Healthy Aging: March 2016
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Transcript of Healthy Aging: March 2016
HEALTHY AGINGmArch 2016
A PublicAtion from monmouth medical center, southern campus
check thoseeyes
Preventshingles
AvoId FAlls
A rEcipE for tAsty crAb cAkes
HealthyAging.0316.9.indd 1 3/9/16 2:24 PM
WElcomE lEttEr
Welcome to our newest edi-
tion of Healthy Aging! I don’t
know about all of you, but I
can’t wait for springtime—
it’s my favorite season. And
it’s a great time to think
about coming out of our
homes, enjoying the out-
doors and getting more
active.
Exercise has been a big fo-
cus as we move forward with our plans for the
Geriatrics Institute here at Monmouth Medi-
cal Center, Southern Campus. We have been
busy designing foor plans and programs with
the most up-to-date and innovative rehabilita-
tion medicine equipment. Our rehabilitation
services will be an important partner in the
outpatient geriatrics services we are planning,
as these services will not only be located to-
gether in the institute, but will work together
as interdisciplinary members of each patient’s
care team. This is a very exciting new program
for us!
And while we are on the topic of exercise,
did you know that walking outside on a beauti-
ful day is not just good for you from a physical
perspective? It’s good for you emotionally, too.
It’s well known that walking outdoors can help
to relieve stress. Physical activity increases en-
dorphin levels in the brain, boosting our mood
and self-esteem as a result. I’m planning on
taking advantage of the nicer weather, and I
challenge you to do the same. Ocean County is
home to many beautiful places to enjoy a picnic,
bird-watch, visit an outdoor farmer’s market or
take a nature walk. The National Institutes of
Health recommends that you consider replac-
ing a Sunday drive with a Sunday walk. Or just
go for a half-hour walk instead of watching TV.
Personally, I like their suggestion to make a
weekend morning walk a family habit.
I invite you to share with me your creative
ideas for getting more active this spring and
any great pictures you snap while you are
outside. You can email me at jisrael@
barnabashealth.org.
Sincerely,
Jessica l. Israel, m.D.
Regional Director for Geriatrics and Palliative Care,
Monmouth Medical Center and
Monmouth Medical Center, Southern Campus
2
Seniors are rightly afraid of falling. Every year, more
than 1.6 million older U.S. adults go to emergency
departments for fall-related injuries. Among older adults,
falls are the number-one cause of fractures, hospital admis-
sions for trauma, loss of independence and injury deaths.
To help ease that fear, Monmouth Medical Center, South-
ern Campus’ Center for Healthy Aging is offering “A Matter
of Balance.” This nationally recognized, evidence-based
program is designed to help older adults improve balance
and reduce the risk of a fall. It will be offered at area senior
centers, free of charge, over the next several months.
The program, funded by a grant from the State of New
Jersey, consists of eight weekly two-hour classes run by
“coaches” Kathleen Holahan and Kelly DeLeon. It includes
classroom discussion on how to make one’s home safer
followed by 30 minutes of exercise, which can be done
standing or sitting, to increase strength and balance.
“One risk factor in falling is the fear of falling, which can
lead people to decrease activity,” DeLeon says. “That ac-
tually puts them more at risk. We want to help seniors set
small goals to increase their activity and teach them how
to do it.”
to learn more, call the Better Health Program at
888.726.2362.
HELPING SENIORS AVOID a fall
HealthyAging.0316.9.indd 2 3/9/16 1:10 PM
3
Mental well-being is as important as physical
health for everyone, including seniors. That is
one reason why the Better Health Senior Membership
Program offers social programs to enrich the lives of
seniors in neighboring communities. The programs
are presented free of charge to members who live in
the senior communities that are located in the service
area of Monmouth Medical Center, Southern Campus.
“Socializing, health education and the arts and
entertainment are all part of keeping our seniors
healthy and happy,” says Judy Zocchi, producer of
the Better Health social programs.
In December, members of the Better Health
Program were invited to a Victorian Christmas
Luncheon at Eagle Ridge Golf Club in Lakewood.
