Health
Thursday, June 17, 2010
 
Anxiety is a category of illnesses
By Dr. Anthony Policastro

Anxiety is a commonly used word. What many people do not realize is that anxiety is a category of illnesses. People do not necessarily have "anxiety." There are various types. The type often seen in children is separation anxiety. This is a normal stage of development that occurs late in the first year of life. However, children then outgrow it. Some do not do it as well as others. Some children will continue to have separation anxiety as they get older. This is frequently seen when the child goes off to school. They will not want to leave the parent or get on the school bus. In most cases, it improves as the school year goes on. However, some children will have anxiety symptoms each September with the start of the new school year.
A second type of anxiety shows itself in phobias. People get anxious in many situations. Flying on an airplane is one common phobia. It is simply a form of anxiety disorder. Other people have anxiety about heights. Some have anxiety related to germs. Each of these situations only becomes a problem if the anxiety is disabling.
A third type is panic disorders. These are the extreme instances where individuals just decompensate in certain situations.
A fourth type shows itself up in physical symptoms. These are the situations where someone will say "It is all in your head." While the source of the anxiety might be psychological, the physical symptoms are real. For example, someone who has to speak in front of a large group will get anxiety. Their heart will be faster, their palms will get sweaty and they will have butterflies in their stomach. These are real physical symptoms even though there is not a physical problem.
A fifth type is social anxiety disorder. These individuals have anxiety about being out in public. They fear that others will judge them and are concerned about what others will think of them. They are concerned with how they dress and what they say. Some people deal with this kind of stress by self medicating with alcohol at events to help them relax.
A sixth type of anxiety is the one that accompanies obsessive-compulsive behavior. Individuals with this type of behavior will get anxious when things are not in the order that they want them to be.
A seventh type is what is known as a generalized anxiety disorder. These individuals tend to be anxious about a lot of things. They are just anxious individuals as a rule. Most people with anxiety problems have more than one type of anxiety. For that reason, multiple situations upset them. The best approach is counseling and therapy. For more severe cases, medication might be necessary. There might even be situations where medication is only necessary in specific instances. For example, someone who has anxiety about flying would do well with a single dose of medication before a flight. We need to realize that when we use the term anxiety, it can have many different meanings.

Campbell to present abstract
Carlene J. Campbell MS, R.N., senior clinical analyst at Nanticoke Memorial Hospital, will present her nursing Informatic abstract at the Summer Institute in Nursing Informatics (SINI) conference, July 21-24, at the University of Maryland School of Nursing in Baltimore, Md. Campbell's capstone project, "Assessing the Computer Literacy of a Community Hospital" received the Nursing Informatics Practice Award for "the practice paper judged to make the most significant contribution to exemplary practice in nursing informatics." Her work was selected by the SINI planning committee.

PRMC earns distinction
CareFirst BlueCross BlueShield recently designated Peninsula Regional Medical Center as a Blue Distinction Center for Cardiac Care. This most recent designation now creates Blue Distinction Centers at Peninsula Regional for Cardiac Care, Bariatric Surgery, Hip and Knee Replacement Surgery and Spine Surgery. Peninsula Regional is currently the only hospital or medical center on the Delmarva Peninsula to hold Blue Distinction Center recognition in each of those specialties. Peninsula Regional joins an elite group of nine of Maryland's 59 hospitals to earn the distinction in Cardiac Care, and becomes the first hospital or medical center on the Delmarva Peninsula to be named a Cardiac Care Blue Distinction Center. Blue Distinction is a designation awarded by Blue Cross and Blue Shield to medical facilities that have demonstrated expertise in delivering quality, safe health care with low complication and mortality rates, and a comprehensive quality management program. Blue Distinction Center designations provide consumers with a framework for making informed decisions on where to go for specialty care.

NMH offers first aid classes
Nanticoke Memorial Hospital will offer community First Aid classes to anyone interested in learning first aid on Tuesday, July 13, from 6:30 to 9:30 p.m., at the Nanticoke Training Center on Water Street in Seaford. Participants will learn basic first aid that will enable them to administer help during the first few moments until emergency responders arrive. Classes are open to participants age 13 and up. The course covers cognitive learning, role-playing and skill practice. Cost is $30. Payment and registration is required no later than five business days before the class. Late registrations (if seating is available) will be an additional $5 fee. To register, or for more information, contact the Nanticoke Memorial Hospital's Training Center office at 629-6611, ext. 8919. Pre-registration is required.

