Health and Well Being

Health and Well Being2018-07-16T15:16:37+00:00

Asthma

Control your asthma and breathe with ease. Asthma is a chronic condition that occurs when the bronchial tubes (the lungs’ main air passages) become inflamed. The bronchial wall muscles tighten, producing excess mucus and causing the airways to narrow. This constriction causes conditions ranging from minor wheezing to severely labored breathing.

Though asthma is not typically considered a life-threatening lung disease, each year, nearly 500,000 Americans are hospitalized for asthma-related conditions and more than 4,200 die. Recognizing warning signs and treating symptoms early can help control your asthma and prevent it from getting worse.

You can help better manage asthma by limiting your exposure to environmental factors that aggravate the condition.  Second-hand smoke is just as—if not more—devastating to people with asthma, but affects them slowly. Tobacco smoke contains nearly 400 toxic substances and carcinogens that irritate air passages but do not necessarily cause coughing or wheezing during exposure. It is particularly detrimental for children with asthma when an adult smokes in the home.

See your doctor if you think you have asthma. Signs include wheezing, labored breathing, chest pain or tightness, and coughing without any other symptoms.

If you’ve been diagnosed with asthma, ask your doctor how to manage your condition. Together, you and your doctor can develop a plan to help control your symptoms and prevent attacks. If your prescribed medication does not alleviate your symptoms, contact your doctor immediately.
Asthma should not limit your activities or cause depression. You can still live an active life if your asthma is controlled by carefully following your doctor’s treatment plan. It’s also important to avoid certain triggers, such as smoke, dust, or mold. Once you understand how to manage your condition, you can breathe with greater ease.-

Cancer Screening

Breast Cancer

One in eight women will develop breast cancer in her life; 70 percent of these women have no known risk factors for the disease. Women ages 40 to 49 should talk to their doctor and make an informed decision about whether mammography is appropriate based on their family history and general health. The U.S. Preventive Services Task Force recommends that women ages 50 to 74 have a mammogram every two years.

A mammogram is an X-ray of the breast that’s used to check for abnormalities in the breast tissue. Mammograms can help detect tumors or other cysts that may indicate the presence of breast cancer.
When found early, breast cancer is highly treatable and chances of survival are best.  The State of Utah has contracted with Family Healthcare to provide cancer screenings for eligible women.  Please call us for more info about this life-saving test at 435-986-2565.

Depression

Clinical depression, the most common mental health problem, affects nearly 20 million Americans each year. And that number is probably significantly higher because, nationally, fewer than half of those suffering from clinical depression seek treatment.

What is depression?

Depression is a medical illness, and like many other illnesses, it can be managed effectively with the appropriate treatment. It is more than being sad or discouraged, which are normal feelings that typically pass in a few days. Depression is a persistent condition that can make daily activities difficult, affecting your physical health and well-being as well as those around you. Its severity can range from a mild, depressive mood that is experienced almost daily to persistently intense feelings of sadness, hopelessness, or significant loss of interest and pleasure.

What causes depression?

The exact causes of depression are not fully understood. What we do know is that depression is a medical condition, not a character or personality flaw. The most common conditions that can accompany depression are:

• Chemical imbalances in the brain.
• Certain medical illnesses.
• Certain medications.
• Alcohol and/or drug use.
• Stressful life events.

Who’s at risk?

Though anyone can suffer from depression, individuals with other medical conditions are at greater risk. Depression affects as many as one-third of all patients with chronic medical conditions, such as diabetes, cancer, or heart disease.

How can you recognize symptoms of clinical depression? Look for these signs:

• Persistent sad, anxious, or “empty” mood.
• Sleeping too much or too little, and waking up in the middle of the night or early morning.
• Reduced appetite and weight loss, or increased appetite and weight gain.
• Loss of pleasure and interest in activities once enjoyed.
• Restlessness or irritability.
• Persistent physical symptoms such as chronic pain or digestive disorders that do not respond to treatment.
• Difficulty concentrating, remembering, or making decisions.
• Fatigue or loss of energy.
• Feeling guilty, hopeless, or worthless.
• Thoughts of suicide or death.

If you have five or more of these symptoms for two weeks or more, you could have clinical depression and should see your doctor or a qualified mental health professional for help.

Again, remember that clinical depression is treatable. Treatment usually includes antidepressant medication, psychotherapy, or a combination of the two.

Of course, treatment depends on the severity of the condition. In some cases of mild to moderate depression, increasing your physical activity, taking up a new hobby, or joining a social group or club may help alleviate some of your depression symptoms.
And remember, there’s no shame in seeking help.

The following symptoms of diabetes are typical. However, some people with type 2 diabetes have symptoms so mild that they go unnoticed.

