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February Is American Heart Month: Are You at Risk for Heart Disease?

Heart disease is the leading cause of death for men and women in the United States. Every year, 1 in 4 deaths are caused by heart disease.

The good news? Heart disease can often be prevented when people make healthy choices and manage their health conditions. Communities, health professionals, and families can work together to create opportunities for people to make healthier choices

During the month of February, Americans see the human heart as the symbol of love. February is American Heart Month, a time to show yourself the love. Learn about your risks for heart disease and stroke and stay “heart healthy” for yourself and your loved ones.

Cardiovascular disease (CVD)—including heart disease, stroke, and high blood pressure— is a leading cause of disability, preventing Americans from working and enjoying family activities. CVD costs the United States over $300 billion each year, including the cost of health care services, medications, and lost productivity.

Understanding the Burden of CVD
CVD does not affect all groups of people in the same way. Although the number of preventable deaths has declined in people aged 65 to 74 years, it has remained unchanged in people under age 65. Men are more than twice as likely as women to die from preventable CVD.

Many CVD deaths could have been prevented through healthier habits, healthier living spaces, and better management of conditions like high blood pressure and diabetes.

Take It One Step at a Time

You can control a number of risk factors for CVD, including:

  • Diet
  • Physical activity
  • Tobacco use
  • Obesity
  • High blood pressure
  • High blood cholesterol
  • Diabetes

As you begin your journey to better heart health that can last a lifetime, keep these things in mind:

  • Try not to become overwhelmed. Every step brings you closer to a healthier heart, and every healthy choice makes a difference!
  • Partner up. The journey is more fun—and often more successful—when you have company. Ask friends and family to join you.
  • Don’t get discouraged. You may not be able to take all of the steps at one time. Get a good night’s sleep—also important for a healthy heart—and do what you can tomorrow.
  • Reward yourself. Find fun things to do to decrease your stress. Round up some colleagues for a lunchtime walk, join a singing group, or have a healthy dinner with your family or friends.

Plan for Prevention
Try out these strategies for better heart health. You’ll be surprised how many of them can become lifelong habits!

Work with your health care team. Get a checkup at least once each year, even if you feel healthy. A doctor, nurse, or other health care professional can check for conditions that put you at risk for CVD, such as high blood pressure and diabetes—conditions that can go unnoticed for too long.

Monitor your blood pressure. High blood pressure often has no symptoms, so be sure to have it checked on a regular basis. You can check your blood pressure at home, at a pharmacy, or at a doctor’s office.

Get your cholesterol checked. Your health care team should test your cholesterol levels at least once every 5 years. Talk with your health care professional about this simple blood test.

Eat a healthy diet. Choosing healthful meal and snack options can help you avoid CVD and its complications. Limiting sodium in your diet can lower your blood pressure. Be sure to eat plenty of fresh fruits and vegetables—adults should have at least five servings each day. Eating foods low in saturated fat, trans fat, and cholesterol and high in fiber.

Maintain a healthy weight. Being overweight or obese can increase your risk for CVD. To determine whether your weight is in a healthy range, health care professionals often calculate a number called body mass index (BMI). Doctors sometimes also use waist and hip measurements to measure a person’s body fat.

Exercise regularly. Physical activity can help you maintain a healthy weight and lower cholesterol and blood pressure. The Surgeon General recommends that adults should engage in moderate-intensity activity for at least 150 minutes per week. Remember to incorporate exercise into your day in different ways: take the stairs instead of the elevator, or rake the yard instead of using the leaf blower. Exercising with friends and family can be a great way to stay healthy and have fun.

Don’t smoke. Cigarette smoking greatly increases your risk for CVD. If you don’t smoke, don’t start. If you do smoke, quit as soon as possible. Your health care team can suggest ways to help you quit.

Limit alcohol use. Avoid drinking too much alcohol, which can increase your blood pressure. Men should stick to no more than two drinks per day, and women to no more than one.

Manage your diabetes. If you have diabetes, monitor your blood sugar levels closely, and talk with your health care team about treatment options.

