助產 肖妮保健，婦產科
許多婦女傾向於認為助產士在懷孕和分娩過程中起著輔助作用，類似於導尿或哺乳顧問。但實際上，助產士是受過專門培訓的專業人員，專門為婦女提供從產前護理到分娩等各個方面的幫助。更重要的是，她的工作並不一定要懷孕。您幾乎可以看到助產士幾乎滿足所有女性的健康需求，包括您的年度檢查，避孕諮詢和處方。
與產科醫師相比，助產士通常對妊娠體驗更具個性化，強調了患者的身體，情感和社會需求。麗貝卡甚至為病人的嬰兒編織帽子。
“很多女性都希望低干預，放手生育，這正是肖妮讓我們為患者提供服務的條件，” CNM ANP的DNP梅根·沃克（Megan Walker）說。
根據美國護士助產士學院的說法，助產士尊重婦女生命週期事件的正常現象，並相信“在正常過程中保持警惕的等待和不干預”。
病人對我們的助產士怎麼說？
“當然，梅根我不能說太多！感謝您在我一生中最恐怖的日子里為我服務。我對分娩感到非常緊張，並希望神話般的人使這一天變得美好，而def使它變得非常特別！在我的小家庭生活中，您將永遠是一個特別的人。”
“我們永遠都無法要求為詹森和我提供更好的護理，如果我們決定再聘請另一個人，他們將再次與我們分享我們的經驗！謝謝大家所做的一切！”
“分娩時我有梅根，在暴風雨中她感到很輕鬆，因為我認為我再也做不到。她向我保證一切都會好起來的，我放心地生了一個漂亮的小男孩。”
“我們對肖妮的助產士和團隊再感激不已！從一開始，這就是180的完整體驗，而我知道很多原因是因為我們組建了團隊！ Yay搖了VBAC（剖宮產後的陰道出生）。感謝您支持媽媽的努力，許多實踐都不會！”
如果您期望並認為助產士適合您，請致電 肖妮保健，婦產科.
(618) 519-9200.
您是否知道每年有四分之一的美國人摔倒？
跌落是65歲以上人群致命和非致命傷害的主要原因。跌倒會導致髖部骨折，骨折和頭部受傷。甚至摔倒而沒有重大傷害也可能導致老年人變得恐懼或沮喪，從而使他們難以保持活躍。好消息是可以預防跌倒。
家庭醫生可以做什麼來防止跌倒？
醫師在識別和管理老年患者跌倒風險中起著重要作用。美國疾病預防控制中心（CDC）發起了“制止老年人意外，死亡和傷害（STEADI）”計劃，以協助醫生預防跌倒。 STEADI包括三個核心要素：篩查患者以識別其跌倒風險，評估患者可改變的跌倒風險因素以及通過使用有效的臨床和基於社區的策略進行干預以降低跌倒風險。這些因素加在一起，可以對減少跌倒，改善健康狀況和減少醫療保健支出產生重大影響。
肖妮聯盟 和 肖妮保健 正在共同努力，在Shawnee衛生保健中心和老年患者的家中實施STEADI。我們致力於確保我們的老年人和殘疾客戶的家中安全。
您可以採取什麼措施保護年長的親人免於跌倒？
1.爭取他們的支持，採取簡單的步驟來確保安全。
詢問年長的親人是否擔心跌倒。許多老年人意識到跌倒是一種危險，但他們相信，跌倒不會發生在他們身上或不會受到傷害-即使他們過去已經跌倒過。如果他們擔心跌倒，頭暈或失衡，建議與健康護理提供者討論，他們可以評估自己的個人風險並提出可以幫助您的計劃或服務。
2.討論他們目前的健康狀況。
找出您年長的親人在管理自己的健康方面是否遇到任何問題。他們在記住服藥時遇到麻煩嗎？還是出現了副作用？讓他們做過去容易做的事情變得越來越困難嗎？聽力和視力變化是否有問題？
3.詢問他們的最後一次眼科檢查。
如果您年長的親人戴眼鏡，請確保他們有最新的處方，並且正在按照眼科醫生的建議使用眼鏡。雙焦點也可能在樓梯上出問題，因此請務必謹慎。對於那些已經在視力低下掙扎的人，請諮詢低視力專家以充分利用視力。
4.請注意他們在行走時是否抓住牆壁，家具或其他人，或者行走時似乎有困難或由椅子引起。
這些都表明可能是時候去找物理治療師了。訓練有素的理療師可以通過鍛煉幫助您所愛的較老的人改善平衡，力量和步態。他們可能還會建議拐杖或助行器，並提供有關如何使用這些輔助工具的指導。
5.談論他們的藥物。
如果您年長的親人在追踪藥物時遇到困難或出現副作用，請鼓勵他們與醫生和藥劑師討論他們的疑慮。建議每次獲得新處方時都要對他們的藥物進行複查。此外，請注意含有助眠劑的非處方藥，包括名稱中帶有“ PM”的止痛藥。這些可能導致平衡問題和頭暈。
6.對他們的房屋進行安全步行評估。
- 照明–增加整個房屋的照明，尤其是在樓梯的頂部和底部。在半夜起床時，請確保照明隨時可用。
- 樓梯–確保所有樓梯上都有兩個安全導軌。
- 浴室–在浴缸/淋浴間和馬桶附近安裝扶手。確保將它們安裝在您較年長的親人實際使用它們的地方。為了獲得更大的安全性，請考慮使用淋浴椅和手持淋浴器。
預防跌倒：老年人和護理人員的提示
9月是全國兒童肥胖宣傳月！
在美國，五分之一的兒童肥胖。童年時期的肥胖使孩子們面臨健康問題的風險，而健康問題曾在成年人中出現過，例如2型糖尿病，高血壓和心髒病。好消息是可以預防兒童肥胖。
為了紀念全國兒童肥胖意識月，Shawnee Health Service鼓勵您的家人一起做出健康的改變：
- 在戶外活動：在附近散步，騎自行車或在公園打籃球。
- 限制屏幕時間：每天將屏幕時間（在計算機，看電視或玩視頻遊戲上花費的時間）保持在2小時以內。
- 製作健康的飯菜：購買並提供更多的蔬菜，水果和全穀物食品。
幫助您的孩子（以及您的整個家庭）健康飲食並保持身體活躍。您的孩子現在學習的健康習慣可以持續一生。
我該怎麼做才能幫助我的孩子保持健康的體重？
通過平衡孩子的飲食與體育鍛煉來幫助孩子保持健康的體重。幫助您的孩子保持健康體重的兩種最佳方法是：
- 幫助您的孩子和家人吃更健康的食物
