Heart Health Chat Recap: Ask a cardiac nurse

Botsford Hospital recently hosted a Facebook chat to answer questions about heart health, stress and healthy living. Our cardiac nurse expert who answered questions was Heather Glover, a registered nurse and manager of Botsford’s cardiopulmonary and cardiac rehab programs. Since her special interest is heart disease prevention and she’s an advocate for good health, exercise, attitude and life balance, she was a perfect fit to host the chat.

Below is a transcript of the questions and answers. You can see them in their original form here.

Please keep in mind that all answers and advice given by Heather Glover, RN is meant to be general health information. Always talk to your doctor if you have questions regarding your personal health care needs.

Heart Health Questions via Facebook and Answers by Heather Glover, RN:

1.     Can stress affect hearing? I’ve noticed that when I am under stress, it seems like a fan is lightly blowing and I don’t hear certain tones. When I’m more relaxed, it I don’t notice the ” white noise.” Any thoughts?

Heather’s Answer:What a great question! It turns out that it possibly can. Stress can

Heather Glover, RN is a cardiac nurse and manager of Botsford Hospital's cardiopulmonary and cardiac rehab programs.

affect us in so many ways. There are researchers now looking into how stress affects the hearing, because hearing loss and tinnitus (a ringing or roaring in the ears) are common complaints, more now than ever. Personally, I believe in stress reduction and management for sure; you may also want to consult an audiologist (a Physician specializing in hearing) for an evaluation; your family physician would be a great place to start. Good luck to you

2.     I am a 37-year-old male who plays hockey twice a week. I also live a fairly active life style. I feel I am in decent shape but I eat alot of pizza, fast food, etc. Should I be concerned about my heart health?

Heather’s Answer: Great job on keeping so active; it probably helps balance the ‘junk’ food. I’m a heart health advocate, so I would always tell you to be concerned, especially as we get older. Do you see a Physician regularly? Have you had your cholesterol checked? Besides not the healthiest food choices, fast food doesn’t offer a lot of nutritional value. A good engine needs quality gas to run at peak efficiency. The better you eat, the better you’ll feel (and maybe even score more often!)

3.     How do I tell the difference between indigestion and a potential heart warning sign? When my acid reflux flairs up, I notice my shoulder/arm hurting.

Heather’s Answer:  I feel for you; those symptoms are no fun, and can be scary. The truth is, you may not be able to easily tell the difference. If you are being treated for the reflux and are pretty regimented with your prescribed routine, but are still having the arm symptoms, it’s time for a doctor call/visit. Either way, talking with your doctor about your concerns and maybe getting a stress test/EKG/Physical exam, would be a good plan. There’s significant value in addressing your symptoms, getting your questions answered, and peace of mind. Here’s a list of the Botsford cardiology services that maybe helpful: http://www.botsford.org/medical_services/cardiology/services/ Good luck to you

4.     I’m worried about the effects of too much stress on my heart. I’m overloaded at work, my aging mother has recently suffered her second heart attack and I’m worried about her, and I am a bit of a perfectionist. How can I tell if I’m overstressed and hurting my heart?

Heather’s Answer:  Wow,  you have a lot on your plate (sometimes I call it a platter!) My heart and well wishes go out to you and to your mom. Are you having symptoms of anything? Heart symptoms, especially for females, can be more than just chest pain….jaw pain, back pain, nausea/vomiting; any new symptoms definitely warrant a call/visit to your physician. Stress reduction is definitely a point for you. I’m a perfectionist, too, and there’s NO shame in asking for help. I’m sure you have family/friends who would love to be there for you. Don’t carry the weight of the world by yourself. Take care of yourself, so you can be there for others.

5.     I have to get a stress test. What is it like? What should I expect?

Heather’s Answer:  There are a few different types. In the Botsford Stress Lab, we have echocardiogram types and nuclear medicine types; both options have walking on the treadmill or medicine types (for those who have difficulty walking). If you’re walking, you’ll be tired and sweaty! You will be closely monitored with an EKG and blood pressure machine, and expert staff of course! If you’re not walking, you will be laying down with an IV infusion; again, expert staff are always at your side. http://www.botsford.org/medical_services/cardiology/services/ Take a look at our website which gives you more info… Good luck to you!

