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Pain is a top reason that Americans seek access to healthcare. In fact, according to the U.S. Pain Foundation, chronic pain affects nearly 50 million people across the country.  More than likely, you know someone who has been impacted by chronic or acute pain. Fortunately, there is a talented team of healthcare professionals committed to rehabilitating and enhancing the life of any patient living with pain.  At Renown Health, these team members represent the Physiatry department, who are charged with a goal of maximizing physical function, managing pain and nurturing independence. Headquartered at Renown South Meadows Medical Center, patients suffering with a disability, chronic pain and physical impairments can rest assured that they have the most caring and compassionate physiatry experts on their side throughout the entire physical rehabilitation process.  What is Physiatry? Physiatry (also known as physical medicine and rehabilitation, or PM&R), is a medical specialty that helps diagnose and treat conditions related to the musculoskeletal and nervous systems. Unlike other medical fields that often use surgery or medication, physiatry emphasizes non-invasive techniques, therapies and interventional procedures to help with pain and improve physical function.  Renown’s physiatry team has a holistic approach to care, combining medical expertise with personalized rehabilitation strategies to support long-term health and independence. Physiatry is hyper-focused on diagnosing, managing and treating conditions that affect physical function and quality of life.  The Physiatry Philosophy Our Physiatry team’s treatment philosophy centers around a multidisciplinary approach that combines medical care with rehabilitation and healthy lifestyle changes. They offer a variety of programs and services, including: Home Exercise Programs: Customized exercises designed to strengthen muscles, improve flexibility and support recovery. Physical Therapy: Hands-on care from skilled therapists who guide patients through techniques to restore function and reduce pain. Well-Being and Lifestyle Support: Emphasizing overall health and encouraging lifestyle changes that support physical and mental well-being.  At Renown, the Physiatry department is full of friendly faces, including: PM&R and pain medicine physicians (also known as physiatrists) Medical assistants Physician scheduling coordinators Patient access representatives Practice site leaders Physiatrists set each patient up for success with education, treatment planning and management. They take advantage of cutting-edge technologies and interventions for pain, such as:  Epidural Steroid Injections (ESIs) Facet Joint Injections Radiofrequency Ablation (RFA) Trigger Point Injections Joint Injections (Knee, Shoulder, Hip)  Physiatrists are also masters of multidisciplinary care, coordinating with members of a patient’s healthcare team (including physical therapists) to ensure they have the best treatment plan possible.  Playing a crucial supportive role, physiatry medical assistants (MAs) assist our physiatrists in caring for patients on both a clinical and administrative level. From helping during procedures to providing education and guidance, these medical professionals are key in ensuring each patient’s visit – and as a result, their rehabilitation journey – is successful. “My normal day in Physiatry is very smooth,” said Rosita Gans, Medical Assistant. “I make sure my schedule is at 100% to prioritize patient needs. It helps that everyone is so respectful and friendly.”  Our patient access representatives (PARs) and physician scheduling coordinators are the front faces of physiatry. They serve as a patient’s first line of communication when checking in, making an appointment, handling insurance verifications and several aspects of follow-up – all with a smile on their faces.  “My job as a PAR involves checking patients in and out, verifying their insurance and demographic information, scheduling and following up on appointments, referrals to Special Procedures and more,” said Andrea Ruiz, Patient Access Representative. “I am in contact with patients on a daily basis.”  “It’s all about making sure every patient is taken care of in a timely manner,” added Kasey Sinfellow, Physician Scheduling Coordinator.  At the core of keeping things running, you’ll find Antonio Quintana, Practice Site Leader. Thanks to his expert leadership skills and can-do attitude, his department has been able to reach new heights. A large part of this team’s success lies in their approach to the practice of physiatry. For them, there is no such thing as a “cookie cutter” treatment plan.  Dr. Casey Keating, a pain management physician working with the Physiatry team states, “We understand that there is no ‘one size fits all’ when it comes recovery. We come up with a plan of action customized to meet your needs.”

