tag:blogger.com,1999:blog-90090969936898837962024-03-12T15:03:38.764-07:00Pathways - Caring for Life BlogPathways is a local nonprofit home healthcare agency that provides home health and hospice care, private duty home care, grief support services, and community education to San Francisco Bay Area patients and families. We are proud to have helped our neighbors on life's journey since 1977. Anonymoushttp://www.blogger.com/profile/16629594938937094477noreply@blogger.comBlogger109125tag:blogger.com,1999:blog-9009096993689883796.post-61409534313761986972015-09-15T16:12:00.000-07:002015-09-15T16:12:26.824-07:00Outsmarting the Flu<!--[if !mso]>
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flu?</span></b></div>
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Influenza, or “the flu,” is a respiratory illness caused by
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muscle aches, headache, and respiratory symptoms such as cough, sore throat and
other “cold” symptoms.</div>
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Most people recover in 1-2 weeks, but for the elderly or
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The flu virus can spread easily in communal residential
settings like long-term care facilities where people live close together.</div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
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<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial (W1)","sans-serif"; font-size: 12.0pt; mso-bidi-font-family: Arial; mso-hansi-font-family: "Arial \(W1\)"; text-transform: uppercase;">How is IT
spread?</span></b> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial (W1)","sans-serif"; font-size: 12.0pt; mso-bidi-font-family: Arial; mso-hansi-font-family: "Arial \(W1\)"; text-transform: uppercase;"></span></b></div>
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<b style="mso-bidi-font-weight: normal;">Droplets</b> of
respiratory secretions may spread when an infected person coughs, sneezes or
talks.<span style="mso-spacerun: yes;"> </span>Droplets are expelled and are
deposited in the nose and/or throat of susceptible people in a range of 3 feet.
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<div class="MsoNormal">
Droplet spread can be stopped if the infected person wears a
mask, covers their mouth or maintains distance from others.<span style="mso-spacerun: yes;"> </span>Airborne transmission occurs when the
infected person coughs and a very fine spray is expelled into the air.<span style="mso-spacerun: yes;"> </span>This spray is fine enough to be inhaled by
others.</div>
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<br />
<b style="mso-bidi-font-weight: normal;">Direct spread</b> occurs
person to person, such as when shaking hands.<span style="mso-spacerun: yes;">
</span><b style="mso-bidi-font-weight: normal;">Indirect spread</b> happens when
a susceptible person touches an object like a handle after an infected person
has touched it.<span style="mso-spacerun: yes;"> </span>After the virus is on
the susceptible person’s hand, touching his nose introduces the virus to the
respiratory tract.</div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt;">PREVENTING FLU</span></b></div>
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The single most effective thing you can do to prevent the
flu is to wash your hands often.<span style="mso-spacerun: yes;"> </span>Use a
pump soap (wet bar soaps harbor viruses and bacteria), warm water, and a clean
towel.<span style="mso-spacerun: yes;"> </span>An alternative to washing hands is
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Vaccination is the best way to reduce likelihood of getting
the flu.<span style="mso-spacerun: yes;"> </span>Older people and those with
chronic diseases should be vaccinated in the fall, beginning in October.<span style="mso-spacerun: yes;"> </span></div>
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Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
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<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt;">RECOMMENDATIONS:</span></b><span style="font-size: 12.0pt;"></span></div>
<ul>
<li>Keep tissues easily accessible and dispose of
them immediately after use.</li>
<li>Ask family and friends to refrain from visiting
if they are ill, coughing or sneezing.</li>
<li>Ask people with a cough to stay at least 3 feet
from others.<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"></span></span></li>
<li><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span>Cover coughs and sneezes; do not cover with
hands unless they can be washed immediately. Sneeze into the crook of the arm
if necessary.</li>
<li>Sanitize hands frequently; make alcohol gel
readily available to family and guests.<span style="mso-spacerun: yes;"></span> </li>
<li>Dry hands with paper towels and consider using
disposable plates and utensils.</li>
<li>Keep countertops, light switches, refrigerator
handles, phones, remote controls, door knobs and other frequently used surfaces
clean at all times<span style="mso-spacerun: yes;"></span>.</li>
<li>Wear gloves if hand contact with respiratory
secretions is possible.</li>
<li>Caregivers should wear clothing that can be
placed in the laundry immediately if clothing is likely to be coughed or
sneezed on.</li>
<li>Be considerate of others by avoiding shopping
and other activities where you could spread the flu to others.</li>
<li>Isolate the person with flu.<span style="mso-spacerun: yes;"> </span>They should not leave home or have visitors
and should have their own room.<span style="mso-spacerun: yes;"></span> </li>
<li>If in a room or car with someone else, the
person with flu should wear a mask.
</li>
</ul>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt;">TREATMENT</span></b></div>
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Consult a doctor if respiratory symptoms develop. He or she can
make recommendations and may prescribe medication if needed.<span style="mso-spacerun: yes;"> </span>It is essential that infected people drink
plenty of fluids to prevent dehydration and to keep secretions thin.</div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
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<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>Anonymoushttp://www.blogger.com/profile/16629594938937094477noreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-76940314917456044712015-07-21T09:15:00.000-07:002015-07-21T09:33:36.735-07:00Older Minds, Larger Databases?<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUZopgXlcLOrRh9XhR_l4nNKYgoyG5_VJC2fhXKU3YE05h4ukFcN_15la7bQb_N_LzEjnBdvNeQxNp4yGA8ADonUA2Q4WzxUiY-sbuOyqUZ0UqMr4xd3Szs1pzodx4CgY-oE3HBWQ1m2Y8/s1600/database.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="155" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUZopgXlcLOrRh9XhR_l4nNKYgoyG5_VJC2fhXKU3YE05h4ukFcN_15la7bQb_N_LzEjnBdvNeQxNp4yGA8ADonUA2Q4WzxUiY-sbuOyqUZ0UqMr4xd3Szs1pzodx4CgY-oE3HBWQ1m2Y8/s200/database.jpg" width="200" /></a>If you or your loved one ever had a “senior moment”, take heart. A recent experiment lends credibility to the idea that seniors may be slower because their minds are fuller—just what seniors have been saying to young whippersnappers all along.<br />
<br />
Linguistic researchers at the University of Tübingen in Germany applied advanced learning models to search mammoth databases of words and phrases—data mining, based on theories of information processing to simulate retrieving words. <br />
<br />
In general, educated seniors have larger vocabularies than younger people simply by virtue and having lived longer. The experiment simulated an older brain retrieving words from a much larger vocabulary than that of a 22-year-old. When researchers, led by Michael Ramscar, built that difference into the model, aging “deficits” disappeared for the most part.<br />
<br />
“What shocked me, to be honest, is that for the first half of the time we were doing this project, I totally bought into the idea of age-related cognitive decline in healthy adults,” the lead author Ramscar wrote in an email to the New York Times. Ramscar’s work did not include human subjects, but he says he will plans studies with people in the future.<br />
<br />
The researchers concluded that neural processing speed, like other reflexes, likely slows over time, but that the new report adds to a growing body of work demonstrating that age-related decline may not be as steep as previously thought.Anonymoushttp://www.blogger.com/profile/16629594938937094477noreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-49540392187339523882015-07-02T16:49:00.000-07:002015-07-02T16:49:41.252-07:00Higher Dementia Risk in Very Thin<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNaGw9SRq0MvFly-BN8fjk77aOjOvaTjWh5AKr-o3SYyffWLk9ndJu7vyrnUo783sihs0i5dyh1Yyt4Wa8aNJr-oxtkVPZbz9TsWQMjuSv2-NJNXj_kXSA39bz4KDYKfxMuQbD2SCQVO8T/s1600/elderly-lady.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNaGw9SRq0MvFly-BN8fjk77aOjOvaTjWh5AKr-o3SYyffWLk9ndJu7vyrnUo783sihs0i5dyh1Yyt4Wa8aNJr-oxtkVPZbz9TsWQMjuSv2-NJNXj_kXSA39bz4KDYKfxMuQbD2SCQVO8T/s200/elderly-lady.jpg" width="200" /></a></div>
People who are thin in middle age have the highest likelihood of dementia in later life, according to a large scale study done in Great Britain. Thin was defined as a body mass index (BMI) of less than 20. Someone who is 5”4” and 117 pounds would have a BMI of 20.<br />
<br />
The study looked back at health records of nearly 2 million people and found that the risk of later dementia consistently fell as the weights increased—and very obese people had the lowest risk. During the span of the study 45,000 people were diagnosed with dementia (people with previous dementia were excluded). The study was published April 10, 2015, in <i>The Lancet Diabetes & Endocrinology. </i><br />
<br />
“If increased weight in mid-life is protective against dementia, the reasons for this inverse association are unclear at present,” wrote the authors led by Nawab Qizilbash, MSc, DPhil, an epidemiologist at the London School of Hygiene and Tropical Medicine. “Many different issues related to diet, exercise, frailty, genetic factors, and weight change could play a part.”<br />
<br />
These results contradict some previous, smaller studies which showed that obesity is associated with higher risk of dementia later in life. The apparent protection conferred by obesity is sometimes called “the obesity paradox.” Studies have shown that people with diabetes of normal weight are twice as likely to die as those that are overweight. Obese people with other chronic diseases, such as heart failure and renal disease, also often live longer than normal weight patients and scientists are at a loss to explain why.<br />
<br />
Qizilbash and colleagues found that at 80 years of age, the incidence of dementia was:<br />
9.9% for underweight people<br />
6.5% for those of normal weight<br />
5.2% for overweight people<br />
4.9% for obese people</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-12131122337887920072015-06-12T16:39:00.002-07:002015-07-02T16:57:42.341-07:00Bob's Story<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit; line-height: 115%;">When
Bob lost his wife of more than 40 years to cancer, he felt lost. His life was turned upside down and he struggled
to get through the days. A few months
after Marjorie’s passing, his friends gently nudged him to get help to work
through the pain and despondency he was feeling. Bob said he was “not really a therapy person,”
but he was willing to try something a little different and joined a Pathways
Hospice grief support group.</span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit; line-height: 115%;">At
first Bob just listened. What he learned
was hugely reassuring: Grief is unique; each person experiences it differently.
