Children Need to Play Outside

Summer vacation in nearly here, providing a break from the schedules and commitments of the school year.  You can improve your children’s chances of future health and success by making sure they have lots of opportunity to enjoy outside play. The current generation of children differs markedly from the last generation in the amount of time it spends indoors. Among other things, this is attributed to increased time interacting with electronic devices, more scheduled activities instead of unstructured outside play time, concerns about sun exposure and for some families, the lack of suitable outdoor play places. Adults, too, are spending less time outside.

Playing outside benefits children in lots of different ways: their bodies need sun to make vitamin D, which plays a crucial role in bone development, immune system function and helps with sleep. While overexposure can be dangerous, our bodies work best when we get some sunshine every day. Outside play is also typically active, which provides opportunity for children to get the hour or more of exercise they should experience daily.

The unstructured part of outside play increases executive function by helping kids learn how to plan, prioritize, negotiate and multitask. And there are the creative and problem-solving aspects of outside play, all of which are crucial skills for life success. Playing outside can involve positive risk taking too. If children never take risks by trying new things or attempting to make new friends on the playground, they won’t learn how to accept failure and learn from it. Unstructured outside play also benefits children socially by helping them learn how to make friends, share and cooperate, and treat others. And, lastly, it is important to give children an appreciation of nature. They are the future guardians of our planet, and unless they’re given the opportunity to walk in the woods, dig in the sand or play in a stream, they may not understand how important the natural world is and how our actions impact it.

Meet Jessica Gilmore!

One of the nice things about working for RVNAhealth is that the breadth and scope of services allows for different options for those of us who work there.

Take Jessica Gilmore, for example. She started at RVNAhealth as a non-medical caregiver for HomeCare by RVNAhealth working in the field and caring for customers in their homes. Eighteen months later, she’s at a desk in the RVNAhealth building, helping HomeCare clients get the services and care they need. Jessica doesn’t miss the driving, but she does miss her clients!

Where did you grow up? Where do you reside now?
I grew up in Norwalk and now I live in Fairfield.

What brought you to HomeCare by RVNA?
I came to HomeCare about a year and a half ago working in the field as a CNA (Certified Nursing Assistant).

Note: CNAs are HomeCare by RVNA’s caregivers who provide non-medical care to customers in their homes. Jessica did this for just under 18 months before her talents and insights led her to a new position — this time in the RVNAhealth building in Ridgefield. 

What is your current role at RVNA?
My new role is a Client Service Coordinator. I help ensure that our clients are getting the care and service they need and that we are matching the right caregivers to the right families.

How does your new role compare to your time in the field?
I don’t really miss all the driving, but I do miss talking to and working with many of the clients and helping them in their beautiful homes!

What is your favorite part of your new job?
My favorite part of my new job is working with the very lovely ladies in the office with me and understanding what my clients on the phone are really looking for. It’s also nice to have weekends off!

What do you love to do when you’re not working?
I love to go on vacation and enjoy going to different festivals.

What is your hidden talent?
I would say my hidden talent is doing art, painting, and drawing.

What would you do if you won the lottery?
If I won the lottery, I would take a couple of vacations and buy my dream home. But I would definitely keep working. (Good thing, says RVNA!)

Meet Jeff Panepento, MSPT, CSCS, CKTP, CDP

Physical therapist and sports fan, Jeff Panepento, never seriously considered going into any other career than PT– unless you count his childhood dream of being a professional baseball player. Jeff has been with RVNAhealth for two years, and we think he’s right where he was meant to be. MLB’s loss was RVNA’s gain!

Where did you grow up? Where do you reside now?
I grew up in Rochester, NY, and now live in New Milford, CT.

What brought you to RVNA?
I was looking for a change after over 10 years at a previous clinic and heard that RVNAhealth was a great organization.  The more I learned about it through the interview process, the more impressed and excited I was at the possibility of working here.

What is your role at RVNA? I’m a physical therapist onsite at Rehab by RVNA, and I also treat patients in their homes for RVNA’s northern territory, which includes New Milford, Brookfield, Danbury, Bridgewater, and surrounding areas.