6.     If I have a heart condition should I be careful of my stress level? Will it cause a heart attack?

Heather’s Answer:  Everyone should be careful about stress levels…it’s a stressful world out there. There are lots of ways to keep your stress level in balance…deep breathing, exercise, chatting with friends, taking a ‘time out’, etc. Stress and its effects can cause heart attacks, as well as other physical symptoms….another great reason to keep it in check. See my recent blog post…great question!! http://www.botsford.org/blog/index.php/2013/02/27/the-young-heart-attack-trend-whats-causing-it-and-how-to-avoid-it-yourself/ Good luck!

7.     What is your daily routine to be healthy?

Heather’s Answer:  I try to watch my diet; fruits and vegetables, limit breads/sweets. Over time, although it’s not always easy, I found that I feel better when I eat better. I try to keep active every day, and exercise at least 3-4 days per week….exercise does nothing but good things for a body from stress relief, to looking good, to feeling great! Lastly, balance is key. It’s a rough world out there some days; we have to find time to laugh, be silly, and enjoy life while we balance the rough spots and stressful times. Good luck to you

What do you think? Should we host another Facebook chat? Let us know or leave us a topic suggestion in the comments below.

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Recipe: Strawberry & Banana Protein Shake

Strawberry banana protein shakeAs a busy working mom it’s hard for Laura Caruso to prepare a healthy lunch to bring to work every day. So instead she keeps frozen bananas and strawberries in the break room freezer and whips up what tastes more like a delicious and refreshing summer treat than a lunch!

Laura is a mammography coordinator at Botsford Breast Center and she recently organized a “Smallest Loser” weight loss challenge with her radiology co-workers. She shared her protein shakes with her fellow contestants and they loved them! The shakes may have even played a role in the success of the contest. In all, the 10 team members lost more than 66 pounds over 10 weeks.

Laura’s recipe is below. Give it a try and let us know how you like it in the comments below. Can you think of any delicious variations? Laura’s “Smallest Loser” team would love to know!

Laura’s Strawberry & Banana Protein ShakeIngredients for a strawberry banana protein shake

  • 1 cup of ice
  • 1 ½ cup water
  • 1 cup frozen strawberries
  • 1 large banana
  • 1 scoop of protein power. Laura recommends “Pure Protein Vanilla Cream Whey Powder” which includes only 2g of sugar.

Put all ingredients into blender, blend until smooth and enjoy!

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Another Successful Cancer Screening Event!

Head and neck cancer screening at Botsford Cancer Center

A woman is screened for head and neck cancers at Botsford Cancer Center

This past Saturday marked another success for the community! Botsford Cancer Center held another free cancer screening, this time screening for head and neck cancers.

Even though spaces were limited, we were able to screen 64 people. Of those, 11 were referred for an immediate consult and 34 were recommended further evaluation. We are optimistic and hopeful that we may have caught cancer early and saved lives.

Most head and neck cancers begin in those head and neck areas lined with moist surfaces such as the nasal cavity, sinus, salivary glands, throat, voice box, or on the lips. Symptoms can include a lump or sore that doesn’t heal, a sore throat that doesn’t go away, difficulty swallowing or a change or hoarseness in the voice.

If you’d like a cancer screening but weren’t able to make it to our cancer screening event, talk to your doctor or contact a Botsford doctor.

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Importance of nutrition for cancer patients

Denise Cykiert, RD at Botsford Cancer Center

Joan (right), a patient at Botsford Cancer Center, samples fruit and yogurt parfaits made by Botsford dietitian Denise Cykiert during a cooking demonstration at the center.

If you’re fighting cancer, nutrition is a big concern.  It is extremely important for people with cancer to make food choices high in nutritional value, including vitamins, minerals, calories and protein because treatments like chemotherapy and radiation therapy can take a significant toll on the body.

While these cancer treatments are effective at treating the disease, they can destroy a portion of your healthy cells too.  Your body needs adequate calories and protein to rebuild itself, so it is important to choose foods high in nutritional value. If a person who is fighting cancer is not eating well, the healing process may be delayed and adverse effects can prevent the patient from completing the prescribed treatment plan, which in turn may affect the patient’s outcome.  If one does not take in enough calories, they may lose weight, feel overly fatigued, and generally experience a poorer quality of life.

On the other hand, foods that are high in nutritional value can promote healing, control the symptoms of cancer and reduce the side effects of cancer treatment. So at Botsford Cancer Center, we’re always on the lookout for foods and recipes that our patients can easily make at home to help nourish them through treatment. Easy to prepare, small snacks usually work best for our cancer patients, like this recipe for fruit and yogurt parfaits.

