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Online Information You Can Trust

If you know how to use the Internet, chances are you’ve done a random search for health information. You’ve searched “cardiac rehabilitation” or “stroke outcomes” or “spinal injury” and you were met with thousands of results that ranged from logical to terrifying and everything in between. But how do you know what information is correct? What sites should you trust? While talking with your physician is always the best source of information, doing your own research can give you a good foundation for understanding basic medical terms and processes as well as helping to form a language for asking questions.

When looking for health information, you should look to websites that present the same researched, peer-reviewed, and up-to-date information that your physicians are getting. These websites take scholarly results, like your physicians read in medical journals and hear at conferences, and make them accessible to the public. For this type of reliable information we suggest turning to one of these websites:

  • The Centers for Disease Control (CDC) – Most people associate the CDC with infectious diseases, but their research and website covers much more than the flu and Ebola. Their site has valuable information on our nation’s most pervasive conditions – heart disease, cancer, diabetes — as well as just about any other condition you might search for. The website also contains information on healthy living, traveler health, emergency preparedness, and much more.
  • The National Institutes of Health (NIH) – The National Institutes of Health is a clearinghouse for up-to-date health research and information. What’s presented on their website (and through their branch institutes’ sites) is reader-friendly, cutting edge health news. The NIH funds medical research across the country and is a top-tier source for reliable health information.
  • National Associations, such as American Heart Association, American Cancer Society, and American Stroke Association, just to name a few. These sites not only present helpful, practical information but they also have stories of success and encouragement.
  • But what if you still have the urge to type things into a search engine and see what comes up?
  • The National Institute on Aging , a branch of the NIH, gives this helpful checklist to help you determine if the health information you are reading can be trusted.

A QUICK CHECKLIST

  1. Can you easily see who sponsors the website?
  2. Is the sponsor a Federal agency or a medical school, or is it related to one of these?
  3. Can you find the mission or goal of the sponsor of the website?
  4. Can you see who works for the agency or organization and who is the author? Is there contact information?
  5. Can you tell when the information was written?
  6. Is your privacy protected?
  7. Does the website make claims that seem too good to be true? Are quick, miraculous cures promised?

The most important advice that we can give you regarding online health information is this: If you are experiencing troubling health symptoms, always see a physician. And certainly, if it seems like an emergency, as in the case of a stroke, heart attack, fall, etc., call 911. Online health information can help us understand our diagnosis or that of a loved one, but it takes a health professional to diagnosis and treat disease or injury.

Resources
https://www.nia.nih.gov/health/publication/online-health-information

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Starting a Health Journal

There is an importance of compiling a medical history, and while a record of your medical history is essential to your doctor-patient relationship, there are even more ways to improve on it.

One of those ways is by keeping a health journal, which is a very detailed record of your daily activities, diet, medications, and feelings.

Reasons to keep a health journal:

A health journal can be a great way to keep track of the general state of your body, the effectiveness of your current lifestyle, and weight loss progress. The ability to look back on your previous activities and food consumption provides an accurate and expansive window through which you can assess your habits, and make decisions based off of the information you’ve collected.

Many people with chronic pain or concerning symptoms rely on a health journal to stay on top of their medical issues and improve communication with their physicians. Cross-referencing flare-ups and symptomatic occurrences with activities and foods can shed light on triggers.

What to record in your health journal:

Sleep: How did you sleep the night before? How long did you sleep? What time did you go to bed, and what did you do before you fell asleep?

Medications: If you take any medications, vitamins, or supplements, record what they are and when you take them.
Physical Activity: Any exercise or out-of-the-ordinary strenuous activity can have a significant impact on your health, and should definitely be included.

Symptoms: Any physical symptoms you experience should be recorded in detail. What time you experience them and the level of severity and length should be noted.

Food/Drink: Record anything you consume throughout the day, and be as detailed as possible. What did you eat, and how much? Where did you eat? Who prepared the food?

Emotions: Health is about more than simply the physical aspects. Being aware of your mood and recording any drastic changes is essential to health tracking.

 Helpful hints/how to get started:

Talk to your doctor. Even if you are starting a journal simply for general health observation, it can be very helpful to ask your doctor what to include. Based on your medical history, he or she might have specific concerns or insight that will aid in accuracy and effectiveness.

Find a journal that works for you. The options for a health journal are endless. Even something as simple as a one subject notebook with each day’s date at the top of the page can work if that’s a format that you favor. There are also options for printable journal pages, and even apps that keep all of your information on your smart device.

