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What Does a Doula Do?
If you’re expecting a new baby, you may have been given the advice to hire a doula. You may have seen statistics of improved outcomes among those who’ve had a doula attend their birth. Perhaps you’ve heard that the etymology is from the Greek word meaning “to serve.” But how does a doula serve their clients? A doula is a non-medical birth professional who will guide you through labor, birth, postpartum and beyond. Your doula can discuss your options with you so you can make informed decisions, as well as provide emotional and physical support to ease your experience. While each doula offers their own style, there are certain services that most doulas will provide for their clients. Typically, a birth doula will provide at least one prenatal visit, one postpartum visit and continuous support during active labor. A postpartum doula usually provides support during the 12 weeks immediately following birth, sometimes referred to as the “fourth trimester,” but some will continue care after that as well. Simply put, a doula provides informational, physical and emotional support during the childbearing year(s). Let’s take a closer look at these three ways a doula can support you. The Basics If you don’t know your options, you don’t have any. This is a common phrase in the world of birth work. When you’re in labor, you’re exhausted, in pain and there’s often urgency inherent or implied in any choices you make. So, when an intervention is offered, many birthing people accept it without question. One method that can help the decision-making process is to check your BRAIN: Benefits: What are the benefits of the proposed intervention? Risks: What are the risks of the proposed intervention? Alternatives: What are the alternative options? Intuition: What does your intuition tell you? Nothing: What if we do nothing? What if we wait? When you’re in active labor, you might have difficulty remembering this acronym; that’s where your doula comes in. At your prenatal visits, you can ask your doula for guidance in preparing your birth plan, which can include contingencies for certain potential interventions. And as choices arise during labor, your doula can guide you through the benefits and risks and can provide you with alternative options you might not otherwise be aware of that are available to you. Your doula can remind you to check in with your intuition and can help you quiet your mind so you can listen to your instincts. The Body Although we tend to see depictions of people giving birth on their backs with their feet in stirrups, this is only one of many ways to give birth. Walking and dancing can speed up early labor. Side-lying or hands-and-knees can prevent tearing during the pushing stage. Sometimes labor stalls, and a change of position is often helpful to get things moving again. Your doula can suggest positions depending on your stage of labor. Some labor positions might require the support of another person – your doula could fill this role or assist your partner in doing so. Some doulas also provide massage or even acupressure, and most will do the “hip squeeze” that so many laboring people swear by. If your baby is presenting posterior, or “sunny side up,” your doula can apply counter pressure to alleviate back pain during labor. Some postpartum doulas will do light housework while you rest and bond with your newborn. Others might care for your baby through the night so you can catch up on sleep. Many doulas have also gone through additional training to offer breastfeeding support and may be able to assist you with latch issues and nursing positions. The Mind Pregnancy, birth and postpartum periods can be some of the most emotional times in a person’s life. A doula will hold space for you and help you process your emotions before and after birth. It’s normal to feel apprehensive, or even fearful, about labor and birth, and discussing these feelings is the first step. A doula can help you navigate your concerns in a safe space so you can be prepared emotionally for your upcoming labor. Many doulas will also guide you through writing your birth plan, which can lessen anxiety about the unknown. If you have a history of trauma, your doula can assist in communicating this, so you don’t have to relive the experience every time you meet a new medical provider. Most people will experience some form of what’s often called the Baby Blues in the immediate postpartum period. The third day after birth tends to hit hard, as hormones attempt to regulate, but the Baby Blues can continue for weeks for some new parents. A postpartum doula’s support can be incredibly valuable during this time. When the baby blues last longer than a few weeks, it could considered a mood disorder. Most doulas will recognize signs of postpartum mood disorders and will have resources available for additional support. Choosing the Best Doula for You With so many wonderful doulas in northern Nevada, you might wonder how you could ever choose just one to attend your birth. Some expectant parents are unfortunately restricted by cost. With so many expenses related to a new baby, it can be difficult to budget doula services as well. Thankfully, Nevada Medicaid now covers doula care, and some commercial insurances are following suit. Check with your insurance company to find out if they might cover part of the cost for hiring a doula. If your insurance doesn’t cover doula services, some doulas offer a sliding scale based on income. You may want to interview multiple doulas to find the right one for you. If you’re the kind of person who wants all the information you can get, a more detail-oriented doula might be the best choice. But if you tend to feel overwhelmed by too many options, you might prefer a doula who only offers additional information as the situation calls for it. If you want massage or acupressure during labor, you might want to hire a doula with those certifications. Or maybe informational and physical support are not as important to you as emotional support, in which case your best choice could be a doula who has experience with postpartum mood disorders or trauma support. Regardless of who you hire, be sure to clearly communicate your desires and expectations – not just for your birth, but also for your doula. The most important thing when choosing your doula is trusting your gut. You need to feel comfortable with your doula, as they’ll be tending to you at one of the most vulnerable times in your life. When you find a doula that you click with, who listens to you and supports your choices, you have found the best doula for you.
