. Abnormal re-
sults indicate a higher risk
of heart disease and stroke.
The blood pressure test
measures the pressure of
the blood against the walls
of the arteries. Elevated
See SCREENING on C3
Photos by Justin Lessman
Appointment slots for heart and vascular screens on-
board Sanford Healths mobile screening center were
full last week in Jackson, leading local Sanford officials
to hope for increased regularity of visits.
Thursday, September 11, 2014 Health and Wellness Page C5
ONLY AT SANFORD
TO SIGN UP FOR MY SANFORD CHART
THERE IS NO COST TO YOU
AND REGISTERING IS QUICK AND SIMPLE
SIGN UP TODAY AT MYSANFORDCHART.ORG
ACCESS YOUR HEALTH INFORMATION ONLINE 1
SCHEDULE APPOINTMENTS ONLINE 2
ACCESS TEST RESULTS 3
REQUEST PRESCRIPTION RENEWALS 4
MESSAGE YOUR CARE TEAM 5
636-12400-0278 5/13
8340

Call (507) 847-2200 or (507) 662-6611
for an appointment.
sanfordjackson.org
Healthy families start here
636-12400-0327 9/14
Sanford Jackson and Lakefield Clinics
Healthy families start here
8339
You and your family have access to expert care right in your
community at Sanford Jackson and Lakeeld Clinics. Our
family medicine providers are your health partner for life,
from prenatal care to geriatrics.
Well see your children for well-child visits or vaccinations,
and also handle your adult physicals. Our local providers are
proud to serve our friends and neighbors.
CLAYTON R. LEWIS, D.C.
507-847-4390 800-404-4390
Left to right: Vicki Smith, Dr. Clayton Lewis,
and Paula Earhart
Call for an appointment today!
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8329
blood pressure increases
the risk of heart disease
and stroke.
The BMI compares a per-
sons height and weight to
establish a healthy weight,
while a Framingham score
estimates the risk of devel-
oping heart disease within
the next 10 years.
The heart screen may be
recommended by a physi-
cian if patients have risk
factors for coronary ar-
tery disease but no clinical
symptoms yet. Physicians
most often suggest this
procedure for anyone 40
years of age or older and
for women who are post-
menopausal.
Some patients choose
to have the test on their
own, even if their doctors
have not recommended
it, in order to discover if
early-stage CAD is pres-
ent or reassure themselves
they probably do not have
advanced CAD. Major risk
factors for CAD, other than
age, include abnormally
high blood cholesterol lev-
els, a family history of
heart disease, diabetes,
high blood pressure, ciga-
rette smoking, being over-
weight or obese and being
physically inactive.
The heart screen is rec-
ommended every 10 years.
The lung screen
Much like the heart
screen, the lung screen em-
ploys the use of low-dose
CT technology to uncover
any potential concerns
and find lung cancer when
treatments will work best.
Screening for lung can-
cer with low-dose CT has
proven to reduce the risk
of lung cancer death by 20
percent.
Those eligible for lung
screening are adults ages
50 to 74 who are current
smokers or former smok-
ers who have quit within
the past 15 years.
Each screening result is
reviewed by a multidisci-
plinary team of experts. A
health provider will man-
age any necessary follow-
up care for patients who
require further testing and
consultative services with
Sanfords lung specialist
team is available for pa-
tients and their physicians.
The vascular screen
The vascular screen uses
advanced tools and diag-
nostics to uncover critical
details about the health
of the vascular system.
The screen is for those
age 40 and over, though
Type I diabetics should get
screened at age 30 or older.
Screenings include a
stroke/carotid artery ul-
trasound, abdominal aortic
aneurysm ultrasound and
ankle/brachial indexing.
The vascular screen is
recommended every three
to five years.
Increasing regularity
Last weeks visit to Jack-
son was the latest local stop
for the mobile heart, lung
and vascular screening
center. Appointment slots
for the heart and vascular
screens were full, Ruyter
said. With a response like
that, it is not unthinkable
the mobile screening cen-
ter could be scheduled in
Jackson on a more regu-
lar basis perhaps even
quarterly.
The hope is to get this
here on a more regular
basis, Ruyter said. If we
would get it here quarterly,
I believe our physicians
could fill the schedule. Its
really an excellent and im-
portant tool.