Read More About Department Spotlight: Physiatry

With a can-do attitude and optimistic spirit, Heather Townsend has dedicated over 15 years to Renown. Climbing her way up from intern to her current role as a Clinical Pharmacist Supervisor, Heather has earned multiple awards for her dedication and achievements in healthcare. Well before her journey started at Renown, Heather’s fascination with pharmaceuticals started at a young age when she was living in rural Nevada and realized healthcare was hard to come by. “My brother was diagnosed with Type 1 Diabetes when he was only 11 months old,” Heather said. “My mom would frequently consult the local pharmacist for medical advice. He was always accessible, knowledgeable and so helpful in my brother’s care. I remember thinking I wanted to be just like him. So, I did.” Inspired by this retail pharmacist, Heather went to school to become a pharmacist in hopes of finding a cure for diabetes and helping people, just like he did. Her son also has Type 1 diabetes, and although she has not yet found a cure, she remains hopeful every day when helping others with their medications and providing guidance. Success and Challenges From Intern to Supervisor Heather started as an intern at Renown during her fourth year of pharmacy school. While working swing shifts and weekends, she was committed to learning from the on-the-job experience. Her love for acute care was sparked by her mentor, Mike Stander, who was the Student Coordinator and Infectious Diseases Clinical Pharmacist at Renown. As she grew her skillset, Heather was promoted to Pharmacy Clinical Specialist and later transitioned into the emergency medicine clinical pharmacy program. Despite the challenges she faced along the way, Heather reflected on the first 10 years of her career as a time of growth and learning. “I had a medication error early in my career that rocked me to my core. As with everyone in healthcare, I started this journey with the intent of helping people and never wanted to cause harm. So, when this happened I needed to re-evaluate my core beliefs, my systems for managing stress, and how I was going to be more safe. These life lessons have contributed to the person I am now, my level of empathy for others and how I manage hiccups in life.” When Heather’s reached the 10-year milestone in her career, she found herself soul-searching and wanted to fuel her love of healthcare again. “There was a 6-month period where I found myself doing less than I would have normally at work and in life. During this time, I relied heavily on my personal support systems and started to find other things I loved to do outside of work. I gave myself grace about not achieving and striving for more and allowed myself time to figure things out. When I did, I had found a new passion for the work I wanted to do.” This passion was found again with teaching, mentoring and supporting others on their healthcare journey. She helped to start a PGY2 Emergency Medicine Pharmacy Residency program, and served as the Residency Director. This helped her prepare for her current role as Clinical Pharmacy Supervisor at Renown. “The resident team keeps me learning and young. They teach me things all the time! The pharmacists are underrecognized and incredible. They have an eye for detail that keeps people safe. They are the unsung heroes.” Heather also has a lot of respect for her medication reconciliation pharmacy technician team. “I love the passion they show for patient care and quality work. They have great ideas, speak up, are funny and care for each other and those around them.” In her current role as a supervisor, she is dedicated to helping her team grow in their own healthcare journeys and continues to refine her skills to become the best leader possible. Heather’s Words of Wisdom In the last 15 years, Renown has continued to grow into the health system it is today. Heather reflected on the growth she’s witnessed in that evolution from Washoe Medical Center to Renown Health. “When I started, I thought of Renown as a hospital to receive care. Today I view Renown as giving back to the community, providing essential care needs to Northern Nevada and the surrounding rural areas. I am amazed by the growth and advancement in care I have seen in the last 15 years and am excited to continue to be a part of it.” Heather has been awarded both personally and professionally. She just celebrated her 17 year wedding anniversary with her husband, Odin, and loves watching her three children grow up and explore their own passions. Heather was awarded the honor of an American Red Cross recognition for helping identify an infection that would have otherwise left a patient paralyzed. She was also named Pharmacist of the Year by the Nevada Society of Health System Pharmacists in 2016, Preceptor of the Year for Idaho State University in 2014 and 2023, top talent of the quarter in 2010 and 2019 and nominated for Nevada Woman of Achievement in 2021 and 2024. Through her life experience, Heather has also learned to keep a positive outlook: “I am known as a Griswald! Like Clark in National Lampoon’s Christmas Vacation, I have an uncanny number of things that happen in my life that go wrong,” Heather Townsend continued. “I have learned that sometimes there is nothing to do but laugh at things (or you’ll spend your whole life crying or mad).” Renown is grateful for Heather’s continued dedication to our health system and how she’s paved the way for the next generation of our talented team members. Inspired by incredible mentors and advisors during her journey at Renown, Heather leaves this advice for those who are growing in their roles in healthcare: “Identify the why behind what you do. Keep that close to your heart. There will be times when you lose track of your vision and motivation, and as long as you have identified this, it will be easy to re-engage and find your path. Once you know what you want, go for it! Find someone to look up to, that will help guide you and that will support you.”