If you try the parfaits, let us know what you think in the comments below!

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Fruit & Yogurt Parfaits: Great nutrition for cancer patients

Fruit and yogurt parfaitFruit and yogurt parfaits are considered a multipurpose snack, packed full of nutritious benefits because they contain probiotics, protein, calcium, vitamin B2, vitamin B12, potassium and magnesium. The nutritional benefits are great for everyone, but cancer patients can especially benefit because nutrition is vital to successful cancer treatment. In fact, we like the nutritional value in these parfaits so much we recently demonstrated them for our patients and visitors at Botsford Cancer Center.

Fruit and yogurt parfaits pack a nutritional punch for cancer patients because they have a long list of benefits cancer patients need, including:

  • Osteoporosis prevention – Some chemotherapy treatments can cause bones to become brittle or bone marrow suppression, both of which can lead to osteoporosis (the thinning of bone tissue and loss of bone density over time). Vitamin D and calcium in yogurt will help strengthen bones. Check food labels to see which brands contain added vitamin D.
  • Maintaining gastrointestinal health - Probiotics (also known as “good bacteria”) help gastrointestinal conditions and help in maintaining bowel functions.  This is important for people with cancer because radiation and chemotherapy treatments can cause gastrointestinal distress such as nausea, vomiting, diarrhea and constipation.  Yogurt will provide the body with good bacteria that is used to fight off the “bad” bacteria which cause upset stomach. Also, some patients on antibiotics may need active cultures to replace bacteria that may be lost.  Yogurt with active cultures may also help with other gastrointestinal conditions such as lactose intolerance, colon cancer and inflammatory bowel disease.
  • Feeling fuller – Parfaits pack calories and protein into a relatively small serving which is important for cancer patients experiencing decreased appetite as a result of treatment. Choosing foods that are high in calories and protein and eating small, frequent meals can help maintain required nutrition when you just don’t feel like eating. Other options include semi-solid yogurt containing pieces of fruit and granola, drinkable yogurt and flavored dairy beverages.
  • Boost immune system function - Chemotherapy treatments may suppress the immune system by destroying both the good and bad cells. Make your parfait with blackberries, blueberries, raspberries, cranberries or strawberries to give your immune system a boost and it may also help to reduce your risk of several types of cancers.
  • Energy and bowel function – The bananas in the parfait are a great source of source of vitamins, minerals and fiber, which provide the body with energy and helps maintain bowel functions.

Fruit & Yogurt Parfait Recipe

Layer 1/3 cup vanilla yogurt into the bottoms of 4 tall glasses. Alternate layers of fruit, granola and yogurt until glasses are filled to the top. Serve parfaits immediately to keep granola crunchy.

Ingredients:

  1. 1 cup (8 oz) regular yogurt (if you’re undergoing cancer treatment, it’s best not to use light or low-fat yogurt because you need your calorie counts up!)
  2. ¼ cup each of two types of fruit. For cancer patients, I recommend any two of the following to maximize the cancer-fighting potential:
    • Blueberries
    • Strawberries
    • Bananas
    • Mandarin oranges
    • Pineapple
    • Apple pie filling
  3. Your choice of crunch, recommend (1/2 cup):
    • Trail Mix
    • Granola
    • Cereal (like Kashi GO LEAN Crunch with toasted berries)
  4. Whipped Cream (3 oz)

Nutrition Information (per serving): Calories 707, Protein 24 grams

Try these delicious variations!

Apple pie a la mode pafait

Ingredients:

  • 8 oz yogurt – apple cinnamon or vanilla flavor
  • Apple pie filling
  • Granola
  • Optional – cinnamon to sprinkle on top for garnish

Strawberry and banana parfait

Ingredients:

  • 8 oz yogurt cup – strawberry banana flavor
  • Granola
  • Strawberries, sliced
  • Banana, sliced
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Springtime lessons from Botsford Cancer Center

Nicholle Mehr, Botsford Cancer Center

Nicholle Mehr, director of Botsford Cancer Center, reflects on the lesson that Spring delivers.

Editor’s note:  Nicholle Mehr is director of Botsford Cancer Center and this is her first post in what we hope will be a series. She’ll reflect on the lessons she learns from running a cancer center; from her patients, staff and doctors or anything else that inspires her.  If there’s something you’d like Nicholle to write about, let us know by sending us a message on Facebook or Twitter.

