page 2 • 2010 Grand County Health & Fitness
Couples, Family andIndividual Counseling
Substance Abuse • Depression • AnxietyParenting • ADHD • Self-EsteemLife Transitions
, MA, LPC, NCC
Licensed Professional Counselor
What would you attempt to do if you knew youcould not fail?
HOME PRACTICE:Wheatridge & Frisco (21 years)YEARS EXPERIENCE:32
ADDRESSING ISSUES OF:
Sinuses | Larynx | Oral CavityUpper Pharynx and Structures of the Neck andFace, including Plastic Surgery
Call the Specialty Clinic at Kremmling Memorial Hospital
VISI TING GRAND COUN T Y ONCE PER MON TH
Dr. Michael A. Tralla, M.D. F.A.C.S.OtolaryngologyEar, Nose and Throat Specialist
424 E.Agage Ave.
P.O.Box 409Granby,CO 80446
Colorado Mountain NewsMedia,Gypsum Colorado
By Gretchen Bergen
A lot happens in the small office behindthe Hot Sulphur Springs Library onMoffat Avenue.Parents bring babies forimmunizations,adults arrive for flu shots,and new mothers sign up for federal WIC(Women,Infants and Children) assistance.Grand County Public Health promotesthe health and well-being of GrandCounty in many ways.The departmenthelps prevent communicable diseases likepertussis (whooping cough),and preparesfor emergencies like pandemic flu out-breaks and wildfires.It’s also ground zerofor Grand County’s H1N1 flu vaccine.Public Health has three registered nurs-es (RNs),a WIC coordinator,two admin-istrative assistants,and an interpreter/com-munity education person for the Spanish-speaking population.Last year,GrandCounty Nursing Services became HomeHealth (medical) and Home Care (non-medical).Public Health Director BreneBelew-LaDue,RN,also oversees HomeHealth and Home Care,plus SeniorNutrition Services.
H1N1 and Immunizations
Since October,Public Health nurseshave given 3,700 H1N1 and seasonal flu vaccinations.Last year,Jan Carrasco,RN,established a county-wide immunizationcoalition with local doctors and healthcareproviders,which paved the way for asmooth rollout of H1N1 vaccine.PublicHealth’s Carrasco also immunizes adultsfor tetanus,pertussis and hepatitis B;organizes the annual flu shot program;andfollows up on individuals with communi-cable diseases to prevent outbreaks.
Helping the Uninsured
During economic hard times,thedemand on public health grows.AndGrand County is no exception.The coun-ty has a high rate of uninsured — 25 per-cent compared to the state’s average of 17percent.“When people lose jobs,they often losetheir health insurance,”explains Belew.“The most recent Grand County HealthAssessment showed that the No.1 issuethat the public is concerned about is accessto care.”Like many rural areas,Grand County has no community clinic for the uninsured. To fill the gap,Grand County’s RuralHealth Network created the award-win-ning ACHES & PAINS programs,whichPublic Health helps administer.ACHES(Advocacy for Children’s Health & Education Services) and PAINS (Partnersfor Adults In Need of Services) providemedical vouchers to uninsured childrenand adults with financial need.The pro-grams are funded by county agencies,pri- vate donations and state grants.All partic-ipating healthcare providers donate theirtime,or write off a portion of the bill.Since beginning in 2005,ACHES hasissued 289 vouchers to children,withdemand for the program increasing 30 per-cent from 2008 to 2009.Mobile medicaland dental vans served 165 children in2009;163 children in 2008;and 279 chil-dren in 2007.In 2009,the PAINS programserved 79 adults,increasing almost 40 per-cent from 2008.
WIC,Prenatal Services andChildren’s Health Outreach
Currently,Public Health handles a case-load of 140 children and mothers with a Tuesday WIC clinic administered by Ellen Tinkum,plus once-a-month clinics inFraser and Kremmling.When childrenand parents apply for WIC,the RNs check their immunization records and assist withhousing and nutritional problems.KarenHadleyDike,RN,handles prenatal care forpregnant women,and helps mothers getthe care they need through Medicaid.Heading up Children’s Outreach,GailVanBockern,RN,visits daycare centersaround the county,educating directors andstaff about health issues like nutrition,immunizations and CPR.
Home Health provides care for adultsand children requiring home medical careranging from physical therapy to post-operative rehabilitation.In 2008,the Stateof Colorado passed a law requiring allhome health agencies to be licensed.Today Grand County Home Health and GrandCounty Home Care are the only twolicensed home agencies in Grand County,according to Tina Strang,Home HealthAdministrator.Home Health’s new clinicalcoordinator and clinical staff help patientsand families make a smooth transitionfrom hospital to home.A physical thera-pist assists with both pediatric and geri-atric patients.“Previously,our concentra-tion was on Medicare patients,but we haveexpanded our focus to try to serve a largercommunity,”says Strang.
Home Care provides non-medical assis-tance with personal care and homemakingservices to help keep people out of long-term care facilities.Home Care is availableto those on Medicaid and private-pay. These services are for a wide range of casesfrom elderly homebound patients to indi- viduals who need a little help with chores.Bathing,dressing,light housekeeping,changing bed linens and vacuuming are just some of the services Home Care pro- vides.
Senior Nutrition Services
Senior Nutrition Services provideshealthy,affordable meals to anyone overage 60 three days a week in Granby andKremmling.The program is funded partly by the Older Americans Act and StateFunds for Senior Services.“Seniors do nothave to qualify financially,”Strang empha-sizes.“The meals are fantastic with freshhomemade bread,and this is a great way tobuild a sense of community.”Home deliv-ered meals are also available to homeboundseniors.For more information,call 970-725-3288,or see www.co.grand.co.us
Getting to Know GC Public Health & Nursing Services