Keep your journal in an easily-accessible place. Whether it’s your kitchen, purse, or bathroom, keep your health journal in a place that you frequently visit or use. The kitchen is usually ideal, because foods, beverages, and medicines are often found there. Recording what you eat is much easier when the diary is close to the refrigerator.

Be honest. Recording false or altered information, for whatever reason, will only deter your efforts as you try to assess your health. Remember that your doctor is on your side, and that open communication is essential to the doctor/patient relationship.

We hope you’ll find these tips useful in enhancing your health care experience. We deeply value honesty between our patients and team members, and a health journal can be an incredible tool in that line of communication.

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There’s an App for That

February is American Heart Month. It’s a great time to make strides in taking better care of your body and your health. But, while we all know we should take better care of ourselves, it’s actually easier said than done. Find ways to motivate and challenge ourselves and track our progress can be truly helpful.

Now, this very motivation and accountability is available—literally–at your fingertips. With the increase in smart phones has come an increase in apps (applications) to meet every need you could imagine. Health and wellness is no exception.

We’re here to share a list of our favorite apps to help you stay healthy. Most are free or cost less than $5 to download.

c8a0a1732d32c3f08d571880c75a1473fad84013Daily Burn

Description: Of all the apps, this one does the best job of combining exercise and diet. Not only are you able to log your daily meals and snacks, you can also scan barcodes of food items to find full nutritional value. This app also creates sample workout plans for a variety of levels.
Cost: Free
Learn more hereMyFitnessPal_Logo

My Fitness Pal

Description: Track calories in and calories out with My Fitness Pal. You can track each item of your meals and snacks as well as the calories burned from your daily exercise. If what you’re looking for is accountability to help you stay on track, this is a great app for you!
Cost: Free
Learn more here

0x0ss-85FitJourney

Description: FitJourney helps you track your weight loss by photographs. It keeps track of your weight, what you’ve eaten (with photographs as well), and can even give a decent estimate of your BMI. The visual component is powerful in helping you in your journey to lose weight, but the one big downside to this app is that it doesn’t offer much guidance, just accountability. For the self-motivated, visual person, it’s a great fit!
Cost: Free
Learn more hereunnamed

Nike Training Club

Description: The Nike Training Club app actually works like a personal trainer, containing a variety of workouts that include strength and cross training, cardio, and yoga. With videos to help you see what each move should look like, you’re never in the dark with any of your workouts. The one negative to this app is that if you are a beginner, it might be best to wait a few weeks after you’ve begun exercising to try it, or you may have to modify some of the workouts to fit your needs.
Cost:  Free
Learn more hereicon175x175

Fitness Builder

Description:  FitnessBuilder contains the largest library of exercise images & videos (over 7,000) produced with excellent form by our exercise physiologist, physical therapy and orthopedist team. It features the most challenging workouts across all disciplines (over 900), access to a live personal trainer and the most complete set of workout building & performing tools, fitness calculators, tracking, scheduling and progress graphing features –on this app and syncing to the web. If you are a beginner, this might not be the app for you. However, if you have a solid working out experience, you will definitely benefit from this one!
Cost:  This app is free for one month. After that trial period, the Plus version costs $7. It’s the most expensive version, but definitely worth it.
Learn more hereLoseItIconLarge

Lose It!

Description: This app is another great option to track your calories consumed and burned. Another great feature is that it allows you to set goals of what you would like to consume for proteins, fats, carbs, etc. It also tracks your progress and allows you to connect with friends to receive accountability and encouragement.
Cost: Free
Learn more heresporty_gavsus

Fooducate

Description:  Lose weight, track your progress, and eat REAL food. This is one of the only apps that looks beyond the calorie and helps you eat healthy and tasty. Scan a product barcode to see what’s really in your food. Fooducate will also show you healthier alternatives. The one thing some may not love about this app is that real food substitutes often require cooking from scratch. If you are pressed for time, it can can be difficult to cook from scratch. However, we think that cooking from scratch can be fun and gets faster with time!
Cost:  Free, or “Plus” version available for $3.99
Learn more hereunnamed 9.58.52 AM

My Diet Coach

Description:  (Note: this app is only available for women) My Diet Coach helps keep you motivated and committed to lose weight fast. It will motivate you, help keep you on track, resist food cravings, temptations, emotional eating, exercise laziness and other challenges by motivational arguments and guidelines, helpful and necessary reminders, notifications with your goal, and motivational photos and weight chart.
Cost: Free, an upgraded version is available for $0.99
Learn more hereyaFl1DAS

