HEALTHY LIVING IN GRANT COUNTY FAMILY THE ESSENTIAL REFERENCE FOR QUALITY CARE HEALTH GUIDE FEBRUARY 2019

INSIDE • SIMPLE TIPS How to improve mental health PAGE 8

• TAI CHI Staying healthy in body and mind PAGE 16

• HOME VISITING Nurse program bridges gaps PAGE 21

The Blue Mountain

EAGLEGrant County·s newspaper since 1868 We have well qualified primary care professionals to assist you in taking control of your health. Come and see one of our providers – let’s get started!

Choose from our medical staff members: Zachary Bailey, MD*, Raffaella Betza, MD*, Shawna Clark, DNP, David Hall, MD*, Nora Healey, NP, Emily Lieuallen, DO*, Janessa Sickler, DO*

We offer a wide range of primary care services for all ages: • Preventative Care: Immunizations, routine/annual & wellness exams, family planning • Ongoing Care for Chronic Health Conditions: Diabetes, Heart Disease, Lung Disorders • Specialized Care in Obstetrics/Gynecology/Prenatal Services*

We have early morning and same day appointments to help meet your schedule needs and take care of your urgent health needs.

Pediatrics • Geriatrics • Minor Surgery • Gynecology • Obstetrics

34281 2 / FAMILY HEALTH GUIDE 2019 Blue Mountain Providers

Keith J. Thomas, MD, FACS Zachary M. Bailey, MD General Surgery, Minimally Invasive Family Medicine with Obstetrics Laparoscopic Surgery University of Utah, Economics, B.A. Economics, Magna Cum Laude • University of Illinois at Urbana-Champaign, BS Medical College of Wisconsin, M.D. • Southern Illinois University School of Medicine, MD Family Medicine American Board of Surgery, active member and Fellow of the American College of BLS, ACLS, ATLS, NRP, Surgeons. ALSO, PALS, STABLE ACLS, ATLS, PALS, BLS

Emily Lieuallen, DO David Hall, MD Family Medicine with Obstetrics Family Medicine with Obstetrics Oregon State University- B.S. Nutrition Utah State University, B.S. Biology and Food Management, Nutrition Schience Option Cum Laude, with Chemistry Minor. Des Moines University College Oregon Health and Science University, M.D. of Osteopathic Medicine. Doctor of Osteopathy, Des Family Medicine Moines, IA Tacoma Family Medicine, Tacoma, WA. Oregon Family Medicine BLS, ACLS, ATLS, Oregon NRP, ALSO, PALS BLS, ACLS, PALS, ALSO, NRP, STABLE, ATLS.

Shawna Clark, DNP, FNP Nora Healy, FNP Family Medicine ADN- Community College of Denver, ADN - Treasure Valley Community College, Cum Laude 1996; BS Nursing, Brigham Young University - Idaho; BSN- Metropolitan State College of Denver, MSN, Family Nurse Practitioner - University of Utah Summa Cum Laude Doctorate of Nursing Practice, University of Utah MSN- Regis University, Denver Colorado, December 2012 with honors RN, Board certified; FNP certified by PCCN RN - ANNC AANP Board Certified FNP - ANCC

Janessa Sickler, DO Raffaella Betza, MD Family Medicine with Obstetrics Family Medicine with Obstetrics DO, Doctor of Osteopathy degree, Des Moines University College of Osteopathic Medicine, MD degree, University of Washington School of Des Moines, IA; BS in Biology, University of Seattle, Medicine, Seattle, WA; MA, Politics, University of Seattle, WA Edinburgh, Edinburgh, Scotland Cascades East Family Practice Residency, Swedish First Hill Family Medicine Klamath Falls, OR Residency, Seattle, WA ACLS, ALSO, ATLS, AWLS, BLS, ACLS, PALS, BLS NRP, PALS, Obstetrical Emergencies and Catastrophes

Visiting Specialists

Cardiologists Podiatrist/Surgeon Audiology Neurosurgery Orthopedics

Dr. Bruce McLellan, MD Dr. Michael Rushton Korena Farris, PA Dr. Raymond Tien, MD, PhD Dr. Scott Jacobson, MD Dr. Matthew Lilly, MD St. Charles Rushton The Center The Center The Center The Center

99955

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98003 6 / FAMILY HEALTH GUIDE 2019 BLUEMOUNTAINEAGLE.COM / 7 Simple tips to improve mental health

By Kathy Aney EO Media Group

n the darkness of the winter months, it’s a good time to consider ways to reduce anxi- ety, stress and depression. Kimberly Lindsay, executive director of Community Counseling Solutions, shared Isome advice during a wide-ranging discussion on the topic of mental health. Lindsay is one of those thoughtful, optimis- tic individuals who seems to pass on her calm demeanor through osmosis to anyone nearby. Her agency provides mental health services for four Eastern Oregon counties, helping clients cope with a wide array of mental illness. Off work, she enjoys a thriving home life with her rancher hus- band and children. Mental illness has touched her family personally with the suicide deaths of Lind- say’s cousin, father and grandfather. So Lindsay knows different sides of mental health — the good, bad and the ugly. Those experiencing severe mental illness, such as schizophrenia, bipolar disorder or major depres- sion, should get professional help. However, she EO Media Group/E.J. Harris said, most of us can boost our own mental health Sally Brandsen, owner of The Sally Script, works on a by taking simple steps. One way is through posi- project for the Pendleton Dancing with the Stars charity tive social interaction. on her laptop at Great Pacifi c Wine & Coff ee Co. Jan. 17 in Lindsay believes relationships affect mental Pendleton. Mental health professionals believe there are health big time — and it can go either way. Bad many positive help benefi ts to limiting the amount of one’s relationships damage the psyche while good ones screen time.