With the first day of Spring upon us, the anticipation of warmth fills us with hope.   Soon the birds will be chirping and the smell of Spring will be in the air.  I love living in Michigan and experiencing the changing seasons.

As the warm weather comes our way I am reminded of the warmth that hits you as you walk in the doors of our center.   The feeling of warmth and hope is all around us here at the Botsford Cancer Center.   The center radiates joy, quiet strength and the spirit of hope.   The patients, caregivers and health care professionals who inhabit these walls are of the highest caliber of people.  They have the gift of genuine care and concern in their hearts.

Most would find working with cancer patients to be of a sad nature, but working in this field is inspiring.  I admire the strength and attitude of our patients who have such a deep appreciation for life.   It is a blessing to come to work and be surrounded by such amazing people with stories that melt your heart.

The cancer care team is a dream.   They are genuine, quality driven, compassionate, hard-working, intelligent, loving individuals.  I am honored to be able to walk into this center every day where miracles happen, hope is fostered and lives are forever changed.

Have a wonderful Spring and enjoy all of the blessings that life has to offer!

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Breast surgeon’s secret weapon against cancer isn’t a scalpel — it’s a nurse navigator

Botsford Breast Center nurse navigator Penny Widmaier, RN

Another way nurse navigators advocate for breast cancer patients is by making sure they know about all the resources available to them. Here, Penny Widmaier, RN explains support services offered at Botsford Cancer Center to a patient.

If you ask anyone whose mammogram results came back “abnormal,” the anxiety of waiting for the next step can be paralyzing.

“Is it cancer or isn’t it? If it is breast cancer, when can we start treating it?” The doctors have to perform more tests before they have answers to those and the many other questions swirling in your head so you sit and wait until the next time they can fit you in.

It’s a scenario that happens often but — thanks to a secret weapon — not so much any more at Botsford Breast Center. Waiting “can be one of the biggest sources of anxiety for patients,” says Dr. Cynthia Sandona, director of Botsford Breast Center. That’s why despite all the advanced technology and beautiful décor, one of Dr. Sandona’s favorite things about the Center is actually a person – Penny Widmaier, RN, a breast cancer nurse navigator.

One of the many things Penny does is she reduces or eliminates the waiting often experienced between an abnormal mammogram and a follow up appointment. Patients rarely have to wait longer than 24 to 48 hours after an abnormal mammogram result for a follow up appointment. And during those few hours they are waiting, patients tend to experience less anxiety knowing that there’s someone advocating for them. “I try to make their experience seamless and as easy as possible,” Penny explains.

Dr. Sandona trusts Penny to look after her patients and make sure they don’t get lost in the

Dr. Cynthia Sandona

Dr. Sandona says a breast cancer nurse navigator makes dealing with the disease easier for her patients.

maze that can be health care. Because no matter how perfect a system is, breast cancer is scary. Penny’s expert hand and human touch can make all the difference.

At Botsford Breast Center, a breast cancer nurse navigator is on the case at the first sign of an abnormal mammogram, whether breast cancer is diagnosed or not. If you’re due for a mammogram, please don’t wait. Request an appointment today.

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How to lend a helping hand to someone diagnosed with cancer

By Lynn C. Anderson, Director, Marketing and PR, Botsford Hospital

Lynn Anderson (from right), Linda Lee and Jennifer Moore have been close friends for more than 30 years. Moore was diagnosed with cancer in October. Anderson and Lee are an important part of her network of friends lending a hand.

In the past four months, I’ve had a good friend, a neighbor and a work colleague all diagnosed with cancer.   It brought me back to my own personal experiences, when my husband was diagnosed with multiple sclerosis.   We had two small children, I was commuting 72 miles each day to work and he needed care round the clock.  I learned quickly how to appreciate the small things our friends, relatives and co-workers did to help us cope; and that it is okay to accept help from those who care.

So when people ask how they can help, here are a few suggestions based on my experiences. I find that the things you can do may depend on your relationship with the person so I’ve broken my suggestions into three categories:  A close friend, a neighbor and a co-worker.

