community healthfocus - princetonhcs.org such as massage and acupuncture, are also available....

healthfocus

Redefining Care.

T H E L A T E S T I N H E A L T H N E W S & I N F O R M A T I O N | J U L Y / A U G U S T 2 0 0 5 | N U M B E R 4

PainManagement

Conquering Prostate Cancer . . . . . . . 4

Welcome to www.princetonhcs.org. . . . . . . . . . . . . 6

Seniors & Depression . . . . . . . . . . . . 14

Summer Skin Safety . . . . . . . . . . . . . . 15

Overcoming an Eating Disorder . . . 16

communityfocus

CALENDAR OF EVENTS ON PAGE 7

William Strecker of CranburyPerforms Again Without Pain

2 | healthfocus | Princeton HealthCare System Redefining Care. | 1.888.PHCS4YOU | www.princetonhcs.org

“We want to control chronic pain to help our patients be asfunctional and comfortable as possible,” says Chu-KuangChen, MD, PhD, Medical Director of the Pain ManagementProgram at University Medical Center at Princeton. “Inalmost every instance, we can improve quality of life.”

The Pain Management Program offers compassionate care,treatment and therapies to help patients who are sufferingfrom acute or chronic pain caused by a wide range ofconditions, such as back and neck pain, arthritis, cancerand post-surgical pain.

To ensure the greatest outcome and success for eachpatient in the Pain Management Program, care is highlyindividualized.

“The entire staff, from physicians to technicians, goes togreat lengths to understand each patient,” says Dr. Chen,who is board certified and fellowship trained in painmanagement. “Our staff spends time communicating —listening and conversing — with each and every patient.The result is an accurate evaluation, a compassionateenvironment and unparalleled clinical care.”

Exceptional Care Close to HomeFor individuals afflicted by chronic pain,getting effective care close to home isvital to their recovery, comfort andhappiness.

“Travel is, for many patients, extremelyuncomfortable,” confirms Robert H.Jackson, PhD, of Princeton, who iscurrently receiving care for painmanagement at University Medical Centerat Princeton. “Everything I could ask for ina pain management center is just minutesaway. I feel very fortunate to have such aremarkable group so close by.”

The program’s individualized approach topain management, which actively engages

patients in their care, helps patients gaincontrol over their pain and resume a moreproductive and enjoyable lifestyle.

Each patient in the program receives acomprehensive physical examination and anindividualized course of therapy. UniversityMedical Center at Princeton offers a full rangeof state-of-the-art treatments for managingpain. These include medication management,injections, nerve blocks and nerve and spinalstimulators. Effective complementarytherapies, such as massage and acupuncture,are also available.

Chronic pain can be debilitating, butyou don’t have to suffer anymore. ThePain Management Program atUniversity Medical Center at Princetonis committed to helping patientsalleviate their pain and maximizequality of life.

g

The Pain Management Programtreats chronic pain related tomany conditions including:

ArthritisBack and neck painCancer painHeadachesShinglesPost-surgical painNeuropathic painComplex Regional PainSyndrome (also known asRSD or Reflex SympatheticDystrophy)Muscle painSciatica

The PainManagementProgram atUniversityMedical Centerat Princeton iscommitted tohelpingpatientsalleviate theirpain andmaximizequality of life.

Pain Management


The devastating crash left Strecker in a comafor 28 days, teetering on the edge of life anddeath. He had suffered broken bones, aseverely damaged lung and other internalinjuries. Fortunately, Strecker recovered, butthe pain from his injuries lingered, limitinghis mobility, activities and enjoyment of life.He turned to the Pain Management Programat University Medical Center at Princeton forhelp, first arriving in a wheelchair.

“I was in such bad shape,” Strecker says.“The staff at the Pain Management Programdid everything in their power to make my lifebetter.”

Strecker especially praises the efforts ofMedical Director Chu-Kuang Chen, MD, PhD,and advanced practice nurse Carol Burns,MSN, RN, CNS.

“Dr. Chen and Carol localized the pain —they found where it was and why it was —and then began treating it. Together, wefound out what worked,” Strecker says.

Seven months after arriving at the PainManagement Program in a wheelchair,Strecker was able to return to work full-timein his family-owned architecture landscapefirm. This miraculous recovery also ledStrecker back to his earliest passion —music.

Strecker contacted old friends and bandmembers from the 1970s (several of whomworked with the likes of Steely Dan, BozScaggs, Paul Simon and Billy Joel) to get agroup together. Since the accident, theband has recorded two full-length musicCDs and has performed in venuesthroughout the Northeast. The mostrecent recording, All This Dreaming, hasbeen greeted with critical acclaim. Streckercredits much of this amazing comeback toDr. Chen and Burns.

“I got my life back because of the staff atUMCP’s Pain Management Program,”Strecker says. “They helped me so muchmentally and physically — and they werealways kind and understanding.”

As his success in landscape architectureand music continues to grow, Streckerremains grateful and grounded. “I have abetter attitude toward life now,” he says.“And I can only hope that others who findthemselves in a situation similar to mine arefortunate enough to encounter people like Ihave at UMCP’s Pain ManagementProgram.”

Strecker and his band, the William HartStrecker Band, are currently planning aEuropean tour.

An automobile accident forever changed the life of Cranbury, New

Jersey, resident William Strecker. Driving home late one October

evening, Strecker lost control of his vehicle and crashed into a tree.

“I can only hope thatothers who findthemselves in asituation similar tomine are fortunateenough toencounter peoplelike I have at UMCP’sPain ManagementProgram.”

– Pain Management patientWilliam Strecker of Cranbury

All care is provided by a highly skilled and dedicated team of board certified andfellowship trained physicians, registered nurses, massage therapists and technicians.

“The nurses and staff do a phenomenal job,” Jackson says. “Their response time to myrequests is instantaneous. The team is so upbeat — so positive — that it makes megrateful.”

For more information about the Pain Management Program at University Medical Centerat Princeton, call 1.888.PHCS4YOU, any time day or night.

