Wednesday, December 13, 2017

Holidays, Traditions and the Value of Fun!

Holidays are for some, the most favored times of the year....and for some, they are painful memories of what once was - that is no more - or of wishes not yet fulfilled....  In either case, they are POWERFUL mainly because of special memories they trigger. 

Do you always put up your Christmas tree on the day after Thanksgiving? - or wait til a December child's birthday? - Do you make an outing in the forest to find the PERFECT tree with excited children in tow? -Sip hot chocolate and watch 'It's a Wonderful Life?'   

Traditions, time for fun and being with people we love is certainly not time wasted, squandered - or just frivolous and of no real value.  It is the fun memories, traditions and time spent with each other that hold us together, long after the people that helped us create them are gone. 

It's been 27 years now since my brother was killed.  Christmas is still precious to me.  We always put up our tree the day after Thanksgiving.  Many a thrilling ride being towed behind the family vehicle with snow-spray burning our faces fill my cloudy memories at this time of year, and I love sharing the thrill with my own children. 

Of course, as an adult with children of my own, we have added our own traditions - caroling to neighbors, making home-crafted gifts and treats - and delivering them to  people we love, people we don't know but who we want to know better, and my daughter and I delight in driving around looking for random people to surprise with a little Christmas cheer and something special -- or ringing the doorbell and hiding after delivering a Christmas basket! 

These traditions, and unstructured FUN times shared will outlive ourselves, and can wrap those left behind like a fluffy blanket on a cold day.  

Take a little time this year, away from the bustle, the crowds and the retail warfare..... and just BE.  Make some memories, and from our house to yours:  Have a most wonderful Holiday Season!  

Warmly,

Kimberlee

Wednesday, April 26, 2017

It's all part of a great whole body of knowlege - NKF Spring Clinicals


NKF Spring Clinicals in Orlando, FL:  4/17-4/22/2017

~ Kimberlee Langford, RN, BSN, CCM, CPC                                                                    

A North, Idaho girl, I was thrilled to go to see the sun in Orlando for the National Kidney Foundation’s Spring Clinicals – a smorgasbord of learning!

Pre-Conference, I was hungry to learn more about several topics: mineral bone disorders, hypothyroid and CKD, hormonal factors, IgA nephropathy, chronic pain, depression and how this relates to members’ poor participation in self-care.  I wanted to learn more about how to better inspire and teach our members to build their belief that they do have control over their health and that they can feel and live better lives – for those with CKD and for those on their way to CKD who don’t know it yet.

As Nurse Coaches, Renalogic Nurses can see, via knowledge and experience, where people with poorly managed diabetes, hypertension, hyperlipidemia, gout, kidney injury and autoimmune disorders are going.  We have cared for those on dialysis, we have dressed the amputated feet and legs, we have held the hands of folks who died as their kidneys failed.  We have a vision that our members don’t have.  We have knowledge and education that they don’t have.  Distilling that into a palatable and meaningful way that stimulates a desire to change requires us to be well-educated on diverse topics.  It requires us to have a network of community and ancillary healthcare team members to help them access for ongoing support.  This conference was so wonderful because of the diverse professionals to network with, of topics for us to choose from, and to share nuggets and takeaways with each other.  Also, extremely valuable were those moments out-of-workshop as we conversed, shared stories, ideas and built relationships with each other.



Personally and professionally, I am so proud to be a Renalogic Nurse.  I am, as the rest of us are, stirred by the passion for excellence and to really create a change in how kidney care is managed in our country that our Executive team shares in such a palpable manner. 


I believe that as we learn the whys – the pathophysiology,  the current research findings, and the questions and ideas on the horizons of renal care – we are so much more powerfully equipped to break down that complex information and make it more palatable and more easily digestible for members, and we use that understanding to help empower people with the information, tools and vision they need to really effect a change in their lives – to live differently and hopefully to not just manage – but to PREVENT a CKD diagnosis or to prevent it’s progression in those who already have it.

This is a BIG deal!  People today live such busy, hurried, hectic, stressed out – out, overfed and undernourished (in the belly and the spirit) lives.  I mean, who has time to cook, to exercise, to slow down and meditate or laugh?

BUT – that lifestyle comes with a price tag, as everything does:  obesity, cardiovascular issues, kidney disease, hypertension, stiff aortas, hormone imbalances, diabetes, cholesterol, addictions and depression, autoimmune disorders, gastrointestinal issues, cancers – and ALL of these affect our kidneys!

