LAST WEEK'S OKNT NURSING NEWS

Christa Boren, LPN, has a blast every summer working as a camp nurse at J.D. McCarty Center in Norman.

by Bobby Anderson, RN, Staff Writer

It’s early afternoon in the hot, Oklahoma sunshine and Christa Boren, LPN, pulls back on the slingshot straps and lets a water balloon fly.
The wooden SpongeBob target 20-feet away survives a dousing as the balloon splashes to the ground.
Boren laughs.
It’s good to be home.
“It’s amazing,” she says. “I really miss the center so when they gave me this opportunity I had to jump on it.”
Boren worked at J.D. McCarty Center in Norman for a number of a years as a nurse and nurse manager. When family business moved her away she thought she’d never get to work at the center for children with developmental disabilities again.
She was wrong.
Boren has worked as the evening and night shift nurse at Camp ClapHans for three years now.
Horseback riding, movie nights, talent shows and dance parties are just some of the events offered at camp ClapHans. Several members of the University of Oklahoma football team visited this summer as well as some church groups.
“That allows our kids to interact with other kids who are age-appropriate,” Boren said. “Our kids get to really play with those kids and they’re not being judged. It also allows those kids from these groups to come out and interact with our kids and learn. Maybe next time they’re out and they see a wheelchair they’re not going to stare … because they are just kids.”
Camp ClapHans is a residential summer camp for kids with special needs ages eight to 18.
The camp is located on the south end of the McCarty Center’s 80-acre campus in Norman.
It features two cabins, a multi-purpose building and is built next to an 11-acre lake. The camp features summer camp activities like archery, canoeing, fishing, horseback riding, camp fires, swimming, indoor and outdoor games, arts and crafts and much more.
J.D. McCarty provides a one-to-one camper-to-staff ratio with a nurse on site 24-hours a day.
That’s where Boren comes in.
“It was a little overwhelming but really the worst thing about camp is the heat,” she said. “The kids are amazing. We have a group of counselors every summer who are college students … and they come out and they do this for free five weeks out of the summer and are an amazing group of kids.”
When her husband opened a physical therapy clinic in Elk City Boren quit her job at J.D. McCarty and moved with her family.
Boren became a nurse at 20 and had worked in the hospital setting before settling into her role with J.D. McCarty.
“It’s absolutely amazing. I loved the fast-paced stuff but at times it does get a little overwhelming. In the acute-care settings in the hospitals you have to deal with all the sad stuff – giving people cancer diagnosis and all that stuff that comes with nursing,” Boren said. “Here at camp we don’t have that at all. These kids love to be here. It’s so laid-back and we get to really enjoy the kids and try to make their time here as enjoyable as possible.
“These kids would normally not get to do this at a regular camp.”
When she’s not in camp, Boren still makes the drive from Elk City to Norman to take her six-year-old son for therapy at JD McCarty.
Last school year, Boren was a teacher’s aide but admits most of her time is spent being the mom to three boys active in sports.
The move to Elk City was a good but so has the opportunity to bring her child to treatment at J.D. McCarty.
The J. D. McCarty Center was founded in 1946, by a veterans group called the 40 et 8 of Oklahoma. The 40 et 8 was an honor society within the American Legion. When the McCarty Center first opened its doors to patients it only treated one diagnosis – cerebral palsy.
Today, the center has treated more than 100 different diagnoses in the developmental disability category.
Kids come to Norman for treatment from all over the state of Oklahoma.
Children referred to the hospital are evaluated and treated by a team of pediatricians, pediatric specialists, registered nurses and LPNs, direct care specialists, physical, occupational, speech and language therapists, a dietitian, a clinical psychologist and psychology clinicians and social workers who focus on getting a child to their highest level of functionality and independence. “Any kid who comes through the door becomes your kid,” Boren said.

