LIVES - Glencoe Regional Health
TOUCHING LIVES FA L L 2 0 1 8 IN THIS ISSUE: 2 Emergency Medicine 4 Nursing Home Tour 7 Meet Our New Providers Presort Standard US Postage PAID Twin Cities, MN Permit No. 93723 Allen Glessing, who farms near Waverly, is still recovering from a July 18 tractor accident that cracked several neck vertebrae. He has visited the GRHS ER many times in the last year. Allen’s WRENCH Tractor accident puts farmer on track for record number of ER visits On a beautiful morning this past July, Allen Glessing, ditch and drove him to the Glencoe Regional Health 72, left his family farm near Waverly to drive an Services (GRHS) emergency room (ER). antique tractor to show it at the Wright County Fair. This was no ordinary tractor. It was his father’s first one: a refurbished, shiny red 1946 Farmall. “I only have red tractors and I only drive Fords,” he notes. Despite a lifetime of farming, Allen had never had a work-related accident. Nor did he long to be in the spotlight. But when he arrived in the ER that day in July, many of our staff recognized him; some even Before setting out, Allen told his wife, Sharon, that remembered him by name. That’s because it was his he’d call her for a ride home when he reached the third trip to our ER in just seven months: fairgrounds. A short time later, just a quarter-mile up the road, the nut that held the Farmall’s steering wheel in place fell off, followed by the steering wheel itself. 1 DECEMBER 2017 Allen’s first ER visit was diabetes-related. He’d been wearing too-tight shoes for a few months, which caused several large, weeping blisters. He collapsed Unable to steer, Allen twisted to the left as his and was taken to the ER, where staff recorded a tractor lurched to the right and nosed into the ditch. 103-degree fever. Allen was admitted to the hospital Instead of falling clear, Allen got caught on the rear and diagnosed with a blood clot in his left leg. tire, which flipped him over and dumped him into the ditch while the tractor continued on into the Glessings’ cornfield. HELP ARRIVES 2 MARCH 2018 Allen’s second trip to the ER was for a broken bone in his foot. Once again, something more serious was detected. Lab tests revealed blood Allen’s son, Dan, soon drove the same route while and bone infections, which landed Allen in the hauling manure and stopped to investigate the tracks hospital for a seven-week stay. leading into the corn. He found his father in the Continued on page 2 GRHSONLINE.ORG 1
Emergency Medicine IS A ‘TEAM SPORT’ Members of the GRHS ER team include (l to r): Liban Hired, MD; Kiersten Hinze, RN; Davis Sand, MD; and Peggy Wick, RN. When a seriously ill or injured patient arrives in when needed and interact with patients’ families. the ER, our staff is ready to jump into action. Each Besides the required technical knowledge and person has a specific role and knows how to work abilities, GRHS emergency medicine specialist Liban quickly and in concert with coworkers to stabilize to DAVIS SAND, MD Hired, MD, says ER staff employ soft skills such the patient, make a diagnosis and begin treatment. as a calm demeanor and active listening. “These Emergency medicine is ‘a team sport’ that is practiced well in Glencoe, says our emergency A Warm Welcome comforting factors help put patients at ease,” he says, “and make them feel that they are in good hands.” medicine department head, Mitch Palmer, MD. EXPERTS YOU CAN COUNT ON “We have a cohesive team that strives to care for ER patients as we would want our own family Six GRHS-employed physicians work nearly all of members cared for. When we have a critical case, our ER shifts. Four of these doctors are dedicated the team functions well together under pressure.” TEAM PLAYERS Physicians lead the care team but nurses play a vital emergency medicine specialists, while two also practice in our family medicine department. “The ER nurses and other staff are used to working Davis Sand, MD, recently joined our emergency role. Depending on a patient’s needs, clinical staff with a consistent group of physicians, and this medicine department. He has experience working from radiology, respiratory therapy or other ancillary creates more consistency in patient care,” says in large and small hospital ERs. Dr. Sand is services or specialties also may be called in to help emergency medicine specialist Davis Sand, MD. passionate about serving rural communities. with diagnosis or treatment. Other members of the “It also allows for more discussion and feedback on “I understand the lifestyles, personalities and ER team monitor incoming ambulances, assist with cases, so we’re always learning from each other