Please visit www.princetonhcs.org for more extensive information about the quality care,skilled physicians and staff, and advanced treatments available through the PainManagement Program.

Performing Again Without Pain

Since he had a family history of prostate cancer, Paneque, 69,followed the orders of his physician, Alexander P. Vukasin, MD,Chief of Urology at Princeton HealthCare System, andunderwent annual testing. So when his PSA count indicated hehad the disease last summer, he felt relatively confident that hecould conquer it.

“When he discovered my numbers were elevated, Dr. Vukasinordered a biopsy, and out of 12 samplings one tested positive,”recalls Paneque. “It turned out we had caught it early, and I hada very good chance of being cured. I went through surgery inOctober, and Dr. Vukasin did a wonderful job. I’ve made acomplete recovery thanks to him.”

One in every six American men will face prostate cancer intheir lifetime, making it the most common major cancer in thenation.

This year alone, an estimated 232,000 men will be diagnosedwith the disease, which is the second leading cause of cancerdeath among men, according to the American Cancer Society. Mortality rates among African American men are nearly 2.5times higher than other races.

The good news is that the number of prostate cancer-relateddeaths can be dramatically reduced through early detectionand appropriate treatment.

“Men should be tested annually once they reach 50, unless theyhave a family history of prostate cancer, in which case theyshould begin testing at 40,” says Dr. Vukasin, who is a boardcertified urologist. “Testing includes a DRE (digital rectal exam)and a simple PSA (prostate-specific antigen) blood test.Monitoring the PSA results each year can catch prostate cancerearly, and early treatment is extremely important. Once youbegin showing clear signs of prostate cancer, it’s often too lateto cure.”

Treatments for Prostate CancerAs a Clinical Research Affiliate ofThe Cancer Institute of NewJersey, University Medical Centerat Princeton offers state-of-the-art care, diagnostic protocols

and treatments for cancer, including clinical research trials.Prostate cancer treatments vary depending on the patient’shealth and age, and the severity of the disease. Treatment canrange from monitoring the condition, if the cancer is relativelysmall, to radiation treatments or surgery.

Once prostate cancer is detected, physicians at UniversityMedical Center at Princeton conduct a series of tests todetermine the severity of the condition and whether it hasspread to other areas of the body. Tests include ultrasound-guided biopsies, bone scans, CAT scans and occasionallytransrectal MRIs.

“Once we have a clear picture of the person’s condition, we candecide what’s best for his situation,” says Dr. Vukasin. “In somecases we treat the cancer with what is called intensitymodulated radiation therapy (IMRT), which is the latest in

prostate cancer treatment.With IMRT, we can sculpt theradiation beam so we are notdestroying healthy tissue.”

Another radiation techniqueavailable at UMCP isbrachytherapy, also known asseed therapy. Brachytherapyuses radioactive “seeds” that

4| healthfocus | Princeton HealthCare System Redefining Care. | 1.888.PHCS4YOU | www.princetonhcs.org

Regular monitoring for prostate cancer,according to Eastampton resident GeorgePaneque, is what saved his life last year.

Conquering Prostate Cancer

Men should be tested annually oncethey reach 50, unless they have afamily history of prostate cancer, inwhich case they should begin testingat 40.


are carefully placed inside of thecancerous tissue to attack thecancer.

When surgical removal of theprostate is required, UniversityMedical Center at Princeton hasa team of physicians on staffwho focus on providingexceptional surgical care andhelping to minimize side effects.

Concerns About Intimacy“In cases where radical surgeryis required, patients mayexperience erectile dysfuntionand incontinence, which areusually temporary,” explains Dr. Vukasin. “Less than five percentof patients experience any long-term incontinence, and erectiledysfunction can often be resolved with medication.”

Concerns with incontinence and sexual dysfunction often leadprostate cancer patients to keep their conditions private out ofembarrassment. But talking about it is an important componentto combating the disease.

“People worry about what other people will think,” saysPaneque. “They don’t want to admit that they are having sexual

difficulties, so they just keepquiet. That’s unfortunate, becausetalking about it helps peopleunderstand that it can be treatedand cured, and you can have agreat life. Now that I’ve recoveredfrom my surgery, I’m living anabsolutely normal life again.”

To help prostate cancer patientsaddress their concerns and learnabout the latest efforts to combatthe disease, UMCP sponsors amonthly Prostate Cancer SupportGroup on the fourth Wednesday ofeach month at Princeton Fitness &Wellness Center. Free to the

public, the support group’s schedule fluctuates betweenevening and daytime sessions, and includes both opendiscussions monitored by a licensed social worker andscheduled speakers. Registration is not required.

For information about cancer and support services available atUniversity Medical Center at Princeton, please call 609.497.4475.

To help prostate cancer patients address their concernsand learn about the latest efforts to combat thedisease, UMCP sponsors a monthly Prostate CancerSupport Group on the fourth Wednesday of eachmonth at Princeton Fitness & Wellness Center.


Overcoming an Eating Disordercontinued from back page

comprehensive treatment of medical complications and expert help with thepsychological issues underlying theeating disorder.

“We dedicate a unit exclusively to ourprogram, which means the staff isfocused entirely on treating our patients’special needs,” explains Melinda Parisi,PhD, Eating Disorders Program Director.“Through our program, we work to helppatients understand and deal with theissues that surround their condition,develop healthy coping techniques andstrategies to prevent relapse, and develophealthy eating habits. Also, we are fullyequipped to treat the varied medicalconditions that can accompany eatingdisorders.”

Individualized Treatment Is EssentialThe Eating Disorders Programemphasizes individualized care for thewhole patient. The initial focus is onmedical stabilization and nutritionalrehabilitation, but through therapy

patients also begin to identify underlyingissues contributing to eating disordersand distorted body image. Every patient’scondition and needs are evaluatedindividually, and a treatment plan basedon this evaluation is designed to facilitatefull recovery.