Couch to 5K

Description: If one of your goals is to run a 5K, this is the app for you. The popular Couch to 5K program is a great way to help you exercise more and meet a specific goal at the end of your time.
Cost: Free
Learn more heremzl.hdtbpfba

Gympact

Description: This app is the most unique, and is also a fairly new app. The idea behind it is really great, but we don’t know a lot about how well it works. Each week you set your exercise and healthy eating goals each week and put a monetary value with each goal (working out a certain number of times each week, eating fruits or vegetables with every meal, etc). You snap photos of each meal and have them verified by other members, and check in to the gym, or track workouts via GPS and accelerometer. As you meet your goals, you will receive weekly notifications of your earnings. Missing a goal will cost, however!
Cost: Free
Learn more here 

With such a wide range of apps available to meet every kind of fitness goal and plan, it’s easier than ever to live healthy. Which apps are your favorite? We would love for you to share them in the comments below!
Note: as always, before you begin any exercise routine, it is important to consult with your doctor and get the best insight into what kind of exercise and what level is best for you. These apps are merely suggestions, and should be used until you have spoken with your doctor more.

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Take Part in Your Healthcare

It’s normal to have questions and anxieties when facing any kind of health issue, whether it’s an illness, injury, surgery, recovery, etc. Every patient wants to receive the best care possible, but did you know that patients play a big role in the care that they receive? Inherent in any medical care is relationships — relationships between the patient and practitioners (physicians, therapists, nurses, etc.). When patients come prepared with the best knowledge of their symptoms, medical history, and current circumstances, the practitioners have a better understanding of their patients and can offer the best treatment plan.

So what does it mean to “come prepared”?

PARTICIPATING IN YOUR HEALTHCARE: 1. MAKE A LIST

Time with practitioners is often limited, so by making a list of things you’d like to address you will make the most of that limited time. What symptom(s) is worrying you the most? Try to pinpoint when it started and anything that makes it better or worse. Avoid waiting until the practitioner is leaving the room to bring up another symptom or concern. Undivided attention is important in patient/practitioner communication.

PARTICIPATING IN YOUR HEALTHCARE: 2. COMMUNICATE YOUR CONCERNS AND DESIRES

Patients will often hesitate to discuss financial or family concerns to practitioners. Health issues can be scary and it’s not easy to talk about them, even with your own doctors. Practitioners understand that medical problems and treatment are both financially and emotionally taxing. Don’t be afraid to communicate those concerns! Are you worried about how you will pay for your healthcare and prescriptions? There may be programs to help you. If your practitioner doesn’t immediately know the answer he/she will direct you to a staff member who can help. Does your family need help coping with the stress of your illness or recovery? Support groups and/or counseling can do that. Let your practitioners know you need it!

PARTICIPATING IN YOUR HEALTHCARE: 3. ASK QUESTIONS

Don’t hesitate to ask, “What does that mean?” if a physician says something that goes over your head. If you don’t ask, the practitioner will assume you understand all that is being said. Ask about surgery risks, expected outcomes, prescribed medications and therapies. Tell your physician, therapist, nurse, etc. what you hear them saying. Make sure you’re all on the same page before anyone leaves the room. You might even think of questions in the middle of the grocery store or while watching TV — write them down and ask them at your next appointment.

Remember, you are an active participant in your own healthcare. You are an expert on your body, your circumstances, your life. Your doctors are experts at what they do but they need your expertise on YOU in order to provide the best healthcare.

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Winter Care Tips for Seniors