priorities,” he says. When he’s not working shifts in triaging patients, arrange transfers to other hospitals and improving.” the ER, he continues to help on his family’s farm. Allen’s Wrench, continued from page 1 3 JULY 2018 When Allen arrived at the ER after his mishap with the tractor, the staff – surprised to see him yet again – immediately put a stabilizing collar around his neck. Imaging showed Allen had two cracked vertebrae. A spine specialist later performed surgery at Abbott Northwestern Hospital in Minneapolis, using cadaver bones to align and hold Allen’s damaged neck vertebrae in place, and a titanium plate to stabilize them. 4 SEPTEMBER 2018 Allen was placed on a diet of thickened liquids during his recuperation from neck surgery. On his second night home from Abbott Northwestern, he collapsed while getting out of bed. An ambulance took a feverish Allen to the GRHS ER, where he was diagnosed with aspiration pneumonia. Swallowing problems 2 GRHSONLINE.ORG had caused some of the liquids to get into his lungs, and the resulting infection was treated during yet another hospital stay. SUPPORT SYSTEM Allen credits faith, prayer and family, especially his wife Sharon, for carrying him through each health crisis in this most unlucky year. “She’s the best thing that’s ever happened to me,” Allen says. Sharon was in the ER with Allen all four times. She rarely missed a day of visiting him at the hospital, either. She joined him for dinner most days, and they talked by phone every night. “My wife loves me dearly,” he says. “Either that or she doesn’t trust me with the nurses.” The GRHS ER team is standing by, should Allen ever need to visit us again. Allen and Sharon Glessing are grateful for each other – and for the excellent care at the GRHS emergency room.
THE LIGHTS ARE ON AND EVERYONE’S HOME The construction dust at GlenFields Living with Care has begun to settle, and so have the residents. At the end of August, 72 residents moved from shared rooms in our one-story nursing home building to their new private rooms in a brandnew two-story building that expands the footprint of our campus in Glencoe. “We’ve been just thrilled to welcome them to their new home,” says Julie Schmidt, GlenFields administrator. NEW NAME IS FITTING To coincide with the debut of the new building, the nursing home long known as GRHS Long Term Care was rechristened GlenFields Living with Care. “Our new name evokes the natural landscape where our organization was built and continues to prosper. It also says we aren’t a traditional nursing home anymore,” says Schmidt. The new building is an important milestone in our transition from an institutional style of skilled nursing care to a modern, resident-centered approach. It is organized into four living units, with up to 18 residents each, called households. Staff roles have been redesigned so that each household operates like a family home in which residents have flexibility in their daily routines and can make choices about meals and activities. Orchard Estates tenant Arlene Gilster helped her husband John decorate his new private room at GlenFields Living with Care. Residents moved into the new nursing home building in late August. CONSTRUCTION NEARS END with Alzheimer’s disease and other forms of The resident move-in marked the end of the first dementia (opening Spring 2019) phase of a three-part project. The second and third phases of construction will transform the A memory-care household for up to 18 residents A transitional care household with a large gym existing nursing home building to meet specialized and outdoor courtyard that will serve up to needs and provide social spaces for all GlenFields 18 residents who need short-term skilled nursing residents and visitors, including: care and physical, occupational and/or speech A bustling town center where residents can enjoy a large-group activities room, salon, gift therapy before going home after a hospital stay (opening Fall 2019) shop, café, chapel, spiritual room and bedroom suite for overnight guests (opening Spring 2019) AWARD-WINNING CARE We’re proud of our long tradition of quality in skilled nursing care, but we don’t ask you to simply take our word for it. The following organizations study nursing homes’ performance against key measures of quality, and they consistently recognize GlenFields Living with Care as being among the very best. NURSING HOME COMPARE U.S. NEWS & WORLD REPORT overall quality in Medicare’s national Nursing MINNESOTA ONE HEALTH ANTIBIOTIC STEWARDSHIP COLLABORATIVE Home Compare program. Our current rating is GRHS was recently named to this statewide year in a row we’ve earned U.S. News’ top rating of five stars out of a possible five stars, meaning initiative’s Gold Honor Roll for our efforts to “high-performing” in the overall quality category. GlenFields is “much above average” when ensure appropriate antibiotic use in hospitalized This designation puts us in the top 19 percent of compared to other nursing homes. For details, patients and nursing home residents. For details, all nursing homes nationwide. For details, visit visit medicare.gov/nursinghomecompare/ visit health.state.mn.us/onehealthabx/honor/ health.usnews.com/best-nursing-homes and use and use the search tool to find Glencoe Regional honorltc.html and scroll down to Glencoe Regional the links under Nursing Homes by State to search Health Services. Health Services. for Glencoe Regional Health Services. We’ve consistently earned the highest ratings for This national publication recently named us a U.S. News 2018-2019 Best Nursing Home. It’s the second GRHSONLINE.ORG 3
A GRAND TOUR OF GlenFields Living with Care BUILDING EXTERIOR GlenFields has a private drive at 2015 Hennepin Ave. N., and a canopied entrance to make coming and going pleasant in any weather. NEIGHBORHOODS There are two households per floor and each floor is called a neighborhood. Doors set between the dining rooms of adjacent households can be opened for neighborhood activities, events and celebrations. RESIDENT ROOMS Each resident has a private room with an attached bathroom, personal TV and large window that safely opens to let in fresh air. Residents can also dim or brighten the lights and control their room’s temperature. SUNROOMS The sunrooms are bright spots where residents can assess the weather and enjoy the view. One sunroom per household is equipped with a Nu-Step recumbent cross-training machine. PRIVATE BATHROOMS Residents’ bathrooms feature an accessible shower and heat lamp. The cabinet has a pass-through door to the hall, so staff can deliver fresh towels and other supplies without disturbing the resident. 4 GRHSONLINE.ORG
HOUSEHOLD DINING ROOMS Each household has a dedicated dining room for its 18 residents, which creates a home-like atmosphere and enables staff to give personal attention during meals. Coffee, tea and water are always available at the self-serve beverage station. FAMILY DINING ROOMS The family dining room in each household offers a more private setting for residents who have visitors at mealtimes or want to host small gatherings. HOUSEHOLD FLOOR PLAN The new building has four households with similar floor plans. Each household has 18 resident rooms, a spa, two sunrooms, a living room, a laundry room, a household dining room, a family dining room and a kitchen. LIVING ROOMS Each household has its own living room with a large TV, computer, puzzle table and patio or deck. The living room also includes a cozy hearth area. HALLWAYS Extra-wide hallways with handrails make it easy for residents to share the road, regardless of whether they get around unassisted or use a walker or wheelchair. GRHSONLINE.ORG 5
Do You Have MEDICARE PART B? We’ve Got Your Wellness Visit Covered Staying healthy is important at any age. If you’re enrolled in Medicare Part B, you’ll want to take advantage of preventive health services that Part B covers at 100 percent. At no cost to you, a Medicare wellness visit can help you spot opportunities to prevent illness or disability, based on your current health and NEW DEPARTMENT We’ve created a new department – Preventive Meet visits. Phyllis Phelps, FNP-BC, sees patients in this PHYLLIS PHELPS, FNP-BC department, which is located at our Glencoe clinic. WELCOME TO MEDICARE VISIT She may have traded sunny Florida for snow-dusted She will inform your primary care provider of Minnesota nearly two years ago, but there’s still one any issues or concerns that are noted during your item Phyllis Phelps, FNP-BC, would like to check WHEN: You may schedule this visit any time wellness appointment. off her bucket list.“I hope to go ice fishing someday,” risk factors. Two types of appointment are covered: during your first 12 months of enrollment in Health Services – to handle all Medicare wellness Medicare Part B. WELLNESS VISITS WHAT: A one-time visit that includes taking Welcome to Medicare Visit nor the Annual your vital signs, giving you a vision test and a mental health screening, and making a plan for PHYSICALS It’s important to understand that neither the Wellness Visit are the same as a routine physical, she says. “It’s amazing that you can walk on frozen water, drill a hole and pull out a fish!” FOCUSED ON WELLNESS A certified family nurse practitioner, Phyllis joined which is any visit to your GRHS primary