by Guest | Aug 23, 2024 | Eat Well, Featured, Recipes
Looking for a delicious and healthy meal? Fish Tacos are the perfect choice!
Ingredients:
FISH
2 pounds cod fillets
3 Tablespoons lime juice (about 2 limes)
1 tomato, chopped
½ onion, chopped
3 Tablespoons chopped cilantro
1 teaspoon vegetable oil
¼ teaspoon cayenne pepper (optional)
¼ teaspoon black pepper
¼ teaspoon salt
SLAW
2 cups shredded cabbage (red or green)
½ cup chopped green onion
¾ cup nonfat sour cream or plain yogurt
8 corn tortillas (6-inch)
Directions:
- Wash hands with soap and water.
- Rinse or scrub fresh vegetables under running water before preparing.
- Preheat oven to 350 degrees F.
- Place fish in a baking dish.
- In a medium bowl, mix lime juice, tomato, onion, cilantro, oil, peppers and salt. Spoon the mixture on top of fish.
- Cover dish loosely with aluminum foil to keep fish moist.
- Bake 15 to 20 minutes or until fish is opaque and separates easily with a fork. If you have a food thermometer, the internal temperature should reach 145 degrees F.
- For the slaw: In a large bowl, mix cabbage and onion. Add sour cream and salsa; stir until mixed.
- Divide cooked fish among tortillas. Add ¼ cup of slaw to each. Fold over and enjoy!
- Refrigerate leftovers within 2 hours.
Notes
- Freeze extra lime juice to use later.
by Guest | Aug 19, 2024 | Featured, Move Well
Tillamook County is a wonderland of beautiful trails within an easy drive, giving everyone the chance to breathe the fresh air, walk off stress, and experience something new right here in our own backyard.
Worried that you won’t know how to hike the right way? In the hiking community there is a saying; Hike Your Own Hike. It means that there are a million ways to hike and the only “right way” is the right way for you. Power walkers and the “sloth team,” over-packers and minimalists, booted stompers and sneaker-wearing wanderers, all are welcome. Take your time, find the method that works for you, and do what makes you happy.
Here are a few guidelines that will help make your first hike a great experience.
The Ten Essentials
The Ten Essentials are the 10 things you should bring with you on every hike. Yes, every hike, even when it’s only half a mile. All of this should fit in a small backpack and don’t be afraid to dig out that old school bag.
- Good Shoes: Happy feet make for happy hikers. Pick shoes that fit well, have good treads for traction in mud, and will protect your feet from rocks, roots, and everything else. Worn in jogging shoes are usually a good choice for beginners. Wear wool or synthetic socks rather than cotton to prevent blisters.
- Map and GPS: You probably rely on your phone for directions, but it won’t necessarily work in the woods. Download a map to use offline, print out a hard copy map, and maybe even break out that old compass just in case.
- Water: There’s nothing like a cool gulp of water on a hot day. Bring a 16oz bottle of water for every person for every hour of hiking. Fill up a reusable bottle (usually 32oz) to save space and money. Bring extra water if it’s hot, the trail is steep, or if you’re bringing your thirsty dog.
- Food: Hikers need snacks! Your body will want more energy during your hike and kids especially need snacks. Choose something healthy like fruit, vegetables, whole grain crackers, nuts, and trail mix. High-protein energy bars can be a good choice.
- Rain Gear and Extra Layers: This is the Pacific Northwest, after all. Rain, fog, cold winds, and cool nights are normal. By layering a t-shirt under a sweatshirt you can take off a layer if you get overheated and then put it back on if it cools down. A rain jacket can also be a wind break and bringing a sweatshirt and a warm hat can help you be ready for whatever our wild weather can throw at us.
- Safety Items: Bring a light, a fire-starting kit, and a whistle. You can buy little “emergency prep” kits in most gas stations. These are just-in-case items, but you’ll be glad to have them if you need them. Kids should each have a whistle and know to blow 3 short blasts if they need to “find Mom and Dad.”
- First Aid Kit: Blisters, scrapes, or twisted ankles, a good First Aid Kit can take care of the problem. These kits are available in pharmacies in several sizes. Open up the kit and make sure you know what’s inside and how to use it to help. Think about if your family has any specific needs and add things if necessary.
