TABERNASH, Colo. -- November is National Hospice and Palliative Care Month, and advocates hope all Coloradans will consider these under-utilized health-care services for themselves and family members.

Katie Sue Van Valkenburg, medical social worker for Namaste Home Health, said everyone will go through an end-of-life journey, and hospice care, which is available to anyone facing a prognosis of 6 months or less to live, can help families and friends make the most of their remaining time together.

"And just like we celebrate babies being born, I want to make sure that we are celebrating people as they leave this life," Van Valkenburg urged. "Because hospice is covered by insurance, why not utilize it, so you can have a much more enjoyable and comfortable end-of-life experience, both for you and your family?"

Palliative care focuses on improving the quality of a patient's life, as opposed to curing a specific illness. Hospice teams provide medical care and pain management and give family caregivers a break by helping with showering and other daily activities. They help navigate Medicare and Medicaid paperwork, and offer emotional and spiritual support, including 13 months of bereavement services for family members and friends.

Matt Whitaker, national director of integrated programs for Compassion and Choices, noted most people access hospice through a doctor's referral, and added you can also find options online.

One common misunderstanding about palliative care is patients are giving up so-called battles with their illness.

Whitaker pointed out many patients continue chemotherapy and other regimens as they struggle with powerful diseases.

"And what we have to do is support people as they make the decision to move from focusing on cure to focusing on care," Whitaker contended. "Making sure that they are able to spend the days that they have left doing what gives them the most meaning possible."

Van Valkenburg emphasized she hopes Namaste's new operation in Grand County will help more patients stay in their homes. Before Nameste arrived, palliative care had not been available in the area for 8 months, which is not uncommon in many rural communities.

"But most of the time if they require a nursing home or a secure unit because of advanced dementia, they were being shipped down to Denver," Van Valkenburg explained. "Which means they are no longer close to family, which can definitely cause a lot of emotional stress and trauma for everyone involved."

With the unofficial start to summer, pools around Ohio are opening this Memorial Day weekend, and when it comes to swim time, experts encourage parents to become "water watchers."

Drowning is the top unintentional cause of death for children ages one to four, and the second-leading cause among kids ages five to 14.

Dawne Gardner, senior injury prevention specialist for Cincinnati Children's Hospital Medical Center, pointed out 70% of drowning deaths occur between May and August. She said the most important pool safety measure is to ensure an adult is actively watching children at all times.

"If there are multiple adults around the pool, take 15-minute shifts so that adult knows: no phone, no book, no conversations; they are keeping an eye on all the children," Gardner recommended. "That is their time, and that is their only job while they're there."

With infants and toddlers, an adult should be in the water within arm's reach. Most drownings involving kids under age four happen at home pools, so experts encourage the use of alarms and secure pool fences to keep curious little ones away.

Gardner noted while a drowning is traumatic, it does not always look dramatic.

"Parents always think that there's a lot of splashing and yelling when a child is drowning, and that is not the case," Gardner explained. "It is not a loud event. It is very silent. It happens quickly."

Gardner also encouraged swimming lessons for children as soon as they are developmentally ready.

"Just so that they are comfortable around water, they respect the water, and they have those basic swimming skills," Gardner emphasized. "We would like for parents, or at least one of the adults around, to know CPR. It's just a great tool that could be helpful."

There has been a roughly 38% drop in drowning deaths over the past two decades, which experts attribute to greater awareness and education about prevention and water safety.

Reporting by Ohio News Connection in association with Media in the Public Interest and funded in part by the George Gund Foundation.

One of Connecticut's largest health systems launched a new resource in Hartford this month, aimed at helping patients access healthy and nutritious foods free of charge.

The Healthy Food Resource Center is located on Hartford Hospital's campus, and is open to patients with a doctor's referral. When they walk in, they'll find a refrigerator and freezer, along with fresh fruits and vegetables, many of which are locally sourced.

Dr. Jessica Mullins, director of gynecology at Hartford Hospital, said it's about treating "food as medicine," which can help patients address food insecurity.

"They can try these foods, they can try different ways to cook them, and really finding that it's delicious to them or make it in a way that incorporates it into their cultural backgrounds," Mullins outlined.

Mullins reported half of the patients she sees report being food insecure. Better nutrition is connected to improved infant, child and maternal health, stronger immune systems and lower risk of diabetes. A nutritionist is also on site to provide information based on recommendations from the doctor.

Greg Jones, vice president of community health and engagement at Hartford Hospital, said at the center, patients will find pineapple, kale, papayas, healthy grains, olive oil and much more. He said many food-insecure communities in Hartford and elsewhere are overexposed to highly processed food with a lot of salt, sweeteners, and saturated fat.

"By providing produce and fruits, we can help people understand the issues that they face around health," Jones emphasized. "They start to feel better, they start to be able to supplement their diet with some real food, and then they can start to see a large improvement."

An estimated 12% of Connecticut residents are food insecure, according to a 2019 report by Feeding America.

With a referral, patients will have access to the Center for six months. Hartford Healthcare will also keep track of the food patients take as part of their medical records, to see how it changes their health outcomes.

As Mental Health Awareness Month comes to a close, Arkansas health officials are reminding older adults of resources available, as the social isolation of the pandemic has hit them particularly hard.

One in four older adults nationwide reported anxiety and depression during the COVID-19 pandemic, according to a study.

Dr. Tammy Alexander, licensed psychologist and assistant director of the Arkansas Department of Human Services, Division of Aging, Adult, and Behavioral Health Services, said social distancing cut many older adults off from support networks, which exacerbated mental-health challenges.

"That connection helps with just regulating our mental health," Alexander explained. "Having that connection and being involved and feeling supported by our friends and family. So much of that in-person connection was cut off during COVID, that I think most people had some negative impacts."

The state Department of Human Services (DHS) supports 12 community mental-health centers able to serve people who are uninsured or underinsured. For people without insurance who need "light-touch" mental health counseling services, DHS supports therapeutic counseling in all 75 counties in the state.

Dr. Rhonda Randall, executive vice president and chief medical officer for UnitedHealthcare employer and individual, agreed it is important to look out for signs of mental-health challenges in loved ones. It may mean an uncharacteristic disinterest in activities they usually enjoy, a change in sleep patterns or mentioning feelings of hopelessness. She added it is important for people to seek help from a trusted health professional.

"Mental health is part of our health," Randall stated. "It's a conversation you should be having with your primary-care physician when you go get your annual checkups, especially if you already have an established relationship. And it can be a really good place to start, and also take into context your other medical conditions."

According to the 2021 America's Health Rankings Report from United Health Foundation, 23.5% of Arkansans reported being told by a doctor they had a depressive disorder.