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Southeast Michigan CareLink Newsbriefs Your link to healthy living January-February 2020

Heart attack or sudden cardiac arrest: How are they different? People often use “heart attack” and women’s most common heart attack risk for sudden cardiac arrest. Most “sudden cardiac arrest” interchange- symptom is chest pain or discomfort. heart attacks do not lead to sudden ably, but they are not the same. A But women are somewhat more likely cardiac arrest. But when sudden heart attack is a “circulation” problem than men to experience some of the cardiac arrest occurs, heart attack is and sudden cardiac arrest is an other common symptoms, particularly a common cause. Other heart “electrical” problem. shortness of breath, nausea, vomiting conditions may also disrupt the and back or jaw pain. heart’s rhythm and lead to sudden What is a heart attack? cardiac arrest. These include a What is cardiac arrest? A heart attack occurs when a blocked thickened heart muscle artery prevents oxygen-rich blood Cardiac arrest occurs suddenly and (cardiomyopathy); heart failure; from reaching a section of the heart. often without warning. It is triggered arrhythmias, particularly ventricular If the blocked artery is not reopened by an electrical malfunction in the fibrillation; and long QT syndrome. quickly, the part of the heart normally heart that causes an irregular nourished by that artery begins to heartbeat (arrhythmia). With its die. The longer a person goes without pumping action disrupted, the heart treatment, the greater the damage. cannot pump blood to the brain, lungs and other organs. Seconds Symptoms of a heart attack may be later, a person loses consciousness immediate and intense. More often, and has no pulse. Death occurs though, symptoms start slowly and within minutes if the victim does persist for hours, days or weeks Inside this issue not receive treatment. before a heart attack. Unlike with sudden cardiac arrest, the heart What is the link? Cardiovascular articles ------2 usually does not stop beating during a heart attack. These two distinct heart conditions Education programs------4 are linked. Sudden cardiac arrest can Exercise programs------6 Heart attack symptoms in women can occur after a heart attack or during be different than in men. As with men, recovery. Heart attacks increase the Workshop series------8

Bulletin board------9

Please see page 3 for fast action that can save lives and pages 4 and 5 for Healthy Habits------10 heart-related lectures. Recipe------11 HospitalCardiovascular Updates 2

Cardiovascular screening The best way to prevent heart disease is understanding Echocardiogram and managing your risk factors. For many people, this can be as simple as scheduling an annual checkup with An echocardiogram uses ultrasound to look at the size your primary care doctor to screen for risk factors that and shape of your heart, to check for abnormalities in include the following: the heart valves, chambers, walls and blood vessels. • Obesity/overweight and high body mass index (BMI) If your doctor believes symptoms, such as chest pain or shortness of breath, are the result of a problem with • High blood pressure your heart’s structure, this test may be ordered. • High cholesterol Calcium scoring • High fasting blood glucose Calcium scoring uses a computed tomography (CT) Knowing your numbers can help determine if you need scan and looks for buildup of calcium in the plaque on to make lifestyle modifications or seek further treatment the walls of the arteries. for potential heart conditions. If you are at medium risk for heart disease, this test can But when should you ask for a more comprehensive help determine your risk for a heart attack, stroke or heart screening? heart disease. Your doctor may use the results to For patients with two or more risk factors, who are modify your treatment plan or suggest lifestyle experiencing symptoms such as chest pain, shortness of modifications. breath or an irregular heartbeat, additional cardiac tests While these tests can be beneficial to help properly should be considered. diagnose and treat heart disease, they are not for Electrocardiogram (EKG) everyone. It’s important to talk with your cardiologist or primary care doctor to determine if and when you An EKG checks your heart’s electrical system and heart should have these screenings. rhythm. Advanced testing can be costly, is not right for everyone If you have risk factors for an enlarged heart, including and should be discussed with your doctor. high blood pressure or symptoms of heart disease, such as chest pain, shortness of breath, palpitations or an If you have a family history or risk factors for heart irregular heartbeat; and/or if you have a family history disease, it’s important to be educated on your condition of heart disease, diabetes or other risk factors, this test and know what you can do to prevent a more serious may be ordered. heart issue. Being educated, from prevention to screening to treatment, is critical when managing Exercise stress test potential heart disease. Many of the major risk factors An exercise stress test looks for abnormal changes in for heart disease can be modified and controlled with your heart during exercise. lifestyle changes, such as diet and exercise.

