This Issue:

Top 10 Reasons to be a Home Care Nurse

Exercise and plant-based diet helps nurse shed 235 pounds

 June is Alzheimer's and Brain Awareness Month 
 
June is Myasthenia Gravis Awareness Month - What is Myasthenia Gravis (MG)?

June is Men's Health Month 

June 2nd is National Cancer Survivors Day

Your June Healthy Meal Plan

June Fun Family Activities


Newborn Nurses Don't Forget These Important Tools 

 
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Top 10 Reasons to be a Home Care Nurse
Apr 11, 2016 |  Blog,  Nursing Careers




When you see a hospital nurse they are really busy, usually very serious, and more than a little bit harried. Home care nurses, on the other hand, are always smiling. Why is that?

1. The Independence
No one is looking over my shoulder. That may sound like a bad thing when you're a new nurse, but it wasn't. I may not have done things perfectly right on the first try, but I figured things out. Coming to the solution on my own was very satisfying and exciting as a new nurse. Eight years later, I still enjoy the autonomy.

2. The Flexibility
I don't just see patients in their homes. I have done new employee orientation, home health aide classes, chart audits, quality control, community lectures, staff education, and competencies. My schedule is flexible. This means that I can use a bathroom or eat lunch (which nurses get to do that?). It also means that I could schedule doctor appointments for myself or my kids and plan my patients around that appointment . . .or my kids' school play, a teacher conference, or a trip to the mechanic to get an oil change. How do other working mothers get things done?

3. The Patients
I can sit with my patients and talk about the photographs on their walls, the numbers on their arm, what they're cooking on the stove, the work they did "before," the origin of their last name, their garden, their dog, their paintings, or their piano. Of course, I discuss their medical history, but only after we have made friends. Why would I do it any other way? If I do a good job and I ask the right questions, most of my home and health assessment has been completed before I ask any of the questions on my nursing assessment.

4. Their Stories
My patients share the stories of their lives with me. Stories of immigration, illness, happiness, and tragedy. They trust me with the stories that make them who they are. These stories don't just shape their lives, they shape mine as well.

5. The Money
The money is comparable to hospital nursing and the opportunity for overtime is usually available depending on the type of agency you work for. Even if your agency does not have overtime availability, you can work for other home care agencies per diem while you are working full-time for another.

6. The Nursing
I have treated a wide variety of health issues. No matter what you may hear, home care IS real nursing. Wounds, staples, trachs, PEGs, foleys, sutures, vents, amputations, and many more.

7. The Respect
I have always been proud to be a nurse. Even when the work is hard and the time is short, I have always known that I am serving humankind when they are the most needy. My patients are always happy to see me. How could any other profession be more important or satisfying?

8. The Fun
This is hard to explain if you aren't a nurse, but take my word for it. Getting the foley in on the first try, getting the IV in on the first try, healing a wound, teaching someone a new skill, seeing a patient get better, or bringing comfort to a patient or family member. Because my relationship with the client is long-term I often get to see the "whole picture." The amazing thrill I get when I help someone, whether it was something big or small, is almost unmatched in my personal or professional life. I am often so excited that I want to shout from the rooftops.

9. The Experiences
I have met so many different people living completely different lives than my own. It is easy to live life in your small circle of friends and family and not realize that there are so many types of people on this planet that you may never get to meet or experience. I am so grateful for what I have. When I see how terrible peoples' lives are, it is impossible not to gain perspective.

10. The Stories
I have a story for every disease you have ever heard of and several you haven't. Want to scare your kid into wearing a helmet? Not using drugs? Wearing a seat belt? Using sunscreen? Yup, got a terrible story for every scenario. Need a feel good story? Got that too. Miraculous recoveries? Sure thing. Just let me know what you're in the mood for and I will provide the entertainment or the inspiration, whatever you're looking for. Because I am in the patient's home I am privy to details of their illness that may not be otherwise shared with an overworked hospital nurse who is in a rush to see her next patient.

Laura Silverstein, RN, BSN, WCC, is a home care nurse and a busy mother of seven.
Exercise and plant-based diet helps nurse shed 235 pounds.
Denise Norris, RN
From Healthy Nurse healthy Nation
 
"It's a journey." That's what Denise says about her health and wellness changes over the past few years. She's certainly come a long way on this journey.