Some people initially feel disbelief
and expect to see their loved one who is gone.
Others express anger at being “abandoned” by their loved one. Some describe feeling guilt—either for feeling
anger, or for still being here, or for things they might have said or done (or
didn’t say or do). Some just have
profound sadness like Bob was feeling. He
learned that it’s all normal. <o:p></o:p></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit; line-height: 115%;">Bob
was comforted by the clear message that there is no right or wrong way to grieve
and that there is no set timeline. He
received encouragement not only from the group’s facilitator, but increasingly
from the others in the group. He was
relieved and reassured to meet people even more distant from their loss that
were still grieving. Shared bereavement
can give hope of getting through this time and learning positive ways to deal
with the pain of loss.<o:p></o:p></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhY3y0AJF8Zj-LhyphenhyphenZStAV0jnmTaBGkYta6fBtAh85kx8f4ja7msgdg4_Hzy9sfL5w9YTv_dzrdwNNW3tkOwDl_YQdvD1-WsDVcTTOjZxRG5fjUwRXAiWmRKp3aqAdNUDwU7CFQgrabJ-q5R/s1600/dandelion.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><span style="font-family: inherit;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhY3y0AJF8Zj-LhyphenhyphenZStAV0jnmTaBGkYta6fBtAh85kx8f4ja7msgdg4_Hzy9sfL5w9YTv_dzrdwNNW3tkOwDl_YQdvD1-WsDVcTTOjZxRG5fjUwRXAiWmRKp3aqAdNUDwU7CFQgrabJ-q5R/s320/dandelion.jpg" width="320" /></span></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: inherit; font-size: small;"><span style="font-size: xx-small; text-align: start;">Photo credit: </span><a href="https://www.flickr.com/photos/sleepishly/2559884578/" style="font-size: xx-small; text-align: start;">jessica.diamond</a><span style="font-size: xx-small; text-align: start;"> / </span><a href="http://foter.com/" style="font-size: xx-small; text-align: start;">Foter</a><span style="font-size: xx-small; text-align: start;"> / </span><a href="http://creativecommons.org/licenses/by-sa/2.0/" style="font-size: xx-small; text-align: start;">CC BY-SA</a></span></td></tr>
</tbody></table>
<span style="font-family: inherit; line-height: 115%;">Bob
could see that although his family would never be the same, he would be able to
accept the changes in his life and create a “new normal” with time. He envisioned that eventually, instead of
crying at memories of Marjorie, he’d be able to smile. He learned to expect that his grief might
come and go and that birthdays, anniversaries and holidays could bring it
rushing back. And that all of that is normal.<o:p></o:p></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit; line-height: 115%;">Death,
loss, mourning, grief—the concepts make many people uncomfortable. Because the experiences are so different for
each person, others don’t always know how to react. They are not sure whether you want to talk
about your loved one or not—so often they say nothing. In a support group, everyone there knows what
you are going through. <o:p></o:p></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit; line-height: 115%;">Bob
describes his progression as part “eye-opening discovery… and part learning
from others farther down the path.” He now
finds himself more involved and more upbeat. Bob likens his life before
participating in the support group as a black and white photo, and that now the
color is trickling back in; he has begun the transition into his “new normal”
life. <o:p></o:p></span></div>
<div class="BodyCopy" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<span style="font-family: inherit;"><span style="line-height: 115%;">Pathways
opens its bereavement services to anyone in the community, regardless of
whether a family member received our hospice care. See Pathways grief support
services on our website, </span><span style="color: #0000ee;"><span style="line-height: 16.8666667938232px;"><i><u><a href="http://www.pathwayshealth.org/grief-support/">pathwayshealth.org/grief-support/</a><span id="goog_1033762532"></span><span id="goog_1033762533"></span><a href="https://www.blogger.com/"></a></u></i></span></span><span style="line-height: 115%;">.</span></span></div>
Anonymoushttp://www.blogger.com/profile/16629594938937094477noreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-77847840122378430632015-06-09T13:12:00.000-07:002015-07-02T16:56:35.321-07:00The Healthiest Emotion May be AWE<div dir="ltr" style="text-align: left;" trbidi="on">
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCiA6ZkW3_tVNkqC48ggyJ8K4r_6SafOZ_h8MhO0EgYLlWxwA6Q0vkOJNYdcah8FacUm0Gqyr7TpDmWhzzPzy4ALpi7JA10RFJkfMnrt9CtqsmVklDsdEnY0OgyWnET2HlcHVbUVgZ6d1o/s1600/awe.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCiA6ZkW3_tVNkqC48ggyJ8K4r_6SafOZ_h8MhO0EgYLlWxwA6Q0vkOJNYdcah8FacUm0Gqyr7TpDmWhzzPzy4ALpi7JA10RFJkfMnrt9CtqsmVklDsdEnY0OgyWnET2HlcHVbUVgZ6d1o/s320/awe.jpg" width="213" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: x-small;"><span style="text-align: start;">Photo credit: </span><a href="https://www.flickr.com/photos/satterwhiteb/15231286075/" style="text-align: start;">Satterwhite.B</a><span style="text-align: start;"> </span><span style="text-align: start;">/</span><span style="text-align: start;"> </span><a href="http://foter.com/" style="text-align: start;">Foter</a><span style="text-align: start;"> </span><span style="text-align: start;">/</span><span style="text-align: start;"> </span><a href="http://creativecommons.org/licenses/by/2.0/" style="text-align: start;">CC BY</a></span></td></tr>
</tbody></table>
<span style="font-family: inherit;">There is lots of research about the adverse health effects
of negative feelings such as depression, anxiety and shame: more heart disease,
cancer and premature death. But less is
known about how certain cheerier emotions affect overall health, feelings like
contentment, joy or pride.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">To delve deeper into happier feelings, researchers at the
University of California at Berkeley and other schools looked first at a
variety of positive and negative emotions in 94 Berkeley freshmen. They filled out questionnaires about how
frequently during the previous month they had experienced everything from
enthusiasm and inspiration to hostility.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">Next they analyzed saliva samples from the students, looking
for the amount of interleukin-6 (IL-6) present. This is a molecule associated with inflammation and poor health. As expected, the IL-6 levels correlated with
the emotions: students with positive emotions had the lowest levels and the
converse was true for those with more negative feelings.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">In the next step the investigators had 119 students fill out
questionnaires about seven positive emotions: amusement, awe, compassion,
contentment, joy, love and pride. Again
they examined saliva levels. It turned
out that the more often a student recorded feeling a sense of awe, the lower
the IL-6. The students reported
experiencing awe three or more times a week.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: inherit;"><span style="color: #333333; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">“There
seems to be something about awe,” said Dacher Keltner PhD, senior author of the
study and director of the</span><span style="line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><a href="http://greatergood.berkeley.edu/"><span style="color: windowtext; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Greater Good Science Center</span></a><span style="color: #333333; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> at Berkeley. “It seems to have a pronounced impact on
markers related to inflammation.”<o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="background: white;">
<span style="color: #333333; font-family: inherit; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">Keltner
said that an awe-inspiring event “will pass the goose-bumps test.” Awe is
different for each person. “Some people feel awe listening to music,” Dr.
Keltner says, “others watching a sunset or attending a political rally or
seeing kids play.”<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: inherit;"><br /></span></div>
<span style="font-family: inherit;"><span style="background-color: white;">The study was published in the January 2015 edition of
the journal </span><i style="background-color: white;">Emotion</i><span style="background-color: white;">.</span></span></div>
Anonymoushttp://www.blogger.com/profile/16629594938937094477noreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-68670907567589731322015-02-25T14:02:00.000-08:002015-07-02T16:58:21.845-07:00Managing Heart Failure<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2WCJZSzNzaUCEBWjccHZaImDFDD_xdjzhQYtwI6XVnVbcaUbu9q6XAbjQ-_dt4rC8J5otKaKvWuke5IEmI5JiGz10Jo-ZHQy4lyf1NPnBIVazQVQGuEXNspHC_7yLJO7bVtmO7jNTLxp6/s1600/heart-failure-graphic.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="315" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2WCJZSzNzaUCEBWjccHZaImDFDD_xdjzhQYtwI6XVnVbcaUbu9q6XAbjQ-_dt4rC8J5otKaKvWuke5IEmI5JiGz10Jo-ZHQy4lyf1NPnBIVazQVQGuEXNspHC_7yLJO7bVtmO7jNTLxp6/s1600/heart-failure-graphic.png" width="320" /></a></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">People diagnosed with
heart failure (HF) usually have medications to increase how much their hearts
can pump. But as with most conditions, many
approaches are needed to best manage heart failure.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A daily <b>weight</b> is essential because it is an
early indicator of fluid retention from HF.
