Pomerene Hospital Blog
The flower beds are alive with color, butterflies, and bees, and weeding is a daily task. Overgrown fence rows are being freed of tangled greenery. Wood is chopped and stacked in preparation for another round of cold Ohio winter weather. Each of these summertime tasks, which get us out into the fresh sunshine, hold its own danger. Ohio may be short on venomous snakes and insects, but there is a poison that lurks among the greenery, one of which we must all beware.
Poison ivy plants are commonly found among the elements of beauty in our landscape.In fact, all year round, this plant has been known to cause misery.As nefarious as poison ivy might seem, there are many myths surrounding the “leaves of three” that should be dispelled to help prevent, or relieve, the itchy red rash it causes.
The rash that shows about 12-48 hours after touching the poison ivy plant is actually a “contact dermatitis”, much similar to a rash that develops with any allergen. The allergic reaction is a result of skin contact with the sap of the plant, urushiol, which is an oily substance with allergic properties. Any place the oil encounters skin, an allergic reaction, in the form of an itchy rash, develops.
Prevention is the best treatment for poison ivy rashes. Avoid areas that poison ivy plants grow: in flower beds, along fence rows, against trees. If avoidance isn’t possible, the next action is to wash quickly and thoroughly, within 30 minutes, if possible. Showering with plenty of warm water and soap (dish soap is an excellent grease cutter!) will remove the oil from the skin.Reducing exposure limits the extent of the rash. It is also a must to clean well under fingernails and any clothing, shoes, and tools to which the oil may have transferred. The oils may linger on them, spreading the rash long after exposure to the plant.
Alas, sometimes after the best of efforts, a poison ivy rash develops anyway. There are some things to know about this, too. Ultimately, if you did nothing to the rash, it would dissipate in about 2-3 weeks. Frequently, that is too long to suffer. Cool compresses, or even ice, oatmeal baths, and hydrocortisone cream, can relieve the itching. Diphenhydramine is an antihistamine and may also help alleviate the itch of the reaction. Poison ivy rash on the arms, legs, and torso are more annoying than worrisome.If the rash is on the face or groin, though, frequently a healthcare provider will prescribe an oral steroid to prevent further problems. Steroid injections are not recommended.If a problem with the medication occurs, the oral pill can be stopped. Once the medication is injected in to the body, there is no reversing it.
It is important to understand that any fluid that drains from the area cannot spread the rash. That is simply the body’s immune system trying to be in repair mode. Oils left on the skin, or repeated contact, though, can cause additional reactions. Keep the area clean, avoid scratching to prevent infection, and use soothing methods to treat symptoms.
A couple other bits of trivia: Ohio has only poison ivy. Poison sumac is found in the southern United States, and poison oak is found in western United States. Whichever you’ve been in contact with, though, the rash will be very similar. As it is an allergic reaction, not a rash specific to each plant, we could never tell the cause by looking at the rash.
The CDC has several recommendations to assist businesses when an employee is suspected to have or confirmed infected with COVID-19.
- If an employee arrives to the workplace with symptoms or becomes ill during their shift, they should be separated from other employees as soon
as possible, customers, and visitors and should be directed to go home. If an employee gets symptoms outside of work they should stay home.
The employee should not return to work until they have consulted with a healthcare provider and met the guidelines set forth by the CDC.
- Individuals with COVID-19 have had a wide variation of symptoms, including: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea.
- On July 17, 2020 the CDC recommendations state that for the majority of people with COVID-19, isolation and precautions can generally be stopped 10 days after symptom onset and without a fever for at least 24 hours, without the use of fever reducing medications and with improvement of other symptoms.
- It is important to close off any areas used for long intervals by the sick employee until cleaning and disinfection can be done safely.
- In the event an employee is suspected or positive for COVID-19, employers need to determine other employees who may have been exposed and should take some extra measures:
- Employers should inform employees of their possible exposure to COVID-19 if the employee is confirmed positive.
- Provide education to employees on what they should do if they become ill.
- Employees should not return to work until they have met the guidelines to suspend home isolation and have consulted with a healthcare provider.
- The CDC recommends that employers do not use antibody tests to determine which employers can work. A viral test checks a respiratory sample to determine if an employee has the virus.