See Tips, Page 9

8 / FAMILY HEALTH GUIDE 2019 Tips Continued from Page 8 bring wholeness and a sense of belonging and purpose borne of positive human connection. Loneliness is being called “the new smoking.” Research sug- gests that togetherness with sup- portive others reduces stress and anxiety, strengthens the immune system and improves sleep qual- ity. Toxic relationships can do the opposite. “Relationships get into our psyches,” Lindsay said. “We need to be thoughtful about our relationships.” Other lifestyle factors affect- ing mental health include diet, tech habits, sleep, alcohol and drugs, and learning to quiet the mind. Getting enough exercise is key. EO Media Group/E.J. Harris “Exercise is good all the Friends Justin Farrow, from left, Andrea Brobst, Cody Nash and Matt White carry on a conversation time, whether or not you are Jan. 17 at a table at Great Pacific Wine & Coffee Co. in Pendleton. Research suggests that togetherness struggling with mental health with supportive others reduces stress and anxiety, strengthens the immune system and improves issues,” Lindsay said. “Exercise sleep quality. is good for our brains and good for our body.” One’s outlook on life can ing can be found on the Greek likewise affect mental health. island of Ikaria. “Our brains are so power- She referenced a New York ful. Outlook impacts so much of Times story, “The Island Where how we feel,” Lindsay said. “It’s People Forget to Die,” that tells as simple as walking down the of a Greek man who lived in street and smiling or not smil- the U.S. for most of his adult- ing. Every time you smile, you hood, but returned to his island release a little bit of dopamine to die after learning he had lung or serotonin. Your brain knows cancer and only six months something good is coming.” to live. There, he reconnected People who laugh more tend with childhood friends, spend- to be healthier and live longer. ing hours talking and sometimes Making a purposeful decision EO Media Group/E.J. Harris sharing wine together. to smile and be a little cheerier Acosia Red Elk, left, teaches a yoga class Jan. 17 at Wellness Wave in He went on leisurely walks can pay big mental health divi- Mission. Diet and exercise are key to maintaining good mental health. and didn’t worry about time, dends. Research even suggests since few wore watches there. that doing nice things for other its of 120,000 kids, found that Psychology scientists, she His diet included homegrown people boosts one’s own men- a few hours using devices actu- said, are starting to look at the vegetables, olive oil, beans and tal wellness. Start your spouse’s ally seemed to improve well-be- importance of daydreaming and a moderate amount of alco- car when it’s cold outside. Bring ing. Other studies, such as one giving your mind a break from hol. He started feeling better. FRRNLHVWRWKHRI¿FH released recently, found a rela- thinking. People aren’t letting Decades later, the man remained “Try doing one nice thing tionship between screen time their minds roam these days, cancer free. every day for 10 days,” Lindsay and higher teenage suicide rate. she said. Children don’t have The island, designated a Blue said. “You’re just going to feel Lindsay doesn’t pretend as much free time. Regular day- Zone for its abundance of cente- better.” to have the answer, but says dreaming can help people try narians, has lessons to teach us Another topic researchers unplugging regularly can’t hurt on different scenarios for size in regards to mental health. are investigating involves how and will most likely help. Medi- and imagine themselves in vari- “They’re eating healthier. screen time affects our mental tate. Do yoga. Stare out the win- ous roles. Lindsay isn’t an all or They’re walking,” Lindsay said. health. Results are, so far, incon- dow. Whatever. nothing sort of person. Moder- “They let things go.” clusive about whether technol- “Just disconnect. Go off grid ation, she said, is good when it When talking about mental ogy is a bane or a balm. One for 15 minutes,” she said. “Lis- comes to most things in life. She health, those are words to live study, examining the tech hab- ten to music while you drive.” said an example of healthy liv- by.

BLUEMOUNTAINEAGLE.COM / 9 10 / FAMILY HEALTH GUIDE 2019 mental health services • chemical dependency • substance abuse treatment Get Help, Understanding, & Hope

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98743 BLUEMOUNTAINEAGLE.COM / 11 Cataract Surgery Available in John Day

Blue Mountain Hospital offers Cataract Surgery each month in our outpatient surgery suite. To be considered for cataract surgery, please make an appointment with Dr. David Archibald, Michael B. DesJardin, Dentistry PC John Day Optometrist 541-575-1819 208 NW Canton, John Day Cataract Surgery Close To Home 541-575-2725 Hospital District 97998 97997

ROSALYN A. SMARR LMT holds an Oregon license in massage therapy and has sixteen years of experience in Specific Injury Treatment, sports injuries and pain relief. G et in the Clear With Trusted Vision Care Comprehensive Medical Eye John Day Care Proudly Serving Eye Care Grant County Dave Archibald, O.D. Offering 401 W Main, Suite A comprehensive eye John Day examinations. We 5 41-575-1819 utilize the latest technology and Open 8 a.m.-5 p.m. Mon-Thur treatments to manage 8 a.m.-3 p.m. Fri all eye diseases.