The best time to weigh yourself is in the morning, after urinating but
before breakfast. A weight gain of
around 3 pounds in a day should be reported to the doctor since it indicates
fluid may be backing up in various organs.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Generally people with
HF are on <b><a href="http://pathwayshealth.blogspot.com/2014/05/living-low-salt-life-as-heart-failure.html">salt restricted diets</a></b>. Salt contributes to water retention, which
makes the heart work harder and causes shortness of breath and swelling in the
ankles and legs. Those with severe heart
failure may have <b>fluid restrictions</b>.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mild <b>exercise</b> can improve circulation, as
long as it does not overly tax the person.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">When we feel anxious
or upset, our hearts beat faster and we breathe more heavily. This can make HF worse. <b>Reducing
stress </b>helps manage HF.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 0in; text-indent: 0in;">
<span style="font-family: inherit; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Lying flat may cause
shortness of breath. To improve <b>sleep</b>,
it may be helpful to raise the head of the bed 45 degrees, or even sleep in a
recliner. And if the person uses
oxygen, be sure the tubing is correctly in place and the nasal prongs are in
the nostrils.<o:p></o:p></span></div>
<span style="font-family: inherit;"><br /></span>
<div align="center" class="MsoNormal" style="margin-left: 0in; text-align: center; text-indent: 0in;">
<br /></div>
</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-23885836196646194412014-12-23T10:06:00.000-08:002014-12-23T10:51:14.021-08:00Dementia and the Holidays<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCFClnqUpaxYcJCOY2ZZGtQ_Kc6bnxld7Xamyk80DpWggxlCIWwQ3Cdi3Nr4FX8um7s-FGQt6Wqz5A3GWK7j3mwSf6QkqXt_WP16gBAVtFxR0VZlyr7_tOBPlBK4-5rcngqeDXsyqhbhDP/s1600/grandma-holidays.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCFClnqUpaxYcJCOY2ZZGtQ_Kc6bnxld7Xamyk80DpWggxlCIWwQ3Cdi3Nr4FX8um7s-FGQt6Wqz5A3GWK7j3mwSf6QkqXt_WP16gBAVtFxR0VZlyr7_tOBPlBK4-5rcngqeDXsyqhbhDP/s1600/grandma-holidays.jpg" height="320" width="287" /></a></div>
<span style="font-family: Arial, Helvetica, sans-serif;">As fun as the coming holidays can be, they can be packed with hazards for people with </span><span style="font-family: Arial, Helvetica, sans-serif;">dementia. It means caregivers and families need to be especially vigilant about the safety.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Many decorations look like food and may even smell like the real thing. For instance, a Christmas tree decoration that looks like a gingerbread man may be even scented with gingerbread smell—making doubly appealing to try to eat. Other small decorations can be choking hazards. Artificial fruits, vegetables and nuts can look very real.<br /><br />Candles that smell like pumpkin or apple pie can be a fire hazard if tipped over if a person </span><span style="font-family: Arial, Helvetica, sans-serif;">reaches into it. Poinsettia leaves, contrary to popular belief, are not poisonous—but they will make a resident nauseated if he or she eats them.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />People with dementia need routines—the same activities, in the same place, at the same time. Families should consider this carefully before deciding to take a loved one home for a holiday. The excitement, the car ride, change in surroundings and many people talking can cause the confused person with dementia to become agitated or upset.<br /><br />Here are some tips for family members planning to take a loved one home for a holiday.<br /><br /><b>Planning</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Plan ahead. Let the facility staff know several days ahead so they have time to obtain medications and clothes.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Allow extra time for everything, don’t rush the person.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Try to keep as much as possible to their daily routine.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Decorations</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Use ribbon instead of sharp hooks when hanging decorations.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Holly and mistletoe can be poisonous and berries pose a choking hazard.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Festivities</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Begin new traditions by letting another family be the host but try to go to a place familiar to your loved one. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Assign tasks to other family members so you do not become overloaded and stressed, which in turn causes your loved one to be stressed.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Provide a nap before festivities. If you know the day will be long, you may want to attend only the most important part of the event.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Plan for a quiet place for your loved one to go to if he or she becomes overwhelmed.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Avoid alcohol.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Be aware of their diet and diet restrictions. Cut up food into small bites.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Visitors</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Let your loved one know who is coming to visit.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Have visitors and family call ahead to determine best time to visit.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Small groups of visitors or family is advisable. Have them wear name tags as this might help with recognition.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Reintroduce yourself as necessary. “Mary, my name is Betty.” And when she asks, “Are you my granddaughter?” say “yes” and shake her hand and act very comfortable about this introduction.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">If your loved one begins talking about the past, try not to reorient him or tell him he is wrong. Enter his reality and live his truth. Ask about the past memory.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Activities</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Reminisce about the past.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Play holiday music familiar to your loved one.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Read holiday cards aloud.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Stuff stockings, watch a holiday video, look at family slides or pictures or albums, read scriptures, etc.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>The Kitchen</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Monitor your loved one while in the kitchen.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Give your loved one task to help with baking or decorating. Try baking cookies, making pudding, folding napkins, polishing silver, etc.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Always check the microwave before turning on in case something was put in that is flammable.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Check all trash cans before throwing out garbage</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Shopping</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Don’t leave your loved one in the car or in the front of the store. If you can’t take them in with you, try to arrange for someone to stay with your loved one.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Shop during hours when stores are less crowded.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Dress your loved one in a bright yellow shirt which is easy to see if you become separated. Be sure they have a purse or wallet with identification.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Shop in smaller stores rather than the mall.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Travel</b></span><br />
<ul>
<li><span style="font-family: Arial,Helvetica,sans-serif;">People with dementia should never travel alone. Hire a personal care aid to travel if a family member is unable to accompany the resident.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Be aware of balconies and other hazards in hotels.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Travel may not be appropriate even with a companion if the person has:</span></li>
</ul>
<ol>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Consistent disorientation or agitation in familiar settings</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Wanting to go home when away from home on short visits</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Delusional, paranoid, aggressive or disinhibited behavior</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Problems managing continence</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Teary, anxious, withdrawn behavior in crowded, noisy settings</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Agitated or wandering behavior</span></li>
</ol>
<a href="http://www.pathwayshealth.org/resources/caregiver-support.html" target="_blank"><span style="font-family: Arial,Helvetica,sans-serif;">Additional resources for caregivers.</span></a></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-61646517411964910392014-07-23T13:03:00.003-07:002014-07-23T13:03:48.069-07:00Curried Lentil & Carrot Soup<div dir="ltr" style="text-align: left;" trbidi="on">
One of the challenges of living with Chronic Obstructive Pulmonary Disease (<a href="http://en.wikipedia.org/wiki/Chronic_obstructive_pulmonary_disease">COPD</a>)<span id="goog_20803064"></span><span id="goog_20803065"></span><a href="https://www.blogger.com/"></a> or high blood pressure is maintaining a low sodium diet. Just because you have to limit your sodium intake doesn't mean you have to eat bland, boring food.<br />
<br />
Our Pathways Recipe of the Month is <b>Curried Lentil and Carrot Soup</b> from a staff member in our Foundation department. This savory soup takes very little time to make, is very flavorful, and is healthy all around. It's a win-win recipe in my book!<br />
<br />
If you have trouble finding red lentils, check your local health food store like Whole Foods, or an Indian market. I found them in Target in the ethnic foods aisle.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpq_bnGG4XGVmMkb-MVRGwiyGy0dpA19t0bN4KabYnUy-Q8AlR1U6dMGm-TSFEdKGa3l-SUoBh-nPVwnPVD_SzVHEFc5FD2hCn4xq4CRmKOIGyCoBUkoK31bUb5ZZttyxhdcl-TuEHk4Ss/s1600/curred-carrot-lentil-soup.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpq_bnGG4XGVmMkb-MVRGwiyGy0dpA19t0bN4KabYnUy-Q8AlR1U6dMGm-TSFEdKGa3l-SUoBh-nPVwnPVD_SzVHEFc5FD2hCn4xq4CRmKOIGyCoBUkoK31bUb5ZZttyxhdcl-TuEHk4Ss/s1600/curred-carrot-lentil-soup.jpg" height="306" width="400" /></a></div>
<br />
<h3 style="text-align: left;">
<b>Curried Lentil and Carrot Soup</b></h3>
1 tablespoon oil<br />
1 large onion, chopped<br />
2 large carrots, peeled and chopped<br />
1/2 cup red lentils<br />
2 teaspoons curry powder<br />
4 cups low sodium vegetable or chicken broth<br />
1 bay leaf<br />
4 cardamom pods (optional)<br />
3/4 cup coconut milk or evaporated milk<br />
1 tablespoon cornstarch mixed with 2 tablespoons water<br />
<br />
In a Dutch oven, heat oil over medium heat. Saute onion and carrot until onions begin to color. Add lentils, curry powder, broth, bay leaf, cardamom pods, and coconut milk. Bring to a boil and then lower heat and simmer for about 15-20 minutes or until lentils are soft. Remove the bay leaf and cardamom pods (which should be floating on or near the surface).<br />
<br />
At this point, you can either use an immersion blender to puree the soup, or you can leave all the chunks. Increase heat under the soup to high and add the cornstarch slurry (or as much as you need to get the soup to the right consistency for you). Top with sour cream if desired.<br />
<br />
Serves 4.<br />
<br />
By Mandi Cacioppo</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-2086986744799275672014-06-05T16:08:00.000-07:002014-06-05T16:21:31.152-07:00Avocado Salsa, Low on Sodium but High in Flavor!<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: left;">
