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Staying Heart-Healthy with Genetic Screening
February is American Heart Month. While cardiac care is crucial every time of year – especially as heart disease stays the number one killer in the United States – American Heart Month serves as a great reminder to stay on top of your heart health. We spoke with Malina Ruiz, a cardiology nurse practitioner at Renown Health, on three key ways to embrace heart-healthy living and how genetic screening can help inform you of certain genetic risks that can play a role on the cardiac life stage. 1. Invest in a heart-healthy diet. Eating a diet that is rich in fruits, vegetables, whole grains and healthy fats (including monounsaturated fats such as avocados and polyunsaturated fats such as sunflower oil) is a key defense in protecting your cardiac health, according to Malina. While you are filling your plate with these nutritious foods, remember to keep an eye on your saturated and trans-fat intake, and try limiting foods that are high in those fats. “No matter what age we are, maintaining a heart-healthy diet will always be important,” said Malina. Need help finding cardiac-friendly meals? The National Heart, Lung and Blood Institute makes it easy with heart-healthy recipes and tips from experts. 2. Do an exercise audit. “Keeping an active lifestyle during our younger years is one of the most important factors that affect heart health in future years,” said Malina. Maintaining a regular exercise regimen that allows you to raise your heart rate and break a sweat can help prevent future cardiac events. A good rule of thumb is to aim for 150 minutes a week of moderate-intensity exercise, which averages out to 30 minutes a day on 5 days out of the week. It’s never too late to start a regular exercise routine! Exercise doesn’t have to be something you dread – leverage American Heart Month to find activities that you enjoy. The American Heart Association can help you discover new ways to move your body. At the end of the day, as Malina emphasizes, “any movement is better than nothing!” 3. Don't skip those check-ups. Regular preventative visits with your primary care provider can help you identify possible risk factors for heart conditions before they start actively affecting your life. “Check-ups become even more important as we age, along with being aware of the signs and symptoms of heart disease, heart attack and stroke,” added Malina. There’s no time better than the present – call our expert scheduling team today at 775-982-5000 to request a preventative check-up with your primary care provider.
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Departamento destacado: Food & Nutrition Services
Nutrition is a vital aspect of patient care. At Renown Health, the Food & Nutrition Services (FNS) teams take their mission of delivering patients high-quality, cost-effective, nutritious and attractive foods to the next level. From a thrice-daily trayline service with a wide variety of delicious food to the personalized dietitian services that ensure every patient gets the nutrients they need for optimal healing and recovery, Renown’s FNS teams at Regional, South Meadows and Rehab are unmatched. Food for the Good Fight The hustle and bustle of early morning food preparations gears the FNS team up to, as Renown Regional Food Service Worker Molly Kalsman puts it, “provide patients with adequate nutrition to heal.” From morning until nighttime, the team prepares three meals a day along with late trays and snacks. This isn’t your run-of-the-mill hospital food, either. Think anywhere from cheeseburgers and salads to pork roasts and baked potatoes. As you can imagine, food of this caliber requires all hands on deck in the kitchen, especially during trayline times, to ensure all patients receive quality meals that meet their individual nutrition needs. “We make an impact with good service and great food,” said Mario Nunez, a Food Service Worker at Renown South Meadows. As the food service workers are hard at work cooking and assembling, the nutrition representatives visit each patient to learn their individual dietary restrictions, allergies and food preferences. For Julie Macaluso, Nutrition Representative at Renown South Meadows, “letting the patients choose their meals” is one of the highlights of her job. “We go over meal choices for their stay, so the patient can pick out something they would like to eat and find enjoyable,” added Tara Sprehe, Nutrition Representative at Renown Regional. The immense care and attention our nutrition representatives give to every patient paves the way for our clinical dietitians to build a nutrient-dense diet plan based on the individual patient’s preferences. Dietitians are the only licensed providers that can leverage nutrition to treat, manage and prevent illness and disease to improve patient outcomes. Every day, our