Back in 2011, Denise reached a breaking point. She wasn't happy with herself. Getting through the day was exhausting. She was overweight and unhealthy. She didn't want to live like that anymore.

So she pulled the trigger: She joined Weight Watchers. She chose the program because it offered the support she needed to stay on track.

Within a few months, her terrible heartburn went away. Her blood pressure improved. And the weight started coming off.

Seeing these wins gave Denise the motivation to do more. She decided to cut out processed foods, which eliminated her migraines. She went on walks with her high-energy dog, eventually building up to 8 miles a day.


Hitting (and Overcoming) the Plateau  Soon enough, Denise went through a 6-month weight loss plateau. Her habits were helping her maintain her weight, but she wasn't losing any more. To see progress, she had to make another change.

That's when a friend suggested she switch to a plant-based diet.

"I thought the foods would be disgusting, but they were actually really good," said Denise. "I cut out all animal products and sugar. I lost 16 pounds in the first month and had so much energy."

Since 2011, Denise has lost a total of 235 pounds and continues to live a healthy lifestyle.

Hitting the Bumps in the Road
Denise has seen much success with her lifestyle changes, but success doesn't come without challenges. Her mind played tricks on her like feeling overweight despite extraordinary weight loss. She's dealt with binge-eating, thinking, "If this is where I'm going to be, I might as well treat myself."

At one point, she even regained 30 pounds. But she got back on track.

"I had to learn to be happy in my journey, to be happy along the way," said Denise, "instead of only finding happiness in the end goal."

A Lifestyle and Career Transformation
Prior to changing her lifestyle and losing weight, Denise wasn't a nurse. Getting healthy motivated her to go to nursing school and help others get well.

Now she's a health coach, too. Both at her nursing job and as a health coach, Denise tries to motivate others with her story.

"I see people coming in for a heart catheterization, and I tell them, 'it doesn't have to be this way,'" she said. "I plant the seed and show my before-and-after photos, which are really powerful."

She's even helped educate patients and coworkers on her plant-based diet, sharing delicious recipes and offering advice.

"I always tell people, focus on adding in the good stuff," said Denise. "Do more than you did yesterday, add in more good, and eventually if you keep doing that, it'll crowd out the bad."

Denise Norris is a plant-powered RN and health coach. She works as an RN at Reid Health in Richmond, IN.
 
 
 
PET scans of human brains unaffected (left) and affected (right) 
Photo by Alzheimer's disease  US National Institute on Aging

Everyone who has a brain is at risk to develop Alzheimer's disease, a disease that kills nerve cells and tissue in the brain, affecting an individual's ability to remember, think and plan. As the disease advances, the brain shrinks dramatically due to cell death.  Individuals lose their ability to communicate, recognize family and friends, and care for themselves.
 
Alzheimer's disease, the most common form of dementia, is one of the nation's largest public health crises. It is the only cause of death among the top 10 life-threatening conditions in the United States that can not be prevented, cured or even slowed.
 
Worldwide, there are 47 million people living with Alzheimer's and other dementias, and without a change, these numbers are expected to grow to 76 million by 2030. But, everyone can help to end this epidemic. In June, the Alzheimer's Association recognizes Alzheimer's & Brain Awareness Month, an opportunity to increase awareness and to address this worldwide epidemic.
 
There is growing evidence that people can reduce their risk of cognitive decline. The Alzheimer's Association and its experts are sharing 10 Ways to Love Your Brain - tips that may help reduce the risk of cognitive decline:
 