SCREENING: Key to local health initiative
Continued from C2
Photos by Justin Lessman
Low-dose computed tomography technology is em-
ployed for both heart and lung screens onboard Sanford
Healths massive mobile screening center. Lung screens
are done via ultrasound.
C6 Health and Wellness Thursday, September 11, 2014
Dr. Matt Wasmund
Chiropractor
507-847-3285
www.jacksonchiropracticpa.com
Located at
612 Second St.
Jackson, MN
4239
Chiropractic Care
for all Ages
Sports Injuries
To schedule an
appointment call
Pharmaceutical Grade
Nutrition Products
Stabilizing Orthotics
J.P. Beardsley,
D.D.S. P.A.
213 Third Ave. N.
Lakeeld, MN 56150
507-662-5358
4215
Lewis Drug
326 Main St.
Lakeeld, MN
(507) 662-5817
STORE HOURS:
Mon.Fri. 8 a.m.
5:30 p.m.
Sat. 8 a.m.noon
PHARMACY HOURS:
Mon.Fri. 8:30
a.m.5:30 p.m.
Closed Saturday
8322
It was a regular Wednes-
day, but it wasnt off to a
great start. Brock woke up
at 3 a.m. for a snack and,
when I went to get him,
I had a pounding head-
ache and a dizzy feeling. I
knew I hadnt been sleep-
ing enough and hoped a
couple more hours in bed
would help.
It didnt, but I went to
work anyway. By that time,
I also had the chills, pro-
found fatigue, nausea and
a weird pain in my chest
when I breathed. An In-
ternet search was not com-
forting I had a bunch of
symptoms associated with
heart attacks in women.
At 27 and having just
spent a consi derabl e
amount of time being
checked over during preg-
nancy, I didnt think I was
having a heart attack. Then
again, Im sure a lot of peo-
ple who have heart attacks
think to themselves they
are not, in fact, having one.
I didnt want to get to
the hospital and suffer the
embarrassment of finding
out I had the flu. So I went
to an interview I already
had scheduled and even
thought I felt a little better.
If I were having a heart
attack, I rationalized, Id
already be passed out on
the floor. Wouldnt I? More
Internet searching ensued,
but surprisingly I didnt
discover a succinct answer
to how long it takes to have
a heart attack.
At lunch, I was feeling
worse. As I drove to feed
Brock and struggled to
focus, my hands started
going numb. Instead of
turning in at his daycare,
I went to the hospital and
said, Im going to feel re-
ally foolish if Im not, but I
think I might be having a
heart attack.
The good news is I was
not having a heart attack.
The electrocardiogram,
chest X-ray and comput-
erized tomography scan
all came back clear. I did
feel foolish. The bad news
is I was having an anxiety
attack.
I should have seen it
coming. After Brock was
born, I dealt with postpar-
tum depression and was
on anti-depressants. Id re-
cently stopped being strict
about taking them. For
anyone whos taken medi-
cations for mental health,
this is a huge no-no.
Id also turned my whole
world upside down by re-
turning to work and taking
Brock to daycare. There
was never enough time for
anything, and I made it to
the end of the day only to
find one or five more little
things that needed to be
done before I could go to
bed.
In the weeks prior, Id
suddenly get this feeling
like my blood was racing in
my veins; I figured it was
my daily half-cup of coffee
and quit drinking it. Turns
out it was my body warning
me to cool it. I was trying to
carry on with life as it had
been before, but life wasnt
like that anymore.
Fortunately, everyone at
the hospital was extremely
understanding and kind.
Even though I felt like a
hypochondriac (I men-
tioned to them I found the
heart attack symptoms on
the Internet. Now Im that
person.), they assured me
it was better to be safe than
sorry.
I havent told many peo-
ple about my anxiety attack
or postpartum depression.
Talking about it conflicts
with the person I want
to be, how I want others
to perceive me level-
headed, joyful, competent.
It can also be a real conver-
sation killer. People, me in-
cluded, dont always have a
response to something that
seems so weighty and inti-
mate. And no one wants to
be looked at with that mix-
ture of terror and pity that
often accompanies mental
health revelations.
But when I do have a
chance to talk about it,
theres a sense of relief.
Something youre not al-
lowed to discuss for
real or imagined reasons
feels much worse than
it is. If you can bring it up
in conversation, its not so
scary.
This is a threefold pub-
lic service announcement.
