Caring for Family, Friends, and Community: Amber Croghan’s Story

Amber Croghan’s inspiration to enter healthcare started close to home. From working at the Manning Plaza in high school to her current role as a health coach at Manning Regional Healthcare Center (MRHC), she has continually evolved in her career while staying true to her desire to help others.

 “When growing up, all my grandparents received care at the Manning Plaza,” Amber, RN, shared. “My Grandpa Jahn was in there for a very long time after suffering a stroke, and while visiting him often, the path of wanting to help people started.”  

Seeing the compassion and care her grandfather received motivated Amber to step into the field herself. She began working at the Manning Plaza in 2008 while still in high school, taking on roles as an activity assistant and working in the dietary department. However, Amber soon became motivated to make a greater impact on the patients she worked with.

“I always wanted to be able to do more for the residents, which brought me to obtain my CNA certification and start working as a CNA,” Amber explained.

While Amber initially considered a career in occupational or physical therapy, she discovered a nursing program through the Carroll DMACC and decided to go the nursing route. While earning her Licensed Practical Nurse (LPN) and Registered Nurse (RN) licenses, she remained committed to patient care, working PRN to stay connected to her passion.

In July 2014, Amber achieved her RN license and began working at MRHC as a nurse on the Acute floor, Emergency Room, and Obstetrics. By 2015, Amber returned to the Manning Plaza as a floor nurse and later took on the role of MDS Coordinator. Her journey came full circle in April 2017 when she rejoined MRHC, this time as a float/triage nurse in the family practice clinic. In 2019, she transitioned into her current role as a Health Coach—a position that aligns perfectly with her goals and strengths.

“MRHC has always been supportive of me growing into different areas of nursing to fit the type of nursing I enjoy best,” Amber shared. “They are open to any ideas you may have for process improvement and make you feel heard with each idea. Each department is willing to help wherever it is needed to serve our patients.”

Amber’s dedication to her patients and her team is evident to those who work alongside her. MRHC Clinic Director Shelby Dickson, RN, shared, “Amber is highly reliable and deeply focused on patient care. She is an invaluable member of our clinic team and shows dedication to her work.”

Amber credits MRHC with helping her grow professionally and creating a workplace environment where she feels valued and heard. It is also important for Amber to work close to home and care for the people she knows and loves.

“I love working at MRHC because I get to work where I live, and I enjoy caring for family and friends to give them the best experience,” Amber shared. “MRHC is also very supportive of a work-life balance, which is important to me for my kids and husband.”

If you are interested in joining the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information.

LEARN MORE ABOUT Amber Croghan

Seasonal Affective Disorder vs. Holiday Depression

The winter season can bring emotional challenges for many people, with some experiencing Seasonal Affective Disorder (SAD) while others face the stress and emotional toll of the holiday season leading to holiday depression. Manning Regional Healthcare Center (MRHC) aims to help individuals recognize the differences between these conditions and offers strategies to manage both.

“Many of us have days that we don’t feel like ourselves, and sometimes the winter months can enhance those feelings,” said Janet Brus, RN, program director for Senior Life Solutions at MRHC. “Be aware of how you are feeling. If you normally get up and perform your daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities, you may be experiencing seasonal affective disorder.”

Seasonal Affective Disorder (SAD)

SAD is a form of depression triggered by reduced sunlight. According to the American Psychiatric Association, its symptoms closely mirror those of depression, including:

  • Low mood and energy
  • Fatigue
  • Oversleeping or difficulty sleeping
  • Loss of interest in activities
  • Cravings for carbohydrates and subsequent weight gain

To combat SAD, Brus recommends staying active, reading, maintaining a healthy diet, and seeking professional support if symptoms persist.

Understanding Holiday Depression

Unlike SAD, holiday depression is tied to stress, expectations, and emotions surrounding the holiday season. This time of year can trigger stress, anxiety, and feelings of loneliness. Some people are excited to share Christmas with loved ones, while others are mourning a loss. Some are shopping for perfect gifts, but others are struggling financially and anxiously checking their bank accounts. Some can’t wait for their yearly Christmas party with friends and family; others may be stressed by the thought of it.

“Not everyone experiences the holidays in the same way,” shared Brus. “It’s important to prioritize mental health and address feelings of distress before they escalate.”

Practical Tips to Manage Holiday Depression

Set Realistic Expectations: Avoid pressure to create a perfect holiday. Focus on meaningful moments rather than perfection.

Maintain Routines: Stick to regular sleep, meals, and exercise routines, especially for children.

Establish Boundaries: Say no when needed to avoid burnout from over-commitment.

Engage in Self-Care: Dedicate time for relaxation and activities you enjoy.

Connect with Others: Combat loneliness by reaching out to friends, family, or support groups.

Manage Finances: Stick to a holiday budget and consider thoughtful, low-cost gifts.

For parents, taking time to engage with children, setting aside time where all devices (including parents’ cell phones) are put away, ensuring they aren’t isolating themselves, sticking to routines like consistent bedtimes, and having open conversations can help foster emotional well-being.

“This is a great time to connect with your children and build a close relationship to let them know that you are a safe person they can talk to,” said MRHC Mental Health Counselor Hollie Schechinger, LMSW. “Talk with your kids about their day during a fun activity where they can open up and not feel like they are being questioned. Most importantly, have fun with your kids!”

When to Seek Help

If feelings of sadness, anxiety, or stress persist and interfere with your daily routine, it is important to seek professional help. If you or your child are struggling with depression or anxiety, contact your primary care provider for an evaluation. MRHC also provides mental health services to support individuals of all ages:

Counseling Services: These services are available in person or virtually for individuals 12 and older. Call (712) 655-8100 to schedule an appointment.

Play Therapy: This is an intervention method to support children five and older in navigating traumatic experiences. Call (712) 655-8100 to schedule an appointment.

Senior Life Solutions: Group therapy for individuals 65+ struggling with anxiety, depression, or life transitions is available through this program at MRHC. Call (712) 655-8262 if you need support.

The Recovery Center: If the stress and pressure from the holidays have caused you or a loved one to turn to drugs and alcohol to cope, please call the Recovery Center at (712) 655-2300 for help. Residential and outpatient treatment are available.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or dial 988 for confidential, 24/7 support.

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MENTAL HEALTH      SENIOR LIFE SOLUTIONS      RECOVERY CENTER