MORE OKNT NEWS THIS WEEK

What is the best thing you bring into a friendship? The Children’s Center Rehabilitation Hospital

I am a good listener. Madison Brown, RN

Consistency and honesty is what I give. Sydney Armer, LPN

I have a loving attitude. Austin Eaton, RN

I would give laughter and honesty. Kelsey Ellis, LPN

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Q. Sometimes I can’t figure out if I’m in preschool or high school. Oh wait………I’m at work!!! Dealing with difficult almost sends me to a breaking point. Do you have any ideas that could help me preserve my sanity?
-Angela

A. Dealing with difficult people is something we cannot escape. They seem to be everywhere, including the workplace. We too can be difficult at times. We could be feeling sick, insecure, anxious or stressed from a myriad of personal reasons.
But there are those who are simply “High Conflict People.” Their personality pattern generally includes: rigid and uncompromising, negativity, blaming others, and difficulty empathizing.
Difficult people may fall into one of the following categories: Whiners, Know-it-alls, Bullies, Passives, Negatives, Yes-people.
When strategizing how to deal with difficult people think of the following: Connect with EAR statements (or calming unmanaged emotions). Calming the right brain soothes the high-conflict person’s defenses.
E – Empathy “I can understand how upsetting this is”
A – Attention “I hear how important this is for you – tell me more.”
R – Respect “I respect how hard you have been working on the project.”
Here are more tips to use in a situation with a difficult person:
1. Be aware that normal logic really doesn’t work – remember they can not see that their behavior is an issue.
2. Understand that your primary goal is to contain the situation, not to make them see the light.
3. Keep your interaction brief – focus on the facts.
4. Try to remain friendly which lowers the risk for person to become defensive.
5. Sound confident, state your information but don’t continue to have a back and forth conversation.
6. Avoid trying to give insight, its useless.
7. Don’t open up their emotions or react with your own intense emotions—they can’t handle them very well.
8. Focus on what you can do & on your responses, don’t try to change them.
When you realize you are in the path of a difficult person the first thing to do is change paths, but if it is impossible then practice some of these suggestions. They aren’t going away so the challenge is how to deal with them and take care of you!!!!

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

Centennial Hospice, one of the only Joint Commissionaccredited hospice and palliative care providers in Oklahoma City, opened an Alternate Administrative Office (AAO) in Norman, OK. The new office, located at 2600 Van Buren Street near the intersection of I-35 and OK State Highway 9, officially opened on November 1, 2018. Locally owned and headquartered in OKC, Centennial Hospice is a leading provider of highquality hospice and palliative care services, delivering medical, emotional, spiritual and supportive services to patients, families and caregivers experiencing life-limiting illnesses. Since its founding in 2007 by a father and son from Edmond, Centennial Hospice has provided exceptional care to thousands of patients and families in 11 counties surrounding the OKC metropolitan area. Centennial Hospice is a 2018 Hospice Honors award recipient for providing the highest level of quality as measured by Medicare’s Hospice Quality Reporting Program.
“Our incredible team of caregivers has provided hospice care to Oklahomans for nearly 11 years and we are thrilled to open a new office in Norman,” said Kevin Offel, President & CEO of Centennial Hospice. “While we have always serviced patients and families in South OKC, Moore, and Norman from our primary OKC office, this new AAO in Norman enhances our ability to more quickly address those patients as well as reach additional communities throughout Grady, Garvin, McClain, Pottawatomie, and Seminole counties. This includes patients and families around communities like Minco, Anadarko, Chickasha, Rush Springs, Pauls Valley, Wynnewood, Stratford, Konawa, Seminole, and others.” Founder and Board Chairman Michael Crooks credits Centennial’s experienced team of clinicians and support staff for its ability to expand service area coverage in Oklahoma. “We could never have considered market expansion without the exceptional service provided by our highly trained team of physicians, nurses, hospice aides, social workers, chaplains, therapists, volunteers and others,” said Mr. Crooks.