If you have symptoms of heart disease, such as chest pain, shortness of breath, an irregular heartbeat, or heavy heartbeats; and/or if you have a family history of heart disease, diabetes or other risk factors, this test may be ordered.

ascension.org/carelinkmi Hospital Updates Cardiovascular 3

Ascension SE Michigan Heart and Vascular Screening Clinic The Heart and Vascular Screening Clinic offers a series follow-up mailing with their risk profile and the test of simple, non-invasive tests that can identify cardiovas- results, to review with his or her primary care doctor. cular risk factors, even in people who have no symptoms. Insurance generally does not cover the cost of screenings The entire series of tests takes approximately one hour. such as these, but the entire battery of tests is available The results, combined with information from the at the Heart and Vascular Screening Clinic for only $75. patient’s medical history and lifestyle questionnaire, are CareLink members receive 20% off and only pay $60! used to develop an individual coronary risk profile. For more information or to make an appointment, Shortly after the clinic visit, patients will receive a call 1-866-501-3627. What to do in a cardiac emergency What to do for heart attack external defibrillator (AED) if one is available and Even if you’re not sure it’s a heart attack, call 911 or use it as soon as it arrives. Begin CPR immediately your emergency response number. Every minute and continue until professional emergency medical matters! It’s best to call EMS to get to the services arrive. If two people are available to help, emergency room right away. Emergency medical one should begin CPR immediately while the other services staff can begin treatment when they arrive calls 911 and finds an AED. — up to an hour sooner than if someone gets to the Sudden cardiac arrest is a leading cause of death — hospital by car. EMS staff are also trained to revive over 320,000 out-of-hospital cardiac arrests occur someone whose heart has stopped. Patients with annually in the . By performing hands- chest pain who arrive by ambulance usually receive only CPR to the beat of the classic disco song faster treatment at the hospital, too. “Stayin’ Alive,” you can double or even triple a What to do for sudden cardiac arrest victim’s chance of survival. Cardiac arrest is reversible in most victims if it’s Learn the two easy steps to save a life at treated within a few minutes. First, call 911 for heart.org/handsonlycpr. emergency medical services. Then get an automated

Ascension Michigan Call Center Find a doctor – Connect with more than 3,000 Talk with someone who speaks your language primary care doctors and specialists, obtain office – Multilingual customer service in Chaldean and locations, hours, insurances accepted and more. Arabic is available. Schedule appointments – Arrange doctor visits, Locate support groups – Explore the many support diagnostic tests, physical therapy, doctor referrals groups available. and second opinions. One number does it all — 866-501-DOCS (3627) Connect with behavioral health resources – With one call, you can speak with our behavioral health social worker to access a wide range of hospital and community-based social services.

To register, visit healthcare.ascension.org/events. For class information, call 248-849-5752. Education programs 4

Preregistration January recommended

FRI Lifestyle Changes for Healthy TUE Cannabis Use in Seniors Eating Riverview Wellness Center 7633 E. Jefferson 10 Ascension Medical Center, 1225 S. Latson 21 Pavilion II, Room 172, 12:30- Road, Room #170, Howell Cannabis, also referred to as marijuana, is 1:30 p.m. 1-2 p.m. Join us to learn the benefits of mindful eating used both medicinally and recreationally. Join for our body, mind and spirit. Healthy eating us to learn the most recent research, pros tips for weight control and maintaining and cons of its use, and how cannabis effects good health, nutrition label reading, grocery differ in the senior population. shopping tips and ways to adopt healthy Presenter: Darryl Allen, Licensed Behavioral habits for the new year. BMI screening Health Counselor, Ascension following lecture (see page 9). Southeast Michigan Community Health Presenter: Beth Theisen, RD, CDE, Clinical Dietitian, Ascension Southeast TUE Joint Pain Treatment Options Michigan Community Health Using Reparative Cell Therapy 28 WED Back and Neck Pain Novi Civic Center, 45175 W. 10 Mile Road, Southfield Wellness Center, 15990 W. Nine 3-4 p.m. Novi, Activities Room 15 Mile Road, Southfield Learn about the Lipogems procedure, which 12:30- There are many reasons people suffer with uses cutting-edge, minimally invasive 1:30 p.m. back and neck pain at some time in their alternative technology that gently processes lives. The pain may be acute, chronic or your body’s own fat tissue to cushion and intermittent. Learn how to prevent, manage support areas of injury or damage. and treat back and neck pain. Presenter: Michael Slesinski, DO, Presenter: Shad Siddiqi, DO, Interventional Orthopedic Specialist, Ascension Spine and Pain Management Providence Hospital Specialist, Ascension Providence Hospital