Read More About From Renown Intern to Supervisor: Meet Heather Townsend

Lifetimes of Service in Medicine Margo and Jim Veazey are no strangers to hospitals and medicine. They are impressive duo with notable professional achievements and seem to always have service to their communities and country as their true north.   Margo was a nurse and nurse administrator for her entire career, which spanned just under 50 years, including 25 years in nursing leadership at the Connecticut VA Healthcare System. Her predecessors at the VA had only stayed a year or two prior to her, but Margo found a place where she could make a positive impact and stayed for a quarter-century.  During her time at the VA, she helped secure a much sought after $40 million grant to establish a VA Nursing Academy including funding for five new faculty members. The groundbreaking program to educate and train more nurses shares some strong similarities with Renown’s recently established Gerald “Jerry” Smith Academic Practice Partnership. Jim has had his own esteemed medical career of over four decades as an infectious disease doctor, serving in academic, clinical and research roles on the east coast. He retired from the U.S. Army as a Colonel after 29 years of combined Federal Service in 2012. Among his self-stated greatest achievements was working on the eradication of Smallpox in India (coincidentally, Renown was founded in 1862 during a Smallpox outbreak).  A Near Death Experience Rarely had the Veazeys been on the receiving end of trauma care, but that all changed in 2017 after their move to Reno, when Margo was admitted to the Renown Regional Emergency Room with a volvulus, an obstruction caused by twisting of the intestine and a very serious medical emergency. The symptoms that led her to the ER were severe and extremely uncomfortable: fever, severe abdominal pain, overly active bowel sounds, and vomiting blood.   Margo recalls: “the last thing I remember was hearing someone say my pulse was down to 20. I thought I was dying and then I blacked out. I woke up two days later in the ICU [Intensive Care Unit] as they told me to breathe out when they were removing my ventilator tube.” Jim, on the other hand, remembers it all, including the long hours waiting for Margo to wake up.  Margo’s near-death experience left quite an impression on both of them and, while traumatic, it also created deep feelings of gratitude for the care Margo received from her doctors and nurses at Renown during that time.  Reno Becomes Home Margo and Jim spent most of their lives on the east coast. They met at Dartmouth when Jim was a wide-eyed intern in the ICU, and Margo was working in the ICU as a nurse. They were married a year later and recently celebrated their 52nd wedding anniversary! You don’t have to spend much time with them to see their adoration for each other, even after all these years. In the midst of their busy careers, the Veazey’s raised a son and daughter, who now each have children of their own. Being closer to those grandchildren became a priority after Jim and Margo retired, which prompted their move to Reno in 2016.  Having access to good healthcare was on their radar when deciding where to move, and they were not sure what they would find when they arrived in Reno. Fortunately, a neighbor they met early on introduced them to Renown and the Renown South Meadows Medical Center emergency room as an option for emergency care. It was not long after that, when Margo made a visit to the Renown South Meadows ER for diverticulitis. They’ve been coming to Renown ever since for her care. Expressing Their Gratitude Margo’s visit to the South Meadows ER in 2016 and her near-death experience in 2017 were among the first in a series of unfortunate and mostly unrelated health incidents she has faced since moving to Reno. Over the past eight years she has come to Renown for eleven major health issues including six surgeries.  Her medical conditions have ranged from breast cancer to the need for a knee replacement to atrial fibrillation, and Renown has been a one-stop shop to meet her these urgent health care needs. Based on the trust she has in Renown providers, Margo counts on Renown for her preventative care too. Thanks to his long federal service, Jim receives his care at the VA.   The consistency in the high-quality, compassionate care she receives—Margo and Jim will both tell you repeatedly how much they love Renown physicians and how great the nurses are—is why they keep coming back. When asked if they recall any specific doctors or nurses, Margo responded, “we’ve been to the emergency room so many times and I’ve had so many procedures that it would take a long time to list all their names, and I received wonderful care from all of them. My brother, who was a Rhode Scholar, emergency room doctor in Florida, and a lawyer was incredibly complimentary of the care I received when he was here during one of my ER visits.”    The exceptional care is also what prompted them to include a gift to Renown Health Foundation in their estate plan. Although the Veazeys have always been charitable and support many organizations near and dear to them with annual gifts (including Renown Children’s Hospital), their legacy gift to Renown was the first time they included a charity in their estate plan.

