connections o ce for mission and spiritual care hope children’s … · 2020. 5. 12. · the...
TRANSCRIPT
-
In this issue:1 Greetings from Wendell Oman1 Grace Notes2 Advocate Christ Medical Center’s
Heart and Vascular Institute
3 Hospice Corner 4 Understanding advance care
planning
Office for Mission &Spiritual Care
The Office for Mission & Spiritual Care provides spiritual care for patients, their families and associates 24 hours a day every day of the year. The office is open Monday through Friday from 8:30 a.m. to 5 p.m. To contact us, call 708.684.5175. Evenings and weekends, ask for the paging operator and request #2296 for the house chaplain or #2299 for the emergency department chaplain.
Advocate Christ Medical CenterHope Children’s Hospital
O!ce for Mission and Spiritual Care
Spring 2012Volume 3, Issue 1
Bridges to Our Faith Communities
It is very important to generate a good attitude, a good heart, as much as possible. From this, happiness in both the short term and the long term for both yourself and others will come.
Dalai Lama
And then . . .As we plan each issue of Connections, we keep you front of mind. We seek to provide you with information about our hospital, insights about pertinent health topics and news about significant future events here at Advocate Christ Medical Center.
And then . . . we like to go a bit beyond.
• On page 2, we give you information about the strengths and services of our hospital’s Institute of Heart and Vascular Health. It has such renown and so much to offer our community.
And then . . . we go on to provide resources for you to use to improve your own heart health or to help a congregant dealing with heart issues.
• On page 4, we offer a full review of advance care planning, including a glossary of common terms and a brief history of advance directives. This is a critical topic.
And then . . . because some faith leaders have had questions about it, we go on to include a straight-forward, easy-to-understand review of the revision
Illinois recently made to its power of attorney for health care.
On each page, in every article, your interests and your needs are at the top of our list. Connections is an important link our Mission & Spiritual Care Office has with our community, its people and its faith leaders.
Rev. Wendell Oman, Vice PresidentOffice for Mission & Spiritual Care
ConnectionsThe passage portrayed in the stained glass window from our 8th floor is Luke 8:43-48. A woman who had unsuccessfully spent 12 years and all her money seeking a cure for her illness turned to Jesus for help. “And he said to her, ‘Daughter, your faith has made you well; go in peace.’”
Grace Notes are readings, poems or quotes from a variety of faith traditions and writers. Each reflection tries to touch on the heart of being human in this world. To receive Grace Notes five or
seven days a week, please click here or contact [email protected] .
Grace Notes
In this issue:
Resources
for clergy
http://visitor.r20.constantcontact.com/d.jsp?llr=5q68jbeab&p=oi&m=1103850501662&id=previewhttp://visitor.r20.constantcontact.com/d.jsp?llr=5q68jbeab&p=oi&m=1103850501662&id=previewmailto:[email protected]:[email protected]
-
Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 2
Advocate Christ Medical Center’s Heart and Vascular Institute
Clergy play an important role in supporting heart health in congregations while also providing pastoral care to individuals who are struggling with heart conditions as well as their caregivers.
Paying attention to their own heart health is also important for clergy. Over the last decade, researchers and church officials alike have expressed concern about the high rate of obesity, stress and chronic disease, including heart disease and high blood pressure, among spiritual leaders.
General resources on heart health
The American Heart Association: The American Heart Association’s website offers extensive information on heart health as well as the treatment of heart conditions. Users can also use the site to find information on local American Heart Association programs and activities. [heart.org]
National Heart, Lung and Blood Institute (NHLBI): NHLBI is a part of the National Institutes of Health. Its website provides educational resources and news about its initiatives, including We Can®, an initiative to encourage people to maintain a healthy weight and The Heart Truth®, a campaign to increase awareness of heart disease in women. [www.nhlbi.nih.gov/index.htm]
Support for caregivers
Advanced Congestive Heart Failure: A Guide for Family Caregivers: This free e-book includes information on congestive heart failure, how to care for someone with this condition at home and suggestions for managing stress and getting help. [medicaring.org/educate/download/chfbookfinal.pdf]
Caring for Seniors with Heart Disease: Advice for Families and Caregivers: This article on Care.com answers many common concerns of family members who are caring for parents or other relatives who are living with heart conditions. [care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.html]
Clergy self-care
Clergy Health Initiative at Duke Divinity School: While this program specifically focuses on the health of United Methodist clergy in North Carolina, its website is rich with resources for clergy who want to address their own physical, mental and spiritual health. [divinity.duke.edu/initiatives-centers/clergy-health-initiative]
Cardiovascular services address the needs of patients from the time that a patient’s physician diagnoses a condition. In addition to testing, patients can receive comprehensive heart care through the Heart and Vascular Institute, including surgery and ongoing rehabilitation services.