“The treatment plan for each patient hasto be individualized to be successful,”says Dr. Parisi. “Eating disorders can becaused by a multitude of factors, fromsocial pressures that emphasize thinnessto family dynamics to biological issues.You have to understand each patient’sindividual needs to properly treat his orher condition.”

Treatment options include an intensiveinpatient program and a partial hospitalprogram. Patients admitted to the 14-bedinpatient unit receive 24-hour care withspecific attention to medical and physicalproblems. Medical, nutritional andpsychological treatment is provided tofacilitate stabilization and transition tothe partial hospital program. A weekendprogram is encouraged for families whowant to participate in the patient’srecovery process.

Patients admitted to the partial hospitalprogram participate in full-day treatmenttwo to five days a week. Therapeuticprogramming is aimed at maintainingtreatment gains and normalizing eatingand behavior patterns outside thehospital setting. An evening program isoffered for families.

“Our program is strictly voluntary, andthe level of care and length of stay isbased on a patient’s individual needs,”says Dr. Marx, a board certifiedpsychiatrist.

The Eating Disorders Program treatsadults as well as children as young aseight years of age, with tutoring providedon an individual basis for all school-agedchildren and adolescents. Specializedgroups focusing on everything from bodyimage to coping skills are also provided.

To learn more about the Eating DisordersProgram, call 1.888.PHCS4YOU, anytimeday or night. To schedule an appointmentfor an evaluation with a physician, or toarrange for a speaker to visit your schoolor organization, call 609.497.4490.

Princeton HealthCare System welcomesyou to visit our newly designedwebsite www.princetonhcs.org

In addition to an exciting andattractive new look, the websitefeatures:

Easy navigation so you can find theinformation you need quicklyA convenient online registrationprocess, making it fast and easy tosign up for our CommunityEducation classesAn enhanced online PhysicianDirectory to help you easily locate aphysician, surgeon or dentist onstaff at Princeton HealthCareSystem

Visit www.princetonhcs.org today forconvenient online access toinformation about PrincetonHealthCare System’s continuum ofhealth and wellness services.

Welcome to www.princetonhcs.org

Programs are free and registration is required unless otherwise noted. Membership at Princeton Fitness & Wellness Center not required to attend these programs. Please register online at www.princetonhcs.org/calendar or call 609.497.4480 (unless another number is indicated).

Locations: University Medical Center at Princeton Princeton Fitness & Wellness Center Directions are available at253 Witherspoon Street Princeton North Shopping Center www.princetonhcs.orgPrinceton, NJ 08540 1225 State Road

Princeton, NJ 08540

Health Education Calendar July - August ‘05communityfocus

Emergency DepartmentExploration for Children

SAT. August 6 (10 a.m. – 12 p.m.)

Ground Floor Conference Rooms A & B

University Medical Center at Princeton

Children ages 5 to 8 are welcome to participate in this fun

and interactive program, designed to increase comfort

and familiarity with the Emergency Department and

hospital setting. Children will:

• Tour University Medical Center at Princeton’s Emergency Department

• Get bandaged (or have their dolls or stuffed animals bandaged)

• Tour an ambulance

• Make their own first aid kits

• Meet an ED doctor

Redefining Care.


Prostate Enlargement: Symptom ReliefWED. July 13 (7 – 8:30 p.m.)Princeton Fitness & Wellness Center

Benign prostatic hyperplasia (BPH) is a non-cancerousenlargement of the prostate that occurs in almost all men asthey age. In many men, BPH is responsible for bothersomesymptoms, including difficulty urinating, a need to get up manytimes during the night to urinate, a frequent urge to urinate, ora sense that the bladder is not completely empty after urination.BPH can also cause urinary incontinence. Alexander P. Vukasin,MD, board certified in urology and member of the Medical &Dental Staff of Princeton HealthCare System, will discuss thesymptoms of BPH and how new laser technology hasrevolutionized the treatment of this condition, allowing patientsto receive care in the comfort and privacy of their doctors’offices.

Meet the Chef MON. July 18 (7 – 8:30 p.m.)MON. August 1 (7 – 8:30 p.m.)Princeton Fitness & Wellness Center

Join us in July as Will Mooney, Chef and Owner, The BrothersMoon, Hopewell, prepares light summer fare using local organicingredients. In August, Mark Longo, Certified Executive Chef,Amarone's Windsor Inn, Hightstown,will prepare a variety ofdelicious desserts. A registered dietitian will be on hand withnutritional information about the recipes.

AARP Driver Safety ProgramMON. July 18 & 25 (9 a.m. – 1 p.m.)Princeton Fitness & Wellness Center$10 per person

Upon completion of this two-part course, students will receivecertificates of completion to send to their insurance companies.The certificate entitles students to a 5% discount on the majorportion of their auto premiums for three consecutive years, andtwo points will be deducted from their motor vehicle records, ifapplicable. There is no age requirement, and you do not need tobe a member of AARP to participate.

The Sandwich Generation: How to Balancethe Needs of Children, Jobs & Aging ParentsTUES. July 19 (6:30 – 8 p.m.)Princeton Fitness & Wellness Center

Susan W. Hoskins, LCSW, Executive Director of the PrincetonSenior Resource Center andfacilitator of its Children ofAging Parents Support Group,will help you explore youroptions and teach you aboutavailable resources that willenable you to care foryourself while meeting theneeds of your loved ones.

Eyelid Surgery: Not Just a CosmeticProcedureTUES. July 26 (7 – 8:30 p.m.)Princeton Fitness & Wellness Center

Eyelid surgery is frequently performed as a medically necessaryprocedure to help those who have problems with their visionrelated to drooping lids. Joseph P. Shovlin, MD, board certified inophthalmology, member of the Medical & Dental Staff ofPrinceton HealthCare System, will discuss eyelid surgery, as wellas some non-surgical cosmetic options to improve droopingeyelids, including Botox and Restylane.