experienced dietitians “make recommendations in the adjustment of macro and micronutrients in order to best manage a person’s health status in the setting of trauma, diabetes, heart disease and other morbidities,” said Jessica Blauenstein, a Registered Dietitian and Board-Certified Specialist in Oncology Nutrition at the William N. Pennington Cancer Institute. Overall, for this department, the phrase “that’s not my job” will never be heard, according to Lupe Ayala, a Cook at the Renown Rehabilitation Hospital. Day-in and day-out, it’s a massive group effort – and that’s the way they like it. Setting the Service Bar High Hitting milestones and accomplishments comes naturally to this crew. The FNS team sets the bar incredibly high for food and service standards across the Renown Regional, South Meadows and Rehabilitation hospitals. The key ingredient? Synchronized teams that operate like a well-oiled machine. The meticulous trayline schedules and assembly lines, the cooks that put their heart into patient meals, the nutrition representatives and dietitians who ensure patient food wants and dietary needs are being met... the list goes on. And to top it all off, these teams certainly know the meaning of “service with a smile.” Their efforts do not go unnoticed. “I am very proud of the team I have,” said Monica Lara-Yanez, Supervisor of Food and Nutrition Services at Renown South Meadows. “They have improved their knowledge and participated in cross-training, and they are very efficient doing their jobs and helping each other. Moreover, they care about the service we provide.” One major accomplishment the FNS department achieved in recent years was implementing Room Service Connect, which aids in direct communication with patients, letting them know what foods are available to them during their stay at Renown based on their dietary needs. Locating trays of food has also never been easier. According to Tara Sprehe, “This system is also beneficial for letting food service workers know when a diet has been upgraded, discontinued, changed to NPO status or downgraded. This reduces the risk of giving the patient a diet that is not appropriate for them,” which saves both time and money for the department. At the end of the day, the FNS department has one mission, and it’s the same mission we all employ as Renown team members: do it for the patient. “It’s all about patient care,” said Jesse Holman, Cook Lead at Renown Regional. “That is the best accomplishment!” A Dedication to Renown The patients, the providers, and the passion: these are the most common themes that keep the FNS department passionate about Renown and their team. Whether they are just starting out in a career in food service or have established themselves in the clinical field, the FNS department proudly upholds the greatest standards of nutritional care that enhance Renown’s status as a top healthcare leader in northern Nevada. “I choose Renown because it is a very distinguished institution with an amazing reputation, offering a lot of benefits and growth opportunities to employees,” said Monica Lara. “It makes me feel proud to say, ‘I work at Renown.’” Renown Rehab Food Service Worker Margretta Corbet echoes this sentiment, adding, “There are good people here with happy dispositions.” Many FNS team members are especially enthusiastic about Renown’s robust benefits and career growth opportunities. For Molly Kalsman, working at Renown gives her the experience necessary to enter a career in dietetics. “Food service and hospital experience is encouraged to be accepted into a dietetics internship program, and Renown was the perfect opportunity for me to gain that experience,” said Molly. Carleigh Bates, Nutrition Representative at Renown South Meadows, is on a similar path: “Renown is a vehicle for so many things I am aspiring towards, such as getting my foot in the door for working in healthcare, improving the experiences of patients and gaining experience that will aid in my future goals.” Carleigh emphasizes that the team’s commitment to Renown’s mission is at the core of what they do every day. “We impact patient care by providing nutrition to fuel their wellness and improve their stay.” Lupe Ayala wraps up this strong conviction from the team very well: “I didn’t choose Renown; Renown chose me.” Fight the Good Fight With Us This future-minded, patient-centric department is growing! The Food & Nutrition Services teams at Regional, South Meadows and Rehab are actively hiring eager, collaborative new team members. Natasha Frisbie, FNS Lead at Renown Regional, reports that the team has “successfully hired and trained 24 new employees in the past three months” and is still expanding. “Teamwork, communication, and enthusiasm are very valuable skills to have in this department,” said Molly Kalsman. If you or anyone you know is looking for their next growing career opportunity, apply today!
