Let’s go OUTSIDE!

I love it when I start looking for blog ideas and I hit something that has millions of articles published. It tells me that I am on to something. When I went looking for “health benefits of time outdoors,” Google blew up with so many articles explaining what I already know from personal experience – being outdoors is fabulous for our health, and most of us aren’t spending nearly enough time out there!

The following is a collection of my personal top 5 reasons to get outside. Now that this long, snowy, and ridiculous winter has finally come to a close (you heard me, winter – COME TO A CLOSE), I hope you’ll join me in getting back out into nature! (yes, you can still go outside in winter. But it’s so much easier to get outside in spring!!)

1. Pure Joy

I feel a special something when I walk outside – smelling the fresh air, feeling the warmth of the sun on my face, and looking up into the skyline. It’s a feeling of freedom, hope, and happiness. Even just thinking about a warm summer breeze can bring a smile to my face. I’m guessing you have the same feeling, at least sometimes, when you step outside!

We spend so much time indoors. Some studies estimate as much as 90% of our time is spent inside. Whether you’re in your house, in the office, in your car, or even in a shopping center, there is a feeling of being enclosed that you may not realize is there until you step out into the wide-open spaces. Stepping outside on a day with great weather, I am like Maria in the Sound of Music (Julie Andrews), singing in the grassy meadows, arms outstretched, surrounded by beautiful, gently rolling hills covered by soft greens and framed by a clear blue sky.

Even what some would consider mediocre weather has its moments – the wonderful pitter patter and that amazing smell when it rains; the beauty of a fresh snowfall; the crisp chill of a fall day – I appreciate the joy in all of the seasons, and I know I need to be better at finding ways to get outside no matter the perfection of the skies! What’s your favorite season? Think about how you feel when you’re outside on your perfect day. Pretty great, right? You can’t buy that joy, it’s free just for stepping outside!

2. Burn off Stress

No, we’re not just talking about the angry walk around the block, but maybe this helps explain even that. Walking it off is a great way to burn off anger and frustration, but why? Well, the exercise helps burn off some of those pesky “fight or flight” endorphins, but also, I think the time outside helps put things in perspective. I am one person in one home on one street, surrounded by a town, a State, a Country, and all that before we even get to the size of the whole planet. Walking outside, I see my neighbors and their families. I have even walked outside to find that a neighbor is also “rage walking.” Talk about solidarity – none of us is alone in our experience, whether it’s a celebration or a challenge!

We are also connected with each other by nature. We use the same water, absorb the same sun, and smell the same fresh air. Getting outside is important, because it reminds us that there is something greater than ourselves – something that has been here far longer than we have, and will continue to be here after we are gone. It reminds us that we are not permanent, and neither are the things that can cause us stress and frustration. Even when you don’t feel stress building up, it’s still great to get outside and enjoy the peace and calm that comes from being in nature. It helps you re-center and tackle your responsibilities and challenges with new energy!

3. Oh, the health benefits!

Folks who struggle with mobility, mental health, and other barriers which make it more difficult to enjoy time outside – we are working for you! Many HealthStar clients already have help with improving outdoor mobility, whether it be a PCA who accompanies Clients on walks or nature outings, the Mental Health team helping get Clients motivated and setting goals for time or activities outdoors (we’re looking at you, Magan!), or the Physical Therapy team working on skills that make it easier to get outside independently (and with Nissa in charge, you know you’re in good hands), there are plenty of ways that HealthStar builds additional time outside into your plans for better health! We want to make sure that everyone can enjoy the health benefits that can be gained from spending time outdoors.

The potential health benefits from getting outside are numerous enough to fill several individual top 5’s all on their own. Here, in rapid fire, are just some of the health conditions that can be treated by spending time in the great outdoors – maybe it’s not a full cure, but for these diseases or disorders, at least a reduction in symptoms, severity, or a decrease in prevalence has been linked to more outdoor time.

Addiction, anxiety, arthritis, asthma, cancer, cardiovascular disease, common cold, dementia, depression, diabetes, high blood pressure, inflammation, insomnia, mental health disorders, mobility, nearsightedness, obesity, osteoporosis, pain, preterm birth, restless legs.

