Spotlight: Nilda Garcia, Sagrado Corazón

Nilda Garcia and Sagrado Corazón: HealthStar’s Spanish-Speaking Support Service

Spanish-speaking Clients of HealthStar are very familiar with Nilda Garcia. She is the warm and caring voice of the Sagrado Corazón (Sacred Heart) program for Latino Clients of HealthStar. For 10 years, Nilda has been putting her “special touch” on everything that she does, from event planning to office organization and troubleshooting IT problems. With her recent promotion to Program Manager of Sagrado Corazón, Nilda is ready for action with renewed energy and focus. Nilda, the HealthStar Spotlight is on you!

A little history

Nilda has been with HealthStar since 2008, when she started as an Assistant Program Coordinator in HealthStar’s basement suite on Bloomington and 21st. Then, in 2009, Nilda helped open the West St. Paul office – the original home of Sagrado Corazón. But don’t get too comfortable, Nilda! Just a year later, HealthStar moved from the location on 21st into another building on Franklin Ave in Minneapolis. The West St. Paul office merged into the new location as well.

Nilda made the Franklin office her new home as an Assistant Program Development Liaison. She worked in the community and continued as primary contact for Sagrado Corazón. During the next 2 years, Nilda helped HealthStar achieve Medicare certification and had a front-row seat for the beginning of HealthStar’s Mental Health initiative. In 2010, Nilda watched Corporate move from Maplewood to a new building in North St. Paul. Then, In 2017, the Franklin office moved to a new location in Inver Grove Heights. Once again, Nilda unpacked and organized a new space. This new location is beautiful, with big windows and lots of wild turkeys outside! It’s a great place to re-focus and re-energize. Throughout all these changes, Nilda’s positive attitude and sense of humor kept her office mates in good spirits!

 Nilda, how do you do it all?

So, what makes Nilda tick? How can she weather all these changes and still be a constant source of positive energy? A secret about Nilda – she has superpowers. Lots of them. I’ll tell you about some, but you must promise not to say that I told you. Nilda doesn’t like to be the center of attention and won’t want everyone talking about her special abilities.

Superpower #1

Nilda’s first superpower is that she is amazing with event planning. She loves to get people together and celebrate! Nilda’s smile and laugh bring light and joy to the group. She is a great cook and loves to try new foods. Nilda says that her favorite thing about HealthStar is the family atmosphere. Working here is like working at a family gathering, because you’re surrounded by happy people who care about each other. Nilda fondly remembers when a special Client celebrated her 100th birthday last year – with Nilda at the party, of course! Nilda especially loves planning events for Sagrado Corazón, because she gets to use one of her other superpowers – the Latina superpower!

Superpower #2

Nilda’s Latina superpower comes from her family in South Texas, on the border of Mexico. Nilda loves to celebrate her Latina roots with the Sagrado Corazón team. She is always willing to help teach a little Spanish on the side, which has been one of my personal favorite things about working with Nilda. She is a very lenient Spanish teacher, unlike Cristina Hernandez, Corporate and Twin Cities Skilled Admin – also a superpowered Latina, but much stricter in the Spanish-speaking department! A little-known fact is that Nilda is close friends with Cristina’s mother, Marisol. Get them together, and I can only imagine the cooking and laughing!

Superpower #3

The last superpower that I will reveal about Nilda is that she is a multi-talented and very organized superheroine. She processes payroll, troubleshoots technology issues, and answers phones in two languages (backing up the lovely and talented Barbara Edwards at IGH), all while drinking her French vanilla coffee and running around in her high heels. Nilda is a positive force at the Inver Grove office, keeping things fun and exciting for the team. She has a fabulous sense of humor and is not afraid to pull pranks to get everyone in a good mood. She once dressed up the CPR dummy and scared RN Sue Schaber by leaving it in the bathroom overnight. Boy, was Sue surprised when she came in early thinking she had the office to herself!

Nilda says that her greatest accomplishment at HealthStar is learning to walk in another person’s shoes. She appreciates learning with her team and is grateful for the opportunities that HealthStar offers for personal and professional growth. She knows that she has great things ahead with Sagrado Corazón, and is looking forward to putting renewed focus and energy into the program. We hope you’ll check out what Sagrado Corazón has to offer, and learn more about our awesome team!

