The Roxanna Todd Hodges Stroke Foundation 23382 Mill Creek Drive Suite 130 Laguna Hills, CA 92653-7931 Office phone: 949-305-8450 or Alternate phone: 888-794-9466 Fax: 949-916-1780 www.rthfoundation.org NON PROFIT ORG. US POSTAGE PAID IRVINE, CA PERMIT # 94 STRIDES AGAINST STROKE Stroke & Stress, Peripheral Arterial Disease Mar/Apr 2015 “Laughter is the most inexpensive and most effective wonder drug. Laughter is a universal medicine.” ~Bertrand Russell In This Issue: LONG BEACH MEMORIAL MEDICAL CENTER Our Mission The primary mission of the RTH Stroke Foundation is to prevent stroke. We do this in two ways: Conducting community education seminars and screenings Providing stroke survivors and their families with education and support Our Vision We are driven to eradicate strokes as much as is humanly possible and to improve the quality of life of stroke survivors by doing all we can to mitigate the after-effects of strokes. Wednesday, March 25, 2015 1:30-3:30 PM Stroke & Stress “Laughing Your Stress Away” Guest Speaker: Dr. Mariuz Wirga Long Beach Petroleum Club Does Stress Cause a Stroke? 3636 Linden Ave., Long Beach, CA 90807 Dr. Nerses Sanossian, MD, FAHA Free: Cholesterol/Glucose & Blood Pressure Screenings Reservations are required for all screenings. Visit our website to register at www.rthfoundation.org Or call: 888-794-9466 The RTH Stroke Foundation/OC Stroke Association is a nonprofit 501 (C) (3) Corporation. If you would like to be removed from our mailing list please call 949-305-8450. Any reprinting of this newsletter without prior consent is prohibited. This Newsletter is not intended as a substitute for professional medical care or advice. Stress, defined as “a state of mental or emotional strain or tension resulting from adverse or very demanding circumstances,” affects everyone. Stroke is a preventable vascular event in the brain which is the leading cause of adult disability in the Unites States. The question of whether or not stress is related to stroke is an important one, yet the relationship is not so clear-cut....cont.pg 5 Stroke Survivor Recovery Program (SSRP)..pg. 2 North & South Orange County Stroke Support Groups... pg. 2 Update on the Appeal letter pg. 3 Giving Day Benefiting The RTH Stroke Foundation What is PAD?…. pg. 4 Does Stress Cause a Stroke cont. from pg. 1... pg. 5 Stress Less ….pg. 6 Mini Shepherd’s Pie…….pg. 7 Nurses Corner: After a Stroke...What’s Next? ….pg.7 Upcoming Seminars ... pg. 8 Page 2 RTH STROKE FOUNDATION RTH STROKE FOUNDATION Page 7 Roxanna Todd Hodges Mini Shepherd's Pie Stroke Support Group Laguna Hills/ South Orange County Held: 2nd & 4th Tuesday of every month Where: 23382 Mill Creek Dr. Suite 130 Laguna Hills, CA 92653 Session #1: 10:00am-11:30am Stroke Caregivers Support Stroke Survivor Recovery Program Stroke ~ Survivor ~ Recovery ~ Nearly 800,000 Americans suffer a stroke each year, making stroke the fourth leading cause of death in this country. More than 7 million people in the United States have survived a stroke. You have needs. You have questions. You and your loved ones want the best rehab program possible. Remember that survivors are not the same. Group Program ~ Learn about physical and emotional problems, and how to combat them, as well as day-to-day tips for starting recovery at home. Session #2: 1:30pm-3:00pm MindBodySpirit Connection Stroke Support Group Brea/ North Orange County Held: 1st & 3rd Thursday of every month Time: 1:30pm-3:00pm Support for Survivors & Caregivers Where: Capriana Oakmont Signature Living 460 S. La Floresta Brea, CA 92823 Please call our office for further information & to make a reservation. 888-794-9466 or www.rthfoundation.org Reservations Requested Please join us and get the help you need today! Cost: FREE Refreshments to be served! The RTH Stroke Foundation is a non-profit 501(C) (3) corporation which operates the OC Stroke Association. Tax ID information is available upon request by calling (888) 794-9466. Because there is Life After Stroke Your Recovery We realize the challenges that you might be faced with as well as a long journey to recovery when left to deal with so many unanswered questions, and challenges, as a result from having a stroke. We strive to help improve your quality of life and achieve your personal best during recovery. Making your recovery easier is our main objective. Our staff is able to provide support through our recommended agencies that service the Orange County, CA area. Our Goal Helping support any stroke survivor along with their family, friends, and caregivers is the goal of the Stroke Survivor Recovery Program. We are here to provide resources to help in the aide of stroke recovery for stroke survivors. The RTH Stroke Foundation’s SSRP team can help determine what care is best suited for you in the aftermath of a stroke. REFERRAL SOURCES Medical Professional teams in post care needs Adult Day Care Centers, Senior Centers, and Respite Care State and Government funded programs Clinic Physiologist and Physiatrist Dietician and Nutrition Family Support and Support Groups Putting together a rehab team of specialists in Stroke Special clinics that specialize in stroke recovery Transportation needs and DMV resources Long-term Insurance needs Skilled Nursing, Sub-acute Care Facilities In-Home Care and Home Health Stroke Education In-Home Education and visits Medication set-up ~ Eating Well® Ingredients 2 teaspoons extra-virgin olive oil 1/2 cup chopped onion 12 ounces 93%-lean ground beef 2 tablespoons all-purpose flour 1 tablespoon tomato paste 1 cup reduced-sodium beef broth 6 ounces baby spinach, chopped 3/4 teaspoon salt, divided 1/2 teaspoon garlic powder, divided 2 12-ounce packages frozen winter squash puree, thawed 1/3 cup finely shredded Parmesan cheese Serving Size: 310 calories; 13 g fat (5 g sat, 3 g mono); 70 mg cholesterol; 26g carbohydrates; 29 g protein; 5 g fiber; 708 mg sodium; 421 mg potassium. Equipment: Four 10-ounce broiler-safe ramekins Preparation 1. Position rack in upper third of oven; preheat broiler. 