Hill Top Herald. Hilltop also available online at: gogebicmedicalcare.com. 402 North Street Wakefield MI 49968

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1 G O G E B I C M E D I C A L C A R E F A C I L I T Y June North Street Wakefield MI Hill Top Herald G O G E B I C M E D I C A L C A R E F A C I L I T Y Hilltop also available online at: gogebicmedicalcare.com P l e a s e c a l l H e i d E x t t o b e r e m o v e d f r o m o u r m a i l i n g l i s t I f y o u w i s h t o c o n t r i b u t e t o t h e H i l l T o p, FOR INFORMATION REGARDING A RESIDENT CALL AT THE FOLLOWING EXTENSIONS FIRST FLOOR SECOND FLOOR EXT 110 EXT 112 GMCF STAFF DEPARTMENT NAME EXTENSION ADMINISTRATOR GEORGIA WEBER 101 ADMISSIONS CLERK JANICE KOSKI 102 BUSINESS MANAGER MACARIA JOKI 108 Highlights from National Skilled Nursing Care Week! Dancers from the IDC, visits from the students of the ISD, Wood Carving and Painting! More Pictures on page 3. RD / DIRECTOR OF DIETARY TINA HUOTARI 106 DIRECTOR OF NURSING DORINDA HEDMAN 113 HEALTH INFORMATION SERVICES RICH MCMANMAN 121 MAINTANENCE SUPPORT SERVICES MARK AHONEN 105 RN / DIRECTOR OF ACTIVITIES HEIDI BROWN 103 RN / INFECTION PREVENTION LENA GIERL 178 RN / MDS COORDINATOR JIM MATAZEL 130 RN / STAFF DEVELOPMENT JULIE PAKONEN 114 RN / SOCIAL SERVICES DESIGNEE CHRIS HOFF 104

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3 Center For Medicare & Medicaid Services Launches Initiative Personal identity theft affects a large and growing number of seniors. People age 65 or older are increasingly the victims of this type of crime. This is why the Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security Numbers from Medicare cards. Our aim is to help combat identity theft and safeguard taxpayer dollars. Starting April 2018, CMS will begin mailing new Medicare cards that include a new Medicare Number. The mailings will be staggered throughout the year, with completion expected by April Here is What You need to Know Your new Medicare Card will have a new number because Medicare is removing the Social Security Numbers from Medicare Cards. This change will help protect your identity. Medicare will mail you a new card between April 2018 and April Understand that mailing a new card will take some time. You may receive your card at a different time than that of your neighbor. You will be issued a Medicare Number that is unique to you. Once you get your new card, destroy your old one and start using the new one. Keep your information safe. Protect yourself by making sure no one can get your personal information from your Medicare Card. CMS will NEVER ask for private information over the phone. Ensure your address is up to date. Call to make changes. Information taken form the CMS website. NEW CARDS WILL START ARRIVING THIS MONTH! PLEASE BRING NEW CARDS TO THE SOCIAL SERVICE OFFICE. WE WILL MAKE COPIES OF THE NEW CARDS TO KEEP ON FILE