NOTHING is FREE!!! – We pay up front -  by finding the time to get adequate and quality sleep, exercising, nutritious foods, satisfying relationships, learning how to navigate the healthcare system ---

OR – we pay at the end:  disease, decreased longevity and quality of life – our very independence.

I found that my focus on helping members to put their energy into the factors they control was validated --  diet, exercise, communicating with the health care team, taking medications properly – and I was again struck by how while we learn about topics individually – we dissect the pieces out to really delve deep to facilitate our understanding and grow in knowledge…. The really power comes afterwards when we take those pieces and integrate them into one, great whole thru lenses colored by individual member/patient significance.

So, in a series of articles, I plan to share what I took away from this conference  - I’ll talk about topics individually, keeping in mind that people aren’t individual puzzle pieces that we can manipulate individually.  We have to understand and learn by dissecting into pieces…but we consider, teach and treat with power and increased effectiveness – as we consider the WHOLE person.  We have to be able to look at everything at the same time, paying attention to what is really important to the individual.  By keeping our focus patient-centered and member specific, we not only build trust and rapport, but we have greater power to secure individual goal achievement, improve overall health outcomes and reduce risks and global health costs. 

Friday, March 17, 2017

Cholesterol and the cardiorenal (heart-kidney) connection


Cholesterol and the cardiorenal (heart-kidney) connection

Kimberlee Langford, RN BSN CCM CPC

Let’s talk about plumbing today!  In particular – the plumbing that makes up your cardiovascular system.

What would happen if I came over to your house every day and poured bacon grease down your kitchen sink  - besides your not liking me very much!

Much like bacon grease sticks to the lining of your pipes, so too does cholesterol stick to the inner walls of your blood vessels and narrows the diameter…..until the water – or blood, as the case may be cannot pass through due to the blockage.


As in the case of the kitchen sink – sometimes you have to call on the RotoRooter Man – to snake out that blockage so that water can flow through again.    In the case of your blood vessels, let’s talk about the non-surgical kinds of things you can do to ‘knock the plaque off’ – so to speak.

1)     Eat more FIBER! – There are two types of fiber:  Soluble and Non-soluble fiber.  As example non-soluble fiber does not break down…think of the ribs on a stalk of celery…you can’t digest it.  This kind of fiber acts a little bit like the RotoRooter – in the colon; it helps clean out the colon.     Soluble fiber breaks down enough to act in a similar way, but in the bloodstream.  Think of the fiber in your whole vegetables, fruit, wholegrain bread, oats and grains.  Keep in mind the LEAST refined – the better!!!  The more we refine a food, the more of the truly good stuff is stripped away…including fiber.

2)     Exercise! – Okay, tell the truth….. have you ever run a volume of hot water down the drain after pouring something greasy?  You’re hoping if you flush enough hot water, you’ll move that fat through, right?  Exercise keeps thing moving through.  Movement creates health in our economy, in our rivers and streams, and in our bodies.  When movement slows too much or stagnates it diminishes health and gives cholesterol more of a chance to settle in.

Why do we talk about cholesterol in terms of kidney health?  Isn’t that just related to heart health? Well, the plumbing in the heart is the same plumbing that goes to the liver, to the brain, to your toe, AND your kidneys. 

If you have high cholesterol, then chances are high that you can have some plaque buildup on the inner walls of your blood vessels – EVERYWHERE; and when circulation is impeded, the organs served suffer.  This includes not just your heart – but your kidneys as well as those other organs we talked about!  And this plaque can be tenfold worse if you smoke.  If you smoke, remember that smoking reduces your body’s ability to utilize vitamin C – which makes the collagen that keeps your blood vessels (and other parts) nice and pliable – elastic.  When blood vessels lose their elasticity, they are more prone to damage – which cholesterol tries to repair – which further shrinks the diameter of the blood vessels.

So,          3) – If you smoke – QUIT!  Sounds easy, but we know it’s not always easy to stop.  We’ll talk about that later.  But for now, just be open to the idea of not smoking if you do.  Be open to thinking about quitting, and you may want to talk to your doctor about taking extra vitamin C while you are working on quitting smoking. 



Our bodies aren’t made of separate systems – they truly are integrated to function as one whole.  Taking care of ALL of you will help you enjoy a greater level of well-being and health.  Cardio-renal-hepatic:  Heart – Kidneys – Liver – these systems are all benefitted by your healthy lifestyle: eating a high fiber, low fat, low salt  - balanced diet;  exercising regularly; and NOT smoking all work together to protect yourself from kidney, heart and liver disease!