Circle of Life Home Care

HealthStar Home Health helps the populations we serve by identifying and focusing on prevalent health conditions such as high rates of heart disease or diabetes in specific communities. Responding to requests from people in diverse communities, HealthStar develops culturally-relevant services while identifying barriers to care, and then launches culture-specific care and prevention programs. Today, our programs offer services that address the unique needs of populations such as African Immigrant, African American, Native American, Hispanic/Latino, and other communities. This month we caught up with Holly Eide, Circle of Life Home Care’s Area Manager to learn more about this particular initiative and the Native Americans they serve.

Circle of Life Home Care is a home health care initiative offering personal health care services in the ten-county area of northwestern New Mexico, and the newly opened office in Casa Grande, Arizona. Following in the footsteps of the First Nations Home Health initiative which serves the Native populations in the Minneapolis/St. Paul metro and greater Minnesota area, in 2009 HealthStar Home Health opened a second office committed to providing culturally sensitive care to the Navajo tribal members both on and off the Reservations.

col_342x342Circle of Life Home Care offers services which are specifically designed to enhance the health and well-being of Native American individuals. The New Mexico office is a short distance from the Navajo nation, which has about 330,000 members. This is the second largest tribal population nationwide, the largest being the Cherokee tribe. All the employees in our New Mexico office are Navajo-speaking and are members of the tribe themselves.

Since treating through our First Nations and Circle of Life Home Care initiatives, we have discovered common health issues amongst the Native American population. We see a higher population of Type 2 diabetes, which cause disabilities or a need for transfusions for some. Most individuals we care for in our Circle of Life Home Care initiative are elderly (age 65+) and many still live in a Hogan which have no flooring, no running water and are heated by a wood stove. A Hogan is a traditional Navajo hut made out of wood particles or clay. Others may live on the Reservation, or in a trailer home, while others live in neighborhoods near the Reservation.

When invited into the home of a patient to provide care, HealthStar Home Health and our professionals understand the need to be respectful of their wishes and environment. Our team of professionals works with the patient to provide the non-medical care they need. Our personal caregivers can offer reminders for medication, grooming, bathing, housekeeping and laundry services, and accompany to appointments. The client coordinators work with the caregivers through supervision, training and follow up with the clients to ensure the proper services are being provided. If there is a need for skilled therapies, such as physical therapy or occupational therapy, we work with other professionals to refer those services. Some clients may wish to use traditional medicines or request to work with a medicine man vs modern medicine and in those cases, HealthStar still respects their wishes.

At the Casa Grande, Arizona location, (which celebrated their 1-year anniversary in October 2018!), the clientele is different than in New Mexico. Although Arizona is a part of the Circle of Life Home Care initiative, the tribes have their own hospital and doctors, and HealthStar does not service the members on the Reservation. Instead, our Arizona location sees many clients who are aged 55+ disabled, ‘snowbirds’, and other local clients. There are 7 tribes in the AZ area, but they are more self-sufficient and prefer to care for their tribal members within the tribes. The Casa Grande area is approximately ½ Spanish speaking and we are able to cater to those individuals through team members who can communicate with them.

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, internalized the values of those we serve:

We enjoy learning about traditions and being involved with the community by attending local holiday parties and visiting the local chapter houses. We partner with the chapter houses, or community centers, to support the seniors by offering memory screenings and other important events.

HealthStar Home Health understands how overwhelming and challenging it can be to care for a loved one at home and offers a variety of home healthcare 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 and therapies, and mental health services available, as well as the cultural initiatives we offer, visit our website.

Choosing home healthcare services shouldn’t involve settling for care that doesn’t reflect the needs of the individual. With HealthStar Home Health you will always be in control of your care (or that of your loved one), and allow you to receive the services you need in conjunction with the attentiveness to cultural background that defines superior home health care. Call us today at 651-633-7300 for more information or to schedule a no-charge consultation.

HHH - Holly Eide

Holly Eide, Area Manager, Arizona + New Mexico. Holly has been with HealthStar Home Health for over eight years, the last 5+ years running the Circle of Life Home Care program. Holly has been involved with many initiatives over the years, including the Alzheimer’s Whisperer program and educating on the importance of memory screenings.

Veterans’ Services

HealthStar Home Health is a Medicare Certified Home Health Agency offering a wide range of home health care services including home health care, mental health services, homemaking, and skilled nursing. Our goal is to maximize the client’s ability to function in their own home by providing a safe, clean and healthy home environment. Understanding the particular struggles VA clients encounter when trying to receive services, HealthStar Home Health has introduced services focused on Veterans in rural Minnesota areas and the needs they face.