The physician teams at Advocate Christ Medical Center’s Heart and Vascular Institute perform over 1,300 open-heart surgeries annually. One of these teams was the first in the United States to implant a HeartMate II® ventricular assist device. Another team was the first to perform robotic mitral valve repair surgery in Illinois. Advocate
Christ Medical Center was also the first healthcare organization to receive Advanced Certification in Heart Failure from The Joint Commission and has earned the Sustained Performance
Award from the American Heart Association for its ongoing commitment to heart health.
Services available
Credentials
Advocate Christ Medical Center’s Heart and Vascular Institute provides comprehensive cardiovascular diagnostic and treatment services to the community. Our patients receive education and support in preventing heart disease along with state of the art treatment, including transplants, and the opportunity to participate in clinical trials.
Resources for clergy
http://divinity.duke.edu/initiatives-centers/clergy-health-initiativehttp://www.heart.org/HEARTORG/http://www.heart.org/HEARTORG/http://www.nhlbi.nih.gov/index.htmhttp://www.nhlbi.nih.gov/index.htmhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://divinity.duke.edu/initiatives-centers/clergy-health-initiativehttp://divinity.duke.edu/initiatives-centers/clergy-health-initiative
-
Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 3
Staff Chaplains:Refat Abukhdeir, Moslem MinistriesCathy Arsenault, MennoniteFr. Bill Browne, Roman CatholicMary Anne Cannon, Roman CatholicP.V. Chandy, QuakerFr. Casimir Eke, Roman CatholicChristy Howard-Steele, Christian Richard James, Southern BaptistStacey Jutila, Evangelical Lutheran ChurchMarjorie Kooy, Christian ReformedEliza Leatherberry, United Church of ChristSr. Peggy Nau, Roman CatholicDavid Safeblade, United Church of ChristTyron Smith, Baptist
Clinical Pastoral Education SupervisorsAngie Keith, Pentecostal ACPE Supervisory Candidate/ChaplainJanet MacLean, United Church of Christ
ACPE Supervisory Candidate/ChaplainPhyllis Toback, Jewish ACPE Supervisor/Chaplain
Clinical Pastoral Education Chaplain ResidentsPaschalis Agu, Roman CatholicKathryn Cook, Baptist
Carla Powell, Evangelical Lutheran ChurchKifah Shukair, Muslim
Secretarial StaffKaren Darr, 708.684.4189
CPE, Ethics Committee, Office of Vice PresidentFran Genender, 708.684.5175
Eucharistic Ministers, the Department, Office of Manager of Spiritual Services
Administrative StaffCorky DeBoer, Christian Reformed
Manager of Spiritual Services, ACPE SupervisorWendell Oman, Evangelical Free Church of America
Vice-President, Mission & Spiritual Care
To subscribe to Connections, call 708.684.5175 or email [email protected] with your name and email address. You’ll receive an electronic edition of Connections every three months.
To continue receiving Connections, your email address must be current. Please inform us of any changes of email address or other contact information. Email [email protected] or call 708.684.5175.
Daybreak Bereavement ProgramsAdvocate Hospice
1441 Branding Lane #220 • Downers Grove, IL 60515
Widow to Widow Ongoing support groupMeets 3rd Saturday of each month, 10 a.m. to 12 noonSupport and guidance is offered to and by women who have lost their partners. There is no charge, but registration is required. Call Penelope Gabriele at 630.829.1753 to register.
Second Year of Grief Workshop – Guest speaker: Coach Enge Wednesday, Feb. 29, 6:30 to 8:30 p.m.For those with one year or more since the death of their loved one. Most people expect it will be easier after the first year. In some ways, the second or third years can be better, but they can be difficult in different ways. While the emotional pain of the primary loss may subside, the resulting secondary losses are becoming more obvious. Explore the various ways of managing grief. Call Penelope Gabriele at 630.829.1753 to register.