<span style="font-family: inherit;">Pathways is starting a recipe of the month post on our blog to promote a healthy living lifestyle. Each month will feature an original healthy recipe from our employees. To start us off, I am presenting a recipe titled "<b>Se</b><span style="line-height: 115%;"><b>ñora's Avocado Salsa</b>".</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
<span style="font-family: inherit;"><span style="line-height: 115%;">You will need the following ingredients:</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
<span style="font-family: inherit;"><span style="line-height: 115%;">1 package (16 oz) frozen corn, thawed</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1 can (15 oz) black beans (look for low sodium)</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1 medium sweet red pepper, chopped</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1 small onion, chopped</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1 bunch cilantro, finely chopped</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">3 fresh tomatoes, chopped</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">3 garlic cloves, diced</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1/4 cup lime juice</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">3 tablespoons cider or white vinegar</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1 teaspoon dried oregano</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1/2 teaspoon or less salt</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">1/2 teaspoon pepper</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;">4 medium ripe avocados</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsJyFkYUlF-blEh8gvz8fLaTwaqN-FDIUnrEsaZjNgxUvPpMmvQVyC094GiKbyASR64XHYsHLGAkiXFV8XmMrXUxUOno1hAqPfzw61zzd666fVWKxl-QEKNrUXar8p1SsJTS_ztWV70oN0/s1600/Recipe_ingredients.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsJyFkYUlF-blEh8gvz8fLaTwaqN-FDIUnrEsaZjNgxUvPpMmvQVyC094GiKbyASR64XHYsHLGAkiXFV8XmMrXUxUOno1hAqPfzw61zzd666fVWKxl-QEKNrUXar8p1SsJTS_ztWV70oN0/s1600/Recipe_ingredients.jpg" height="191" width="320" /></a></div>
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
<span style="font-family: inherit;"><span style="line-height: 115%;">In a large bowl, combine corn, black beans, red pepper, onion, cilantro and tomatoes. In a small bowl, whisk together the garlic, lime juice, vinegar, oregano, salt and pepper.</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
<span style="font-family: inherit;"><span style="line-height: 115%;">Mix well. Pour over corn mixture and toss to coat. Cover and refrigerate overnight.</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
<span style="font-family: inherit;"><span style="line-height: 115%;">Just before serving, chop avocados and stir into salsa. Serve with low sodium tortilla chips or as a side dish. Yield about 7 cups. <i>Tip - if you place the avocado pit into the salsa, the avocados won't turn brown.</i></span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><i><br /></i></span></span>
<span style="font-family: inherit;"><span style="line-height: 115%;">This is delicious. I was hesitant about a salsa with no spicy peppers in it, but this is really tasty. I tried it in tacos and it's great because you also get all the healthy benefits of the tasty veggies in the salsa. Next time I would add a bit less garlic because it was really strong, but that depends on your preference. I also added green onions because I prefer them in my salsa instead of a regular onion.</span></span><br />
<span style="font-family: inherit;"><span style="line-height: 115%;"><br /></span></span>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhe8zhjYwSgZKcsHKhGNZe7AkHgL68et-x-jCdNdszxQRuT_VB1Y5ouxTNrrZZjj7xwNaNXVPKDx5nWmE_0y9cxzXR4EZBZ8ldaZmODXZDlna1WL4Hb8blcDcuDpPWngd1V52B2Iu46ryIW/s1600/bowl-of-salsa.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhe8zhjYwSgZKcsHKhGNZe7AkHgL68et-x-jCdNdszxQRuT_VB1Y5ouxTNrrZZjj7xwNaNXVPKDx5nWmE_0y9cxzXR4EZBZ8ldaZmODXZDlna1WL4Hb8blcDcuDpPWngd1V52B2Iu46ryIW/s1600/bowl-of-salsa.jpg" height="279" width="320" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJOIpeZ6UnsvaVSkApMGxpRBLea5jD59hZE-UOt8QMsmCrjyR5H2vq-8gZiit0grKd0yx2g8VfYQMTG7iP7NGvlyPvNR4lwToy1x57YFOA6r5n6qo2sFrhCXTDLc7uPMUJxbcA3zSmIEeM/s1600/rolled-taco.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJOIpeZ6UnsvaVSkApMGxpRBLea5jD59hZE-UOt8QMsmCrjyR5H2vq-8gZiit0grKd0yx2g8VfYQMTG7iP7NGvlyPvNR4lwToy1x57YFOA6r5n6qo2sFrhCXTDLc7uPMUJxbcA3zSmIEeM/s1600/rolled-taco.jpg" height="213" width="320" /></a></div>
<br />
<span style="line-height: 18.399999618530273px;">By Mandi Cacioppo, Sr. Marketing & Communications Coordinator at Pathways Home Health and Hospice. Recipe credit goes to my cousin Lynn Fors.</span></div>
</div>
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-9009096993689883796.post-20549361172338284002014-05-28T13:20:00.000-07:002014-05-28T15:04:46.106-07:00Living the Low Salt Life as a Heart Failure Patient<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b>When you have heart failure, it is important to decrease the
amount of sodium in your diet. </b><b>Salt acts like a sponge, making your body hold on to extra
water.</b></span><br />
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br />
</span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAA4btZjGjt6S4wAsuVABlNLyeA5I3hruP2EvLZqL6hNtFs-9Bu_0gpYudKTZ7s6g3hdXJojwVgdxv5Tki5CHti2VcdzFYWWKpq9J_TjJywYuFaBlZukoHZQpdTV8lhklVbo6W1VbwSIWE/s1600/heartfailure_sodium.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAA4btZjGjt6S4wAsuVABlNLyeA5I3hruP2EvLZqL6hNtFs-9Bu_0gpYudKTZ7s6g3hdXJojwVgdxv5Tki5CHti2VcdzFYWWKpq9J_TjJywYuFaBlZukoHZQpdTV8lhklVbo6W1VbwSIWE/s1600/heartfailure_sodium.jpg" height="200" width="178" /></span></a><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Eating too much of it can cause weight gain, increased blood pressure, make legs and feet swell and cause water to go to the lungs. This makes your heart work harder and worsens
heart failure systems. </span><br />
<div class="MsoNormal" style="text-align: left;">
</div>
<div class="MsoNormal" style="text-align: left;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Check with your doctor to see how much salt you can have in
a day. Most doctors recommend less than 2,000 milligrams (mg) or salt each day.</span><br />
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br />
<b>How much salt in a teaspoon?</b></span></div>
<ul style="text-align: left;">
<li><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">1 teaspoon of salt = 2000 mg of sodium</span></li>
<li><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">1 teaspoon of baking soda = 821 mg of sodium</span></li>
<li><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">1 teaspoon of baking powder = 339 mg of sodium</span></li>
</ul>
<div class="MsoNormal">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Read food labels to help figure out how much salt is in the
food. A good rule of thumb is to choose foods with less than 250 mg of sodium
per serving. </span></div>
<div class="BasicParagraph">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></div>
<div class="BasicParagraph">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; line-height: 120%;">Remember, a serving size is <b>not</b>
necessarily an entire container of food. If a can contains 3 servings and you
eat the whole can, multiply the sodium per serving <u>by 3</u>.</span><br />
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="line-height: 120%;"><br /></span>
<span style="line-height: 120%;"><b>Read the Label - Serving Sizes</b></span></span></div>
<h4 style="text-align: left;">
</h4>
<ul style="text-align: left;">
<li><div class="BasicParagraph" style="text-align: left;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="line-height: 120%;"> </span><span style="line-height: 120%;">A can of soup has 300 mg of
sodium per serving</span></span></div>
</li>
<li><div class="BasicParagraph" style="margin: 0in 0in 4.5pt 0.25in; text-indent: -0.25in;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; line-height: 120%;">The can has 2 servings.</span></div>
</li>
<li><div class="BasicParagraph" style="margin: 0in 0in 4.5pt 0.25in; text-indent: -0.25in;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="line-height: 120%;">You eat the whole can, or 2
servings.</span> </span></div>
</li>
<li><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; line-height: 120%;">So you would have 300 mg x
2 or 600 mg of sodium.</span></li>
</ul>
<div class="BasicParagraph">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; line-height: 120%;">Compare salt (sodium) in foods you eat
often, especially processed foods like soup, lunch meat, cheese and frozen
meals. Sort the foods into higher or
lower sodium groups. </span><br />
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="line-height: 120%;"><br /></span>
<span style="line-height: 120%;">To lower your sodium intake, stop adding
salt to food during cooking. Try taking the salt shaker off the table and add
other seasonings to add flavor such as lemon juice, onion or garlic power, or
herbs.</span></span><br />
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="line-height: 120%;"><br /></span>
<span style="line-height: 120%;">Avoid high sodium foods like canned foods,
hot dogs, cheese and cheese spreads, deli meats, bacon, ketchup, soy sauce, salad dressings, barbecue
sauce, and frozen meals that are high in sodium.</span></span><br />
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="line-height: 120%;"><br /></span>
<span style="line-height: 120%;">Replace high sodium foods with fresh fruits
and vegetables, lean meats, low fat milk, reduced sodium cheese and cereals low
in sodium. When you go out to eat, choose food on the menu marked “healthy
choice” or “low sodium”. </span><span style="line-height: 120%;">Ask for sauces and salad dressings “on the side” and
ask the waiter for low salt recommendations.</span></span></div>
</div>
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</xml><![endif]-->Pathways Home Health & Hospice is participating in the
one-day SVGives campaign. You should start seeing social media promotions from numerous
non-profits that serve residents in the San Francisco Bay Area about this event.
SVGives is scheduled for May 6<sup>th</sup>. <span style="mso-spacerun: yes;"> </span> </div>
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<br /></div>
<div class="MsoNormal">
Here is a brief video that explains what
SVGives is and how through the power of coming together, we can bring services
and comfort to those who need it the most in our communities.</div>
<br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<a href="http://bit.ly/1j7VohH" target="_blank">Learn More about SVGives</a></div>
</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-64426417852267259582014-04-09T14:34:00.000-07:002014-04-10T11:39:33.914-07:00Tales of Love and Loss: Sharing the Past with Jeannine<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<blockquote class="tr_bq">
<div class="MsoNormal">
<h3 style="text-align: left;">
<i>"With calm conviction, and a touch of regret, she looked me in the eye
and declared that everyone has a story to tell. She felt that such a
significant task as preserving that knowledge should never be delayed
until it is too late."</i></h3>
</div>
</blockquote>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Hospice volunteers often listen to patients and their stories. One
Pathways volunteer, Christy Yuen, chronicled the story of Jeannine. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This week is volunteer appreciation week. Pathways would
like to formerly applaud all of our volunteers who help our patient’s tell
their stories. Thank you for giving your time and attention to other human
beings when they need it the most.</div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="body-text">
Jeannine, an 89 year-old French lady, knew her days
were numbered. More than anything, she wished to put her memories down
on paper. I visited her three times before she suddenly passed away.
