SPRING 2025 Mental health and motherhood What to do about the baby blues Hello, feet! It’s time for your daily diabetes wellness check Benefits of a 3D mammogram CMH Breast Care Center offers 3D technology
2 VITALITY Spring 2025 Citizens Memorial Hospital Citizens Memorial Health Care Foundation 1500 N. Oakland Ave. Bolivar, MO 65613 417-326-6000 CEO/Executive Director Michael Calhoun Marketing Director Tamera Heitz-Peek Marketing Department Tessa Arnold Jennifer Stegner Katie Duncan Aaron Tallant Charlotte Marsch Mission Providing compassionate care for all generations by leading physicians and an exceptional health care team. Vision Be the first choice for health care by delivering the safest, highest quality and best experience for the communities we serve. Values I am Safe, Engaged, Respectful, Valued and Empowered. Together, we make a difference by serving others. For permission to reprint any portion of this magazine, call 417-328-7245. If you wish to be removed from the mailing list, please email theitz@citizensmemorial.com or call 417-328-7245. VITALITY is published as a community service for the friends and patrons of CITIZENS MEMORIAL HOSPITAL. Information in VITALITY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. 2025 © Coffey Communications, Inc. All rights reserved. Citizens Memorial Hospital complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. CMH has arranged for language assistance services free of charge. Call 417-326-6000. (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 417-326-6000. (Chinese) 417-326-6000. We’d love to hear from you on social media facebook.com/citizensmemorial x.com/cmhbolivar instagram.com/cmhbolivar linkedin.com/company/citizens-memorial-healthcare Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital and the Citizens Memorial Health Care Foundation Empowering you to live your best, healthiest life 2024 was a great year, and I’m so proud of our amazing team of CMH employees, medical staff and volunteers! We made some incredible strides in quality and patient safety, and it’s great to see that our hard work has been recognized on a national level. Construction started on the new Dialysis Center, and the hospital expansion project is on schedule. It has also been wonderful to see our community growing and using our services more than ever. Our clinics provided over 320,000 visits in fiscal year 2024, and we saw a 9% increase in outpatient and emergency department visits and a 6% increase in surgeries. Vitality magazine is here to empower you with the knowledge you need to live your best, healthiest life. On pages 8–9, we’re thrilled to introduce the latest 3D mammography technology at our Breast Care Center in the Douglas Medical Center. New moms, learn how to prioritize wellness and mental health on pages 12–13. Finally, on page 14, we’ll help you understand when you or a loved one might need extra support through home health care. Celebrating our progress and momentum The year started with the 20th anniversary celebration of the CMH Senior Health Center and ended with the acquisition of two pharmacies to expand our retail pharmacy services. We’ve put together a video recap of our 2024 highlights at cmhbolivar.info/2024review. We’ve made so much progress in 2024, and we’re continuing that momentum in 2025. By the end of the year, we should be preparing to move into both the hospital expansion and the new dialysis center. I’m excited about all we have planned for 2025!
citizensmemorial.com 3 Dialysis Center breaks ground More than 150 community members celebrated the groundbreaking for the CMH Dialysis Center on Nov. 7, 2024. The ceremony included several speakers from CMH and the community, along with the ceremonial turning of dirt. The center will have 16 hemodialysis chairs, each facing the large windows offering scenic views. It will also feature a patient room for home peritoneal and hemodialysis education, a waiting room, staff support areas, and a dialysis water room. The CMH Nephrology Clinic, currently in the Douglas Medical Center, will relocate to the new facility once it opens, providing convenient access to comprehensive kidney care in a single location. Nephrologist Russell Davis, D.O., joined the CMH medical staff and the new CMH Nephrology Clinic in September 2024. He specializes in diagnosing and treating a wide range of kidney conditions. “I’m very excited to get the dialysis unit going,” Dr. Davis says. “This is fantastic that we’re building a brand-new facility where people that are coming to spend 12 hours a week with us are able to enjoy the scenery outside of a window in a well-thoughtout, well-designed unit.” The 10,000-square-foot facility will cost about $9 million and is being financed by OakStar Bank in Springfield. Pulse Design Group, Kansas City, is the architect and JE Dunn, Springfield, is the general contractor. CMH Patient Portal is better than ever The Citizens Memorial Hospital Patient Portal has a new look and user experience with a recent upgrade to the website and mobile app. All patient portal users will see a new design with improved navigation that makes it easier to move between menu options. Patients can also view all upcoming appointments in a calendar format. The responsive design includes enhanced features to support accessibility for all patients. The most significant upgrade is the addition of the current-stay dashboard. Patients who are admitted to the hospital and residents of our residential care and skilled nursing facilities will have access to the dashboard. For more information about the CMH Patient Portal, go to bit.ly/ CMHPatientPortal. For more information about the CMH Nephrology Clinic, go to citizensmemorial.com.