2. Heat oil in a large skillet over medium-high heat. Add onion and cook, stirring, until beginning to soften, about 2 minutes. Reduce heat to medium, stir in beef, flour and tomato paste, and cook, stirring, until the beef is mostly browned, about 3 minutes. Add broth, scraping up any browned bits with a wooden spoon. Bring to a boil and cook, stirring occasionally, until the broth is the consistency of thick gravy, about 4 minutes. Stir in spinach, 1/4 teaspoon salt and 1/4 teaspoon garlic powder; cook until the spinach is just wilted, about 1 minute. Remove from the heat. 3. Place squash in a fine-mesh sieve and gently press on it to extract excess liquid. Transfer to a bowl. Stir in the remaining 1/2 teaspoon salt and 1/4 teaspoon garlic powder. Divide the meat mixture among four 10-ounce broiler-safe ramekins. Top each with about 1/2 cup of the squash. Place the ramekins on a baking sheet. 4. Broil until heated through and bubbling around the edges, about 10 minutes. Sprinkle with cheese and broil until it is just melted, about 3 minutes more. Tiffanie Hylland RTH Stroke Foundation LVN #282561 is the founder of our Foundation. Roxanna passed away peacefully in 2011. If she would have known the warning signs and the risk factors, things may have been very different for her. When Roxanna suffered 3 major strokes, her understanding of the critical need for Stroke ‘brain attack’ awareness and treatment advances led her to establish the Roxanna Todd Hodges Foundation. Her wish was to inform the public on Stroke Awareness. Today, the RTH Stroke Foundation provides free prevention screenings and seminars to local area hospitals, senior centers, and churches. Her last words spoken were: “Strike out Stroke” Nurses Corner After a Stroke….. What’s Next? How do I know which physical therapist is right for my husband? My mom has fallen twice within two weeks, I need help! I work and my wife needs transportation to doctor’s appointments. What are my options? These are just a few of the questions and concerns families are overwhelmed with after a loved one has had a stroke. With the alarming numbers of strokes occurring each year, the needs in post stroke recovery are sadly scarce. The RTH Foundation has seen this need and has developed the SSRP ~ Stroke Survivor Recovery Program. This is a free service available to stroke survivors and their families who are looking for help after stroke. The SSRP program offers referrals to Physical, Speech and Occupational therapists that specialize in stroke recovery. Listed are just a few other resources and referrals the SSRP program has to offer. If you or your loved one is in need of assistance following a stroke, Please call the RTH Stroke Foundation at 888-794-9466 Stroke Education Clinic Physiologist and Physiatrist Transportation needs and DMV resources In-Home Education and visits Dietician and Nutrition Long-term Insurance needs Medication set-up Medical Professional teams in post care needs Family Support and Support Groups Referrals to Skilled Nursing, Sub-acute Care Facilities, Adult Day Care Centers, Senior Centers, and Respite Care Putting together a rehab team of specialists in Stroke Referrals to In-Home Care and Home Health State and Government funded programs Special clinics that specialize in stroke recovery Page 6 RTH STROKE FOUNDATION This simple test will help you detect stroke symptoms and Act F. A. S. T. Few Americans know the symptoms of stroke. Learning them - and acting FAST when they occur - could save your life or the life of a loved one. F = FACE Ask the person to smile. Does one side of the face droop? A = ARM Ask the person to raise both arms. Does one arm drift downward? S = SPEECH Ask the person to repeat a simple sentence. Does the speech sound slurred or strange? T = TIME If you observe any of these signs, it’s time to call 9-1-1 or get to the nearest Stroke Center or hospital. Page 3 RTH STROKE FOUNDATION On behalf of the RTH Stroke Foundation I would like to thank everyone for their generous donations to support the Stroke Survivor Recovery Program. Because of the donations, we know it will help our Stroke Survivor Recovery Program flourish in 2015. STRESS LESS Five research –proven ways, from do-it yourself to professional, to un-friend your inner worrier. WORK IT OUT: Exercise reduces feelings of tension, even for women who have been diagnosed with generalized anxiety disorder. In a British study, 6 weeks of resistance workouts significantly calmed participants’ worry - enough that 60% were