Through a philosophy of servant leadership, we focus on the client’s inherent right to be treated with honor and dignity. We believe in empowering individuals and their family members to be active participants in the provision of care.

Blog_Veteran_YoungServing Veterans of all ages, our services are designed to keep Veterans living in their own home. We will work with your VA provider, case manager and/or physician to develop a care plan tailored to your needs. Our team of professionals will handle all the necessary billing, payroll and administrative responsibilities surrounding your care.

We are happy to hire a friend or family member of the Veteran to provide services in the home. If the Veteran does not have a specific request, we will work with the Vet and family to find a great match with our current staff. HealthStar performs a criminal background study of all in-home caregivers, along with a personal interview, reference checks and competency evaluation. All of our employees working with clients are also provided training.

Our Home Health Aides work under the supervision of a licensed professional, such as a Registered Nurse. Home Health Aides and Homemakers are trained by experienced HealthStar Home Health staff who will go to the Veteran’s home to assist with daily living activities, such as:

  • Assistance with meal preparation and feeding
  • Maintaining a safe living environment
  • Getting in and out of bed safely
  • Daily personal care (toileting, bathing, shaving)
  • Light housekeeping
  • Laundry
  • Shopping and errands
  • Social support
  • Accompany on outings and appointments

Our skilled nursing services to Veterans recovering from an illness or injury offer the convenience of nursing services while remaining in the comfort of your own home. These visits are provided by a trained licensed professional, such as a Registered Nurse or Licensed Practical Nurse, who will work with your physician to ensure successful recovery. Skilled nursing services may include:

  • Medication management
  • Pain management
  • Wound care, dressing changes
  • Bowel and bladder care

Interested in HealthStar Home Health Veterans Services and wondering how to get started? Contact your local VA provider and let them know you would like services through HealthStar Home Health. We will work with your VA provider to find out what services you qualify for. We are currently contracted with the St. Cloud VA Health Care System and the Minneapolis VA Health Care System. Not in one of these systems? Contact your local VA Health Care System to inquire how to get services started with HealthStar Home Health.

HealthStar Home Health understands how overwhelming and challenging it can be to care for a loved one at home and 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, as well as the cultural initiatives we offer, visit our website.

Choosing home healthcare services shouldn’t involve settling for care that doesn’t reflect the needs of the individual. With HealthStar Home Health you will always be in control of your care (or that of your loved one), and allow you to receive the services you need in conjunction with the attentiveness to cultural background that defines superior home health care. Call us today at 651-633-7300 for more information or to schedule a no-charge consultation.

Sagrado Corazón Salud en el Hogar

HealthStar Home Health helps the populations we serve by identifying and focusing on prevalent health conditions such as high rates of heart disease or diabetes in specific communities. Responding to requests from people in diverse communities, HealthStar develops culturally-relevant services while identifying barriers to care, and then launches culture-specific care and prevention programs. Today, our culturally-relevant programs offer services that address the unique needs of populations such as African Immigrant, African American, Native American, Hispanic/Latino, and other communities. Sagrado Corazón Salud en el Hogar addresses the cultural, ethnic and language needs of Minnesota’s Latino community. This month we caught up with Nilda Garcia, Sagrado Corazón program manager to learn more about this particular initiative.

Recognizing the Latino/Spanish presence in the Minneapolis and St. Paul metro area, HealthStar Home Health originally launched the Sagrado Corazón Salud en el Hogar program 10 years ago. It quickly became Minnesota’s premier provider and trusted source of home health services for the Latino community that effectively addresses the unique cultural, ethnic, and language needs of Latinos in Minnesota. Nilda Garcia, Program Manager, works with this and other HealthStar initiatives including Native American culture and English-speaking communities.

Re-Launch

Recently re-launched, the Sagrado Corazón program has more of a presence and built a trust within the community over the years while assessing the needs of this program in the Latino culture. A backbone in the Latino culture is family helping family. Through this program, HeathStar Home Health hires family members to take care of family who are aging, have become ill, or recovering from surgery. A tradition in the Latino culture is to care for family in their own homes and nursing homes or assisted living options are not typically pursued. We found that family members were having to take time off their regular job to care for their family, which in turn created challenges in their home life. As part of this program, HealthStar hires the family member and pays them to care for their loved ones.

Word of the program has been shared within the Latino community. HeathStar Home Health goes into community centers, attends local events, and visits churches to educate and spread the word about the program. If there is interest, HealthStar will work with the caregiver and their health care provider (if they already have one). There is a team of nurses who supports this program. Currently, there are only English-speaking nurses on the team, but Nilda goes with them to help translate. Nilda and the team of nurses will also do home visits, meet with caregivers, research insurance qualifications are available, background checks for caregiver, provide care training, attend to specific client needs and many other.