4 VITALITY Spring 2025 Community Springs gets 5 out of 5 stars Community Springs Healthcare Facility in El Dorado Springs received a five-star rating, the highest possible rating, from the Centers for Medicare & Medicaid Services in 2024. Community Springs specializes in memory care, skilled nursing care, inpatient and outpatient rehabilitation, and independent living. Nursing homes with 5 stars are considered to be well above average in quality. Save the dates for these upcoming events Heroes for Hospice 5K/10K Run: May 3 The CMH Heroes for Hospice 5K/10K Run, presented by Craig Lehman-Shelter Insurance, is set for Saturday, May 3. Proceeds from the race help terminally ill patients and their families receive physical, emotional, spiritual and bereavement care. Register now at cmhbolivar.info/25heroes. Annual Golf Tournament: June 5 The 35th annual Citizens Memorial Health Care Foundation Medical Excellence Golf Classic, presented by SGC Foodservice, is set for Thursday, June 5. Team registration is on a first-come, first-served basis and is limited to 55 teams. All funds raised will benefit the Medical Excellence Scholarship, which provides financial assistance to individuals from CMH’s eight-county service area who are pursuing a career in health care. Register now at cmhbolivar.info/25golf. Fall festivities 3rd Annual Sporting Clay Fundraiser: Sept. 19 2nd annual Soirée: Sept. 27 ● Sponsorships available. ● For registration or sponsorship information for both events, contact Tara Akins, director of community relations and development, at 417328-6318 or tara.akins@ citizensmemorial.com. CMH adds pharmacy in Buffalo CMH acquired the Evans Drugs pharmacies in Bolivar and Buffalo in late 2024. The Buffalo location is now CMH Buffalo Community Pharmacy. Customers of the Bolivar location can now fill their prescriptions at Stephens Pharmacy at CMH. With the acquisition, CMH has three retail pharmacies—in Bolivar, Buffalo and Urbana (telepharmacy). CMH also operates a hospital pharmacy, which serves hospital patients, and the CMH Senior Pharmacy, which serves residents of long-term care facilities. The Buffalo pharmacy is at 315 S. Ash St., Buffalo, next to Woods Supermarket. Call 417-345-2321 for more information.
citizensmemorial.com 5 Get active. Exercise can help you lose weight and maintain a healthy weight for life. You don’t have to go to the gym. Walking is a great exercise that’s available to everyone. Get support See a registered dietitian to optimize your health by improving your current habits through meal makeovers and diseasespecific diet education, or learn how to maximize the money you spend to meet your needs. To make an appointment with one of our providers, call 417-328-6752 or visit citizensmemorial.com. Focus on fruits and vegetables. The produce section is bursting with foods that are naturally low in calories and filled with fiber. High in antioxidants, fruits and vegetables tame inflammation, which can help reduce your risk for obesity. Try filling 75% of your plate with plants at each meal. Plan your meals. When you know you want to eat more vegetables, one secret to success is planning when you’ll get those servings into your daily diet. That starts with breakfast: Plan what you’ll eat, and don’t skip it. When you have your groceries and meal plan ready, you’re less likely to skip any meal. And that’s a good thing. Skipping meals leads to crashes in blood sugar and energy. You can end up eating whatever is around, like chips or cookies. Reduce refined carbohydrates. Also known as simple carbs, these foods include white bread, pizza, pastries, pasta, white rice and sweets. They are typically high in calories and lead to blood sugar spikes and crashes. Instead, choose unrefined carbs, including vegetables and whole grains. These healthy foods can help you lose weight and reduce the risk of disease. Cut back on sugar. The empty calories that come with sugar can derail your weight loss journey. Limiting sugary treats, including sweetened beverages, doughnuts, muffins and candy, can help you lose weight and lower your risk of diabetes. The American Heart Association recommends limiting amounts of added sugar to 6 teaspoons or less per day. Strategies for healthy weight loss When life gets hectic, healthy habits that support weight loss are sometimes the first things to go. Luckily, there are proven strategies to help. Here are five tips for approaching weight loss in a healthy and manageable way.