WED Healthy New Year’s Resolution Ascension Macomb Wellness Center 15 (located in St. Thomas Lutheran Church), 23801 Kelly Road, Eastpointe 1-2 p.m. It’s a new year. Start out by learning how to Program cancellation due to severe weather carry out healthy resolutions. Find out what Programs may be cancelled due to dangerous routine tests, screenings, diet and exercise are needed for the whole family to keep everyone weather conditions. Please listen to the radio/TV healthy throughout the entire year. on program days. If public schools are closed in the Presenter: Victoria Cohen, DO, MPH location of the program, our program will be Ascension St. John Hospital cancelled too.

ascension.org/carelinkmi Education programs 5

Preregistration February recommended

THUR Preventing Slips and Falls TUE Take Care of Your Heart – Eat Ascension Medical Center, 1225 S. Latson 18 Healthy 6 Road, Room #170, Howell Marvin Blank Senior Center, 51210 Alma 10:30- Learn ways to identify and prevent 10-11 a.m. Drive, Macomb Township 11:30 a.m. potential risks and hazards in the home and Join us to learn how to eat healthy for your environment. heart. Heart healthy fats, anti-inflammatory Presenter: Victor Nwosu, DPM, Ascension and nutrition powerhouse foods will be Providence Hospital discussed. Discover new nutrition tips to help lower your blood pressure. Heart healthy WED Heart Health recipes will be shared. Free blood pressure Sterling Heights Senior Center, 40200 Utica 12 screening to follow lecture. Road, Sterling Heights Presenter: Beth Theisen, RD, CDE, Clinical 11 a.m.- Learn about signs and symptoms of heart Dietitian, Ascension Southeast noon disease and the importance of taking Michigan Community Health prescribed medications. Learn facts about heart disease prevention and tips for stress WED Be Heart Smart relief and label reading. Ascension Macomb Wellness Center Center fee for residents: 25¢, 19 (Located in St. Thomas Lutheran Church), non-residents: 50¢ 23801 Kelly Road, Eastpointe 1-2 p.m. Presenter: Dawn Naidow, BSN, RN, HN-BC, Many common heart conditions can lead to Cardiology Nurse Navigator, a stroke. Get heart smart as you learn ways Ascension St. John Hospital to prevent and manage heart disease. Also, get new information about updates and new WED Nutrition and Brain Health treatments for heart disease. Southfield Wellness Center, 15990 W. Nine Presenter: Antonious S. Attallah, MD, 12 Mile Road, Southfield Cardiologist, Ascension St. John Help boost brainpower, memory and Hospital 1-2 p.m. alertness through good nutrition. Learn more about foods that keep your body healthy and TUE Eating Healthy to Prevent Disease reduce your risk of diseases that can affect Riverview Wellness Center, 7633 E. Jefferson the brain. 25 Pavilion II, Room 172, Detroit Presenter: Beth Theisen, RD, CDE, Clinical Learn how to reduce the risk of diseases, such 1-2 p.m. Dietitian, Ascension Southeast as cancer, heart disease and diabetes, with Michigan Community Health healthy eating and positive lifestyle changes. Presenter: Beth Theisen, RD, CDE, Clinical TUE Keep Your Heart Healthy Dietitian, Ascension Southeast Northville Community Center, 303 W. Main Michigan Community Health 18 Street, Northville 10:30- Learn what you can do to improve your heart 11:30 a.m. health and lower your risk for stroke by making some practical, healthy lifestyle changes. Presenter: Ascension Providence Diagnostic Cardiology Group

To register, visit healthcare.ascension.org/events. For class information, call 248-849-5752. Exercise programs 6

CareLink-sponsored exercise options. Bring your own water bottle. Drop-ins are welcome. All classes are ongoing. No registration required. Classes resume January 6. All centers are closed Monday, Jan. 20.