- Pomerene Hospital can do outreach testing at your business if you are considering testing all of your employees. Please contact Pomerene Hospital's Infection Preventionist to arrange for Outreach testing at your facility by calling 330-674-1015.
- Additional information and resources are available at: https://www.cdc.gov/coronavirus/2019-ncov/community/general-business-faq.html.
Days are warm, the sun is shining, and back-to-school couldn’t be further from your mind. The truth is, those three short summer months will soon be gone, and life will again be filled with schedules and running from one activity to the next (hopefully!). Before we know it, our free time, during which we planned to get that to-do list caught up, will disappear. Now is the time to plan ahead.As children prepare to return to school, many are also getting ready to join their favorite sport or need those immunizations which are required. Right now is the time to get those well visits out of the way. Every child should have a yearly physical to monitor growth and development, as well as to address any future needs.
Those last lazy days of summer are frequently riddled with hurried parents, desperate to get those provider visits completed in a timely manner. Waiting until the last minute can mean deadlines may be missed. Getting your child’s well visit done now will relieve you of one back-to-school responsibility and offer more relaxed end of summer days.
As a reminder, if your child is entering preschool or kindergarten, check with your school for the paperwork which needs completed. Also, for children entering kindergarten, a DTaP and polio vaccine, frequently given as a combination, Kinrix, and the measles, mumps, rubella, and varicella vaccines (frequently given as a combination, ProQuad) are due. For those going into seventh grade, a Tdap and meningicoccal vaccination are required. For those entering their senior year, a final meningococcal immunization is due.We also offer the serogroup B meningococcal vaccination series, to protect against the fifth type of meningococcal bacterium.
Unsure if your child’s immunizations are up-to-date? Let us check for you. Bring any immunization cards you may have at home and we will also check the Ohio Department of Health website to ensure your child has everything needed to be protected.
Have a safe, happy, healthy summer and get those well visits done early!
AUTHOR: Danielle Byler, MSN, APRN, FNP-C
The American Academy of Dermatology (2020) recommends these 6 tips for treating a sunburn:
- Take frequent cool baths or showers to ease the pain
- Use a moisturizer that includes aloe-Vera to help sooth sunburned skin.
- Consider taking ibuprofen to help decrease swelling, redness and discomfort.
- Drink plenty of water to prevent dehydration
- If your skin blisters, let the blisters heal. Do not pop the blisters, as they will help protect your skin heal and protect you from infection.
- Protect sunburned skin while it heals by wearing clothes that cover skin when in the sun.
Remember that a result of skin getting too much exposure from the sun’s ultraviolet rays can affect long-lasting harm to the skin and increase your risk for getting skin cancer.
What is the safest way to grocery shop during the pandemic? And what should you do when you get your groceries home? Here are some tips offered from the Food and Drug Administration [FDA], (2020):
- Make a list before your trip to the grocery story. Only buy what you need for 1-2 weeks.
- Wipe down and sanitize the handles of the shopping cart.
- Practice social distancing while shopping – keeping at least 6 feet between you, other shoppers, and store employees.
- Wash your hands with warm water and soap for at least 20 seconds or use hand sanitizer when you leave the store and after you put your groceries away at home
Below are a few more tips that recommended to help in preventing foodborne illnesses, not just during the pandemic but always:
- Before eating, rinse fresh fruits and vegetables with running water.
- Make sure your perishable groceries are refrigerated or frozen within 2 hours of purchasing.
- Clean and sanitize your counters with a disinfectant product.
- Remember to follow the 4 food safety steps-Clean, Separate, Cook, and Chill
We encourage you to follow this advice to remain safe while you are shopping!
Author: Fran Lauriha, CNO Pomerene Hospital
The amount of fruits and vegetables you need in a day will vary based on your age, gender, medical history and lifestyle factors. The truth is, many Americans do not come close to their recommended daily requirement for healthy living (approximately 2 cups of fruit and vegetables per day). Rather than focusing on the negative, aiming to increase your fruit and vegetable intake every day will keep you on track towards your health goals, that fit your preferences.
Some strategies and tips to increase or transform your fruit and vegetable intake:
- Become Aware- The first part to know if you are getting enough produce in one day is to keep track of what you are eating. This doesn’t have to be time intensive- just jot down the fruits and vegetables and the amount you eat in one day. If you find yourself having a small list, that’s a good indicator it’s time to bump it up!