Hendricks named HR director
Nanticoke Health Services welcomes Barbara A. Hendricks, SPHR, MBA, to the position of Human Resources director. In this position, Hendricks oversees recruitment, employee relations, and staff development functions, in addition to benefits and compensation administration for Nanticoke Health Services. Hendricks has more than 20 years of experience in health care and is certified as a Senior Professional in Human Resources. She received a master's degree in human resources from Marymount University in Arlington, Va. and a master's in business administration from Strayer University in Washington, D.C. She lives in Delmar, Md. with husband Edward, a nurse practitioner.

Safe Sitter Class
Nanticoke Memorial Hospital is offering a Safe Sitter class for girls and boys ages 11 to 13. The 2-day course will be held from 9 a.m. to 3:30 p.m., June 28 & 30. The Safe Sitter program is a medically accurate instructional series that teaches youngsters how to handle emergencies when caring for younger children. The cost is $50. Participants are to bring a bagged lunch. All medical information will be taught by a certified professional. Students get hands-on practice in basic life-saving techniques so they are prepared to act in a crisis. Instructors also provide tips to make sitters more confident caregivers. They teach safety and security precautions, such as what to do if a stranger comes to the door and when and how to call for help. They give information on child development and suggest age-appropriate activities. Participants will also learn about the business aspects of babysitting. To register your son or daughter or your child's babysitter, call 629-6611, ext. 2542.

Diabetes education program
Nanticoke Memorial Hospital will hold a four-session diabetes education program on July 14, 21, 28 and Aug. 4, from 5 to 7 p.m., at the hospital. Registration is required. The cost of the four-session program may be reimbursable by insurance. This four-session program includes weekly education sessions and individualized meal planning for diabetes self-management. The goal is to give you the self-management skills to control your diabetes. Family members/significant others are welcome to attend. For more information and to register, contact Nanticoke Memorial Hospital's Diabetes Education department at 629-6611, ext. 2446.

Yearick named executive director
Nanticoke Health Services welcomes Lyndon D. Yearick to the position of executive director of the Nanticoke Health Services Foundation. Yearick will be responsible for the fundraising activities of the Foundation, including the planning and execution of programs for annual giving, major gifts, grants, special events and planned gifts. Yearick comes to Nanticoke with more than 20 years of experience in business and marketing management. He was responsible for the fundraising and resource development efforts for Kent and Sussex Counties' United Way of Delaware. He received his bachelor's of business administration from Bloomsburg University and his master's in business administration with a marketing concentration from Pennsylvania State University.

CPR, Heartsaver classes offered
Nanticoke Memorial Hospital will offer Healthcare Provider CPR classes to professionals and Heartsaver AED classes for individuals needing Heartsaver AED Certification for the workplace. The following classes are being offered at the Nanticoke Training Center located on Water Street in Seaford: July 9 - 8 a.m. to noon; July 9 - 1 to 4 p.m.; July 23 - 8 a.m. to noon; July 23 - 1 to 4 p.m. Participants will learn how to perform CPR on adults, children and infants and how to help an adult, child or infant who is choking. The course is designed for healthcare providers and vocational or college students of healthcare professions. Participants who successfully complete the written and practical exam will receive a card with a 2-year expiration. Cost is $45. Payment and registration is required no later than five business days before the class. Late registrations (if seating is available) will be an additional $5 fee. To register, or for more information, contact Nanticoke Memorial Hospital's Training Center office at 629-6611, ext. 8919. Pre-registration is required.

Community CPR classes offered
Nanticoke Memorial Hospital will offer community CPR classes to anyone interested in learning CPR on Tuesday, June 22 from 6:30 to 9:30 p.m., at the Nanticoke Training Center located on Water Street in Seaford. Participants will learn how to perform the basic skills of CPR on adults, children and infants and how to help an adult, child or infant who is choking. This classroom-based, video and instructor-led CPR course offers families, friends and community members the opportunity to learn CPR and need a course completion card. Classes are open to participants ages 12 and up. This program is specifically designed for those who prefer to learn in a group environment with feedback from an instructor. The target audience is those who have a duty to respond to a cardiac emergency because of job responsibilities or regulatory requirements. Cost is $30. Payment and registration is required no later than five business days before the class. Late registrations (if seating is available) will be an additional $5 fee. To register, or for more information, contact Nanticoke Memorial Hospital's Training Center office at 629-6611, ext. 8919. Pre-registration is required.