EnhanceFitness - FREE Chair Yoga, seated and standing

Join us for a fitness class for the mature participant. Learn Chair yoga adapts yoga poses through creative use of a stretching, flexibility, low-impact aerobics and strength chair so the participant is able to warm up and stretch the training to boost your activity level and elevate your mood. body safely, with support and stability. Poses will be done seated on the chair, or the chair can be used for support ASCENSION SOUTHFIELD WELLNESS CENTER during standing poses. Participants will be taught a gentle 15990 W. Nine Mile Road, Southfield flow that will end in a short meditation. This class is (Limited to first 40 participants) suitable for all ages, fitness levels and physical conditions. 9–10 a.m. Monday-Wednesday and Friday ASCENSION SOUTHFIELD WELLNESS CENTER - $5 10:30–11:30 a.m. Wednesday 10:30–11:30 a.m. Tuesday 11 a.m.–noon Thursday ASCENSION MEDICAL CENTER, HOWELL - FREE 2:30-3:30 p.m. Thursday (Limited to first 18 participants) ASCENSION RIVERVIEW WELLNESS CENTER 12:30-1:15 p.m. Wednesday Medical Pavilion II, 7633 E. Jefferson, Suite 172, Detroit 9:45-10:30 a.m. Friday (Limited to first 25 participants) 8:30-9:30 a.m. Monday-Wednesday and Thursday Gentle Yoga 10-11 a.m. Monday-Wednesday and Thursday 1-2 p.m. Monday Gentle Yoga creates a space for spiritual wellness, 11:30 a.m.–12:30 p.m. Tuesday and Thursday focusing on breath, balance/flexibility, strength and stress relief. ASCENSION MACOMB WELLNESS CENTER (Located inside St. Thomas Lutheran Church, ASCENSION RIVERVIEW WELLNESS CENTER - $5 parking and entrance in rear) 1-2 p.m. Wednesday 23801 Kelly Road, Eastpointe 10-11 a.m. Monday and Wednesday ASCENSION SOUTHFIELD WELLNESS CENTER - $5 10:30–11:30 a.m. Monday and Friday ASCENSION MEDICAL CENTER 1225 S. Latson Road, Room #170, Howell ASCENSION MACOMB WELLNESS CENTER - $5 (located inside St. Thomas Lutheran Church, (Limited to first 18 participants) parking and entrance in rear) 11 a.m.–noon Wednesday and Friday 23801 Kelly Road, Eastpointe 9-10 a.m. Thursday 1-2 p.m. Monday

ASCENSION MACOMB-OAKLAND HOSPITAL, MADISON HEIGHTS - $5 For more information, please call: 10–11 a.m. Friday Southfield: 248-849-5719 Macomb: 586-859-0804 Riverview: 313-499-4035 Howell: 248-849-2185

ascension.org/carelinkmi Exercise programs 7

Blood pressure screening

City of Wixom Community Center Hustle for Your Health 49015 Pontiac Trail, Wixom Mondays: 9–10:30 a.m. Learn easy-to-follow dance moves to improve posture, • Jan. 6 • Feb. 3 coordination, agility and flexibility while having fun. Ascension Riverview Wellness Center ASCENSION SOUTHFIELD WELLNESS CENTER - $5 Medical Pavilion II, 7633 E. Jefferson, Detroit 1:15–2:15 p.m. Tuesday Tuesdays: 8:30-11:30 a.m. • Jan. 7 • Feb. 4 ASCENSION RIVERVIEW WELLNESS CENTER - $5 Mondays: 8:30-11:30 a.m. 11:30 a.m.-12:30 p.m. Wednesday • Jan. 13 • Feb. 10 Zumba Gold Novi Senior Center at Meadowbrook Activity Center An easy-to-follow, Latin-inspired dance fitness party. It is 25075 Meadowbrook Road, Novi easier than basic Zumba fitness, but just as much fun! Wednesdays: 11 a.m.–noon Wear comfortable clothing and flat-soled shoes. • Feb. 5 ASCENSION MACOMB-OAKLAND HOSPITAL, Ascension Southfield Wellness Center MADISON HEIGHTS - $5 15990 W. Nine Mile Road, Southfield 6-7 p.m. Wednesday Thurdays: 8:30–11 a.m. • Jan. 9 • Feb. 6 SOUTHFIELD WELLNESS CENTER - $5 Mondays: 8:30–11 a.m. 12:30-1:30 p.m. Friday • Feb. 17 South Lyon Center for Active Adults Tai Chi – basic level 1000 N. Lafayette, South Lyon Mondays: 11 a.m.–1 p.m. Low-impact exercise designed to enhance balance, • Jan. 13 • Feb. 10 circulation and flexibility. Basic level provides activity at Sterling Heights Senior Center seated and standing positions. Wear loose-fitting clothing 40200 Utica Road, Sterling Heights and flat-soled shoes. Wednesdays: 9:15-10:30 a.m. ASCENSION RIVERVIEW WELLNESS CENTER - $3 • Jan. 8 • Feb. 12 2:30–3:30 p.m. Monday Ascension Medical Center ASCENSION SOUTHFIELD WELLNESS CENTER - $5 1225 S. Latson Road, Room #170, Howell 9:30–10:30 a.m. Thursday Thursdays: 8-9:30 a.m. • Jan. 9 • Feb. 13 ASCENSION MACOMB-OAKLAND HOSPITAL, MADISON HEIGHTS - $5 Ascension Macomb Wellness Center (Located 10:30–11:30 a.m. Wednesday inside St. Thomas Lutheran Church, parking and entrance in rear) 23801 Kelly Road, Eastpointe ASCENSION MEDICAL CENTER, HOWELL - $4 Monday: 10:30 a.m.–12:30 p.m. 9:30–10:30 a.m. Wednesday • Jan. 27 • Feb. 24