What is your favorite thing about your job?
This is just a great organization with great people. I enjoy the variety of treating patients both in our Rehab by RVNA facility and in their homes. And, I’ve really enjoyed being a part of the growth of our on-site services.

Did you ever consider another profession?
Nothing seriously. Other than professional baseball player, of course.

What do you love to do when you’re not working?
Spending time with my kids and family, sports, and working out.

What is your hidden talent?
I was born with no sense of smell, like many of my other family members. I guess that could be considered a talent in some cases….

What would you do if you won the lottery?
I would travel with my family, probably do some home updates, and definitely get some great front-row seats to some awesome sporting events and shows.

Do you have a favorite RVNAhealth moment or story to share?
I just think it’s been cool that I’ve been able to work with people through their whole rehab process — from the day after they came home from the hospital and began physical therapy at home, to the conclusion of their therapy at Rehab by RVNA when they’re fully recovered. It’s given me a unique perspective on the therapy process and has been very rewarding to be with some of these great people from A to Z!

Sponsor Spotlight

For Chris Couri, Supporting RVNAhealth is Personal

Ridgefield native and business owner, Chris Couri, is part of a family dedicated to supporting local philanthropies. It’s no surprise, then, that he is an active supporter of RVNA. As the co-owner and president of Young’s of Ridgefield fencing and landscaping and President of We Do Lines, a parking lot striping company, Couri brings not only his generosity, but also his business acumen and services to the table. In fact, Young’s landscapes the grounds of the RVNAhealth building and We Do Lines “did the lines” in RVNA’s parking lot on Governor Street. Inside the building, Couri is a member of the RVNAhealth Development Committee, helping to cultivate donor and community relationships, and supports RVNA’s local fundraising events throughout the year. In addition to tending bar for RVNA’s 2017 Guest Bartender Night at Gallo Ristorante and chairing the 2016 Autumn Dinner, Couri serves as a member of the Marketing Committee and, thus, is a familiar face around the agency.

“RVNAhealth is very meaningful to my family because of the high level of service and care they provide in the Ridgefield community and beyond, to people in need from birth through end of life,” he says. “As they say, excitement is contagious. When you spend even just five minutes at RVNA, the amazing energy and constant buzz of good people doing good things proves how true that is. Giving back to our community is paramount in each of our businesses, and we feel honored to be able to support RVNA, their mission, and their team of all stars!”

Behind the scenes this year, as part of his RVNAhealth Governor Society membership, Couri sponsored the RVNAhealth Spelling Bee, Health & Wellness Fair, Spring Breakfast, and has pledged to support the upcoming Autumn Dinner with auction items and in-kind donations from his businesses. Couri himself was instrumental in creating and defining the Governor Society, an opportunity for loyal RVNAhealth business donors to structure their annual contributions of $1,000 or more in a way that is particularly meaningful to them as individuals and naturally aligned with their business offerings.

“Donors like the Couris, who look to support us more than just financially, but on a personal level, as well, with their time and expertise, are an essential part of RVNA’s connection to the community,” says RVNAhealth President and CEO, Theresa Santoro. “They serve the very community to which they belong every time they support our mission.”

To learn more about sponsorship opportunities at RVNAhealth or becoming a member of the Governor Society, contact Mary Jean Heller, director of philanthropy at (203) 438-5555 x1206.

Safe at Home

RVNAhealth Offers Home Safety Assessments and Modification Plans

We all want to feel comfortable and safe in our own homes. But, what’s comfortable and safe for one person may not be for another. And, your safety needs may change throughout your life, particularly if you have a change in your health. Maybe you’re having a joint replacement and need temporary modifications for better accessibility. Maybe you have arthritis and need a permanent solution to make your home more workable for you. Or, maybe you simply want to be sure you can stay in your home safely as you age. Whatever your situation, RVNAhealth can help.

Our skilled clinicians are trained to provide home safety evaluations and develop modification plans for those in need of temporary or permanent adjustments to their homes. Suggested modifications may be as simple as eliminating throw rugs, improving lighting, adding non-slip treads to the stairs, or installing grab bars in a shower. More elaborate solutions may include equipment such as lift chairs, ramps, or hospital beds.