First, know the signs of a
heart attack. Heart disease
is the No. 1 killer of women;
about one woman dies ev-
ery minute from it, accord-
ing to the American Heart
Association. Symptoms of
a heart attack can include
shortness of breath, back
pain, jaw pain, nausea and
flu-like symptoms.
If you arent feeling
normal or are experienc-
ing any of the symptoms
above, head to your local
emergency room. It is bet-
ter to take care of yourself
and prevent damage to
your heart, in the event you
are having a heart attack,
states the AHA website.
Second, take care of your
mental health. I received
the following from my reg-
ular doctor at a follow-up
visit after my anxiety at-
tack: In todays world,
there is often too much to
do in too little time. It may
seem hard to make time for
yourself. But try to spend
just a few minutes each
day doing something you
enjoy. This can improve
the quality of your life and
your mental outlook.
Enjoying yourself sounds
extraneous compared to
making sure everyone in
the house has clean un-
derwear, but its not. The
alternative could be spend-
ing an afternoon in the
hospital.
Finally, talk about mental
health. If someone brings
up depression and anxi-
ety in conversation and it
makes you nervous, think
about what you might say
if they had brought up a
kidney stone instead: ask
questions, show your con-
cern and offer support.
Easier than it sounds, but
practice makes perfect.
What might have been a heart attack turned out to be something else
MISS COMMUNICATIONS
Marie Zimmerman
Virtual attendance
option is available
The Minnesota Psycho-
logical Association will
host the sixth annual Rural
Behavioral Health Practice
Conference focusing on the
integration of behavioral
and medical health care on
Oct. 24 at the University of
Minnesota-Morris.
Participants can also at-
tend by individual webcast
and at group webcast sites
at Bemidji, Grand Rapids,
Mankato, Marshall, Min-
neapolis, Rochester and
St. Cloud.
Conference hours are 8
a.m. to 4:30 p.m.
Up to seven continuing
education hours are avail-
able, and practitioners
in all behavioral health
professions, as well as
advocacy and consumer
specialists, are invited. The
conference will provide
a knowledge base at the
intermediate to advanced
level for implementing
rural integrated services.
The research basis for
integrated care is convinc-
ing, and it is even more
critical in rural areas, with
their relative shortages
of health and behavioral
health providers, accord-
ing to MPAs website.
The keynote speaker will
be Gina Lasky, a nationally
known expert on imple-
menting integrated health
care. She will speak about
Integrating Primary Care
and Behavioral Health in
Rural Settings.
Other speakers include
Craig Sawchuk of the Mayo
Clinic, who will present on
The Integrated Behav-
ioral Treatment of Anxiety
Disorders in Primary Care:
Extension to Rural Prac-
tice; Kristen Roessler and
Casie LaMunyon, a rural
Colorado pediatrician and
counselor, who will present
on Lessons from the Front
Lines of Rural Pediatric In-
tegrated Care; and Joseph
E. Troiani, who will pres-
ent on The Challenge of
Treating Individuals with
both Mental Illness and
Substance Use Disorders
in Integrated Rural Set-
tings.
Registration and more
information is available at
mnpsych.org/3786-2.
Annual Rural Behavioral
Health Practice Conference
focuses on integrated care
in rural practice situations
If you go . . .
What: Rural Behavioral
Health Practice
Conference
When: Friday, Oct. 24, 8
a.m. to 4:30 p.m.
Where: University of
Minnesota-Morris
No one questions that
fruit is an essential part
of the diet. But more
than 70 percent of Amer-
icans do not eat the rec-
ommended amount of
fruit.
One hundred percent
juice is a convenient
way to get the important
fruit nutrients every-
body needs.
Juice doesnt just taste
good, it also fulfills an
essential part of the dai-
ly diet. Nutritionist and
registered dietitian Di-
ane Welland of the Juice
Products Association
provides information
on whats so good about
juice:
How does juice fit
into a healthy diet?
Because the majority
of Americans arent eat-
ing the recommended
daily amount of whole
fruit, theyre missing
out on many important
nutrients. Fruit juice
is an easy way to make
sure a body is getting
key nutrients like potas-
sium, vitamin C, folate,
magnesium, riboflavin
and niacin. Some 100
percent juices are also
fortified with vitamin D
and calcium.
How much fruit
juice should a person
drink each day?
Recommended serv-
ing sizes vary with a per-
sons age. The American
Academy of Pediatrics
recommends 4 to 6 ounc-
es of 100 percent fruit
juice for children ages
1 to 6 and 8 to 12 ounces
for those ages 7 to 18.