To register, visit healthcare.ascension.org/events. For class information, call 248-849-5752. WorkshopBulletin series board 8

You must preregister. Visit healthcare.ascension.org/events. Workshops are FREE. Workshop size is limited. These workshops are a series built upon the previous sessions.

Diabetes PATH Healthy Habits (Personal Action Toward Health) This 3-week workshop is designed to improve your Diabetes PATH is a six-week workshop that provides physical, emotional and spiritual well-being. It combines strategies to help manage diabetes. Open to family health information on nutrition, meal planning, stress members and caregivers. management and developing an exercise plan to form healthy habits for life. TUE Jan. 7-Feb. 11 City of Southfield Parks and Recreation Jan. 9–23 10 a.m.- THUR 12:30 p.m. 26000 Evergreen, Southfield Ascension Riverview Wellness Center 1:30-3 p.m. 7633 E. Jefferson, Medical Pavilion II, TUE Jan. 28-Mar. 3 Detroit Ascension River District Hospital 9:30 a.m.- 4100 River Road, East China noon WED Feb. 5-19 Macomb Parks & Recreation Center 12:30- 2 p.m. 40699 Macomb St., Macomb Diabetes Prevention Program (DPP)

Join us for a group-based, structured lifestyle change program for people who are at risk for or have pre-diabetes. A Matter of Balance Group meets for 16 weekly sessions, and six monthly Join us for an eight-session workshop to learn how to use a follow-up sessions. This program helps you make lifestyle variety of activities to improve strength, coordination and changes to reduce your risk for Type 2 diabetes. You must balance to lower your risk for falls. have risk factors or a diagnosis of pre-diabetes to meet the class requirements. If you have a diagnosis of Type 2 MON Jan. 27-Mar. 16 diabetes you will not qualify to attend. Pre-diabetes can be Ascension Southfield Wellness Center 1-3 p.m. diagnosed by your doctor, or you can take the self-screening 15990 W. Nine Mile Road, Southfield test by going to the following website: doihaveprediabetes.org. MON Jan. 27-Mar. 16 St Anastasia Catholic Church 10 a.m.- THUR Starts Jan. 9 noon 4571 John R. Road, Troy City of Southfield Parks and Recreation 10-11 a.m. 26000 Evergreen, Southfield Feb. 13–Apr. 2 THUR Marvin Blank Senior Center 12:30-2:30 THUR Starts Jan. 23 p.m. 51210 Alma Drive, Macomb Township St. Isidore Catholic Church 1:30- 2:30 p.m. 18201 23 Mile Road, Macomb Township

Starts Feb. 25 TUE Novi Civic Center 1-2 p.m. 45175 10 Mile Road, Novi

ascension.org/carelinkmi EducationBulletin programs board 9

Bulletin board

Body fat composition and BMI screening

If you would like to know your percent of body fat Friday, Jan. 10, 1:30–2:30 p.m. composition, sign up for this free screening. You will Ascension Medical Center also receive your BMI (body mass index). Don’t drink 1220 S. Latson Road, Room #170, Howell alcohol 24 hours before testing. Avoid intense Tuesday, Jan. 28, 10 a.m.–noon exercise; avoid eating or drinking caffeinated Ascension Riverview Wellness Center products four hours before testing; empty bladder 7633 E. Jefferson Ave., Medical Pavilion II, Suite 30 minutes before and, if possible, avoid diuretics for 172, Detroit seven days before. A limited number of tests will be done, so sign up early.