Read More About Why I Give: Margo and Jim’s Story

Reviewed by Dr. Colleen O'Kelly-Priddy, MD, FACS, breast surgical oncologist at Renown Women's Health.  In the United States, breast cancer is the most common cancer among women, with approximately 1 in 8 women developing breast cancer during their lives, reports the American Cancer Society.   These statistics can be a little startling; however, when it comes to taking charge of your health, early detection is key. The National Breast Cancer Foundation, Inc. reports that when breast cancer is caught in its earliest, localized stages, the 5-year relative survival rate is 99%. The earlier breast cancer is found, the more treatment options are available and better survival rates are seen.  New technology and evolving screening guidelines are crucial for women to understand and choose the right screening method for their specific needs. The most common types of screenings available today are:  2-D Mammography  3-D Mammography  Whole Breast Ultrasound    What is the Difference Between 2-D Mammography and 3-D Mammography?  2-D Mammography: In a standard 2-D mammogram, the tech takes X-rays of the breast, compressing it top-to-bottom and side-to-side, providing a 2-dimensional view in each direction. These pictures can show the radiologist if there are abnormalities you might not be able to feel.   3-D Mammography: In 3-D mammography, or “tomosynthesis,” the process is largely the same, but more images are taken, and it takes a few seconds longer. This kind of exam provides a more detailed view because it reduces the overlap of tissues that can take place in a standard 2-D mammogram. Using 3-D mammography, radiologists can detect 41 percent more cancers and reduce the number of callbacks for additional imaging. This improvement in technology is great for both patients and their care providers. Renown uses 3-D mammography because it produces better images of the breast, enabling doctors to more accurately diagnose and reduce false positives, especially in women with dense breast tissue.

Read More About Which Type of Breast Health Screening is Right for You?

As the weather cools and the days grow shorter, many people find themselves battling seasonal illnesses. Two of the most common culprits are the flu and the common cold. We asked Marie McCormack, MD, Primary Care Division Chief at Renown, about flu prevention and how to know the difference between the flu virus and the common cold. How do you prevent the seasonal flu? The annual flu vaccine is truly the best form of protection to help prevent the spread of the flu. Even if you do get the flu after being vaccinated, your symptoms will be lessened. Flu vaccines are available to the community. You can schedule a flu shot with your Primary Care provider through MyChart or through the Renown Pharmacy. Visit renown.org/flu for more information.  Who should get the flu shot? Almost everyone. The Centers for Disease Control and Prevention recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against influenza. Different flu shots are approved for people of different ages, but there are flu shots that are approved for use in people as young as 6 months of age and up. Flu shots are approved for use in pregnant women and people with chronic health conditions.

Read More About Cold and Flu 101: What You Need to Know

Renown patients share how early mammogram screenings transformed their lives. From detecting cancer in its earliest stages to celebrating successful recoveries, these stories emphasize the importance of regular screenings and taking charge of breast health. Early detection is key! Book your mammogram with Renown Women's Health and prioritize your breast health. Book Your Mammogram   Angie T. "I'm so grateful that the cancer was caught early. Those screening exams are so important and actually saved my life. I encourage women to make time to get their mammograms like their lives depend on it; because in some cases, it does." Amber S. “I was diagnosed with breast cancer at the age of 40 with what would have been my first annual screening exam. This was caught in the earliest stage possible with many of my findings being only pre-cancerous. Because of early detection, I did not have to have chemotherapy or radiation as part of my treatment plan.” Monica T. “I truly believe the yearly 20-minute diagnostic mammogram screening and findings saved me from allowing cancer to take control of my future.” Jes H. “It is because of breast cancer risk assessment testing that I was able to identify my risk for breast cancer early. I am so very thankful that I am going to be able to watch my children grow up.” Melissa P. “A yearly mammogram can save your life! A routine mammogram found my cancer at stage 1 when it was easily treated! “ Sharon C. “Despite having minimal family history, I was diagnosed at 47. Renown provided exceptional care for both my double mastectomy and reconstruction. For me, knowing my body was the key, when I felt like something was not right, I followed up with my physician and made sure I was doing everything to minimize my risk.” Jamie V. “My annual mammograms have detected 3 lumps in the last 10 years. Two were benign and one was cancer. My annual mammogram and then my ultrasound saved my life by detecting my cancer in its earlier stages.”