LIC. #7936 98014 12 / FAMILY HEALTH GUIDE 2019 Ending the epidemic Signs and prevention tips for suicide By Richard Hanners Blue Mountain Eagle

regon’s suicide rate has been increasing since 2000, but people can take proactive steps to combat it. For many years, the state’s suicide rate ranked sev- enth to ninth in the U.S., but the problem is getting worse. OIn 2011, twice as many Oregonians died by suicide than were killed in vehicle crashes. According to the Oregon Violent Death Reporting System, suicide was the eighth leading cause of death in the state in 2012. The federal Centers for Disease Control and Prevention now regards suicide an epidemic. Nearly 80 percent of suicides in the U.S. are by men. The cause is typically related to loss of self-esteem due to loss of employment, becoming ill, losing a spouse or partner, an embarrassing public disclo- sure or fearing loss of control. Suicide rates increase as people age, peak- ing after 85, and suicide impacts families for years, even generations. According to the Oregon Health Authority, a little more than half of VXLFLGHYLFWLPVLQ2UHJRQLQXVHG¿UHDUPVDQGDERXWWKUHHTXDUWHUV RIDOO¿UHDUPGHDWKVZHUHVXLFLGHV$ERXWSHUFHQWRIVXLFLGHVLQ2UHJRQ WKDW\HDUZHUHE\SRLVRQDQGDQRWKHUSHUFHQWZHUHE\KDQJLQJRUVXIIR FDWLRQ0HQDFFRXQWHGIRUSHUFHQWRIVXLFLGHVE\¿UHDUPZKLOHZRPHQ accounted for 42 percent of suicides involving poison. Residents of rural Eastern Oregon share many of the same risk fac- tors as other rural communities in the western states, according to Community Counseling Solutions Clinical Director Thad Labhart — geographical isolation, winter weather, family dynamics of denial, abuse, neglect and separation, lack of things to do, higher rates of gun ownership, relatively less access to mental health treatment, low socio-economic status and stigma issues about admitting men- tal health problems. See Signs, Page 15

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35265/MG18 14 / FAMILY HEALTH GUIDE 2019 SUICIDE Signs cessful completions. Dave SIGNS TO PREVENTION Dalton and Emily Moser, WATCH FOR RESOURCES Continued from Page 13 counselors for Lines For Life, advise people to look for the • Can’t enjoy anything • Lines for Life, 800-273-8255, Experts have found some positive. Even in their dark- • Anxiety or panic or text 273Talk to 839863 patterns in suicide numbers. est hours, people contemplat- • Insomnia Suicide attempts, for exam- ing suicide can be reminded of • Community Counseling Solu- ple, tend to peak on Mondays bright spots in their past, even • Hopelessness or despair tions, 541-575-1466 and fall away through the rest small ones, Dalton said. • Homicidal ideation • David Romprey Oregon Warm of the week. More than a third Ninety percent of peo- • Psychotic disorder or com- Line, 1-800-698-2392 of suicide victims told oth- ple who have attempted sui- mand hallucinations • Military Helpline, 888-457- ers of their intentions, while cide end up dying later in life • Personality disorder 4838, or text MIL1 to 839863 another third left a note. About of something else entirely, • Mood disorder 20 percent had a history of sui- Moser said. Talking to people • Oregon Youth Line, 1-877- cide attempts. Nearly a quar- about their suicidal thoughts • Post-traumatic stress disorder 968-8491, text to 839863 or ter were believed to have con- will not make the situation • Substance use, abuse or email [email protected] sumed alcohol in the hours worse, Dalton said — a third withdrawal • National Suicide Prevention before their deaths. of the people who call Lines • Impulsivity, aggression or Lifeline, 1-800-273-TALK About one-third of sui- for Life are calling for other anti-social • Spanish Language National cide victims in Oregon from people. • Ongoing medical illness, Suicide Prevention Lifeline, 2003 to 2012 had experienced The time span from recog- including chronic pain 1-888-628-9454 a crisis within the prior two nizing warning signs to a sui- • Recent or anticipated loss of weeks, including problems cide attempt can be very short, relationship, finances, health • Crisis Text Line, 741741 with an intimate partner, phys- Dalton said. Signs include or home • Alcohol and Drug Helpline, ical health, family stress, other loss of a job, spouse or close • Loss of support or increasing 800-923-4357, or text Recov- relationships, lost jobs or prob- friends. A person contemplat- isolation eryNow to 839863 OHPV DW ZRUN ¿QDQFLDO GLI¿- ing suicide might talk about • Perceived burden on others culties and criminal charges or unbearable physical or psy- • Suicide Prevention Resource • Legal issues or incarceration Center, sprc.org RWKHUOHJDOGLI¿FXOWLHV chological pain or severe Suicide statistics also help anguish. Some have already • Local suicide cluster or expo- • SafeOregon reporting line, professionals understand cir- been diagnosed for depression sure to one through media 844-472-3367, or email tip@ cumstances behind suicide or have alcohol or drug abuse • Access to lethal means, safeoregon.com. ideation, attempts and suc- problems. including firearms New online health tool provides mental self-care resources By Chris Olwine ter program manager for up the account. For the Blue Community Counseling To learn more about Mountain Eagle Solutions in John Day. this online resource, Any adult with a visit gobhi.org/mem- The digital revolution smartphone, mobile bers/wellness. This page has allowed people with device or computer can hosts an introduction to physical ailments to learn use the program, with the myStrength as well as more about their condi- restriction that partici- directions. tions by visiting web- pants must be 13 or older. EOCCO members sites, such as WebMD, Michelle Deming, a and Grant County resi- for the past 10 years. counselor at Commu- dents will simply need As more people nity Counseling Solu- to enter an access code, seek health care infor- tions said, “Any time we which they can obtain by mation and options to access hundreds of Greater Oregon Behav- can get more resources to contacting Community online, the develop- guided activities and ioral Health and their the people we serve, the Counseling Solutions, ers of myStrength saw tools to manage stress, provider network, this better.” 541-575-1466, or Grant an opportunity to bring boost your mood and feel online service is offered This resource isn’t County Health Depart- self-care resources to inspired to take on the to Eastern Oregon Coor- just for people accessing ment, 541-575-0429, at the behavioral health day. dinated Care Organiza- behavioral health care 528 E. Main St., Suite E, community. Tools include mood tion members and the or seeing the doctor. The John Day. This online platform trackers, guided pro- greater Grant County licenses are also made Chris Olwine is a invites users to set up an grams targeting anxiety, community. available to the general licensed clinical social account and begin navi- depression, sleep distur- “It’s easy to set up an public through a separate ZRUNHUDQGWKH&HUWL¿HG gating topics and tools of bance, stress and sub- account and took me less access code. Community Behavioral self-care immediately. stance use, articles and than 5 minutes,” a recent These personal Health Center program A personal expertly created videos. user told Chris Olwine, DFFRXQWVDUHFRQ¿GHQWLDO manager for Community myStrength account is a Thanks to the efforts of WKH&HUWL¿HG&RPPXQLW\ secure and only viewable Counseling Solutions in private and secure way Eastern Oregon’s own Behavioral Health Cen- by the individual who set John Day. BLUEMOUNTAINEAGLE.COM / 15 Tai chi Staying healthy in body and mind By Angel Carpenter Blue Mountain Eagle