Inspiration for the Older AthleteWED. August 3 (7 – 8:30 p.m.)Princeton Fitness & Wellness Center

Join us for an encouraging andinspirational discussion with MartinWeinapple, MD, board certified inpsychiatry and member of theMedical & Dental Staff of PrincetonHealthCare System. Dr. Weinapple, atriathlete who specializes inendurance events, will discussfactors that influence physicalperformance, such as motivation,desire, lifestyle and mental state.

Free Health ScreeningsSUN. August 7 (4 – 6 p.m.)The Raven ResortState Highway 179, New Hope, PANo registration required

Princeton HealthCare System and The Raven Resort are pleasedto offer FREE health screenings and education to area residents.Physicians and healthcare professionals from PrincetonHealthCare System will provide important information aboutyour health. Screenings include:

Blood pressure • CholesterolBody fat analysis

communityfocus Health Education Calendar July - August ‘05

C U R R E N T P R O G R A M S

Give the Gift of Life:

University Medical Center at Princeton’s Blood Donor Program is pleased to present the “A Pint for a Pint” program, sponsoredby Thomas Sweet Ice Cream, Princeton. Each donor who gives

one pint of blood will receive a coupon for a free pint of icecream from Thomas Sweet. Giving blood is one of the most

precious gifts one human being can give to another. By takingless than an hour of your time to donate blood, YOU can make

a difference. If you are interested in donating, please contactthe Blood Donor Program at University Medical Center atPrinceton at 609.497.4366 to schedule an appointment.

Give Blood!


Programs are free and registration is required unless otherwise noted. Membership at Princeton Fitness & Wellness Center not required to attend these programs. Please register online at www.princetonhcs.org/calendar

or call 609.497.4480 (unless another number is indicated).

C H I L D B I R T H & FA M I LY

Call 609.497.4119 or visit www.princetonhcs.org/calendar to register for childbirth and family classes.

Babies "R" Us Grand Opening FRI. July 8 – SUN. July 10

Princeton HealthCare System’s CommunityEducation & Outreach Program is pleased toannounce its exclusive partnership with thenewest Babies "R" Us location on NassauPark Boulevard in West Windsor. Weproudly offer FREE baby care classes, carseat checks and other importantinformation for new parents – allconveniently available to you at the WestWindsor store. Grand opening eventsinclude:

• Baby Care Classes FRI. July 8 (3 p.m.) SAT. July 9 (3 p.m.) SUN. July 10 (3 p.m.)

• Children’s crafts & activities• Health education for parents• Giveaways

• Car Seat Safety Check FRI. July 15 (11:30 a.m. – 2:30 p.m.) Parking Lot

Prenatal Partner YogaWorkshop SAT. July 16 (10 a.m. – 12 p.m.)Princeton Fitness & Wellness Center$35 per couple

This workshop is designed to help pregnantcouples learn supportive positions that canhelp the mother-to-be stretch and feelbetter, both during pregnancy and labor.Couples will practice postures, breathingtechniques and massage. No previous yogaexperience is necessary. Please bring a yogamat or large towel, two pillows or cushions,a yoga tie or a regular tie for stretching.

Prenatal Yoga THURS. August 18 – October 6 (7 – 8:15 p.m.)FRI. August 19 – October 7 (9:30 – 10:45 a.m.)Princeton Fitness & Wellness Center$160 per person

Expectant mothers will learn how to usegentle postures, stretching, breathing,toning, relaxation and meditation to helpthem keep fit and feel good duringpregnancy. No previous yoga experience isnecessary; however, medical clearance froma physician is required. Please bring a yogamat or large towel, two pillows or cushions,a yoga tie or a regular tie for stretching.

Post Partum Yoga FRI. August 19 – October 7 (11 a.m. – 12:15 p.m.)Princeton Fitness & Wellness Center$160 per person

This class will focus on strengthening andtoning the body after birth and will allowmoms to practice yoga with their babies.Breathing, relaxation and meditationtechniques will be integrated. No previousyoga experience is necessary; however,medical clearance from a physician isrequired. Please bring a yoga mat or largetowel, two pillows or cushions, a yoga tie ora regular tie for stretching.

Bright Beginnings Wednesdays (10:30 – 11:30 a.m.) Princeton Fitness & Wellness Center$5 per session, payable at doorNo registration required.

This informative relaxed group is for parentsand caregivers of infants from birth to 6months. Infants and children under 4 yearsof age are welcome to attend with theparent or caregiver.

Breastfeeding Support Group THURS. July 7 (11 a.m. – 12 p.m.)THURS. July 14 (11 a.m. – 12 p.m.)THURS. July 21 (11 a.m. – 12 p.m.)THURS. July 28 (7 – 8 p.m.)THURS. August 4 (11 a.m. – 12 p.m.)THURS. August 11 (11 a.m. – 12 p.m.)THURS. August 18 (11 a.m. – 12 p.m.)THURS. August 25 (7 – 8 p.m.)University Medical Center at PrincetonAll morning classes meet in Lambert House classroom 4. All evening classes meet in Lambert House classrooms 1 & 2. No registration required.

Are you pregnant and thinking aboutbreastfeeding? Are you currently nursing?Our support group can answer yourquestions and allow you to share yourexperiences with other nursing mothers.This group is facilitated by a certifiedlactation consultant.

Prenatal Breastfeeding Class THURS. July 14 (7 – 9:30 p.m.)WED. August 3 (7 – 9:30 p.m.)MON. August 29 (7 – 9:30 p.m.)University Medical Center at Princeton$35 per couple

Expectant parents will learn about thebenefits of breastfeeding, getting started,positioning, nutrition, pumping andavoiding common problems. This class istaught by a certified lactation consultant.