Common symptoms of diabetes:

Urinating often
Feeling very thirsty
Feeling very hungry – even though you are eating
Extreme fatigue
Blurry vision
Cuts/bruises that are slow to heal
Weight loss – even though you are eating more (type 1)
Tingling, pain, or numbness in the hands/feet (type 2)
Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes.

Explore: Diabetes Basics

Type 1

Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes.

Gestational Diabetes

Expecting? Learn why women who have never had diabetes may be at risk during pregnancy.
Statistics About Diabetes

The numbers associated with diabetes make a strong case for devoting more resources to finding a cure.

Myths

Clear up some common misunderstandings about what causes diabetes, the effects of diabetes, and how diabetes can be managed.

Common Terms

Become familiar with terms commonly used when discussing diabetes.

Talk to your doctor if you have these symptoms or are concerned that you may have diabetes.
Call Family Healthcare at 435-986-2565

Family Healthcare Narrative

Family Healthcare is a community health care non-profit that first opened its doors in 2002. We have four clinics; two in St George, One in Hurricane and one in Cedar City. We will be opening our doors to a new clinic in Hurricane in Spring. One of the many services we provide to women is prenatal and delivery services. Very few of our patients have insurance. There may be one during a year. Usually 100% of our prenatal patients are uninsured. We serve uninsured pregnant women ages 17 through 40, 48 percent White and 47 percent Hispanic. Sixty-three percent of all patients are 100 percent of poverty.

In 2016 we served 175 patients and performed 98 deliveries. In 2015, we provided services to 200 patients and 125 delivered. We do not deliver all of our patients: many move before delivery; some are referred to hospitals for delivery; very few miscarry in early months. Some of our high-risk patients need C-Sections which we also perform.

Prenatal care helps decrease risks during pregnancy and increases the chance of a safe and healthy delivery. Regular prenatal visits our doctors monitor the pregnancy and identify any problems or complications before they become serious. Babies born to mothers who lack prenatal care have triple the chance of being born at a low birth. Newborns with low birth weight are five times more likely to die than those whose mothers received prenatal care. We offer a $20 gift card to early entry of mothers. This is to ensure that the mothers get early entry prenatal care which is so important to the baby and the mother’s health. This incentive is shared with our partners and the mothers who come in for prenatal services. Word gets around and it works!

At the first visit we provide a complete physical exam, including a pelvic exam and Pap test. We take blood and urine for lab work; check blood pressure, height, and weight; calculate due date, and answer questions. The labs may be carried throughout the pregnancy. We also do a dental examination. Most of our patients come to us with needed dental work. Because of their lack of insurance they can have multiple dental problems. Oral health is extremely important for prenatal patients. We partner with Delta Dental to provide this care that is not included in the $2,762 average costs for prenatal care.

Follow-up exams are critical: we measure the abdomen to check baby’s growth and heart rate. We also check the mother’s weight, blood pressure, diet, blood and urine lab work and other health care concerns of the mothers. Our doctors often refer prenatal patients to our behavioral specialists. They may need help and support for depression and anxiety. If they are taking medications for depression, we try and wean them off the drug and/or manage their medications. Behavioral health care can help the mothers to get off all medications that may harm their child. That is one goal of our behavioral health specialists, the others are helping them deal with depression and anxiety.

We also administer Dtap vaccines to mothers and fathers so that the baby is not subject to the Whooping cough virus when baby goes home.

We also offer our patients deeply discounted prescriptions in partnership with Smith’s grocery.

Our paying patients are our employees (Intermountain Health Care Select Care) and other people who come to us because of our low costs and excellent doctors and dentists. These are Medicare clients, Medicare Health Plus insurance policies and other private insurance.

Heart Disease

Not having enough good cholesterol (HDL) and having too much bad cholesterol (LDL) can put you at risk for heart disease, which can lead to a heart attack or stroke. There are some risk factors you can’t do anything about, such as age or family history. But there are things you can do to help improve your cholesterol levels:

• Know your risk. High cholesterol is often called a “silent disease” because there are no major symptoms. Major risk factors include diabetes, premature coronary heart disease, high blood pressure, and cigarette smoking. Men age 45 and older and women age 55 and over are also at high risk.
• Get tested. If you’re at high risk or over the age of 20, talk to your doctor about a cholesterol screening.
• Set a goal. The ideal LDL for a high-risk patient is < 100 mg/dL. Work with your doctor to decide on an appropriate cholesterol goal and come up with a plan to manage your levels.
• Lead a healthy lifestyle. Improve your diet by avoiding foods high in cholesterol and saturated fat, increase exercise, maintain a healthy weight, avoid smoking, and take your medication correctly.
• Practice good oral hygiene and see a dentist regularly. Patients with poor oral hygiene may have up to twice the risk of having a heart attack.