Spotlight: Nissa Fougner, Rehab Therapies

We all have days when we don’t feel motivated or just can’t get going on a project. We’ve all felt sluggish and tired, or maybe even <gasp> a little cranky. Some people are far less obvious about this than others. We know they must have bad days, too, but we can’t tell when it happens. Think about the people you know. There’s probably someone who never seems down and out, and who always has a smile and a little pep in her step. For HealthStar Corporate, this is Nissa Fougner. She is a ray of sunshine from morning till closing time. Quick to smile and always full of energy, she flits to and fro like a healing honey bee, spreading the sweetness of optimism, better health, and rehab plans all along her path.

A little history

Nissa grew up in International Falls, MN. She’s as midwestern as it gets – she has experience giving skating lessons and coaching figure skating. She found a passion for rehab therapy while she was in college at Gustavus. Home care won her heart with the promise of flexibility. Nissa also loves that she gets to see her clients in their own home environment, where she can start making a positive impact right from the first visit. Each client has unique needs as well as a unique situation, and Nissa is proud of the improved quality of life that she helps her clients achieve.

Nissa first worked with HealthStar as a contractor doing therapy case review. After she heard the legend of the HealthStar Potluck, she converted and became one of us! (at least, we think it was the potluck legend…) Nissa has been working in the Corporate office as Director of Rehab Services since February 2018. She is so quiet that a lot of our staff didn’t realize she had moved in until July. Nissa’s favorite thing about HealthStar is the people, because “everyone is so friendly and helpful.” That’s why we call it the HealthStar family! We’re pleased to have Nissa on our team, and we’d like tell you about a few of her amazing skills. Nissa, the HealthStar spotlight’s on you!

The skill to celebrate small victories

So often, we celebrate only after a task is completed, forgetting to celebrate the milestones that pass along the way. Nissa doesn’t let those milestones pass in silence! She has a talent for appreciating and recognizing progress, even small progress, toward big achievements. She breaks down big, challenging goals into smaller, more approachable pieces. There is an old proverb that says, “a journey of a thousand miles begins with a single step.” By looking at the little steps instead of the miles, Nissa gets people moving! Acknowledging progress along the path makes Nissa an encouraging coach and teacher, and helps her clients to stay motivated even when there is still a long way left to go.

The skill of humility

I haven’t known Nissa for a long time, but I have already learned that she is very modest. She is somewhat reserved, although she can crack a joke or two when she’s feeling feisty. Even when she is given a direct compliment, she half brushes it off and half explains it away. For example, the secret to always looking like you just stepped out of a chic boutique – it’s not “yeah, I know, I’m an amazing shopper,” but instead it’s a laundry tip. Wash your clothes on the cold/gentle cycle, and always line dry.

Nissa takes this same sense of place into the community when she meets with Clients. Meeting her for the first time, you might feel as relaxed as you would with an old friend. She keeps a low profile, and never casts a judgmental glance. Gentle, respectful, and mild-mannered, Nissa makes her mark by smiling us all into a calm and tranquil state of comfort and positivity. After being around Nissa, I challenge you not to feel better than you did before!

The skill to be absolutely adorable

Everything about Nissa says, “I’m safe and friendly.” She’s like the human equivalent of a daisy or a kitten. Corporate staff love to see what she’ll be wearing each day, and we all want to know her secrets to beautiful skin and hair! She always looks put together and approachable; she makes people around her smile just by being there. This combination is fabulous, considering that her goal is motivating the heck out of her Clients! Her easy smile and comfortably classy wardrobe set Nissa’s clients at ease, but all the while she sneakily (and very gently) pushes them to meet and surpass their goals.

But how strong is she?

Nissa has demonstrated her strength while also giving a short lesson on proper form for changing out the Culligan water jug in the Corporate office. By size and weight, the Culligan water jug outranks Nissa two to one. Nissa says, the proper technique for lifting something that’s larger and heavier than you are is to hold it close to the body, lift with your legs, brace your core, and hope that you don’t injure anything important. (ok, ok – she didn’t say the part about not injuring anything important, but I think it should be mentioned.)

