Healthy Choices, Healthy Brains

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By Barbara Goll, Community Education Liaison and Nutritionist

For most of us, Alzheimer’s disease is not a topic we like to think about or discuss. We fear the word and diagnosis when we hear it. This doesn’t have to be our perception of the illness. June is Alzheimer’s disease and Brain Awareness Month. It’s perfect time to better understand how eating for a healthy life impacts brain health. Eating for your brain will help you achieve peak performance in every part of your life.

Most individuals worry they have Alzheimer’s disease the moment they notice problems with their memory. Like any disease, cognitive impairment develops over years, with lifestyle choices directly impacting our brain. Our brain becomes a product of what we eat, how we move and manage stress, our quality of sleep, social connections and how we challenge our memory.

According to 2020 statistics, eight million people are living with Alzheimer’s disease. One in ten people age 65 and over have Alzheimer’s disease, and it is the sixth leading cause of death in the US. There is currently no cure for this progressive disease, and medications approved by the FDA do not slow down the disease but only offer some temporary help with symptoms.

Scientists believe lifestyle changes and nutritional therapy offer the best hope to decrease the risk for Alzheimer’s and many other chronic diseases. Lifestyle changes, known as functional medicine, delve into the root causes of health problems instead of offering prescriptions to mask the systems.

The brain is home to some of the hungriest cells in our body and uses approximately 20 percent (420) of the calories we consume daily. One reason we are both undernourished and overfed is our consumption of the wrong foods for fuel. As Americans, our standard diet puts us in a constant state of inflammation leading to cell dysfunction, destruction, and ultimately disease.

The good news is you can reverse this course at any age and with any diagnosis to sharpen brain function and avoid memory loss. Key to the change is the consumption of nutrient-dense food.

These foods include:

  • Deep green leafy vegetables – at least 1 cup/day
  • Rainbow colored vegetables – at least 3 cups per day
  • Seafood – (2) 5 ounce servings/week (wild caught, cold water)
  • Healthy oils – extra virgin olive, avocado and nut oils (first cold pressing on label)
  • Nuts – 1 to 2 ounces daily (peanuts not included)
  • Avocados – ½ per day
  • Beans – ½ cup per day (black, navy, pinto, kidney, cannellini)
  • Berries – ½ to 1 cup per day (blueberries, raspberries, blackberries, strawberries)
  • Dark chocolate/cocoa powder – at least 70% cocoa on label, 1 ounce or 2 Tbs. per day
  • Herbs and spices – fresh or dried
  • Red wine – (1-2) 5-ounce glasses per day

It is important to note the brain damaging foods you should avoid.

These foods include:

  • Saturated fats
  • Trans fat
  • Sugar and refined carbohydrates
  • Processed foods

Bon appétit!

 


Barbara Goll, Community Liaison Educator and Nutritionist for Homeland at Home, offers group presentation on brain nutrition as well as many other topics on aging well, end of life decisions, as well as providing a broad overview of our Hospice, HomeHealth and HomeCare services.

To learn more, contact Barbara by emailing or call 717-221-7890.

Cheerleader, Friend and Advocate: Employee Spotlight on Laurie Murry

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laurie murry, volunteer coordinator at homeland hospice

Challenging times can bring out the best or worst in people. Some individuals focus on problems and uncontrollable circumstances, while others find opportunities to share their compassion with others.

Laurie Murry, volunteer coordinator for Homeland Hospice, works to find and spread light in the darkest of times. During COVID-19, her empathy for patients, volunteers and staff has been an inspiration when it is needed most.

In her position as volunteer coordinator, Laurie trains and places hospice volunteers according to their interests and in a manner that accommodates their busy schedules. Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

Since the beginning of the COVID-19 pandemic, Laurie has found creative ways to connect with patients who are unable to see family and friends because of social distancing. Laurie created a card campaign through Volunteer Match, an online program that engages individuals in volunteer projects. Through the campaign, people were asked to create cards and write uplifting messages to hospice patients.

cards to lift homeland patients' spirits“There are good things happening in this world,” Laurie says. “Sending cards to patients is a great way to lift their spirits while also enabling people to take part in a positive activity during a difficult time.”

Within six hours of posting the volunteer opportunity online, Laurie had heard from families as far away as Hawaii, Florida and California. Many people wanted to engage their children in an uplifting project as a way of teaching about the power of the human spirit during adversity.

