Herald & lantern 18 July '84 ! 65 1 1 j ,

Cape May County ' « Health Department News By LOUIS |. LAMANNA, Public Health Coordinator 1

One of the Health Department's oldest and most successful programs is the physical therapy program, started 20 years ago in 1964. At its inception, the Health Department's therapy unit provided the only out-patient physical therapy treatment in the county. Prior to the therapy program, county residents had tn travel to Atlantic City or other farther away places for treatment. That is why the County Health Department J became the first in the state to offer such a service. To give you a pictiire of who uses the physical therapy clinic" and what happens to the patient, we need to understand what physical therapy is. PHYSICAL therapy is a restorative process, designed to improve movement, strength and function, relieve pain, and expand the patient's movement potential. Physical therapy not only treats existing problems, but can provide preventive health care.. It also helps prevent the progression of certain deformities. Through evaluation, the physical therapist suggests 'individualized and personalized treatment programs and goals. Often your physician will refer you to physical therapy with his own treatment plan. The treatment program is geared to meet the individual's needs, goals, abilities and life-styles. Your therapist may combine several- treatment methods, along with patient education, and prevention to help achieve the physcial therapy goals. HEAT AND COLD treatments help reduce pain, inflammation, muscle spasm and increase circulation. These heat and cold treatments may include ice, hot or cold packs, whirlpool, ultra-sound, infrared or paraffin. Exercise may also decrease

pain by decreasing immobilization, boasting circulation and improving posture. Range of motion loss may require joint and soft tissue mobilisation and/or stretching exercises to help restore length to soft tissue which has shortened or lost elasticity. Cervical traction may also be used to restore length and decrease spasm. Stretching exercises are also -used frequently to prevent back and athletic injuries. NEUROLQG1CAL rehabilitation may include neuromuscular reeducation, which helps the body relearn simple movements. Tone reduction may be needed when an imblance exists in the system. Many neurological patients also require instruction in performancem the activities of daily living and adaptions to improve such functions. Strengthening is achieved through manual resistive exercises, progressive resistive exercises (with weights), and isokinetic exercises (kinitron, fitron). Electrical stimulation may also be used when muscles are immobilized or extremely weak. The functional electrical stimulator allows muscle contraction of a paralyzed muscle and may be combined with patient participation as able. A High voltage galvanic stimulator may also be used to enhance muscle use. THE HIGH voltage galvanator also helps decrease swelling, increase circulation, decrease muscle spasm and promote healing of dermal ulcers. Many times, the high ulcers which have been resistent to many traditional forms of treatment.' The patient is always supervised while exercising to make sure the exercises are performed pro-

perly Often, the patient is | given a written home program. The program is reviewed with the patient and the family if necessary. With so many methods of treatment available, the clinic serves a wide range of patients. These include amputees, stroke victims, spinal cord injured, neurologically imparied, athletic injuries and arthritis. Physical therapy may also be beneficial in cardiac, pulmonary, burn, and wound care. TO COORDINATE such a wide range of services requires the cooperation of the therapist and the patient's referring physician. In \Our physical therapy department, the patient, the referring physician and the therapist work together as a team. When necessary, family counseling relative to the patient's individualized problems and program is offered to make this team more effective. Monthly progress reports " are sent to the patient's physician so that he may be kept up to date on his patient's medical progress. This assures that the patient remains under the medical control of the referring physician during the therapy. Our physical therapy unit's staff consists of two licensed physical therapists, one licensed physical therapist assistant, and one physical thgrapy aide. THE CLINIC is an approved Medicare outpatient clinic. Admission to the clinic is by physician referral The fee for ser vice is $20 per visit. A sliding scale method of payment exists for those unable to pay the full fee. In accordance with longstanding county policy, noone is refused needed medical treatment because of inability to pay. Next Werti The Home Health AgJ Icy