  1. Break a sweat. Engage in regular cardiovascular exercise that elevates your heart rate and increases blood flow to the brain and body. Several studies have found an association between physical activity and reduced risk of cognitive decline.
  2. Hit the books. Formal education in any stage of life will help reduce your risk of cognitive decline and dementia. For example, take a class at a local college, community center or online.
  3. Butt out. Evidence shows that smoking increases risk of cognitive decline. Quitting smoking can reduce that risk to levels comparable to those who have not smoked.
  4. Follow your heart. Evidence shows that risk factors for cardiovascular disease and stroke - obesity, high blood pressure and diabetes - negatively impact your cognitive health. Take care of your heart, and your brain just might follow.
  5. Heads up! Brain injury can raise your risk of cognitive decline and dementia. Wear a seat belt, use a helmet when playing contact sports or riding a bike, and take steps to prevent falls.
  6. Fuel up right. Eat a healthy and balanced diet that is lower in fat and higher in vegetables and fruit to help reduce the risk of cognitive decline.
  7. Catch some Zzz's. Not getting enough sleep due to conditions like insomnia or sleep apnea may result in problems with memory and thinking.
  8. Take care of your mental health. Some studies link a history of depression with increased risk of cognitive decline, so seek medical treatment if you have symptoms of depression, anxiety or other mental health concerns. Also, try to manage stress.
  9. Buddy up. Staying socially engaged may support brain health. Pursue social activities that are meaningful to you. Find ways to be part of your local community - if you love animals; consider volunteering at a local shelter. If you enjoy singing, join a local choir or help at an afterschool program. or, just share activities with friends and family.
  10. Stump yourself. Challenge and activate your mind. Build a piece of furniture. Complete a jigsaw puzzle. Do something artistic. Play games, such as bridge, that make you think strategically. Challenging your mind may have short and long-term benefits for your brain.
In addition to reducing your risk of cognitive decline, these tips may also reduce the risk of dementia.  Evidence for reducing risk of dementia is currently strongest in relations to formal education and the avoidance of head injury; other tips show indication of possibly reducing risk.
 
The Alzheimer's Association is asking the community to come together and help fight Alzheimer's disease during Alzheimer's & Brain Awareness Month by doing the following:
 
  • Take the Purple Pledge at alz.org.
  • Join the Alzheimer's Association in wearing purple on June 21, and share photos of yourself, family, friends and co-workers wearing purple via Twitter, Facebook, Instagram, etc. with the hashtags #ENDALZ and #GoPurple.
  • Participate in The Longest Day®, a sunrise-to-sunset event to honor those facing Alzheimer's disease with strength, passion and endurance. Visit alz.org/indiana today to start a team to raise funds and awareness.
 
The evidence is mounting: People can reduce their risk of cognitive decline by making key lifestyle changes. Start today!
June is Myasthenia Gravis Awareness Month 
What is Myasthenia Gravis (MG)?

Myasthenia gravis (pronounced My-as-theen-ee-a grav-us) comes from the Greek and Latin words meaning "grave muscular weakness." The most common form of MG is a chronic autoimmune neuromuscular disorder characterized by fluctuating weakness of the voluntary muscle groups. The prevalence of MG in the United States is estimated to be about 20/100,000 population. However, MG is probably underdiagnosed and the prevalence may be higher. Myasthenia gravis occurs in all races, both genders, and at any age. MG is not thought to be directly inherited nor is it contagious. It does occasionally occur in more than one member of the same family.
 
The voluntary muscles of the entire body are controlled by nerve impulses that arise in the brain. These nerve impulses travel down the nerves to the place where the nerves meet the muscle fibers. Nerve fibers do not actually connect with muscle fibers. There is a space between the nerve ending and muscle fiber; called the neuromuscular junction. When the nerve impulse originating in the brain arrives at the nerve ending, it releases a chemical called acetylcholine. Acetylcholine travels across the space to the muscle fiber side of the neuromuscular junction where it attaches to many receptor sites. The muscle contracts when enough of the receptor sites have been activated by the acetylcholine. 

In MG, there can be as much as an 80% reduction in the number of these receptor sites. The reduction in the number of receptor sites is caused by an antibody that destroys or blocks the receptor site. Antibodies are proteins that play an important role in the immune system. They are normally directed at foreign proteins called antigens that attack the body. Such foreign proteins include bacteria and viruses. Antibodies help the body to protect itself from these foreign proteins. For reasons not well understood, the immune system of the person with MG makes antibodies against the receptor sites of the neuromuscular junction. Abnormal antibodies can be measured in the blood of many people with MG. The antibodies destroy the receptor sites more rapidly than the body can replace them. Muscle weakness occurs when acetylcholine cannot activate enough receptor sites at the neuromuscular junction.
 
Myasthenia gravis (MG as we know it) is not the only medical condition that is referred to as MG. There was a web posting about a venereal infection caused by a bacteria Mycoplasma Genitalium that is also sometimes abbreviated as MG. Myasthenia gravis has nothing to do with Mycoplasma genitalium. Please do not be confused if you run across an article about MG being sexually transmitted. Myasthenia gravis is not transmitted from one person to another by intimate contact or any form of contact.