- 像家人一樣多運動
記住，你是榜樣！
父母通常是孩子最重要的榜樣。當您選擇正確飲食並進行體育鍛煉時，您的孩子也更有可能做出這些選擇。此外，積極參與並準備健康的飯菜是與家人共度美好時光的好方法。
肖妮健康服務公司（Shawnee Health Service）提供了一種有趣的教育方式來使家人健康。
MEND計劃
肖妮健康服務提供一項獨特的計劃，稱為MEND（心理，鍛煉，營養，行動！），這是一項循證健康的生活方式計劃，旨在使7-13歲的老人在家人的支持下達到並保持健康重量。
MEND通過幫助家庭改變對食物和活動的不良態度來做到這一點（思維），定期保持身體活躍（鍛煉），學習如何選擇健康，美味和營養的食物（營養）並採取行動來維持健康。健康的生活方式–終生（Do It！）。
有關該程序的更多信息，請訪問 www.shawneehealth.com/services/mend.
April is National Minority Health Month
Imagine you are sick, or your child is sick. You go to the doctor, but you are not able to communicate with him to tell him what is wrong, and you can’t understand what he is saying. This is the reality for many Spanish-speakers in the United States. April is National Minority Health Month, a time to learn more about the health status of minority populations. Shawnee Health Care strives to improve the health status of our local Hispanic population through our Farmworker Health Program.
Through our Farmworker Health Program, both Migrant and Seasonal farmworkers are able to access medical, dental, mental health, nutrition counseling, pharmacy and social services. Also, a team of bilingual, bicultural outreach workers are professionally trained to provide medical interpreting in Spanish at Shawnee Health Care, as well as case management, health education, outreach, and help with transportation arrangements.
Karla Grathler, the Program Coordinator, says that while diabetes, hypertension, dental, and skin conditions are all prevalent health problems within this population, one of the biggest health care-related problems she and her team see is the lack of understanding of preventative health care.
“We try to raise awareness of how crucial it is to stay involved in their health care, to get their annual screenings, and to bring their kids to their annual check-ups. Our providers are looking at your overall health, and that’s how you improve your lifestyle and your quality of life.”
Karla and her team say that education is one of the most important things that they do. Maria Arellano, Interpreter/Outreach Worker, says that every time a patient comes in, she tries to give them different health education resources tailored to their healthcare needs. “For example, if they are diabetic, we have resources on how it affects your eyesight down to your toes,” says Maria.