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Celebrating Blood Sugar Balance This Holiday Season
As the holiday season draws near, we find more reasons to celebrate with loved ones. At Renown Health, we are kicking off the celebrations early this November with American Diabetes Month. Approximately 37 million Americans, including 270,000 Nevadans, have been diagnosed with diabetes with as many as 95% of those diagnosed living with type 2 diabetes mellitus (T2DM). What is Type 2 Diabetes? Type 2 diabetes is a chronic health condition that occurs because your body is not using insulin (a hormone made by the pancreas to help cells use the food we eat for energy) as well as it should, resulting in high blood sugar levels. It is important to obtain a diagnosis for T2DM and ensure it is well-controlled to prevent serious health complications. Those with diabetes are at higher risk for blindness, kidney failure, heart disease, stroke and amputation. Tips for Supporting Your Health with Type 2 Diabetes Know Your Blood Sugar Levels: Work with your healthcare provider to establish target blood sugar levels, and make sure to monitor your levels regularly as advised by your healthcare provider to prevent or delay health complications associated with T2DM. Focus on Your Plate: Eating foods such as fruits and vegetables, lean meats or plant-based proteins, healthy fats and whole grains supports diabetes management. If choosing healthy foods is difficult due to your busy schedule, cost or simply because you aren’t sure where to start, talk with your healthcare provider who may refer you to a registered dietitian. Registered dietitian nutritionists are certified nutrition specialists who can provide education and practical tips for eating to support your T2DM diagnosis with visits covered by many insurance plans. Prioritize Staying Active: Engaging in regular exercise is good for everyone, especially those living with T2DM. Exercise helps your cells become more sensitive to insulin and therefore supports healthy blood sugar levels. Always check with your healthcare provider prior to beginning a new exercise plan. Support Stress Reduction: Stress is unavoidable but can be managed through regular exercise, getting enough quality sleep (7-8 uninterrupted hours per night) and practicing meditation and other mindfulness techniques. Plan Ahead for Holiday Gatherings: There’s still room for celebration while focusing on blood sugar management. Consider bringing a healthy dish to your gathering, focus on filling your plate with vegetable sides and eating those first and incorporate a family walk after dinner. If traveling, pack nutritious snacks that support your health and keep you full. Lastly, enjoy the special dishes and desserts this season has to offer in single-serving portions.
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Renown Health Food Pantry Is Nourishing Patients at No Cost
Patients who qualify for a “Food is Medicine Prescription” can receive a bag of food for themselves and each member of their family every week through this free assistance program. Renown Health is proud to offer supplementary food to patients in need through its food pantry. Established nearly a year ago, patients who identify as food- insecure are working with Renown’s community health workers to receive fresh produce, canned goods, non-perishable items and other pantry staples to help nourish themselves and their family at no cost. Thanks to the support of the Northern Nevada Food Bank and other local community partners, Renown’s food pantry is helping meet the food needs of homeless and low-income individuals in our community. “Patients’ responses to our food pantry has been amazing,” said Renown community health worker Seth Rubin. “They are extremely grateful when we give them a bag of food. Their eyes light up knowing that they will have enough food to eat for the week without having to worry about finding a source of food for their family.” To make this assistance program possible, Renown’s food pantry receives food deliveries every Wednesday from the Northern Nevada Food Bank. The Food Bank meets Renown’s team of community health workers, along with churches and other medical organizations, with a semi- truck loaded with a variety of foods. After receiving a pallet with their food order, Renown’s community health team collects an assortment of fresh produce, donated from local grocery stores and other community organizations. After that, the food is unloaded into Renown’s food pantry located inside The Healthcare Center. Renown’s community health workers serve patients in the hospital and emergency rooms, as well as individuals who receive care in The Healthcare Center, which provides affordable access to care for anyone in our community. After expressing a need for food assistance, patients are offered a Food is Medicine Prescription. Through this prescription, they can go to a participating food pantry once a week to receive one bag of food per person in their household. EL BANCO DE ALIMENTOS CONTINÚA FUNCIONANDO EN MEDIO DE LA PANDEMIA Desde el comienzo de la pandemia de COVID-19, los trabajadores comunitarios de la salud de Renown han trabajado de manera remota, pero eso no les ha impedido llegar a los pacientes que se benefician de este programa. “We’re currently coordinating outpatient deliveries to our patients,” said Rubin. “Every Tuesday and Thursday, we deliver a bag of food to the patient’s house. It has been a great way to continue providing healthy food to our patients while continuing to provide safe care to the patients we see in person at our clinic. Despite our operations being a little different, our patients’ feelings of gratitude and relief remains the same. This is extremely rewarding work and we are proud to continue serving our community throughout these challenging times.” Renown’s food pantry is currently available to patients of The Healthcare Center. Renown is working to get more refrigeration, shelving and staffing to expand the service to more Renown Medical Group patients. Renown patients who qualify for a Food is Medicine Prescription, yet aren’t patients of The Healthcare Center, are encouraged to visit these participating food pantries once a week. The Healthcare Center accepts all Medicaid plans in addition to other healthcare plans. To learn more, visit Renown’s website. For b-roll on this story, please click here. About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Para obtener más información, visite renown.org.
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Food is Love! 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.
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Embarazo y parto
Choosing Renown Women's Health is the first step to a healthy pregnancy. Our exceptional family-centered care with complete prenatal services is designed for the health and well-being of you and your baby. Board-certified primary obstetricians (OBs) coordinate pregnancy care and develop personal relationships with every mom-to-be, understanding birth choices and preferences. Labor & Delivery: 775-982-5759 Our specialties include: Managing high-risk pregnancies including twins, multiples, multiple miscarriages, history of previous premature births and diabetes Age 40+ pregnancies Pre-pregnancy medical conditions Infertility evaluation and treatments such as: Hormone treatments, fertility drugs and surgery