How to support a close friend diagnosed with cancer or other illness:

I met my dear friend some 30 years ago when we were both young working mothers.   We supported each other through child-rearing, divorce, career decisions, death of a spouse, wedding planning and parents’ illness.  We know each other well so when she called to say she had cancer, I wanted to do as much as I could to help her.  Here’s what I found to be most helpful:

  1. Be a second set of ears to listen during doctor visits, second opinions and early chemo treatments.   A cancer diagnosis is complicated and it helps to have someone else hear what health professionals are saying.
  2. Help with research.   Help with online research and help them understand the disease, treatments and other important issues such as social security, work and insurance benefits and eating right.
  3. Spread the word and coordinate help.   CaringBridge.org is a great way to connect a patient’s entire community, creating a network for support for everyone involved.
  4. Support other family members.   A serious illness affects the entire family.   Offer to give a loved one a bit of time away, help with household chores or meals or just a chat to see how they are doing.
  5. Fulfill a wish. It doesn’t have to be a BIG wish.  We often talked about the fact we never had taken photos of ourselves together, so we hired a photographer to come to dinner one evening to take some shots we’ll all enjoy for years to come.

How to support a neighbor diagnosed with cancer or other illness

Our neighbor has found it is the little things that have helped so much.   It has also been a way for the neighborhood to come together and get to know one another better. Here are some things my neighborhood does to help support our neighbor diagnosed with cancer:

  1. Arrange a meal or transportation — One neighbor coordinates meals and another arranges trips to physician appointments and chemo treatments when our neighbor isn’t able to drive.    Those neighbors able to help with driving or a meal sign up for a day.
  2. Meals or other items are dropped off at another neighbor’s home, who sees that the items get to the patient.
  3. One neighbor makes homemade bread and stops in for a chat every Saturday morning.  Another neighbor calls or texts during the week for short chats, especially the days before a doctor appointment, the next PET scan or when he senses she is down.  He calls first, makes sure the visit is short and never goes in if he thinks he is getting sick.
  4. Other neighbors check in when going to the grocery store, pharmacy or dry cleaner to see if she needs anything.
  5. A teen offered to shovel snow this winter and is already planning to plant and water flowers for her porch this spring.
  6. “Secret Neighbors” have found random ways to show they care with a jar of hot fudge, a new magazine, a coffee gift card or putting the newspaper right at her doorstep so she doesn’t have to go down the sidewalk in the cold to pick it up. She doesn’t know who these neighbors are – they just leave little gifts and notes at her door.

How to support a co-worker diagnosed with cancer or other illness

When one of our Botsford Hospital co-workers learned she was diagnosed with cancer, everyone wanted to jump in to help.  She was always the one making special treats, decorating the office for a holiday or telling the funny joke.   Here is how we have helped:

  1. Donation of paid time off (PTO).  Not all employers provide this benefit, but at Botsford Hospital, employees can donate vacation or sick time (PTO) to a pool of funds to help a family’s financial burden.
  2. Get Well Cards.  This co-worker touches the lives of many seniors in her work, so we encouraged them to send greeting cards.  In less than six weeks, our co-worker has gotten more than 100 cards.
  3. A call, an email, a note, a text all are ways we stay in touch.

Don’t Be Afraid to Ask for Help

In addition to family and friends, social workers or health care navigators can help a patient find additional assistance.   The important part is to take advantage.   Friends, family and coworkers want to help.   It’s a way we can all feel better. Below are a few valuable resources, many of which are free:

  1. Most hospitals have personal support groups for the patient and the family helping with emotional needs.  Botsford has a number of groups and other cancer support resources.
  2. Gilda’s Club provides activities for patients and the entire family.
  3. The American Cancer Society has information on different cancers, treatments, research, end of life programs and support services in your area.
  4. Churches and other community groups also provide support to people at home and while in the hospital.
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Behind the Scenes: Security at Botsford Hospital

Security at Botsford Hospital

Michael Geldmacher (left) and supervisor Joseph Ziembroski (seated) monitor the goings-on throughout Botsford Hospital.

It was a day like any other in the halls of Botsford Hospital. But today, there was an unusual visitor, a woman, long brown hair and carrying a camera. Not an everyday camera, but something a bit bigger, more like one that a professional photographer might use. Two security officers quietly observed her as she passed them in the hallway. They didn’t see an employee or visitor badge. What was she doing?

They radioed back to the security central command office and requested a visual on the subject.  She was quickly located at her destination, questioned and the employee badge under her long hair was uncovered. You can’t get anything by Michael Geldmacher, head of security at Botsford Hospital. Employee identification badges are required at all times. If someone isn’t wearing a badge, there might be cause for concern.