“When one door closes, Laurie finds a way to open a window,” says Debbie Klinger, RN, director of Homeland Hospice. “Patients might not be able to see visitors, but Laurie has found a way to make them feel important.”

Laurie’s card campaign was so successful, she had to remove the opportunity from Volunteer Match after a few short hours. Based on the outpouring of support, patients will receive cards over the next several weeks.

The impact of COVID-19 has placed significant burdens and worries on the shoulders of the frontline workers at Homeland Hospice. During this time, Laurie partnered with her friends to create morale booster packages with cards and small gifts for nurses and aides. Recipients of the anonymous gifts were overwhelmed by the show of encouragement and appreciation.

To connect with volunteers who are currently unable to help due to safety precautions, Laurie created a video of the hospice team in their masks with signs of support. The video served to remind volunteers they are appreciated and missed.

“Laurie is always looking for ways to make an impact,” says Myra Badorf, assistant director of development for Homeland Hospice. “We’re grateful for the impact she makes on our lives and those of our patients and volunteers.”

For more information about Homeland Hospice and volunteer opportunities, call (717) 221-7890.

Blood Pressure Check: First Step for Every HomeHealth Visit

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nurse measuring a resident's blood pressureIn the United States, nearly 68 million people have hypertension, which is commonly called high blood pressure. If not treated, high blood pressure can lead to heart disease, stroke, congestive heart failure and kidney disease. With one in three people impacted by this disease, understanding its causes and treatment is critical to personal wellness.

May is designated as high blood pressure education month to bring awareness to this treatable illness, which can be controlled through diet, exercise and reduction in alcohol consumption.

For the team at Homeland HomeHealth, monitoring and treating high blood pressure is an important part of their work. Homeland HomeHealth includes medical professionals who provide knowledge and expertise in wound care, cardiac care, palliative care, fall prevention, rehabilitation services, intravenous therapy and more.

“Checking a patient’s blood pressure is the first step of every visit,” says Debra L. Weigel, BSN, RN, CHHCM for Homeland HomeHealth. “Each reading reveals critical information about an individual’s wellness.”

For those struggling with high blood pressure, regular readings show if the patient is taking medications as prescribed, adhering to a healthy diet and exercising. Timely alterations can be made to ensure an individual’s blood pressure doesn’t get out of control and cause further illness.

digital health services available at homelandHomeland also offers telehealth. Patients are educated to take their own vitals to include their weight, blood pressure, heart rate and oxygen levels in their blood using a pulse oximeter. The information is transmitted to Homeland for daily review. This step provides current information about a patient’s wellness in-between visits.

For most of us, understanding how to manage a healthy lifestyle regardless of age can prevent high blood pressure or reverse the effects of it in our lives.

“Diet and exercise are critical to managing blood pressure,” Debra says. “Even small changes can make a big difference.”

Homeland’s dietician helps educate high blood pressure patients about the importance of a healthy diet through meal plans and important tips to empower individuals to make smart choices.

For Debra, sharing the message of healthy eating and exercise is more than a part of her job; it’s personal. Debra’s brother battled high blood pressure for many years and was on several medications to treat the disease. Her brother took control of his diet and is now off all medications.

“My brother is proof that change is possible,” Debra adds, “I’m proud of his progress and believe the same transformation is achievable for many of our patients.”

Homeland HomeHealth is certified by Medicare and accredited by Community Health Accreditation Partner (CHAP). To learn more about Homeland HomeHealth, call (717) 412-0166.

For more information on the treatment of high blood pressure, visit the Centers for Disease Control and Prevention.

Compassionate Bereavement Support During COVID-19

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We all need human connections, especially during the journey of grief. A smile or caring embrace from individuals in our support network can provide us courage to share our most intimate feelings of loss, and give us the strength to believe in a better tomorrow. The impact of social distancing because of COVID-19 has compounded the grieving process for individuals and families.

Immediately following the announcement of stay-at-home orders, Homeland Hospice’s bereavement support program shifted from in-person meetings to phone sessions. Homeland chose to connect to members via phone calls instead of virtual visits because of gaps in comfort levels in using technology, as well as access to specific online products and privacy concerns.

Homeland’s bereavement programs are available to the bereaved of Homeland’s patients as well as anyone in the community who is experiencing grief. Bereavement support group meetings also are held on a rotating schedule throughout the year. Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

“I’m grateful to Brian Medkeff-Rose and Noelle Valentine, Homeland Hospice’s bereavement counselors,” says Mary Peters, MSW, LSW, Assistant Director of Social Services at Homeland Hospice. “They immediately adapted to phone sessions to offer support and guidance to all of our clients.”

