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Senior Center offers
exercise from the East
By David Curran
news@barnstablepatriot.com
C
all them ancient
Eastern approaches
to wellness. Tai
Chi and Qi Gong, both of
which are offered at the
Barnstable Senior Center,
are closely related.
In fact, the form of Tai
Chi Larry Tupper uses as
a starting point for his
students is called Wu Ji Chi
Kung, and "Chi Kung" and
"Qi Gong" are two ways to
spell the same words, arriv-
ing in the West from differ-
ent parts of the Far East.
Tupper said the words
mean "man working very
hard with breath or life
force."
In his classes he starts
with Wu Ji Chi Kung, which
he said is older than Tai Chi
proper, because "it's a little
easier on the body."
But while Tai Chi is a
martial art, Qi Gong is
"closer to natural medi-
cine," said Maryanne Lang,
the center 's Qi Gong in-
structor.
"It's actually older than
Chinese medicine," Lang
said, calling it a "self-heal-
ing practice."
Both bring their benefits
to practitioners via slow,
smooth movements and
coordinated breathing,
making them well suited to
people who've reached their
middle years or beyond.
And both have multiple
forms, Qi Gong many more
than Tai Chi. (According to
Wikipedia, the on-line en-
cyclopedia , there are "more
than 3,300 styles or schools"
of Qi Gong.)
"The one that I teach is
medical Qi Gong. It's called
therapeutic Qi Gong," Lang
said. "It's very, very condu-
cive to people from mid to
older age," she said. "They
don't have to be in good
shape before they start."
Even people with chronic
or degenerative health
conditions can benefit from
Qi Gong, according to Lang,
who said, "I have a person
on oxygen taking it."
Lang's Qi Gong course
is 10 weeks long, split up
into two five-week terms.
Hour-long classes are held
Tuesday afternoons , after
she finishes work as a teach-
ing assistant at Barnstable
Middle School. The next
term starts June 13, and
registration is now open.
The course costs $25.
Four-week sessions of 90-
minute classes are planned
for August on Monday
mornings and Tuesday
evenings.
"It's a very easy thing to
work into your life," she
said. The 36-movement
form she teaches takes less
than half an hour, and she
recommends practicing it
three to five days a week.
Tupper's Tai Chi classes
meet Tuesday and Thursday
mornings for an hour. The
current six-week courses
started in mid-May, but he
said enrollment is still open,
and beginners can join part
way through. Other times
may be added if there's
enough demand , he said.
Each course costs $30.
"(Tai Chi is) used for the
most part for people to get
their stress relieved , to stop
the inner chatter that keeps
us awake at night," Tupper
said, characterizing the
discipline as "slow moving
meditation rather than sit-
ting still meditation."
He teaches an abbrevi-
ated 13-movement form,
then nine ways to do it,
emphasizing deeper medita-
tive breathing aspects, the
internal formulas of Tai Chi.
He said a lot of instructors
do not teach this aspect but
it's a strong component in
his classes.
Tuesday, the class met
outside for the first time,
"which was great," he said.
"We'll probably pick some
times to go to the beach,"
said Tupper, a case man-
ager at CHAMP House in
Hyannis. "That's one of the
beautiful things about Tai
Chi, you get to go out to
some of the scenic places,"
including at sunrise and
sunset.
Tupper and Lang said
there 's no age limit for their
courses.
For turther details or to register for
Tai Chi or Qi Gong, call the Barnstable
Senior Center at 508-862-4750.
In-home telemonitoring device
used as preventative medicine
By David Reilly
www.capecodhealthcare.org
Through the use of
new, in-home tele-
monitoring technol-
ogy, patients of the Visiting
Nurse Association (VNA)
of Cape Cod can now get a
checkup every day in the
comfort of their homes.
The Honeywell HomMed
Health Monitoring System
represents a transforma-
tion in home care in that it
enables the VNA to receive
daily, real-time information
regarding the health status
of patients who are in their
own homes.
"Patients and their
families feel more at ease
because they know we are
carefully observing their
health," said Dianne Kolb,
President and CEO of the
VNA of Cape Cod. "We all
heal quicker and with fewer
complications while in our
own environments; this
technology allows patients
to receive excellent care in
the comfort of their own
homes."
The device, about the
size of an alarm clock,
takes the vital signs of pa-
tients every day, recording
information such as oxygen
saturation, blood pressure,
heart rate and body weight.