care GRHS in early November. In her new role, she provider that isn’t directly related to diagnosing, works with patients who have Medicare coverage to treating or managing a particular symptom, identify issues that may put them at risk for serious condition or injury. medical conditions or injuries. During a routine physical, your doctor will Phyllis is passionate about helping her patients lead examine you head-to-toe, order routine lab healthier lives. “As we grow older, sometimes our tests and talk to you about ways to reduce risk goals and needs change. I invite patients to explore WHEN: You can schedule this visit if you factors. The purpose is to look for potential health their health goals with me,” she says. “It’s an honor enrolled in Part B more than 12 months ago. problems that merit further investigation or to listen and help them be their best.” WHAT: This once-a-year visit includes: taking confirm your wellness. NOTE: Medicare Part B the screening tests and other preventive services you’ll need based on your history. PURPOSE: To help you take steps to stay healthy. ANNUAL WELLNESS VISIT your vital signs; reviewing your medical history; developing or updating a list of your current providers and prescriptions; making a list of risk factors and treatment options for you; and making a checklist of screening tests and other preventive services that are appropriate to your needs. PURPOSE: To help you take steps to stay healthy. does not cover routine physicals. ALWAYS BUSY, OFTEN HELPING Phyllis’ desire to be closer to her daughter, Our schedulers can help you determine the type son-in-law and newborn grandson brought her of appointment that best meets your needs and to Minnesota. Outside of work, you’ll find Phyllis explain the cost and coverage implications. Call tending to her flower garden, testing new recipes in them at 320-864-7816 or toll free 1-800-869-3116. her kitchen and roaming through flea markets. She Visit grhsonline.org/medicare-wellness-visits for volunteers with medical missions and Loaves and more information. Fishes, and enjoys activities at her church. Why drive? Specialists bring their expertise to GRHS When you’re facing a difficult diagnosis or need advanced care, traveling to see specialists can be a real pain. That’s why GRHS brings the expertise and skills of physicians in a wide range of medical specialties to you. You can learn more about them at grhsonline.org/medical-staff. LYLA VEEN, MD NEUROLOGY & SLEEP MEDICINE Dr. Veen is a board-certified neurologist who provides care for conditions that affect the brain, spinal cord and peripheral nervous system, such as headaches, epilepsy, stroke and Parkinson’s disease. She also diagnoses and treats sleep apnea, insomnia and other sleep disorders. She sees patients at GRHS two Wednesdays per month. To schedule an appointment, call 320-864-7080 or toll free 1-888-526-4242, ext. 7080. 6 GRHSONLINE.ORG
Born to Work Here MEET NINA APPLEBY, DO When Douglas Wagoner, MD, delivered Nina She completed her medical degree at Des Moines that can help everyone. “In many ways, health is Schiroo more than 30 years ago, little did he know University and her residency at the Mayo School a function of the family,” she says. “If you want to she would one day become his colleague in the of Graduate Medical Education in Rochester, Minn. eat healthy and exercise, it’s difficult when the rest GRHS family medicine department. On Oct. 1, Nina Schiroo Appleby, DO, began her practice at GRHS, where she provides family medicine and obstetrical care. She hopes to have the honor of delivering a future colleague someday, too. Dr. Appleby graduated from Glencoe-Silver Lake High School and won scholarships from the GRHS Foundation to support her education. of your family regularly eats fast food and chooses CARING FOR FAMILIES TV over physical activity. To gain health, doing it Dr. Appleby sees male and female patients of all as a family is best.” ages for preventive care and treatment of a variety of medical concerns. During her training, she CLINIC AND HOSPITAL DUTIES delivered babies and cared for patients ranging Dr. Appleby sees patients at the Glencoe clinic and works shifts as a hospitalist where she oversees from newborns to age 103. She appreciates the opportunity to care for whole families, and counsel them about lifestyle changes care for patients in the acute care and transitional care units. Having two roles is enjoyable, she says, because her hospital duties require a different set of skills than seeing patients at the clinic. HAPPY TO BE HOME When she’s not busy with her patients, Dr. Appleby “When I was four, I told my grandma I wanted