She’s not just strong in body. Nissa has great experience in therapies, and she provides wisdom and encouragement to HealthStar’s therapy staff. HealthStar’s rehab therapy program is in great hands!

Put it all together – she’s perfect for Rehab Therapies!

Nissa is like a cool, sparkling stream – strong enough to turn a boulder into a pebble, but gentle and inviting enough for a refreshing soak of legs and feet on a hot day. Like the stream, she doesn’t seek credit or acclaim. She takes pride in helping others reach their goals, knowing that their success is her success as well. HealthStar is stronger (and more charming) with Nissa leading rehab therapies! We are so lucky to have her on our team!

 

Be the Best Caregiver You Can Be – Avoiding Caregiver Burnout

If you are a caregiver to a family member and feeling emotionally burned out, you are not alone. According to the Minnesota Board on Aging, an estimated 679,000 Minnesotans are caring for an older or disabled adult. Caregiver burnout is defined by WebMD as a state of physical, emotional, and mental exhaustion that may be accompanied by a change in attitude, from positive and caring to negative and unconcerned.

A family caregiver who is feeling stress, anxiety, fatigue, and depression can be experiencing caregiver burnout and needs to be realistic of their own personal situation. Although similar to the symptoms of stress and depression, symptoms of caregiver burnout can also include:

  • Loss of interest in activities once enjoyed
  • Feeling of irritability, hopelessness and helplessness
  • Change in sleeping patterns
  • Change in appetite or weight
  • Emotional and physical exhaustion
  • Withdrawal from friends and family

It is just as important to take care of yourself as it is to care for your aging loved one to ensure you are being an effective caregiver. Follow these tips to help prevent burnout and keep your sanity and your own health in check:

  • Build a support team of people you trust and can count on to help you in a variety of ways.
  • Take advantage of professional home based and community services available that will help you take care of a diverse set of daily needs.
  • Educate yourself. You will provide more effective care if you know more about the illness the loved one you care for suffers from.
  • Develop coping mechanisms to help you deal with everyday stresses. Using humor and highlighting the positives will go a long way. Laughter truly is the best medicine – it lightens the mood and releases endorphins which will bring positive changes to your mindset.
  • Stay healthy by eating right, getting plenty of sleep, and exercising regularly.

HealthStar Home Health understands how overwhelming it is to care for loved ones at home. We offer a variety of home healthcare services in the Duluth and Minneapolis, Minnesota communities to help support your senior loved one to live a more fulfilling life at home. From skilled nursing services to assist seniors with recovering from illness or injury to our homemaking or companion care programs to our comprehensive Alzheimer’s Whisperer program which provides care and treatment needed by those affected by Alzheimer’s or dementia, we have many options to help you care for your loved one.

With access to HealthStar Home Health’s Adult Rehabilitative Mental Health Services (ARMHS), you and your loved one will learn a variety of skills to help manage independent living and social situations. These skills, along with the services and program options, is a way to prevent caregiver burnout. Take advantage of what we offer to lift some pressure of your shoulders as caregiver. This will allow you the opportunity to take some much needed time for yourself and promote your own healthy habits.

Caring for a family member can be exhausting and overwhelming, there can also be a feeling of loneliness and isolation which will affect your own health and well-being. But, being a family caregiver can also be the most rewarding thing you will do. Learn to let it go by accepting the help of others so you can focus on what is most important and be healthy.