Maternity Tour SAT. July 9 (1 – 2 p.m. or 2:30 – 3:30 p.m.)SAT. July 23 (1 – 2 p.m. or 2:30 – 3:30 p.m.)SAT. August 6(1 – 2 p.m. or 2:30 – 3:30 p.m.)SAT. August 20 (1 – 2 p.m. or 2:30 – 3:30 p.m.)University Medical Center at PrincetonUniversity Medical Center at Princeton iscommitted to providing a unique, family-centered birth experience. We inviteexpectant parents who are delivering atUMCP or considering delivering here to takea tour of our state-of-the-art MaternityDepartment, which includes a look at thenursery and maternity suites. A tour isincluded in all childbirth preparation classes.

Sibling Class SAT. July 9 SAT. July 23 SAT. August 6 SAT. August 20University Medical Center at Princeton$25 per childBecoming a big sister or a big brother is aspecial event in a child’s life. This fun,educational program is designed to helpyour child welcome the new baby. Childrenwill design a welcome card, practicediapering and holding a doll, tour amaternity room and look into our nursery.Classes are designed for children ages 2 andunder (9 – 10 a.m.), 3 to 4 (10:15 – 11:15a.m.) and 5 and older (11:30 a.m. – 12:30p.m.).



C H I L D B I R T H & FA M I LY ( C O N T I N U E D )

Call 609.497.4119 or visit www.princetonhcs.org/calendar to register for childbirth and family classes.

Baby Care THURS. July 19 (7 – 9:30 p.m.)MON. August 22 (7 – 9:30 p.m.)University Medical Center at Princeton$35 per coupleHow will we care for our baby? What doesit mean when a baby cries? How do webathe our baby? This program is designedto help create confidence in your parentingskills. Topics include infant care, feedingchoices, choosing a pediatrician and more.

Car Seat ChecksApproximately 90 percent of car seats arenot installed correctly or are misused. Isyours one of them? Make an appointmentto have a certified child passenger safetytechnician check your child's car seat! Call609.497.4119.

Childbirth Preparation WED. July 6 – 27 (7 – 9 p.m.)MON. July 18 – August 8 (7 – 9 p.m.)TUES. July 26 – August 16 (7 – 9 p.m.)THURS. August 4 – 25 (7 – 9 p.m.)WED. August 17 – September 7 (7 – 9 p.m.)TUES. August 30 – September 20 (7 – 9 p.m.)University Medical Center at Princeton$115 per coupleThis four-week, comprehensive programfor expectant parents provides informationand answers to questions concerning laborand delivery. Parents will learn the signs oflabor, relaxation and breathing techniques,and comfort measures to promote apositive birth experience.

Accelerated ChildbirthPreparationSUN. July 17 (9 a.m. – 5 p.m.)SAT. August 13 (9 a.m. – 5 p.m.)University Medical Center at Princeton$150 per couple

This single-day program for expectantparents provides information and answersto questions concerning labor and delivery.Parents will learn the signs of labor,relaxation and breathing techniques, andcomfort measures to promote a positivebirth experience.

Childbirth Preparation Review THURS. July 21 (6:30 – 9 p.m.)University Medical Center at Princeton$50 per couple

This program is designed for second- orthird-time parents to refresh and practicecoping skills for labor and delivery.

Living With Your Infant: Part 1 (birth – 4 months)WED. July 27 (7 – 9 p.m.)University Medical Center at Princeton$20 per family

Living With Your Infant – Part 1 (birth – 4months) is an interactive class betweenparents and children facilitated by apediatric nurse practitioner. This class isdesigned to help parents understand thepsychosocial and physical development oftheir child.

C P R & F I R S T A I D

Call 609.497.4119 or visit www.princetonhcs.org/calendar to register for CPR and first aid classes.

BLS for Healthcare Providers – Full CourseMON. July 11 (9 a.m. – 4 p.m.)University Medical Center at Princeton

TUES. August 16 & 23 (6 – 10 p.m.)Princeton Fitness & Wellness Center $60 per person

A comprehensive course intended for healthcare professionalswho practice in a medical setting.

BLS for Healthcare Providers – RecertificationTHURS. July 7 (6 – 10 p.m.)FRI. August 5 (9 a.m. – 1 p.m.)University Medical Center at Princeton$40 per person

A comprehensive course intended for healthcare professionalswho practice in a medical setting and need to be recertified.

Heartsaver Adult & Pediatric CPRFRI. August 12 (9 a.m. – 1 p.m.)University Medical Center at Princeton$45 per person

Topics include warning signs of a heart attack, stroke and cardiacarrest, as well as CPR, choking and rescue breathing. Certificateswill be issued.

Heartsaver Adult First Aid FRI. August 19 (9 a.m. – 1 p.m.)University Medical Center at Princeton$40 per person

This course teaches effective recognition and treatment ofemergencies in individuals ages 8 and up during the critical firstminutes until emergency medical services personnel arrive. Thecourse provides complete health and safety training for first aid.Certificates will be issued.




Pediatric CPR for Family & Friends SAT. July 30 (9 a.m. – 12 p.m.)SAT. August 27 (9 a.m. – 12 p.m.)University Medical Center at Princeton$35 per person

This course is designed for parents, caregivers and the generalpublic. Topics include prevention of the most common seriousinjuries, CPR, choking and rescue breathing for infants andchildren to age 8. This is a non-certifying course.

Pediatric First AidSAT. July 30 (1 – 4 p.m.)University Medical Center at Princeton$35 per person

This program is designed for parents and caregivers. You willlearn valuable information on safety issues, bleeding and woundcare, and gain first aid skills necessary to assist in emergencysituations.

The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS and PALS and hasdeveloped instructional materials for this purpose. Use of these materials in an educational course does notrepresent course sponsorship by the American Heart Association. Any fees charged for such a course, exceptfor a portion of fees needed for AHA course material, do not represent income to the Association.

C P R & F I R S T A I D ( C O N T I N U E D )

Call 609.497.4119 or visit www.princetonhcs.org/calendar to register for CPR and first aid classes.