Ensuring the safety of patients, employees and visitors to a hospital is a never-ending job. As Michael explains, hospitals are like small cities, where anything can happen at any time of day. They are always open and hundreds of thousands of people pass through their doors every year.

Security takes many forms
Michael’s team handles much of what you’d expect from a security team, although it’s usually misplaced belongings that they deal with. But sometimes the team actually becomes closer to patient care than they bargained for. Like when an employee showed signs of physical distress, the security team swooped in and got him to the Emergency and Trauma Center where he became a patient. Most on the security team are trained in CPR and AED use and actively prepare for any situation. They work closely with Farmington Hills police and fire departments to prepare for situations in and outside the hospital, like they did for this active shooter drill last year.

The security team also monitors the various notification systems within the hospital including fire and even those matching bracelets that Botsford Babies and their moms wear.

A seasoned security professional, Michael has seen many things but notes there are a few easy things everybody can do to stay safe in most situations.

Here are his top 5 tips for maintaining your own personal security when you’re in any public place:

  1. Lock your car doors! Even if you’re only running in for a minute. You’d be
    Michael Geldmacher

    Michael Geldmacher is head of security at Botsford Hospital. His tips can help keep you safe no matter where you travel.

    surprised how many people don’t take – or simply forget about – this simple precaution as they’re running errands or even as they park their car in their own driveway.

  2. Be aware of your surroundings.
  3. Travel in groups.
  4. Valet when you can.
  5. For office workers, lock valuables in a desk or cabinet.

Bonus Tip: Check IDs. This applies when dealing with any business whether it’s a utility worker coming to your home or a nurse visiting your hospital bedside. Always know who you’re talking to and don’t be afraid to ask for identification. In a hospital setting, this is also important as you divulge confidential medical or financial information. Remember this motto: No ID, no info! Botsford Hospital employees are trained to always have their identification visible and as you learned earlier in this article, Michael and his team make sure they comply for the safety of everyone.

So remember these tips no matter where you are and rest assured, the next time you visit Botsford or any other hospital, there’s a professional security team prepared for virtually any scenario.

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The Young Heart Attack Trend: What’s causing it and how to avoid it yourself

Botsford Hospital's cardiac cath lab emergency angioplasty team

The Emergency Angioplasty Team in the Cardiac Cath Lab at Botsford Hospital is seeing younger heart attack patients – probably due to stress.

The Emergency Angioplasty Team at Botsford Hospital is seeing a scary trend:  Younger heart attack patients. In 2012, the average age was around 50 years.

Why are relatively young people having heart attacks? To find out, we asked Heather Glover, RN, Botsford’s Manager of Cardiopulmonary Services. “Our high-stress world has probably been a significant factor leading to an increased number of patients requiring emergency angioplasty,” she explains. “And most of these patients are 50-ish—part of the ultra-stressed-out sandwich generation who care for aging parents while still supporting adult children.”

We live in stressful times; it can get to all of us. If left unmanaged, stress can lead to emotional, psychological and even physical problems, including heart disease, high blood pressure, chest pains or irregular heartbeats. And it’s the everyday things that can build up and cause problems. “When I think of stress, I tend to focus on the mounting, day-to-day things, such as broken furnaces, traffic, what’s for dinner, grocery shopping, rude people, sick kids or the loss of a loved one,” Heather says.

Stress Management Tips to Prevent a Heart Attack

Fortunately stress-induced heart attacks at a young age may be preventable with stress

Heather Glover, RN has Stress Management Tips to Prevent a Heart Attack

Heather Glover, RN, Manager of Cardiopulmonary Services at Botsford Hospital

management.  Heather offers these 11 stress management tips to help you avoid the emergency room:

  1. Get good sleep.
  2. Manage your weight.
  3. Drink water.
  4. Stand up straight.
  5. Avoid excess caffeine, sweets, work and alcohol.
  6. Eat your fruits and vegetables.
  7. Laugh daily.
  8. Don’t smoke.
  9. Manage your health issues. Take your medications. See your physician regularly.
  10. Exercise regularly. Activity is good; exercise is better.
  11. Shut out the world occasionally.

If you’d like to learn more about this or other cardiac health issues, mark your calendar! You can chat LIVE with Heather Glover, RN on Tuesday April 30th 2013 from 12:00 p.m. to 1:00 p.m. on the Botsford Hospital Facebook page.

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