Each patient has certain
numbers and limits that
are programmed into the
data. If a patient's readings
go beyond these limits, an
alert appears on a com-
puter monitored by a VNA
clinician.
When patients' vital signs
are taken daily, irregulari-
ties can be caught before
they become full-fledged
problems. Daily monitor-
ing helps eliminate the
two or three-day gaps of
information that typically
occur between home visits.
Patients also become more
aware of their condition
and understand the effects
diet, activity and other fac-
tors have on their health.
The system can also
gather subjective health
information , which fur-
ther assists in evaluating
the patient's condition.
The monitor can be pro-
grammed to ask up to 10
yes or no questions in 11
languages. Question sets
can be tailored specifically
for each patient based on
his or her diagnosis. For ex-
ample, a patient with high
blood pressure might be
asked, "Are you experienc-
ing any dizziness today?"
"The system gives our
patients and their families
peace of mind because they
always know we are aware
of their condition , even
on days when we're not at
their home," said Kolb.
"The technology allows
for early intervention when
a health problem is de-
tected , helping prevent un-
necessary emergency room
visits and hospitalizations ,"
added Susan Handy, tele-
health program manager at
the VNA. "It also enables
us to better communicate
with the patient's physician
by providing them with
trend report s as needed."
The Honeywell HomMed
model of care has been
proven highly effective by
the largest independent
study conducted on in-
home telemonitoring in the
nation. The study, con-
ducted in 2002 , 2003 and
2004 by Strategic Health-
care Programs (SHP) - a
healthcare data services
company - concluded that
Honeywell HomMed-moni-
tored patients experience
fewer hospitalizations and
emergency room visits than
unmonitored patients.
The SHP study reported
that , for example, conges-
tive heart failure patients
monitored by Honeywell
HomMed experienced a
56.5 percent reduction
in hospitalizations. The
study also revealed an
83.3 percent reduction in
emergency room visits by
diabetes patients who were
using the Honeywell Hom-
Med System.
For more information ,
call the VNA at 800-631-
3900 or visit www.vnacape-
cod.org.
Along with Cape Cod Hospital and
Falmouth Hospital, the VNA of Cape
Cod forms the third primary com-
ponent of the Cape Cod Healthcare
system. VNA services are available
to Cape Cod residents and visitors
24 hours a day, 7 days a week, every
day of the year.
Taking steps to
suppress stroke
By Heather Wysocki
hwysocki@barnstablepatriot.com
It
can cause serious
health problems,
behavioral changes, or
even death. But as serious
as it sounds, there are also
ways of keeping the risk of
stroke, or even its occur-
rence, under control.
"We tend to talk about
stroke as a brain attack ,"
said Carole Stasiowski,
community relations direc-
tor at the Rehabilitation
Hospital of Cape Cod and
the Islands. "It's as serious
as a heart attack."
Stroke, the third lead-
ing cause of death in the
United States, will affect
700,000 people this year.
Unlike heart attacks,
stroke has no particular
type of person it strikes.
Any age, race, or gender
can be affected.
Jim Graham from
Marstons Mills, a stroke
patient at RHCI since 2002 ,
was 61 and in good health
when he suffered a stroke.
"I was...dumb, happy, and
indestructible. I wasn't a
candidate for stroke ," he
said.
A stroke occurs when
blood flow to the brain is
interrupted by a blocked
or burst blood vessel. It
can cause weakness, poor
coordination , balance
problems , pain, problems
swallowing and communi-
cating, behavioral changes
and visual problems.
At RHCI, therapists and
physicians see approxi-
mately 200 stroke patients
a year, 20 percent of their
inpatient numbers. Though
many patients are past
middle age, other patients
are young children , said
Dawn Lucier, the hospital's
stroke education coordina-
tor.
"There's not one person
who is not at risk," Lucier
said. And, although the
staff at RHCI is trained
and certified to handle
strokes, "the community at
large unfortunately is not."
Most people , she said,
could not identify even one
symptom of a stroke.
The symptoms include
sudden headache, confu-
sion, trouble speaking
or understanding, visual
problems, dizziness, loss of
balance, or trouble walk-
ing.
If any of these symptoms
are present , call 911, said
Lucier. "Time lost is brain
lost."
Like many other diseas-
es, strokes are affected by
factors like age, race, gen-
der, family history, and the
number of prior occurrenc-
es. But there are also fac-
tors that can be changed ,
called modifiable factors.
These include high blood
pressure, atrial fibrillation ,
high cholesterol, diabetes,
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