Service of RemembranceSiemers Chapel
Advocate Christ Medical Center
Special Memorial Service for Recently BereavedSun., Feb. 19, 4 p.m.A special memorial service will be held for the hospice and patient families of Christ Medical Center and Hope Children’s Hospital who have recently lost a loved one. Christ Mission & Spiritual Care and Advocate Hospice join together in leading this service as a comfort for the families they serve. For more information, contact Penelope Gabriele at 630.829.1753.
(The next service will be May 20.)
Hospice Corner
Advocate Christ Medical Center • Advocate Hope Children’s Hospital4440 West 95th Street, Oak Lawn, IL 60453 708.684.8000
ACMC’s Cancer Institute
Preparing for emergencies In the Summer 2012 Issue
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
-
Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 4
Advance care planning (ACP) begins with exploring and understanding your personal goals and core values so that future health care decisions – should you become unable to make those decisions yourself – align with your beliefs.
At its best, ACP includes a discussion of those goals with the person who represents your preferences for you (your surrogate or agent) and a written plan that clearly and accurately represents them (advance directive).
Choose your surrogate thoughtfully. He/she can be your spouse, an adult child (not necessarily your eldest), a sibling or a close friend. Choose someone you trust with your health care decisions who will respect your wishes and put them into action regardless of his/her own attitudes. Your surrogate needs be prepared to make these
decisions and act during a stressful, difficult time. He/she deserves to know this up front. Not everyone wants this responsibility.
Discuss your wishes in detail until your surrogate fully understands them. The conversation may cover types of medications and treatments you desire, the care you do and don’t want if you are seriously ill or injured and your concerns about end-of-life issues. You may also want to talk about funeral plans. Share with your family who your surrogate is, and explain to them that he/she does not have any power unless you are unable to make health care decisions for yourself.
Begin before ACP is needed. Don't wait for a medical crisis to make decisions about advance care planning. Make decisions while you are able to process information easily and are not under pressure to make hard choices right away.
Many people are unaware of their end-of-life preferences regarding medical treatment simply because they haven’t taken the time to consider them, but once they do, their personal values and spiritual beliefs often lead them smoothly through the process. (Clergy can clarify ethical decisions for people of faith.)
Continued on next page.
Advance care planning (ACP) glossaryAdvance care planning – All communication – both oral and written – that contributes to building a personal plan of your wishes for your future medical care.
Advance directive – A written statement telling how you want your medical decisions to be made in the future if you are unable to make them for yourself. ADs may include:
• Power of attorney for health care – You name someone (a surrogate or agent) to make health care decisions for you if you are unable to make them yourself. (Power of attorney, different from power of attorney for health care, deals with financial decisions and is not empowered to make health care decisions on your behalf.)
• Living will – Directs your physician and indicates your wishes about death-delaying procedures. Not a Last Will and Testament. It applies only when you have a terminal illness from which your doctor thinks you cannot recover and you are unable to make decisions for yourself.
• Do not resuscitate order (DNR) – A medical treatment order saying that cardiopulmonary resuscitation (CPR) will not be used if your heart and/or breathing stops. This form also requires a physician’s signature.
A brief history of advance directives (ADs)1967 – Chicago attorney Luis Kutner suggested the first living will to facilitate the rights of dying people to control decisions about their own medical care.
1968 – Living will legislation presented to a state legislature. The Florida bill failed to pass in 1968 and again in 1973.
1976 – The Karen Quinlan Case raised awareness of right to privacy and appointment of surrogates as end-of-life decision-makers. The concept of an ethics committee was introduced.
1976 – California established rights of patients and surrogates to forego life-sustaining treatments through a written document.
1977 – Forty-three states considered living will legislation; seven states passed bills.
1980s – Legal rulings applied right to forgo treatment to more routine treatments, based on benefits and burdens to individual.
1990 – U.S. Supreme Court’s Nancy Cruzan decision supported an individual’s right to refuse treatment, even life-sustaining.
1991 – The House of Representatives passed the Patient Self-Determination Act (PSDA) that requires hospitals ask patients being admitted if they have or wish to have ADs.
1992 – All states passed legislation legalizing some form of ADs.