/ — Jersey Cape NATURALLY — In Search of a Nest Site — In southern New Jersey, a six week period during June and early July is the best time to observe the female diamondback terrapins as they come out of the water in search of nest sites. j Terrapins traditionally look for an undisturbed beach area with heavily ! vegetated dunes with a low slope. Because naturally occuring dunes are so limited, turtles will nest in people's yards, parking lots, roadbeds and other sandy areas above tide line. » j The nest is dug by the female using only her large, webbed hind feet to scoop out a teardrop-shaped hole about 5 inches deep and 2'2 to 3'2 inches in j diameter. The total nesting operation varies in length from 12 minutes to an hour. If the female is disturbed she will leave the nest site and look for another. A clutch consists of 5 to 12 eggs. The eggs incubate for 60 to 90 days Sunlight j provides the warmth for development. Most hatchlings emerge in the late summer and fall although some of the young will remain in the nest until the following spring. Many female terrapins are killed at this time of year when they cross the ■ causeways while looking for a nesting site. Cautious motorists can avoid these J slow moving mothers-to-be and help preserve the species.

Anne Illustrations: ^ r' ' Wendy Beard Allen \ [ ^^Mb* V ) y~ — *

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location of Sits 1 MfAHCfTY Sun Rd & Beach 3rd St & Beach 9th St & Beach 34th St & Beach 55th St & Beach UPPER TOWNSHIP WtHard Rd SEA ISLE CITY 34th St & Beach 40th St. & Beach 79th St & Beach AVAL0N 8th St . & Beach 21st St & Beach STONE HARBOR . 83rd St. & Beach 111th St 4 Beach 1st Ave & Atlantic Ave 2nd Ave. & J.F.K Boulevard 4th Ave & J.F.K Boulevard 15th St. & Ocean Ave (North Wildwood) WILDW00D Maple & Ocean Aves ScheHenger & Ocean Aves Montgomery & Ocean Aves Bennett & Ocean Aves

Basalts 1 less Bifi 2 I 2 2 2 8 17 2 2 2 170 79 350 J) « 110 a * fi'l J350 ft J ff 130 T j i J LJ .

Location of Site WILDWOOD CREST Forget-monol Rd & Ocean Ave I Miami & Ocean Aves i Jefferson & Atlantic Aves 'Ratagh & Ocean Aves CAPE MAY CITY Cape May Beach Clut> Wilmington St 4 Beach Queen St 4 Beach (north of jetty) Queen St 4 Beach (south ot jetty) Ocean St 4 Beach Congress St 4 Beach Grant St 4 Beach Broadway 4 Beach 2nd Ave 4 Beach CAPE MAY POINT Sunset Boulevard Central Avenue Cape Avenue lighthouse Avenue LOWER TOWNSHIP < "Terry Road , Lincoln Avenue 1 rTownbank Road j Off Cox Hall Creek. / '-WHdivood Avenue j

Bacteria Results (MRU) 17 23 49 46 / 9 2 79 ,? 2 5 11 . 2 5 *» "»•> 2 4 i ,e I 926