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Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results
Clinical researchers with the Healthy Nevada Project co-author research paper with findings that emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively. Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 39 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. In Nevada there are an estimated 2,310 new breast cancer cases a year, and genetic mutations such as in the genes BRCA1 or BRCA2 remain a top risk factor for this prevalent disease. Recognizing the urgency for progress in breast cancer research, a collaborative effort between physicians, advanced practice providers and scientists from the Healthy Nevada Project® (HNP) and Helix have unveiled groundbreaking research. This study explores how genetic screenings are a necessary supplement to traditional testing methods, together offering more accurate insights into a patient's likelihood of developing breast cancer in the future. HNP is operated by Renown Genomic Medicine and the Institute for Health Innovation and is one of the largest community-based population health studies in the country. Their team works in collaboration with Helix, a leader in precision health that delivers comprehensive genomic solutions. Together, this dynamic partnership aims to understand breast cancer risk factors and pave the way for more effective preventative measures. The combined research team studied 25,591 female HNP participants to evaluate the performance of different genetic screening approaches to identify women at high risk of breast cancer. The results of this research suggest that a combined monogenic, or single-gene, and polygenic, or multi-gene, approach to breast cancer screenings helped produce more accurate results and more closely identify study participants who have a high genetic risk of developing the disease. "Based on this research, we are advocating a shift in approach which would improve breast cancer risk assessment through a combination of effective family history ascertainment and genetic screening,” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project, research professor at the University of Nevada, Reno School of Medicine and co-author of the breast cancer research paper. “This tailored approach, founded on the assessment of individual genetic risk, not only intends to elevate patient well-being but also will improve efficiency and equity in healthcare." Complementing the team’s research on leveraging genetics to identify women at low genetic risk of breast cancer that could safely defer mammogram screenings by five to 10 years that was released in late 2023 in JAMA Oncology, the study suggests that incorporating genetic information can assist in personalizing breast cancer screenings and optimizing the use of screening resources. "Existing disparities persist across various facets of breast cancer screening and treatment; however, genetic screening is clearly a powerful tool to help facilitate early intervention for those at higher risk,” said Jamie Schnell Blitstein, APRN, a primary care nurse practitioner at Renown Health and co-author of the breast cancer research paper. “By placing a heightened focus on risk, we underscore the pivotal role of preventative breast cancer screening.” Despite the availability of effective methods for early screening, co-authors of this research found that 78 percent of women with a family history of breast cancer had their risk ascertained only after a breast cancer diagnosis. The findings emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively. “These findings that can profoundly impact how healthcare is delivered were only made possible by all the participants who were willing to consent to research,” said Alex Bolze, PhD from Helix and co-author of the publication. “Broad-scale collaboration projects like these between Renown Health and UNR that engage large populations where participants share both their genetic information as well as electronic health records drive advancements in preventative medicine, as well as fundamental biological research.” The research paper was officially accepted on Jan. 29, 2024, and will be published by Elsevier, Inc. on behalf of the American College of Medical Genetics and Genomics. The contents of the paper will appear in the international journal Genetics in Medicine Open. Read the full article by visiting sciencedirect.com. The Healthy Nevada Project is currently recruiting new study participants. Free to all Nevadans with a saliva sample or blood draw, participants and their referring providers receive access to whole-exome sequencing and clinical grade results that help provide insight into their unique genetic risks tied to heart disease and certain cancers. If you are interested in enrolling in the study, schedule a Virtual Consent Appointment through MyChart or contact the Renown Institute for Health Innovation at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About Renown Health Renown Health is the region’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown is currently enrolling participants in the largest community-based genetic population health study, the Healthy Nevada Project®. To join the Renown Health team, visit renown.org/careers. Acerca de Helix Helix es la compañía líder en genómica y vigilancia viral de la población cuyas operaciones se basan en el cuidado clínico, la investigación y el análisis de datos. Helix enables health systems, life sciences companies, payers, and government partners to accelerate the integration of genomic data into patient care and public health decision-making. Learn more at helix.com.
