by Guest | Oct 11, 2024 | Being Well, Featured, Uncategorized, Work Well
Let’s face it: Whether you’re a single parent, have a supportive co-parent, or are part of a large, supportive family system, parenting well is hard. Kids, no matter how much we love them, don’t come with instruction manuals and often push us to our limits.
We want to bring our best selves to this parenting endeavor; we know how we treat and invest in our children will have lifelong repercussions . . . but sometimes we need a little support.
Engaging your child resourcefully, creatively, and educationally, boosting and encouraging playful curiosity, and celebrating developmental milestones—that’s what our family educators do every day. We believe that parents are their kids’ first and best teachers and we want to equip parents to engage their kiddos with creative, fun learning activities all year long.
Did you know that year-round support from Healthy Families and Early Head Start is available to families in every part of Tillamook County? Here’s what you need to know about our three Child & Family Programs, all housed under Community Action Team:
Healthy Families:
– Register your child within 90 days of birth
– Known for their diaper program
– Regular home visits, frequency of visits based on need
– Healthy Families – Community Action Team (cat-team.org)
Early Head Start:
– Registration accepted year-round, ages 0-3
– Weekly home visits
– Biweekly socializations/play dates
– Educational and literacy focus
– Seamless transition to Head Start (preschool, ages 3-5)
– www.nworheadstart.org
Head Start:
– preschool (drop off/pick up)
– only available to families living in Tillamook proper at this time
– 2 locations: 1100 Miller Ave, Tillamook, OR and 3808 12th Street, Tillamook, OR
– www.nworheadstart.org
We are a resource for you and want to make your parenting journey a little less
overwhelming, so you can offer your kiddo your very best self!
To reach out and ask questions, please contact:
Christina Pfister
Family Advocate for Early Head Start
971-813-9450
cpfister@nworheadstart.org
Written by Christina Pfister, Family Advocate for Early Head Start
Other wellness questions? Email us at info@tillamookcountywellness.org. For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.
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 | May 30, 2024 | Being Well, Featured, Uncategorized, Work Well
When your primary care provider (PCP) retires, you move, or your insurance changes, finding a new healthcare provider can be challenging and anxiety-inducing. You want someone you can trust with, well, you. You want someone knowledgeable and empathetic to your personal needs. After all, this is someone you will see during times of vulnerability. Finding the right fit and fostering a good relationship is a vital part of managing your health. There are steps you can take to find someone you are comfortable with who provides the care you are looking for.
Choosing Your Doctor
Many different things go into why you choose a specific healthcare provider. Determine what is most important to you when selecting someone to see.
Qualifications: A PCP is a healthcare provider who sees people for common medical problems. Traditionally, this was a doctor. In the State of Oregon, medical doctors (MDs), osteopathic doctors (DOs), nurse practitioners (NPs), physician assistants (PAs), and naturopaths (NDs) can all work as primary care providers. Each type of provider has medical training, but the training varies based on their education, which affects how they provide care.
Get to Know Them: Look up their profile on the clinic’s website. This usually includes a photo and a bit of information about the person. Reading online patient reviews may give you a sense of their communication or practice style.
Office Hours and Availability: Finding someone who works when you don’t will make getting your routine care easier. Make sure you know their clinic’s hours, including any weekend or evening availability. Also, when you call to schedule, ask about the specific provider’s availability. Are they booked out months in advance? That is a warning about potential difficulty seeing them when an issue arises.
Insurance Coverage: Some clinics may take your insurance, but your insurance may not cover the one provider you want to see. An example of this is with naturopaths who are not covered by Medicare. It is also important to remember this when your insurance changes. A new insurance may not cover the provider who has managed your care for the last 10 years. Contact your insurance company for a list of covered providers.
Before Your First Appointment
Preparing your first appointment will make the appointment go more smoothly for both you and the new PCP. There are basics any new healthcare provider will need:
Collect information on your medical history:
- Past surgeries, illnesses, chronic health conditions
- Current medications, supplements, and allergy list
- Vaccination record
- Family medical history
Make a list of concerns to talk about with the provider:
- What is most concerning to you that day?
- Keep the list short with at most three items. Appointments are typically only 20-40 minutes. Respect the provider’s time to see their other patients by scheduling a second visit if needed.
- Do you have high blood pressure or diabetes? Write down recent readings to share with the provider.
Making the Most of Your First Visit
Show up prepared to get the visit off to a good start. This will help reduce any anxiety or stress you may have about it.
