Published on November 10, 2014
Concussions are common among student athletes in sports, particularly football and soccer. The recent deaths of three high school athletes from around the country have raised concerns again about the dangers of sports injuries. But you don’t have to be a student athlete to suffer a concussion. School-aged individuals (ages 6-21) can suffer a concussion during every day play at home or in gym class.
1. COMMUNITY CALENDAR Saint Peter’s Launches New Concussion Program Concussions are common among student athletes in sports, particularly football and soccer. The recent deaths of three high school athletes from around the country have raised concerns again about the dangers of sports injuries. But you don’t have to be a student athlete to suffer a concussion. School-aged individuals (ages 6-21) can suffer a concussion during every day play at home or in gym class. A mild traumatic brain injury caused by a blow to the head or to the body with an “impulsive” force transmitted to the head, this “invisible” injury disrupts the brain’s normal physiology which can affect mental endurance and function, causing the brain to work harder and longer to complete even simple tasks. Cognitive and physical rest are essential to recovery. A patient should see a concussion specialist if they are still symptomatic at three weeks or have the following risk factors for delayed recovery: history of ADHD or a learning disability, depression, anxiety, history of multiple concussions, migraines, symptoms lasting two to three weeks. Arlene Goodman, MD, pediatric sports medicine specialist at Saint Peter’s Sports Medicine Institute and head of the concussion program launched this fall, answers your most frequently asked questions about concussions. Arlene Goodman, MD What are the signs and symptoms? • Headache • Dizziness • Loss of consciousness • Disorientation • Nausea • Vomiting • Confusion • Vision changes • Balance problems • Personality changes • Anterograde amnesia, difficulty remembering events after the injury • Retrograde amnesia, difficulty remembering events before the injury Other signs that people may observe in the athlete include appearing dazed or stunned; answering questions slowly; confusion about assignments or position played; forgetting instructions; and moving clumsily. Must you have a loss of consciousness to have suffered a concussion? No, loss of consciousness occurs in only 10 percent of concussions. How are concussions diagnosed? A concussion is diagnosed based on history and a physical exam. You cannot see a concussion on imaging such as CT or MRI scans. How are concussions treated? Initial treatment for a concussion is both cognitive and physical rest. Patients under cognitive rest cannot take part in demanding activities such as going to school, homework, reading, using a computer, watching TV or playing video games, texting, or listening to loud music. How long does it take to recover from a concussion? Eighty percent of high school athletes will recover in three weeks. However, 20 percent will take more than a month to recover. What interventions should be undertaken if symptoms do not resolve in one month? If an athlete has not recovered in a month and is complaining of headaches, eye strain, blurry vision, dizziness, or balance problems, a doctor will prescribe vestibular ocular rehabilitation with a physical therapist trained in concussion rehab. If the headaches are severe, a doctor will recommend that the patient see a NOVEMBER 2014 neurologist for medication management. What are the danger signs? Monitor for worsening symptoms and if the child shows the following, he or she should be taken to a hospital Emergency Department by ambulance: • Unequal pupils • Convulsions • Severe or increased headache • Unusual/increased drowsiness • Projectile or repeated vomiting • Severe personality changes • Weakness in either arm(s) or leg(s) • Numbness in the face/extremities • Bleeding/clear fluid from the ear/nose • Unusual stiffness in the neck area When should a student return to play? An individual should not return to play until he/she can perform a full workload at school without accommodations while being symptom-free and he/she has completed the gradual return to play protocol as recommended by a doctor. How can you help prevent student athletes from getting a concussion? There are a few things that can be done to decrease the likelihood that student athletes will suffer a concussion. • Encourage and teach good sportsmanship and instill in athletes the need to follow the rules • Teach good playing technique • Ensure that athletes wear proper-fitting equipment. The equipment should be checked and maintained regularly. Dr. Arlene Goodman is seeing patients at the Saint Peter’s Sports Medicine Institute, 562 Easton Avenue, Somerset. For more information about the Concussion Program at Saint Peter’s call 732-565-5455 or visit www.saintpetershcs.com/ SportsMed/ConcussionFAQ. A LISTING OF PROGRAMS OFFERED THIS MONTH CAN BE FOUND ON THE REVERSE SIDE. need a doctor? To find a Saint peter’s physician, call 1-855-sp-my-doc (1-855-776-9362).