Stroke support group Nanticoke Memorial Hospital's next Stroke Support Group meeting is being held on Thursday, June 17th, 1:30 pm at Nanticoke Memorial Hospital's Mears Rehabilitation, 300 Health Services Drive, Seaford, DE. The support group is designed for individuals who have survived a stroke as well as their families and caregivers. Modeled from the American Stroke Association, the hospital is engaging with speakers to provide education, community resources and emotional support to those who have been affected by this life-altering event. The two-hour support group meetings will consist of guest speakers and breakaway sessions, in which caregivers and stroke survivors will meet in two groups to discuss concerns, provide support, and allow for networking. Refreshments will be provided. Pre-registration is not required for this FREE support group. For additional information, contact Nanticoke Memorial Hospital at 302-629-6611, extension 8626.

Quarterly infection report
Delaware Health and Social Services' Division of Public Health issued data for hospital central line-associated blood stream infections for Delaware for the first quarter of 2010. An estimated 248,000 bloodstream infections occur in U.S. hospitals each year. A large proportion of these infections are attributed to a central line, which is a tube in the chest that returns blood to the heart. Bloodstream infections are usually serious infections typically causing a prolonged hospital stay, increased cost and risk of death. Collectively, Delaware's eight critical care hospitals reported eight infections between January and March. Only one hospital had an infection rate that was statistically higher than the national rate published by the Centers for Disease Control and Preventions' National Healthcare Safety Network. The Centers for Disease Control and Prevention reported that for the first half of 2009, the number of central line-associated blood stream infections in Delaware was significantly below the number expected based on data from 17 states.

Bereavement support group
Compassionate Care Hospice, The Wellness Community-DE and Nanticoke Memorial Hospital will collaborate to present a monthly bereavement group, The Next Step. The group focuses on issues of loss that continue beyond the early stages of grief. Mary Van House, bereavement coordinator, will facilitate the group at 10 a.m. on the third Tuesday of each month, at the Nanticoke Cancer Care Center, second floor conference room. To register, call Lisa at 629-6611, ext. 2378.

Depression Support Group
There is a free bimonthly Depression Support Group meeting in Laurel on the second and fourth Wednesday evenings from 7 to 8:30 p.m. Any person who has signs and symptoms of depression and is under the care of a professional counselor/MD is welcome to attend. To register, call 302-465-6612.

Breast cancer support group
Delaware Breast Cancer Coalition, Inc. (DBCC) has expanded its Beginning Your Pink Ribbon Journey, a program for women newly-diagnosed with breast cancer, by partnering with Nanticoke Memorial Hospital Cancer Center in Seaford. The free, monthly program is offered at the Cancer Center located at 801 Middleford Road, Seaford, the third Thursday of each month from 3 to 4 p.m. The program is facilitated by Nanticoke Memorial Hospital Cancer Center professional staff - Terri A. Clifton, MS, NCC, Cancer Care coordinator; Mary Brown, RN, DSN, manager Cancer Care Center; and Wendy Polk, nutritionist - with assistance from Lois Wilkinson, DBCC special projects manager, who helps facilitate the program at Bayhealth. Of particular value to newly-diagnosed women is DBCC's Peer Mentor Program through which they are paired with a long-term survivor for one-on-one support. To learn more about Beginning Your Pink Ribbon Journey at Nanticoke Memorial Hospital Cancer Center, call Lois Wilkinson at 672-6435. Registration is required and light refreshments and small gifts are provided.

Man to Man support group
Nanticoke Memorial Hospital offers a Man to Man support group meeting on the fourth Wednesday of each month. Man to Man helps men cope with prostate cancer by receiving information and peer support. Man to Man is a forum for men and their support network to learn about diagnosis and treatment options through presentations, written materials and videos. Specialists share information such as side effects and how to cope with prostate cancer and its treatment. News and information about nutrition, general health, research and treatment, as well as messages from men living with prostate cancer and other Man to Man activities, are offered to assist in the recovery process. Pre-registration is not required for this free support group. For more information, contact Larry Skala (337-3678) or Grafton Adams (628-8311).

Cancer support group
The Wellness Community-Delaware offers a free general cancer support group for people affected by cancer and their loved ones at Nanticoke Memorial Hospital in Seaford. The monthly support group meets in the second floor conference room of the Cancer Care Center on the third Monday of each month from 4:30 to 6 p.m. The Wellness Community is dedicated to helping people affected by cancer enhance their health and well-being through participation in a professional program of emotional support and hope. All facilitators of these groups are trained mental health professionals. Call 645-9150 for information or to register.