Read More About Life-Saving Mammograms: Real Women, Real Stories

What is a Breast Self-Exam? A breast self-examination is a technique used to check for early signs of potential breast health complications. This physical and visual examination typically only takes a few minutes. Performing monthly self-exams helps you become more familiar with the normal appearance and texture of your breasts, making it easier to recognize any changes during future exams. While monthly self-exams are helpful, it’s important to get an annual mammogram even if you don’t notice anything. Mammograms help provide a 3D scan of the breast tissues, detecting changes that may not be felt during a self-exam. Dr. Cristin Newkirk-Thompson, an MD with Renown Health, discusses the protocols and importance of self-breast awareness.  How to Perform a Self-Breast Exam Use the pads of your fingers and move them in a circular motion.  Cover the entire breast area from top to bottom, side to side—from your collarbone to the top of your abdomen, and from your armpit to your cleavage.  Follow a pattern: circular, wedge, or vertical line, ensuring you cover all tissue.  Use varying pressure: light pressure for tissue just beneath the skin, medium pressure for the middle of the breasts, and firm pressure for deep tissue.  There are multiple ways to perform a self-breast exam including: Visual Inspection: Stand in front of a mirror with your shoulders straight and your hands on your hips or to your side. This is when you look for any abnormalities or changes.  Lying Down: Lying down spreads the breast tissue evenly over the chest wall, making it easier to feel all areas. In the Shower: Many women find it easiest to feel their breasts when their skin is wet and slippery, so you might want to perform this step in the shower. What to Look For Changes in density, size, shape, or symmetry.  Dimpling, puckering, or bulging of the skin.  Nipple changes such as inversion or discharge.  Redness, soreness, rash, or swelling.  When to Perform a Self-Breast Exam It’s recommended to perform self-breast exams monthly, a few days after the end of your period. For women in menopause or those who have irregular periods, the specific day isn’t as important, if it is consistent. What to do if You Find a Lump If you notice any new changes with your breasts, don’t panic; there can be several reasons why breasts have changed. It’s best to follow up with your provider to be as proactive as possible. Additional recommended screenings for further examination can be scheduled to have a clearer answer.

Read More About Guide for Self Breast Awareness

Cancer changes everything; it takes, it challenges, and it reshapes lives forever. For Yvonne Murphy, a cancer survivor and development officer at Renown Health, the experience has been profoundly transformative. Recently, Yvonne and her husband, Murray Mackenzie, made a heartfelt donation of $10,000 to support the Conrad Breast Center at the William N. Pennington Cancer Institute—a gift inspired by her own battle and in honor of those who have faced this disease. A Family’s Battle with Cancer Yvonne’s journey with cancer began with the death of her grandmother when she was a teenager, a shock that left a permanent mark on her family. "She was my friend, confidant, and angel," Yvonne recalls. "Losing her changed everything." In the years that followed, nine more of her family members passed away from cancer. These experiences highlighted the harsh reality that cancer invades every aspect of life, bringing grief and uncertainty to so many. For Yvonne, that reality grew even more personal when she was diagnosed with cervical cancer, marking a pivotal moment in her life. A Fight for Her Life During the height of COVID-19, Yvonne noticed blood in her urine, a discovery that sent her rushing to the ER at Renown South Meadows. She received the devastating news: stage one cervical cancer. "When I received my diagnosis, it felt like the world stopped," Yvonne said. "But I knew I couldn't let this define me. I had to fight, not just for myself, but for all the people I've lost." Yvonne faced a grueling course of treatment, undergoing two major surgeries within just 60 days. The first was a hysterectomy, followed by the removal of 32 lymph nodes. Her treatment also included radiation therapy and a challenging recovery, all within a single year. Throughout this intense period, Yvonne drew strength from her faith. "I prayed every day," she said. "And I promised that if I survived, I would dedicate my life to serving others." This promise became her guiding force. It inspired her to make a profound impact through her work at Renown. A Gift of Hope True to her word, Yvonne reached out to the former CEO of Renown in 2021, exactly one year after celebrating her cancer-free milestone. She was determined to contribute in any way possible. This marked the beginning of her career at Renown Health Foundation.  Today, she works as a development officer, partnering with philanthropists, corporations, and fellow employees to raise funds for vital programs and services at Renown, a not-for-profit health system. Yvonne recently had her 18th scan and remains cancer-free, a testament to her strength and perseverance.