to be a doctor.” enjoys making music, sewing, woodworking, cooking and her annual fishing trip to Lake Mille Lacs. She lives in Hutchinson with her husband, Richard, their infant and two-year-old daughters, and a goldendoodle named Charlie. Dr. Appleby always knew she wanted to work in a small town. Finding the right practice in her small hometown was a bonus. “I love being near family,” she says, “I like the kind of community Glencoe is, and the kind of people Glencoe has.” MEET PRASUNA DUBAGUNTA, MD Passion for People Born and raised in India, Prasuna Dubagunta, MD, comes from a family of engineers. But her favorite subjects were life sciences, such as biology. She “I feel great when my patients feel understood.” realized early that her passion was medicine. “I like the human side of it – connecting with people, getting to know them and helping them,” she says. “We need to create an environment where patients feel comfortable and have confidence we will answer their questions.” Dr. Dubagunta studied at a medical college in India before moving to the United States and completing her medical degree at Texas Tech University in El Paso. Her specialty is internal medicine. “I like the variety, and the completeness of the picture you don’t have as a specialist,” she says. “You know each organ system, and get impressions of Glencoe’s friendly people and fine-tuning care plans over time, especially for to know patients over time, so you can catch GRHS’ emphasis on primary care. patients with high blood pressure and diabetes. THREE-DIMENSIONAL PRACTICE SMALL-TOWN LIVING Dr. Dubagunta sees patients in three settings: Dr. Dubagunta lives in Cologne with her husband, abnormalities quickly.” SOUTHERN EXPOSURE Before starting at GRHS on Oct. 1, Dr. Dubagunta adult patients at our clinics in Glencoe and Lester Kishore. He works from home as a software practiced in two rural communities in Georgia Prairie; residents at GlenFields Living with Care; developer. “We love the small-town environment,” for five years, and in Dallas, Texas, for about 10 and patients hospitalized in the acute care and she says, “and appreciate our proximity to both years. She also served as an assistant professor of transitional care units. In the hospital, she monitors Glencoe and the Twin Cities.” community medicine at the University of North patients’ status, orders tests and medications, and Texas in Fort Worth. updates their primary care providers. So yes, she is about to experience snow-that-sticks She most enjoys managing chronic conditions and for the first time, but she was sold on her first Away from work, Dr. Dubagunta enjoys reading, gardening, cooking and meditation, as well as spending time with family and friends. GRHSONLINE.ORG 7
TOUCHING LIVES PUBLISHER Glencoe Regional Health Services 1805 Hennepin Avenue North Glencoe, MN 55336 MANAGING EDITOR Nancy Ellefson Your ideas and opinions are important to us. Contact Nancy Ellefson at 320-864-7798 or nancy.ellefson@grhsonline.org with suggestions or comments. Care & Services MEDICAL SPECIALTIES Audiology Cardiology Emergency Medicine Family Medicine General Surgery Hematology Hospitalists Internal Medicine Midwife Services Nephrology Neurology Obstetrics and Gynecology Oncology Orthopedics Otolaryngology (ENT) Pediatrics Podiatry Pulmonology Urology MEDICAL SERVICES Acute Care Unit Ambulance Anticoagulation Clinic Best Beginnings Birth Center Cardiac Rehabilitation Diabetes Education Emergency Room Health Care Home Program Infusion Services Laboratory Medical Imaging Occupational Therapy Physical Therapy Preventive Health Services Respiratory Therapy Sleep Study Clinic Speech-Language Therapy Transitional Care Urgent Care Vascular Consultations Ventilator Care and Liberation Wound Care SKILLED NURSING CARE GlenFields Living with CareSM INDEPENDENT SENIOR LIVING Orchard Estates FOUNDATION News In support of our community’s health Brownton Assistant Fire Chief Lori Copler (right) and crew members Jason Lindeman (left) and Shannon Jerabek (center) show off the ResQCPR system their department received from the GRHS Foundation this year. HELPING LOCAL FIREFIGHTERS The GRHS Foundation recently donated new CPR-assist devices to local fire departments in Buffalo Lake, Brownton, Glencoe, Green Isle, Lester Prairie, New Auburn, Plato, Silver Lake, Stewart and Winsted. Allina Health Emergency Medical Services (AHEMS), which runs the ambulance service at GRHS and other hospitals across the region, had taken note of better cardiac arrest outcomes when first responders used the ResQCPR system made by Zoll Medical. AHEMS asked the GRHS Foundation to help equip area fire departments with it. Scott