To register, please call 248-849-5752 or visit healthcare.ascension.org/events

To your health in the new year The new year often brings promises we make to • Include at least one meatless meal a week. Try ourselves to lead a healthier life. Here are a few tips to plant-based foods that are good protein sources, create a healthy lifestyle that may reduce your risk of such as cooked dry beans, peas or lentils, tofu, cancer, heart disease and diabetes. sprouted whole grain bread, quinoa, or whole rolled • Be a planner. Write down what your priorities are, oats. Chia and hemp seeds and nutritional yeast can the small steps you will take to achieve them and be added to foods to boost their protein content. when you will work on each step. • Eat less sodium, saturated fat and sugar. Your • Everything you eat and drink matters to your heart will thank you. Most of the sodium we get current and future health. To get the nutrition you each day comes from prepared and restaurant food. need, eat a wide variety of different foods regularly, Eat more home-cooked meals and replace sugary and eat foods of many different colors. drinks with water or low-fat milk. Use herbs and spices to season your food and cut back on salt. • Eat more whole grains, fruit, vegetables and fish. Make at least half of your grains whole grains. Fill • Try fruit for dessert. Bake whole, cored apples half of your plate with fruits and vegetables. Eat fish or pears, sprinkled with cinnamon and nutmeg. two or more times each week. Freeze bananas, whole strawberries or grapes for a frosty treat.

We are happy to announce the re-opening of the Ascension Wellness Center in Howell.

The wellness center will be open Wednesday-Friday. There will be monthly lectures (see pages 4 and 5), and quarterly workshops and health screenings (see above). The exercise classes will resume on Wednesday, Jan. 8. EnhanceFitness and Chair Yoga will return on Wednesday and Friday and Tai Chi on Wednesday.

To register, visit healthcare.ascension.org/events. For class information, call 248-849-5752. Healthy habits 10

Nine healthy habits

Among older adults, 92% have at least one chronic issues. Having the right pair of glasses can reduce a condition, and 77% have two or more. Good nutrition chance of falling. and regular exercise are important to manage or prevent • Socialize. Time spent with family and grandchildren chronic conditions, such as diabetes, heart disease and help you feel connected, especially if you have arthritis. Small lifestyle changes add up, and healthy mobility issues. These visits can also make you feel habits for adults help make good health easy to achieve. more upbeat, which is the best medicine at any age. People who had good healthy habits when they were Stay physically active. Exercise not only alleviates younger tend to become healthy adults, but it is never • depression but improves energy and memory. An too late. Good health habits can make a difference to exercise program approved by a doctor, long walks anyone who is prone to illness or have not made their or short strolls can keep you healthier longer. With health a priority in the past. your health under control, you can do more and stay Consider these nine tips to stay healthy active, which is important to your overall well-being. • Focus on prevention. Get vaccinated. Vaccines • Take advantage of free physicals. Check with your help protect you from serious infectious diseases insurance for annual free physicals. Free physicals throughout your life — from infancy to early are offered the first 12 months on Medicare; after adulthood and into old age. Schedule preventive that first year, free annual wellness visits are offered. care visits, including health screenings for cholesterol • Visit the dentist every six months. Our risk for levels, colon cancer, heart problems and more. cavities goes up with age. Plus, many mouth • Get information on medication management. Ask infections can be linked to serious health conditions, about, and review, medications with your doctor on such as diabetes, heart disease and stroke. See your a regular basis. Consider possible drug interactions dentist regularly. and take note of any new symptoms (allergic reactions, drowsiness, loss of appetite and others) after changing or starting new medications. • Get some sleep. Frequent waking and insomnia in the night are common among older adults. Turn the Six indoor activities to enjoy this winter. lights down in the evening to spur drowsiness and • Family tree. Do some genealogy research. There make sure your bedroom is comfortable, cool and are many helpful and free tools available online. quiet. • Chair exercises. Sit and be fit. All you need is a chair. • Remember mental health. The Geriatric Mental • Indoor garden. Vegetables, herbs and other small Health Foundation recommends doing crossword plants do very well in pots. puzzles, reading and writing, and trying new hobbies • Board games. Playing games is a fun at-home to stimulate your mind and engage with the world activity, and it also helps keep your mind sharp. around you. Activities like these can ward off a decline in mental health. • Yoga. Look for yoga poses that are geared toward the older adult. • Screen for vision changes. People who wear glasses should have their prescription checked every year • Reading. A good book, whether printed or digital, is for changes and have their eyes screened for health a great way to relax and escape.