Understanding advance care planning
April 16th
National Healthcare Decision Day
-
Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 5
Advocate Health CareAdvocate Health Care Facilities:
Advocate BroMenn Medical Center, Normal Advocate Christ Medical Center, Oak LawnAdvocate Condell Medical Center, LibertyvilleAdvocate Eureka Hospital, EurekaAdvocate Good Samaritan Hospital, Downers GroveAdvocate Good Shepherd Hospital, BarringtonAdvocate Illinois Masonic Medical Center, ChicagoAdvocate Lutheran General Hospital, Park RidgeAdvocate South Suburban Hospital, Hazel CrestAdvocate Trinity Hospital, Chicago
Children’s hospitals:Advocate Hope Children’s Hospital, Oak LawnAdvocate Lutheran General Children’s Hospital, Park Ridge
Share the news! This publication may be copied for use by others if printed acknowledgment of source is included.
Looking for a previous issue? To read back issues of Connections, please go to: advocatehealth.com/newsletters
Forms can lead into conversations. Basic forms are readily available to complete the living will and health care power of attorney, two frequently used documents. The forms themselves can serve as excellent starting points for conversation. But there is so much more to ACP than simply filling out forms! After all, these are very important decisions, so both knowing your own mind and expressing your specific preferences are critical.
Sometimes these conversations are uncomfortable. Discussing your beliefs and values is personal, and strong emotions often
erupt, touching on deep feelings and exposing fears you may want to avoid. But taking the necessary time, working through complex
issues and talking with loved ones about your true wishes is, in fact, an essential part of good care. Not only does it leave your family feeling relieved because they are following your wishes, ACP also ensures respect for your well-being and your right to self-determination.
Preparation is comforting. A family is comforted when they have direction. For some families, forgoing treatment becomes an act of caring. For other families, continuing treatment (perhaps based on cultural or religious beliefs) comforts them because they know it is consistent with their loved one’s wishes.
Guessing a person’s preferences without knowing them can be torture to a family. Families face difficult decisions when ill loved ones become unable to communicate their preferences regarding medical procedures. Dedicated children and siblings can become distraught trying to guess what a loved one might want, and well-meaning relatives seeking to do what’s right may disagree because of lack of concrete direction.
If you become critically ill, are unable to speak for yourself and have not named an agent, Illinois provides guidance for physicians to determine a surrogate for you. This person may or may not be the one you would choose and is less empowered to make decisions than one you have chosen yourself.
Statutory short formIllinois has revised its form for power of attorney for health care. It is a little longer than the previous form, has a few organizational changes and includes more legal jargon.
One of the significant changes is the inclusion of the phrase, “in accordance with reasonable medical standards” as relates to
life-sustaining/death delaying options. With this phrase, the agent who has power of attorney for health care can reflect on what would be beneficial to the patient. If a procedure or treatment does not seem reasonable, the agent can, in good conscience, elect not to use it.
How ACP happens. After considering your wishes, you can complete the AD forms on your own (forms are readily available on line; see Resources above) or with guidance from your faith leader, doctor or trusted advisor. This can be done without a lawyer, but the forms do need to be signed by witnesses. GIve copies to your loved ones and physician.
At Advocate hospitals, each patient is asked at admission if he/she has an AD or wishes information about one. Our chaplains are trained to discuss these decisions compassionately with patients.
Faith leaders themselves sometimes lead a general information session about ACP for their congregants and introduce them to the AD forms. They follow that up with individual conversations and further guidance for those who so wish. This personal touch often removes the barriers to completing advance directives.
Our chaplains can also give congregations presentations on ACP. (For information, call 630.990.5650.)
Continued from previous page.
Resources for ACP• Fivewishes.org (Aging with Dignity – Five Wishes)
• Abanet.org/aging/toolkit (ABA tool kit for ACP)
• www.Idph.state.il.us/public/books/advin.htm
• Isms.org (Illinois State Medical Society)
• aarp.org/families/end_life (AARP - Information on caregiving, long-term care, wills, end-of-life, grief support)
• Cecc.info (Chicago End-of-Life Care Coalition)
• ACP International Conference, Donald E. Stephens Convention Centre, Rosemont, IL, May 31 – June 2.