here’s no funded by Blue Mountain Hospital. need to She previously taught yoga for travel half- 20 years, and at age 55, she was a Tway around world-champion deadlift weightlifter. the world to enjoy “I discovered you’re never too old to WKH EHQH¿WV RI WDL DFKLHYHVRPHIRUPRI¿WQHVV´VKHVDLG chi, an ancient Chi- The moves for the type of tai nese martial art. FKL +DPLOWRQ WHDFKHV LQYROYH ÀRZ Tai chi has been ing motions to the left and right with gaining in popularity breathing to give energy to the move- among Grant County residents over the ments, “not like hoeing in the garden,” past few years. she said, adding the instruction is indi- A free class with instructor Crish vidualized for each person. Hamilton is available at the Prairie City One of her students, Karen Corwin Senior Center, 204 N. McHaley St., of Prairie City, attends all three tai chi each Wednesday, starting after the cen- classes each week. ter’s 12-1 p.m. luncheon. ³,W¶V D FRQ¿GHQFH EXLOGHU LQ \RXU Tai chi is a low-impact exercise, ability to exercise,” she said. “I enjoy PDNLQJ LW D JRRG ¿W IRU DOO DJHV DQG that it’s a gentle way to get the body abilities, even people in a wheelchair. moving.” Experts say the exercise may help Corwin said her sister, who lives in improve balance and reduce back pain central Oregon, pays to take these types and pain from osteoarthritis. It can of classes. also improve conditions for those with Hamilton said she usually has six to heart disease, cancer and other chronic 10 people in her Prairie City class and Tai chi illnesses. nine to 10 in John Day. One student instructor Although there is a low risk of injury travels from Dayville to John Day to Crish with tai chi, checking with a doctor is take part. Hamilton recommended. “Several people told me their bal- leads a class Crish Hamilton, a Mt. Vernon resi- ance has improved,” Hamilton said, at the Prairie dent, said the eight-form (yang style) tai adding that one person told her their leg City Senior chi she teaches can help seniors achieve injury has improved since participating. Center. EHWWHU EDODQFH EXW WKH EHQH¿WV GRQ¶W Tai chi can be done while sitting in a stop there. chair, standing while holding a chair or “There’s much more to be gained just standing. than just balance, including improved Hamilton said the body can “freeze memory, muscle tone, bone density and up” with age and less activity, but the general health,” she said. good news is that adding movement, Another positive is the social aspect such as tai chi, can reverse that. of being involved in the group. “It’s a fun class to teach,” she said. Hamilton also teaches two classes “It’s low pressure and doable for at the John Day Senior Center, 142 everybody.” NE Dayton St., at 12:30 p.m. on Mon- For more information, call Prairie days and 10:15 a.m. on Thursdays. City Senior Center at 541-820-4100 or The classes are free to the community, John Day Senior Center 541-575-1825.