Companion Healthcare is accepting applications for an RN Case Manager for Private Care services.
The RN Case Manager will meet with prospective clients and provide professional assessment of the needs and desires of clients.
They will help coordinate the total plan of care and maintain continuity of care by interacting with other health professionals.
Requirements:
· Current Oklahoma RN license
· Graduate of an approved school of professional nursing
· One year experience in home health field preferred
· Demonstrate knowledge and skills necessary to provide care primarily to the geriatric population
· Valid Oklahoma driver’s license
· Must pass criminal background check
Companion Healthcare is a local family-owned company with offices in Guthrie, Edmond and Stillwater.
Benefits:
· Competitive Salary
· Paid Time Off
· Medical/Dental/Prescription/Vision/Life Insurance
· Matching 401K
· Company Car
APPLY ON-LINE: www.companionhealth.net

Interim Dean of Fran and Earl Ziegler College of Nursing.

Falling is one of the biggest worries of nursing home residents and their families. That fear comes with good reason.
Just a few years ago, Oklahoma was ranked 48th in the nation for nursing home falls with major injury. Nearly 50 percent of nursing home residents fall within the first 12 months of being there. If a person has fallen once, they’re twice as likely to fall again. Life as they knew it is over for many people after a fall.
Those statistics were simply unacceptable to several groups of Oklahomans invested in creating a better quality of life for nursing home residents. The University of Oklahoma College of Nursing is a leader in that work, and it recently was awarded a $1 million federal grant to launch the implementation phase of its falls prevention program, “It’s Not OK to Fall.”
The program is a partnership with the Oklahoma State Department of Health through funds from the Centers for Medicare and Medicaid Services.
“I’m very pleased this successful program will be able to continue,” said Gary Loving, Ph.D., RN, interim dean of the Fran and Earl Ziegler College of Nursing. “Falls are a significant risk for elderly individuals, particularly those with disabilities and chronic illness. Through this program we can expand our efforts to decrease those risks.”
The pilot phase of “It’s Not OK to Fall” began three years ago. OU College of Nursing staff members Teri Round, M.S., RN, and Diana Sturdevant, Ph.D., RN, led a group that combined several evidence-based falls intervention strategies. During the testing phase, nursing homes that incorporated the new strategies decreased their rate of falls by 50 percent. Round is executive director of clinical operations for the college, and Sturdevant is co-principal investigator for the falls project.
The falls prevention program focuses on three primary areas: better sleep, hydration and strengthening for residents.
Traditionally in nursing homes, employees check residents every two hours during the night, positioning and changing as necessary, prompted by the belief that it will prevent skin breakdown. However, that also means people can’t sleep more than two hours at a time. Prevention of wounds is often linked to better nutrition, and modern mechanics can accomplish the same task as physically turning someone.
“The evidence shows that if you let people sleep six or more hours a night, they don’t fall as much,” said Round, a registered nurse. “There are other benefits as well: When people sleep better, they tend to eat better during the day because they’re not falling asleep over their meals. And they’re more engaged in their activities, such as physical therapy.”
Hydration is another important component. The program worked with nursing home staff to encourage residents to drink adequately from 8 a.m. to 4 p.m. That not only prevents dehydration, but it lessens the amount they drink at night, thereby decreasing the number of times they have to go to the bathroom overnight. Nursing homes have been encouraged to fill water dispensers with fruit or vegetables to flavor the water.
Strengthening the muscles is important because it improves a person’s balance. The program introduced a form of Tai Chi to nursing homes so that residents could participate in a low-impact exercise that has been demonstrated to improve balance. Strengthening also involves teaching “toilet squats,” which is raising and lowering oneself over the toilet. This decreases their fear of falling, as well as the urinary tract infections that can occur when a person goes to the bathroom infrequently.
“When people feel like they might lose their balance and fall, that makes them exercise less, which then makes them more likely to fall,” Round said. “Everything works together negatively.”
However, the strategies must be used in connection with a comprehensive falls assessment of each nursing home, and a root cause analysis when someone does fall. The assessment takes into account the physical layout of the nursing home, from the parking lot to the individual rooms. The root cause analysis teaches staff to investigate the specific cause of a fall, rather than simply keeping track of the number of falls.
In one example, a nursing home decreased its use of alarms on the residents’ beds. In some cases, a new medication or an infection was causing residents to become dizzy and fall, so the installation of an alarm was not addressing the root cause, Sturdevant said. In another case, a nursing home resident was drinking a full pot of coffee in his room during the evening hours, resulting in restlessness and falls because he couldn’t go to sleep at night. Realizing that, and convincing him to switch to decaf, helped him sleep and stopped the falls.
“You have to personalize the situation for each resident. It is a person-centered care model,” said Sturdevant, an advanced practice registered nurse who also holds a doctor of nursing degree.
The Oklahoma Department of Health administers the grant, which is funded through the Civil Money Penalties (CMP) program. When nursing homes are fined, that money goes to the Centers for Medicare and Medicaid Services, and part of it returns to the Oklahoma State Department of Health, where it can only be used for quality improvement projects that help residents of nursing homes.
“‘It’s Not OK to Fall’ is a great project that has continued to evolve through a series of improvement cycles,” said Julie Myers, DrPH, who manages the Oklahoma CMP Fund Program for the Oklahoma State Department of Health. “The CMP Fund is pleased that the OU College of Nursing has been awarded funding to continue the delivery of the project to at least 60 nursing homes in Oklahoma over the next three years.”