E V E N T S F O R C A N C E R PAT I E N T S , S U R V I V O R S & L O V E D O N E S

The Cancer Program at University Medical Center at Princeton, a Clinical Research Affiliate of The Cancer Institute of New Jersey(CINJ), is pleased to offer support groups, informational lectures and screenings. For additional information about the CancerProgram, call 609.497.4475. To register for these programs, please call 609.497.4480 or visit www.princetonhcs.org/calendar.

Improving the Chemotherapy Experience WED. July 6 (10 a.m. – 12 p.m.)WED. August 3 (10 a.m. – 12 p.m.)University Medical Center at PrincetonLambert House Classroom 4

Local oncology experts from UMCP’s Cancer Program will offertimely information, motivation and encouragement that can makea significant difference in how you approach chemotherapy.Improving the Chemotherapy Experience™ is an educationalprogram created by Amgen, in partnership with the Leukemiaand Lymphoma Society and CancerCare, that is designed to helpyou understand, prepare for and manage the side effects ofchemotherapy in a supportive environment.

American Cancer Society's Look Good, Feel Better TUES. July 12 (1 – 3 p.m.)Princeton Fitness & Wellness CenterPlease call 1.800.ACS.2345 to register for this program

A certified cosmetologist from theAmerican Cancer Society will provide freeone-time makeovers to women who arecurrently undergoing cancer treatment.Beauty techniques will be demonstrated.

S U P P O R T G R O U P S

Better Breathers Club TUES. July 6 (9:30 – 10:45 a.m.)TUES. August 3 (9:30 – 10:45 a.m.)Princeton Fitness & Wellness Center

THURS. July 29 (2:30 – 4 p.m.)THURS. August 26 (2:30 – 4 p.m.)University Medical Center at Princeton’s Cardiac & Pulmonary Rehabilitation Program: Monroe Unit11 Centre Drive, Suite C, Monroe Township

Princeton HealthCare System and the American Lung Associationof New Jersey present the Better Breathers Club for individualswith chronic lung disease. Nancy Elson, MA, RRT, RespiratoryCare Practitioner and Clinical Instructor, facilitates meetings.• Learn about managing lung disease• Discuss your questions and concerns with others whounderstand

UNITE – Perinatal Loss Bereavement Group MON. July 11 (7 – 9 p.m.)MON. August 1 (7 – 9 p.m.)Princeton Fitness & Wellness Center

This group provides peer-to-peer support for people who haveexperienced miscarriage, stillbirth and early infant death.

Healthy Hearts Cardiac Support Group TUES. July 12 (7 – 8:30 p.m.)TUES. August 9 (7 – 8:30 p.m.)University Medical Center at Princeton

This group provides education and support for those withcardiac problems and their families. Each session includes anexpert guest speaking on heart issues, a question-and-answerperiod and social time. This group is appropriate for those whohave angina, have had a heart attack or open heart surgery, orare at high risk for heart disease.



Weight Control & Diabetes Support GroupTUES. July 19 (6:15 p.m.)TUES. August 16 (6:15 p.m.)University Medical Center at Princeton, Diabetes Management ProgramMedical Arts Building, Suite B

All graduates of University Medical Center at Princeton’s WeightControl & Diabetes Program are invited to participate in this newsupport group designed to help individuals build on theirprogress by continuing to successfullly manage their diabetesand weight. Terry Unger, RD, CDE, UMCP’s DiabetesManagement Program, facilitates meetings. No registrationrequired. Call 609.497.4372 for more information.

Diabetes Support Group WED. July 20 (2:30 – 4 p.m.)WED. August 17 (2:30 – 4 p.m.)Monroe Township Senior CenterOne Municipal Plaza, Monroe Township

MON. July 25 (6:30 – 8 p.m.)MON. August 22 (6:30 – 8 p.m.)University Medical Center at Princeton, Diabetes Management Program Medical Arts Building, Suite B

This group provides resources and support for those living withdiabetes and their loved ones. Nancy Rhodes, RN, BS, MA, CDE,University Medical Center at Princeton’s Diabetes ManagementProgram, facilitates meetings.

S U P P O R T G R O U P S ( C O N T I N U E D )

M O N R O E T O W N S H I P E V E N T S F O R S E N I O R S

Princeton HealthCare System is pleased to offer educational seminars and screenings to seniors residing in Monroe Township.To register, please contact the Monroe Township Office on Aging – Senior Center at 732.521.6111 or visit us online at

www.princetonhcs.org/calendar.

HIPAA Privacy & Communication With YourMedical TeamWED. July 27 (1:30 – 3:30 p.m.)Monroe Township Senior CenterOne Municipal Plaza, Monroe TownshipPlease call 732.521.6111 to register

Join us as Lisa Hartman, Corporate Compliance and PrivacyOfficer, Princeton HealthCare System, discusses the HealthInsurance Portability and Accountability Act (HIPAA) as it pertainsto privacy, release of medical information and your rights. Asample HIPAA privacy notice and opt-out forms will be provided.In addition, Jane Berger, Manager of Patient Relations, PrincetonHealthCare System, will discuss ways to improve communicationbetween patients, their families and healthcare providers. Formsfor advance directives and designation of healthcarerepresentatives will be provided. Question-and-answer sessionwill follow.

Alzheimer’s Disease & Forms of Dementia:Diagnosis, Prevention & Treatment OptionsTUES. August 2 (2:30 – 4 p.m.)Monroe Township Senior CenterOne Municipal Plaza, Monroe TownshipPlease call 732.521.6111 to register

Roger Behar, MD, board certified in neurology, electrodiagnositicmedicine and internal medicine and member of the Medical &Dental Staff of Princeton HealthCare System, will discuss thedifferences between Alzheimer’s and other forms of dementia,including warning signs, diagnosis, prevention and risk factors.How to care for a loved one suffering from Alzheimer’s ordementia and treatment options will also be discussed.Question-and-answer session will follow. Light refreshmentsprovided courtesy of Eisai Inc., the leading developer ofAlzheimer’s and dementia medication.