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¡La comida es una expresión de amor! Nine Career Options at Renown to Satisfy Coffee Enthusiasts & Foodies
¿Le apasiona la gastronomía y el café? ¿Le interesa servir a pacientes y héroes de la atención médica? ¿Es cortés y diplomático? ¿Tiene un diploma de escuela secundaria? Continúe leyendo para descubrir la carrera profesional para usted. Cuando piensa en la palabra AMOR, ¿piensa en COMIDAS deliciosas o en una taza de CAFÉ caliente? Cuando charla con amigos, ¿las conversaciones comienzan y terminan hablando de una receta, un restaurante o un programa de televisión de cocina nuevos? ¿Le da mucha satisfacción preparar platos deliciosos? ¿Sueña con poder preparar un latte humeante con leche de almendras en cuestión de minutos? ¿Le gusta cuidar de otros y se ve creando y entregando deliciosos y nutritivos platos calientes a personas que se están recuperando de un procedimiento quirúrgico o de una enfermedad? ¿Disfrutaría de hacer una comida especial de celebración para una familia que acaba de recibir a un bebé, o un pastel para celebrar una boda junto a la cama de un paciente o para una familia que se reencuentra con el abuelo tras recibir buenas noticias sobre su recuperación del cáncer? ¿Busca algunas opciones profesionales que lo mantengan conectado con excelentes comidas y café? Renown Health ahora ofrece una serie de opciones profesionales que le permiten satisfacer su amor por la comida, ganar dinero, tener vacaciones pagas/permiso por enfermedad, grandes beneficios de salud, un cronograma regular, progresar en su carrera profesional y obtener un título universitario o terciario al mismo tiempo. Trabajar en el sector gastronómico del mejor empleador de la región y la organización benéfica sin fines de lucro más grande de la región tiene algunos beneficios excepcionales. Los empleados de Renown trabajan todos los días para marcar una diferencia real en la vida de las personas, y queremos que se una a nosotros. Muchos profesionales de servicios gastronómicos comenzaron su carrera en puestos de nivel inicial y fueron ascendiendo. Otros beneficios de trabajar en Renown incluyen habilidades profesionales transferibles, alimentos gratuitos o con descuento y la oportunidad de retribuir y servir a su comunidad. Ya sea que recién esté comenzando su carrera profesional o que esté buscando un nuevo desafío, seguramente encontrará algo perfecto para usted. Muchos puestos requieren solo un diploma de escuela secundaria o GED. Empiece a explorar hoy mismo nuestra lista de nueve excelentes oportunidades laborales relacionadas con los alimentos y las bebidas disponibles hoy en Renown Health y postúlese en línea en renown.org 1) Sea barista en Starbucks; Renown Regional Medical Center, tiempo completo/parcial, todos los turnos Si le encanta hablar con la gente, tiene buen sentido del humor y le gusta el ritmo dinámico, entonces este trabajo es una excelente oportunidad para usted. Conocerá a personas de todas las áreas y se hará amigo de muchas de ellas. Aprenderá a ser un experto en la elaboración de bebidas deliciosas y perfectas, y tendrá el orgullo de usar el delantal verde de Starbucks. Formará parte del primer Starbucks en el área que funciona las 24 horas al día, los 7 días de la semana. El sueldo promedio por hora en Starbucks como barista se encuentra en el promedio nacional de aproximadamente $12.32. Además, recibirá capacitación paga, propinas, un paquete de beneficios completo de Renown Health que incluye atención médica, jubilación, vacaciones/tiempo de enfermedad pagos y acceso a puestos que se publican internamente. Necesitará un diploma de escuela secundaria o GED; sin embargo, no necesita experiencia para este puesto de nivel inicial. Los empleados de Starbucks pueden beber tantos lattes como quieran, ¡ya que la mayoría de las bebidas son gratuitas para los empleados durante los descansos de trabajo! 2) Jefe de cocina y líder de cocina hospitalario; Renown Regional Medical Center, Renown Rehabilitation Hospital, tiempo completo/parcial, todos los turnos. Si le encanta preparar alimentos nutritivos y apetitosos para los demás, comprende la importancia de los requisitos individuales de las dietas médicas y culturales, este puede ser el trabajo perfecto para usted. La mayoría de las personas que trabajan como cocineros en un hospital tienen cinco o más años de experiencia de trabajo en restaurante, pero no tienen un título universitario. Sin embargo, pueden ganar un rango salarial promedio de entre $26,860 y $61,870. Los beneficios incluyen un cronograma predecible, que puede significar más tiempo con su familia y en el hogar. También recibirá vacaciones y días de enfermedad, y beneficios de salud, visión y odontología. Además, sus platos darían energía a los médicos, enfermeros y otras personas para poder atravesar las largas jornadas laborales, marcando una diferencia genuina en las vidas de los otros y teniendo un impacto positivo en la sociedad. 