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Giving the utmost care to Dr. Stuart Lisle’s patients is Donna Mutteloke, RN, BSN at Gilbert Medical Center, located at 7530 N.W. 23rd in Bethany, OK.

PASSION IN NURSING
ENJOY YOUR JOB AND STAY POSITIVE: GILBERT MEDICAL CENTER

by Vickie Jenkins – Writer/Photographer

Gilbert Medical Center is a group of physicians; a team of physicians that proudly serve Bethany and surrounding communities providing comprehensive family and wellness care to patients from birth into later years.
Doing what she loves to do is Donna Mutteloke, RN, BSN, working for Dr. Stuart Lisle in the Gilbert Medical Center, located in Bethany, OK.
Donna is originally from Memphis, Tennessee and moved to Oklahoma City, OK when she was 16 years old. She had always thought about becoming a nurse, and it was after she got married that she decided to follow her dream in the medical field. One of the people to influence her to become a nurse was her husband. “He was so encouraging to me from the beginning and he continued to support me in everything. He was always full of encouraging words,” Donna said. “I have been a nurse for 10 years now and I couldn’t be happier. I love my job and will never regret making that choice,” she added.
Donna’s first job as a nurse was at Oklahoma Children’s Hospital. “I worked there for 4 years and enjoyed working with the children. After spending some time there, she got a job offer at Gilbert Medical Center and started working for Dr. William Spence. He was a wonderful doctor to work for but he retired and now, I work for Dr. Stuart Lisle, family practice. I have to admit, I like working in a family clinic better than the hospital. I still get to take care of little children and the big children (adults) and I really get to know the patient on a one-on-one basis. I’ve been here for 6 years and Dr. Stuart Lisle is a great doctor to work for. I am fortunate to have a job that I love so much,” Donna said.
Asking Donna what it is that makes a good nurse, she replied, “I think a good nurse has to be there for the patient, a patient advocate and have a real desire to care for the patient, no matter what.”
Motivation comes easy for Donna. “The favorite part about my job is taking care of the patients,” Donna says. “I especially like caring for the babies. A lot of the patients that I had before are now the ones coming in with their babies. What a wonderful feeling to know that a former patient is all grown up now, bringing their baby to see me. I’ve had a lot of baby experience. I just love babies,” she said with a big smile on her face.
What is your biggest challenge working for a doctor? “I think the biggest challenge would be trying to get authorization for insurance approvals,” Donna replied. “It’s getting harder and harder all the time,” she added.
When Donna is not working at Dr. Lisle’s office, she enjoys spending time with her family. “I have a grandson now,” Donna said as her face seemed to light up with joy. “He’s 9 months old now!”
When I asked Donna what her hobbies were, she replied, “Well, I guess my hobby would be going to the lake house. My husband and I always enjoy relaxing there,” she said. Another thing I do is not necessarily a hobby but I do have 2 dogs; a beagle mix and a rat terrier. They’re fun.”
“Working for Dr. Lisle, there are 2 of us (Cheryl and myself) that work here at the clinic. I like the regular schedule here much more than the hospital with work days of Monday through Friday. We usually see between 35-40 patients per day. Cheryl and I both do our jobs; a little bit of everything and we work well as a team. Everything goes a lot smoother if teamwork is involved,” Donna stated.
When I asked Donna if she had any advice to anyone going into the medical field, she replied, “I would just tell them to enjoy their job. Choose something that you will enjoy for years to come. Hospitals are always interested in hiring nurses plus the fact that there are plenty of different types of nursing and different directions a nurse can go into. My advice in life is to enjoy what you do and stay positive in whatever you decide to do.”