Tips to get the recommended amount of fruit in your daily diet
Submitted photo
Fruit juice is an easy way to make sure a body is getting
key nutrients like potassium, vitamin C, folate, magne-
sium, riboflavin and niacin.
As an alternative to whole
fruit, the U.S. Department
of Agricultures Dietary
Guidelines for Americans
consider one-half cup of
100 percent fruit juice to
be equal to one half cup of
whole fruit.
Does fruit juice contain
sugar?
There is no added sugar
in 100 percent fruit juice;
it contains only the natural
sugars found in whole fruit.
Does drinking juice
contribute to weight gain?
Fruit juice is definitely
part of a healthy eating
plan. New scientific stud-
ies show juice drinkers
have better quality di-
ets than those who do not
drink juice. Other studies
indicate that children and
adolescents can drink juice
in appropriate amounts
without gaining weight.
I recommend that par-
ents follow the guidelines
HEALTH AND WELLNESS September 11, 2014
Orange Cranberry Oatmeal
Ingredients:
2 cups orange juice
1 cup water
1/4 teaspoon salt
1/8 teaspoon ground cinnamon
2 cups oatmeal (quick or old-fashioned, uncooked)
1/2 cup dried cranberries
1/4 cup chopped toasted walnuts
1 cup low-fat or fat-free vanilla yogurt (optional)
Additional dried cranberries (optional)
Directions:
In medium saucepan, bring orange juice, water, salt and cinnamon to a gentle
boil. Stir in oats and cranberries. Return to a boil; reduce heat to medium. Cook
one minute for quick oats, five minutes for old-fashioned oats or until most of
liquid is absorbed, stirring occasionally. Let stand until desired consistency. Spoon
oatmeal into four cereal bowls. Top each serving with one tablespoon walnuts
and, if desired, a quarter-cup yogurt and additional cranberries.
of the American Academy
of Pediatrics when it comes
to serving sizes, Welland
said.
Welland suggests add-
ing fruit and fruit juice
into a diet in subtle ways
like incorporating juice
into traditional recipes.
Fruit juice can add new
flavors to any recipe from
snacks like ice pops to sa-
vory dinners. This Orange
Cranberry Oatmeal Recipe
showcases how easy it can
be to incorporate juice into
family favorites.
Thursday, September 11, 2014 Health and Wellness Page C7
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Sheets, Towels and LIVES changed daily!
Make a diference in the lives of adults with autism
Jenny Rowe Glass, VP of Development
8354
by MIKE JORDAN
Staff Writer
Two area natives are
working to improve the
lives of those with autism.
Back in 2008, Windom
native Kathryn Fuller Nor-
dberg was searching for
options that would provide
her son, Erik, a moderately
functioning young adult on
the autism spectrum, the
kind of life he deserves
active and full of possibil-
ity and purpose.
Her search came up
empty, said Jackson na-
tive Jenn Rowe Glass, mar-
keting and fundraising
officer at Eriks Ranch
and Retreats, the organi-
zation Nordberg founded
in response. She quickly
found that there were few
good options for moder-
ate- to high-functioning
adults with autism, includ-
ing those with Asperger
syndrome. So, Kathryn and
a team of psychologists,
attorneys, architects and
marketing and business
professionals created this
innovative model for young
adults with autism.
Eriks Ranch and Re-
treats provides safe and
unequaled living, work-
ing, social and recreational
environments for young
adults with autism using its
guiding principles of life-
long learning, individual
community building and
bidirectional integration.
Our model offers a self-
sustaining living and work-
ing residence for adults
with autism that includes
guest accommodations de-
signed to attract visitors
from all over the world,
Glass said. What sets Er-
iks Ranch and Retreats
apart is that these destina-
tions are run by the indi-
viduals who live there, in
desirable locations, and
mentored by life coaches.
Our members live, learn,
work and excel, using their
personal abilities to help
us operate two locations
for visiting guests: Eriks
Retreat in urban Edina,
Minn., and Eriks Ranch
near scenic Bozeman,
Mont.
Eriks Ranch and Re-
treats offers work oppor-
tunities that allow adults
with autism to use their
strengths as they interact
with the broader com-
munity, strengthen their
communication and social
interactions skills and en-
able them to live as inde-
pendently as possible. No
other program for young
adults with autism in the
United States combines
independent living with
meaningful employment
opportunities, Glass said.