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18 / FAMILY HEALTH GUIDE 2019 Contributed photo From left, Dr. Raffaella Betza and nurse Greg Kling attend to mock Nicole Lewis, a nurse, during an emergency C-section drill at Blue Mountain Hospital in John Day. Education a top priority for hospital district By Debbie Morris For the Blue Mountain Eagle

here have been many ences. Three nurses graduated become familiar with new equip- district recently received a grant exciting changes at from the program. ment. We recently held an obstet- IURPWKH2UHJRQ2I¿FHRI5XUDO Blue Mountain Hospi- The district also invested rics simulated experience with Health and the Idaho Simulation Ttal District over the past in a learning management sys- the obstetrics staff and operat- Network to host a trauma simula- two years. tem to track learning and certi- ing room crew and practiced an tion this spring. This experience Developing an Education ¿FDWLRQV DORQJ ZLWK DVVLJQLQJ emergency C-section. Nursing will involve emergency med- Department was a big one. Con- online learning. Several web- and medical staff feel these expe- ical services staff, possibly air tinuing education is very import- based educational libraries were riences really help prepare for ambulance, the local emergency ant to the administration and staff purchased from which the staff real emergencies. department, ancillary staff and of Blue Mountain Hospital Dis- are assigned training. The hospi- There have been many other medical providers. trict. During the past two years, tal recently purchased an online learning opportunities held in our Blue Mountain Hospital Dis- the hospital has made a signif- clinical reference center that will hospital such as trauma nurse cer- trict is working hard to improve icant investment to ensure that EHQH¿WDOOFOLQLFDOVWDIIDVWKHODW- WL¿FDWLRQ QHRQDWDO UHVXVFLWDWLRQ the patient experience and has staff is up to date with latest evi- est evidence-based practices and advanced cardiac life support, formed a committee to look at dence-based practices and that research will be available on any pediatric advanced life support, changes that can be made to skills are continually updated and medical topic. trauma-informed care and a rural make a patient’s hospital expe- improved upon. Aside from the computer trauma team development course rience be excellent. The dis- As part of this investment, the training, the clinical staff has from Oregon Health & Science trict recently won another award district hired a clinical educa- practiced mock codes and deliv- University. AirLink from St. for an in-depth program called tion director in 2017. Nurse Deb- ering effective CPR to a mani- Charles Medical Center created “Everyone’s a Caregiver” that bie Morris had been working as a kin that gives feedback on per- a pediatric trauma simulation in will educate staff on ways to clinical education program coor- formance. The Blue Mountain which our staff participated last increase patient satisfaction. dinator at Logan Regional Hospi- Healthcare Foundation, along year. Additional training in labor The clinical and non-clin- tal in Logan, Utah, prior to relo- with a grant from the Oregon and delivery was arranged for ical staff members have been cating here. 2I¿FHRI5XUDO+HDOWKSXUFKDVHG Blue Mountain district nurses at engaged and enthusiastic about In 2017, Blue Mountain Hos- D PLG¿GHOLW\ PDQLNLQ WKDW FDQ St. Charles in Bend. Some of the the many educational opportuni- SLWDO 'LVWULFW KHOG LWV ¿UVW HYHU breathe, has an audible heartbeat nurses and physicians have also ties. There have been many great Nurse Residency Program for and rhythm, can be connected attended an advanced life support changes, and the district looks nurses who were newly gradu- to a heart monitor, has the abil- obstetrics course in Boise, Idaho. forward to many more in the near ated or had not worked at least ity to say a few words and is able The district has joined a future. a year in the acute care setting. to cough, moan and make vom- National Pediatric Readiness Col- Debbie Morris, BSN, RN, The program included class- iting sounds. The nursing staff laborative, working with hospi- is the clinical education direc- room time, clinical rotations with has participated in skills days to tals across the nation, to improve tor for Blue Mountain Hospital a mentor and simulated experi- practice various procedures and the quality of pediatric care. The District. BLUEMOUNTAINEAGLE.COM / 19 97995 20 / FAMILY HEALTH GUIDE 2019 Nurse home visiting program bridges physical, mental health care gap Program off ers additional in-home support for mom and child

By Patrick Mulvihill A 2018 project report For the Blue Mountain Eagle by EOHLA states home visiting is an evi- t’s not easy being a new dence-based approach mother, especially in to preventing and rural Oregon where iso- addressing a variety of lation and remoteness issues facing children can pose daily challenges and families, particu- Iand impact healthy child devel- ODUO\¿UVWWLPHSDUHQWV opment. However, help is and other high-risk available. families. Home vis- A new program in Grant iting programs serve County aims to knock down the families with diverse hurdles moms face in accessing backgrounds and a needed support. variety of needs. The Integrated Nurse Home EOHLA Execu- Visiting Program, started in late tive Director John 2018, connects moms who are Adams stated, participating in public health “We’re committed nurse home visiting programs Contributed photo to helping create with in-home counseling to fur- a healthy, happy ther support mom and the child, Eastern Oregon, weaving a more supportive and New mothers can get support through a local outreach initiative, the where new moms comforting fabric of care. Integrated Nurse Home Visiting Program.d by In Greaterthe photo, Oregon a boy Behavioralswings at have access to another wellness program supporte needed resources and sup- How it works Health, Inc. port, and babies and toddlers The initiative has begun in Solutions, the Grant A serious need have a strong, healthy start.” four counties so far: Grant, Mal- County Health Department, Among the litany of poten- EOHLA initiated a pro- heur, Morrow and Umatilla. Eastern Oregon Healthy Living tial struggles related to raising cess to bring together part- Moms involved in home Alliance and Greater Oregon babies, maternal depression is ners throughout the four coun- visiting programs — including Behavioral Health, Inc. particularly concerning — and ties to develop the program, CaCoon, Babies First, Mater- “The project helps bridge ORFDOGDWDUHÀHFWVWKDW including a yearlong learn- nity Case Management and the the gap between physical Over 40 percent of moth- ing collaborative to support its Nurse Family Partnership — and mental health care,” said ers experience depression implementation. can participate. When certain Thad Labhart, clinical direc- during pregnancy and within ULVN IDFWRUV DUH LGHQWL¿HG WKH tor at Community Counseling three months following preg- How to learn more expanded program is offered to Solutions. “The warm hand- nancy, according to the 2017 The pilot program invites the family. off between nurse and men- Pregnancy Risk and Monitor- parents, families and commu- The in-home support helps tal health clinician helps with ing Survey conducted in East- nity members to learn more families heal and grow after patient retention, and the ern Oregon Coordinated Care about available services. stressful situations. The new in-home therapy allows us to Organization counties. Please call Jessica Wine- care member or counselor spe- access parents and caregivers That’s why the home visit- gar at the Grant County Health cializes in how to help parents that need assistance but might ing program offers a chance to Department or Thad Labhart at use play and regular caretak- not otherwise come into the engage community members in Community Counseling Solu- ing activities as a way to help a RI¿FHIRULW´ a supportive, comforting way. tions, 541-575-1466, for more child and parent feel even more Some perceptions and mis- “We’re honored to support information. Visit eohla.org for connected. Connection is very conceptions tied to receiving this program,” said GOBHI details. important for young children, help can be harmful. Director of Child and Fam- Patrick Mulvihill is the because it helps them develop Labhart explained, “Men- ily Systems Jeanne McCarty. communications coordina- a sense of themselves and learn tal health stigma is a real issue “All moms could use this kind tor for Greater Oregon Behav- how to control and express and is highlighted in a small of support, so it makes sense ioral Health, Inc. The Eastern emotions. town where folks know their bringing help to the home, Oregon Healthy Living Alli- Local project partners neighbors. This program helps rather than requiring everyone ance also contributed to this include Community Counseling reduce stigma too.” to travel to a clinic.” article.