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From left to right, OUHSC provost Dr. Jason Sanders, PHF President Tom Gray III, and OMRF President Dr. Stephen Prescott.

 

The Presbyterian Health Foundation has awarded $3.5 million in new grants to the Oklahoma Medical Research Foundation and the University of Oklahoma Health Sciences Center. The grants will support more than 50 research and clinical projects, purchase scientific equipment and provide a recruitment package for a new senior-level researcher.
“It’s exciting and encouraging to see much of the recent work being done is collaborative,” said PHF President Tom R. Gray, III. “The vision and mission of the Presbyterian Health Foundation is to support world-class research, and we see this happening as a direct result of these well-coordinated scientific partnerships. We’re proud to continue supporting emerging and experienced biomedical researchers who utilize a teamwork approach to medical discovery.”
The projects that received funding have a strong emphasis on translational research, where clinicians and researchers collaborate to bring new and better treatments to patients.
Researchers at OUHSC received nearly $2.6 million in PHF funds to advance research in 41 projects, including the study of fetal development and long-term health of babies born to mothers with diabetes and potential ways for patients to resist becoming re-infected by Clostridium difficile after a previous infection. Another focuses on new methods for avoiding drug resistance in patients who have undergone chemotherapy treatment for ovarian cancer.
“Ongoing support from the Presbyterian Health Foundation is crucial to OU’s advances in research-based medicine,” said Jason Sanders, M.D., M.B.A., senior vice president and provost of the OU Health Sciences Center. “Our researchers have translated PHF’s significant investments into new biomedical discoveries and improved patient care.”
PHF awarded $934,000 to OMRF to further research in autoimmune diseases, including lupus, sarcoidosis and Sjögren’s syndrome. The new grants will also help in the development of experimental models to study ovarian cancer, inflammation, neurodegenerative diseases and intestinal development.
In addition, the funding provides support for adding a new investigator from Yale University to OMRF’s scientific staff. Pengchun Yu, Ph.D., will join OMRF’s Cardiovascular Biology Research Program later this year. At OMRF, Yu will continue his studies of blood vessels and how they grow, a key factor in illnesses ranging from cancer to heart disease.
“With these grants, the Presbyterian Health Foundation has once again found a way to accelerate the progress of medical research in Oklahoma City,” said OMRF President Stephen Prescott, M.D. “For more than three decades, PHF has championed the search for new and better ways to treat disease. We’re proud to partner with PHF in this effort and excited to see where this new round of research projects will lead.”
Since 1985, the Presbyterian Health Foundation has awarded grants totaling nearly $165 million and has remained committed to investing in biomedical research in the state of Oklahoma.
“As funding streams continue to tighten, we are even more committed to filling funding gaps facing Oklahoma’s top biomedical researchers today,” said Gray. “We’re doing our part to pitch in and ensure scientists in our state can pursue their cutting-edge research—work that will ultimately enhance all of our lives.”

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What animal best describes you? Northwest Nursing Center

Monkey…because it’s a jungle out there!

Carl Davis, LPN

Dog…It’s man’s best friend and I love people.

Leonard Larkpor, LPN

Lion…I am strong!

Clara Palmer

English Bulldog…Soft and gentle but will stand ground when necessary.

Stephanie Threatt, Social Service

 

Oklahoma City-County Health Department
PUBLIC HEALTH NURSE
Public Health Nurse position is available in various departments.
· Monday-Friday work schedule · Paid holidays · Annual leave · Sick leave · Retirement plan · Medical, Dental, Vision and Life insurance
Apply online at www.occhd.org
AA/EOE

 

Q. If I hand you an apple and tell you it is a pear, you would say, “no it isn’t.” If I tell you it is raining outside when it is sunny, you would say, “no it isn’t.” What if I told you that you are stupid and unable to make good decisions, on a daily basis, would you say, “no I’m not” or would you begin to believe it?