Although medical interpretation and education are important parts of this team’s job, this only scratches the surface of what they do. These women truly advocate for their patients. Karla says, “Our staff are interpreters, but we go beyond that. We wear so many hats. We do outreach, we do medical interpretation, we do transportation, we do case management—patients feel like we can take care of them.” They have this reputation in the community; patients travel from Chester, Red Bud, and Cape Girardeau for their services.
They notice patients feel more confident at their appointments when an interpreter is present. Karla says, “It’s very interesting to see the demeanor of the patients when they do not speak the language of the provider. You think, ‘Oh they’re very shy. They don’t speak. They’re very quiet,’ but I have learned in my experience that this is not always the case. When we put the patient with an interpreter, they start asking questions. They become a different person. Once they hear their native language, they feel, ‘Oh, I can now express myself how I want.’”
These women provide an invaluable service to Spanish-speakers in southern Illinois. Thank you, Karla Grathler, Maria Arellano, Rita Elibey Basillo, Maribel Paleo-Medina, and Nataly Gomez, for your hard work, dedication, and service to our Spanish-speaking patients.
Attention HFS Medicaid and All Kids Insurance Holders:
You may have received an enrollment packet asking you to select from 1 of 5 health plans. If you did not enroll, then you were likely auto-assigned to a plan. You are allowed to switch plans one time between April 1, 2018 and June 30, 2018.
Shawnee Health Care is contracted with all 5 plans.
Please be aware that many local hospitals and specialists, including Southern Illinois Healthcare (SIH) will no longer be accepting Harmony Health.
You can enroll in or switch plans:
Online at https://enrollhfs.illinois.gov/
Or by phone at 1-877-912-8880
If you need assistance completing this process, please call Shawnee Health Service at (618) 519-9200 to schedule an appointment with one of our Outreach & Enrollment Specialists. There is no cost for this service.
Please note that staff at local Illinois DHS offices cannot assist with enrolling or switching plans.
*Please note that our staff cannot make recommendations on which plan to select; they can only assist you with completing the enrollment process through Illinois’ Client Enrollment Services.
From WSIL — In this Week’s Unsung Hero, leaders at Shawnee Health Care-Carterville Family Practice are praising one of their case managers for going above and beyond his duties.
There’s not one patient case manager Bryan Heine doesn’t give his all to help.
“If we are not able to get the answer, we try to find the answer for patients,” said Bryan.
In fact, he’s called a “miracle worker” by colleague and nurse practitioner, Laura Castillo.
“I think that he goes above and beyond his job title every day,” said Laura.
Bryan has been in the field for 16 years and working for Shawnee Health Service for the past 2 years.
“He has just kind of turned this clinic around in the amount that they utilize their case manager,” said co-worker Sarah Miller.
On a daily basis, Bryan assists patients with a number of resources like insurance, setting up transportation and making referrals. Finding answers is not always easy, especially if a patient can’t afford proper care.
“With rural health, there is such a lack of resources and utilizing case management. It is just essential and Bryan is just so eager to help in any way that he can,” said Laura.
According to Miller, it’s the extra effort he puts in for patients that makes him rare. Sarah says he does more than the job requires. He’s even driven patients to appointments they can’t get to.
“Bryan rarely takes no for an answer. He leaves no stone unturned, does everything, he can to help out his patients,” said Sarah.
Bryan says his parents taught him to put others first, by giving hope. He says he doesn’t feel like he’s doing anything extra-special and is just doing what he was taught to do.
“All of this is helping others. I mean, that’s really, at the end of the day, what it’s about,” added Bryan.
http://www.wsiltv.com/story/37794253/unsung-hero-case-manager-bryan-heine-praised-for-his-work
Shawnee Health Care, Terrier Care has launched the Air Quality Flag Program at Carbondale Community High School. The Flag program uses brightly colored flags based on the U.S. EPA’s Air Quality Index (AQI) to notify people and their communities about outdoor air quality conditions. Students will raise a flag each day that corresponds to their local air quality forecast.
The Air Quality Flag Program creates awareness of outdoor air quality conditions. This helps students, faculty, and staff who suffer from asthma, respiratory issues, or heart disease better prepare for air pollution that can make symptoms worse or trigger attacks. The Program also helps faculty and staff plan daily activities that protect the health of students with these conditions.
Shawnee Health Care plans to launch the Air Quality Flag Program at Marion High School, where we operate Marion Wellness School Health Center, soon.
For more information about the Air Quality Flag Program, visit www.airnow.gov/flag.