ascension.org/carelinkmi Recipe 11

Rustic butternut squash soup Nutrition Facts Serves 6 6 servings per container Serving size 1/6 recipe Ingredients Amount per serving 1 tablespoon canola or vegetable oil Calories 115 % Daily Value* 1 medium butternut squash, cut in half Total Fat 3 g 4% 1 medium-sized potato, peeled and diced Saturated Fat 1 g 2% Trans Fat 0 g ½ teaspoon black pepper Cholesterol 1 mg 1% Sodium 299 mg 12% 1 medium Vidalia onion, peeled and finely chopped Total Carbohydrate 20 g 7% 3 cloves garlic, finely minced Dietary Fiber 3 g 12% Total Sugars 4 g 3 cups of low-sodium vegetable broth Includes 0 g Added Sugars 0% Protein 3 g 1 / 8 teaspoon nutmeg Vitamin D 0 mcg 0% 1 bay leaf Calcium 72 mg 8% Iron 1 mg 6% ¼ teaspoon cayenne pepper Potassium 448 mg 13% ½ teaspoon salt *The % Daily Value (DV) tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 ½ cup fat-free half and half calories a day is used for general nutrition advice.

Instructions

1. Preheat oven to 400 degrees F.

2. Cut squash lengthwise, remove seeds. Brush both halves of squash with 1 teaspoon of oil and half (¼ teaspoon) of the black pepper. Wrap in foil and place in shallow baking pan.

3. Roast squash for 1 hour or until it is easily pierced with a fork. Take out of oven, remove foil and cool until it can be handled. Scoop squash out of skin with a spoon and then mash with a fork. Set aside.

4. In a Dutch oven, or large pot, heat remaining oil (2 teaspoons) over medium heat. Add potato, onion, garlic, nutmeg, bay leaf, cayenne pepper, salt and the remaining black pepper. Cook, stirring often, until onions are translucent (about 5-8 minutes).

5. Add vegetable broth and squash and stir well. Simmer for 30 minutes with the lid on. Stir in fat-free half and half and heat an additional 5 minutes.

6. Remove bay leaf from soup. Divide soup into six portions and serve.

To register, visit healthcare.ascension.org/events. For class information, call 248-849-5752. CareLink 28000 Dequindre Warren, MI 48092

Ascension SE Michigan sites

Ascension St. John Hospital Ascension Providence Hospital Ascension At Home 22101 Moross Road, Detroit Novi 37650 Garfield, Clinton Township 313-343-4000 47601 , Novi 1-888-246-6322 Ascension River District Hospital 248-465-4100 Ascension Behavioral and Mental 4100 S. River Road, East China Township Ascension Southfield Wellness Center Health Services 810-329-7111 15990 W. Nine Mile Road, Southfield Ascension Brighton Center for Recovery Ascension Macomb-Oakland Hospital Shannon Pearce, 248-849-5719 Ascension Eastwood Behavioral Health Madison Heights Ascension Riverview Wellness Center 1-800-626-3896 27351 Dequindre, Madison Heights Medical Pavilion II, Suite 172 Wilson Center: Senior Resource for 248-967-7000 7633 E. Jefferson, Detroit Independent Living Center Ascension Macomb-Oakland Hospital Deborah Whiting, 313-499-4035 648 St. Clair, Grosse Pointe Warren Ascension Medical Center 313-264-6460 11800 E. 12 Mile Road, Warren Wellness Center Rose Family Senior Assessment for 586-573-5000 1225 S. Latson Road, Room #170, Howell Independent Living Center Ascension Providence Hospital Belinda Kabodian, 248-849-2185 26850 Providence Parkway, Novi Southfield Ascension Macomb Wellness Center 248-465-5330 16001 W. Nine Mile Road, Southfield 23801 Kelly Road, Eastpointe 248-849-3000 Brenda McCain, 586-859-0804

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