Welcome to the United Church of Sun City 

Greetings from your Parish Nurse…

Someone recently gave me a Special Report written by the Mayo Clinic titled Living with Dementia. The subtitle was even more descriptive—New developments that slow the progression of these diseases. I’m going to try to condense some of this information for you as I found it illuminating.

First, we need to define dementia. Often we think of Alzheimer’s as one disease and dementia as another. But in truth, dementia is the umbrella term used to describe the loss of memory and decline in language, problem solving, and other thinking abilities. Dementia describes the symptoms of other underlying diseases or problems.

We know that dementia doesn’t come on overnight - it’s often little changes that we see over months or years. Mayo defines stages for us to consider:

The Preclinical Stage—this describes a period of time where there may be some changes in the brain that are visible on studies, but the person is able to function well while their cognitive skills remain intact.

Mid-Cognitive Impairment—Over time with the underlying disease processes, symptoms eventually develop. Some people may forget things more often, repeat past questions or not recall a conversation. Or they may begin to have difficulty following the plot of a movie or finding their way around familiar places. But they are still able to function fairly independently.

Dementia—when cognitive symptoms interfere with daily living, the diagnosis of dementia is made. Some may begin to have trouble managing finances, no longer be able to drive without getting lost, or forget important appointments. They may also forget how to manage technology on computers or phones. At this point, people with dementia may need assistance with tasks that were once routine.

There can be other symptoms as well depending on the underlying cause. Symptoms like:

• Difficulty concentrating.
• Visual-spatial difficulties, such as not understanding distance or getting lost.
• Confusion with location or passage of time.
• Difficulties with reasoning, judgement, organizing tasks, managing time and solving problems.
• Difficulty finding the right words.
• Mood, behavior and personality changes.
• Changes in attention and alertness.
• Hallucinations.
• Imbalance or lack of coordination.
• Activity during sleep, such as acting out dreams.

Now that we are all looking at the symptoms and thinking “I do that” does that mean we have dementia? Not necessarily. Next month I will discuss other causes of dementia besides Alzheimer’s and talk about daily living habits that can reduce our risk as well as new medications that are being developed. If you have concerns and questions that can’t wait another month, please contact me at the church.

Lisa Dunbar, Parish Nurse​

Dispelling Some of the Information About the COVID-19 Vaccine

As a Parish Nurse, the pandemic of COVID-19 has certainly brought many challenges in focusing on the health of our congregation. Currently, the challenge is to help our congregation members to understand, to make an educated decision, and to receive the vaccination.

I have found that the first hurdle is in educating our congregation. I have been able to put short articles in the church newsletter, and to send an all-church email that gave information about the vaccine. It focused on dispelling some of the misinformation being disseminated on the web. For instance:

Concerns have been expressed about the vaccine being developed so quickly. Is it safe?
Although we don’t have years of research, the companies developing the vaccines tested it on the usual number of people that they have tested before with any new drug or vaccine. The difference in the timing is because much of the governmental bureaucracy that slows down the process after the test is finished was mitigated. The testing itself was still completed in a manner similar to other vaccines. As with any new treatment, vaccine or drug, there are potential side effects, but for the vast majority of recipients, the benefit far outweighs the risk.

I have heard about people reacting to the vaccine and becoming very ill, or even dying. Is this true? 
As with anything that we put into our body, we run a risk of being allergic to a substance in the medication or vaccine. At times, this may be a severe reaction called anaphylactic shock. In this case, the allergy may cause the body to swell tissues especially of the neck and trachea that may result in shortness of breath, a racing heart, and at its worse, a cardiac arrest. This is the reason that any recipient of the vaccine is required to remain at the site for 30 minutes after the injection as this is the time period where an anaphylactic reaction would take place. Each site is equipped with medical personnel and supplies to deal with this type of allergic reaction.

This happens very, very rarely. The current numbers are 11 reactions like this in 1 million recipients. These reactions may also occur after an influenza vaccination injection at a slightly lower rate. Although very serious for the 11, the 999,989 other recipients had no serious problems. A recipient of the vaccine may commonly have minor symptoms – a sore arm, muscle or joint pain, a low grade fever – similar to symptoms following other vaccinations. These are from an inflammatory response our body produces after a foreign substance has been introduced and usually only lasts 24-48 hours.

I have heard this vaccine may change my DNA. Is that true?
There is nothing in the vaccine to change our DNA. This vaccine is a new technology. In the past, vaccinations have carried in them a weakened amount of virus, which immediately stimulated our bodies to make antibodies to fight off the infection, The new Covid 19 vaccine has no weakened virus in it. Instead, it carries a message to our RNA to watch for an identifying factor on the virus – in this case a “spike” on the virus body. When our body recognizes that factor, it then begins very rapidly producing antibodies to fight the virus.

So a recipient may in fact “have the virus” for a short time before the antibodies are produced. It fights the virus before serious symptoms develop so one does not become ill. But it does raise the question of whether someone who has been vaccinated may still “spread” the virus even though they may have no symptoms. Studies continue to focus on this question. This is why even after vaccination, we may be required to wear masks in public places where social distancing is not possible.

Are fetal cells used in the production of the vaccine?
Fetal cell lines from fetuses in the 1960s and 1970s continue to be used in much of the early testing of many of our vaccines and other drugs. These tissues are registered and reported as the testing takes place. But no recent fetal tissue has been used in developing the Moderna or Pfizer Vaccinations. Other vaccines, notably the one from Johnson and Johnson, do continue to use more recently harvested fetal tissue in their development. There may be other companies as well.

After educating our congregation, the next step has been to identify those who are most vulnerable and require help in registering for the vaccination.

I began to make phone calls on those over 75, and those with chronic illnesses. Many had family or friends who were working with them to register for an appointment and who were willing to transport them to the appointment.

However, some of our congregants did not have access to a computer or were not able to complete the process on their own. I was able to assist them over the phone, at times registering them as my “family members” (after all, we are a church family!). I also helped to arrange transportation for those needing assistance.

Finally, I have continued to follow up with those registering – reminding them to take their ID and insurance card, walking them through the process at the sites, and informing them of the possibility of minor discomfort after that could be treated with Tylenol. I also continue to remind everyone to continue their social distancing precautions, handwashing, and wearing a mask.

Some in our congregation have chosen to wait to receive the vaccine. Some because of concern of long-term effects of the vaccine, others wish to wait for the vaccines with only 1 injection. I continue to share information with them, and to support them as they continue to follow the social distancing precautions and choose to remain limited in their social activities.