3) ¡Entrega especial! Servidores de alimentos; Renown Regional Medical Center, tiempo completo/parcial, todos los turnos. Si le encanta armar y servir comidas a los pacientes, este es el trabajo para usted. Realizará las tareas de preparación, armado y limpieza para el servicio de comidas para pacientes y podrá servir como enlace entre los Servicios de Nutrición y los pacientes. También puede transportar carritos de comida a los pisos de habitaciones de pacientes y ayudar con la limpieza y el saneamiento general de la cocina. 4) Muestre su lado creativo como preparador de alimentos; preparador principal de sándwiches; Renown Regional Medical Center, tiempo completo/parcial, todos los turnos. En este puesto, preparará y servirá ensaladas, postres y sándwiches con ingredientes frescos, para entregárselos rápidamente a clientes con hambre y felices. Se buscan preparadores principales de sándwiches en el restaurante Subway ubicado dentro del Renown Regional Medical Center). 5 ¡Hecho especialmente para usted! Representante de nutrición; Renown Regional Medical Center; diario, todos los turnos En este puesto, se reunirá con los pacientes, les ayudará a revisar sus opciones de comidas y se asegurará de que los platos especiales y personalizados se les entreguen en su habitación. Como agente de servicio al cliente, responderá el teléfono para tomar los pedidos de comida, ingresará las elecciones de comida en el sistema informático y comprenderá los menús, las restricciones de las dietas, las recetas y el inventario de alimentos. 6) Cajero de servicios gastronómicos; Regional Medical Center; tiempo completo/parcial, todos los turnos 7) La alimentación como medicina, dietista clínico; Renown Regional Medical Center; tiempo parcial, días Los pacientes que se recuperan de una enfermedad deben alimentarse con los platos más nutritivos. En este puesto, proporcionará asesoramiento y educación sobre nutrición, evaluaciones de nutrición clínica, planificación y evaluación de bebés, niños, adolescentes, adultos y pacientes geriátricos, y trabajará para satisfacer las necesidades físicas, cognitivas y psicosociales del paciente mediante una educación y nutrición adecuadas. 8) La respuesta es ¡SÍ! Gerente de Hospitalidad; Renown South Meadows Medical Center; tiempo completo Como gerente, su función es brindar una atención al cliente excepcional en todos los aspectos de los servicios gastronómicos y ambientales. Podrá crear, contratar, capacitar y liderar un equipo comprometido y brindar servicio de la más alta calidad para satisfacer las necesidades de los pacientes, empleados, visitantes y médicos. 9) ¿Es fanático del servicio al cliente? Supervisor de alimentos y bebidas de venta minorista; Starbucks En esta función, usted sería un líder muy popular en las operaciones de las franquicias de Starbucks y Subway en el Renown Regional Medical Center. Se encargaría de liderar, empoderar y capacitar a su equipo para que sea el mejor, y se aseguraría de tener un presupuesto equilibrado y de que el servicio al cliente sea excepcional. En Renown Health, compartimos una visión sin límites que nos inspira a aprender, crecer y superar las expectativas de los pacientes, sus familias y los demás. Una carrera profesional con nosotros le ofrece: • Un entorno estimulante y progresista enfocado en iniciativas de salud y bienestar de la comunidad • Una cultura que valore sus contribuciones y apoye su desarrollo personal y profesional • Afiliaciones con la University of Nevada, Reno, el Desert Research Institute y otras organizaciones que ayudan a estimular la innovación y las oportunidades Para postular a estas y otras oportunidades profesionales, visítenos en línea en https://careers.renown.org/ Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local sin fines de lucro más grande de la región que brinda servicios a Nevada, Lake Tahoe y el noreste de California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.