6 VITALITY Spring 2025 Your wrist is a small part of your body, but it can be a big pain if you have carpal tunnel syndrome. Carpal tunnel is a condition that leads to pain, numbness and tingling in the hand and forearm. What is carpal tunnel syndrome? The carpal tunnel is a passage for nerves and tendons that runs through the wrist. When it narrows, it puts pressure on the median nerve. One of the main nerves in your hand, the median nerve starts in the neck and travels through your arms and down to your fingers. Signs of carpal tunnel come on gradually and might include: ● Pain or tingling that moves up your forearm. ● Pain, burning or numbness in the fingers. ● Dropping objects due to hand weakness or numbness. Carpal tunnel treatment If you notice any symptoms, it’s time to talk to your health care provider. During an evaluation, your hands and wrists will be examined and tested. Many times, this physical examination is all that’s needed for a diagnosis. Sometimes lab tests such as an X-ray or ultrasound may be needed. Your provider might refer you to an orthopedic doctor who specializes in bones, joints, muscles and nerves. CARPAL TUNNEL SYNDROME It’s all in the wrist Make an appointment There are many things you can do to get relief from the pain of carpal tunnel syndrome, especially if it’s caught early. To learn more about carpal tunnel syndrome, make an appointment with an orthopedic specialist at the CMH Orthopedic & Spine Center at 417-777-2663. Nonsurgical treatments Seeing a health care provider as soon as you notice symptoms can mean catching carpal tunnel early, when it can be treated more easily. Here are some treatments your provider may suggest you do at home: Wear a brace. Keeping the wrist still, especially at night, reduces pressure on the nerve. Take anti-inflammatories. Over-thecounter pain medicines, like ibuprofen and naproxen, or a cortisone injection can ease inflammation and pain. Change your movement. If the way you move—or don’t move—your wrist is causing the problem, then you can make adjustments to help soothe it. Exercise. A health care provider or physical therapist can teach you simple movements that can help. Surgical treatments Sometimes nonsurgical treatments don’t provide lasting relief. In that case, an orthopedic surgeon can perform a procedure that releases the pressure on the median nerve. Sources: American Academy of Orthopaedic Surgeons; National Institute of Arthritis and Musculoskeletal and Skin Diseases
citizensmemorial.com 7 Life after a heart attack You’ve survived a heart attack, and now you’re on the road to recovery. You may be motivated more than ever before to improve your heart’s health and avoid another heart attack. Great news! There’s a lot you can do to get back to an active lifestyle, start feeling like yourself again and prevent more heart problems. Here are some things the American Heart Association and other experts suggest: Go to cardiac rehabilitation. Cardiac rehab helps people safely recover from heart problems like heart attacks. During rehab sessions, you will gradually get stronger as you exercise under medical supervision, and you will learn things to help keep your heart healthy going forward. Take medicines as directed. Your doctor may have prescribed medicines to help protect your heart. It’s important to take them exactly as prescribed. If you have any problems with your medicines, let your doctor know right away. Keep your follow-up appointments. You likely received a follow-up schedule when you were discharged from the hospital. These follow-up visits allow your doctor to check on how your recovery is going and help you manage your heart disease. So don’t be a stranger! Manage other conditions. Many heart attack survivors have other conditions, such as diabetes, high blood pressure or high cholesterol, that raise their risk for further heart problems. If you have any of these conditions, follow your health team’s advice about how to control them. Adopt a few good habits. Learn about the lifestyle changes you may need to make, such as quitting smoking, eating heart-healthy foods, lowering stress and being physically active. Prioritize these changes. Mind your mood. People often experience a range of emotions after a heart attack, such as fear, anxiety and stress. Ask your friends and loved ones for support. If you go to cardiac rehab, you may meet other heart attack survivors you can talk to as well. You can also tell your doctor how you’re feeling. Speaking up is especially important if you think you might be depressed. Additional source: National Heart, Lung, and Blood Institute Ask your doctor if cardiac rehab is right for you To learn about our cardiopulmonary rehab program, certified by the American Association of Cardiovascular and Pulmonary Rehabilitation, call 417-328-6574 or visit citizensmemorial.com.
