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AAMC names vice president of Population Health and Clinical Improvement
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Anne Arundel Medical Center (AAMC) announces Deneen Richmond, MHA, RN, as its new vice president of Population Health and Clinical Improvement.
Richmond comes to AAMC from Inova Health System, where she served as vice president of Performance Improvement and Outcomes. Prior to this, she held leadership positions at Holy Cross Hospital, the Delmarva Foundation and the National Committee for Quality Assurance.
Richmond assumed the role of vice president of Population Health and Clinical Improvement in November. In this position, she will provide oversight and direction for designing, implementing and supporting a robust population health, care management program and promoting a quality improvement culture consistent with AAMC’s mission.
“We are thrilled to welcome Deneen to Anne Arundel Medical Center,” said Mitchell Schwartz, MD, chief medical officer and president of Physician Enterprise at AAMC. “Her role is a unique position that will help us continue to shape the future of health care delivery both at AAMC and in Maryland.”
“This role reflects our vision of living healthier together and building population health-based care models to improve the health of our whole community,” said Barbara Jacobs, chief nursing officer at AAMC. “Deneen brings tremendous experience to this role and we look forward to her leadership.”
Richmond received her bachelor’s degree in nursing from the University of the District of Columbia and her master’s degree in healthcare administration from The George Washington University. She holds an adjunct faculty position at The George Washington University and received the Milken Institute School of Public Health’s Excellence in Teaching Masters Level Online award this past spring. Richmond is a resident of Bowie, Md.
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Substitute these ingredients for healthier baked goods
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With the holiday season in full swing, you’re likely to be surrounded by food for the next month or so. Family get-togethers, office potlucks and holiday parties offer opportunities to indulge in your favorite holiday treats. You can celebrate with a little less guilt by bringing healthier baked goods to the spread, says Devon Forbes, RDN, bariatric dietitian at AAMC.
“When you contribute your own dish that is healthier and lower in fat, you’ll know there is something you can go to if you’re leery of the other baked goods,” Devon says.
Fortunately, there are some tricks to preparing delicious, heart-healthy baked goods. One trick is to substitute ingredients in your favorite recipes with healthier alternatives. If you’re concerned about how these substitutions will affect the taste of your favorite desserts, Devon says not to worry.
“I’ve used applesauce in place of fats before. The substitutions can actually make for better consistency and provide more nutrients,” she says. “You might have to play around with the recipe to get it right, but cutting the calories, sugar and fat makes it worth trying.”
View Devon Forbes’ recipe for Baked Apples with Oat Topping.
Find more healthy recipes from our registered dietitians.
Author
Devon Forbes, RDN, is a bariatric dietitian at AAMC.
Originally published Dec. 2, 2016. Last updated Nov. 19, 2018.
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Physical Therapy
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In the age of technology, is improving your posture just a click away?
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When it comes to keeping your body healthy, the first things you may think about are your diet and exercise habits. While those are two vital parts that contribute to your wellbeing, many other factors are often overlooked, including your posture.
Good posture is tough to define, but it often includes the correct alignment of bones and joints while sitting, standing and lying down. This ensures your muscles are being used properly.
Bad posture can affect your overall health and lead to chronic pain. Poor movement patterns generate both physical and mental stress, like indigestion, neck and back discomfort, headaches, an increased risk of heart disease, and fatigue. It’s important to pay attention to how you move and position your body.
The benefits of practicing good posture are undeniable. It engages your core, increases energy, relieves pain and improves your appearance. Because of this, there are many items out on the market claiming they can help you improve your posture.
We decided to put one new gadget to the test. The Upright Go is a Bluetooth device you attach to your back. It’s designed to improve and track posture by vibrating to alert you when you slouch. Shannon Robinson, physical therapist with Luminis Health Physical Therapy, tried it out for a day to see what she thought.
To first get started with Upright Go, you download the free app and sync the device to your phone. You then attach a small, white device to your upper back via an adhesive sticker. When in ‘Training Mode,’ the device will vibrate on your back to alert you when you slouch. Their website recommends training daily in order to form a better posture habit.
After each daily training session, you can switch to ‘Tracking Mode’ to continue monitoring your posture throughout the day.
“I could feel myself having to use all back muscles to sit up tall with my shoulder blades pinched and eventually my muscles would feel fatigued, telling me that they were really working,” Shannon says. “Using the app, you can see all your posture statistics, goals, and how you have improved over time.”
Shannon felt the device worked well with activities that require an erect trunk posture such as sitting, standing and walking. However, “it was very sensitive and required me to actively pinch my shoulder blades and retract my neck to an uncomfortably extreme position,” she describes. “I found the device to be inappropriate to wear with activities that require a lot of movement such as bending forward to treat patients.”
The device may work for those who have desk jobs, Shannon says, and it does tend to be useful to track your progress. The vibration is also adjustable. “But, overall, I wouldn’t recommend it.”
The best way to improve posture, instead, is good, old-fashioned physical therapy focused on postural strengthening. Exercise and stretching can improve your posture because it helps increase your circulation and range of motion. “They are the most effective and realistic ways to improve back support. Lumbar cushions are a good tactile cue, but exercise is best.”