- Make sure to give yourself enough time for the appointment without needing to rush off to another task.
- Arrive early to fill out paperwork.
- Bring any past medical records or contact information for your previous PCP and specialists.
- Remember that insurance card!
Plan for open communication.
- Be honest about your health. The PCP can’t give you the best care if pieces of your healthcare puzzle are missing.
- Talk about your healthcare goals. Are you worried about a family history of dementia or trying to bring down your blood pressure? Let them know.
- Ask questions to clarify information you don’t understand.
- Request a written summary of the visit for you to review later.
- Know the next steps, such as any follow-up visits or referrals.
Building a Long-Term Relationship
Any good relationship requires effort from both sides.
- Stay in touch with your healthcare provider by scheduling regular well checks.
- Schedule and keep the follow-up visits your provider recommends. These visits are generally to keep an eye on health concerns.
- Keep your PCP updated about any changes to your health, such as new injuries or surgeries.
- If you see a specialist, go to urgent care, or the emergency room, make sure the records of your visit are sent to your PCP.
Finding a PCP can go smoothly with a bit of preparation. One of the fundamental components to developing a good relationship with your healthcare provider is seeing them regularly, not just when you have a problem. This helps the PCP get to know you and your health situation. Open communication will go a long way in building a strong provider-patient relationship, which can help to improve your health outcomes.
AUTHOR: Leanna Coy, FNP-C, Family Nurse Practitioner and Health Content Writer
by Guest | Apr 18, 2024 | Being Well, Featured, Uncategorized, Work Well
What is your first memory of being stressed or upset? What was it about? Is it something that would upset you now, all these years later? Maybe, or maybe not. For me, it’s the time my brother knocked over my Lincoln Log house because he wanted one of the pieces I was using (though he would probably tell you a different story).
We all face challenges—even kids. Dare I say, especially kids, as they are still developing the understanding and skills to navigate their world and interactions with others. We as humans are not born with executive function, or the complex ability to think about future consequences, regulate our emotions and impulses, or organize tasks. These are all things that we learn from the environment around us. Most people would probably recognize early interactions and relationships as things that help form a child’s executive function. And they would be correct! The “serve and return” back-and-forth exchange of communication with caregivers is a necessary component in a child’s ability to feel secure in the world and to know how to operate within it. Their executive function allows them to process new anxieties, building resilience. When a child is resilient, the inevitable challenges of life aren’t quite as hard to manage.
So, you’re raising a child. You’re doing all the right things: the bedtime stories, the tummy time, the peek-a-boo. Your child is on the superhighway to mastering executive function! What else could possibly be done? Well, have you checked for lead in your home?
Like, the lead pipe from the board game Clue? The lead that infiltrated the water supply in Flint, Michigan in 2014? Yeah, that lead. You probably already know that lead is bad, but do you know why? Lead is a common and exceptionally potent neurotoxin that accumulates in bones and soft tissue. It damages the brain and central nervous system. In high enough doses, it can cause coma, convulsions, or death. Even in non-fatal cases of lead poisoning, children can be left with permanent brain damage: reduced IQ, reduced attention span, and increased antisocial behavior. In other words, lead can interfere with a child’s development of executive function.
There is no “safe” level of lead exposure, and young children are particularly vulnerable. As a child plays and crawls on the floor, any lead dust or particles on the ground get on their hands. And, as is a child’s nature, those hands go in their mouth. That easily, the dust of the lead paint on the walls is now in the child’s system. This is compounded by the fact that children’s bodies are far less efficient than adult bodies at filtering out lead.
The good news is that lead poisoning is preventable. You can easily find out if an item has lead in it with a home lead testing kit ordered online. Be aware of common sources of lead in the home. Lead-glazed ceramics, water pipes, imported spices and cosmetics, and children’s toys are all common places lead has been found. About 24% of homes and buildings built before 1978 have lead paint. (Note: DO NOT try to sand or scrape off lead paint! This will release more lead dust into the air and can be extremely harmful. If you have lead paint and want to make your home safer, paint over the existing paint and be mindful to clean up any chipping or flaking.) Some jobs and hobbies can also come with lead exposure. Demolition work, manufacturing, renovation, welding, casting or soldering (fishing weights, bullets, stained glass) can all leave lead dust on clothing that is later tracked into the home. To avoid this, leave shoes and work clothes outdoors, wash them, and take a shower before going about your home life. Creating a physically safe environment for your child, one that is absent of lead and other dangers, gives them the capacity to focus on developing as resilient young humans.