Insurance

Many in the Latino community do not have insurance coverage, Medicare or assistance. The professionals at HealthStar Home Health will walk the patient through the steps if there is insurance or help them understand if they can qualify.

Training

There is standard training for Minnesota state requirements. When conducting training, we begin with completing the state hiring forms. The caregiver will work with a nurse and go over topics such as:

  • HIPPA laws
  • Importance of hand washing and proper technique
  • Proper use of gloves
  • Transferring a patient
  • What to observe
  • What to report to nurses
  • Proper use of 9-1-1
  • Harassment

One important aspect of our training is our 24ECC program which is a formalized value-based cultural competence proprietary program: The 24 Expressions of Company Culture. These 24 expressions are aligned with HealthStar’s four chosen values of Servant Leadership, Empathy, Altruism, and Integrity. We review this culture and ensure the caregivers live it too. Learn more about our 24ECC employee program by watching this video:

Nilda has been with HealthStar Home Health for 10 years and has worked with some families just as long. She builds a close relationship with the families she works with, they even stop in the office to visit when they get lonely or want to chat. Nilda says “I see some patients starting with nothing. I am proud to know I am helping them get the services they need and assist with communication through translation. I love witnessing the roots of the family and their culture grow over the years I have known them.”

HealthStar Home Health understands how overwhelming and challenging it can be to care for a loved one at home and 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, as well as the cultural initiatives we offer, visit our website.

Choosing home healthcare services shouldn’t involve settling for care that doesn’t reflect the needs of the individual. With HealthStar Home Health you will always be in control of your care (or that of your loved one), and allow you to receive the services you need in conjunction with the attentiveness to cultural background that defines superior home health care. Call us today at 651-633-7300 for more information or to schedule a no-charge consultation.

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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Obesity

The widespread presence of obesity in the United States is increasing across all age groups. According to the Obesity Action Coalition, it is estimated that 93 million Americans are affected by obesity. It is also reported that socioeconomic status plays a significant role. Populations which are low-income and minority are more likely to be overweight and tend to experience it at a higher rate.

We at HealthStar Home Health see firsthand how obesity affects our patients and their families, especially when working with the Native American population in Minnesota, New Mexico and Arizona. According to a report by the Shakopee Mdwakanton Sioux Community, the rate of obesity in children is on the rise and coupled with diabetes will soon reach 50%. These alarming statistics and others show the epidemic will continue to grow amongst Native Americans in Minnesota. According to the Mayo Clinic, obesity typically results from a combination of causes and contributing factors, such as:

  • Genetics: A person’s genes may affect the amount of body fat stored and where it is distributed in the body. A person’s genetics will also play a role in the efficiency your body converts food into energy and the rate calories are burned during exercise.
  • Activity level: If a person is not very active, not as many calories are burned. When a person leads a sedentary lifestyle usually more calories are consumed than burned through routine daily activities and exercise. This leads to weight gain.
  • Family lifestyle: Obesity tends to run in families. If one or both parents are obese, the risk of their children being obese is higher. This is not the same as genetics, but instead due to family members having similar eating and activity habits.
  • Unhealthy diet: A diet that is high in calories, fast food and oversized portions, but lacking in fruits and vegetables will lead to weight gain.
  • Social and economic issues: Scientific research has linked social and economic factors to obesity. Avoiding this is difficult if there are not safe areas to exercise, education on healthy ways of cooking or the means to buy healthier foods.

There are many other causes and contributing factors that can lead to obesity, this is just a sampling.

The risk of developing further health complications, some of which can be serious is higher for those who are obese, including but not limited to:

Understanding the risk factors involved is important as well as working to prevent obesity with available treatment options such as medication, healthy nutrition plans and a regular exercise routine.

HealthStar Home Health’s culturally-relevant programs offer services that address the unique needs of the Native American population. First Nation’s Home Health is Minnesota’s premier provider of home health services for Native American communities in the Minneapolis-St. Paul metro area as well as Duluth and Bemidji. By offering home health care services on the Red Lake, White Earth, Leech Lake, Bois Fort, Fond du Lac and Mille Lacs Reservations, our HealthStar Home Health nurses see the effects of obesity each day and work to empower patients and their families to be active participants in their care.

Circle of Life Home Care is a home health care initiative offering personal health care services in the ten-county area of northwestern New Mexico and in Arizona. Through both of these programs, HealthStar Home Health is committed to providing culturally sensitive care to the Native American population both on and off the Reservations.

With services such as life and health management, mental health, home health and home help, HealthStar Home Health helps make families and communities strong by enabling individuals of all ages to live longer, more independent and fulfilling lives. Call us today at 651-633-7300 for more information or to schedule a no-charge health care consultation.