• Respectingchoices.org (How to develop an ACP program)
• Advocatehealth.com
There is so much more to ACP than simply
filling out forms!
http://advocatehealth.com/newslettershttp://advocatehealth.com/newslettershttp://Fivewishes.org/http://Fivewishes.org/http://www.americanbar.org/groups/law_aging.htmlhttp://www.americanbar.org/groups/law_aging.htmlhttp://www.Idph.state.il.us/public/books/advin.htmhttp://www.Idph.state.il.us/public/books/advin.htmhttp://www.isms.org/patients/Pages/personaldecision.aspxhttp://www.isms.org/patients/Pages/personaldecision.aspxhttp://www.aarp.org/relationships/caregiving-resource-center/endoflifecare.htmlhttp://www.aarp.org/relationships/caregiving-resource-center/endoflifecare.htmlhttp://www.cecc.info/http://www.cecc.info/http://Respectingchoices.org/http://Respectingchoices.org/http://www.advocatehealth.com/http://www.advocatehealth.com/
-
Prac
tica
l Gui
de t
o th
e H
ealt
h C
are
Syst
em:
Whe
re t
o go
whe
n yo
u ne
ed m
edic
al t
reat
men
tTo
day
ther
e ar
e se
vera
l acc
ess
poin
ts fo
r so
meo
ne w
ho h
as
been
inju
red
or is
in n
eed
of im
med
iate
med
ical
atte
ntio
n.
Her
e is
a b
rief
gui
de th
roug
h th
ose
optio
ns.
Hos
pita
l em
erge
ncy
depa
rtm
ent
(ED
): If
you
exp
erie
nce
a su
dden
and
ser
ious
illn
ess
or in
jury
and
nee
d im
med
iate
car
e,
call
911
or g
o th
e ne
ares
t em
erge
ncy
room
. Hos
pita
ls p
rovi
de
24-h
our
care
. (D
o no
t go
to a
n ED
if y
ou d
o no
t hav
e a
life-
thre
aten
ing
situ
atio
n be
caus
e yo
u m
ay d
elay
trea
tmen
t for
so
meo
ne n
eedi
ng e
mer
genc
y ca
re a
nd b
ecau
se in
sura
nce
does
no
t cov
er n
on-e
mer
genc
y ca
re in
an
ED.)
Con
tact
you
r pr
imar
y ca
re p
hysi
cian
as
soon
as
you
are
trea
ted.
He/
she
will
ass
ist
you
with
add
ition
al o
r fo
llow
up
care
and
upd
ate
your
rec
ords
.
Free
-sta
ndin
g em
erge
ncy
depa
rtm
ent:
The
se fa
cilit
ies,
ofte
n sa
telli
tes
of h
ospi
tals
, may
not
be
open
aro
und
the
cloc
k bu
t ar
e eq
uipp
ed w
ith b
oard
-cer
tified
em
erge
ncy
med
icin
e ph
ysic
ians
and
nur
ses
and
offe
r a
full
arra
y of
labo
rato
ry
serv
ices
and
dia
gnos
tic to
ols.
Prim
ary
care
phy
sici
an: H
avin
g yo
ur o
wn
doct
or w
ho k
now
s yo
u an
d is
fam
iliar
with
you
r he
alth
his
tory
is v
ery
wis
e. N
ot
only
can
suc
h a
phys
icia
n tr
eat y
ou a
nd d
irec
t you
as
illne
sses
an
d em
erge
ncie
s ar
ise,
this
med
ical
pro
fess
iona
l can
als
o he
lp
you
stay
hea
lthy,
gui
de y
ou to
opt
imum
wel
lnes
s an
d he
lp y
ou
keep
cur
rent
with
vac
cine
s, s
cree
ning
s, e
tc.
Med
ical
clin
ics:
Min
or il
lnes
ses
and
inju
ries
, ski
n tr
eatm
ents
an
d va
ccin
atio
ns c
an b
e ha
ndle
d in
a m
edic
al c
linic
, ofte
n lo
cate
d in
the
phar
mac
y of
a c
hain
sto
re. P
atie
nts
are
seen
on
a fir
st-c
ome,
firs
t-se
rved
bas
is. V
isits
with
the
med
ical
pr
ofes
sion
al a
re u
sual
ly b
rief
. Pat
ient
s m
ay n
eed
to b
e ov
er 2
ye
ars
of a
ge, a
nd c
over
age
for
indi
vidu
al s
ervi
ces
vari
es b
y in
sura
nce
prov
ider
.
