Health
Thursday, April 11, 2013
 
DSM-V will be released in May

By Dr. Anthony Policastro
There is an official manual of psychiatric diagnoses. It is currently known as the DSM-IV (Diagnostic and Statistical Manual 4th edition) and was created in 1994. Things have changed over time so, for that reason, a new version is being published in May. Some areas will remain the same but many other areas will change. This is the book that is used to arrive at mental health diagnoses. For example, there have been minor changes to the ADHD section. In order to make the diagnosis of ADHD inattentive type, you needed to have six of the nine characteristics listed. In order to make the diagnosis of ADHD hyperactive type, you also needed to have six of the nine characteristics. In the new version, you still need six characteristics but there are now 13 instead of nine. In addition, for patients aged 17 or older, you only need four of the characteristics. As might be expected there have been some major changes to the categories affecting autism. A lot has changed in this area since 1994. The new criteria reflect some of those changes. There will be a new category titled behavioral addictions. The only disorder in that section will be gambling addiction. Internet addiction was considered as a second diagnosis but the decision was to only include it in the appendix. Eating disorders underwent several changes. There are new criteria for anorexia nervosa and bulimia. However, there is also the inclusion of binge eating disorder as a new diagnosis. There was a decision to include some "at risk" categories. Thus, someone who does not yet have dementia but is in the early stages would have an at risk classification. You might wonder what all this has to do with the average person. On the surface, it would appear to have little relevance. However, this manual is the one that is used to declare diagnoses for the insurance companies. They decide on whether or not to pay for treatment based upon the diagnostic categories. For example, there is a condition called sensory integration disorder. This has been known to be a real condition for several years. It affects individuals who overreact to environmental stimuli. That might be the sensation of touch such as having to remove clothing tags. It might be the sensation of taste and food avoidance. It might be over-sensitivity to loud noises, bright lights or aromas. Because it is not included in the current manual, insurance companies will not pay for treating it. The expectation was that it would be included in the DSM-V. That would create a change in payments. However, it is still not going to be included. That means that individuals who suffer from this will either have to pay for treatment or not get treated at all. The time has come to update the previous manual that was published in 1994. In many areas that has been done. In some areas it has not. However, once the manual comes out, there will be an impact. It is likely that those who are impacted will not even know why that is the case.

CPR classes offered Nanticoke Memorial Hospital will offer community CPR classes to anyone interested in learning CPR 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 and use of the AED. This classroom-based, video, and instructor-led CPR course offers families, friends, and community members the opportunity to learn CPR and receive a course completion card. Classes are open to participants ages 12 and up. The target audience is those who have a duty to respond to a cardiac emergency because of job responsibilities or regulatory requirements. Cost is $45. Payment and registration is required by no later than five business days prior to the class. Late registrations may be accepted if seating is available. To register and obtain a listing of class dates/times, contact the Nanticoke Memorial Hospital's Training Center office at 629-6611, ext. 8919. Pre-registration is required.

Health Promotion awards The Governor's Council on Health Promotion & Disease Prevention announces a call for submissions for Recognition of Community Health Promotion. The goal is to recognize the efforts of municipalities that are championing the health and well being of their local residents. Recipients will be communities that have demonstrated effective planning and implementation of best practice and/or creative and visionary programs to improve physical activity, nutrition/healthy eating, tobacco-free lifestyles, healthy environments; promote healthy lifestyles and integration of the needs of individuals with limited mobility and disabilities. All applicants must represent an incorporated municipality located within the State of Delaware and must focus on policy and practice changes related to improving the overall health of its respective community members. For more information and an application, contact Dr. Milton Delgado at mdelgado@nemours.org or 302-444-9142. The deadline to submit an application is April 12. Upon submission, all applications will be reviewed by a subcommittee of the Governor's Council on Health Promotion & Disease Prevention.

ALS Walk at Laurel Middle The Laurel Middle School Chapter of the National Junior Honor Society is hosting its 5th Annual ALS - Lou Gehrig's Disease Walk on Saturday, May 18. This is a one hour walk that can be done any time between 9 and 11 a.m. The walk will be held in front of Laurel Middle School. There is a $25 registration fee and walkers are encouraged to form teams. The goal is for each team to raise at least $50. The top three teams raising the most money will receive awards. Come walk in honor or memory of someone affected by ALS. All proceeds go to the Greater Philadelphia Chapter of the ALS Association. For more information and to register your team, contact Amy Handy or Kim Ralph at Laurel Middle School, 875-6110.

Bariatric information seminar Bayhealth invites you to its next bariatric information seminar, where a special guest will share how he has lost over 200 pounds since his gastric banding surgery in 2011. Join us on Wednesday, April 24 at Bayhealth Milford Memorial, Conference Rooms A & B from 6 to 7 p.m., to hear this amazing story and learn more about the Bayhealth Bariatric Program. Surgeons and staff will discuss the risks, benefits and outcomes of the various procedures including Gastric Banding, Laparoscopic Roux en Y Gastric Bypass, and the Laparoscopic Sleeve Gastrectomy. There is no charge to attend. Register by calling the Bayhealth Bariatric Office at 302-430-5454, or visit www.bayhealth.org/bariatrics.