 

A. If you have been listening to the political news you have probably heard the word, Gaslighting. Just what does gaslighting mean and why should we become knowledgeable. One reason is that gaslighting is used not only in politics but in relationships and work settings.
Gaslighting is a form of psychological manipulation that seeks to sow seeds of doubt in a targeted individual or in members of a targeted group, making them question their own memory, perception, and sanity. Using persistent denial, contradiction, and lying, it attempts to destabilize the victim and delegitimize the victim’s belief.
Sociopaths and narcissists frequently use gaslighting tactics. Sociopaths exploit others with their convincing lies, charming interactions and consistently denying any wrongdoing.
There are two characteristics of gaslighting: The abuse wants full control of feelings, thoughts, or actions of the victim; and the abuser discreetly emotionally abuses the victim in hostile, abusive, or coercive ways.
It is necessary to understand the warning signs of gaslighting in order to fully take care of yourself:
1. Withholding information from the victim.
2. Countering information to fit the abuser’s perspective.
3. Discounting information.
4. Verbal abuse, usually in the form of jokes (oh I was just kidding)
5. Blocking and diverting the victim’s attention from outside sources.
6. Trivializing the victim’s worth
7. Undermining the victim by gradually weakening them and their thought process.
It has been interesting to see a high number of women who seek counseling because they think they are “crazy” because they don’t trust their own reality. They are confused, angry, depressed and sometimes suicidal. Upon further assessment they report being in a relationship with a boyfriend/husband who is controlling, tells them what they think and attempts to isolate them. These are not stupid women but they are vulnerable, mentally weak, easily defeated and manipulated.
If you want to learn more about gaslighting, read about the 1938 stage play Gas Light, and the film adaptations released in 1940 and 1944.

 

Vicki L Mayfield, M.Ed., R.N., LMFT Marriage and Family Therapy Oklahoma City

If you would like to send a question to Vicki, email us at news@okcnursingtimes.com

 

We are seeking Licensed Practical Nurses and Registered Nurses to join our team of dedicated health care professionals.
Fourseason Nursing Center in Durant, OK provides customized and high quality care to our residents in this skilled nursing environment.
We are seeking LPN’s and RN’s to join our team of dedicated health care professionals. Fourseason Nursing Center 1212 4 Seasons Dr, Durant, OK 74701

The Oklahoma AIDS Care Fund (OACF) announced its board of directors for the 2018-2019 fiscal year with five new members. Paula Love will continue to serve as president of the board. The new members include Anita Allton with Arledge & Associates PC; Phil Burke, PA with the Oklahoma City VA Medical Center; Eran Harrill with the Black Chamber of Commerce; Robert Powell, JD with Pierce Couch Hendrickson Baysinger and Green, L.L.P.; and Jake Yunker with the Office of the Governor.
“We are excited for the new leadership who will help us grow our organization and bring new ideas as we address the challenges of our state’s HIV epidemic,” said Cher Golding, executive director.
Other Board members include: Paula Love, president; Frederick Redwine, JD, vice president; Brooke Coe, secretary; James Arnold; Gwendolyn Caldwell; Cindy Colton; Adam Edwards; Sally Hasenfratz, JD; Wendy House; Andy Moore, LPC; Whitney Moss; Sean Olmstead; and Tim Rasmussen.
OACF is a fundraising and advocacy organization dedicated to providing financial support and resources to HIV/AIDS service providers in the state of Oklahoma. Our goal is to reduce new HIV transmissions, AIDS-related deaths, stigma and health disparities while increasing access to care and HIV/AIDS related services. OACF provides awareness, funding, advocacy, and resources to the most pressing needs of the HIV/AIDS community in 54 of the 77 counties across Oklahoma. Since its inception in 1991, OACF has awarded more than $12.5 million for HIV/AIDS services across Oklahoma. One hundred percent of the proceeds of OACF’s annual gala, Red Tie Night, make this possible. To learn more about the Oklahoma AIDS Care Fund and Red Tie Night, please visit www.okaidscarefund.com.