The winter season presents specific risks and challenges that can be exaggerated for older adults. We value the safety of our patients while they are with us and certainly once they go home. Because of this we believe that it’s important to be prepared for the risks that winter weather can bring. Here are seven safety tips to help mitigate those risks.
  1. Keep warm. Older adults are at a greater risk of developing hypothermia — a dangerous drop in body temperature — during cold weather. Aging lowers one’s ability to withstand longer periods of cold, even from just sitting in a colder than normal room. Certain conditions and medications can also affect a person’s ability to sense cold, making them especially vulnerable. Because of this, older people should keep indoor temps above 65 degrees and look for the warning signs of hypothermia – shivering, cold and pale or ashy skin, abnormal fatigue, sudden confusion, and/or slowed breathing and heart rate. If you notice these symptoms call 911 immediately.
  2. Avoid falls. While falls are a constant concern regardless of weather, seniors need to be especially vigilant in avoiding falls during the winter. Ice, snow, and mobility impeded by cold temperatures can wreak havoc on a normally safe environment. Given the particularly dangerous nature of falls in older adults, it is crucial for individuals and their loved ones to keep steps and walks clear of snow, ice, and other potential fall hazards. Be especially cautious when using canes, walkers, crutches, etc. on snow and ice.
  3. Watch for wintertime depression. It’s not uncommon for older adults to alter their social engagements during the winter months because of the cold and inclement weather. While this seems like a good idea in terms of limiting exposure to winter illnesses and avoiding fall risks, it can actually have a negative impact on one’s mental and emotional well-being. Staying active and finding alternative social outlets is a big factor in avoiding wintertime depression. If you have older family members who are at risk of becoming isolated, make an effort to visit, call, or arrange activities to keep their spirits high.
  4. Eat a varied diet. When it’s cold outside we’re less likely to get the sun exposure that we need for our bodies to produce Vitamin D, and we tend to eat a less varied diet. Eating foods with Vitamin D, like milk, grains, and certain seafood can help with this deficit. You might even talk with your doctor about taking a vitamin D supplement.
  5. Prepare for emergencies. Winter storms can cause a variety of problems including long-lasting power outages and snowed- or iced-in conditions. It is essential to be prepared for such events before they occur. The CDC website has a wealth of information on preparing for extreme cold conditions. They have created a printable document – Extreme Cold Guide – that includes information for what to do before, during, and after a winter storm. Tips include storm preparation, safety checklists, and health information. This guide is a valuable clearinghouse for anyone preparing for winter weather. [1]
  6. Drive safely. While safe driving practices are always paramount, hazards can be exaggerated during inclement weather. It is important to know one’s limits when it comes to operating a vehicle. If you don’t feel comfortable driving in ice and snow, ask a friend or family member for a ride. Another concern on the road is emergency preparedness. Make sure you have supplies in your car to keep you safe in case of a stranding or accident. Warm blankets and clothes, food, a flashlight, and an ice scraper should be standard equipment in the car. Always travel with a cell phone and charger in case you have an emergency. Another way to avoid problems is to have your car winterized by a trusted professional.
  7. Maintain safe heating. It is vitally important to keep heaters, fireplaces, furnaces, etc. in good working order and free of clutter to avoid fires and carbon monoxide leaks. Beyond having these devices checked by a professional, you should have working smoke and carbon monoxide detectors. Make sure the detectors are properly installed on every floor and are in good working condition. Each bedroom and sleeping area should have its own smoke detector. [2]
By following these basic safety tips you and your loved ones can reduce the risk of serious problems this winter. Stay warm and be safe!
Resources:
  1. http://emergency.cdc.gov/disasters/winter/guide.asp
  2. http://www.nfpa.org/safety-information/for-consumers/fire-and-safety-equipment/smoke-alarms
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Stroke and Parkinson’s Support Groups

New Braunfels Regional Rehabilitation Hospital hosts a Stroke Support Group and a Parkinson’s Support Group each month for both patients and their loved ones.

Stroke Support Group
New Braunfels Regional Rehabilitation Hospital hosts a Stroke Support Group on the third Thursday of each month, at 5:00 p.m. This group provides problem solving, community outreach, educational programs, recreational activities, rehabilitation, and self-help for stroke patients and their loved ones. Please call (830) 625-6700 if you have any questions.

 

Parkinson’s Support Group
The Comal County Parkinson’s Support Group meets on the 2nd and 4th Saturdays of the month from 9:30-11:00 a.m. in the cafeteria at New Braunfels Regional Rehabilitation Hospital. Please call (830) 625-6700 if you have any questions.

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New Braunfels Regional Rehabilitation Hospital Spreads Christmas Cheer to Community

In December, the staff of New Braunfels Regional Rehabilitation Hospital participated in the Salvation Army’s Angel Tree program. This program provides Christmas gifts for children of families in need through the support of donors like New Braunfels Regional Rehabilitation Hospital. This year, New Braunfels Regional Rehabilitation Hospital provided gifts to 40 children in our community.

tree

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New Braunfels Regional Rehabilitation Hospital Earns Advanced Stroke Certification

Award signifies hospital’s dedication to better results for stroke patients.

New Braunfels Regional Rehabilitation Hospital recently received The Joint Commission’s disease-specific certification for stroke rehabilitation, which signifies the hospital’s dedication to developing better results for stroke patients. The award was given after a rigorous on-site review by an expert evaluator.