no longer diagnosed with the condition. KEEP THE WATER BOTTLE HANDY: Mild dehydration reducing fluids just 1% through exercise - can cause moods to darken and tension to increase, a multi-university study has found. But don’t replenish your stores with extra cups of coffee: About 15% to 25% of people are genetically more susceptible to getting a jangle of anxiety from caffeine. CALL A PRO: If anxiety is interfering with your job or home life, it’s time to seek help. Cognitive behavioral therapy (CBT) is a proven treatment for anxiety disorders,. You will learn to confront distorted thoughts, calm your reactions, and gradually expose yourself to things you fear. Talk to your doctor about therapy. Your doctor may suggest medication. Not to worry - these days, antidepressants, not habit-forming drugs are typically the first-line choices. LIVE IT UP: Adopt the philosophy behind a new mindfulnessoriented approach called: Acceptance and Commitment Therapy (ACT): Patients learn to get on with life despite their anxiety. Focus on the things you care about, whether or not the worries come along for the ride. TRY MEDITATION: When you’re anxious and imagining that something bad might happen, you suffer a snowballing of thoughts, emotions, and physical reactions - even if nothing has actually occurred. In mindfulness meditation, you learn to watch your thoughts without acting on them. Creating some distance from emotions and thoughts allows you to decide the next step without overreacting or avoiding. — Susan Ince (Good Housekeeping) The RTH Stroke Foundation is a community based nonprofit organization, solely focused on primary stroke education. Your gift will help support any stroke survivor along with their family, friends, and caregivers. We are here to provide resources to help in the aide of stroke recovery for stroke survivors. Your donations provide the resources that will help aid the Stroke Survivor Recovery Program. We appreciate your support and look forward to your continued partnership! Sincerely yours, Guy Navarro Guy Navarro Executive Director RTH Stroke Foundation 23382 Mill Creek Dr., Suite 130, Laguna Hills, CA 92653 888.794.9466 toll free | 949.305.8450 direct | Giving Day Benefiting: The RTH Stroke Foundation In celebration of the Orange County Community Foundation’s 25th anniversary, the Orange County Community Foundation is super-charging local giving by hosting Orange County’s first-ever countywide giving day on April 21-22, 2015. Secure, tax-deductible donations will be accepted on iheartOC.org during a 30-hour period, and participating Orange County nonprofits will be eligible to receive funding through bonus awards and prizes provided by OCCF and our Giving Day partners. The goal of the Giving Day is to inspire our community to come together with extra-mile giving in support of the exemplary work of local nonprofits. OCCF is aiming high with the goal of delivering $2 million to OC nonprofits in a 30-hour period. OCCF is investing $500,000 to establish the bonus pool with a goal of generating an additional $1.5 million in online donations. Let's come together to show Orange County nonprofits how much we care! i ♥oc Please visit our website at www.rthfoundation.org for further instructions as this great event comes upon us. When you give make sure you click on the RTH Stroke Foundation so your donation goes to the right place. Thank you for participating in this wonderful life changing event. Page 4 RTH STROKE FOUNDATION WHAT IS PAD (Peripheral Arterial Disease)? PAD is a narrowing of the peripheral arteries, most common in the arteries of the pelvis and legs. PAD is similar to coronary artery disease (CAD) and carotid artery disease. All three of these conditions are caused by narrowed and blocked arteries in various critical regions of the body. Hardened arteries (or atherosclerosis) in the coronary artery region, restricts the blood supply to the heart muscle. Carotid artery disease refers to atherosclerosis in the arteries that supply blood to the brain. Quick Facts about PAD: The most common symptoms of PAD are cramping, pain or tiredness in the leg or hip muscles while walking or climbing stairs. Typically, this pain goes away with rest and returns when you walk again. Many people mistake the symptoms of PAD for something else. PAD often goes undiagnosed by healthcare professionals. People with peripheral arterial disease have four to five times more risk of heart attack or stroke. Left untreated, PAD can lead to gangrene and amputation. Added risks for PAD: If you smoke, you have an especially high risk for PAD. If you have diabetes, you have an especially high risk for PAD. People with high blood pressure or high cholesterol are at risk for PAD. The good news for PAD patients: PAD is easily diagnosed in a simple, painless way. You can take control by leading a heart-healthy lifestyle and following the recommendations of your healthcare professional. Most cases of PAD can be managed with lifestyle changes and medication. Atherosclerosis and PAD: Atherosclerosis is a disease in which plaque builds up in the wall of an artery. PAD is usually caused by atherosclerosis in the peripheral arteries (or outer regions away from the heart). Plaque is made up of deposits of fats, cholesterol