The Oklahoma State Department of Health (OSDH) is promoting World Breastfeeding Week Aug.1-7 with the theme “Breastfeeding: Foundation of Life.” The theme focuses on the foundation of lifelong good health that breastfeeding provides for babies and mothers in a world filled with inequity, crisis and poverty.
Breastfeeding is the natural way of providing young infants with the nutrients they need for healthy growth and development. Virtually all mothers can breastfeed, provided they have accurate information and the support of their family, the health care system and society at large. We all have an important role to play in ensuring the growth, development and survival of children at home and around the world.
According to Pregnancy Risk Assessment Monitoring System (PRAMS) data from 2016, 83.9 percent of Oklahoma mothers began breastfeeding their babies after birth. While most new mothers start out breastfeeding, many do not exclusively breastfeed for six months, or continue for up to one year of age or beyond as recommended by the American Academy of Pediatrics (AAP).
“Breastfeeding establishes an important foundation for the health of the breastfed infant as well as the mother,” said Amanda Morgan, Breastfeeding Education Coordinator for the Women, Infants and Children (WIC) Service. “WIC views breastfeeding as a priority and strives to set an example for community support of breastfeeding mothers.”
Data provided in The Oklahoma Toddler Survey (TOTS) from 2014 to 2016 indicate that although the numbers are gradually improving, only 41.5 percent of mothers were breastfeeding at six months and 23.5 percent of mothers were breastfeeding at 12 months or more. The aim of the national Healthy People 2020 breastfeeding objectives is to increase the proportion of infants who are breastfed at six months to nearly 61 percent and at one year to 34 percent.

Cynthia A. Bradford, M.D.

Cynthia A. Bradford, M.D., Begins Term as 2017 President of the American Academy of Ophthalmology

 

A Dean McGee Eye Institute physician is the newest president of the American Academy of Ophthalmology, the world’s largest association of eye physicians and surgeons.
Cynthia A. Bradford, M.D., an ophthalmologist at the Dean McGee Eye Institute in Oklahoma City began her term as the 121st president of the Academy on Jan. 1. She was elected by the Academy’s community of ophthalmologists in recognition of her longstanding commitment to quality patient care.
More than 90 percent of the nation’s ophthalmologists are members of the Academy. Its mission is to protect sight and empower lives by serving as an advocate for patients and the public, as well as to serve as a leader for ophthalmic education and for advancing the profession of ophthalmology.
Dr. Bradford has served the Academy in a variety of capacities though the years. Her work on behalf of her profession spans clinical education, advocacy, and patient care. As president, she will lead efforts to enhance the care ophthalmologists provide to patients with a focus on physician wellness initiatives.
“The practice of medicine is a rewarding, yet challenging career,” said Dr. Bradford. “The changing health care environment places tremendous administrative burdens on physicians. We need strategies to keep ophthalmologists and the broader medical community, happy, healthy and productive.”
Before serving as president-elect in 2016, Dr. Bradford was a member of the Academy Board of Trustees, serving as senior secretary for advocacy from 2009-14. Bradford served in a number of other leadership roles within Academy including as secretary for state affairs from 2004-08; and as a member of the Interspecialty Education Committee, the Basic and Clinical Science Committee and the Federal Health Manpower Task Force.
As a practicing ophthalmologist and surgeon at Dean McGee, Dr. Bradford’s clinical focus is cataract and intraocular lens implant surgery. She also is a professor of ophthalmology in the department of ophthalmology, at the University of Oklahoma College of Medicine.
A graduate of Texas A&M University, Bradford earned her medical degree with high honors from the University of Texas Medical Branch in Galveston. She completed her ophthalmology training at the University of Oklahoma Health Sciences Center.
The American Academy of Ophthalmology is the world’s largest association of eye physicians and surgeons. A global community of 32,000 medical doctors, we protect sight and empower lives by setting the standards for ophthalmic education and advocating for our patients and the public. We innovate to advance our profession and to ensure the delivery of the highest-quality eye care. Our EyeSmart® program provides the public with the most trusted information about eye health. For more information, visit aao.org.

What would you do with $1 million? Integris Southwest Medical Center – 9th floor

 

Probably give to charity, donate and then take care of my kids and then go to Greece. Terri Quinetero, RN

I’d give most of it to charity. I go to Africa each year as part of a mobile surgical unit. Maggie Jensen, RN

I would have to sit on it for a day or two then give a lot of family, kids, sister and the Nathan Shinn Foundation. Holly Hazelwood, RN

I’d pay off my house, my son’s house, give to charity and then go from there. Jane Brawner, RN

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