At the beginning of the COVID-19 crisis, anxiety levels were very high for individuals and families as there were so many unknown factors about the impact and spread of the virus. Social-distancing further increased levels of worry as people were unable to personally connect with friends, loved ones and their hospice support team.

“In the beginning, our calls with individuals were longer and more frequent as stress levels were very high,” Noelle says. “It was important for clients to be heard and validated for their emotions.”

In many cases, Noelle and Brian helped members develop new coping mechanisms that align with social distancing restrictions. For one of her clients who enjoys attending painting events with friends, Noelle encouraged her to find time for art and creativity at home. This activity provides a sense of normalcy and peace during this uncertain time.

With each client, comes a personal journey of grief. Not everyone is on the same path based on when a loved one died and individual adjustments to loss. For some people, the grief is very new and raw. Other individuals may be facing the first anniversary of the death of a loved one or experiencing mourning based on loneliness.

“For members of our bereavement groups, I’ve encouraged them to call each other,” Noelle adds. “Through these connections, our clients are forming a unique community of support.”

More recently, Noelle and Brian have been working with individuals who lost loved ones during COVID-19 and we’re unable to be present at the end. This important time called “bedside holiness” includes heart-filled conversations about love, forgiveness, gratitude and saying goodbye. We hold on to these memories as we grieve and remember our loved one. Often, it’s these moments that bring us the greatest comfort.

“It’s extremely difficult for families losing loved ones at this time,” Brian says. “It will complicate the grieving process in ways we’ve never experienced before.”

Through this experience, Noelle and Brian are overwhelmed by the resilience of the human spirit and the compassion clients have for each other.

“We can’t take away grief, but we can be there during the journey,” Noelle says. “Amidst the darkness there is light for all of us.”

To learn more, please contact Brian Medkeff-Rose, M.Div., M.A., or Noelle Valentine, MSW, LSW, at (717) 221-7890.

Remembering Veterans This Memorial Day and Beyond

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The last Monday in May is recognized as Memorial Day, a special time to remember soldiers lost in wars and conflicts. Small towns hold parades and families come together for picnics. As a country, the president or vice president lays a wreath at Arlington National Cemetery at the Tomb of the Unknown Solider.

While social distancing from COVID-19 will prevent picnics and parades this year, one thing will remain the same. The American flag will fly on front porches, community centers, and in cemeteries coast to coast reminding us of the bravery of our veterans.

For Homeland Hospice, honoring veterans is part of the organization’s core values. For more than eight years, Homeland has been part of the We Honor Veterans program, created by the National Hospice and Palliative Care Organization (NHPCO) in collaboration with the Department of Veterans Affairs (VA). Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

Through the We Honor Veterans program, hospice volunteers who served in the military meet with veterans during their end of life journey. Patients are given a special pin, which represents their branch of service, as well as a small flag and certificate. The ceremony ends with a salute, veteran to veteran. In this special moment of time, the patient can experience the proud memory of his/her first salute and the love and respect of an entire country.

“It’s a pleasure to see the glow on the faces of veterans,” says Andy Lank, a volunteer with Homeland Hospice. “I’m proud to be part of this amazing program.”

Andy served in the United States Navy for four years, including one tour in Vietnam. Through his military experience, Andy understands the circumstances many patients faced and enjoys hearing about their military service.

“It can be quite emotional for patients and their families,” Andy adds. “Overall, the experience brings everyone peace.”

John Good, chaplain for Homeland Hospice is part of the program. While not a veteran himself, John holds a special place in his heart for those who have served our country.

“I’m humbled to help our distinguished veterans,” John says. “It’s an honor to help them find comfort after their sacrifice for us all.”

To honor and remember those on Memorial Day, you can join fellow Americans at 3 p.m., in a moment of silence.

For more information about the We Honor Veterans program visit WeHonorVeterans.org.

To learn more about Homeland’s work with this program, call Homeland Hospice at (717) 221-7890.

Honoring a Hero During the COVID-19 Crisis

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Major Henry “Hank” Heim planned every detail of his funeral. Similar to the funeral of President John F. Kennedy, Hank wanted his final farewell to represent valor, honor and duty with representation from active service members. For Hank, his funeral would be a love-letter to the country he honored and served.

