Welcome to the United Church of Sun City 

Greetings from your Parish Nurse...

As most of you are aware, Sun Health provides a presentation with a speaker the second Tuesday of the month at 10:30 am in the Beehive. I just want to share a little about what you have been missing if you haven’t come to hear them. 

This past month on October 13, we had Bonnie Shimko who founded Arizona Care Management Solutions. She is a “Care Manager.” Most of us are familiar with Case Managers who deal with transfers from hospital to rehab units, or rehab to home. But these case managers work specifically for these episodes of needs.

Some may be familiar with the idea of a Health Advocate – someone who comes along beside to go to ask clarifying questions, to assist in some way with care – maybe by going to a doctor appointment to be a second set of ears. Often a spouse or family member will fill this need.

A Care Manager combines both roles – assessing the needs of the whole person including housing needs, care planning with the person, and coordinating reaching the long-term goals. Bonnie explained that she looks at the long-term goals – and helps the client to plan for them. For instance, all of us know that we need a living will and advance directives. But do we have those filled out and notarized? Are they posted on your refrigerator for Emergency Services to see?

What about your will or trust? Has it been updated recently to reflect your wishes at this time? Are the executors and people you have chosen as power of attorney still able to carry out those responsibilities?

What happens if you fall, break a hip and need to go to a rehabilitation center? Do you know where you would like to go? Do you know where you would receive good care? Have you visited any centers to see what they are like? Do you know what your insurance will cover? Because if you don’t have some in mind, a case manager may hand you a list and have you decide knowing nothing about them.

What if you come to a place where you can no longer live independently? Are you in a position to hire caretakers so that you can stay in your own home? Have you visited independent living centers and assisted living facilities to see what they offer? Again, decisions are often made in a crisis situation and without some forethought and planning. You may end up somewhere that you don’t want to be.

I may be preaching to the choir here! But I suspect that many of us may have our will or trust done, we haven’t reviewed it lately and may not be as clear as we could be about our wishes as we age. So, take some time to think about it, call a care manager for a free assessment, or pursue these decisions on your own. But take a step in the right direction!

And don’t miss the next “Sun Health Presents” on Tuesday, November 10th at 10:30 am and bring a friend! The topic will be: Advance Directives!

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.