It is estimated that 25 percent of people who should be taking statins, or cholesterol-lowering drugs, do not take them. Studies have shown 20 percent to 60 percent lower LDL cholesterol levels in people who take statins. Speak to your physician about the possibility of taking a generic drug — they cost much less and are often just as effective.

Blood Pressure

When blood pressure is high, your heart must work harder to move blood through your body. Over time, this can lead to serious health problems such as heart disease, heart attack, stroke, blindness, or kidney disease.

High blood pressure, or hypertension, often has few symptoms. One in three adults has it, but many don’t know it. The only way to know if your blood pressure is in a healthy range (120/80 for most people) is to have it checked regularly by your doctor.

Hypertension is caused by a number of factors. Some, like genetics, cannot be controlled. However, there are many risk factors you can change to keep your blood pressure at a healthy level.
• Maintain a healthy diet. Avoid foods high in sodium, fat, and cholesterol. Eat more fruits, vegetables, whole grains, and low-fat dairy products.

• Increase your physical activity. Exercise for at least 30 minutes on most days. Exercise can even come in the form of routine chores, like yard work or walking your dog.
• Maintain a healthy weight. Losing excess weight can reduce unnecessary stress on the heart, which can help alleviate many heart conditions.

• Avoid alcohol and smoking. More than one to two drinks per day can increase fat levels in the blood. Smoking cigarettes constricts and damages blood vessels.
• Reduce your stress. A strong emotional reaction to a stressful event is a common trigger for heart attacks. Learn to stay calm during stressful times.

If changing your lifestyle habits doesn’t reduce your blood pressure, your doctor may prescribe medication. Don’t hesitate to talk to your doctor if you have questions or experience adverse side effects; many options are available and they may be able to prescribe another medication.
Know your blood pressure numbers. This could save your life.

• High blood pressure (hypertension): 140/90 or above
• Borderline high blood pressure (pre-hypertension): 120/80 to 139/89
• Healthy blood pressure: Below 120/80

For Parents & Adults

(https://www.cdc.gov/vaccines/schedules/easy-to-read/index.html)

2018 Recommended Immunizations

For Infants and Children (Birth through 6 Years)(https://www.cdc.gov/vaccines/schedules/easy-to-read/child.html)

  • Recommended immunizations and when to get them (English/ Español)(https://www.cdc.gov/vaccines/schedules/easy-to-read/child.html#schedule)
  • Create a personalized immunization schedule for your child(https://www.cdc.gov/vaccines/schedules/easy-to-read/child.html#tools)
  • Take the quiz for a personalized list of recommended vaccines for your child (English/Español)(https://www.cdc.gov/vaccines/schedules/easy-to-read/child.html#tools)

For Preteens and Teens (7 through 18 Years)(https://www.cdc.gov/vaccines/schedules/easy-to-read/preteen-teen.html)

  • Recommended immunizations and when to get them (English/Español)(https://www.cdc.gov/vaccines/schedules/easy-to-read/preteen-teen.html#print)
  • Create a personalized catch-up or accelerated immunization schedule for your child(https://www.cdc.gov/vaccines/schedules/easy-to-read/preteen-teen.html#tools)
  • Take the quiz for a personalized list of recommended vaccines for your child (English/Español)(https://www.cdc.gov/vaccines/schedules/easy-to-read/preteen-teen.html#tools)

For Adults (19 Years and Older)(https://www.cdc.gov/vaccines/schedules/easy-to-read/adult.html)

  • Recommended immunizations and when to get them (English/Español)(https://www.cdc.gov/vaccines/schedules/easy-to-read/adult.html#schedule)
  • Take the quiz for a personalized list of recommended vaccines (English/Español)(https://www.cdc.gov/vaccines/schedules/easy-to-read/adult.html#quiz)

Resource Library

Additional immunization schedules resources
(https://www.cdc.gov/vaccines/schedules/resource-library/index.html) including:

  • Advisory Committee on Immunization Practices immunization recommendations
  • Presentation graphics of the 2018 Immunization Schedules
  • Past Immunization Schedules
  • Link buttons for the Adult Schedule and the Adult Vaccine Quiz to your website, social network profile, or blog
  • Always make sure you have the most updated schedule on your website

Opioid addiction is costing employers $2.6 billion a year

A new report shows large employers spent $2.6 billion to treat opioid addiction and overdoses in 2016, an eightfold increase since 2004. More than half went to treat employees’ children.

The analysis released Thursday by the nonpartisan Kaiser Family Foundation finds such spending cost companies and workers about $26 per enrollee in 2016.

Employers have been limiting insurance coverage of opioids because of concerns about addiction. The report finds spending on opioid prescriptions falling 27 percent from a peak in 2009.