The day consisted of a health fair, a buffet lunch
and a dramatic reading, by two professional ac-
tors, of Charles Dickens’ A Christmas Carol. Special
guest Lucinda Dickens Hawksley, the great writer’s
great-great-great-granddaughter and an author
and speaker herself, was on hand. She spoke about
Dickens and his infuence on Christmas, sat for a
question-and-answer session and signed copies of her
newest book, Queen Victoria’s Mysterious Daughter:
A Biography of Princess Louise.
About 100 seniors from nine area senior commu-
nities attended the Victorian Christmas Luncheon.
There are three more large events being planned
for 2016, including a Spring Tea and a Summer Bash
with a Swing Band.
To attend these events, seniors can sign up for the
Better Health Program by calling 888.726.2362.
Members enjoy a
Victorian Christmas luncheon A descendAnt of chArles dickens
discusses the writer’s influence.
HealthyAging.0316.9.indd 3 3/2/16 4:51 PM
4
a dietitian shares 6 ideas for healthy eating.
Like everyone else, seniors are well
served by eating healthy, nutri-
tious food. According to the National
Institutes of Health, studies show that
a good diet in your later years reduces
the risk of osteoporosis, high blood
pressure, heart disease and certain
cancers. You might need less energy
and fewer calories as you age, but you
still require just as many of the nutri-
ents in food.
Dietitian and New Jersey native
Diane Henderiks understands the
importance of making informed food
choices and developing sound eat-
ing and physical activity habits. With
March designated National Nutrition
Month, she offers the following tips:
Don’t skip meals. “Seniors tend to skip meals, but
should eat throughout the day to keep
their energy up,” says Henderiks.
Choose a variety of healthy foods. “Focus on fruits and veggies in a wide
variety of colors,” she says. “Each
color is associated with different
nutrients and antioxidants.”
Avoid empty calories. Foods such as chips, cookies, soda
and alcohol have lots of calories but
few nutrients. “Make every bite count
nutritionally,” she says.
Choose foods that will keep you full. “Pick lean protein
sources such as eggs, cheese, fsh and
beans,” says Henderiks. “Don’t think
in terms of red meat all the time.”
Stay hydrated. “Keep a glass of water out on a table
to remind yourself to drink often,” the
dietitian suggests.
Add favors. Seniors’ sense of taste can diminish,
so season foods with non-salt herbs,
spices and citrus to increase favors.
Diane Henderiks’ recipe for Pista-
chio Pesto Crab Cakes with Avocado
“Cream” Sauce, on the facing page,
exemplifes these tips. There are nuts
and crabmeat for low-fat protein, pesto
with favorful garlic and herbs, avoca-
do for healthy fats and nonfat yogurt
for calcium. “It hits all the macronutri-
ents for full nutrition and has tons of
favor enhancers,” she says. “And it’s
simple and freezes great too.”
Food for thought
HealthyAging.0316.9.indd 4 3/9/16 1:10 PM
5
Pistachio pesto
3 cups loosely packed fresh basil leaves
2 tablespoons pistachio nuts (shelled)
1 clove garlic (crushed)
1 tablespoon Parmesan cheese
(freshly grated)
1 tablespoon olive oil
Crab cakes
8 oz. jumbo lump crabmeat (picked over)
1 teaspoon lemon juice (freshly squeezed)
1 tablespoon fresh parsley (fnely chopped)
½ teaspoon dried mustard
¼ teaspoon paprika
1 tablespoon plain nonfat Greek yogurt
1 egg white (beaten)
1 tablespoon whole wheat four
1 tablespoon olive oil
Avocado
1 whole ripe avocado (cut into chunks)
2 tablespoons plain nonfat Greek yogurt
1 teaspoon lemon juice (freshly squeezed)
Diane henDeriks’
PistAChio Pesto CrAb CAkes with AvoCAdo ‘CreAm’
ingredients:
make the pesto
1. Combine frst 4 ingredients in
food processor and process to
paste-like consistency.
2. scrape down the sides and
with blade running, drizzle in
olive oil.
3. remove from food processor,
stir and set aside.
make the crab cakes
4. in mixing bowl, gently com-
bine frst 5 ingredients
(crabmeat through paprika).
5. Whisk yogurt and egg white
together and gently combine
with crabmeat mixture.
6. shape into 4 cakes (about
3 inches in diameter and about
¼-inch thick).