“RVNA’s home evaluations are all about helping our customers remain comfortable and safe at home,” says RVNAhealth Care Coordination Manager Melissa Woodhouse, RRT, MOT, OTR/L, CDP. “Even small adjustments can make a big difference to a person’s safety and well-being.”

As part of the home evaluation, RVNAhealth works with clients to assess the property, identify areas of concern, recommend solutions, and help source products as needed.

“Our clinical expertise enables us to assess not only what a customer needs now, but also what they may need in the future,” adds Woodhouse. “And, we’re always available to re-evaluate at any point along the way.”

To schedule a home safety evaluation or learn more, contact RVNAhealth at 203-243-5555, option 2.

Home evaluations are very frequently covered by insurance. As part of the service, RVNAhealth helps clients determine if their assessment qualifies for coverage under Medicare or other plans prior to performing an assessment. For those assessments not covered by insurance, the standard fee is $149.

Protect Your Skin this Summer

Spring in New England has finally arrived, and summer is not far behind. We all look forward to spending more time outdoors, which means more time in the sun. The downside is that increased sun exposure brings with it an increased risk of ultraviolet (UV) skin damage, sunburn, and possibly skin cancer. The National Council on Skin Cancer Prevention reports that skin cancer is the most common form of cancer in the U.S., with more than 3.5 million new cases diagnosed and 2.2 million people treated annually. Each year the new cases of skin cancer exceed the combined incidence of breast, prostate, lung and colon cancer. One in five Americans will develop skin cancer in the course of a lifetime, and melanoma, the most serious form of skin cancer, is the second most common form of cancer for those 15-29 years old. Whether from the sun or an artificial source, UV radiation is known to cause cancer, and it affects people of all races and ethnicities.

Even on a hazy or cloudy day, bad sunburns can develop because of accidental overexposure. The skin can repair a reasonable number of mutations that result from UV exposure, but this safety mechanism can be overwhelmed by massive DNA damage caused by a sunburn. Mutations that aren’t repaired can lead to the development of skin cancer.

A suntan is the skin’s way of trying to protect itself from additional sun damage. Because DNA or cellular damage is the prerequisite for pigment production, a suntan is a sure sign that the skin has been harmed. As of now, there are no effective treatments to reverse the damage and mutations caused by a sunburn, so prevention is key.

To protect yourself from overexposure, try to follow these precautions: do not let yourself burn or tan either outdoors or in tanning beds; seek shade when outdoors, especially between 10am and 4pm; wear sun-protective clothing such as long sleeves, hats, sunglasses, etc.; apply sunscreen generously; use caution near water, sand and snow which reflect the sun’s damaging rays; check the UV index reported by the National Weather Service; and get vitamin D safely through a healthy diet and not excessive sun or indoor tanning.

Introducing … Rosalind Harris

Rosalind Harris is the administrative manager at RVNA. This means that she brings order, process, pragmatism — and often a healthy dose of humor and fun —  to the organization, building and the team.  Ros has worked at RVNAhealth for nearly 10 years … but did she ever aspire to be a nurse herself? Read on and find out.

Where did you grow up and where do you reside now? I grew up in Greenwich, lived in Ridgefield for 20 years, and now live in Danbury.

What brought you to RVNA? I learned of the opportunity at RVNAhealth and it sounded like a great organization to be involved with. It still is.

What is your role at RVNA? I’m the administrative manager and oversee contracts, office management, and assist Theresa. (That’s Theresa Santoro, President and CEO, incidentally.)

How long have you worked at RVNA? The time has flown by, but I will have been at RVNAhealth 10 years this summer.

What is your favorite part of your job? I love working with our staff and helping to make the office run as smoothly as possible.

Did you ever consider being a nurse? Oh no. I have the greatest admiration for all of our clinicians, but I don’t think I could inject an orange!

What do you love to do when you’re not working? I’m am outdoor person so I love to hike, ski, garden and kayak. I’m in a fun book group too and love going to my second home in Maine.

What is your hidden talent? I don’t think I have any.  (Editor’s note: Not true) I was a figure skater when I was young, so I can still get around pretty well on my skates.

What would you do if you won the lottery? Set up a charitable foundation and help RVNAhealth and other worthy causes. I’d probably travel too.