Whether you’re someone who works a physically demanding job or sits at a desk, the Luminis Health Physical Therapy team can help you train your spine and offer tips to prevent and alleviate poor posture. We offer convenient, outpatient locations throughout Anne Arundel County, and into Prince George’s County. Our specialists can treat you near your home or work. Visit LuminisHealth.org/Physical-Therapy or call 443-481-1140 to learn more.
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Wellness, Men's Health, Senior Care, Women's Health
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Tips for healthy holiday eating
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It’s holiday time again, and the days between Thanksgiving and New Year’s can be filled with temptation. From office parties to family celebrations, the holidays are times of sharing food and entertaining.
You can keep your holiday party traditions on track without sacrificing taste. Here are some tips to help enjoy the season and stay healthy.
Plan ahead. Try not to arrive at the party hungry. You are less tempted to over-indulge if you eat a light snack before getting there.
Eat structured meals. Skipping meals leads to overeating later or snacking on bits and pieces of high calorie foods that have more calories than the meal yet leave you hungry.
Budget wisely. Don’t eat everything at the feast. Prioritize favorites and spend calories on the foods you love.
Be careful with beverages. Limit alcohol since it is high in calories and can stimulate your appetite. Always consume alcohol with food, and avoid sweet wines and liqueurs. Try club soda, sparkling water or water with a slice of fruit.
Make room for fruits and vegetables. Adding fruits and vegetables into your eating routine provides you essential nutrients to keep you healthy and fiber to help you feel full. Plus, these foods are low in calories.
Distance yourself from the food table. You’re more likely to overeat if you are next to the food. Remember you are at the event to socialize first. Once you see all the goodies, it is difficult to resist.
Make recipe adjustments. Reduce the fat in your favorite holiday recipes and offer to bring one to the holiday party. Your food will have less calories and fat, yet have the same great taste and texture. Use the lower-fat versions of sour cream or cream cheese, or substitute with yogurt or evaporated milk. Substitute whole milk with almond or coconut milk, which still have similar consistencies to whole milk.
Following these tips can help you navigate the parties, but what if you end up overeating? Remember, tomorrow is a new day and get back on track without calling yourself “bad.” Food should never define us as people. Also, no one gains 20 pounds overnight. Weight gain occurs from a steady accumulation of overeating.
If you eat too much today, eat a little less tomorrow. Exercise also helps relieve holiday stress and prevent weight gain. A moderate and daily increase in exercise can help partially offset increased holiday eating.
Although food is an integral part of the holidays, put the focus on family and friends, laughter and cheer. If balance and moderation are your usual guides, it’s okay to indulge once in a while. Remember a holiday feast is one day, the season lasts all month. Happy holidays!
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Cancer Care, Men's Health, Women's Health
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The benefit of lung screening
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Until recently, experts typically found early stage lung cancer by accident. Since you rarely have symptoms with early lung cancer, finding it early was often a matter of luck. Take, for instance, the person who fell off a ladder and needed a chest x-ray to look for injuries. In turn, the x-ray found an abnormality and additional tests then found lung cancer.
But times have dramatically changed. The results of the National Lung Screening Trial led to the new recommendation of a yearly low-dose chest CT scan for those at high risk of lung cancer. While there are a few exceptions, private insurance, Medicare and Medicaid should fully cover your screening.
Take our pledge to love your lungs, and be entered to win a $50 Visa gift card!
Am I High Risk?
Smoking is the biggest risk factor for lung cancer. It’s also the primary risk to determine if you’re eligible for screening. Other risks include exposure to asbestos, radon gas, or prolonged contact with other environmental toxins.
You should talk to your doctor about your personal risk factors and if you’re a candidate. Guidelines recommend the low-dose chest CT scan for lung cancer if you’re between the ages of 55 and 80, and have smoked at least 30 pack-years (number of packs per day x number of years). This includes people who still smoke or have quit within the past 15 years.
Ready to Quit?
Quitting may not be easy. If you smoke or use smokeless tobacco and it’s difficult to quit on your own, you likely suffer from nicotine dependence or tobacco addiction. Like any other disease, tobacco dependence requires ongoing treatment and support. And just like diabetes and heart disease, tobacco dependence often requires a combination approach of expert help and lifestyle changes.
We often think of tobacco use as a public health issue – and it is. But it’s also a disease that needs individualized and specialized treatment. Research shows the most effective treatment includes a combination of counseling and medication(s). Counseling can include one-on-one sessions between you and a trained tobacco treatment specialist, or a group approach with classes designed to give you tools for letting go of your tobacco dependence.
There are seven FDA approved medications for treating tobacco dependence. You can use these medications to ease nicotine withdrawal symptoms while you work on changing your habits and routines linked to tobacco use throughout the day. Work with your health care provider on a treatment that’s right for you.
One of the biggest hurdles you may face is the shame of continued use of tobacco despite serious health effects and pleas from your loved ones to stop. The key is for you to understand that dependence on nicotine is very powerful. Asking for help is okay. Once you move past this hurdle, find the right treatment plan and a qualified, supportive health care team, you can take control of your life and let go of tobacco for good.
If you’re ready to quit, Anne Arundel Medical Center (AAMC) can help. Visit askAAMC.org/QuitSmoking or call 443-481-5366 to learn more.
Authors
By Stephen Cattaneo, MD, medical director of Thoracic Oncology, and Joanne Ebner, Cancer Prevention program supervisor, at Anne Arundel Medical Center.
Originally published April 17, 2017. Last updated Nov. 15, 2018.
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