J une is Men's Health Month 

Goal of Men's Health Month
The purpose of Men's Health Month is to heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. This month gives health care providers, public policy makers, the media, and individuals an opportunity to encourage men and boys to seek regular medical advice and early treatment for disease and injury. The response has been overwhelming with thousands of awareness activities in the USA and around the globe.

Anchored by a Congressional health education program, Men's Health Month is celebrated across the country with screenings, health fairs, media appearances, and other health education and outreach activities.

Recognition from the White House provides encouragement to men, boys, and their families around the globe.

Use your company's liberal dress policy to celebrate Wear Blue Friday, the Friday before Father's day. Use the on-line Tool Kit to help enhance your outreach efforts.

This site maintained by Men's Health Network with the help of contributions from our generous supporters.

Men's Health Network is a member of the Combined Federal Campaign - # 10825






June 2nd is National Cancer Survivors Day



About National Cancer Survivors Day®
National Cancer Survivors Day® is an annual, treasured Celebration of Life that is held in hundreds of communities nationwide, and  around the world , on the first Sunday in June. It is a CELEBRATION for those who have survived, an INSPIRATION for those recently diagnosed, a gathering of SUPPORT for families, and an OUTREACH to the community. On National Cancer Survivors Day®, thousands gather across the globe to honor cancer survivors and to show the world that life after a cancer diagnosis can be fruitful, rewarding, and even inspiring.

It is a day for everyone, whether you're a cancer survivor, a family member, friend, or medical professional. This day provides an opportunity for all people living with a history of cancer - including America's more than 15.5 million cancer survivors - to connect with each other, celebrate milestones, and recognize those who have supported them along the way. It is also a day to draw attention to the ongoing challenges of cancer  survivorship  in order to promote more resources, research, and survivor-friendly legislation to improve cancer survivors' quality of life.

Anyone can host an NCSD event. Get started with our 7 simple steps to  organizing a National Cancer Survivors Day® event  in your community.

When is National Cancer Survivors Day®?  
National Cancer Survivors Day® is observed each year on the first Sunday in June.

What does the National Cancer Survivors Day Foundation do?   
The nonprofit National Cancer Survivors Day Foundation provides free guidance, education, and networking to hundreds of hospitals, support groups, and other cancer-related organizations that host NCSD events in their communities. Through National Cancer Survivors Day®, the Foundation works to improve the quality of life of cancer survivors by raising awareness of the ongoing challenges of cancer survivorship.

Who is a cancer survivor?  
The National Cancer Survivors Day Foundation defines a survivor as anyone living with a history of cancer - from the moment of diagnosis through the remainder of life. National Cancer Survivors Day® is an opportunity for your community to demonstrate that it has an active, productive cancer survivor population and to bring awareness to the challenges they face during and after treatment.

We hope you will join us in celebrating National Cancer Survivors Day® on the first Sunday in June. To locate an event near you, contact your local cancer treatment center, hospital, or American Cancer Society office. If your community doesn't currently hold an NCSD celebration, you can help organize one. 
Click  here  to find out how.
Your June Healthy Meal Plan


 Summer is finally here, and this healthy meal plan will help   you eat a little lighter all month long. Our dinner menu is full   of healthy mains and side dishes guaranteed to help you feel   (and look!) your best.





This delicious pork tacos recipe is my copycat version of the most excellent Mexican food we ever had in Flagstaff, Arizona. The original recipe used beef instead of pork, but this comes mighty close to the same taste. -Ariella Winn, Mesquite, Texas