Read More About Why I Give: Yvonne's Story

Breast cancer affects 1 in 8 women in the U.S. each year, making early detection crucial in improving the chances of successful treatment.  Early Detection for Treatment and Peace of Mind Mammograms are noninvasive X-rays used to detect cancer and other abnormalities in the breast. They are the most effective screening tool for detecting breast cancer early, allowing for timely treatment before the disease can spread and helping to improve treatment outcomes. To help guide you through the mammogram process, we spoke with Elizabeth Kang, PA-C, at Renown Breast Surgery Care to equip you with expert knowledge on what to expect and why screening is so important. How Accurate are Mammograms? 3-D mammography technology at Renown Breast Health Center can detect 41% more cancers and reduce the number of false-positive results compared to plain film mammography.  Benefits of 3-D mammography include:  Providing better, clearer images, with higher diagnostic accuracy  Allowing radiologists to see more abnormalities in the breast  Helping doctors spot more cancers and avoid false positives, especially if you have dense breast tissue  Reduced callback rates for findings on screening Mammogram Screening and Breast Exam Recommendations Renown Women's Health recommends the following breast exam guidelines: Age 18-39: Consult your primary care provider for a Risk Assessment and start breast exams at age 25. Age 40+: Get your annual mammograms. Family history: Begin screening 10 years before your youngest family member's age at diagnosis. For example, start at age 35 if a family member was diagnosed at 45. Self-awareness: Be familiar with the look and feel of your breasts and report any changes to your care provider. Age 75+: Continue annual mammograms if life expectancy exceeds five to seven years.  What screenings are available for women with breast implants?  Women with breast implants can and should still receive mammograms, and it’s essential to have these screenings done by an experienced team. Be sure to inform your healthcare provider and mammogram technicians about your implants, as they may recommend special techniques or steps to detect abnormalities and ensure accurate results.

Read More About Why Mammograms Are Vital for Early Breast Cancer Detection | Renown Health