During those special hours as I typed, her accented voice whisked us
back into history… </div>
<div class="body-text">
<br /></div>
<div class="body-text">
Like the children in C.S. Lewis’ The
Chronicles of Narnia, I found myself in a world of adventure and war,
love and loss. Pausing occasionally to clarify the spelling of a French
name, Jeannine spoke for hours about her ancestors and their lives in
France. She told stories of war, including her time as a resistance
fighter in World War II, and of her father, a pilot, crossing over enemy
territory on dangerous missions. She told stories of tragedy; stillborn
babies, deaths from tuberculosis and pneumonia, and widows and orphans
left behind by war. She remembered how elderly folks were forced to
sleep on hard wooden floors in the wintertime while invading soldiers
occupied their homes. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgb_VhtWyIkIHIxgC08MYj5E-7-by4ZlBKiB62U7cZWCxZdMhuLvvpjB2Q0ydY8114-BJIOH3RRL0xuOdfXaNKnSnlLyXFMiDMjVW-QfgAHtw-PFEocixBm1peteaV6xZpY-5wVPuOTbmhi/s1600/Gift-of-Time.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgb_VhtWyIkIHIxgC08MYj5E-7-by4ZlBKiB62U7cZWCxZdMhuLvvpjB2Q0ydY8114-BJIOH3RRL0xuOdfXaNKnSnlLyXFMiDMjVW-QfgAHtw-PFEocixBm1peteaV6xZpY-5wVPuOTbmhi/s1600/Gift-of-Time.png" height="341" width="400" /></a></div>
She also told stories of the human spirit,
recalling how her uncle, a chef, made piping hot French fries for hordes
of hungry children who waited on the streets for their parents to
return home from working late. She described independent wives who
rejected their alcoholic, skirt-chasing husbands in favor of raising
their children alone and successfully running their own businesses. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
Humor was frequently woven into her stories, such as the young woman who
duped her boyfriend into marrying her, and a village that fooled the
occupying enemy soldiers by playing a trick involving a sacrificed pig. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
Interspersed throughout her monologues were
heartfelt remarks about today’s world. She spoke with ease and fluidity
about changing gender roles, the difficulty of learning a foreign
language, intolerance towards homosexuals, and the importance of
understanding cultural differences. She lambasted the government with
characteristic poise and clarity in one breath, while bemoaning the loss
of children’s innocence in the next. She remarked on the lack of
opportunities for “kids to just be kids.” </div>
<div class="body-text">
<br /></div>
<div class="body-text">
When she spoke about the
physical, social, and psychological devastation of ongoing wars, her
wise eyes would become rimmed with sadness. “We have not learned the
lessons of the past,” she would say, slowly shaking her head. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
Unfortunately, Jeannine and I did not get to
finish her memoirs. I often remember something she told me at our first
visit. With calm conviction, and a touch of regret, she looked me in
the eye and declared that everyone has a story to tell. She felt that
such a significant task as preserving that knowledge should never be
delayed until it is too late. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
For the privilege of sharing in her memories,
for the insight she dispensed with such wit and character, and for all
the reminders of what is truly important in life, I would like to thank
Jeannine. Merci Beaucoup. </div>
<br />
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<a href="http://bit.ly/1hBYhG2">http://bit.ly/1hBYhG2</a></div>
</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-10877100822870452562014-03-20T14:04:00.001-07:002014-03-20T14:07:17.643-07:00 A Hospice Volunteer Breaks Barriers with Bubbles<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="body-text-header">
by Sherry Rayner, Pathways Hospice Volunteer</div>
<br />
<div class="body-text">
<span class="body-text-header" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="Pathways Volunteer Sherry Rayner" class="image-float-right" src="http://www.pathwayshealth.org/shared-images/Pathways-Volunteer-Sherry-Rayner.jpg" height="206" width="300" /></span>The most heart wrenching yet fulfilling cases
I’ve had as a Hospice volunteer has been with Pathways KIDS. During
this time, I have learned that flexibility is the key and there is
always a way to communicate.</div>
<br />
<div class="body-text">
My last case was with a Vietnamese family in
East San Jose. Their youngest son, Jefferson Vu, was a 4-month-old
patient who had a rare genetic disease. My job was to entertain his
energetic 3-year-old brother, Truman, so their mother, Tam Vu, could get
some much-needed rest and tend to her baby without interruption.</div>
<br />
<div class="body-text">
My initial contact by telephone was with the
father, Ho Vu, who spoke English fluently. I knew he would be away when I
visited each week. My concern was how I would communicate with the
patient’s mother and brother, as I knew their English was limited.</div>
<br />
<div class="body-text">
As my first visit approached, I felt both
anxious and excited. I carried a huge canvas tote bag filled with lots
of toys, books and videos. Upon knocking on the front door of their
condo, I was greeted by a sweet, smiling young woman and her active and
excited 3-year-old son, Truman. Leaving my shoes at the door with
families, I was graciously welcomed in.</div>
<br />
<div class="body-text">
I was then introduced to their precious baby
boy, Jefferson. He was lying very still on a pink satin pillowcase in
the middle of their big bed. In direct contrast to the rambunctious
Truman, Jefferson was very still, tiny and fragile. He sounded like a
wounded baby kitten when he cried. When he opened his eyes you saw big
brown eyes looking back at you. His face would light up with the most
radiant smile when spoken to softly.</div>
<br />
<div class="body-text">
Meanwhile, Truman anxiously eyed my canvas
bag to see what I’d brought. Not being able to contain his curiosity
any longer, we opened the bag. Out came a small nerf ball and a suction –
cupped basketball hoop to put on their closet door. Truman was soon
animation in action as he jumped and leaped trying to make a basket.
When he made a basket, his Mom and I would clap with joy. During this
time, Jefferson, the baby, slept soundly. There were two completely
different worlds going on in one small bedroom.</div>
<br />
<div class="body-text">
Each week Truman would discover a new item in
the canvas bag. Soon, he was helping me carry the bag up the stairs.
The biggest hit of all was the “Bubble Machine.” Truman and I would go
outside to the porch and play with a battery-operated bubble machine. At
the flick of a switch, hundreds of tiny iridescent bubbles filled the
air. Soon an excited little boy, ran, jumped, and squealed with joy. The
smile on his face was only outdone by the sound of his giggles. He’d
race around trying to catch every bubble, breaking it or holding it,
letting them crash into him with glee. Needless to say he was hooked on
the bubble machine and caught me by surprise when in English he’d ask
for bubbles every visit.</div>
<br />
<div class="body-text">
One particular week, we were lying looking
through his English/Vietnamese Kids Picture Dictionary when he focused
on the medical page. He quickly pulled up his pant leg and showed me his
scratch. I then showed him a scar I had on my leg. Much to my surprise
he leaned over and kissed my “boo boo.” Tears welled up in my eyes as I
held him and said, “Thank you, it’s all better now.” I was no longer
worried about how we would communicate.</div>
<br />
<div class="body-text">
We played together for six months and in
January 2007 Jefferson peacefully passed on, at home, in his mother’s
loving arms with his brother and Daddy close by. What a cherished
journey, never to be forgotten. I’ve learned there are always ways to
reach out, but never imagined a bubble machine would be one of them.</div>
<br />
<div class="body-text-header">
About Sherry Rayner</div>
<br />
<div class="body-text-italics">
Sherry Rayner has volunteered with
Pathways Hospice for over 20 years. With her art teacher education and
professional graphic design experience, Sherry is known for the
creativity that she brings to her volunteer work. She began volunteering
with Pathways after raising a family, care giving for several family
members and volunteering with several other organizations. Known for
brightening the days of patients of all ages, Sherry has recently
specialized in the unique concerns of Pathways KIDS and their families.
</div>
</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-9009096993689883796.post-2287195898832409432013-12-17T17:18:00.000-08:002013-12-17T17:33:22.142-08:00Grief & The Holidays: A Time of Challenge & Hope<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: left;">
<b>REMEMBERING</b></div>
<div style="text-align: left;">
<br />
Soon it will be holiday time again and
reminders of their loss are everywhere for those who are grieving.
Traditionally this is a time of joy, sharing of memories, warmth, peace,
and coming together in love.
</div>
<div class="body-text" style="text-align: left;">
<br /></div>
<div class="body-text" style="text-align: left;">
For those who are grieving, the holidays are
also a vivid reminder of those that are so dearly missed. Add to this
the common expectation that all should be as it was and many grieving
families find the holiday season to be the most difficult time of the
year. </div>
<div class="body-text" style="text-align: left;">
<br /></div>
<div class="body-text" style="text-align: left;">
The period after the death of a loved one is a
journey through grief. We cannot forget and we cannot bury the pain.