8 VITALITY Spring 2025 Benefits of a 3D mammogram It’s a fact: Mammograms save lives. These X-ray pictures of the breast can find signs of cancer early, when treatment is more likely to be successful. There are two types of mammograms: 2D (two-dimensional, or standard) and 3D (threedimensional). A standard mammogram captures images from two angles: top-to-bottom and side-toside. 3D technology creates images from several angles. Those additional angles allow the doctor to examine the breast tissue more clearly than with 2D. All mammograms are safe. They give off very low doses of radiation while taking detailed pictures. They can find changes that might be early signs of cancer years before a woman feels any symptoms. However, research shows that 3D mammograms have some advantages. They can: ● Find more breast cancers. ● Be a good option for women with very dense breast tissue. ● Reduce the likelihood that a woman will be called back for additional testing. CMH Breast Care Center offers 3D technology The CMH Breast Care Center recently added the latest technology for early breast cancer detection with 3D mammography (also called digital breast tomosynthesis, or DBT). “Patients will notice little difference in the mammogram process other than it taking a little longer,” says Jana Horner, M.D., a board certified diagnostic radiologist with the CMH Breast Imaging Center. “However, the 3D images give me more information for improved diagnostic accuracy and patient outcomes.”
citizensmemorial.com 9 How to schedule a mammogram Your yearly routine mammogram, often called a screening mammogram, does not require a referral from your physician. You can schedule a mammogram at the CMH Breast Care Center by calling 417-328-7860 or online through the CMH Patient Portal. Online scheduling instructions 1 Log in to your CMH Patient Portal and click “Schedule Appointment.” 2 Select “Mammogram Screening” and click “Next.” 3 Answer a few questions.* 4 Select the date and time that work best for you. *If you answer “Yes” to any of the questions, call 417-328-7860 to schedule your appointment. Need help paying for a mammogram? Your health plan may cover an annual mammogram. If you are uninsured or concerned about your ability to pay, CMH has partners that can help. The Breast Cancer Foundation of the Ozarks and Missouri’s Show Me Healthy Women provide free screening mammograms to qualified applicants. Contact your local health department for details. The CMH Breast Care Center has comprehensive services for women at every stage of their lives. Dr. Horner specializes in the interpretation of breast imaging. She works closely with local oncology and surgical physicians to efficiently diagnose and treat breast disease. For more information about the Breast Care Center, call 417-328-7860. When to get screened The American College of Radiology recommends that women with an average risk of breast cancer have annual mammograms beginning at age 40. All women should have a risk assessment by age 25 to see if they are at increased risk. If you have a family history of breast cancer or a known genetic mutation, you may benefit from earlier screenings or other preventive measures. Things to keep in mind Mammograms can’t find every cancer. They might also find changes that look like cancer but turn out not to be cancerous after additional testing. Getting called back doesn’t always mean bad news. If something on the mammogram isn’t clear or looks suspicious, the doctor who reads the mammogram will want a second look. You may have another imaging test, such as an ultrasound. But in most cases, there’s nothing to worry about. Know how your breasts usually look and feel. Tell the technologist about any changes you have noticed, such as nipple discharge, pain or lumps. Also, tell them if you have breast implants or a personal or family history of breast cancer. Skip the deodorant. Personal care products such as deodorant, antiperspirant, lotion and perfume can interfere with the mammogram. Many facilities offer wet wipes so you can remove any personal care products from your breasts and armpits before the mammogram. Source: American Cancer Society
10 VITALITY Spring 2025 Managing urinary incontinence If you have urinary incontinence, you may get sudden urges to urinate or leak a bit of urine when you laugh or sneeze. Loss of bladder control happens when certain muscles aren’t working the way they should. While urinary incontinence is more common in women, it can affect both men and women. Types and causes The four most common types of urinary incontinence in women are: Stress incontinence. Anything that puts pressure on the bladder, like coughing and exercise, can cause urine to leak. Urge incontinence. You feel a strong urge to urinate and don’t make it to the bathroom in time. Needing to use the bathroom frequently is sometimes called “overactive bladder.” Mixed incontinence. This is when you experience a combination of stress and urge incontinence. Overflow incontinence. This can happen when your body makes more urine than the bladder can hold or the bladder is full and your bladder muscle may not “squeeze” like it should. Another symptom is constant dribbling. How to get relief People with stress incontinence can try Kegel exercises to help strengthen pelvic floor muscles and ease symptoms. Here’s how to do them: 1Lie down. You don’t always need to do these exercises while reclined, but it can help you learn how to do them. 2Imagine you are trying to stop the flow of urine and intentionally squeeze those muscles. Focus on squeezing the pelvic floor only, not your stomach, legs or buttocks. 