Do you have a favorite RVNAhealth moment or story?  I do have a funny story, but I don’t want to share it on the world wide web. Remind me to tell it to you some time!

Meet Lynn Karmel, Physical Therapist

Last week, shortly after the storm and tornadoes blew through the area and many of our patients and staff were without power and resources, RVNAhealth physical therapist, Lynn Karmel, sent an email to the RVNAhealth team that went a little something like this …

“We are one of the few houses in our neighborhood with power. Feel free to email me if you want to come over for showers, charging devices, and staying over. I have extra room and fluffy towels. I’ll even make breakfast!”

It was a tempting offer even to those of us with power! Lynn was been a physical therapist for 34 years — hard to believe — and with RVNAhealth for nearly two years, during which time both the staff and Lynn’s patients have relished in her professional talent and boundless generosity.  Learn more about Lynn Karmel!

Where did you grow up?
I grew up in the Bronx.

When did you decide you wanted to become a Physical Therapist?
I wanted to be a PT since I was fairly young…around 14 or 15, when I volunteered at Montefiore Hospital. They didn’t have any spots left to be a “Candy Striper,” so they asked me to help out in the PT department instead, transporting patients…. When I watched the therapists treating patients, I knew that’s what I wanted to do.

What is your favorite part of your job?
Watching patients progress and seeing improvements in their lives as they recuperate. I especially like seeing patients in their homes — in their own environments.

What do you love to do when you’re not working?
When I’m not working, I like to go biking with my family. We love to try different biking trails. I also love to be at the beach — it’s my happy place.

What is your hidden talent?
My hidden talent is cooking.

What would you do if you won the lottery?
If I won the lottery, I would buy a small beach cottage … a comfortable place for my whole family (and potential future grandchildren) to spend time together.

Do you have a favorite physical therapy moment or story?
I love working for RVNAhealth. The staff has some of the kindest, most dedicated and caring people I have ever worked with.

Hospice by RVNA Team Trains in Mind-Body Medicine

In early May, Hospice by RVNA team members Ashley Hicks-Kiefer, LCSW and Betty Avery, RN, BSN spent four days at Ann’s Place in Danbury attending professional training in Mind-Body Medicine.

They met and worked with leaders in the integrative medicine field as well as 100 colleagues from all over the world. In addition to experiential exercises in large groups, Hicks and Avery participated in eight Mind-Body Skills groups where they learned mind-body techniques — such as meditation, guided imagery, biofeedback, working with drawings, breathing, movement — to develop self awareness and increase engagement in self-care.

Hicks, Hospice Social Worker, and Avery, Hospice Case Manager and Nurse, will introduce and share these techniques with their RVNAhealth Hospice patients as part of the care and attention they bestow.

Hospice by RVNA is currently achieving certification in the state of Connecticut and is expecting full certification in the next several months.

What is Arthritis and Who Gets It?

Arthritis is very common and refers to joint pain or disease. It is the leading cause of disability in the United States. Risk factors include age, gender (more women than men experience it), genetics, weight, joint injuries or overuse, and infection. Common arthritis joint symptoms are swelling, pain, stiffness and decreased range of motion.  Symptoms can be mild to severe and can come and go. In some cases, the disease can progress and become debilitating over time.

Often thought of as a disease that affects the elderly, sixty percent of the American adults with arthritis are of working age, 18-64 years old. There are many different types of arthritis, the most common being osteoarthritis, a wearing away of the cartilage that cushions joint bones and can result in chronic pain and the potential need for joint replacement. Other forms of arthritis include rheumatoid arthritis, psoriatic arthritis, gout and lupus.  Some forms of arthritis can affect other organs and cause widespread symptoms. Arthritis often occurs with other chronic diseases like heart disease, diabetes and obesity, and together they can make disease management challenging.

Appropriate treatment to reduce symptoms of arthritis depends on proper diagnosis as determined by a physical exam and other testing. At a minimum, a self-management education program, physical activity like walking or swimming, and maintaining a healthy weight can help to reduce symptoms and preserve joint function, mobility and quality of life. In more serious cases, additional treatments can include medication, physical and occupational therapy, and surgery. Rehab by RVNA at 27 Governor Street provides physical, occupational and speech therapy on site.

For more information call 203-438-5555.