- Make it a Challenge- If you’re like me and enjoy a good challenge, consider challenging yourself and others to a healthful fruit and veggie competition. Determine a set time frame and scoring system, then see who is willing to try it with you.
- Smoothies to Fruit Bars- Need an alternative to sugary popsicles or ice cream? Smoothies can be transferred to popsicle molds to be frozen and enjoyed as a summertime snack!
- Frozen fruit to syrup- Heating frozen fruit (1 cup) and adding a little honey or maple syrup (1 teaspoon) to it is a great way to make a “nutritional” syrup without all the added sugar. Use this on top of pancakes, waffles, breads, or even ice cream for another way to sneak fruit in.
Do you struggle with vegetable intake? Try different dips, best in moderation, to get the job done! Click here to view some healthy dip recipes from our Registered Dietitian, Jackie Genetin.
Jackie Genetin, RDN, LD
Did you know that different cooking and baking methods of your fruits and vegetables can increase or decrease the amount of nutrients you get in your food?
Below is some education and tips to try different cooking methods, without losing the benefits of your produce:
- Fresh- Fresh is best? Not always the case. In some forms of cooking it activates the nutrient to become more available when heated rather than
eaten fresh. Though, many fruits and vegetables contain majority of vitamins and minerals in this state. Your water-soluble vitamins, B and C.
- Bake/Roast- A healthier version to frying because the oil or fats that you may add to the food do not replace the water in the food, therefore
you are consuming less fat. Baking and roasting are basically the same thing, but used for different foods. Minimal vitamins and minerals are lost
through this method.
- Braise- This combination cooking method of searing then slow cooking an item in a liquid on low heat is primarily used for meats but can be
used for vegetables. Vitamins and minerals can leech into the liquid over the cooking period. Try to reuse the liquid in soups or other dishes
to use those nutrients that were lost.
- Boil- Nutrients can be lost in the water, especially if salt is added. Primarily your water-soluble vitamins, B and C. Consuming or reusing
the liquid is a great way to still consume those nutrients lost.
- Dehydration- A fan favorite for fruits primarily as an easy way to carry with you on-the-go. During the process, an acid such as citric acid
or lemon juice, is added to limit the bacteria growth. The acid and drying process can both alter the nutrient content.
- Fry- Aim for air fried or pan fried compared to deep fry, so that less oil or fats are being transferred into the food, while still maintaining
the crispy texture. High heats can alter fat soluble vitamins, A, D, E and K.
- Grill/Broil- Grilling and broiling are both dry heat methods that heat from the bottom (grill) or top (broiler). These heating methods can reduce
water- and fat-soluble nutrients if droplets are lost during cooking. Side note, reducing the amount of smoke can reduce your risk of potentially
harmful side effects.
- Microwave- A great method to heat your produce with minimal effects on nutrients. Microwave heats food by electromagnetic waves that cause the
molecules within the food to vibrate or bounce, causing friction among the food, and therefore heating the food. Due to its short cooking time,
much of the vitamins and minerals are maintained.
- Steam- A water-based method to cooking, using minimal water. Since it uses minimal water, majority of nutrients are maintained during process.
Jackie Genetin, RDN, LD
Throughout the Pandemic, Pomerene Hospital Emergency Department has remained open to care for our Community! We know there are concerns about catching the virus, but if you have a true health emergency do not delay getting care that could negatively impact your health in the future.
It is important that you feel safe and confident when you are a patient in any of our facilities.
- Your health matters, don’t wait to get medical care.
- Our Emergency Department team is always ready when you need us - 24 hours a day, 7 days a week, 365 days a year
- We are taking extra steps to keep you safe! From re-arranged waiting rooms to screening everyone that enters our facilities.Here are some of the additional steps we are taking to protect you:
- Isolating those with COVID-19 in designated areas and units.
- Requiring everyone to wear mask. No worries if you don’t have one, we will provide one for you.
- Expanding the distance between chairs in waiting areas.
- Frequent cleaning of high-touch areas, deep cleaning between patients, and using an UV Cleaning Robot multiples times per day.