Shawnee Health Service Celebrates Black History Month
The month of February is dedicated to an important minority group in the United States. That group is African Americans. During Black History Month, we celebrate the achievements of African Americans, and recognize the invaluable contributions and influence of African Americans in the United States. At Shawnee Health Service, we especially celebrate the achievements and contributions of African Americans to health care and to the Community Health Center Movement.
The Community Health Center Movement has often times been connected with the Civil Rights Movement. Important visionaries in community health were/are African Americans, and it’s important to recognize their achievements.
Millions of Americans in the 1960’s lacked access to basic healthcare, not only in impoverished inner-city neighborhoods, but also in the rural neighborhoods we are more accustomed to in southern Illinois. Civil Rights activists like H. Jack Geiger and Count Gibson founded America’s first community health centers, and now over 50 years later, health centers like Shawnee Health Service and 9,000 other sites in the United States serve over 24 million patients.
To the pioneers who have focused on community health, we say thank you.
—
During this observance, the U.S. Department of Health and Human Services Office of Minority Health (OMH) raises awareness of health disparities, particularly in heart health and childhood obesity. OMH also provides a platform for national, state and local health organizations to discuss challenges and opportunities for the African American community, with the goal of decreasing health disparities and improving health outcomes.
This month, Shawnee Health Service will share statistics and resources to our social media pages with the goal of helping to reduce disparities and promote better health for African Americans.
H. Jack Geiger and Count D. Gibson, Jr.
It’s a hard truth that the misuse and abuse of prescription drugs has spread nationwide. The problem has risen so high that the CDC has even characterized prescription drug overdose as a public health epidemic. Shawnee Health Service is proud to announce the launch of a Drug and Alcohol Awareness and Prevention media campaign. This campaign will support activities related to prevention, screening, and treatment of patients with mental health and substance abuse disorders.
The goals of the campaign are to:
- Increase awareness that opioids can be addictive and dangerous
- Decrease the number of individuals who try opioids for recreational purposes
- Increase the number of individuals who choose options other than opioids for safe and effective pain management
Prevention activities will focus on drug prevention for young people in cooperation with our two school health centers, Terrier Care and Marion Wellness. Staff will educate students about the harmful and addictive effects of recreational opioid use. We will also provide training and education to teachers and parents on identifying risk factors and signs of adolescent drug and alcohol use.
To support these efforts, Shawnee Health Service will share educational posters, flyers, factsheets, and other resources designed to educate the public about prescription drug misuse and abuse. We will share these resources through the Shawnee Health Service, Terrier Care, Marion Wellness Facebook pages.
This campaign is supported by Access Increases in Mental Health and Substance Abuse Services (AIMS) supplemental funding. Other activities supported by this grant include purchase of 3 drug take-back kiosks, creation of educational packets for patients and community members, and other outreach and prevention efforts. Be sure to check our Facebook page for updates on our outreach efforts in the community.
If you have any questions or are interested in bringing one of our trainings to your organization, contact ebasler@shsdc.org.
If you are Medicaid beneficiary, you may have begun receiving notices from Healthcare and Family Services (HFS), leaving you with many questions:
What is Medicaid Managed Care?
- Managed Care is like private insurance for those on Medicaid. Rather than the state of Illinois paying providers directly, it pays insurance companies to coordinate your care, and the insurance companies then pay for the services you receive
I currently have Illinois Health Connect and received a notice that it is ending December 31, 2017. What do I need to do?
- Right now you do not need to do anything. The state will continue to pay your providers directly until April 1, 2018.
- Between mid-January through mid-February, you will receive an enrollment packet from HFS telling you to select a Managed Care plan.
- You will have 30 days to enroll in a plan. If you do not select a plan before your deadline you will be auto-enrolled into a plan
How will I know which plan to pick?
- Assistance is available to help you with the process. The organizations listed below provide free enrollment assistance to all members of the community. You do not need to be a patient to receive this service.
- Shawnee Health Service – (618 )519-9200
- Christopher Rural Health – (800) 408-7351
- Rural Health, Inc. – (618) 833-4471
What information should I bring when receiving enrollment assistance?
- Names of all providers for all household members
- List of current medications
HFS also has a Medicaid Managed Care in Illinois Frequently Asked Questions page: https://www.illinois.gov/hfs/MedicalClients/ManagedCare/Pages/ManagedCareFAQ.aspx
If you have any more questions about Medicaid Managed Care, you may contact Shawnee Health Service’s Outreach and Enrollment team by calling (618) 519-9200 or (844) 331-3069.