4 ***Due to an error on my end, April s Nutritional Article was printed both in April and in May. My apologizes for the misprint. Please enjoy 2 nutritional articles this month.*** Heidi Dietary News The last Food Committee Meeting was held on May 8th. The Residents chose the following meal to be served on Memorial Day including: Cheeseburger on Bun, Potato Salad, Corn on the Cob and Ice Cream for dessert. Father s Day meal was chosen to include: Roast beef, Mashed potatoes and gravy, Carrots, Potato Roll/ Butter and Chocolate Cake for dessert. Nutrition Focus of the Month Geriatrics Geriatrics is the study of the chronic diseases frequently associated with aging, including their diagnoses and treatment. Geriatric nutrition is the medical nutrition therapy provided for older adults. Geriatric nutrition may be provided in all settings such as home, community settings, long-term-care facilities, and hospitals. Gerontology is the study of normal aging through the sciences of biology, psychology, and sociology. Gerontological nutrition focuses on health promotion, risk reduction, and disease prevention in the older population. Both geriatric and gerontological nutrition require the expertise of the registered dietitian nutritionist (RDN) or Nutrition and Dietetics Technician, Registered (NDTR), to interface sound nutrition principles in context with the variety of lifestyles, diverse backgrounds, and health challenges among the older population. Achieving this requires an appreciation of the individual's autonomy in terms of how he or she defines quality of life. It is in this framework that the RDN and NDTR provide guidance in promoting medical nutrition therapy. Nutrition Prescription for Long-Term Care Surveyors of long-term-care facilities regularly recommend and enforce the practice of supplementing energy and protein intake in residents at risk for altered nutrition. It is generally accepted practice that food be the first-line therapy recommended for residents, followed by medical nutritional supplements (oral supplements). It is the position of the Academy of Nutrition and Dietetics that the quality of life and nutritional status of older adults residing in health care communicates can be enhanced by individualization to less restrictive diets. Literature has shown that oral supplements provided between meals (rather than with meals) increase nutrient intake in residents who receive them. If these interventions fail to generate sustained, adequate energy and protein intake, enteral feedings (tube feedings) may be necessary, provided the therapy is consistent with the wishes of the resident and family or caregiver. Surveyors with the Centers for Medicare & Medicaid Services regularly review nutrition care plans to evaluate whether or not the foods and supplements being provided to each resident are consistent with that resident s individual food and beverage preferences. Luckily, here at GMCF we have both an RDN (Tina Huotari) and a NDTR (Emmy Tuzee) to meet the individualized clinical nutritional needs of our Residents including individualized care plans. If you should wish to talk to either our RDN or NDTR just ask, they are both located in the dietary department. Happybirthday! June Whitley Mary Janov Margaret Bielecki Rita Palss Happy Birthday to all our employees who celebrate their birthday in June! June 2018 Anniversary List Name Title Yrs. Of Service JAMES HOFF Janitor/Maintenance 23 CHRISTINE MATTILA C N A 21 MARK AHONEN Director of Maintenance & Service Support 16 CAROL ANDERSON Contingent C N A 12 SUSAN FOSTER C N A 11 HOLLY PANGRAZZI LPN 6 ANNA UTTER LPN 5 SCOTT POSPECT C N A 5 CASANDRA PALOMAKI Dietary Aide 2

5 Understanding Osteoporosis Osteoporosis is a disease that consists of weakened bones and increased fracture risk. It's sometimes called a "silent disease" with few, if any, noticeable changes to your health to indicate you have it. In fact, the first indication of osteoporosis often is when a bone breaks. Although it can strike at any age, osteoporosis mostly occurs in people over 50. According to the National Osteoporosis Foundation, half of women and one in four men over the age of 50 will break a bone due to osteoporosis. Taking steps to build bone health while you are young can literally make or break what will happen to your bones as you age. However, at every age, a healthful diet and regular weight-bearing exercise are important, helping to ensure bone tissue continues to build. Bone Health and Diet Bones may seem dry and dull, but they are far from it. They are constantly under construction; certain cells break down bone tissue and other cells use the calcium and nutrients from foods you eat to build new bone. If you are not physically active or getting the nutrition you need, bones will suffer becoming less dense, weaker and more likely to fracture. Bone-Building Nutrients Calcium, the major nutrient needed to form new bone cells, is vital for bone health. Bones store more than 99 percent of the calcium in your body. Some calcium-rich foods include milk, yogurt and cheese, and calcium-fortified soy milk, cereal and fruit juice. Other good sources include soybeans and dark green leafy vegetables. National Skilled Nursing Care Week rounded out with a hunting presentation, music and a fly fishing demonstration. Calcium cannot build bones alone. It works with other nutrients including vitamin D, vitamin K, potassium, fluoride and magnesium to increase bone density and strength. Foods vs. Supplements Supplements can't duplicate what foods offer naturally. If you are not able to drink milk due to lactose intolerance, try lactose-free milk and calcium-fortified foods, both are available here at GMCF. If you wish to discuss food options further just ask for Tina Huotari (RD) or Emmy Tuzee (DTR), both are readily available in the dietary department which is located on the ground floor here at GMCF.