Eriks Ranch and Re-
treats recognizes how to
engage the talents and
skills of young adults with
autism to create careers
in the hospitality industry
that are personally re-
warding, Glass said. Our
members work with us to
run our guest accommo-
dations at Eriks Retreat
and lead tours for Eriks
Minnesota Adventures, our
tour guide company.
As an example, one team
member is a young man
who is a talented artist, so
he serves as artist-in-res-
idence and leads tours of
local museums and private
collections.
Erik himself loves hors-
es, Glass said, so he leads a
horseback-riding tour that
teaches all level of riders
the fine points of saddling
and leading, riding and
trotting.
We offer gratifying on-
site jobs for members re-
lated to serving guests
who stay at the retreat
such as artist/musician-
in-residence, building and
grounds maintenance,
equestrian groomer, event
planner, historian, horti-
culturist/gardener, per-
sonal concierge, recreation
coordinator, chef/sous chef
and tour guide, Glass said.
Members run the guest
accommodations in Edina
and are tour guides for Er-
iks Minnesota Adventures.
Members who choose to
become tour guides lead
visitors and guests on out-
ings related to sports, the
arts, history and more.
Activities may be as di-
verse as taking guests to
Canterbury Park for a be-
hind-the-scenes visit to the
racetrack or gaining access
to a private art collection,
Glass noted.
Our goal is to build
skills and continued inde-
pendence, while helping
members to learn to the
best of their ability, Glass
said. We have taken the
old paradigm of group
homes and institutions
and created a model that
offers independent living
and meaningful job oppor-
tunities where adults with
autism can develop and
grow. We have partnered
with the University of Min-
nesota Research Institute
to evaluate the efficacy of
our program and these re-
searchers say society can
change the group home and
institutional models if we
change our systems.
Glass said Eriks Ranch
and Retreats is helping
to change the way people
perceive people with au-
tism by focusing on their
abilities instead of their
autism. The organization
is putting them in posi-
tions where they are suc-
cessful because they are
using their talents and
abilities instead of pushing
them into jobs that do not
Area natives working to provide opportunities to autistic
fully utilize their skills.
Eriks Ranch and Re-
treats is funded by pri-
vate donations from in-
dividuals, corporations
and foundations. Revenue
from guest accommoda-
tions at the locations in
Edina and Paradise Valley,
Mont., provide salaries for
members and helps the
organization create more
independent living and
meaningful job opportuni-
ties for young adults with
autism.
Eriks Retreat, located
in Edina, currently offers
independent living and
meaningful career oppor-
tunities for young adults
with autism, while Eriks
Ranch in Montana current-
ly offers vacation accom-
modations for travelers
and provides respite op-
portunities for families af-
fected by autism.
Once we have raised the
funds needed to build our
Montana location, it will
also provide independent
living and meaningful jobs
for up to 42 young adults
with autism, Glass said.
Adults with autism who
wish to explore indepen-
dent living and career op-
portunities can apply for
membership. A member-
ship at Eriks Ranch and
Retreats opens the door
to helping create a mean-
ingful life. A membership
offers more than just a
roof overhead; it offers a
life of possibility. Eriks
Ranch and Retreats is a liv-
ing and working environ-
ment where we take into
account the individuals
strengths and abilities. We
help members use their
abilities and talents, as well
as expand and explore new
skills and opportunities.
What sets us apart is that
these destinations are run
by the individuals who live
there. Our members live,
learn, work and excel, us-
ing their personal abilities
to help us operate Eriks
Ranch and Retreats.
To date, Eriks Ranch
and Retreats has matched
12 young adults with au-
tism to jobs that make full
use of their talents and
abilities.
Our program is de-
signed to help young adults
with autism live a life full
of possibility, Glass said,
adding it can help young
adults with autism live a
safe, independent and ful-
filling life.
Nordberg is a graduate
of Windom High School,
where she was active in
music, dance, drama and
sports.
Glass is a Jackson High
School graduat e. She
launched her career as a
professional communica-
tor as a student broad-
Submitted photo
Kathryn Fuller Nordberg and Jenn Rowe Glass, in front of Eriks Retreat building in Edina, are working to im-
prove the lives of those with autism.
caster at KKOJ radio in
Jackson and a writer and
editor of the Jay Jargon,
published weekly in the
Jackson County Pilot.
C8 Health and Wellness Thursday, September 11, 2014
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4
2
2
3