Sadly, Hank died in early April, a few weeks shy of his 99th birthday. His passing during the COVID-19 pandemic has put a temporary hold on his funeral plans.  COVID-19 also prevented his son and daughter-in-law, who have health issues, from being with him during his final days. Fortunately, Hank’s granddaughter visited him daily, offering him comfort and support.

Hank lived at Messiah Village in Mechanicsburg. As his health declined, he received nursing care and support through Homeland Hospice. Homeland Hospice is a hospice program that serves communities throughout Central Pennsylvania.

“As I learned more about Hank, I knew we must do something to honor him, ” says Hannah Miller, BSN, RN with Homeland Hospice. “He was an inspiration and true American hero.”

Hannah and her team decided to purchase an American flag to drape over Hank’s body after his passing. Knowing the challenges currently facing small businesses, Hannah contacted Ace Hardware in Lemoyne and described the circumstances. The team at Ace went into action and found a flag. They insisted on donating it after learning about Hank’s remarkable service to our country.

Hank was born into a poor, coal-mining family. At age five the family moved from Trevorton, Pennsylvania to Wiconisco, a small town in Dauphin County. When he wasn’t in school, Hank helped his father in the mines. His adolescent years were fraught with challenges. Coming from the poorest family in town, Hank was often the subject of ridicule at school. His high school classmates voted Hank “least likely to succeed” because of his circumstances.

“These words stayed with my father,” says Tom Heim, Hank’s son. “They didn’t defeat him, rather, they made him more determined to succeed.”

At 17, Hank was working in the mines when he was trapped in a cave-in. His father worked furiously through the shale to save his son. This near-death experience ended Hank’s time in the mines. Soon after, Hank joined the U.S. Air Force.

Hank was stationed Hickam Air Force Base in Hawaii the morning of December 7, 1941, when the Imperial Japanese Navy Air Service attacked the Pearl Harbor Naval Base and neighboring Hickam Air Force Base. Hank witnessed the fall of friends and brothers in arms.

As the U.S. fully engaged in World War II, Hank wanted to do more for his country. He noticed a poster advertising the need for pilots. Hank asked to enter flight school and was told he would never pass the test because he was “just a high school kid” and not a college graduate.

Hank was determined to become a pilot and wouldn’t be deterred. He completed flight school and was the first student in his class to solo a flight. Hank was one of two non-college graduates to successfully pass the course.

“My father was used to being underestimated,” Tom says. “Time and time again, he proved people wrong.”

Hank became a B-17 bomber pilot completing 78 missions in North Africa, Sicily and Germany. At the time, most pilots completed an average of nine flights before they were shot down. When the Korean War broke out, Hank flew the B-29 bomber for 51 missions. His courage was second to none.

Following his time in the military, Hank returned to a quiet life in New Cumberland with his wife and two children. He went on to work as a construction foreman for Bell Telephone for 30 years.

Hank’s assimilation to family life was seamless and very much in line with other soldiers of his generation. He never spoke about his military experience or shared stories of his flights with his children until he was approached to speak at a local high school.

“A friend of mine was a history teacher and asked my dad to speak to his students,” Tom recalls. “My mouth dropped when he began to speak. I couldn’t believe what my father had experienced.”

As Hank began opening up to his children, they learned about the many friends he lost in the military and his near-death experiences as a pilot.

“It’s a surreal moment when you realize your father has shaped American history,” Tom adds. “He is every definition of a hero.”

In his retirement, Hank spoke to countless high school students bringing the realities of war into the classroom. He spoke to the students with warmth and grace, never wanting to frighten them, merely sharing the often unspoken perils of war.

Hank was a member of the Central Pennsylvania World War II Roundtable and was featured in a documentary produced by PCN on World War II veterans. He also shared his story with local news stations and newspapers.

For his valor, courage and service to our country, Hank received the Distinguish Flying Cross, the highest honor bestowed by the Air Force. He is featured in the Smithsonian National Air and Space Museum in Washington, D.C. He also received two Purple Hearts and two Presidential Unit Citations in addition to countless accolades for his heroism.

During Hank’s final days he found comfort in music. While his right foot was paralyzed due to a result illness, he kept perfect time with his left foot to John Phillip Sousa’s military marches.

“I’m so proud of my father,” Tom says. “As a father, husband and American, he was remarkable in every way.”

Godspeed Major Heim.

To learn more about Homeland Hospice, please call (717) 221-7890.