- Limiting visitation (find updated visitor restrictions here)
- Screening every person when they enter the hospital-patients, visitors, and employees are screened and temperatures taken.
You can be confident that our Emergency Department is safe, operational and prepared to handle health emergencies when you need us.
What exactly does a Midwife do?
Many people think Midwives only delivery babies… but that isn’t true! Midwives are important members of the women’s health team and can care for female’s puberty through menopause. The word midwife means: “With Woman”. A midwife is someone who walks with women through their reproductive life from puberty through menopause. A few examples of the types of care midwives can give: prenatal care, births, yearly well woman exams, breast exams, pap smears, counseling/education on natural family planning or contraception/birth control, guidance/care for those going through change of life/menopause. They can also treat urinary tract infections, vaginal infections, breast infections and much more!
What do you like most about being a Midwife?
I love caring for women and their families, guiding them through some of the most important and intimate decisions/moments of their lives. It is both an honor and a privilege to be given the opportunity care for our ladies and their families.
What do you like best about being a Midwife at Pomerene?
I enjoy caring for members of the local community. I like that our patients have high quality care in a homelike, quiet environment. Our midwives & staff are well versed in natural childbirth as many patients desire this, but we have epidural anesthesia available should a patient want one. We can provide very low intervention care as well as high tech care with multiple interventions if situations necessitate. The diversity of care is challenging, exciting & rewarding. I simply enjoy what I do and the population we care for.
I have worked at Pomerene since 1998. I enjoy working here and can truly say Pomerene is a huge part of my life beyond work. I met my husband in the Emergency Dept while working one night (He’s a firefighter/paramedic), got engaged at work and 3 of my 4 children were born here at Pomerene as well. As a member of the local community for the last 20+ years, Holmes county is my home and I desire to continue caring for those who live here. It is such a neat opportunity to run into patients in the community and be able to share “hello’s” and updates on how they have been since I have seen them last. We have such a great hospital in our community and it’s a privilege to be a part of it. Our small community hospital provides top notch, five-star care.
Who is the Midwifery team?
The midwifery team consists of myself, Barbara Poole, CNM, Carrie Jividen, CNM & Donna Augustine, CNM. It also involves our collaborating physician – Dr. Ibrahim Sozen. He is available to our team, should we have questions/concerns that require a higher level of care. We also work collaboratively with Dr. Jenna Frakowski and other obstetrical providers.
How do you work together with other Women’s Health providers and nurses?
All of the midwives work well together to provide excellent care for our women. We use written, verbal or in person communication between each other to ensure that the best of care is provided. The lines of communication are always open. Suggestions/Ideas are always welcome and we “bounce” ideas/perspective/information off each other frequently. There is a trust among all of us which is very strong and an essential piece of our practice.
What are some bits of advice to relieve pregnancy nausea?
Eat small frequent meals throughout the day, stay away from fried/greasy foods, stick with simple/bland foods. Don’t let yourself get hungry as this can often lead to bouts of nausea/vomiting. Try to eat a snack with protein before going to bed (cottage cheese, cheese/crackers, apple & peanut butter etc.) as this will “stick with you” more through the night and will have you less likely to feel nauseated upon rising in the morning. Keep lemon-lime soda & saltine/soda crackers (important… not butter/ritz type crackers!!!) close by and nibble on those/sip the soda when you first get up in the AM and before rising out of bed. Lastly, if the nausea is causing trouble with your daily activities contact your midwife as there are over the counter & prescription medications/supplements which can help lessen the symptoms.
What are some ways to relieve back pain during pregnancy?
My favorite go to for back pain in pregnancy is to prevent it!! During pregnancy your body goes through many changes, even how you stand and your center of balance changes. Start early in your pregnancy wearing good supportive shoes, bending at the knees vs. waist to maintain good body mechanics/posture when bending/lifting. Keep your weight balanced on both feet, stand straight and don’t slouch. Establish a routine of getting off your feet at least ½ hour each afternoon with your feet elevated. This will allow your back & legs time to rest, allowing you to return to your work with improved energy/stamina. Heating pads or hot water bottles applied to the sore areas can also be comforting, but watch that they aren’t too hot! Lastly, there a wonderful maternity support belts available should the above suggestions not improve it adequately. Just ask your midwife how to get one.