7. Place on paper towel-lined
plate, cover and refrigerate
for 1 hour.
make the avocado “cream”
8. Place all ingredients in food pro-
cessor and process until smooth.
Cook the crab cakes
9. Preheat oven to 400°F.
10. remove crab cakes from paper
towel-lined plate and gently
spread 1 tablespoon of pesto
on top of each crab cake.
11. Dust both sides of cakes
with four.
12. heat olive oil in cast-iron pan
over high heat. Gently place
crab cakes, pesto side down,
into pan.
13. sear for 1 minute, fip gently
and remove pan from heat.
14. Place pan in oven and bake for
5–10 minutes or until heated
through and browned.
15. serve with avocado cream.
16. enjoy!
step-by-step directions:
HealthyAging.0316.9.indd 5 3/9/16 1:10 PM
6
Save
your viSionMarch is a good
tiMe to see
your eye doctor.
Every March, the American Op-
tometric Association reminds
Americans of the importance of reg-
ular, comprehensive eye care from a
vision specialist by observing Save
Your Vision Month. Better vision is
critical for health and independence,
says Edward Hedaya, M.D., an oph-
thalmologist at Monmouth Medical
Center, Southern Campus.
“Remember that just because
vision is good doesn’t mean it isn’t
being threatened,” he adds. “Even if
you have no symptoms, there can be
disease processes under way that
can lead to irreversible visual loss.”
The three most common eye
diseases in seniors are glaucoma,
macular degeneration and diabetic
damage to the retina. “Most people
can be treated before symptoms de-
velop to prevent visual loss,” he says.
Regular screenings are the key. Those
who are generally healthy should see
a vision care specialist at least yearly.
Those with risk factors, such as dia-
betes, high blood pressure or a family
history of eye disease, most likely
need more frequent examinations.
People are often amazed at the
new technologies available to diag-
nose and treat vision problems, Dr.
Hedaya says. “We now have devices
that can see far more anatomical
detail than we can with the naked
eye, and with much greater ease,”
he says. “We can see details we
couldn’t get before, and we can do
it in seconds now, which cuts exam
times down dramatically.”
Treatments are better, quicker
and safer too. Dr. Hedaya recently
corrected the vision of a 93-year-old
patient to the point that he no lon-
ger needed glasses. “His children,
who were in their 60s, were amazed
their father had better vision than
they did,” he says. “And that is not
an unusual story these days.”
If you haven’t seen a vision
specialist in a while, make an ap-
pointment by calling Monmouth
Medical Center, Southern Campus,
at 732.363.1900. It may “Save Your
Vision.”
HealthyAging.0316.8.indd 6 3/2/16 2:53 PM
7
Helping older adults
breathe easypulmonary rehabilitation can make
the most of your lung power.
Chronic obstructive pulmonary disease (COPD), which
includes emphysema, chronic bronchitis, asthma, bronchi-
ectasis and many other breathing problems, is a progressive
disease for which there is no cure. But there are treatments.
One of the most important is pulmonary rehabilitation. Pulmo-
nary Rehabilitation Week, observed this year from March 13
to 19, focuses national attention on pulmonary rehabilitation’s
contribution to helping people with COPD.
Pulmonary rehab (PR) helps COPD patients maintain and
improve the quality of their lives. By combining early inter-
vention and individually planned and designed education,
therapy, exercise, motivation and lifestyle adjustment pro-
grams, PR can help patients function better in their daily
activities, increase the ability to exercise, decrease the symp-
toms and reduce anxiety and depression. PR doesn’t improve
your lung function, but it allows you to make the most of the
limited lung function you have.
Monmouth Medical Center, Southern Campus’ rehab cen-
ter features state-of-the-art ftness equipment, including
treadmills, arm ergometers, rowing machines and station-
ary bicycles. It offers patients an educational and supportive
program monitored by licensed respiratory care profession-
als who are dedicated to improving quality of life through
better breathing. They work with your care team, including
your doctors, nurses and specialists such as physical and
occupational therapists, dietitians or nutritionists, and psy-
chologists or social workers. The rehab team will create an
individualized plan based on your abilities and needs.
to learn more about pulmonary rehabilitation, call
732.886.4428.
your gift through
the legacy society
can be a big help to the
patients of the future.