It is not easy. Our hearts, minds and bodies are grieving and not
functioning in their full capacities, as though part of us is missing. </div>
<div class="body-text" style="text-align: left;">
<br /></div>
<div class="body-text" style="text-align: left;">
Yet, we don’t have to hide from our
experience of grief. These are natural feelings–they are all a part of
the process–we can share them, we can accept them, we can feel them.</div>
<div class="body-text">
</div>
<div class="body-text" style="text-align: left;">
<b><br />WAYS OF COPING</b></div>
<div class="body-text" style="text-align: left;">
<br /></div>
<div class="body-text">
<a href="http://www.pathwayshealth.org/shared-images/pathways-through-the-holidays-candles.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" class="image-float-right" height="267" src="http://www.pathwayshealth.org/shared-images/pathways-through-the-holidays-candles.jpg" width="200" /></a>As the holidays approach, start with a blank
slate. Accept that you may not have the energy or inclination to
accomplish all the things that you or others have come to expect during
the holidays. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
Rather than do things automatically, discuss
and think about what you really want to do, what you don’t want to do,
and what will be difficult but you want to try. We encourage people not
to be afraid to make changes in traditions or start new ones. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
Equally important is to acknowledge how you
feel. It will be a sad time. Many recently bereaved worry they will
spoil the holidays for others. According to families Pathways has
counseled, the most painful thing is when they try to keep their
feelings inside. </div>
<div class="body-text">
<br /></div>
<div class="body-text">
If friends or family members take the
initiative to talk about the person who has died, it relieves the
tension and creates an opportunity for sharing. </div>
<div class="body-text">
<b></b></div>
<div class="body-text" style="text-align: left;">
</div>
<div class="body-text" style="text-align: left;">
<b>MANAGING YOUR GRIEF </b></div>
<h3 class="body-text" style="text-align: left;">
</h3>
<div class="body-text">
<br />
While there are no universal methods for
healing and coping, there are some concrete things you can do that may
make the holidays easier and provide an opportunity to honor those you
love who have died. </div>
<div class="body-text">
<b> </b><b> </b><br />
Acknowledge your grief; accept yourself in whatever mood you find yourself.</div>
<ul>
<li>Remember you are not alone. Attend a remembrance event or grief support group.</li>
<li> Make some personal choices based on your level and what is right for you.</li>
<li> Give yourself permission to let go of certain traditions–it’s okay to make changes.</li>
<li> Share your plans with others; let them know how they can help you.</li>
<li> Reserve time to honor your loved quietly, alone or with
others: light a candle, place a photograph on the table, share memories,
make a memorial donation.</li>
</ul>
<div class="body-text">
<b>And finally, as you navigate through your grief
this holiday season keep your loved one in your heart and remember to
care for yourself.</b></div>
<div class="body-text">
<br /></div>
<div class="body-text">
<span class="post-author vcard"><br /></span><span class="post-icons"><span class="item-control blog-admin pid-1896125372"><a href="http://www.blogger.com/post-edit.g?blogID=9009096993689883796&postID=2334756413927706397&from=pencil" title="Edit Post">
</a>
</span>
</span>
<span class="post-backlinks post-comment-link">
</span>
</div>
</div>
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-9009096993689883796.post-23347564139277063972013-05-06T00:00:00.000-07:002013-05-06T00:00:16.351-07:00Helping People with Dementia Cope with Grief and Loss<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEih5p508FdEnItgOwKntcigmLfan7gfikSqG7S6X99_ECwoSxZFawOB2i-ilXLSbv9ekmk6R-sV99glbGd-E8l4MS9kjB6FdbLJffc69xXQDRWlEo0r4d7FTq3dblsOSA49ruMePaOu8wZ2/s1600/iStock_000004804170Medium.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEih5p508FdEnItgOwKntcigmLfan7gfikSqG7S6X99_ECwoSxZFawOB2i-ilXLSbv9ekmk6R-sV99glbGd-E8l4MS9kjB6FdbLJffc69xXQDRWlEo0r4d7FTq3dblsOSA49ruMePaOu8wZ2/s400/iStock_000004804170Medium.jpg" width="400" /></a></div>
<span style="font-family: Arial,Helvetica,sans-serif;">The death of a loved one is difficult for anyone, but it is a special challenge when someone in the family has dementia. It’s hard for family members to know how and when to tell the person with dementia about the death. And what should they do when the person doesn’t remember?<br /><br /><b>Coping with Losses</b><br /><br />People with dementia have had many “little deaths” in the course of their disease—things like losing their independence and the ability to drive, read, cook or enjoy hobbies. Memories and relationships are huge losses. These losses are stressful for people with dementia and their families.<br /><br />How people with dementia cope with loss is affected by many things, including: the stage of their dementia, their relationship to the person who has died, how often they were in contact with that person, and their personal way of grieving.<br /><br /><b>Grief Process</b><br /><br />For people without dementia, recovery from a death usually involves accepting the reality of the loss, learning to live with it, and finding a new “normal.” For most, the pain of the loss can transform into beloved memories. For someone with dementia this process is often impossible.<br /><br />People with dementia who are grieving are often agitated and restless. They may sense that something is not right, something is missing. They may confuse one loss with another. A recent death may stimulate the memory of loss from childhood. It can be stressful for family members to decide when and how to tell them about the death of a loved one—and even how often to tell them. Repeatedly telling a person with dementia about a death can make family members’ grief more painful.<br /><br /><b>Telling About a Death</b><br /><br />Here are some hints for telling a person with dementia about a death:</span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Tell the news as soon as possible. They will sense that something is wrong and need information to understand, even if just for that period of time.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">If you are too emotional to talk to them, find someone else—maybe a friend or healthcare professional.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Choose a time to talk when the person with dementia is well rested.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Use short, simple sentences. Don’t give too many details; this may overwhelm them. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Answer questions as honestly as possible.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Use clear words like “died” instead of “passed away” or “at peace now.”</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Try not to protect the person from the truth by suggesting that the person who has died is away and will return later. This can cause worry and agitation later when the person does not return.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">You can support them with physical touch, such as a hug or holding hands.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Consider involving the person with dementia in funeral planning, assigning a simple task. This will help the death be more real for them. They may recognize the rituals around death and act appropriately.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Plan for someone to be with the person during services who can also take them out if they become agitated.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"><b>Accepting Death</b><br /><br />Here are some ideas of ways to help the person with dementia accept the death:</span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Speak in the past tense about the person who has died. For example, “I loved Mom’s holiday cookies.”</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Talk with them about the person who has died and express your sadness. “I sure miss Dad. He always made birthdays so fun, didn’t he, Mom? Remember when he….” Bring out pictures and tell stories if this helps their grief process.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Accept how often they want to talk about the person who has died—perhaps frequently, not much, or maybe not at all.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;">If over time they continue to ask for the person who has died, there are some things you can do. In the beginning, gently remind them that the person has died. If reminding them becomes upsetting, you can try these ideas:</span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Respond to the emotion under their words, feelings like sadness, longing, fear, distress, suspicion, anger, concern or confusion. You can respond to what you see:</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">“You sound really frightened (or lost, or angry, etc.) to me. Let me help you with that.”</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">“You must really be missing her. Tell me what you miss most.” Share your own feelings: “I miss her, too.”</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Check their mood at the moment. If the person is unaware and not distressed, you don’t need bring up the reality of what has happened. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Look for patterns in the times they ask for the person who has died. Look for an unmet need. For example, if the person who has died usually brought them coffee in the morning, the change in this routine could be distressing and remind them that their loved one is not there. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Use distraction only when other ways of dealing with their grief are not working.</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;">Each family has to find what works for them, and then try to be as consistent as possible. You may want to write out a simple plan for all family members and visitors to follow. <br /><br />You can be most supportive to the person with dementia if you also take care of your own needs and get support. We encourage family members to find support to help them cope with the painful, frustrating, lonely and sad feelings that they may feel. Supporting the person with dementia takes patience, but family members should remember to be patient with themselves as well during this stressful experience.<br /><br /><b>References:</b> <a href="http://www.nia.nih.gov/alzheimers">http://www.nia.nih.gov/alzheimers</a>; <a href="http://www.alz.co.uk/">http://www.alz.co.uk</a>; <a href="http://www.pathwayshealth.org/">http://www.pathwayshealth.org</a></span></div>
Unknownnoreply@blogger.com0585 North Mary Avenue, Sunnyvale, CA 94085, USA37.392713 -122.0379110000000111.8706785 -163.346505 62.914747500000004 -80.729317000000009tag:blogger.com,1999:blog-9009096993689883796.post-44498818618737362022013-04-29T00:00:00.000-07:002013-04-29T00:00:19.022-07:00Minorities See Hydration Differently<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgymgOwRIXcGjRHIbJe-hctsUP70YA_IR4MfN24hPg9XQ-3gyCv5j__W_vJDKcphNWxTON6v2D2d7GOMUqsgX_DbEMfmSh8IemQi12jiCNAjNjsuUEDEkcMOE3HrM1_-gjHFNssi_vMnDh6/s1600/Picture1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgymgOwRIXcGjRHIbJe-hctsUP70YA_IR4MfN24hPg9XQ-3gyCv5j__W_vJDKcphNWxTON6v2D2d7GOMUqsgX_DbEMfmSh8IemQi12jiCNAjNjsuUEDEkcMOE3HrM1_-gjHFNssi_vMnDh6/s400/Picture1.jpg" width="400" /></a></div>
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<b><span style="font-family: Arial,Helvetica,sans-serif;">Food or Medicine</span></b><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span>
<span style="font-family: Arial,Helvetica,sans-serif;">Culture and ethnicity shape patient’s and families’ view about artificial hydration (AH) at the end of life, with ethnic minorities seeing it as food more often than non-Hispanic European Americans, according to 2012 research.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />“Identifying some of the beliefs and barriers regarding the decision-making process in this challenging area may provide preliminary evidence for culturally appropriate end-of-life communication strategies and care that incorporates individual assessments of the pros and cons of hydrating in each particular context,” suggest Isabel Torres-Vigil of the University of Houston, Texas, and co-investigators.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />They conducted an interview-based study of 122 terminally ill cancer patients, asking, “Are these fluids more like food or more like medicine?” The study authors sorted answers as food, medicine, both or other.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Results showed 38% saw AH like food, 34% as medicine, 14% as both, and 14% as other (including vitamins and saline). Ethnic minorities perceived the AH as food 66% of the time vs. 41% for non-Hispanic European Americans.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The findings were significant enough that the research team suggest when patients with advanced cancer begin to decrease their oral intake of fluids, healthcare professionals should ask what perceptions they or their caregivers have about the role of AH to promote the most patient-oriented approach to end-of-life care.</span><br />
<br />
<span style="font-size: x-small;"><span style="font-family: Arial,Helvetica,sans-serif;"><b>Source:</b> <i>British Medical Journal: Supportive and Palliative Care, July 2012</i>.</span></span><br />
<br />
<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Physician & Health Professional Bulletin - Issue 26</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span></div>
Unknownnoreply@blogger.com0Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-35776853325267551952013-04-22T00:00:00.000-07:002013-04-22T00:00:21.267-07:00Special Diet Improves Mild Alzheimer’s<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-family: Arial,Helvetica,sans-serif;">"Medical Food"</span></b><br />