Brown named to hospice board Thomas Brown, senior vice president for Nanticoke Health Services and president of the Nanticoke Physician Network, has been appointed to the board of directors for Delaware Hospice. Delaware Hospice was founded in 1982 to provide better end-of-life care. Since that time, it has remained the only not-for-profit hospice in the state, committed to its mission of providing the highest quality of hospice care to the communities it serves.

CPR classes offered Nanticoke Memorial Hospital will offer community CPR classes to anyone interested in learning CPR at the Nanticoke Training Center 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 and use of the AED. 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 $45. Payment and registration is required by no later than five business days prior to the class. Late registrations may be accepted if seating is available. To register and to obtain a listing of class dates/times, contact the Nanticoke Memorial Hospital's Training Center office at 629-6611, ext. 8919. Pre-registration is required.

'Living With Diabetes' event Peninsula Regional Medical Center (PRMC) and its Diabetes Education Program invite anyone interested in learning more about living with diabetes to attend a free education event, "Living With Diabetes-Making It a Bit Easier," on Thursday, April 25. The program, to be held in the auditorium of the Avery W. Hall Educational Center on the PRMC campus, will feature an educational presentation and exhibits from companies involved in diabetes care and services. Regina Kundell, CRNP, BC-ADM, of Peninsula Regional Endocrinology in Salisbury, and who has treated patients with diabetes for nearly a decade, will discuss how to live well while tackling the day to day challenges of diabetes. She has had Type 1 Diabetes Mellitus herself for over 35 years. A question and answer session will follow the presentation. The program begins at 6 p.m. with vendor displays until 7. Kundell's presentation will begin at 7 and last approximately one hour. An RSVP is required; call the Diabetes Education Program at 410-543-7061. There is no cost to attend. Free parking will be provided.

Professional conference for nurses Delaware Hospice will hold a complimentary professional conference for nurses, "Facilitating Positive End-of-Life Experiences," on Tuesday, May 7, from 8 a.m. to 12:30 p.m., at the Duncan Center, 500 West Loockerman St., Dover.

Participants will receive 4.0 continuing education hours. Featured speakers Michelle Procino, Esq., and Amber Woodland, Esq., will present "Advance Care Planning and Preparing the Advance Healthcare Directive." Additional sessions will include: "An Overview of Hospice Services," "Goals of Care Discussion," and "Final Days and Final Hours." Registration begins at 7:30 a.m., and breakfast will be provided, as well as opportunities for networking. Registration is required for this free Delaware Hospice event, as seating is limited. Register by Wednesday, May 1, or learn more by contacting Katie Berna, MHA, BSN, CHPN, associate director of education, at kberna@delawarehospice.org or 302-530-2388.

Denise Jester promoted to CFO Nanticoke Health Services announces the promotion of Denise Jester to the position of Chief Financial Officer for Nanticoke Health Services. Jester is responsible for Nanticoke Health Services's financial operations management. Jester has been with Nanticoke Memorial Hospital for more than 31 years serving a majority of those years in the accounting department. She brings an extensive knowledge of the different levels of reimbursement from insurance. "Denise has been serving as the interim CFO since last fall and as the official CFO for a couple months now. We could not be more pleased with our choice," said Steven Rose, president/CEO of Nanticoke Health Services. Jester has been a part of this community her entire life. She was born at Nanticoke Memorial Hospital, went to Seaford High School, Del Tech University, and then graduated from Wilmington University.

Autism Awareness April is Autism Awareness Month, and this year, Autism Delaware is raising awareness by addressing the impact of the developmental disability on Delaware's families. "From early intervention services for our very young children to employment and social opportunities for our adult population," says Teresa Avery, M.B.A., Autism Delaware's executive director, "the need grows with the number of people who are affected by autism." Of the numerous events planned for Autism Awareness Month, one highlight is Autism Delaware's Smart Cookie Day. Created to give families the opportunity to share their stories  and home-baked chocolate chip cookies  with their state legislators, Smart Cookie Day takes place annually and includes admission to a legislative session plus a casual evening with elected officials. In support of these families, Autism Delaware's programs and services require funding through annual events, such as the statewide Walk for Autism. This year, the event steps off at 11 a.m. on Saturday, April 20, in Cape Henlopen State Park and on Saturday, April 27, in Bellevue State Park. Walkers who raise $100 or more will win a prize.

Journaling workshop Delaware Hospice invites anyone coping with a loss to a "Write Your Heart Out" journaling workshop from 5 to 6:30 p.m., on Thursday, May 9, at the Delaware Hospice Millsboro office, 315 Old Landing Rd., Millsboro. The workshop will focus on examining your grief journey through this safe, non-judgmental and therapeutic activity of journaling. There is no charge to attend but registration is required as space is limited. To register, contact Midge DiNatale, bereavement counselor, by May 6, at mdinatale@delawarehospice.org or 302-416-0581.