2. Alzheimer’s/Dementia Caregivers Support Group JULY 13, 10:00 AM – 11:30 AM Saint Peter’s Adult Day Center CANCER SERVICES Breast Cancer Support Group NOVEMBER 3 & 17, 7:00 PM – 8:30 PM Guest speaker and open discussion. Registration required. Cancer Institute of New Jersey Deborah Leif, MSW, LCSW • 732-235-7011 Gynecologic Cancer Support Group NOVEMBER 11, 7:00 PM – 8:30 PM Cancer Institute of New Jersey • 732-235-6792 Latina Women with Cancer Support Group NOVEMBER 8, 10:00 AM – 1:00 PM Sister Marie de Pazzi Conference Center Light lunch will be served. Free, but registration requested. Sessions conducted in Spanish. Call 908-658-5400 for more information. Living with Cancer Support Group NOVEMBER 12, 7:00 PM – 8:30 PM Cancer Institute of New Jersey Barbara Hale, LCSW • 732-235-7557 SUPPORT GROUPS Autism Family Support Group NOVEMBER 9, 3:00 pM – 5:00 pM 877-886-9462 Alzheimer’s/Dementia Caregivers Support Group NOVEMBER 11, 10:00 AM – 11:30 AM Saint Peter’s Adult Day Center 200 Overlook Drive, Monroe Township Rachel Kallish, CSW • 609-655-6853 Bariatric Surgery Support Group NOVEMBER 13, 6:00 PM – 7:00 PM Lisa Lapinski, RD • 732-745-8600, x8159 Bereavement Support Group NOVEMBER 6 & 20, 7:00 PM – 8:30 PM 732-745-8565 Caregivers Support Group/Monroe NOVEMBER 13, 1:30 PM – 3:00 PM Saint Peter’s Adult Day Center 200 Overlook Drive, Monroe Township Stephanie Fitzsimmons-Sexton, RN, NP 609-655-2220 SHARE Support Group (for those who have suffered miscarriage, stillbirth or neonatal death) NOVEMBER 13, 7:00 PM – 9:00 PM Irina Mariano-Brown, MSW, LCSW 732-745-8522 DIABETES EDUCATION Children’s Insulin Pump Group NOVEMBER 11, 6:30 PM – 8:30 PM Donna Dziedzic, RN, MSN, CDE 732-745-8600, x8751 Diabetes Self-Management Education HELD MONDAYS AND TUESDAYS Registration and doctor’s prescription required. 732-745-6667 Gestational Diabetes Self-Management Class HELD WEDNESDAYS AND THURSDAYS Registration and a doctor’s prescription required. 732-745-6667 COMMUNITY MOBILE HEALTH Services For more information about screenings and educational programs, please call 732-745-8600, x8903. Blood Pressure/Blood Sugar Screenings NOVEMBER 14, 9:30 AM – 10:30 aM New Brunswick Senior Center, New Brunswick NOVEMBER 14, 11:00 AM – 12:30 pM Elijah’s Promise Soup Kitchen, New Brunswick NOVEMBER 19, 10:30 AM – noon Sterling Pointe @ Franklin, Somerset Blood Pressure/Blood Sugar/ Cholesterol Screenings NOVEMBER 14, 9:00 AM – noon SS White Technologies, Piscataway Employees only. Health Fair NOVEMBER 5, 11:00 AM – 2:00 pM Senior Health Fair Neptune Senior Center, Neptune Township NOVEMBER 2, 11:30 aM – 1:30 pM St. George Greek Orthodox Church, Piscataway free community lectures Breast Health and Cancer Information NOVEMBER 5, 11:00 am Presenter: Donna Makris, RN, BSN, IBCLC Neptune Senior Center, Neptune Township ABCs of Medicare NOVEMBER 5, 1:00 PM Presenter: Pramila Veeraswamy, MD, internist Stonebridge Adult Community, Monroe Township A Brief Overview of Hip and Knee Replacement Surgery NOVEMBER 10, 2:00 PM Presenter: V. Karthik Jonna, MD, orthopedist The Ponds Adult Community, Monroe Township Preventing a Fall NOVEMBER 11, 1:30 PM Presenter: Erinn Beagin, MD, geriatrician Concordia Adult Community, Monroe Township Nutrition NOVEMBER 13, noon - 1:00 PM Presenter: Teresa Grasso, RD, CDE Manville Senior Center, Manville Back Pain in the Elderly NOVEMBER 18, 3:00 PM Presenter: Didier Demesmin, MD, pain specialist Clearbrook Adult Community, Monroe Township PARENT EDUCATION For information, fees and registration, call Parent Education at 732-745-8579, unless otherwise indicated. Baby Care NOVEMBER 8, 9:00 aM – 1:00 PM NOVEMBER 3 & 10, 7:00 PM – 9:30 PM Breastfeeding Class NOVEMBER 22, 9:00 AM – 11:30 AM Breastfeeding Support Group NOVEMBER 7, 1:00 PM – 2:30 PM 732-745-8600, x8820 Grandparents Class NOVEMBER 6, 4:00 PM – 6:00 PM Infant Massage NOVEMBER 4, 6:30 PM – 7:30 PM Marvelous Multiples NOVEMBER 3, 10 & 17, 7:00 PM – 9:30 PM New Mom Support Group NOVEMBER 7, Noon – 1:00 PM Light lunch will be served at noon. Registration required. Postnatal Yoga and Exercise Class (four-week sessions) FRIDAYS, 