Researchers analyzed insurance claims from employers with more than 1,000 workers. Most companies are self-insured, meaning they assume the financial risk.

Workers share the costs. Steve Wojcik of the National Business Group on Health says for every $5 increase, employers typically cover $4 and pass $1 to workers.

Opioids Misuse

Prescription opioids cause 36 deaths a month in Utah. Utah ranked 4th in the US for drug poisoning death.

Death from prescription opioid outnumbers deaths by all other illicit drugs combined.

In Utah, Opioid deaths outnumbered deaths by all other illicit drugs combined.

For St. George in particular — which has a higher opioid overdose death rate than the state average according to the Division of Substance Abuse and Mental Health.
In 2016, the CDC reported opioid prescribing rates per 100 persons. Utah’s prescribing rate was 70.4, while the overall rate in the nation was 66.5.
Both Washington and Iron Counties reported higher prescription rates in 2016, at rates of 89 and nearly 104, respectively.
In 2017, Utah saw a slight decrease in the number of prescription opioid deaths, however, the number of heroin deaths that have increased during the same time period. Many people who have had their opioid prescriptions discontinued seek and buy street drugs such as Heroin or Fentanyl.

At Family Healthcare clinics, we practice an integrated health system when treating people with prescription opioid abuse. We screen patients who come thought us through family and loved ones intervention and those who are sent to us through the court system, or those who have finally reached a decision to get help.

The patient meets with a team who assess the willingness and readiness of the patients. Our Medicine Assisted Treatment or MAT team is comprised of a medical provider, a nurse practitioner, behavior health specialist, Registered Nurse, and medical assistants. The patient is evaluated and a treatment plan is formulated.

The solution lies in integrated care, the systematic coordination of general and behavioral healthcare. Integrating mental health, substance abuse, and primary care services produces the best outcomes and proves the most effective approach to caring for people with multiple healthcare needs.

It is the policy of Family Health Care to assure appropriate clinical management of patients with opioid addiction to control their opioid abuse and addiction. Our goal is to relieve unnecessary pain and suffering and improve our patient’s quality of life, while doing our best to ensure safety for our patients as well as our community.

Stroke

Overview

A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Within minutes, brain cells begin to die.

A stroke is a medical emergency. Prompt treatment is crucial. Early action can minimize brain damage and potential complications.

The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than in the past.

Symptoms

Watch for these signs and symptoms if you think you or someone else may be having a stroke. Pay attention to when the signs and symptoms begin. The length of time they have been present can affect your treatment options:

  • Trouble with speaking and understanding. You may experience confusion. You may slur your words or have difficulty understanding speech.
  • Paralysis or numbness of the face, arm or leg. You may develop sudden numbness, weakness or paralysis in your face, arm or leg. This often happens just on one side of your body. Try to raise both your arms over your head at the same time. If one arm begins to fall, you may be having a stroke. Also, one side of your mouth may droop when you try to smile.
  • Trouble with seeing in one or both eyes. You may suddenly have blurred or blackened vision in one or both eyes,or you may see double.
  • Headache. A sudden, severe headache, which may be accompanied by vomiting, dizziness or altered consciousness, may indicate you’re having a stroke.
  • Trouble with walking. You may stumble or experience sudden dizziness, loss of balance or loss of coordination.

When to see a doctor

Seek immediate medical attention if you notice any signs or symptoms of a stroke, even if they seem to fluctuate or disappear. Think “FAST” and do the following:

  • Face. Ask the person to smile. Does one side of the face droop?
  • Arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to rise up?
  • Speech. Ask the person to repeat a simple phrase. Is his or her speech slurred or strange?
  • Time. If you observe any of these signs, call 911 immediately.

Call 911 or your local emergency number right away. Don’t wait to see if symptoms stop. Every minute counts. The longer a stroke goes untreated, the greater the potential for brain damage and disability.

If you’re with someone you suspect is having a stroke, watch the person carefully while waiting for emergency assistance.

Breast Cancer

One in eight women will develop breast cancer in her life; 70 percent of these women have no known risk factors for the disease. Women ages 40 to 49 should talk to their doctor and make an informed decision about whether mammography is appropriate based on their family history and general health. The U.S. Preventive Services Task Force recommends that women ages 50 to 74 have a mammogram every two years.

A mammogram is an X-ray of the breast that’s used to check for abnormalities in the breast tissue. Mammograms can help detect tumors or other cysts that may indicate the presence of breast cancer.
When found early, breast cancer is highly treatable and chances of survival are best.  The State of Utah has contracted with Family Healthcare to provide cancer screenings for eligible women.  Please call us for more info about this life-saving test at 435-986-2565.