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Location of Site OCEAN CITY AREA ; f |flP In N Basin Off Docks * > ftHLL Off BattersOy Road 1 I ^HIB Off 1st Street . WlV, Off Treatment Plant 3rd Street » 19m | Off 7th Street •: '* .-IfM In lagoon Between 8th 9th Street A v Off 11th Steel f $Bn( Off 15th Street (Point) . L ■. PT ft In Two Lagoons S 17th St. * ? j®' • I In Lagoon Opposite 20th Street ft In Lagoon Opposite 22nd SBreet ^ ] In Lagoon Opposite 22nd Street * 23 I In Lagoon S Ocean City Airport 14 t L Off Blue Water Marina 1 S 34th St Bridge 22 | Mouth ot Beach Creek ' 33 j In Beach Creek at Entrance ot ft large pond 'ft In North East End ol Large Pond 1 SEA ISLE CITY Corson's Inlet 23-- i I Boat Ramp South End t (Off Trailer Park) 49' Off 2nd Ave £ . . 13 Off Banks ot Landtill J4'" Lagoon Between 42nd 4 43rd St 92SC, Lagoon Between 45th 4 46th St 1fL Lagoon Between 46th 4 47th SI * 1 tftft Mouth ol Last Lagoon • Opposite Yachi CluD U 2 r . Last Lagoon W 'L-. Opposite end o> 48th St M fft Ludlam Thorotare Creek Mouth . (Effluent) WW13I|Ludtam Thorotare tt, JE Opposite 60th St Ludlam Thorotare JL v® Opposite 56th St 11 (ff SEA ISLE CITY AREA ? & Off Marina Wharls (83rd Street) * 7fl > AVALON AREA \ 4 . In Waterway N ot Btvd Off Docks Yacht CluO 9 Off Public Pier N Apt Complex Cornell Harbor 33 Condos South Harvey s Harbor 1 10 Penn Harbor Public Dock 70 N 21S1 St Bndoe Mouth Penn Harbor 33 Avaton Public Pier {2M SI ) « South ol 25lh St Bridge ' '0 N 31sl SI Bathing Beach 29 33rd St IPuhhc Dock) ra N 38th St. 0« Docks 33 OK Plant Effluent (39th SI ) "0 Off Plant Effluent Boil ^ sA Plant (kittafl Location 20 Head dt Lagoon N ol 42nd St Whale Harbor (Pekcan Dr ) 49 Tarpon Lagoon (Off Flamingo Dr ) 46 Bluetish Harbor (Off Sea Guff Or.) • '3 Yale Harbo' (Between 4th 4 5th Aves ) 2 1 Fourth Ave Harbor (Between 4th 4 Ocean Drs ) 7 Halfway Down Harbor (N 21sl Si ) m*. 2 , junction of Princeton Harbor 4 Graven s Thorofare (End of 22nd St ) ' Mouth ot Laooon (Opoosite Darling s Manna) 33 Opposite 56th St Pubhc Boat Rmp ?3 Opposite 78th Street (North of Stone Harbor Treatment Plant) I 350 Opoosite 76th Street (Pant) | 130 ;Qpposife 74th Street 240 . * (MPN) -- Most Pr Note: ttafr a* ** \

w. i Bacteria Results ■.Location of Site (MPN) f STONE HARBOR AREA Jk Great Channel Oft T P (81st St ) 220 Bhorth Basin 110 IT South Basin 240 L Yacht Club Basin 49 ift Entrance to Stone Harbor Manna 240 p Lagoon Stone Harbor Manor 350 ■ Creek Mouth By Lumber Co \ '40 ft Shelter Haven Basin ?40 I Stone Harbor Lagoon 130 ft Ploasutf Bay 170 1 tSm Bay 240 ^Kry Bay 180 l^^Ke Bay AJong Boulevard 70 flpTH WILDWOOD AREA ^^■Docks Along South Side ,, i ^Berth Wildwood Blvd " / ^■Blocks Along South Side . . . : RHrth Wildwood BNd ,J Kww Outfall Line. 70 \ ;^Beford inlet B ot Beach Creek .IBacti Creek Opposite Manna OBsite Last Whart, W ot Co Rd ST ot Beach Creek Bridge ■" Off Dock by Zaberers ^ Hoffman Canal 10th Avenue " 15th Avenue 4 Virginia Avenue Otlen's Canal WILDWOOD AREA Off West Wildwood Bathing Beach 17 In Wildwood Canal 1 10 N W Plant by R R Bridge 1 70 Off Plan! 220 1 South Plant HO Mouth ol Canal (Otlen's Haroc I 49 In Canal N George Readdmg Budge (Offen's Harbor) 70 In Channel S ot Blvd 23 Behind Trader Park (In Creek off Docks) 79 WILDWOOD CREST u {J Narrow Channel (Lavender Avenue) 79 Off Flamingo Boa Docks 70 Gte Ooposite Plant , 79 oft Manner Inn (Cove) "13 Cuf SW Ptam At Outfall P©e 23 Imand Waterway Opposite Ouffafl 23 LOWER TWP. AREA "BW tat Takt Dk Tu teclMMat Vtattter' / Off Fish Docks West Two Mrie Beacf. V Off Fish Docks North Ocean Drive A iFtsh Docks South ol Ocean Drive _\ Cold Spring Inlet - ) Entrance to Cape island Manna I CAPE MAY CITY AREA , "DM tat Tteia Dm T« lutlwt Weateer" In Cape Mte City HSroor N Lagoon OppoKelish Docks In Cape Mn City Harbor East Bridge m Cape May City Harbor West Bridge lq Cape/tay Canal At Parkway Bndgr ^ court docs cut naceairi* Mfiak i prebtem. m 1