Thanks to a new state law that took effect Nov. 1, more women in Oklahoma may be able to get a potentially lifesaving three-dimensional (3D) mammogram to screen for breast cancer.
The new law requires that health benefit plans include coverage for mammography screening, which may include coverage for 3D mammography, also known as breast tomosynthesis.
A 3D mammogram compresses a patient’s breast between two plates and takes a series of X-ray images of the breast in “slices” from different angles, much like a CT scan. Computer software then reconstructs an image of the breast so the medical team can get a closer look layer by layer to reveal any abnormalities. This means better breast cancer detection and less of a chance that a patient will need additional tests.
“We are so excited that there is finally a state law that gives more women the opportunity to get a mammogram without an added expense,” said Cindy Barghols, supervisor of the Norman Regional Breast Care Center. “Access to mammography — whether a 2D or 3D study — may save lives by revealing breast cancer early.”
Research has shown that 3D mammography detects 41 percent more invasive breast cancers and 27 percent more breast cancers overall than conventional 2D digital mammography. There is also a 37 percent reduction in the need for additional (callback) mammograms and an 11 percent reduction in unnecessary breast biopsies.
Norman Regional Health System has offered 3D mammography since 2015[JB1] . Women who come in for a mammogram can choose between a 2D or 3D mammogram. If a patient’s insurance does not cover the 3D mammogram but they prefer the advanced imaging, they can opt for a 3D mammogram with a maximum out-of-pocket expense of $55.
Mammograms are the single most effective method of early breast cancer detection. For women 40 and older, mammograms should be part of a yearly physical routine. Women who are under 40 and have a family history of breast cancer or other concerns about their risk should speak with their doctor to determine when to begin mammography. Monthly breast self-examinations are also important for good breast health.
Health insurance coverage of mammography services varies by health insurance carrier. Please check with your insurance company to learn more about what services are covered.
To schedule a mammogram at Norman Regional Moore or Women’s Healthcare Plaza in Norman, call 405-307-2290. For more information about Norman Regional’s breast care services, visit normanregional.com/services/breast-care-center.

Oklahoma Medical Research Foundation scientist Satish Srinivasan, Ph.D.

Scientists at the Oklahoma Medical Research Foundation have broken new ground in understanding how the lymphatic system works, potentially opening the door for future therapies.
The lymphatic system is a network of vessels and lymph nodes that spans the entire body. It is critical for good health and for the body to function properly. Defects in lymphatic vessels cause lymphedema, a disease characterized by dramatic and painful swelling in the limbs that often leads to infections.
Lymphedema can result from congenital mutations, surgery, radiation treatment for cancer or infection, and there is currently no cure. In addition to lymphedema, defects in the lymphatic system have been linked to a wide range of health consequences: cancer, atherosclerosis, Alzheimer’s disease and obesity.
Sathish Srinivasan, Ph.D., and Boksik Cha, Ph.D., at OMRF previously discovered that a particular pathway—known as the Wnt signaling pathway—regulates the development of the human lymphatic vascular system. In new research, published in the journal Cell Reports, they’ve found “the nuts and bolts of this important pathway.”
“We have identified the signaling molecules that activate this pathway,” said Srinivasan. “We also have learned which cells produce the signaling molecules, how they are sensed by the cells and how they are used in lymphatic development.”
Srinivasan was recruited to OMRF from St. Jude’s Children’s Research Hospital in 2013. His lab at OMRF has already identified several target genes for lymphedema. Srinivasan said that, after further study, this new information could eventually help researchers develop better therapeutic options for lymphedema and associated disorders.
“This signaling pathway has proved difficult to study, because it is complex and so little is known about how it functions normally, let alone when it goes wrong,” said Srinivasan. “Wnt signaling is aggravated and increased in breast cancer and colon cancer, but it is deregulated in diseases like Alzheimer’s and lymphedema.”
Srinivasan said drug companies are interested in finding molecules that can be targeted, either to promote or inhibit Wnt signaling, depending on the disease. “Our goal is to find whether such drugs could be used to treat humans with lymphedema and see if their disease can be managed, made less severe or even cured,” he said.
Other OMRF researchers who contributed to this research were Xin Geng, Ph.D., Riaj Mahamud, Lijuan Chen and Lorin Olson, Ph.D.
This work is supported by the National Heart, Lung, and Blood Institute (grant Nos. R01HL131652 and R01HL133216), the National Institute of General Medical Sciences (P20 GM103441), the American Heart Association (grant Nos. 15BGIA25710032, 15POST25080182 and 16PRE31190025), and the Oklahoma Center for Adult Stem Cell Research, a program of TSET (OCASCR 4340).

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