Learn more about the services and programs HealthStar Home Health offers by calling 651-633-7300 or visit our website today:  http://www.healthstarhomehealth.net

Diabetes and the Native American Population

The numbers are alarming. 40% of Native Americans in Minnesota have diabetes according to Lori Watso, a former public health nurse and Shakopee tribe member as quoted in a Star Tribune article. This epidemic will continue to expand as Native Americans are nearly twice as likely as whites to become obese, more than twice as likely to have Type II diabetes and, among children, the rate of obesity and diabetes will soon reach 50% according to a report by the Shakopee Mdwakanton Sioux Community. Not limited to a few tribes living on reservations, the entire northern part of Minnesota contains four of the five least healthy counties where two-fifths of the population in Mahnomen County (least healthy) is Native American, 11.9% in Cass (#2) and 20.8% in Beltrami (#5). This according to County Health Rankings from the Robert Wood Johnson Foundation and the University of Wisconsin). These numbers are not at all surprising to us here at Healthstar Home Health as it’s a common health issue we treat through our First Nations and Circle of Life Home Health initiatives. Karen Moses, RN Case Manager in our greater Minnesota branch location says that 90% of her clients have diabetes and 99% are Native American. By offering home health care services on the Red Lake, White Earth, Leech Lake, Bois Fort, Fond du Lac and Mille Lacs Reservations, we see firsthand the affects of diabetes and are working to empower patients and their families to be active participants in the solution.

Risk Factors

Obesity
With an abundance of fat cells in the body, insulin cannot do its job which is to take glucose (sugar) out of the bloodstream and pack it into healthy cells. Gaining as little as 10 pounds over 15 years can double your insulin resistance and increase your risk of diabetes. Obese adults are seven times more likely to develop diabetes compared to adults at a healthy weight. But, for the Native American population, what causes obesity?

Poor Nutrition
Prior to the Civil War, Type 2 diabetes was practically non-existent. Following the war, Indians were forced onto reservations and the government began providing food commodities according to Devon Abbott Mihesuah, a member of the Choctaw Nation of Oklahoma who runs the American Indian Health and Diet Project at the University of Kansas.  Wild rice and grains gave way to flour, processed cheese and macaroni and low fat meats such as fish, deer and rabbit was replaced by beef and pork.

Sedentary Lifestyle
Also prior to the Civil War, Native Americans lived off the land which kept them active with fishing, harvesting, gathering and trapping. With the lack of a replacement to these activities and acquisitions of motorized vehicles, a once active community found themselves sitting often with very little exercise.

Genetics
The thrifty gene hypothesis penned by James V. Neel states that some populations have genes which enable them to efficiently maintain higher levels of healthy fat during periods of food abundance that is depleted during periods of shortage (feast and famine). While this hypothesis has often been disputed, the activity and types of foods involved with storing food for the winter do give credence to a difference in lifestyle. Genetic markers and body type also indicate a genetic predisposition to diabetes.

Alcoholism
According the Indian Health Services, the rate of alcoholism among Native Americans is six times the U.S. average. Alcohol is often high sugar and carbohydrates which quickly turns into fat. Depression is associated with alcoholism which leads to a host of other health factors.

Treatments

Medication
Pills and insulin injections are the most commonly prescribed treatments. It is still up to the patient to take the medication which can be an issue.

Nutrition Programs
Residents at the Little Earth of United Tribes are growing food common to their ancestors which they call the “decolonized diet” according to a Star Tribune article. Nutrition counseling that we offer through First Nations Home Health includes reading labels and eating all 5 food groups in moderation.

Exercise Programs
Childhood obesity is prevalent int the Native American Population. To combat this, the diabetic fitness center at the reservation on Leech Lake, MN holds fitness programs, camps and a walk-a-thon to bring awareness to the issue. Members can get a doctor’s prescription to use the center safely and employees of the tribal government are given a 30 minute break per day specifically to exercise.

Dangers if Not Treated
If diabetes is not treated or properly controlled, the body starts eating away at muscle as it tries to burn muscle for energy. Other health issues that could occur:

  • Neuropathy (numbness) in feet & toes
  • Ulcers
  • Gangrene
  • Blindess
  • Damage to eyes, kidneys and liver

Even with all of these treatments, the epidemic is getting worse. That is why the Shakopee Mdewakanton Sioux Community is partnering with the University of Minnesota and two other nonprofits to launch Seeds of Native Health whose goal is to offer better access to healthy food which focusing on education and research. Here at HealthStar, our Native American-specific programs (First Nations and Circle of Life) offers equitable access to health care in order to reduce health disparities in diverse communities. Our cultural competence program, the 24ECC, internalizes the values of those we serve.