Com
ing
in F
ebru
ary:
The
impo
rtan
ce o
f a m
edic
al h
ome
Plan
for
a he
alth
y ba
by
Bir
th d
efec
ts o
ccur
whi
le a
bab
y is
gro
win
g du
ring
pre
gnan
cy.
The
mos
t com
mon
are
hea
rt d
efec
ts, c
left
lip a
nd p
alat
e, D
own
Synd
rom
e an
d sp
ina
bifid
a. C
ause
s m
ay b
e ge
netic
or
rela
ted
to
infe
ctio
n or
hea
lth b
ehav
iors
dur
ing
preg
nanc
y.Yo
u ca
nnot
cha
nge
your
gen
es, b
ut y
ou c
an m
ake
choi
ces
that
en
hanc
e yo
ur li
kelih
ood
of h
avin
g a
heal
thy
baby
and
red
uce
the
risk
of h
is/h
er b
eing
bor
n w
ith h
ealth
pro
blem
s. B
efor
e be
com
ing
preg
nant
:✦
Get
a G
erm
an m
easl
es (R
ubel
la) v
acci
natio
n.
✦B
egin
taki
ng a
vita
min
con
tain
ing
folic
aci
d.✦
Dis
cuss
with
you
r do
ctor
all
pres
crip
tion
and
over
-the
-cou
nter
med
icat
ions
you
take
.W
hile
you
are
pre
gnan
t:✦
Con
trol
any
chr
onic
med
ical
con
ditio
ns.
✦G
et e
arly
pre
nata
l car
e, a
nd g
o to
eve
ry a
ppoi
ntm
ent.
✦D
o no
t sm
oke
or u
se a
lcoh
ol o
r re
crea
tiona
l dru
gs.
✦A
void
har
mfu
l che
mic
als,
incl
udin
g m
any
com
mon
pro
duct
s.✦
Eat a
hea
lthy,
bal
ance
d di
et; a
void
eat
ing
raw
or
unde
rcoo
ked
mea
t and
food
s m
ade
from
unp
aste
uriz
ed m
ilk.
Som
etim
es, d
espi
te o
ur b
est e
ffort
s, b
abie
s ar
e bo
rn w
ith
diffe
rent
bod
ies
or a
bilit
ies.
Whe
n th
at h
appe
ns, w
e af
firm
thei
r be
auty
as
God
’s gi
ft to
us.
Fai
th c
omm
uniti
es a
re w
onde
rful
pl
aces
for
child
ren
with
spe
cial
nee
ds to
find
val
idat
ion
and
for
thei
r pa
rent
s to
get
sup
port
.
1-12
Janu
ary
– B
irth
Def
ects
Pr
even
tion
M
onth
Res
ourc
es: c
dc.g
ov/p
regn
ancy
• je
wis
hgen
etic
scen
ter.o
rg •
eas
ylea
rnge
netic
s.ne
t•
Dat
abas
es o
f int
eres
t: D
ieta
rysu
pple
men
ts.n
lm.n
ih.g
ov/d
ieta
ry;
hous
ehol
dpro
duct
s.nl
m.n
ih.g
ov/p
rodu
cts.
htm
The
Coo
k C
ount
y D
epar
tmen
t of P
ublic
Hea
lth h
as o
utst
andi
ng p
rese
ntat
ions
for
grou
ps o
n th
is to
pic.
If y
ou a
re in
tere
sted
con
tact
Jean
ne T
aver
ne a
t 708
-786
-405
4.
Pray
er:
Dea
r G
od, b
e w
ith p
aren
ts w
ho le
arn
thei
r ch
ildre
n w
ill h
ave
spec
ial c
halle
nges
. Hel
p th
em s
eek
supp
ort f
rom
a
lovi
ng c
omm
unity
. Car
e fo
r th
ose
who
wor
k so
har
d to
trea
t an
d pr
even
t birt
h de
fect
s. A
men
.