Phew. That’s quite the list, and just scratches the surface of how healthy it is to get outside. Please look into the links provided below, or Google for yourself for more information about all these health benefits. I would love to go into each, but this is only a 5-item blog post, not a dissertation. If I start getting even longer-winded than I already am, no one will read my posts!

4. Build outdoor skills with your kids

This one is my personal favorite. I love the look on the kids’ faces when we get outside for a nature walk. Maybe there is a nature preserve near you? We live near Tamarack Nature Center, which is a fabulous (and free) preserve in White Bear Lake. There are walking and hiking trails, there is a nature center for kids to explore, and there is even a sand and water area for the warm weather months. It is awesome to see the kids’ joyful faces when they get to run in the field and play in the mud. Playing outside is also a great time to learn survival skills, like which berries are toxic and what poison ivy or poison oak look like. Fishing, hunting, camping and hiking are all inexpensive ways to spend more outdoor time with your kiddos, and each presents a unique learning experience!

5. Screen-free time!

There are different viewpoints about screen time. Some people say “it’s no big deal,” and others believe that any TV is bad TV. As with most things, the answer is probably somewhere in the middle. For me, personally, it is important to disconnect from the screen at times. As a mom, I also think that it is important for my kids to have plenty of “hands-on” interests. Getting out in “the wilderness” is an awesome way for our family to forget all about phones, tablets, TV, and computers. As long as I remember to put my phone on silent. 😊

My kids love being outside. I have never had them ask “can I go inside and watch TV?” We often go for a “family walk” after dinner, with the little one in the wagon and the 5-year-old on her bike. There are so many good things about this time. It is a true family connection for us – time that we spend actively together, not just staring at a device while we’re in the same room. It’s time that we exercise together without thinking of it as exercise. And it’s time when we can look at the world around us – learn about trees, grass, birds, and all kinds of other wildlife, just by being exposed to it together.

Can’t you Google that?

Yes, you can learn about these things by looking them up on Google (and sometimes we do, when we get home). But the hands-on experience of touching a leaf and feeling its bumpy veins, running your hands over the rough bark of a tree, or watching a bunny speed through a field, its little white tail just peeking over the tall grass, until it hears you and poof becomes still, blending into the scenery except for its shiny eyes and its soft and twitchy little nose – Google, even in 4k, just can’t compete.

A little wisdom from Grandma Alma

I’ll close with a tribute to my grandma. Grandma Alma is a wise woman – she says “the more often kids eat dirt, the healthier they’ll be.” She still lives on the farm where my dad was born and raised, on the same dirt that I’m sure he ate as a child. She spends plenty of time getting outside, whether it’s mowing the grass, checking the garden, or just enjoying the warm sun. She’s in her nineties now, and still going strong, so I know she’s onto something… not that I’m going to eat a fistful of dirt now, but I hope you’ll agree, there is plenty of immune-boosting power in the outdoors. Maybe we just don’t all have to do the dirt eating part, OK, grandma?

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!

 

Physical Therapy & Rehabilitation

HealthStar Home Health provides culturally-relevant healthcare services to traditionally under-served populations. Our healthcare team serves clients in a number of communities, who benefit from the wide range of healthcare services that we provide, including skilled therapies, such as speech therapy, occupational therapy and physical therapy. Wanting to provide a glimpse into the skilled therapies we offer, today we take a look at physical therapy and rehabilitation and recently caught up with Nissa Fougner, PT, DPT, COS-C, and Director of Rehabilitation at HealthStar, where she is currently working to grow our team of in-house physical therapists.

Skilled therapy visits are often ordered by a physician to assist in the recovery of an illness, injury, surgery or other disabling event. HealthStar Home Health offers in-home therapies through our own team of therapists as well as partnering with outside contract therapists. We work with each client to help keep them safe and active in their own home while creating individualized goals to get you back on the road to recovery.

Physical therapy (PT) is care which is focused on easing pain and helping the individual move independently, perform daily living functions and overall, live an active and fulfilling life in the home. People of all ages may require physical therapy to treat various health conditions or needs, not limited to:

  • Pain relief
  • Improve mobility
  • Recovery from a sports injury
  • Rehabilitation after a stroke, accident or surgery
  • Improve balance to prevent falls
  • Bowel and bladder control
  • Using assistive medical equipment, such as a walker or cane

When a patient has received a referral from a physician for skilled therapy services, HealthStar Home Health works with the patient and knows what discipline is required. A nurse, home health aide or skilled therapist will then visit the patient and create a care calendar depending on the services needed and extent. Each situation is unique and some patients may require different professionals to tend to the patient at different times of the rehabilitation and treatment.