In the book of life, everyone eventually reaches the final chapter. End-of-life isn’t often something a patient or loved one wants to think about. The end of someone’s life isn’t a final option – it's a privilege. At Renown Health, we have a compassionate team prepared to approach this privilege with kindness and care.    The Hospice & Palliative Care department at Renown is the best of the best. Their efforts go far beyond simply addressing physical pain; they also bring emotional and spiritual solace to patients and family members navigating the complexities of serious illness and end-of-life. This team provides crucial guidance and expert knowledge, comfort and care when it is most needed.  Bringing Dignity to the Final Days Contrary to popular belief, hospice and palliative care is not a “last resort” option for families. In fact, it’s quite the opposite. These caring professionals work hard to ensure a patient’s final days are free of pain and full of peace, rather than focused on the end. This type of care isn’t a death sentence – it's a living gift.  Each patient is involved in his or her own end-of-life process. They have a huge role in deciding on their own and with their family members how they want to live out their remaining days.  “Every team member’s daily work focuses on how to facilitate a good death for each patient,” said Tanya Prosch, Hospice Supervisor. “Ultimately, it is up to each patient’s family to be involved in this process. Every day, there is a lot of communication among team members as we prioritize the needs of our patients. As patients decline and their symptoms change, we continuously assess what topics we will discuss. This creates a beautiful back-and-forth dynamic among the team, patients and families.”  “Together, we come as a team to provide what they need, ensuring individualized care for each patient and family based on their safety and specific needs,” added Rachel Schneider, Transitional Care Specialist. “Our care plans are not cookie-cutter; they are tailored to fit each unique situation.”  The hospice team provides comfort and support to those in the final stages of a terminal illness. Hospice is focused on one main goal, which is enhancing quality of life for patients and their families.  “In general, hospice staff conduct home visits to see our hospice patients,” said Amy Nieminen, Manager of Home Health & Hospice. “We have an interdisciplinary team that includes nurses, aides, chaplains, social workers and volunteers. Together, we address both the physical and emotional, spiritual and social needs of our patients and their families at the end of life, ensuring they have a meaningful and peaceful experience. We do a lot of work with families and loved ones, providing follow-up calls and support for the patient’s caregivers after their passing. Our support extends for up to a year, with grief specialists available to help families through their loss. Additionally, we have rotating on-call nurses every night and weekend, so patients are never left without care.”  While palliative care shares similar duties to hospice care, it differs slightly. Palliative care can be involved at any stage of a serious illness, even during treatments.  “During in-home palliative care, we work with patients who may be physically ready for hospice but who are not yet psychologically, emotionally or spiritually prepared to make that transition,” said April Lennon, APRN for In-Home Palliative Care. “They may still be exploring treatment options and working with their specialists. We provide a lot of support, helping them understand the consequences and benefits of various treatments. Additionally, we focus on symptom management for patients experiencing significant pain or nausea, assisting them in managing these symptoms effectively.”  On both sides of this department, the team has the opportunity to be especially involved in their patients’ lives and in the lives of their families. Giving loved ones more time with their relative facing end-of-life is a duty that these team members take seriously.  “My job is to educate families about what’s coming next and what is happening now, as there is a lot that occurs during the death process,” said Katie Adams, Hospice Nurse Case Manager. “Families will never regret the time and effort spent during this process. We have only one chance to get this right. This is not just a random hospitalization that people will forget; it is a significant moment that everyone around the patient will remember.”  “Being able to connect more deeply with patients’ and families’ stories and their narratives about life is essential, as it provides a broader understanding beyond just the medical picture of what is happening,” added Libby Krayk, APRN for Hospice. “We explore their expanded value and belief systems to assist with decision-making, helping them make choices together. When patients are no longer distracted by pain or nausea, they can focus on their long-term desires and goals and spend more time with their families."  “Crisis intervention, social work, education, family conferences, and placement issues are all part of what we do, and it’s quite exciting,” added Donald Kamka, Social Work Care Coordinator. “You become fully invested in the lives of those you help, which is what makes this job so rewarding. This is a remarkable time in their journey, and it’s evident that everyone involved has a vested interest in it."  Naturally, many questions, worries and fears arise during this time in a patient’s life. The Hospice & Palliative Care team members are expert communicators and know exactly how to relieve some of those anxieties, prompting a more peaceful end-of-life. According to this team, it’s all about transparency and compassion.  “Our role involves helping patients navigate the healthcare system as they face death,” said April Lennon. “Home visits can range from one hour to three hours, depending on the needs of the patient and their family. We engage with entire families, including those who are out of town, coordinating care and working with many providers in the area. Our hope and goal for every patient is to ensure they understand what they are doing and why they are doing it, empowering them to make their own choices.”  “We often find ourselves addressing the most difficult information, which can sometimes be seen as the ‘elephant in the room’ that people tend to avoid,” added Libby Krayk. “I ask patients for their permission regarding what they want to know and who they would like involved in the conversation. This approach can help alleviate some of the challenges and stress they may be experiencing. Being honest and discussing matters in a way that they can understand is essential. I take the time to sit down with my patients and connect with them on a human level, rather than just a medical level.”  As a not-for-profit health system, volunteers are at the core of our mission delivery. They graciously dedicate hours out of their week to be a friendly source of help for patients. Renown’s Hospice Volunteers exude this level of kindness and more. Our employed team members attribute their volunteers as a major source of success for Renown’s hospice program.  “I believe that being a volunteer provides a role that patients perceive as non-threatening,” said Linda Derry, Hospice Volunteer. “As volunteers, patients feel more comfortable talking to us and sharing things. This dynamic allows them the freedom to express not only how they are feeling but also their fears and any other concerns they may have. It is in these moments that we can truly connect with them, as we are volunteering out of a genuine desire to sit and visit with the patients.  “When I see a patient, the focus depends on their specific needs,” added Luanne Geissler, Hospice Volunteer. “I often give family members some time to themselves to do whatever they need to do while I visit with the patient. Many of them are very talkative and eager to share their stories. For instance, one patient told me how to make a baked potato while out in the wilderness, which has become one of my favorite stories. Another patient shared her experiences about coming to America from Asia, discussing her church, her religion and her passion for baking. She would even bring bread to her doctor.”  “I have one patient whose main desire is to play chess; he has been playing for over 80 years and is still able to play very well,” added Hervey Ibarra, Hospice Volunteer. “When I visit another patient at his home, we engage in conversations about a variety of topics. Additionally, some patients ask me questions about the military and law enforcement. Whatever they want to do and discuss, that is what I focus on during our time together.”  Regardless of whether they are a provider, supporting team member or a volunteer, every person on the Hospice & Palliative Care team shares a primary focus: helping patients live their remaining days, no matter how long that may be, with dignity and comfort, surrounded by their loved ones.