http://cdc.gov/ncbddd/pregnancy_gateway/index.htmlhttp://cdc.gov/ncbddd/pregnancy_gateway/index.htmlhttp://jewishgeneticscenter.org/http://jewishgeneticscenter.org/http://www.easylearngenetics.net/easy/default.aspxhttp://www.easylearngenetics.net/easy/default.aspxhttp://dietarysupplements.nlm.nih.gov/dietary/http://dietarysupplements.nlm.nih.gov/dietary/http://householdproducts.nlm.nih.gov/products.htmhttp://householdproducts.nlm.nih.gov/products.htm
-
Prac
tica
l Gui
de t
o th
e H
ealt
h C
are
Syst
em:
The
bene
fits
of h
avin
g a
med
ical
hom
eM
any
peop
le h
ave
a us
ual s
ourc
e fo
r he
alth
car
e. T
hey
go to
th
is s
ourc
e w
hene
ver
they
hav
e ne
w h
ealth
pro
blem
s, n
eed
prev
entiv
e ca
re o
r se
ek r
ecom
men
datio
ns fo
r re
ferr
als.
Esta
blis
hing
an
ongo
ing
rela
tions
hip
with
a p
hysi
cian
is w
ise.
Se
lect
ing
a do
ctor
whe
n yo
u ar
e in
urg
ent n
eed
of c
are
can
be
exha
ustin
g, fr
ustr
atin
g an
d ov
erw
helm
ing.
A d
octo
r w
ho k
now
s yo
u be
caus
e he
/she
has
see
n yo
u ov
er
the
cour
se o
f sev
eral
yea
rs h
as a
kno
wle
dge
of y
ou th
at is
far
mor
e th
an s
kin
deep
. Tha
t phy
sici
an h
as in
sigh
ts in
to y
our
exis
ting
cond
ition
s, y
our
hist
ory
and
your
per
sona
lity.
He/
she
has
a ba
selin
e of
kno
wle
dge
that
is b
oth
obje
ctiv
e an
d su
bjec
tive.
Tha
t doc
tor
know
s w
hat i
s no
rmal
for
you
and
wha
t is
abno
rmal
for
you,
how
muc
h st
ress
you
exp
erie
nce
in
your
wor
k, th
e dy
nam
ics
of y
our
fam
ily a
nd h
ow to
bes
t wor
k w
ith y
ou to
impr
ove
your
wel
l-be
ing.
Hav
ing
a re
gula
r ph
ysic
ian
has
a be
nefic
ial e
ffect
on
man
y he
alth
car
e se
rvic
es, i
nclu
ding
pre
vent
ive
serv
ices
for
child
ren
and
redu
ctio
ns in
hos
pita
l use
am
ong
patie
nts
with
chr
onic
pr
oble
ms.
Dia
betic
s w
ho h
ad s
tand
ing
rela
tions
hips
with
thei
r do
ctor
s w
ere
mor
e lik
ely
to fo
llow
a d
iabe
tic d
iet,
mon
itor
thei
r su
gars
and
rec
eive
rec
omm
ende
d pr
even
tive
exam
s.
Ove
r tim
e, d
eep
trus
t dev
elop
s be
twee
n do
ctor
and
pat
ient
. H
ones
t ans
wer
s –
even
to h
ard
ques
tions
– b
ecom
e ea
sier
to
spea
k. C
omm
unic
atin
g ab
out p
ain
and
need
s be
com
es le
ss
awkw
ard.
Sha
me
disa
ppea
rs.
A d
octo
r w
ho k
now
s th
e pa
tient
wel
l ser
ves
the
patie
nt b
est.
Sim
ply
havi
ng a
n on
goin
g re
latio
nshi
p w
ith a
phy
sici
an c
an
mea
n gr
eate
r w
elln
ess
for
you
and
your
love
d on
es.
Res
ourc
es:
1-80
0-3-
AD
VO
CAT
E or
Adv
ocat
ehea
lth.c
om •
find
ahea
lthce
nter
.hrs
a.go
v
Com
ing
in M
arch
: H
ow to
sel
ect a
prim
ary
care
phy
sici
an
Wom
en a
nd h
eart
att
acks
We’
ve k
now
n fo
r a
whi
le th
at m
en a
re fr
om M
ars
and
wom
en
are
from
Ven
us, b
ut w
e ar
e ju
st n
ow le
arni
ng th
at th
e se
xes
are
diffe
rent
in a
noth
er r
espe
ct: h
ow th
ey e
xper
ienc
e he
art a
ttack
s.