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Wade L. Robirts, DT - DO Licensed Denture Specialist 600 Savannah Dr. Suite 2, Bend, OR 97701 98016 Great Basin Chiropractic KEVIN S. JOHNSON D.C. Chiropractic and Natural Medicine Where Health Comes Naturally

Auto Injury • Sports Injury • Work Injury Back Pain • Disc Injury • Neck Pain Headaches • Leg & Arm Pain • Scoliosis We give special attention to our veterans. Nutritional Support for: Blood Pressure • Thyroid • Colon Arthritis • Diabetes • Weight Loss Hill Crest Professional Center 229 N. Egan (across from the Hospital) • Burns, OR 541-573-7733

98009 22 / FAMILY HEALTH GUIDE 2019 Blue Mountain Hospital offers transitional care Blue Mountain Hospital staff

he unthinkable happens. You have been Physician and abilities to understand and express language, injured or have an illness that severely Once in a transitional setting, your primary including nonverbal communication. Speech affects your ability to be independent. physician continues to play an important role in therapists and speech pathologists (SLP) are the T$QG \RX PD\ ¿QG \RXUVHOI LQ \RXU your rehabilitation, assisting in reviewing and professionals providing those speech services. own community or another community, far your treatment and support. If you do not have a away from what you consider home. And you primary physician in the area, you can choose a Registered dietitian need time to recover. Now what? You wonder physician from Blue Mountain Hospital. A registered dietitian is your most credible what questions to ask. Well, once your doctor and reliable source for accurate nutrition infor- has cleared you after your surgery or hospital Physical therapy mation, trained in the use of nutrition to prevent stay, you will need time to recover with a tran- A physical therapist will be the expert in and control disease. sitional care team. That may mean transitional strengthening, balance training and teaching of Registered dietitians help people learn about care or home health or maybe private care assis- assistive devices. staying healthy and selecting the right foods. tance. It is usually advised that you have that We will work with you to recover from the Balance, variety and moderation are keys to conversation with your physician or the attend- effects of the illness or surgery and also work healthful eating. A registered dietitian can help ing physician. with your family or caregiver to make sure they \RX¿QGDWRWDOHDWLQJSODQWKDWZRUNVIRU\RX are ready to help when you go home. and your lifestyle. What is transitional care? Transitional care is provided to a patient Occupational therapy Respiratory therapy when they are well enough to leave a hospital Our occupational therapist is trained in Your respiratory therapist will assist the team but not well enough to go home. In larger com- strengthening, use of adaptive equipment and by giving breathing treatments, if necessary, munities, who have had surgery or an works closely with the physical therapist and and monitoring your vitals to ensure a speedy extended illness would leave the hospital and go other members of a multidisciplinary team. recovery. The respiratory therapist is not always to a skilled nursing facility or rehabilitation. Your occupational therapist will work with involved in all cases. The skilled nursing facility would be com- you and your caregiver to learn ways of adapt- prised of nursing, physical therapy, occupational ing to your illness or surgery to aid in bathing, Discharge planning therapy, speech therapy and a dietitian. In rural getting dressed and preparing meals. Discharge planning is a process that aims to areas like Grant County, this service is provided improve the coordination of services from the at Blue Mountain Hospital, a critical access hos- Registered nurse hospital, by considering the patients in the com- pital, and is called transitional care. Your registered nurse will monitor your munity. A trip to the hospital can be an intim- Following our mission of providing qual- vitals, administer medications, follow the treat- idating event for the patient and their fam- ity care close to home, patients do not have to ment plan of the doctor and, if required, perform ily. Patients, family, caregivers and health care rehabilitate away from their home town. Instead, wound care. providers plan roles in maintaining a patient’s through this program, they can stay at Blue The RN will also be providing valuable edu- health after discharge. Mountain Hospital during recovery. This makes cation (regarding medications, wounds, etc.) to ,I\RXRUDORYHGRQHHYHU¿QG\RXUVHOIRXW it easier on family and friends to visit and keep both the patient and caregivers to ensure a safe of town for a surgery or illness, talk to the health the patient in or close to familiar surroundings. return to home. care provider and let them know you want to recover close to home. We’d love to get you Speech therapist back on your feet. For more information, call Your speech therapist provides an interven- or stop by and meet our Discharge Planner Bill tion that is focused on improving your speech Hodgson, 541-575-1311, ext. 2331.