Read More About Department Spotlight: Hospice & Palliative Care

Have you found yourself avoiding scheduling a mammogram because it sounds uncomfortable and maybe a little scary? Many people feel this way but knowing what to expect can help ease your worries. Follow along for a reassuring step-by-step guide on getting a mammogram from Melissa Dahir, Community Relations Liaison at Renown Health. Getting a mammogram is important to me because my mom is a Stage 3, double mastectomy breast cancer survivor. I began receiving annual breast health screenings at an early age, in addition to performing monthly self-exams. So far, all my appointments have gone well, and I hope that sharing my experience will encourage you to schedule this important screening today! Scheduling the Appointment Scheduling my appointment was very easy. I contacted the scheduling team for help with booking multiple appointments and they were very helpful in finding just the time I needed.

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According to the Centers for Disease Control and Prevention (CDC), one out of three adults aged 65 or older, fall each year. But less than half of those who fall talk to their healthcare provider about it. What’s more, among older adults, falls are the leading cause of both fatal and nonfatal injuries. Senior Care Plus, a Medicare Advantage Plan by Hometown Health, and Renown Health Nurse Educator, Darlene Roberts, worked together to provide a list with simple tips to help you prevent falls.  1. Exercise Exercise strengthens both your muscles and bones and improves balance which is a key factor to preventing falls. The stronger you are, the less likely you are to fall. And, if you do fall, you are less likely to be injured. 2. Vision Check Vision is an import part of fall prevention, have your eyes check by an eye doctor at least once a year. Update your vision prescription and replace your eyeglasses as needed. 3. Install Safety Equipment in Your Bathroom Installing grab bars in your home bathroom provides a way for you to help yourself in and out of challenging situations. It also provides support if you suddenly feel week or unstable. Having a grab bar to lean on or hold onto when you feel yourself falling or slipping can help prevent falls. Rubber mats eliminate slick surfaces that increase your risk of falling. Learn more about safety and medical equipment that are available through the Care Chest of Sierra Nevada. 4. Helpful Items in Your Bedroom A light within reaching distance is an important item to have in your bedroom. One reason adults fall is because they wander through a dark room, often to get to the bathroom at night, and can’t see where they are walking. Having a light within reach that is quick and easy to turn on before walking around a room can make it safer and decrease your risk of falling. Having a bedroom that is organized and furnished in a way that is easy to navigate is also important. If your bedroom is cluttered and hard to walk around without tripping or running into things, it might be worth reorganizing the area to define a clear walking path. 5. Helpful Items in Your Living Room Similar to your bedroom, your living room should have a light that is easily accessible. Sofas with armrests are helpful for support when getting up and sitting down. Avoiding clutter in your walkways, rugs that are not secured down and unstable furniture are important to consider when preventing falls. 6. Actions to Avoid in Your Home There are other ways to fall besides slipping or tripping while walking. Never stand on chairs, boxes or other unstable items in your home. Walkways should be tidy and free of objects that you could trip on. Spills should be cleaned up right away to prevent slipping. 7. Wear Appropriate Footwear Wearing shoes with non-slip soles and closed toes can help prevent you from falling.  Having shoes that fit properly, are made from hard rubber (like tennis shoes) and provide good support help prevent tripping and falling. Shoes with a collar that support the ankle and a well-padded tongue for the top of your foot can also help prevent injury to your feet. 8. Review Your Health & Medications at your Annual Health Check-Up It is important to review your health and medications with your healthcare provider so they can assess if you are at risk for falls. You should discuss your vision, heart health and blood pressure at your annual health check-up. These things can play a role in the risk of falling. Reviewing your current medications is also important. If medications are making you dizzy, talk to your provider about adjusting the dosage so you can feel more stable and balanced. When talking to your doctor about medications be sure to include your vitamins and supplements. Finally, Have your healthcare provider check your feet and discuss proper footwear yearly. Remember to speak up and talk openly with your healthcare provider about fall risk and prevention 9. Avoid Smoking and Alcohol Balance is important in preventing falls. Alcohol consumption negatively affects balance and increases your risk for falls and fractures. It also increases your risk for cancer, liver damage, osteoporosis, high blood pressure and strokes. Smoking is connected to frailty in older adults. It prevents the development of muscle tissue and breaks down healthy muscle tissue due to the lack of oxygen in your body. Stay up-to-date with resources, classes and workshops on falls prevention with UNR Med's Sanford Center for Aging.

Read More About Your 9-Step Guide to Prevent Falls