6:00 PM – 7:15 PM Registration required. Prenatal Yoga and Exercise Class (four-week sessions) WEDNESDAYS AND FRIDAYS 7:00 PM – 8:30 PM Registration required. Prepared Childbirth Classes MONDAYS, THURSDAYS, or ALL-DAY SESSIONS SECOND AND FOURTH WEEKENDS Registration required. Sibling Class NOVEMBER 22, 12:30 pM – 1:30 pM This calendar is for information only. Do not rely on it to make healthcare decisions on your own; instead, talk with your healthcare provider for advice and treatment. Do not ignore medical advice or delay seeking it because of something you read here. We do not suggest or endorse that you have any tests, use products, or use other information in this document without advice from your healthcare provider. Catholic hospital sponsored by the Diocese of Metuchen | State-designated children’s hospital and regional perinatal center Major clinical affiliate of Rutgers Biomedical and Health Sciences | Affiliate of The Children’s Hospital of Philadelphia november 2014 All programs are designed for community members and are held at Saint Peter’s University Hospital, unless otherwise noted. For more information or to register for a program, call the contact number listed or visit saintpetershcs.com/newsandevents. for men only Men’s health awareness event wednesday, november 5 5:00 pm - 7:30 PM Presenter: Peter Fish, MD A night of fun featuring health education, refreshments and raffles. Community Mobile Health Services staff will provide blood pressure and blood sugar screenings, and body mass index measurement. Call 732-745-8600, ext. 6415, for more information. bariatric WEIGHT LOSS SEMINAR THURSday, NOVEMBER 13 7:15 PM - 9:30 PM For more information, and to register, call Lisa Lapinski, RD, at 732-745-8600, x8159. EMS Education Series thursday, NOVEMBER 20 • 7:00 pm topic: pharmacology review Free; refreshments served. CEU credits. Call 908-238-3254 to register. stroke screenings Life Line Screening has partnered with Saint Peter’s Healthcare System to provide health screenings throughout Central Jersey. Stroke screenings will be available at the following locations. Pre-registration is required. All screenings begin at 9:00 AM. For more details about the screening and cost for screening, call 1-866-964-5850. tuesday, NOVEMBER 4 United Reformed Church, Somerville wednesday, NOVEMBER 5 Sayreville Senior Center, Sayreville monday, NOVEMBER 17 Manville Senior Center, Manville wednesday, NOVEMBER 26 First United Methodist Church, Westfield ANNUAL DIABETES HEAD TO TOE CONFERENCE saturday, decEMBER 6 10:00 AM - 3:00 PM Rutgers, The State University of New Jersey 604 Bartholomew Road, Piscataway Busch Student Center Call 732-469-7979 for more information. diabetes education support group/Monroe thursday, decEMBER 9 11:00 AM - NOON Saint Peter’s Physician Associates Clearbrook Commons Medical and Professional Park 294 Applegarth Road, Monroe Township Call 732-745-8600, ext. 8105, for more information. diabetes education support group/ New Brunswick thursday, decEMBER 10 10:30 AM - 11:30 Am Center for Ambulatory Resources (CARES) 240 Easton Avenue, New Brunswick Call 732-745-8600, ext. 5795, for more information. 254 Easton Avenue, New Brunswick, NJ 08901 | 732-745-8600 | 800-269-7508 | www.saintpetershcs.com Top Performer on Joint Commission Key Quality Measures™ 2012 SPECIAL EVENTS SAVE THE DATE treating diabetes and hypertension Saint Peter’s Healthcare System has launched a “patient-centered medical home” for uninsured and underinsured adults with diabetes mellitus and hypertension who reside in central New Jersey. This highly targeted effort takes direct aim at two of the most serious but often preventable diseases. Patients will be referred to the new Saint Peter’s program through outpatient services, the emergency department, inpatient services, same-day services, and community health screenings conducted by Saint Peter’s clinical staff. Services will be provided at Saint Peter’s Family Health Center, 123 How Lane, New Brunswick. The program will provide preventive care, education, lifestyle modification, nutrition consultation, and medication management.