Contributed photo Blue Mountain Hospital in John Day.

BLUEMOUNTAINEAGLE.COM / 23 Bend • Redmond • Prineville • Madras • Burns • Lakeview • John Day

Central Oregon Pathology Consultants is the premier pathology organization in the region, and have been serving clinicians 541-620-2833 and their patients for over 50 years in • We are a family ran home. Central and Eastern Oregon. • We provide routine medication administration CENTRAL OREGON • Room & board (private rooms) PATHOLOGY CONSULTANTS, PC • 24 hr care 1348 NE Cushing Dr. Rebecca Allred, MD • Laundry service Suite 200, Brad Bryan, MD • Personal care assistance Bend, Oregon 97701 Irene Czyszczon, DO Anna Dolezal, MD • Basic housekeeping PH: (541) 382-7696 Brian Stewart, MD • Home cooked meals FX: (541) 389-5723 Cheryl Younger, MD BILLING: 866-363-3969 • Individual activities

99661 • Family and friends are welcome 99826

Confidential, Compassionate, Caring Pharmacy

Let Murray’s pharmacy experience & great local service take care of your needs.

Give us a call today! View the guide Heppner Condon Boardman online at (541) 676-9158 (541) 256-1200 (541) 481-9474 myeaglenews.com www.MurraysDrug.com 100054 24 / FAMILY HEALTH GUIDE 2019 Eagle file photos Len’s Drug Pharmacy Manager Tilli Bjornberg Len’s Drug Pharmacy Technician Rori Pharmacists can explain has a Doctor of Pharmacy degree and a Leighton, left, and Pharmacy Manager Tilli prescriptions at Len’s Drug in Masters of Business Administration degree in Bjornberg work in the John Day pharmacy. John Day. pharmacy management. Talking to the pharmacist ...... not just a good idea By Greg Armstrong For the Blue Mountain Eagle

