News From the Nurse

News from the Nurse

Celeste Kopech, RN Provides Blood Pressure checks and answers medication
and general health questions here at the Senior Center on Mondays and
Wednesdays. She also contributes an article to our newsletter each month.
We will provide these here for future reference.

What is a heart attack?
A heart attack most commonly results from atherosclerosis (fat, cholesterol plaque build-up) in the arteries that carry blood to the heart muscle. Plaque build-up inside of the arteries, or a blood clot can make it harder for blood to flow. When the blood flow completely stops, a heart attack can occur. The section of the heart muscle supplied by that artery begins to die. Once that section of the muscle dies, permanent heart damage occurs. The amount of damage depends on the size of the area supplied by the blocked artery and the time between injury and treatment. A heart attack is also called Myocardial Infarction.
 
The warning signs can include pressure, squeezing, or pain in the center of your chest. Other signs are pain or discomfort in one or both arms, your back, neck, jaw, shortness of breath, cold sweat, nausea, heartburn and indigestion and light headedness. Prompt treatment is needed, call 911 or emergency medical help if you think you or someone else might be having a heart attack. Get treatment as soon as possible to help reduce the amount of damage to the heart muscle.
 
Heart attack risk factors include aging (men age 45 and women age 55 and older), tobacco use or exposure to secondhand smoke, high blood pressure, high cholesterol and triglycerides, obesity, diabetes, sedentary lifestyle, a diet high in trans fats, sugars, animal fats, sodium, and highly processed foods.
Potential heart attack complications include an irregular heart rhythm, heart failure, inflammation of the tissue surrounding the heart and death.
 
It’s never too late to take steps to prevent a heart attack, even if you’ve already had one. Following a healthy lifestyle such as stopping smoking, getting regular exercise (150 minutes of moderate intensity exercise a week), maintaining a heart healthy diet, and managing stress and other conditions such as diabetes and high blood pressure and taking your medications as prescribed can protect and improve your heart health.
 
What is a stroke?
A stroke is a life-threatening condition that occurs when a section of your brain doesn’t get enough blood flow.  This commonly happens because of a blocked artery or bleeding in your brain. If you or someone with you has symptoms of a stroke, IMMEDIATELY call 911.  The quicker a stroke is treated, the more likely you’ll recover without disability. To recognize the warning signs of a stroke, remember to think BE FAST.
 
B.  Be watchful for a sudden loss of balance.
E.  Look out for sudden loss of vision in one or both eyes and double vision.
F.  Ask the person to smile.  Look for a droop on one or both sides of their face.
A.  Ask the person to raise their arms.  If one side is weak (and you didn’t have it before) one arm will stay higher while the other will sag and drop downward.
S.  Strokes can often cause a person to lose their ability to speak, slur their speech or trouble finding the right words.
T.  Time is critical, so don’t wait to get help. If possible, look at your watch and remember when the symptoms started, this can help the provider decide what treatment is best for you.
 
Other symptoms that can occur during a stroke include dizziness or vertigo, neck stiffness, emotional instability, confusion and agitation, sudden and severe headaches.  Care starts when the ambulance arrives, so don’t wait to call 911 at any sign of stroke.
 

REDUCING FALLS IN THE HOME
There are many changes you can make that will help you avoid falls. Place
night lights in your bedroom, bathroom, and hallways. Keep a flashlight
by your bed in case the power goes out. Mount bars near toilets and on
both sides or shower and tub. If necessary, use a sturdy plastic seat for the
shower or tub and a hand-held shower nozzle for bathing sitting down.
Keep your walkways tidy. Carpets should be fixed firmly to the floor, don’t
use throw rugs or small area rugs. Keep electric cords and telephone
wires away from walking paths. Don’t stand on a chair or table to reach
something that’s too high. Use a stable step stool or a “reach stick” which
can be purchased at hardware or medical supply stores. Know where
your pet is when you are walking. Immediately clean spilled liquids,
grease, or food. Wear sensible shoes which have nonskid soles. Physical
activity can go a long way to prevent falls by improving strength, balance,
coordination, and flexibility. If you are concerned about falling, think of
getting a response system such as Lifeline. If necessary, ask your health
care provider for a referral to an occupational therapist who can help you
with fall prevention strategies. STAY SAFE!

TICKS ARE OUT
Ticks are generally found in brush, wooded, or grassy areas. Ticks do
not fly or drop from trees or high bushes. They attach themselves to
animals and people that come in direct contact with them. Deer ticks
are the size of a poppy seed while dog ticks are the size of a watermelon seed.