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<span style="font-family: Arial,Helvetica,sans-serif;">Giving 125 ml of “medical food” once a day to people with mild Alzheimer’s disease appears to improve memory. These were the findings of a trial done in the Netherlands and presented at the 2012 Alzheimer’s Association International Conference. </span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />This was the second large study showing that diet with specialized “medical food” can improve memory. A medical food is specially formulated liquid diet supplement for people with a particular disease or condition and is given under the supervision of a doctor by prescription.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The improvements continued for 48 weeks. At the end of 24 weeks those who had been assigned to take a placebo drink were switched to the active treatment. They also experienced significant memory improvement.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The medical food used in this study, Souvenaid, was developed by researchers at the Massachusetts Institute of Technology in Boston. Lead researcher, Dr. Philip Scheltens, said that the food “is medical nutrition, and we think it may offer a new approach—a dietary management approach, if you like — for people with very early Alzheimer’s disease.” He added that it is very safe and well tolerated. No serious adverse events were reported in the participants who complete the trial.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span>
<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways & Partners Newsletter - Issue 27</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com4Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-61970608567825078732013-04-15T00:00:00.000-07:002013-04-15T00:00:06.927-07:00Care Management: When Family Caregivers Need Help<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial,Helvetica,sans-serif;">We have an amazing new service at Pathways—<a href="http://www.pathwayshealth.org/private-duty/care-management.html" target="_blank">Care Management</a>. This service provides a nurse or social worker to oversee the care of an older person when loved ones need help to manage the care or don’t live nearby. It can also provide one-time assessment and care planning for families. This is an all-encompassing, privately paid service.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br /><b>Here are just some of the valuable services care managers provide:</b></span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Scheduling and coordinating medical and dental appointments</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Transporting and accompanying clients to health care appointments</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Helping clients comply with medications and recommendations</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Arranging supportive services such as home care, bill paying, transportation, housekeeping, meal delivery or a handyman</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Overseeing caregivers and other providers </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Arranging for safety devices and medical equipment such as emergency response systems, grab bars, shower chairs and wheelchairs</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Providing crisis intervention and supportive counseling</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Long-term planning for appropriate housing options </span></li>
</ul>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMHHjDN1P7JctjJyt54Wng3sEXTOQghhrd3daejUFIcOsndzRhSpsQ4pqMyhxKib1Hjusg2E9ytqcoCTvWjcV8NrNRQBQXbxjZ4GuerBu6YirjZYye9gHwfLIjC0JBSg2EXGL8RUqOFI_e/s1600/Stephne+Lencioni+Pathways.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMHHjDN1P7JctjJyt54Wng3sEXTOQghhrd3daejUFIcOsndzRhSpsQ4pqMyhxKib1Hjusg2E9ytqcoCTvWjcV8NrNRQBQXbxjZ4GuerBu6YirjZYye9gHwfLIjC0JBSg2EXGL8RUqOFI_e/s200/Stephne+Lencioni+Pathways.jpg" width="133" /></a></div>
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<span style="font-family: Arial,Helvetica,sans-serif;">Pathways’ first <a href="http://www.pathwayshealth.org/private-duty/care-management.html" target="_blank">care manager</a> is social worker Stephne Lencioni, LCSW. She is a long-time supporter of Pathways, often referring clients to us in her 25 years of care management with other organizations. We are thrilled to have the experience and expertise of such a respected care manager launching this program for Pathways.</span><br />
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Physician & Health Professional Bulletin - Issue 26</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com2Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-58054931567608023442013-04-08T00:00:00.000-07:002013-04-08T00:00:03.675-07:00Telemonitoring: Catching Heart Failure Problems Early<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-family: Arial,Helvetica,sans-serif;">Fewer Hospitalizations</span></b><br />
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<span style="font-family: Arial,Helvetica,sans-serif;"><a href="http://www.pathwayshealth.org/programs/transitions/telemonitoring-for-patients.html" target="_blank">Telemonitoring</a> puts technology to work improving the lives of Pathways’ heart failure patients. By catching problems earlier, it reduces hospitalizations.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Home Health nurses don’t visit daily, so telemonitoring gives Pathways a way to assess the patient 7 days a week, from our office.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"> <br />The easy-to-use unit can give us the patient’s:</span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Weight </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Blood pressure </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Heart rate </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Oxygen saturation</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;">When a patient touches any button on the small unit, a friendly voice talks them through each step of the health check. Patients also receive the data, giving feedback.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The information is sent automatically to a nurse via telephone: there is no phone charge to the patient.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Nurses monitor the health information daily, call the patient if necessary, and make home visits when indicated.</span><br />
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<b><span style="font-family: Arial,Helvetica,sans-serif;"><a href="http://www.pathwayshealth.org/programs/transitions/telemonitoring-for-patients.html" target="_blank">Pathways Telemonitoring Program</a> Criteria</span></b><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Patient has heart failure</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Patient or caregiver can understand and follow instructions, and are physically able to use the unit </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Patient or caregiver are open to telemonitoring technology</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Patient does not have an infectious disease (i.e. TB, MRSA, varicella zoster, herpes zoster) </span></li>
</ul>
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Physician & Health Professional Bulletin - Issue 26</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com0Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-30991982405358672352013-04-01T00:00:00.000-07:002013-04-01T00:00:10.501-07:00Depression in Heart Patients<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial,Helvetica,sans-serif;">Two of every five patients who experience acute coronary syndrome (ACS) will have depression—a very important psychosocial predictor of poor cardiovascular prognosis.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />“A growing body of evidence suggests that mental health problems complicate physical health conditions and that this relationship worsens clinical outcomes, increases hospitalization, and adversely affects quality of life,” Joseph A. Ladapo, MD, PhD, of New York University in New York City.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />He and colleagues predicted that treatment of depression after ACS would be cost effective and improve patient outcomes. They conducted a randomized, controlled study comparing enhanced depression care with usual care in patients with ACS and persistent depression 3 months after discharge. Ladapo and colleagues defined enhanced depression care as problem-solving psychotherapy, antidepressant use or both.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Their conclusion at the close of the 6-month, prospective trial involving 157 patients was that treatment for depression reduced total per-patient healthcare costs by more than 40% and was cost effective for almost all patients.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />An assessment of quality of life showed improved health utility in the intervention group. Interviews 6 months after discharge showed that in the intervention group 51% were using antidepressants or anxiolytics and 75% had visited a mental health specialist at least once for a total cost of $1,083. In the control group 30% were using antidepressants or anxiolytics and 35% had seen a mental health professional, for an average of $554. </span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The extra costs for the intervention group were more than offset by the significant reduction in hospitalization for ACS and heart failure (5% vs. 16%), with a mean cost savings of $1,782 for the intervention group and unmeasured improvement in quality of life.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Total healthcare costs averaged $1,857 in the intervention group and $2,797 for the usual-care arm, resulting in an adjusted difference of $1,229, which did not achieve statistical significance (P=0.09). Because the intervention was cost saving, the investigators could not calculate a cost-effectiveness ratio.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The research was reported in <i>Arch Intern Med 2012</i>; DOI: 10.1001/archinternmed.2012.4448, and was supported by the National Heart, Lung, and Blood Institute; the Health Resources and Services Administration; and the American Heart Association.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span>
<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Physician & Health Professional Bulletin - Issue 26</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com8Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-84394040726090633492013-03-25T00:00:00.000-07:002013-03-25T00:00:04.959-07:00Integrative Therapy Benefits<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-family: Arial,Helvetica,sans-serif;">Improves Quality of Life</span></b><br />
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<span style="font-family: Arial,Helvetica,sans-serif;">There are more than 600 million visits a year between patients and alternative medicine providers in the US—and the number is growing.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />You can call it alternative, complementary or integrated therapy—it is a group of diverse practices and products not considered a part of traditional Western medicine. But whether you are a skeptic or a proponent, there is no denying that the public is looking for it. </span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />For those patients who want this kind of treatment, it undeniably works to improve their quality of life. After all, a hand massage with aromatherapy and soothing music would improve most peoples’ moods and lower their blood pressure and stress. As simple as that, quality of life is improved.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />More and more hospices are adding Integrated Therapies to their armamentarium for achieving comfort and improving quality of life. As far back as 2004 60% of hospices reported offering complementary treatments (the most popular being music therapy and massage). The main obstacles to providing these services are lack of adequate funds, knowledge and qualified personnel. Other Integrated Therapies include animal visits, guided imagery and art therapy.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Pathways has a robust <a href="http://www.pathwayshealth.org/programs/integrative-therapies/index.html" target="_blank">Integrative Therapies Program</a> that provides numerous benefits. Patients report: </span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">A sense of control when so much control over their lives has been lost</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Improved pain management</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Enhanced emotional wellbeing and decreased anxiety</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Opportunities to experience pleasure</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Better quality sleep and decreased fatigue</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Enrichment in their lives</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Decreased nausea and enhanced appetite</span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;">Integrative Therapies often do not lend themselves to randomized, double-blind, controlled clinical trials due to the very subjective nature of the discipline. However, risk-benefit analyses demonstrate very low risk—won’t hurt, might help.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The holistic nature of hospice is a setting made for Integrative Therapies. They have repeatedly been shown to provide physical, emotional and spiritual benefits to patients and their families.</span><br />
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<span style="background-color: white;"><b><span style="font-family: Arial,Helvetica,sans-serif;">One Patient’s Story</span></b></span><br />
<span style="background-color: white;"><span style="font-family: Arial,Helvetica,sans-serif;"><br /><i>Advanced pancreatic cancer was Mr. B’s grim diagnosis. A resident of a SNF, he had prognosis of a few weeks when referred to Pathways by the distressed facility. During the admission to hospice, the patient disclosed that he was a Christian Science practitioner and was not open to using any medications to manage his rather severe symptoms. </i></span></span><br />
<span style="background-color: white;"><i><span style="font-family: Arial,Helvetica,sans-serif;"><br />With this limitation, Pathways quickly initiated several Integrative Therapies and held a stat inservice for the SNF staff and his family. Hospice volunteers, personal care aides, spiritual care counselors, social workers and nurses all contributed their Integrative Therapy skills. Mr. B received massages, aromatherapy, guided imagery, Reiki, music therapy and comfort touch. We also involved the family, asking them to find movies, CDs and other forms of distraction that Mr. B would respond to.</span></i></span><br />
<span style="background-color: white;"><i><span style="font-family: Arial,Helvetica,sans-serif;"><br />Although his pain was never completely gone, the patient reported it was significantly decreased and that he noticed an improved ability to cope with the pain that remained. Until he died about three weeks after admission, Mr. B reported that Integrative Therapies had helped manage his symptoms to a level he deemed acceptable. </span></i></span><br />