and other substances. Plaque formations can grow large enough to significantly reduce the blood's flow through an artery. When a plaque formation becomes brittle or inflamed, it may rupture, triggering a blood clot to form. A clot may either further narrow the artery, or completely block it. If the blockage remains in the peripheral arteries, it can cause pain, changes in skin color, sores or ulcers and difficulty walking. Total loss of circulation to the legs and feet can cause gangrene and loss of a limb. If the blockage occurs in a coronary artery, it can cause a heart attack. Heart attacks happen when an area of the heart tissue dies from lack of blood flow. When it occurs in a carotid artery, it can cause a stroke. It's important to learn the facts about PAD. As with any disease, the more you understand, the more likely you'll be able to help your healthcare professional make an early diagnosis and start treatment. PAD has common symptoms, but many people with PAD never have any symptoms at all. AHA RTH STROKE FOUNDATION Page 5 Our daily lives are filled with the stress of working, family obligations, finances, and finding the time to juggle it all. Often times, we tend to forget to set aside time to take care of ourselves. Taking care of Sudden numbness or oneself requires healthy eating, exercising, and following-up with physicians for checkups and weakness of the leg management of chronic conditions. The leading Sudden confusion or modifiable risk factor for stroke is elevated blood trouble understanding pressure (hypertension) and maintaining a healthy Sudden trouble seeing in blood pressure can make a major difference in reducing your risk of stroke. Other modifiable risk factors include ensuring your cholesterol is one or both eyes under control and, if you have diabetes, ensuring your blood sugars are Sudden trouble walking, within a normal range. The first-line therapy for stroke prevention is a dizziness, loss of balance healthy lifestyle. This article aims to describe the relationship between or coordination stress and stroke and answer some basic questions about the relationSudden severe headache ship. with no known cause We all have some sort of stress in our lives – so how do we keep it under control? Does having stress increase my risk of stroke? The answer is no. While being chronically stressed can lead to cardiovascular disease, the link with stroke is not as clearly established and takes into consideration a whole host of factors such as lifestyle, habits, High Blood Pressure personality type, and anxiety. Stressful habits and having a Type A personality does have an association with stroke, but more research is Heart Disease needed before we can definitively say that stress is a non-traditional risk Diabetes and factor for having a stroke. What it may really be is that after having a High Cholesterol stroke, your stress level is significantly increased since your level of Sleep Apnea function has changed and may make you more dependent on others Poor Diet physically, financially, and mentally. Stress may make you eat unLack of Exercise healthy foods and may make you forget to take your blood pressure/ cholesterol/diabetic medications, but stress itself DOES NOT increase TIA’s and Prior Stroke your risk of stroke. Instead, the actions taken while under stress like Excessive Alcohol Use overeating, not sleeping, and neglecting self-care are what may lead to Stress and Depression having a stroke. Cigarette Smoking Although it is very difficult to reduce the number of stressors in life, one can change their approach to stressful events. The most effective ways to reduce the impact of stressful situations on your health is to have a plan. For example, when stress levels are very high, a 5-minute break away from the stressor spent performing deep breathing and mental relaxation has been shown to reduce blood pressure and improve focus. Another factor shown to reduce stress levels is regular exercise. Very often exercise is the first thing to be stopped when under stress, yet it is a vital tool in stress management. An exercise regimen has to be incorporated into your life in regular and recurring cycles as a matter of habit. The American Heart Association recommends an average 40 minutes of moderate- to vigorous-intensity aerobic activity 3 or 4 times per week to reduce blood pressure, cholesterol, and cardiovascular risk. When you are under stress, remember to take deep breaths and keep diet and exercise on your mind. Activities such as yoga, meditation, and playing sports are all great ways to relieve stress. A brisk 40 minute walk or a nice swim in the pool can help get rid of stress as well as reduce stroke risk. The most important thing you can do to reduce your risk of a stroke is to see your primary care physician regularly and make sure that all your modifiable stroke risk factors are under control (hypertension, diabetes, hypercholesterolemia, stop smoking). If you have any symptoms of a stroke, you must call 9-1-1 and get to the nearest emergency room in your area. Warning Signs for Stroke Risk Factors for Stroke ~Dr. Nerses Sanossian, MD, FAHA Roxanna Todd Hodges Comprehensive Stroke Clinic, University of Southern California
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