P R I N C E T O N E V E N T S F O R S E N I O R S

Princeton HealthCare System is pleased to offer educational seminars and screenings to seniors residing in Princeton Township and Borough. To register, contact the Princeton Senior Resource Center at 609.252.2362.

Blood Glucose & Cholesterol ScreeningTUES. July 19 (9 – 10 a.m.)

Redding Circle, Community RoomMt. Lucas Road & Ewing Street, Princeton

TUES. July 19 (1 – 2 p.m.)Spruce Circle, Community Room

Spruce Circle & North Harrison Street, Princeton

Please call 609.252.2362 to register

Princeton HealthCare System and Princeton Senior Resource Center are pleased to provide FREE blood glucose and cholesterol screeningsto Princeton residents. Fasting is not required for these screenings.

SAVE THESE DATES




W E S T W I N D S O R T O W N S H I P E V E N T S F O R S E N I O R S

Princeton HealthCare System is pleased to offer FREE health screenings to the seniors residing in West Windsor Township.For more information, call 609.799.9068.

Keys to a Healthy HeartWED. July 6 (10:30 a.m. – 12 p.m.)West Windsor Senior Center271 Clarksville Road, Princeton JunctionPlease call 609.799.9068 to register

Geri Karpiscak, RN C, NurseManager, Cardiac & PulmonaryRehabilitation Program, willreview the most up-to-dateinformation on preventing heartdisease. Discussion will focus onguidelines for modifying yourlifestyle to prevent and treat riskfactors for cardiac disease andmaintain optimum health.

Feel Better With AcupunctureWED. July 13 (10:30 a.m. – 12 p.m.)West Windsor Senior Center271 Clarksville Road, Princeton JunctionPlease call 609.799.9068 to register

Learn how this alternative treatment for disease and pain can beused effectively to help you feel better physically and mentally.Karen Flicker, MS, LAC, OTR, Certified Acupuncturist andOccupational Therapist, University Medical Center at Princeton,will discuss how acupuncture works, new research proving itseffectiveness and treatment for many of the diseases associatedwith aging, such as arthritis and back and neck pain. Ademonstration will be included.

Heart Healthy SnacksWED. July 20 (10:30 a.m. – 12 p.m.)West Windsor Senior Center271 Clarksville Road, Princeton JunctionPlease call 609.799.9068 to register

Join us as Sabina Beesley, RD (Registered Dietitian), UniversityMedical Center at Princeton’s Nutrition Program, discusses hearthealthy cooking. This cooking demonstration will include a new,healthy twist on an old breakfast favorite.

Purposeful Eating:Nutrition Concerns forthe Older AdultWED. July 27 (10:30 a.m. – 12 p.m.)

West Windsor Senior Center271 Clarksville Road, Princeton JunctionPlease call 609.799.9068 to register

Sabina Beesley, RD (Registered Dietitian), University MedicalCenter at Princeton’s Nutrition Program, will discuss how makingsimple changes in your diet can improve your overall health andlower your risk for cardiovascular disease.

Look for these exciting programs in the next issue ofcommunityfocus

September 24 Family Health & Fitness Day USA

September 25 World Heart Day

September 25 2nd Annual Premier Mother & Baby Shower

October 16 Race for the Cure

December 3 3rd Annual Women’s Conference, featuring keynote

speaker Carolyn Kepcher, Executive Vice President of the

Trump Organization and star of NBC’s The Apprentice

Summer School Wednesdays

Carolyn Kepcher, Executive Vice President of the

Trump Organization and star ofNBC’s The Apprentice


Because of these and other life-altering changes, people aged65 and older are a high-risk group for problems such asdepression.

“We should carefully assess older people for depression andother psychiatric disorders because they are a vulnerablepopulation and the diagnoses of such disorders are easilymissed,” says Sanjay Varma, MD,MPH, a board certified geriatricpsychiatrist with Princeton HouseBehavioral Health.

An estimated 20 percent of seniorssuffer from depression. Despitethese figures, depression is not anormal part of aging. If it doesdevelop, it can be treatedsuccessfully.

A Difficult DiagnosisOne problem with depression inolder adults is that it can be hardto diagnose.

“Seniors will often present to theirprimary care physicians with complaints such as stomachaches, headaches or joint aches, which can mask theunderlying depression or other mood disorders,” Dr. Varmasays. Depression may also develop when someone is sufferingfrom an illness such as heart disease, diabetes or cancer, so adoctor may assume the fatigue is from the illness, not fromdepression.

Because depression or other mental illness may not berecognized, up to 63 percent of older adults with a mentaldisorder do not receive the care they need. These aredisturbing figures, especially when depression can often betreated successfully with antidepressant medications,psychotherapy or a combination of the two. One studyshowed that about 80 percent of older adults with depressionrecovered with the combination treatment.

The perception that mental illness is shameful alsodiscourages older adults and others with depression fromgetting the help they need.

“There is still a stigma,” Dr. Varma says. “The geriatricpopulation still has difficulty accepting a diagnosis ofdepression or another psychiatric disorder.”

There Is Help“Seniors need a supportive andstructured setting to help withloneliness, a factor that is stronglycorrelated with depression,” Dr.Varma says. “When they are treatedin this setting, their moods have abetter chance of improving.”

This specialized treatment isavailable through Princeton HouseBehavioral Health’s Senior Linkprogram, which provides care fordepression, anxiety and other mooddisorders. Seniors attend theprogram four to five days a weekfrom 10 a.m. to 3:30 p.m. During

those hours, they receive group psychotherapy, medicationmanagement and group psychoeducational activities. Care isprovided by a compassionate team of licensed professionals,including geriatric psychiatrists, counselors and socialworkers.

Princeton House Behavioral Health offers the Senior Linkprogram at its main campus in Princeton as well as its NorthBrunswick and Cherry Hill outpatient sites. For moreinformation, call 1.800.242.2550 or visit www.princetonhcs.org.