- Knife or Multi-Tool: A simple pocketknife is a good thing to have and a multi-tool can be useful in many situations. From opening a snack packet to emergency fire starting, you’ll be glad you have it when you need it.
- Sun Protection: The sun is a welcome visitor to the Oregon coast, but we all know how harsh it can be. A hat, sunglasses, and sunscreen will help you enjoy the sun, rather than getting burned.
- Shelter: Many First Aid Kits will have a space blanket; light, inexpensive, and a great option for an emergency.
If your bag is packed with the Ten Essentials, then consider yourself ready for an easy trial run. Choose a well-known trail that’s close to town, short, and easy for your first hike. Let someone know where you’re going and when you’ll be back. Test yourself by pretending to be in the wilderness and imagine how you would deal with rain, getting lost, or a minor injury. Finally, make sure to have fun! It’s more important to enjoy yourself than it is to finish the trail, follow a specific plan, or reach your destination. Hike Your Own Hike, and you may find yourself planning your next trail as soon as you get home.
AUTHOR: Samantha Goodwin, NW Youth Corps, GIS Intern, US Forest Service
by Guest | Jul 12, 2024 | Being Well, Featured, Move Well, Work Well
Occupational Therapy is an often misunderstood or unheard of rehabilitative therapy. It is not just about our jobs and work we do. The easiest way to say it is therapy for anything that occupies your time. If there is anything you can’t do that you want to do, then come to us and we will help you get back to doing it. Sleeping, cooking, hobbies, socializing, travel, etc. are all things that occupy your time. There are many ways we can help by analyzing the activity and then finding other ways to do it, using exercises and strengthening to make it more possible, or using devices or equipment to make it possible. We can come to your house and do an evaluation if home modifications or larger equipment is needed, or you can come to see us in outpatient therapy to work on improving function in your life.
Occupational Therapist use more of a wholistic approach to therapy. We don’t just look at the physical, but also the psychological and sociological aspects of a person to help them. What do they enjoy, what is important to them and what they think and believe are important things to be considered. When we can’t do what we enjoy due to pain, or loss of ability this affects the whole person. We can help to deal with chronic pain management as well as behavioral management to work with the person as a whole. We are also Qualified Mental Health Practitioners and can help with depression, anxiety, or other diagnoses associated with these issues.
The best way to get a referral is through your primary care provider (PCP). Employees can self-refer, also. We’re working to increase provider awareness about our services, but your always welcome to ask questions. If you have any questions or need advice on what to say to your PCP, feel free to contact Timothy Patching at patchitr@ah.org. We’re here to help you every step of the way!
by Guest | Jun 21, 2024 | Eat Well, Featured, Lunch & Snack Recipes, Recipes, Uncategorized
These kid-friendly strawberry chia yogurt pops offer a delicious, healthy way to cool down on a hot summer day! With a winning combo of brain-boosting omega-3 fatty acids, gut-healthy probiotics, and muscle-strengthening protein, this will surely be your new favorite treat to beat the heat.
Ingredients:
1 cup finely chopped strawberries
3 Tbsp honey
2 cups 2% or whole Milk Greek Yogurt
1 Tbsp chia seeds
2 tsp vanilla
6 popsicle sticks
Chia seed garnish (optional)
Instructions:
In a bowl, using a fork, mash ⅓ cup of the strawberries. Add honey and mash to soften. Stir in yogurt, chia seeds and vanilla.
Spoon and divide yogurt mixture into molds, tapping on counter to eliminate air bubbles. Sprinkle with more chia seeds on top (if using) and insert popsicle sticks.
Freeze until solid, 3 to 4 hours. To remove from mold, dip casing into cup of warm water to loosen yogurt pop.
Tip: For a fun decorative look, slice one strawberry. Fill molds halfway and slide a slice directly on wall; top with remaining yogurt mixture.
Submitted by: Lewis Martin, MS, RD, LD, Nutrition Director with Oregon Dairy Counsel
by Guest | Jun 20, 2024 | Being Well, Featured
The term women’s health covers more than just pap smears and mammograms. This category of healthcare has a wide scope covering care for people with a uterus from menstruation to pregnancy and osteoporosis, along with all of the health screenings in between. Women’s health aims at improving health over the lifespan with treatments and screenings beginning in the teen years and spanning the rest of a person’s life. The terminology for the women’s health category is evolving to recognize transgender and non-binary people. The women’s health category is inclusive for all people based on anatomy, not gender identity.