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Physician & Health Professional Bulletin - Issue 26</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com2Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-16652037933692558482013-03-18T00:00:00.000-07:002013-03-18T00:00:13.033-07:00Addicted to Pain?<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial,Helvetica,sans-serif;">Some brains may be wired to become addicted to pain. In fact, researchers have been able to accurately predict people who will continue to experience back pain more than a year after their initial injuries.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />A study done at Northwestern University in Illinois looked at 39 people with recent onset of back pain. Half still had pain a year later—their original pain had converted into insidious, chronic pain. All participants had similar pain at the start of their injuries, but the chronic pain cohort had an unusually strong connection between two regions of the brain: the nucleus accumbens and the prefrontal cortex.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />The two regions seemed to work in tandem, if one was active the other also “lit up.” A stronger connection correlated with a higher likelihood of developing chronic pain.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />“We’re very excited about these results,” observed study coauthor A. Vania Apkarian of Northwestern. “We think they open up a whole new way of looking at chronic pain.” The research was presented in the July 1, 2012 <i>Nature Neuroscience</i> online journal.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Previous studies have examined brain differences in chronic pain sufferers, but researchers had not been able to discern whether these changes were caused by the chronic pain or an effect of living with it. This study was the first to reveal a predictive signal present in the brain before the pain becomes chronic.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />Interestingly, the study may link chronic pain development to the brain’s addiction conduit since both include the nucleus accumbens. “This is certainly part of the addiction pathway,” Apkarian noted, observing that though the idea hasn’t been tested, chronic pain may stem from the brain essentially becoming addicted to pain and warrants further study. </span><br />
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Physician & Health Professional Bulletin - Issue 26</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com1Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-63332395444101127002013-03-11T00:00:00.000-07:002013-03-11T00:00:08.856-07:00Macular Degeneration<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial,Helvetica,sans-serif;"><b>Losing Sight</b><br /><br />Age related macular degeneration usually affects older adults and results in a loss of vision in the center of the visual field. It’s due to damage to the retina. Macular degeneration can make it difficult or impossible to read or recognize faces, although enough peripheral vision remains to allow other activities of daily life.<br /><br /><b>Causes</b></span><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Aging: About 10% of people 66 to 74 years of age will have some evidence of macular degeneration. It’s 30% in patients 75 to 85 years old. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Family history: For someone who has a relative with it, the risk of developing late-stage macular degeneration is 50%. It is only 12% for others.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">High blood pressure plays a role in MD.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">High cholesterol, obesity, and high fat intake are associated with an increased risk of MD.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Smoking increases the risk of MD by two to three times that of someone who has never smoked, and may be the most important modifiable factor in its prevention. </span></li>
</ul>
<span style="font-family: Arial,Helvetica,sans-serif;"> </span><b><span style="font-family: Arial,Helvetica,sans-serif;">Management</span></b><br />
<ul style="text-align: left;">
<li><span style="font-family: Arial,Helvetica,sans-serif;">Reducing fat intake: This means cutting down greatly on red meats and high-fat dairy products such as whole milk, cheese, and butter, and eating more cold-water fish (at least twice a week); eating any type of nuts may help. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Nutritional supplements: Some evidence supports increasing intake of two carotenoids: lutein and zeaxanthin. Eating foods high in omega-3 fatty acids has been correlated with a reduced progression of early macular degeneration. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Adaptive devices: These help people read and include everything from magnifying glasses to computer software.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Audio books: are also helpful.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Reverse print: Written material with white text on a dark background is easier to read for people with macular degeneration.</span></li>
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Residential Care Journal - Issue 5</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com0Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-10860849145232167212013-03-04T00:00:00.000-08:002013-03-04T00:00:07.654-08:00A Full Life<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial,Helvetica,sans-serif;"><b>Setting Priorities</b><br /><br />When things in your life seem almost too much to handle, when 24 hours in a day are not enough, remember this story about a jar and two glasses of wine. </span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><br />A professor stood before his philosophy class with some items in front of him. When the class began, he picked up a Costco-size jar and filled it with golf balls until he couldn’t cram another one in. He then said, “I guess the jar is full, huh?” They agreed that it was. <br /><br />The professor then picked up a box of pebbles and poured them into the jar. He shook the jar lightly and the pebbles rolled into the open areas between the golf balls. He said, “Now the jar is really full, right?” And everyone nodded in agreement. <br /><br />Next the professor poured a bag of sand into the jar. Of course, the sand filled up everything else. He asked once more if the jar was full. The students responded with a unanimous, “Yes!”’ <br /><br />The instructor then produced two glasses of wine from under the table and poured them into the jar, effectively filling the empty spaces in the sand. The students laughed.<br /><br />“Now,” said the professor as the laughter subsided, “I want you to recognize that this jar represents your life. The golf balls are the important things—your family, your children, your health, your friends and your favorite passions—and if everything else was lost and only they remained, your life would still be full. </span><br />
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<span style="font-family: Arial,Helvetica,sans-serif;"><br />“The pebbles are the other things that matter like your job, your house and your car. The sand is everything else—the small stuff. <br /><br />“If you put the sand into the jar first,” he continued, “there is no room for the pebbles or the golf balls. The same goes for life. If you spend all your time and energy on the small stuff you will never have room for the things that are important to you.”<br /><br />He concluded, “People should pay attention to the things that are critical to their happiness: spend time with your children, and parents and grandparents. Take time to get medical checkups. Take your spouse out to dinner. Play games. <br /><br />“There will always be time to clean the house and fix the disposal. Take care of the golf balls first—the things that really matter. The rest is just sand.”<br /><br />One of the students raised her hand and inquired what the wine represented. The professor smiled and said, “I’m glad you asked. The wine just shows you that no matter how full your life may seem, there’s always room for a glass of wine with a friend.”</span><br />
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways Residential Care Journal - Issue 5</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
Unknownnoreply@blogger.com0Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261tag:blogger.com,1999:blog-9009096993689883796.post-79187910890480958942013-02-25T00:00:00.000-08:002013-02-25T00:00:05.258-08:00Shingles Overview<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial,Helvetica,sans-serif;"><b>What is Shingles?</b><br /><br />After a person has had chicken pox the virus that causes it stays sleeping for decades in nerves near the spine. The virus is herpes zoster. About 20% of people who have had chicken pox will later have a shingles outbreak. Shingles usually affects older people and people with weak immune systems. <br /><br />Cold sores on the lips and genital herpes are caused by different herpes viruses, herpes simplex viruses.<br /><br /><b>Symptoms</b><br /><br />If the virus wakes up, it travels along nerve fibers to the skin, usually appearing in one area, on one side of the body, and along the line of a nerve. But shingles can be anywhere on the body. The rash is painful and has fluid-filled blisters. The first symptoms start 1 to 5 days before the rash and include:</span><br />
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<li><span style="font-family: Arial,Helvetica,sans-serif;">Itching</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Tingling</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Burning sensation</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Pain, sometimes worse at night</span></li>
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<span style="font-family: Arial,Helvetica,sans-serif;">Less common symptoms are fever, chills, headache and stomach ache. Shingles near the eye or ear can cause vision or hearing loss and are usually treated aggressively. <br /><br />The blisters usually scab over in 7 to 10 days and disappear completely in 2 to 4 weeks. In most people the rash leaves no scars and the pain and itching go away after a few weeks or months.<br /><br />In some people the pain from shingles stays for months or even years after the rash is gone. The pain is from damage to the nerves in the skin. This is called post-herpetic neuralgia. <br /><br /><b>Treatment</b><br /><br />There is no cure for shingles. But there are antiviral medications that can make the episode shorter and milder if given early. They also reduce the risk of pain after the rash is gone. The antiviral drug should be started at the first sign of symptoms to be most effective.<br /><br />Over-the-counter pain and itch medicines, such as calamine lotion, work fairly well for many people. If the pain is severe or the rash is near the eye or ear, the doctor may prescribe steroids to reduce the inflammation. Using a compress dampened with cool water may help with itching. Scratching should be avoided to prevent damage to the skin and to prevent breaking the blisters. <br /><br /><b>Vaccine</b><br /><br />A shingles vaccine is available. It prevents about half of shingles cases and reduces the frequency of post-shingles pain. The Centers for Disease Control recommend that all adults 60 years and older be vaccinated. The vaccine does not work well in people over 80 and is generally not recommended for this age group.<br /><br /><b>Is It Contagious?</b><br /><br />Yes, but you can’t get shingles from another person; only chicken pox. If you have never had chicken pox, or the vaccine for it, and you are then exposed to the fluid in the shingles blisters, you can get chicken pox. <br /><br />Caregivers can carry the virus from one person to another and if the second person has not had chicken pox, they may get it. Shingles can only be transmitted when the blisters have burst and are oozing, before they crust over. <br /><br /><b>What can you do to prevent spread?</b></span></div>
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<li><span style="font-family: Arial,Helvetica,sans-serif;">Prevent blisters from breaking open.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Keep the rash covered to prevent the blister fluid from contaminating others. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Assist the resident with shingles to wash hands often. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Only caregivers who have already had chicken pox should be assigned to residents with shingles. </span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">No one who is pregnant should be assigned to a resident with shingles.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Keep surfaces clean and disinfected.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">If the resident has shingles on the buttocks, he or she should not use common toilets.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">All caregivers and housekeepers should wear gloves in the resident’s room until he is no longer contagious. Hands should be washed after removing gloves.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Determine if roommates or others the resident socializes with are at risk.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Use common sense precautions.</span></li>
<li><span style="font-family: Arial,Helvetica,sans-serif;">Washing Linens</span></li>
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<span style="font-family: Arial,Helvetica,sans-serif;">People handling sheets and towels of a person with shingles should wear gloves. Sheets and towels should not be shaken or set down on a surface, even the floor. They should immediately be put into a linen bag. No special procedures are needed for washing linens.<br /><br /><b>Staff with Shingles</b><br /><br />Staff members who have shingles should not care for vulnerable residents, including people with cancer, residents with compromised immune systems or those who have not had chicken pox. </span></div>
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<span style="font-family: Arial,Helvetica,sans-serif;">This article was originally published in <i>Pathways & Partners Newsletter - Issue 27</i>. To download this issue in PDF format, or past issues, visit our newsletter archives online at <a href="http://www.pathwayshealth.org/publications">www.pathwayshealth.org/publications</a>.</span></div>
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Unknownnoreply@blogger.com0Sunnyvale, CA, USA37.36883 -122.036349637.166977 -122.35907309999999 37.570683 -121.7136261