Waibel, AHEMS ambulance operations supervisor at GRHS, trained local fire crews to use the system. It consists of two pieces of equipment: the ResQPod, which enhances vacuum pressure in the chest to improve cardiac output and blood flow to the brain; and the ResQPump, which delivers compressions. Give Better CPR The ResQCPR pump has a gauge that tells rescuers if they’re correctly performing CPR. It also beeps to help maintain the proper rhythm during chest compressions. Lori Copler, assistant fire chief in Brownton, says her department responds to around 85 calls a year and 70 percent of them involve some sort of medical emergency. Brownton fire crews perform CPR four or five times a year. “In the past, when we were first on the scene of a cardiac arrest, we gave manual CPR until an ambulance arrived with automated equipment,” Copler explains. “Now that we have our own CPR-assist device, we can provide more consistent and effective CPR during those critical first minutes, which dramatically increases the patient’s odds of survival.” from the President & CEO by Jeff Mason, MBA, BSN, RN, FACHE 8 GRHSONLINE.ORG I’ve been working at Glencoe Regional Health Services for about five months now and if I had to describe the community here in a single word, it would be “genuine.” The staff is friendly, professional and respectful, the patients are grateful and collaborative, and the culture is one of hard work, determination, and joy. Yes, joy! I see smiles and hear laughter every day. Our challenge is to manage all of these assets in a way that brings the most value to the patients and communities we serve. That’s why we invited you to help us achieve our vision of becoming an advanced critical access hospital by participating in our strategic planning process. Many of you submitted answers to our online survey earlier this fall – thank you! I’m pleased to find that GRHS has all of the ingredients for success, too. Among them: more than 600 smart, creative and caring employees; a strong financial foundation; a well-equipped, well-maintained facility in Glencoe with sufficient land for expansion; a new and truly outstanding nursing home; and three community clinics that keep care close to home. I feel very grateful for the opportunity to join you in making GRHS the best it can be.
TOUCHING. LIVES. On a beautiful morning this past July, Allen Glessing, 72, left his family farm near Waverly to drive an antique tractor to show it at the Wright County Fair. This was no ordinary tractor. It was his father's first one: a refurbished, shiny red 1946 Farmall. "I only have red tractors and I only drive Fords," he notes.
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fresh garden produce, honey, jams, pickles and an assort-ment of other homemade goods. The market is located on 11th Street in downtown Glencoe across from the Glen-coe City Center. Glencoe seniors to meet The Glencoe Senior Citizens group will meet Thurs-day, Oct. 10, at 12:30 p.m., at the senior room in the Glencoe City Center.
Glencoe health student activity workbook answer key chapter 7 1 Glencoe Health Student Activity Workbook Teacher Annotated Edition Permission is granted to reproduce the material contained herein on the condition that such materials be reproduced only for classroom use; be provided to students, teachers, and families without charge; and be used solely in conjunction with the Glencoe Health .
A GLENCOE PROGRAM BIOLOGY: THE DYNAMICS OF LIFE Glencoe Online SCIENCE Visit the Glencoe Science Web site . 7. _ is another word for “living thing. ” 8. . The basic unit is the ce
King. 7 He lives and grants me daily breath; He lives, and I shall conquer death; He lives my mansion to prepare; He lives to bring me safely there. 8 He lives, all glory to His name! He lives, my Jesus, still the same; Oh, the sweet joy this sentence gives: I know that my Redeemer lives! Text and Music: Public domain Kyrie: Page 152
To The Teacher Glencoe offers resources that accompany The American Visionto expand, enrich, review, and assess every lesson you teach and for every student you teach. Now Glencoe has orga-nized its many resources for the way you teach. HOW THIS BOOK IS ORGANIZED Section Quizzes and Chapter Testsoffers assessment blackline masters at unit .
Grade/Course Textbook Online Codes 9th Biology Honors, Prentice-Hall (2009) N/A 10th Chemistry, Glencoe (2008) N/A 10th Chemistry Honors, Prentice-Hall (2008) N/A 10th Environmental Science, Holt (2008) N/A 11th Physical Science, Glencoe (2008) N/A 11th Physics, Glencoe (2009) N/A Fourth Year Option Human Anatomy & Physiology, Prentice-Hall (2006) N/A Fourth Year Option Forensics, Cengage .