Take your medicine. If you’re taking medication to treat high blood pressure, high cholesterol, diabetes, or another condition, follow the instructions carefully. Always ask questions if you don’t understand something. If you have side effects, talk with your health care team about your options.

Together, we all can prevent and manage heart disease, one step at a time.

How To Choose An Accessible Vehicle For A Child

Wheelchair vans are often needed by families who have children with disAbilities. Vehicles with special features are available and/or can be converted to accommodate them. The most important step is to start with an appointment with a mobility specialist.

Here are a few facts needed to help determine which accessible option best fits the needs of your child and your family.

The Child’s Size
A mobility consultant should be incredibly thorough in compiling the details such as wheelchair width and height, your child’s height while seated in the wheelchair, and other essential information, which should help identify the perfect van for your family.

Your child’s age and size are factors, too. If your child is young/small the vehicle that they easily fit into now could possibly be out grown. It is important to not only think of their needs now, but also to keep in mind that their needs may change in the future.

The Family’s Size
Consider the size of your family. A big family (5-7 children) might need the extra room provided by a full-size van. For smaller families, an adapted minivan should work nicely, and both vehicle styles can be equipped for wheelchair accessibility. Keep in mind that even an only child will have friends who will join you for an occasional outing.

The Child’s Condition
Along with wheelchair size, your child’s condition has tremendous bearing on vehicle selection. When a child with limited mobility travels with a ventilator or feeding tube, the vehicle must accommodate it. In such situations, rear entry access is often the better option.

Side entry vans require the wheelchair user to maneuver into position; an operating ventilator or feeding tube on an independent portable stand can easily make positioning awkward. Rear entry access eliminates the need to maneuver–the wheelchair and ancillary equipment roll directly into position from the back of the van.

Seating
If you or a caretaker needs to assist your child, it would be helpful to have a seat right next to the wheelchair, as the front passenger seat can make interaction awkward.

Now is a good time to talk about the front-passenger seat, which can be adapted for portability, so you can remove it completely. With a wheelchair docking system installed, the coveted front-passenger position is wheelchair-ready.

That said, size definitely matters here. The laws in some states restrict the size of a child riding in that position, with a typical recommendation of 50 lbs.+ and the ability to tolerate the force of a deployed airbag. A child with a frail or sensitive physical condition should be seated in the middle of the vehicle for safety. Make sure to familiarize yourself with your state’s seat-belt laws for wheelchair passengers.

Passengers
When there are several passengers in the van, middle seating in the vehicle would put your child at the center of attention and always part of the fun. The side entry accessible van has an array of configuration possibilities, including jump seats and the potential for passenger seating in front, alongside, and behind the wheelchair user in any accessible van.

Focus on the Future
When you find the accessible vehicle that fits the needs of you, your child and family now but are concerned about the changes that may come over time, discuss them with your mobility consultant. Future you has a few options. Keep in mind that additional modifications can be made to your vehicle to better fit you and your family. Another option future you will have is to trade in your vehicle for a newer one that will fit your needs better.

Full Sized Accessible Wheelchair Vans

Ask people with disAbilities—when purchasing a handicap or accessible van—size matters. The full-sized van is a good option for those with a large family, those who travel often, those with additional equipment and accessories, those who need to tow large loads, or big or tall passengers or drivers.

Most minivans do not have roof modifications so you don’t have as much interior space.  Roomy full-size vans gain space by raising the roof, lowering the floor or both, and also have the advantage of more power and load carrying capacity.

Full-sized van:

  • Its weight-carrying capacity is significantly more than a minivan’s. It can hold the weight of a power wheelchair and even accommodate two individuals in wheelchairs.
  • It offers a lowered floor for the center, passenger or driver position; raised roof, raised doors; lifts and adaptive driving aids.
  • A raised roof makes it easy for someone to enter the van seated in a wheelchair or for a caretaker to tend to them or walk in and out of the entrance.
  • Doors are raised in conjunction with a roof to enable a person in a wheelchair to enter without having to bend over or have a caretaker tilt the wheelchair back.
  • Larger wheelchairs or motorized wheelchairs require floor-lowering or roof-raising modifications that a full-size van allows.