Ingredients
  • 1 boneless pork sirloin roast (3 pounds)
  • 5 cans (4 ounces each) chopped green chilies
  • 2 tablespoons reduced-sodium taco seasoning
  • 3 teaspoons ground cumin
  • 24 corn tortillas (6 inches), warmed
  • 3 cups shredded lettuce
  • 1-1/2 cups shredded part-skim mozzarella cheese
Directions
  • Cut roast in half; place in a 3- or 4-qt. slow cooker. Mix chiles, taco seasoning and cumin; spoon over pork. Cook, covered, on low until meat is tender, 8-10 hours.
  • Remove pork; cool slightly. Skim fat from cooking juices. Shred meat with 2 forks. Return to slow cooker; heat through. Serve in tortillas with lettuce and cheese. 
    Freeze option: Place cooled pork mixture in freezer containers; freeze up to 3 months. To use, partially thaw in refrigerator overnight. Heat through in a covered saucepan, stirring gently and adding a little broth if necessary.
Health tip: Using reduced-sodium taco seasoning saves about 80 milligrams of sodium in each serving.
Nutrition Facts
2 tacos: 320 calories, 11g fat (4g saturated fat), 77mg cholesterol, 434mg sodium, 26g carbohydrate (1g sugars, 4g fiber), 30g protein. Diabetic exchanges: 3 medium-fat meat, 2 starch.





June Fun Family Activities

May 15,2019 - June 5, 2019 Weekly on Wednesday 
Weeknight Parents Night Out (Ages 4-11)
Bounce U of Cherry Hill
1205 Warren Avenue
Cherry Hill New Jersey
5:00 pm - 9:00 pm
CALL:  (856) 429-6400 
MORE DETAILS:
Drop the kids off for 3-hours of supervised bouncing, plus pizza, drinks & dessert, games and a movie! Let them wear their pj's or bring their favorite snuggle blanket or animal so they can relax watching the movies if they want. Have a fun night out while your kids have a blast at BounceU! Once everyone is checked in, we'll lock the doors and let the kids have a blast! Supervised by our highly trained Party Pros, and our manager on duty.
Recommended for ages 4-11 (CHILDREN MUST BE RESTROOM INDEPENDENT)
 
June 1, 2019
Ronald House Run
9AM - 12PM
Join Us On Saturday, June 1st For Our 5th Annual 5K Run For A Reason. 5K Run, 1 Mile Walk And Tot Trot For Kids. Each year you help us keep our families together while their children are receiving medical care in our local hospitals. We appreciate all of your support.
River Winds Communtiy Center
1000 Riverwinds Drive
West Deptford, NJ US 08086
 
J une 15, 2019
Mercer County Cultural Festival and Food Truck Rally
11AM-7PM
Join us for Mercer County's 9th Annual Cultural Festival & Food Truck Rally on Saturday, June 15, 2019 at Mercer County Park, West Windsor. The festival is FREE to attend and is FREE to park. There will be traditional dance and musical performances, heritage artisans, art demonstrations, international food trucks, a biergarten, children's activities and more!!!!
Mercer County Park, West Windsor.
 
Jun 22, 2019 to Jun 23, 2019
Fantasy Faire at Wheaton Arts
10AM-5PM
Join us for Fantasy Faire, a family-friendly festival of medieval folklore & fun on Saturday & Sunday, June 22 & 23, 10 a.m. to 5 p.m. Fantasy Faire features talented performers as they bring to life the "Kingdom of Wheaton" by enacting a series of interconnected shows that tell the story of the day. Interact with strolling costumed characters, portraying historical and mythical figures, throughout WheatonArts' campus both days.
Wheaton Arts, Village Drive, Millville, NJ, USA

Miller Farms -Horseback Trail Rides & Lessons in Camden County!
Come enjoy the beautiful scenery at the only horseback/trail riding available in Camden County. Trail riding is offered Saturdays and Sundays from 10am to 4pm year round (Weather permitting). Children must be at least 7 years old to trail ride. Cost is $30/person for approximately an hour-long trail ride. Hand-led rides are also available for those younger than 7 and cost $5.
Reservations are strongly suggested.
We offer a great place for family fun, birthday parties, girl scouts and youth groups. Summer horse camp, riding lessons, and horse drawn wagon rides are also available.
1 Hour Trail Rides are $30 Per Person | Call for reservations | Trail Rides Sat and Sun Only | Open Year round
Miller Farms
134 N. Grove Street, Berlin, NJ 08009
856-728-3500
 
ISC - ISC (International Sport, Skating & Fun Centre) Cherry Hill
650 Kresson Rd.
Cherry Hill, NJ 08034
Classes: Sports
Camps: All, Sports
HOURS: Our offices are open 9 AM - 5 PM daily. Give us a buzz for more information!
CALL: 856-428-8588  
MORE DETAILS: ISC (International Sport, Skating & Fun Centre) Cherry Hill is any family's destination for fun!
Located off of Kresson Road (behind the 7Eleven) in Cherry Hill, New Jersey, we offer skating, a FunZone & Inflatable (10 & Under), and an arcade. Our facility also includes a cafè with pizza, hot dogs, popcorn, nachos, drinks and more!
ISC Cherry Hill offers activities for all ages, no matter the season.
Our youth & adult sports leagues run year round and include:
  • Soccer
  • Lacrosse
  • Field Hockey
  • Volleyball
  • Roller Hockey
ISC Cherry Hill also offers School & Summer Camp programs for ages 3 ½ through Grade 8. Call for more information!