An Ounce of Prevention
One of the best things a person can do to take care of themselves is get routine screenings. Ideally, everyone should check in with their healthcare provider annually for a well check, but other screenings vary by age and circumstance. Routine health screenings serve to detect warning signs of potential health issues before they become serious problems. This allows the medical provider to work with the person on getting any needed treatment. Health screenings also help catch medical conditions early, which makes them easier to treat.
The typical preventative visit includes:
Additional Adolescent Screenings
Parents sometimes stop well-child checks when their kids become teens, but really they shouldn’t. When pre-teens begin noticing physical changes, a healthcare provider can help answer questions and discuss expectations for developing bodies. This is also the transition into adulthood with health screenings. All the above screenings become relevant. Additionally, the potential for sexual activity in teens also must be addressed. Things that may begin screening in adolescents:
- When someone becomes sexually active, they need screening for sexually transmitted diseases (STDs) at least once a year and with every partner change. In Oregon, chlamydia and gonorrhea are the most common STDs with syphilis on the rise.
- Counseling for STDs.
- Screening for the Human Immunodeficiency Virus (HIV).
- Screening for intimate partner violence is recommended at least once a year in women/persons of reproductive age.
- Contraception Counseling is recommended for anyone not seeking a pregnancy in the next year. Gender-affirming hormone therapy is not adequate for contraception.
Routine Women’s Health Screenings
As the transition into adulthood continues, so does the transition of screenings. Continue with annual health checks, and now add the pap smear, which screens for cervical cancer.
- Cervical cancer screening from age 21 to 65 years.
- Pap alone every three years in ages 21 to 29
- Over age 30 testing with pap smear and for high-risk human papillomavirus (HPV).
- Screening for diabetes in overweight or obese people who don’t have symptoms starting at age 35.
- Breast cancer screening for the average at-risk person beginning at age 40.
- Colorectal cancer screenings now start at age 45.
Pregnancy-specific screenings:
- Intimate partner violence screening remains important during pregnancy.
- Screening for hepatitis B at the first prenatal visit.
- Gestational diabetes screening and healthy weight gain counseling during pregnancy.
Older Adult
Older, wiser, and still getting health screenings. The older adult stops getting cervical cancer screenings after age 65 if they have been cancer free. STD screenings may continue as needed. A discussion with the healthcare provider may lead to discontinuation of colorectal and breast cancer screenings in 70 to 80-year-olds based on prior history and risk factors.
- Urinary incontinence screening. Women have come to believe incontinence is normal in aging. It is not.
- After menopause, osteoporosis becomes a risk due to the drop in hormones. Current screening guidelines recommend starting assessment at age 65 for average risk. Persons at higher risk, such as those with a family history of osteoporosis, begin screening at a younger age.
- Lung cancer screening for people with a 20-year smoking history.
Taking care of yourself remains the cornerstone in staying healthy to provide care to the ones you care about. Whether it is your husband, children, or dog. Check with your healthcare provider and stay up to date with your routine screenings.
To learn about preventive health across the life span, click HERE.
Resources:
The American College of Obstetricians and Gynecologists. (2021). Health Care for Transgender and Gender Diverse Individuals (Committee Opinion No. 823). https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2021/03/health-care-for-transgender-and-gender-diverse-individuals
National Institute on Alcohol Abuse and Alcoholism. (2024) Rethinking Drinking. (NIH Publication No. 23-AA-3770). U.S. Department of Health and Human Services, National Institutes of Health. https://www.niaaa.nih.gov/sites/default/files/publications/NIAAA_RethinkingDrinking.pdf
Oregon Health Authority. (2024, June 11). Oregon’s Weekly Communicable Disease Report. https://public.tableau.com/app/profile/oregon.public.health.division.acute.and.communicable.disease.pre/viz/WeeklyCommunicableDiseaseReport/ACDPWeeklyReport
U.S. Preventive Services Task Force. (Accessed June 15, 2024). A & B Recommendations. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
Health Resources & Services Administration. (2022) Women’s Preventive Services Guidelines. https://www.hrsa.gov/womens-guidelines-2016
Author: Leanna Coy, FNP-C, Family Nurse Practitioner and Health Content Writer