Sources used in this article were the National Institute of Mental Health (NIMH),National Alliance for the Mentally Ill (NAMI) and American PsychologicalAssociation (APA) websites.

pPeople over the age of 65 encounter many challenges. They retire. Their children maymove away. They may develop health problems. Their spouse may die.

An estimated 20 percent of seniorssuffer from depression.

Seniors & Depression


While sunny days are wonderful, it’simportant to play it safe and takeprecautions to protect yourself andyour loved ones from the harmfuleffects of the sun’s ultraviolet (UV)rays.

“The social norm is that it’s OK tosunbathe and engage in outdooractivities during the peak hoursbetween 10 a.m. and 3 p.m., and thatdoesn’t seem to be about to changeanytime soon. We certainly can’texpect people to stay in all day andhide from the sun,” says John E. Vine,MD, a board certified dermatologist,who was recently named a TopCosmetic Doctor by New Jersey Lifemagazine and Castle Connolly.

The solution, Dr. Vine says, is not tohibernate, but to moderate.

Sunburn Is Acute Sun DamageIt is important to remember that thestart of a sunburn is not the first sign ofskin damage. In fact, sunburn isactually a sign of acute sun damage.Sun block simply allows you to stay outin the sun longer before your skinbegins to burn.

“The truth is that, protected orunprotected, sun exposure can damage your skin and resultin wrinkles, brown spots, general aging of the skin andultimately cancerous or precancerous lesions,” cautions Dr.Vine, who is a member of the Medical & Dental Staff ofPrinceton HealthCare System. “And while many people thinkotherwise, tanning salons using artificial light are nearly asdamaging to the skin as actual sunlight.”

For those looking for tanned skin, Dr. Vine suggests tanningcreams. Whenever using a tanning cream for the first time,

test the product on a small area of your skin to ensure thatyou are not allergic to the chemical compound.

“And remember,” Dr. Vine says, “tanning creams are not sunblocks. So it is important to continue using a good sun blockand follow basic sun safety tips even if you are using atanning cream. Common sense and moderation are the keysto summer skin safety.”

Limit peak-hour activities in thesun as much as possible

Wear a sun block rated SPF 30,preferably containing titaniumdioxide or micronized zincoxide, which provide betterprotection than other chemicalformulas

Wear a hat when in directsunlight, if possible one with awide brim

Wear sunglasses while outdoors

Use an umbrella, when possible,to filter the sun’s rays

Summer Skin SafetyDon’t Hibernate, Moderate

Now that summer’s here, you want to spend more time outdoors – tending your garden, playingwith the kids in the pool or just settling into a comfortable chair to soak up some fresh air.

When spending time in the sun, follow these basic rules:

253 Witherspoon Street | Princeton, NJ 08540

NONPROFITU.S. POSTAGE

PAIDUMCP

Princeton HealthCare System 253 Witherspoon St. | Princeton, NJ 08540 | 1.888.PHCS4YOU

Health Focus, a quarterly publication of Princeton HealthCare System, is dedicated to providing you with the latest health-related news and information. The articlesin this publication should not be considered as specific medical advice as each individual circumstance is different. Should you feel the need for medical assistance,please seek advice from your physician. Health Focus is prepared by the Marketing & Public Affairs Department. For questions or information, please call609.497.4191. Entire publication ©2005 Princeton HealthCare System. All Rights Reserved.

Health Focus is published under contract by The Nautilus Publishing Company (www.nautiluspublishing.com); Telephone: 662.513.0159

Cheryl’s story isnot unusual,according toRussell D. Marx,

MD, Medical Director, Eating DisordersProgram, University Medical Center atPrinceton. “Eating disorders can haveserious, and sometimes tragic, results,” heexplains. “As a matter of fact, anorexia hasthe highest death rate of any psychologicalcondition. Recovery takes a considerableamount of hard work and dedication fromboth the patient and the medical stafftreating them. By treating the whole patient,as we do in our program, the chance ofsuccess is greatly increased.”

Eating disorders seriously affect the physicaland mental health of approximately 7 millionfemales and 1 million males in the UnitedStates today. When it comes to eatingdisorders such as anorexia and bulimia,treatment can be complex and challenging,but the rewards are immeasurable whentreatment is successful.

Such was the case with 31-year-old Cheryl,who turned to University Medical Center at

Princeton’s Eating Disorders Program forhelp combating anorexia.

“This program has saved my life,”Cheryl says. “Sure, I’ve done thehard work, but the staff hasworked right alongside me, everystep of the way. Once I waswilling to let them help me, once Irealized they really wanted tohelp me, I began to succeed.”

Success in the UMCP program definitely is amatter of commitment on the part of thepatient and the professional staff, she says.

An Atmosphere of Acceptance & SupportThe goal of the Eating Disorders Program atUniversity Medical Center at Princeton is topromote physical and emotional recoveryin an atmosphere of acceptance andsupport. Because the program is located inthe acute care setting of UMCP — one ofonly two eating disorder treatmentprograms in the state offering in-hospitalcare — patients simultaneously receivecontinued on page 6

Overcoming an Eating Disorder“Anorexia took a toll on every aspect of my life,” says Cheryl* who has beenstruggling to overcome her illness for 13 years. “I lost my job, I lost myindependence when I had to move in with my mother because I couldn’t takecare of myself, and I nearly lost my life. When I came to Princeton, I truly hadonly a few days left to live.”

Signs & SymptomsWarning signs that someone inyour life may have an eatingdisorder include:

Substantial weight lossCompulsive exercisingFrequent talk of food andweightFrequent bathroom visitsafter mealsCessation of menstrual cycle

If you suspect a friend or lovedone may have an eatingdisorder, encourage them toseek help immediately. If leftuntreated, eating disorders canlead to death, often due toheart or kidney failure, or arange of complications such asheart damage, kidney damageand kidney stones, muscledeterioration, osteoporosis,tooth loss or decay anddigestive problems.

*Patient’s name was changed to protect her privacy.

community healthfocus - princetonhcs.org such as massage and acupuncture, are also available....

Documents