Whew! Lead averted. Now that that’s out of the way, we can go back to focusing on the bedtime stories and peek-a-boo…almost.
Lead isn’t the only household toxin. Other common sources of accidental poisonings in children are household cleaning products, personal care/cosmetic products, and analgesics (pain relievers). About 35,000 children go to the emergency room every year after getting into medications and vitamins left within their reach. Those gummy vitamins sure do look like candy, right? Imagine how tempting such a treat is to small hands. Protect your children from accidental poisoning; keep medications, vitamins, and cleaning products up, away, and out of reach. When possible, keep them locked. Never refer to medicine as “candy” to get your child to take it, and teach them to never eat something that wasn’t given to them by a trusted adult, even if it looks like candy.
Parents and caregivers: I know the list of everything you do for your kids is always growing, and it just grew a little more. Your hard work is recognized. All those veggies they don’t want to eat, the emotional guidance, late nights, and disputes over Lincoln Logs can be exhausting unlike anything else. But remember this: the environment you are creating, the support you provide, and your watchful eye are sculpting your child’s executive function, their whole health. And you’re doing an amazing job.
Written by: Sarah Ermer, MPH, CHES; Tillamook Family Counseling Center
Sources:
Centers for Disease Control and Prevention. (2021, October 29). Childhood Lead Poisoning
Prevention: Populations at Higher Risk. Retrieved from
www.cdc.gov/nceh/lead/prevention/populations.htm?CDC_AA_refVal=https%3A%2F%2F
www.cdc.gov%2Fnceh%2Flead%2Ftips.htm
Centers for Disease Control and Prevention. (2023, February 24). Early Brain Development.
Retrieved from www.cdc.gov/ncbddd/childdevelopment/early-brain-development.html
Centers for Disease Control and Prevention. (2022, May 17). Lead in Foods, Cosmetics,and Medicines. Retrieved from www.cdc.gov/nceh/lead/prevention/sources/foods-
cosmetics-medicines.htm
Centers for Disease Control and Prevention. (2022, February 2). Lead in Jobs, Hobbies, or
Other Activities. Retrieved from www.cdc.gov/nceh/lead/prevention/sources/jobs-
hobbies-activities.htm
World Health Organization. (2023, August 11). Lead poisoning. World Health
Organization.https://www.who.int/news-room/fact-sheets/detail/lead-poisoning-and-
health
by Michelle | Mar 23, 2024 | Being Well, Featured, Uncategorized, Work Well
Imagine yourself living and working in a space that only sparks joy. This is a goal of our Tillamook County Wellness initiative. It is also the philosophy behind decluttering, a proven approach for improving well-being. Popularized by Japanese organizing consultant, Marie Kondo, decluttering has become a winning strategy for identifying what truly matters in one’s life – keeping the things that spark joy and getting rid of what doesn’t.
Many of us are drawn to Spring cleaning. A time of renewal, Spring feels like the perfect window to get things in order and start with a fresh, clean slate. Decluttering isn’t just for our home environment; it is good for our workspaces too. As part of their Blue Zones well-being initiative, Adventist Health Tillamook is encouraging employees and leaders to declutter their workspaces. The process involves not just removing old, unwanted items but determining what brings value. As you can see by one team’s before and after photos, clearing clutter can transform the spaces in which we spend most of our day from stress-inducing chaos to calm, welcoming environments where people can cultivate a sense of purpose and meaning.
Whether it is our home or work environment, most of us have accumulated things we no longer need. I love reading. My home is filled with many, many partially read books. Kondo suggests that a half-read book is a book that gave you what you needed in the pages that were read. If the book sparked joy, you’d have finished reading it. So, rather than feeling obligated to finish reading every book, we can take heart that we were fulfilled from what we did read and pass that book along for someone else to enjoy.
Kondo says, “People cannot change their habits without first changing their way of thinking.” When we get stuck thinking a certain way, it can get in the way of what we really need. Taking time to deliberately ask if something is serving us is helpful when it clears the debris to make way for what is most meaningful. Disorder is not only visually unpleasant but it can create a kind of mental disorder where we find it difficult to prioritize, plan and stay focused. The little bit of energy it takes to declutter can free up a lot of energy for what really matters.