3Relax for three seconds. Squeeze the pelvic floor muscles again for a count of three. Start slow and gradually increase each exercise to three sets of 10 per day. It takes four to six weeks of regularly practicing these exercises to get relief from your symptoms. Kegels won’t help if the cause of your symptoms is overly tight pelvic floor muscles. Talk to your health care provider before starting Kegel exercises. You may also consider specialized pelvic floor dysfunction treatment through CMH Outpatient Therapy and Occupational Health Services. Call 417-328-6453. If you have questions about urinary incontinence, Mark Walterskirchen, M.D., at the CMH Urology Surgical Center can help. Call 417-326-2550. Sources: American College of Obstetricians and Gynecologists; Office on Women’s Health; Urology Care Foundation
citizensmemorial.com 11 Standing for long periods, breaking in new shoes, going for a jog—life is filled with things that can be hard on your feet. Count diabetes among them. That’s right: Diabetes can damage the blood vessels and nerves in your feet over time. “Diabetic neuropathy often starts with tingling, burning or numbness in the feet,” says Creighton Woolsey, DPM, with the CMH Podiatry Clinic. “As it progresses, it can lead to the loss of sensation or pain. These symptoms are crucial to address early, as they can increase the risk of foot injuries and infections.” Fortunately, there’s a lot you can do to prevent or delay diabetes-related nerve damage. If you have diabetes, protect your feet with these healthy steps. Do your homework. As part of your daily routine, look for: ● Blisters, cuts or bruises. ● Cracked and peeling skin. ● Redness and swelling. Check the bottoms of your feet, too. If you spot problems, such as a cut, bruise or blister on your feet that doesn’t start to heal in a few days, make an appointment to see your doctor right away. With diabetes, small sores can quickly turn into a major infection. Track your glucose levels closely. Keep your blood sugar as close to your target as possible by following your diabetes management plan, including taking your medication as directed. High glucose readings are a major risk factor for developing diabetes complications, including diabetic neuropathy. Make an appointment If you have diabetes, it’s important to keep tabs on your toes and feet. We can help. Call the CMH Podiatry Clinic at 417-328-7000 to schedule an appointment. Hello, feet! It’s time for your daily diabetes wellness check Wash your feet daily. Use warm soap and water. After drying your feet, use talcum powder or cornstarch between your toes to soak up moisture that can cause infection. Choose the right footwear. Wear shoes and well-fitting cotton socks to protect your feet from injury. The best shoes are snug but not too tight and have a wide toe box. Be sure to change your socks daily, too. Wear shoes whenever or wherever you’re walking. Avoid walking barefoot, even if you are indoors or at the beach. Get regular foot exams. If you have diabetes, you should have a foot exam at least once a year. Sources: National Institute of Diabetes and Digestive and Kidney Diseases; UptoDate
12 VITALITY Spring 2025 Mental health and motherhood Expecting a baby? You may be feeling happy, nervous and excited. Pregnancy can come with many feelings, including feeling anxious and overwhelmed. After giving birth, many new moms experience tiredness, worry and sadness, also known as baby blues. These feelings usually go away on their own. For some women, these feelings can become severe and interfere with their daily lives. This is known as postpartum depression. Postpartum depression occurs in 1 out of 8 women and can happen to anyone. Women may also experience these feelings during pregnancy. Postpartum birth control: What new moms need to know With so much to do after your baby is born, it’s easy to forget about using birth control. But there are a couple of good reasons to think about it. You could get pregnant again soon after childbirth. If you’re breastfeeding every day and night, you probably won’t start ovulating again for up to six months. But you could start ovulating sooner. As soon as that happens, you can get pregnant. Your period usually starts two weeks after you ovulate, which means you could get pregnant even if you haven’t had a period. Your body needs time off between pregnancies. Many medical experts say you should wait at least 18 months before getting pregnant again. Using birth control can significantly lower your risk of pregnancy. You have many options for birth control. All of them are safe to use while breastfeeding, although some may decrease your milk supply. You can start using some forms of birth control right after childbirth. With other forms, you may need to wait several weeks. Here’s a breakdown: ● Right after childbirth: condoms, spermicide, injections, progestin-only pills, implants or intrauterine devices (IUD).