Jellybean Jungle
Crispin Square Shopping Center  
230 North Maple Ave
Marlton, NJ 08053
Open Play Hours:
Monday - Wednesday 9:30 - 5:00  
Thursday 9:30 - 6:00  
Friday  9:30 - 8:00  
 Saturday  9:30 - 2:30  
Sunday - Closed for Private Parties  
Jellybean Jungle is a play and learn adventure that is exclusively for  children 5 and under. Our facility is a bright and stimulating environment  created just for your little ones.
Jellybean Jungle was designed by a New Jersey Early Childhood certified  teacher. Safe, age appropriate equipment has been selected for your  children's enjoyment. We offer a large variety of imaginative and  developmentally appropriate activities that will lead your child on an adventure  of social exploration! As your child plays, you will gain insight into their  development, as well as enjoy a great time of bonding.

We Rock The Spectrum 
Open All Year
3111 Route 38, Ste. 14 Mount Laurel, NJ 08054 
856-242-9354 info@werockthespectrummountlaurel.com Call or email in advance to make sure facility is not booked for a party. Open 7 days a week We Rock the Spectrum Kid's Gym is the first of its kind in New Jersey,  offering fitness and play space for children of all abilities, including those  with sensory issues. Our Gym Includes: Suspended equipment with swings - for balance and vestibular treatment Crash mats and crash pillows - for fun, motor planning, and strength Zip line - for stress release and joint and body relaxation Trampoline - for building leg and core strength Indoor play structure - for climbing and increasing playground skills Sensory-based toys - for improved auditory processing and fine motor skills
Fine Motor and Arts and Crafts Area - for improved hand-eye coordination

Adventure Aquarium 
Mon. - Sun.: 10:00 AM - 5:00 PM
CALL:  (856) 365-3300  
1 Riverside Drive Camden, NJ 08103 PH: 844-474-FISH (3474)
Adventure Aquarium is just minutes from downtown Philadelphia on the  Camden Waterfront and features one-of-a-kind exhibits with more than 8,500 aquatic species throughout two million gallons of water. The Aquarium is home to the largest collection of sharks on the East Coast, including the only great hammerhead shark on exhibit in the United States, the only 
aquarium in the world to exhibit hippos, one of only six facilities in the US to have Little Blue penguins as permanent residents and exhibits the longest Shark Bridge in the world, a unique V-shaped rope suspension bridge just inches over Shark Realm. Adventure Aquarium is an accredited member of the Association of Zoos and Aquariums (AZA), and is held to the absolute highest standards in animal care and exhibition.

Sensory Friendly Movies at AMC
AMC is proud to partner with the Autism Society to offer unique movie  showings where we turn the lights up, and turn the sound down, so you can get up, dance, walk, shout or sing! Our Sensory Friendly Film program is available on the second and fourth Saturday (family-friendly) and Tuesday evenings (mature audiences) of every month. Please check your local theater listings for specific show times, and don't forget to share your family fun with #AMCSensoryFriendly.

Battleship New Jersey 
62 Battleship Pl, Camden, NJ 08103-3302
866-877-6262
Located on the Camden Waterfront, NJ, across the Delaware River  from Center City Philadelphia the Battleship New Jersey Museum and  Memorial offers guided and self-guided tours. Climb inside the 16" gun  turrets, learn explore the captain's cabins and crew's quarters and  discover what life was like for a Battleship sailor. Group packages and  educational programs are available for school. You can rent space  aboard the Battleship for meetings and social events. Families and  youth groups can spend the night aboard the Battleship as part of the  overnight program. 


Newborn Nurses Newsletter 
The NBN Group
2 Pin Oak Lane
Cherry Hill, NJ 08003
(856) 669-0211