The caring and compassionate staff of
Monmouth Medical Center, Southern
Campus (MMCSC), will be here when you
need them—are you willing to remember the
hospital in your future plans? Did you ever
dream of leaving something behind to show
future generations how much you cared?
We have a special program to help philan-
thropic dreams come true and honor those
who dare to dream. It is called the Mon-
mouth Medical Center, Southern Campus
Legacy Society.
Naming MMCSC as a benefciary of your
estate or qualifed retirement plan can beneft
you and the hospital and make you a member
of this very special group of visionaries. Leave
a lasting legacy that honors those whose life’s
work has been to care for others by giving a
gift that extends into the next generation.
In an effort to expand these efforts and
invite more visionary members to our Leg-
acy Society, we’ve recently welcomed Anne
DeMesa, vice president of Gift Planning for
Barnabas Health Foundation, to our team.
Anne comes to us with many years of ex-
perience in making legacy gifts a reality for
generous individuals and families.
If you are interested in achieving your
charitable goals and creating a legacy gift for
MMCSC, Anne can help you fnd a strategy
that meets your needs and happily welcome
you as the newest member of the Legacy
Society. Find out more by calling June Lynch
at 732.886.4148.
MAke A diFFerence
HealthyAging.0316.9.indd 7 3/2/16 4:51 PM
DoctorAsk the
should you get the
shingles vaccine?
I n a word, yes. Zostavax is the
shingles vaccine approved by
the FDA for adults 50 and older to
help reduce the risk of shingles.
The vaccine cuts chances of de-
veloping shingles by 61 percent.
Shingles is a viral infection
that results in a painful rash, of-
ten appearing in a single stripe
of blisters. Some people also ex-
perience fever, headache, light
sensitivity and fatigue. The
condition cannot be passed by
coughing or casual contact. It typ-
ically occurs in patients who have
had chicken pox—however, those
who have never had chicken pox
can get shingles if they have di-
rect contact with the blisters.
Zostavax helps your immune
system protect you from getting
shingles by providing a weakened
live chicken pox virus, resulting in a
boost to the body’s immune system.
The same virus that causes chicken
pox can cause shingles. If you have
had chicken pox, the shingles vi-
rus remains dormant in your body;
however, as you age the immune
system weakens, increasing your
chances of developing shingles. The
vaccine does not protect everyone,
as some people who are vaccinat-
ed will still get shingles, though
they may have a milder course.
The CDC recommends the vac-
cine for adults age 60 and older.
Even someone who has had shin-
gles can still get the vaccine.
Those who are unsure whether
or not they have had chicken pox
can also be immunized.
A single-dose vaccine is given
at your doctor’s offce or phar-
macy. To learn more, ask your
primary care provider. For a refer-
ral to a primary care physician,
call 888.724.7123.
A question for evA MehtA, D.o., An internist At MonMouth MeDicAl center, southern cAMpus.
Wholehearted health: recipes
For a healthy liFestyle
Tuesday, March 8
12:45 p.m.
Jackson Twp. Senior Center,
45 Don Connor Boulevard, Jackson
don’t Miss a Beat
Wednesday, March 9
11 a.m.–12 p.m.
Boscov’s Conference Room,
Ocean County Mall, Toms River
Register with SCAN at 732.542.1326.
alzheiMer’s disease For the
caregiver: late stages
Tuesdays, March 15 & 22
2–4 p.m.
Center for Healthy Living
Register with Kelly DeLeon at
732.597.6075.
audiology prograM With
dr. Boyer
Wednesday, March 16
10 a.m.
Monmouth County Parks System,
Manasquan Reservoir,
331 Georgia Tavern Rd., Howell
Register with the Parks System at
732.842.4000, ext. 1.
Meditation and relaxation
Wednesday, March 16
1–2 p.m.
Boscov’s Conference Room,
Ocean County Mall, Toms River
Register with SCAN at 732.542.1326.
Build your Brain
Wednesday, March 23
11 a.m.–12 p.m.
Boscov’s Conference Room,
Ocean County Mall, Toms River
Register with SCAN at 732.542.1326.
coMMunity calendarHere are some upcoming events that will be of interest to seniors.
March
8
HealthyAging.0316.9.indd 8 3/9/16 1:10 PM