Hospice offers grief workshop Delaware Hospice will offer a "Grief 101: Introduction to Grief" workshop for adults from 5 to 6:30 p.m. on Wednesday, April 24, at the Hospice Center in Milford. This workshop will provide up-to-date information about what to expect when grieving the loss of a loved one, why we grieve differently even though there are many similar experiences, common misunderstandings, and ways to support yourself and others who are grieving. The workshop is free and open to the public but registration is required as space is limited. To register or learn more, contact Chet Carbaugh, MDiv, at 302-353-8345 or ccarbaugh@delawarehospice.org.

Grief support group offered Delaware Hospice will hold a six-week support group for widows, widowers, and life partners on Tuesdays, from 5:30 to 7 p.m., beginning April 9 through May 14, at the Delaware Hospice Center, 100 Patriots Way, Milford. Many people find that a group experience just for those who have lost a husband, wife or life partner is a very beneficial way to give and receive support. One way to know that you are normal with your grief is to be with others who share the same heartaches. There is no fee for this service which is provided as a community outreach by Delaware Hospice. Registration is requested by April 4, by contacting Midge DiNatale, bereavement counselor, at mdinatale@delawarehospice.org or 302-416-0581.

Southern Delaware Kidney Walk The National Kidney Foundation of Maryland (NKF-MD) will hold its fifth annual Southern Delaware Kidney Walk, Sunday, April 14, at Cape Henlopen State Park in Lewes. Check-in and festivities begin at 9 a.m. at the Picnic Pavilion. The dog-friendly walk will kick off at 10 a.m. Participants can choose from a 3.2-mile trail or a shorter trail for strollers and wheelchairs. There is no registration fee, but Cape Henlopen State Park charges an entrance fee of $4 per vehicle registered in Delaware and $8 for vehicles registered outside the state of Delaware. For pre-registration, or information about sponsorship or volunteer opportunities, call 443-235-8407 or visit www.kidneywalk.org.

Latina Health Forum is April 13 The Delaware Breast Cancer Coalition (DBCC) and the Arsht Cannon Fund present the 3rd Annual ÁVIDA! Latina Breast Health Forum on Saturday, April 13, at Grace United Methodist Church, 7 King St., Georgetown, from 9 a.m. to 2 p.m. This one-day conference is free and open to the public. ÁVIDA! is a bilingual (Spanish/English) educational event that focuses on breast cancer screening, treatment and survivorship. This year's event will feature free health screenings and information about breast health and healthy living. Lunch will be provided for all attendees, but space is limited so those interested are encouraged to register by calling toll-free, 1-888-672-9647. The State of Delaware's Women's Mobile Health Screening (WMHS) Van will be on-site to provide screening mammograms for women over 40 (with a prescription from a doctor). To schedule an appointment for a screening mammogram, call 1-888-672-9647. There will also be free screenings for blood pressure, cholesterol, glucose, bone density, skin cancer, clinical breast exams, HIV, and body mass index (BMI). In addition, the Food Bank of Delaware's Mobile Pantry will be on-site. To sign-up to receive food on the day of the event, call 1-888-672-9647 to pre-register. Quantities are limited and all food recipients must pre-qualify for benefits ahead of time. For more information, contact Patty Vivo-Aucoin in DBCC's Dover office at 302-672-6435.

NMH offers stroke support group Nanticoke Memorial Hospital's next Stroke Support Group meeting is Tuesday, April 16, at 1:30 p.m., at the Seaford Library. The support group is designed for individuals who have survived a stroke as well as their families and caregivers. 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 more information, call Nanticoke Memorial Hospital at 629-6611, ext. 8626.

Asthma Awareness Day is May 11 The American Lung Association in Delaware, Bayhealth Medical Center, and Nemours Health and Prevention Services will host a carnival-themed asthma awareness day, "Asthma Under the Big Top," on Saturday, May 11, from 10 a.m. to 1 p.m., in Pavilions I & II at Bayhealth Kent General Hospital in Dover. Snacks and beverages will be provided. Families, children and caregivers are encouraged to attend this free event. To register or for more information, contact Nicole Goldsboro at 302-737-6414, ext. 16 or ngoldsboro@lunginfo.org.

Alzheimer's Caregiver Support Group Cadia Rehab Renaissance near Millsboro is hosting and facilitating an Alzheimer's Association Caregiver Support Group that meets the fourth Tuesday of each month at 6 p.m. All meetings are open to the public and interested parties are invited to attend. Alzheimer's disease is the sixth leading cause of death in the United States. One person out of eight who reaches the age of 65 will develop Alzheimer's, as will one person out of every two who reaches the age of 85.

2013 Walk MS dates The Delaware Chapter of the National Multiple Sclerosis Society has announced the 2013 Walk MS dates and is inviting all Delawareans to join the movement. Each year thousands of loved ones, friends, and neighbors throughout Delaware  from Wilmington's Riverfront to Sussex County's Baywood Greens  lace up and step out in solidarity, with hopes of creating a world free of MS. Last year, over a quarter million dollars was raised to help out the 1,550 Delawareans living with multiple sclerosis. The Twilight at Heritage Shores walk in Bridgeville will be held on May 31 and the walk at Baywood Greens will be held on June 7. To register, visit www.delawarewalk.org or call 302-655-5610.