When invited into the home of a patient to provide care, HeathStar Home Health and our professionals understand the need to be respectful of their wishes and environment. This allows us the opportunity to create a positive relationship with our patients. As Fougner says, “Seeing a client in their own home environment allows us to make a positive impact in their care and rehabilitation. The focus of homecare is to improve the client’s quality of life and being able to provide care in the individual’s home allows us to assess the real time picture of the setting so we can offer the best care for each environment.”

The relationship built with each client is an important piece of the care and rehabilitation process. There are some clients who are not able to leave their home due to physical, emotional and mental limitations. Nissa and her team of physical therapy assistants (PTAs), as well as the other skilled therapists who may be involved, are sensitive to each individual’s situation and possible limitations and work with each and every patient with care and respect to ensure a positive impact. Our professionals listen to the patient, gently guide and motivate, and encourage the individual to reach goals throughout their treatment.

HealthStar Home Health understands how overwhelming and challenging it can be to care for a loved one at home and also offer a variety of home health care services to help support your loved one to live a more independent and fulfilling life at home. To learn more about the various skilled nursing, skilled therapies, and mental health services available, visit our website.

With cultural care values as the foundation, our caregivers are able to provide quality service, delivering it with increased awareness and perspective. As we serve our clients and communities, we are motivated by our desire to bring services to everyone in need. Call us today at 651-633-7300 for more information or to schedule a no-charge consultation.

HHH Nissa Fogner2
Nissa Fougner, PT, DPT, COS-C, and Director of Rehabilitation at HealthStar Home Health. She has a certification in Oasis, a comprehensive assessment Medicare data collection tool used for data collection management.

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The Role of Therapy in Dementia Care

Undergoing some form of dementia is hard, but it is also hard to understand what needs should be met. A caregiver must understand the complexities of the illness and what to expect. Not many have this ability, which is why therapy is such a valuable tool for dealing with dementia. Dementia care already takes place in the home, in long term acute centers, and in skilled nursing facilities. Patients who undergo therapy have the advantage of working with a professional who understands the effects it can have on a person’s wellness.

Types of Dementia Care

In many cases, a patient undergoes therapy across a wide spectrum of treatments. Because dementia is so varied, the therapy is also varied, but it usually spans across 3 separate forms of therapy.

Occupational Therapy

This is a form of therapy that addresses the patient’s ability to deal with everyday tasks. The patient must be able to perform basic daily tasks in order to have some form of independence. Occupational therapists teach the patient new ways to bathe themselves, to dress, to manage their medication, and perform very light housekeeping duties. It’s often these small actions that helps a patient feel like they’ve regained some form of control in their life; a vital part to their recovery.

Physical Therapy

Although not often the case, some physical therapy could be required for a patient to undergo. This form of therapy helps to regain motor skills that were lost. Victims of a stroke might need to regain the ability to use their limbs as well as dealing with dementia from the attack. A physical therapist also provides exercises and routines to build strength and balance.

Speech therapy

Patients with dementia often lose their ability to properly communicate. A therapist who specializes in the disease has the ability work with patients of dementia to build up new compensation techniques to communicate with the world around them. They rebuild their words and vocabulary so they can communicate feelings, needs, and thoughts.

Positive Aspects of Dementia Therapy

Dementia, in its many faces, can be hard on the sufferer and the caregiver. It can be difficult to deal with someone who once had full understanding to being entirely reliant on someone else. This burdens both the patient and the caregiver. Therapy addresses a wellness of the patient that goes beyond motor skills and communication techniques. Therapy looks at the patient as a whole from the physical, emotional, spiritual, social, and intellectual conditions.

Those in dementia care have the benefit of working with someone who is specialized and skilled in this form of treatment. They have the knowledge and experience to effectively treat all the symptoms better than a family member ever could. It’s only through therapy that full recovery or treatment can be had.