The process of getting rid of things can also help us identify patterns that are not serving us. I have a lot of shoes; a lot of clothing, in general. If I’m being honest, much of what I own no longer fits me and there aren’t enough days in the year to wear it all even if it did. When we are collecting and holding on to things, it’s a good idea to ask ourselves why it is so important for us to hold onto them? There is often a deeper insight into this. As a child, I wore hand-me-downs and always felt like a fashion flop. I wanted to fit in and have the latest styles like the popular kids. This mindset has carried over into my adult life. Is it serving me now – and did it serve me as a child? No. Being objectively curious about what is behind our habits can be a springboard to improving our mental well-being. As Kondo so wisely states, “When we really delve into the reasons for why we can’t let something go, there are only two: an attachment to the past or a fear for the future.” This is why people like Steve Jobs wear the same clothes every day. Not having to sift through the closet each morning, frees up their mind for more creative pursuits
Decluttering isn’t just about “stuff.” It can be about getting rid of apps on our phone, emails in our inbox, and relationships that drain us. Kondo gives the following advice. “When you come across something that you cannot part with, think carefully about its true purpose in your life.” You may be surprised to realize how much of what you have already served its purpose. “By acknowledging their contribution and letting them go with gratitude, you will be able to truly put the things you own, and your life, in order,” says Kondo.
It can feel overwhelming to tackle cleaning out the attic, garage, or, in my case, the bedroom closet. Breaking it down into smaller tasks can help. For proven tips and tricks, check out Marie Kondo’s book, The Life-Changing Magic of Tidying Up, or any other of her books, which you can also check out from your local library branch. You can also watch “Tidying Up with Marie Kondo” on Netflix.
What will you declutter this Spring? I’ll be tackling my closet!
Written by Michelle Jenck, M.Ed., Tillamook County Wellness Coordinator, Certified Behavior Change Coach
by Guest | Feb 20, 2024 | Being Well, Eat Well, Featured, Uncategorized, Why I'm In, Work Well
“WHY I’M IN …” An interview with Mari Tasche, Oregon Health & Science University
What drew you/your organization to partner with Tillamook County Wellness?
When first introduced to Tillamook County Wellness, I was inspired by the work of the committees and felt that TCW aligned with my passion for improving the wellness and quality of life of others, particularly those made vulnerable by current systems. I have always been actively involved in my community, whether coaching youth soccer or coordinating a community-wide couch to 5k running group. As an exercise physiologist looking to transition into public health and plant my roots on the north coast, TCW provided a great opportunity to understand the region’s needs and get involved in efforts to address community health.
What, if any, changes have you seen come about as a result of this work?
Improving the health and wellness of a county is challenging work and truly takes a village. TCW is a unifying force that brings people and organizations together to share knowledge, leverage resources, and provide support. This strengthens our connections, creates unity, and fosters collective progress for the betterment of our community. I have seen many organizations coordinate and collaborate on projects, programs, and initiatives they might not have otherwise pursued together. This coalition has also taken ownership of the community health needs assessment and improvement plan to address the region’s top health and social needs. Efforts include evaluating and refocusing the work of committees, pursuing or supporting grants, establishing or strengthening partnerships, and broadening community outreach and engagement.
What have you learned from being involved in this work?
I have learned that opportunities are endless if you make the effort to reach out. Many people want to see this county thrive and want to contribute their part to make that happen. It is inspiring and fuels my optimism for this work. I have also learned that this work is like climbing a mountain with no top. It’s endless, but if you enjoy what you are doing, it doesn’t feel like a daunting task- and don’t forget to celebrate the small steps!
What are your hopes for this work as it relates to you/your organization?
My role has continued to evolve since joining a few years ago, and I strive to find my niche and how to best contribute my time and resources to TCW. As I wrap up my master’s degree in public health this fall, I am looking to align my final projects with TCW initiatives and develop relevant content and materials to drive this work forward. As a regionally based employee with the Oregon Rural Practice-based Research Network at OHSU, I aim to pursue future opportunities for cross-over and collaboration.
What are your hopes for this work as it relates to changing community health in Tillamook County.
Changing community health takes a multifaceted and dynamic approach. I hope that TCW continues to address this challenge holistically by strengthening a diverse network with a unified message, comprehensive strategy, and county-wide framework that can meet the needs of every individual and help them live their best, healthy lives.
Is there anything else you’d like to share?
I appreciate being a part of this coalition and look forward to what we can accomplish in the coming years.
For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.