n our fast-paced digital world, the oppor- Especially when it comes to children’s tions on hand. tunity for meaningful face-to-face inter- medications, be sure your questions are • Toss out medicines when they have action still does exist and perhaps at an DQVZHUHG &RPPRQ TXHVWLRQ DUHDV LQFOXGH expired (usually one year for pills or sooner unlikely place: the pharmacy. storage, dosage, side effects, special precau- for liquids — check the prescription label for While they may seem busy, a few WLRQVFRQÀLFWVZLWKIRRGRURWKHUPHGLFLQHV the expiration date) or the doctor has told you Iextra moments talking to a pharmacist can be or missed doses. that your child should stop taking them. worthwhile. Not only are these good questions, but it is ‡ 0RVW OLTXLG PHGLFLQHV DUH QRZ ÀD- Most pharmacists choose their careers also important that your children understand vored, but some might taste bad to a young because they like people and they like to help their medication and how to use it. FKLOG6RPHFDQEHPL[HGZLWKRWKHUÀDYRUV people become healthier. Many pharmacists A study from the UK states, “Although or foods to encourage kids to take the entire participate in special programs that help their children take responsibility for taking their GRVH&KHFNZLWK\RXUSKDUPDFLVWWRVHHZKDW customers become the best they can be by medication at different ages, involving par- would work best with which drug. offering weight-loss programs, smoking ces- ents, and where possible children, in decision • When giving liquid medicine, use a medi- sation, cardiac health, diabetes care or lung making is key to medicine optimization.” cine syringe or spoon (not a household spoon) care. At Len’s Drug, the pharmacists love to to make sure your child gets the exact amount You may have heard these words at the speak directly to the child, if possible, during prescribed. Len’s Drug has complimentary pharmacy counter, “The pharmacist is going a medication consultation. The child will take dosage spoons and droppers available. to come down and visit with you about your much more ownership of their medication if • If your child takes the wrong dosage, call prescription.” Great, you think, more waiting, the information is given directly to them. the pharmacist or doctor right away and fol- but your pharmacist wants to ensure that you And always feel free to call the pharma- low the instructions. understand at least a few details about your cist if you have questions once you’re home. • If medicines need to be refrigerated, keep medication. Mostly, the pharmacist will con- The pharmacist really does want to make sure them cool while traveling. Freezer packs in centrate on new medication or changes to your you have the information you need, both writ- FRROHUVZRUN¿QH,I\RXFDQWDNHWKHHQWLUH current medication. That is why you should ten and verbal. medicine bottle. That way, you won’t forget look carefully at your medication before you Pharmacists also offer these general tips the prescription dosage and, if something hap- leave the pharmacy. Read the instructions to about your medication: SHQVWRWKHPHGLFLQH\RXFDQJHWDUH¿OO ensure you understand and no changes have • Do not keep medicine in the medicine The pharmacist staff at Len’s Drug strives RFFXUUHGHYHQRQUH¿OOV&KHFNWKHPHGLFD- cabinet! The medicine cabinet in a steamy, to be available for your every need. tion for the same size, color and shape that moist bathroom is not the best place to keep &DOOWKHSKDUPDF\DQ\WLPHZLWKTXHVWLRQV you are used to getting. Pharmacies would any medicine — prescription or otherwise. at 541-575-0629. love to never change the manufacturer of your The room’s moisture can make medicines less Greg Armstrong is a registered pharma- medications — it would solve many of their potent. It’s best to keep medicines in a hall cist at Len’s Drug in John Day with a Bache- problems — but they are at the mercy of drug closet or on a high shelf in the kitchen. lor of Pharmacy degree. The pharmacy staff wholesalers and manufactures to maintain • Remember to keep prescription and non- includes Tilli Bjornberg, who has a Doctor of their inventory to have adequate supplies of prescription medicines out of the reach of Pharmacy degree and a Masters of Business medication to serve the population of custom- children. Administration degree in pharmacy manage- ers. If anything does not look right, ask! • Never repackage medicines. Keep them ment, and Carl Amstad, Tracie Unterwegner The pharmacist is always willing to talk. in their original childproof containers so and Wendy Springer, who have Bachelor of Even if busy, they are willing. you’ll have the expiration date and instruc- Pharmacy degrees. BLUEMOUNTAINEAGLE.COM / 25 Taking care of the basics eing healthy starts well before you ever exercises like walking, yoga and pilates. get sick and need a doctor. Preventative health care can go a long way toward Sleeping enough Bkeeping your immune system strong and The CDC suggests seven to nine hours of sleep helping you physically and mentally cope better a night for adults. Simply being in bed for that with stress. ORQJLVQ¶WVXI¿FLHQWWKRXJK\RXQHHGJRRGTXDOLW\ sleep at night. If you’re waking up after eight hours Eating right of sleep and still feeling tired, waking up multiple Everyone knows to eat a balanced diet, but times a night or if you snore or gasp for air while it’s still one of the most important factors in good you sleep, you’re probably not getting enough deep health. Eating lots of fruits, vegetables and whole sleep. Try to go to bed and get up at the same time grains, while avoiding too many rich and heavy every day and cultivate other good sleep habits, foods, can help you have more energy and feel LQFOXGLQJ UHGXFLQJ VFUHHQ WLPH ULJKW EHIRUH EHG better. A healthy diet can also help stave off con- KDYLQJDTXLHWGDUNURRPNHHSLQJVFUHHQVRXWRI ditions like diabetes, heart disease and obesity or WKHEHGURRPDQGQRWHDWLQJODUJHPHDOVRUGULQN help you in controlling those conditions. ing caffeine right before you go to bed. Exercising Getting regular health care Regular exercise can also help you feel better See your doctor for an annual physical to get overall, in addition to managing long-term health your blood pressure and cholesterol checked and conditions such as diabetes. Your joints last lon- get any tests you may need (such as for mam- ger and hurt less if you’re exercising regularly, mograms and pap smears for women and pros- plus getting outside and working up a sweat is tate exams for men). Make sure you’re up to date good for your mental health. Find physical activ- on vaccines, and take this chance to talk over any ity that you enjoy and can do regularly. This can FRQFHUQVRUDVNTXHVWLRQV

www.bluemountaineagle.com

26 / FAMILY HEALTH GUIDE 2019 Take your steps forward to comfortable feet DON’T SUFFER with Foot Pain Dr. Rushton specializes in: • Diabetic Foot Screening • Treatment and Surgery of the footand ankle • In-grown Nails • Bunions • Warts • Gout, Corns & Callouses • Athlete’s Foot Treatment for pain in feet, shins, heel, knee, lower back. • Foot Odor • Custom molded orthotics.

Michael Rushton, DPM Podiatric Physician and Surgeon is now seeing patients at Blue Mountain Hospital. Call 866-315-FEET to make an appointment 98010

Dr. Rushton is a Medicare participant and a Preferred Provider for Lifewise and Blue Cross/Blue Shield.

BLUEMOUNTAINEAGLE.COM / 27 Quality Healthcare Close to Home

We provide care to You can get your We perform many meet your every tests done here at surgical need: Blue Mountain procedures, • Emergency Services Hospital: including: • Home Health & • X-Rays • Labs • Cataract Surgery Hospice • CT Scan • MRI • Hernia Surgery • Primary Care & • Mammograms • Gallbladder Surgery Geriatric Care • Ultrasounds • Colonoscopy • Birthing Center • Bone Density Scans • Upper Endoscopy • Wound Care Clinic • Diagnostic Tests • Foot Clinic • Stress Tests We have visiting • Care Center in • Echocardiograms specialists here on Prairie City a regular basis: We are your • We also provide: medical home away • • Respiratory Therapy from home: • Podiatry • Infusion Therapy • • Recover close to • Transfusions • Orthopedic home after having • Physical Therapy surgery or treatment • Occupational Therapy at another medical • Dietary/ Nutrition center utilizing our Services Transitional Care. Blue Mountain Hospital District Extended Hours for Appointments and Services 170 Ford Rd., John Day 541-575-1311 • www.bluemountainhospital.org 98004 28 / FAMILY HEALTH GUIDE 2019