“This award recognizes how committed we are and how well we provide rehabilitation following a stroke,” says Jennifer Malatek, Chief Executive Officer at New Braunfels Regional Rehabilitation Hospital. “We want to provide hope and quality of life to our community members who have experienced this debilitating event. For many, it’s their only chance at returning back to families, friends and daily routines.”

Stroke is the leading cause of serious, long-term disability in the United States.

Certification through the Joint Commission’s Disease-Specific Care Program is voluntary and available only to stroke programs in Join Commission-accredited acute care hospitals. Certification requirements address three core areas:

  • Compliance with consensus-based national standards.
  • Effective use of evidence-based clinical practice guidelines to manage and optimize care.
  • Organized approach to performance measurement and improvement activities.

“Stroke continues to be highly prevalent in our community and often is a life changing event for the stroke survivor and his or her family,” Malatek says. “We feel it’s our obligation and privilege to continue to improve services to stroke survivors in New Braunfels and its surrounding areas.”

New Braunfels Regional Rehabilitation Hospital provides specialized inpatient and outpatient physical rehabilitative services to more than 1,800 patients a year. The hospital treats patients who are recovering from disabilities caused by injuries or illnesses, such as strokes, orthopedic, brain and spinal cord injuries. The hospital also treats individuals with chronic illnesses such as cerebral palsy, ALS (Lou Gehrig’s Disease), multiple sclerosis, or Parkinson’s disease.

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National Rehab Awareness Week

The week salutes the determination of patients, applauds the efforts of rehabilitation professionals and provides education and awareness about rehabilitation services.

“Rehabilitation is an integral part of the healthcare process that helps patients to improve their quality of life and reduce subsequent illnesses or problems,” said Jennifer Malatek, CEO of New Braunfels Regional Rehabilitation Hospital. “The goal of rehabilitation is to help a person attain the highest level of functioning possible — physically and cognitively. “For some, this may mean learning to walk again or how to maneuver a wheelchair. For others, it may mean learning how to communicate with loved ones.” Patients who receive rehabilitative services often experience positive results in regaining or improving productivity and independence.

A recent national study shows that patients treated in inpatient rehabilitation facilities have better long-term results than those treated in other facilities. The study, which was commissioned by the ARA Research Institute, shows that patients treated in rehabilitation hospitals live longer, have less hospital and ER visits and remain longer in their homes without additional outpatient services. Statistics also show rehabilitation can save money. For example, for every $1 spent on rehabilitative care, it’s estimated $11 are saved on long-term disability costs.

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Raising Awareness of Stroke

Every 40 seconds, someone in America has a stroke. It is the fifth-leading cause of death in the country, the leading cause of disability and one out of six people will suffer a stroke in his or her lifetime. Despite these numbers, many Americans do not think of stroke as a major health concern — and, according to the American Stroke Association, one in three Americans is unable to identify the stroke warning signs — known as F.A.S.T.

The acronym stands for:
F — Face drooping: Does one side of the face droop down?
A — Arm weakness: Ask the person to lift their arms. Does one drift downward?
S — Speech difficulty: Ask the person to repeat a simple phrase. Is the speech slurred or strange?
T—Time to call 911: If the person has any of the above symptoms, call 911 immediately. The person could be having a stroke.

Stroke can happen to anyone at any time re- gardless of race, sex or age,” said Dr. Maria Lomba, medical director of New Braunfels Regional Rehabilitation Hospital.Yet, despite the tremendous toll stroke takes, the vast majority of Americans don’t think of stroke as a major health concern.

Lomba and New Braunfels Regional Rehabilitation Hospital, along with countless other hospitals, medical institutions and health professionals in Texas and around the country, are asking community members to become “Stroke Heroes” by learning the F.A.S.T. stroke warning signs so they can recognize a stroke and act quickly.

Each May, the ASA and the American Heart Association recognize American Stroke Month by rallying the nation around the cause.

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Recognized in the Top 10% of Inpatient Rehabilitation

New Braunfels Regional Rehabilitation Hospital ranked in the top 10 percent of inpatient rehabilitation facilities in the United States for the 3rd year in a row!

The ranking is by the Uniform Data System for Medical Rehabilitation (UDSMR), a not-for-profit corporation that was developed with support from the National Institute on Disability and Rehabilitation research, a component of the U.S. Department of Education.

The UDSMR ranks rehabilitation facilities based upon care that is:

  1. Patient-Centered
  2. Effective
  3. Efficient
  4. Timely

This means that through services at New Braunfels Regional Rehabilitation Hospital, our patients are receiving the highest level of rehabilitative care available nationally without having to leave the area!

 

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