Ticks can spread Lyme disease, babesiosis, anaplasmosis, tularemia
and Rocky spotted fever. Symptoms may include fever, chills, muscle
and joint pain, headaches, tiredness, skin rash that may look like a bull’s
eye and itching and irritation.

If you find a tick attached to your skin, don’t panic. Use fine point
tweezers to grip the tick as close as possible and pull straight out with
steady, gentle pressure. Do not squeeze or twist the tick. Wash the
area with alcohol or an iodine scrub and soap and water. Do not apply
kerosene, petroleum jelly, nail polish or a hot match tip to remove the tick.
Save the tick and notify your health care provider that you have been
bitten by a tick and any symptoms you may have.

The best way to prevent tick borne diseases is to check yourself, your
children and dogs once a day if you have been outdoors. Favorite
places that ticks like are on your legs, behind your knees, between
your toes, groin, armpits, along your hairline and behind or inside your
ears. Stick to main pathways and center of trails when hiking. Keep
grass cut short and prune low-lying bushes. Wear light colored
clothing and long-sleeved shirts and pants and tuck them into your
socks. Use repellents that contain no more than 30% DEET on your
skin and 10-15% DEET on children. Never use insect relents on infants.
Talk to your veterinarian about the best way to protect your pets.

Note that all ticks carry disease and being bitten by a tick does NOT mean
you will always get a disease. The longer the tick is attached, the more
likely an infection can be transmitted.

Stay safe and have a great summer!
Celeste Kopech RN

STRESS MANAGEMENT TIPS FROM OUR NURSE, CELESTE KOPECH, RN
Stress management offers a range of strategies to help you better deal
with stress and difficulty (adversity) in your life. Managing stress can help
you lead a more balanced, healthier life. Stress is an automatic physical,
mental and emotional response to a challenging event. It's a normal part
of everyone’s life.
 A small amount of stress can be good, motivating you to perform well.
But many challenges daily, such as sitting in traffic, meeting deadlines,
and paying bills, can push you beyond your ability to cope.
Unfortunately, the nonstop complications of modern life and its demands
and expectations mean that some people's alarm systems rarely shut off.
Over time, chronic stress can lead to serious health problems.
Stress management starts with identifying the sources of stress in your life.
To identify these sources, look closely at your habits, attitude, and excuses
and try to incorporate some of the following tips:
  • Learn how to say no, know your limits and stick to them.
  • Pare down your to do list.
  • Express your feelings instead of keeping them bottled up.
  • Be willing to compromise.
  • Try not to control the uncontrollable.
  • Set aside leisure time.
  • Include physical activity in your day.
  • Do something you enjoy each day.
  • Keep your sense of humor.
  • Take up a relaxation practice.
  • Eat a healthy diet.
  • Reduce caffeine and sugar.
  • Avoid alcohol, cigarettes, and drugs.  The relief they provide from stress is only temporary.
  • Get adequate sleep.
  • Take a deep breath.
FACTS ABOUT HYPERTENSION
Hypertension (HTN) is another name for high blood pressure (BP). It is often called “the Silent Killer”
because most people don’t have symptoms. Blood pressure is the force that a person’s blood exerts
against the walls of their blood vessels. Normal BP should be 120-130/70-80, High BP is above 140/90.
It’s important to have your BP checked regularly and speak to your MD as to what is a normal BP for you
as it may be different due to your medical condition.

Hypertension is a primary risk for cardiovascular disease, stroke, heart attack, heart failure and aneurysm.
Lifestyle changes are the first line treatment for HTN.
 
Regular exercise can make your heart stronger and decrease your BP. Suitable exercises are walking,
jogging, cycling, and swimming. It is recommended that you exercise between 3-5 times per week.
Please check with your physician as to which exercise is best for you.

Decrease your sodium intake (salt) to less than 2,300 mg per day and if you have HTN decrease
to less than 1,500 mg per day per the American Heart Association.
 
Other changes you can make are to manage your weight, quit smoking, limit alcohol, reduce stress, and
eat more fruits and vegetables and less fat.
 
Your physician may also recommend a combination of medications to manage your BP. Don’t stop taking
your medication for any reason without asking your doctor. Carry a list of your medications and how
often you take them and update as needed. Organize your medicine in a pillbox marked with the days of
the week so you can remember to take them as part of your routine.

Call your physician if you experience side effects. Don’t take over the counter medicines or herbal
supplements without asking your doctor as it may interfere with your medicine.
 
STOP BY THE WELLNESS OFFICE AND HAVE YOUR BP CHECKED ON MONDAY AND WEDNESDAY FROM 9 AM-12 PM.