VA Adaptive Sports Program

Mission Redefined
Your courage, your determination and your drive all led you to serve America proudly. Those same characteristics will also lead to satisfaction and success in adaptive sports. Disabled Veterans of all ages and abilities report better health, new friendships and a better quality of life when participating in adaptive sports. Disabled Veterans who are physically active simply have more fun! To get started, take some time to review the many sports opportunities available to you by reaching out to your VA clinical team.

Get started by learning how disabled Veterans can benefit from adaptive sports. If you have questions, contact them at vacoadaptiveSP@va.gov.

2015 Schedule of National Events
2014 Annual Report to Congress

The Grant Program
The Grants for Adaptive Sports Programs for disabled Veterans and Members of the Armed Forces (ASG Program) provides grant funding to organizations to increase and expand the quantity and quality of adaptive sport activities disabled Veterans and members of the Armed Forces have to participate in physical activity within their home communities, as well as more advanced Paralympic and adaptive sport programs at the regional and national levels. Learn more»

Training Allowance
Interested in becoming a Paralympic athlete?
The VA National Veterans Sports Programs & Special Events Office provides a monthly assistance allowance for disabled Veterans as authorized by 38 U.S.C. 322(d) and Section 703 of the Veterans’ Benefits Improvement Act of 2008 for qualifying athletes training in Paralympic sports.

Through the program, VA will pay a monthly allowance to a Veteran with either a service-connected or non-service-connected disability if the Veteran meets the minimum military standards or higher (e.g., Emerging, Talent Pool, National Team) in his or her respective sport at a recognized competition. Besides making the military standard, an athlete must also be nationally or internationally classified by his or her respective sport federation as eligible for Paralympic competition within six or 12 months of a qualifying performance.

Athletes must also have established training and competition plans and are responsible for turning in monthly and quarterly reports in order to continue receiving the monthly assistance allowance. The allowance rate for an athlete approved for monetary assistance is the same as the 38 U.S.C. Chapter 31 Vocational Rehabilitation & Employment (VR&E) rate, which in FY 2013 ranged from $585.11 up to $1,104.64 per month, depending on the number of dependents.

Download the VA Training Allowance Standards

Download the VA Training Allowance Briefing

To learn more about the specific sport standards or the monthly assistance allowance, email them at vacoadaptiveSP@va.gov.

Vehicle Maintenance

Oil changes:
Older cars need oil changes every 3,000 miles, but manufacturers of newer ones typically suggest 5,000 miles, 7,500 miles or even longer intervals between changes. If you don’t drive much, change it twice a year. (Synthetic oil is expensive – maybe twice the price.)

Air filter:
If you can see light through the filter paper, it does not need to be changed yet. But change it at least every 20,000 miles or more often when it’s dusty (lots of construction or at pollen time).

Windshield Wipers:
Replace them yourself at least once a year (most recommend 2 times a year).

Adding additives to the tank?:
Don’t bother. All gas has them. Since 1994, the government has required that detergents be added to all gasoline to help prevent fuel injectors from clogging.

Tire rotation:
Every time you have an oil change have the tires rotated. Tires at the right pressure and balanced properly save one or two miles per gallon – and the expense of new tires.

Antifreeze:
Your car needs antifreeze in both summer and winter for its anticorrosion or antiwear additives. A 50-50 mix with water is suggested, unless it came diluted when you bought it. Read the label. (Keep a spare bottle in your trunk in case the car overheats on a hot day.)

Rust Treatment:
Rust is a serious problem and spreads like a rash. It can shorten the lifespan and value of any vehicle. You should have your vehicle treated for rust twice a year. The best times to prevent rust damage to your vehicle is in Autumn: before the first snowflake falls and Spring: after the first heavy rain fall; a little vehicle maintenance will help keep the rust away.