A w
oman
’s sy
mpt
oms
of h
eart
atta
ck c
an b
e dr
amat
ical
ly
diffe
rent
from
a m
an’s
and,
in fa
ct, l
ess
dram
atic
. Per
haps
this
is
the
reas
on w
omen
hav
e m
ore
unre
cogn
ized
hea
rt a
ttack
s th
an
men
and
are
mor
e of
ten
mis
diag
nose
d in
ED
s an
d se
nt h
ome!
Bot
h se
xes
ofte
n ex
peri
ence
thes
e sy
mpt
oms
of h
eart
atta
ck:
✦Pr
essu
re o
r a
sque
ezin
g pa
in in
the
cent
er o
f the
che
st w
hich
m
ay s
prea
d to
the
neck
, sho
ulde
r or
jaw
✦Li
ght-
head
edne
ss, f
aint
ing,
sw
eatin
g, n
ause
a or
sho
rtne
ss o
f bre
ath
Man
y w
omen
– 4
3% o
f the
m, i
n fa
ct –
nev
er
expe
rien
ce a
cute
che
st p
ain
duri
ng a
hea
rt
atta
ck. M
any
do h
ave
shor
tnes
s of
bre
ath,
but
they
m
ay a
lso
expe
rien
ce u
nexp
lain
ed fa
tigue
or
pres
sure
in
the
low
er c
hest
whi
ch c
an b
e m
ista
ken
as a
sto
mac
h pr
oble
m.
Unu
sual
fatig
ue, n
ause
a, d
izzi
ness
, dis
com
fort
that
feel
s lik
e in
dige
stio
n, b
ack
pain
– th
ese
sym
ptom
s ar
e no
t unc
omm
on fo
r a
wom
an h
avin
g a
hear
t atta
ck. I
t’s a
lso
wor
th n
otin
g th
at s
ome
wom
en –
abo
ut s
ix w
eeks
bef
ore
the
actu
al h
eart
atta
ck –
hav
e sh
ortn
ess
of b
reat
h, u
nexp
lain
ed fa
tigue
or
stom
ach
pain
as
an
earl
y w
arni
ng s
ign
that
they
mig
ht h
ave
a bl
ocke
d ar
tery
.
If yo
u be
lieve
you
're
havi
ng a
hea
rt a
ttack
sym
ptom
, dia
l 911
im
med
iate
ly fo
r an
am
bula
nce
to ta
ke y
ou to
the
ED.
2-12
Febr
uary
–
Am
eric
an
Hea
rt M
onth
Res
ourc
es: A
dvoc
ateh
ealth
.com
• W
omen
hear
t.org
• w
ww
.nhl
bi.n
ih.g
ov/h
ealth
/pu
blic
/hea
rt/o
ther
/hhw
/hdb
k_w
mn.
pdf (
The
Hea
lthy
Hea
rt H
andb
ook
for W
omen
) •
heal
thie
rchi
cago
.org
(Liv
eWel
l Nat
iona
l Con
fere
nce,
hos
ted
by B
uild
ing
a H
ealth
ier
Chi
cago
, Hya
tt R
egen
cy C
hica
go, J
une
6 -
7) •
kno
wyo
urnu
mbe
rs.c
om/h
eart
/ad
voca
te.h
tml
Pray
er:
Dea
r Lo
rd, w
e w
ear
red
this
mon
th to
hon
or th
e he
arts
of
the
wom
en in
our
live
s: m
othe
rs, g
rand
mot
hers
, sis
ters
, dau
ghte
rs, c
o-w
orke
rs a
nd fr
iend
s. B
e w
ith th
em e
ach
and
ever
y da
y. A
men
.
http://www.advocatehealth.com/http://www.advocatehealth.com/http://findahealthcenter.hrsa.gov/Search_HCC.aspxhttp://findahealthcenter.hrsa.gov/Search_HCC.aspxhttp://www.webmd.com/digestive-disorders/picture-of-the-stomachhttp://www.webmd.com/digestive-disorders/picture-of-the-stomachhttp://www.advocatehealth.com/http://www.advocatehealth.com/http://womenheart.org/http://womenheart.org/http://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://healthierchicago.org/http://healthierchicago.org/http://knowyournumbers.com/heart/advocate.htmlhttp://knowyournumbers.com/heart/advocate.htmlhttp://knowyournumbers.com/heart/advocate.htmlhttp://knowyournumbers.com/heart/advocate.html