citizensmemorial.com 13 5 ways to prioritize YOUR WELLNESS after giving birth Take a walk. Refresh your body and mood while someone you trust watches the baby. Eat healthy foods. Rebuild your strength with fruits, veggies, whole grains and other healthy choices. Make time for a pospartum checkup. Your doctor will make sure your recovery is going well. 3 2 1 5 4 Nap when your baby naps. You both need lots of rest right now. Ask for help with chores. This isn’t the time to worry about laundry, cooking or cleaning. Sources: March of Dimes; Office on Women’s Health ● Four to six weeks after childbirth: combination birth control pills (“the pill”), patches or vaginal rings. ● Six weeks after childbirth: diaphragm, sponge or cervical cap. Talk with your OB-GYN or health care provider about which birth control method would be best for you based on when you gave birth, your age and your health. Sources: American Academy of Pediatrics; American College of Obstetricians and Gynecologists; UpToDate Need a checkup? To schedule an appointment with a provider, call 417-328-6010 or visit citizensmemorial.com. Symptoms of postpartum depression can include: ● Crying more than usual. ● Extreme sadness or anger. ● Not feeling a connection with your baby. ● Worrying about hurting your baby. ● Having guilt or doubts about not being a good mom. If you are having any of these symptoms, talk to your provider to find a treatment that is right for you. As a new mom, it can be hard to focus on yourself and your health. But it is essential to your baby’s health and well-being. Depression can happen to anyone. You can prepare by knowing what to look for and getting help when you need it. What additional resources are there? ● Talk to your OB-GYN or health care provider about your risk factors for postpartum depression and what to watch out for. ● Call or text the National Maternal Mental Health Hotline at 833-852-6262 (833-TLC-MAMA) for free, 24/7, confidential counselor support. ● If you are thinking about harming yourself or your baby, get help now. Call 988 for emergency help from the 988 Suicide & Crisis Lifeline. Sources: 988 Suicide & Crisis Lifeline; Centers for Disease Control and Prevention; Health Resources and Services Administration; National Institute of Child Health and Development; U.S. Department of Health and Human Services
14 VITALITY Spring 2025 Home health care: When your loved one needs extra help As your parent or other loved one ages, they might need home health care at some point. Home health care can offer peace of mind, but there’s a lot to think about when selecting it. Signs to look for Talk to your loved one about receiving assistance at home if they: Aren’t eating nutritious or regular meals. Are forgetting to do things. Don’t bathe or shower very often. Can’t prepare simple meals. Wander away from home. Forget appointments. Neglect housekeeping. Chances are, your loved one will deny the need for help. They may balk at letting a stranger into their home. Respectfully explain why you think they may no longer be safe living alone. To the extent possible, involve them in your decision-making. Home health aides A home health aide, trained through a state-approved program, provides in-home caregiving. A qualified home health aide should be able to: ● Provide companionship. ● Help with activities of daily living: bathing, showering, dressing, grooming, eating, going to the toilet and moving around the house. ● Take vital signs. ● Monitor physical and mental conditions and actions such as eating, drinking, physical activity and going to the bathroom. ● Know what to do in an emergency. ● Prepare meals. ● Do light housekeeping. Working with a home health aide It might take some time to get the in-home care process running smoothly. These tips can help. Write a care plan. This detailed plan outlines your loved one’s daily routine and states what the home health aide will do. Communicate. Schedule regular check-in meetings. Ask the caregiver to jot down observations. Review as needed: Go over tasks, equipment and emergency procedures with the aide from time to time. Focus on the essentials. A home health aide won’t be able to do everything. But if your loved one is safe and feels connected to the caregiver, that’s what really matters. Sources: AARP; Family Caregiver Alliance Is now the time for senior living? If you or a loved one needs more help than home health can provide, CMH has residential care and skilled nursing facilities to meet your needs. Complete a quick, 4- to 5-minute survey at bit.ly/ CMHCareOptions to learn more about your options and decide the best fit for your care needs. Getting started To learn more about CMH Home Health Services, call 417-326-3585 or 800-955-3493 or visit citizensmemorial.com.
citizensmemorial.com 15 ASHLEY CARPENTER, FNP-C, is a family nurse practitioner now seeing patients at the CMH ENT & Allergy Clinic and the CMH Pediatric Clinic. She previously worked at the CMH Institute of Pain Management, Osceola Medical Center and Walk-In Clinic, and Willard Medical Center and Walk-In Clinic. She is certified by the American Academy of Nurse Practitioners. To make an appointment, call the CMH ENT & Allergy Clinic at 417-328-7000 or CMH Pediatric Clinic at 417-777-2121. JESSICA LOCKE, PMHNP-BC, is a psychiatric mental health nurse practitioner seeing patients at Bolivar Family Care Center through the CMH Behavioral Health Transitional Clinic. She previously saw patients at Ash Grove Family Medical Center and Humansville Family Medical Center. She is certified by the American Nurses Credentialing Center. Call 417-328-6131 to schedule an appointment. STEPHANIE MILLER, FNP-C, is a family nurse practitioner now seeing patients at Humansville Family Medical Center. She previously worked at El Dorado Springs Medical Center and Walk-In Clinic. She is certified by the American Academy of Nurse Practitioners. To make an appointment, call 417-754-2223. ERIN PAYNE, PA-C, is a physician assistant now seeing patients at the CMH General Surgery Clinic. She previously worked at Willard Family Medical Center and Walk-In Clinic. She is certified by the National Commission on Certification of Physician Assistants. To make an appointment, call 417-326-8700. Providers on the move Grape and cashew salad sandwich Makes 4 servings. Ingredients ¾ cup dry roasted cashews (unsalted, coarsely chopped) 1 cup low-fat cottage cheese 11⁄ 2 cups red grapes (quartered) 1 celery stalk (chopped) Ground black pepper, to taste 2 tablespoons fresh parsley (chopped) 8 lettuce leaves 8 slices whole-grain bread Directions ● In a medium bowl, mix cottage cheese, grapes, celery, cashews, parsley and ground black pepper. ● Toast bread. ● Spread ¼ salad mix on four of the bread slices. ● Add two lettuce leaves to each sandwich. Top with second bread slice. Nutrition information Serving size: 1 sandwich. Amount per serving: 380 calories, 16g total fat (4g saturated fat), 5mg cholesterol, 45g carbohydrates, 19g protein, 6g dietary fiber, 430mg sodium Source: U.S. Department of Agriculture
STEPHANIE BREAULT, FNP-BC, is a family nurse practitioner providing walk-in care at Willard Medical Center and Walk-In Clinic. She holds a Master of Science in Nursing, Family Nurse Practitioner, from Walden University in Minneapolis. She is certified by the American Nurses Credentialing Center. For more information, call 417-761-6655. KRYSTAL COLVIN, FNP-BC, is a family nurse practitioner providing care to long-term care residents at Colonial Springs Healthcare Center in Buffalo. She holds a Master of Science in Nursing, Family Nurse Practitioner, from Missouri State University in Springfield. She is certified by the American Nurses Credentialing Center. For more information, call Dallas County Family Medical Center and Walk-In Clinic at 417-345-6100. JENNIFER GAMBER, FNP-C, is a family nurse practitioner providing walk-in care at Osceola Medical Center and Walk-In Clinic. She holds a Master of Science in Nursing, Family Nurse Practitioner, from Chamberlain University College of Nursing in Downers Grove, Illinois. She is certified by the American Academy of Nurse Practitioners. For more information, call 417-646-5075. GARY R. HIGHFILL, M.D., is an otolaryngologist at the CMH ENT & Allergy Clinic. He attended medical school at the University of Missouri School of Medicine, Columbia. Dr. Highfill completed an internship in general surgery and a residency in otolaryngology at the Penn State Milton S. Hershey Medical Center in Hershey, Pennsylvania. He is board certified by the American Academy of Otolaryngology-Head and Neck Surgery. To make an appointment, call 417-328-7000. EMILY LONG, DNP, FNP-BC, is a family nurse practitioner providing walk-in care at Willard Medical Center and Walk-In Clinic. She holds a Doctor of Nursing Practice, Family Nurse Practitioner, from Missouri State University, Springfield. She is certified by the American Nurses Credentialing Center. For more information, call 417-761-6655. BROOKE TABOR, PMHNP-BC, is a certified psychiatric mental health nurse practitioner at Ash Grove Family Medical Center and Humansville Family Medical Center. She also will care for residents in CMH long-term care facilities. She holds a Master of Science in Psychiatric-Mental Health Nurse Practitioner from Cox College, Springfield. She is certified by the American Nurses Credentialing Center. To schedule an appointment, call Ash Grove Family Medical Center at 417-751-2100 or Humansville Family Medical Center at 417-754-2223. New providers
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