Friday, April 29, 2011

What Could Home Health do for the Queen?

I'll admit it. I woke up early and watched the royal wedding. After her graceful exit from her motorcoahc, I couldn't help but notice that Queen Elizabeth II has a shuffling gait! Here's our favorite monarch making her way to the wedding.


At the 1:30 mark, watch how she doesn't pick up here feet the way a younger, healthy person does. That is a perfect example of a shuffling gait.  This is a common symptom for Parkinson's Disease or Musculoskeletal disorders, but changes in gait can also be a normal part of ageing.

A shuffling gait puts seniors at high risk for a fall because they are more likely to trip on thresholds, rugs and natural varients on surfaces. When they have gait irregulariites, they are likely to have poor trunk support and muscle weakness, which means that if they do fall, they will have a hard time getting back up.

 A physical therapist will evaluate gait irregularities by
  • Discussing the patient's complaints, fears, and goals related to mobility
  • Observing gait with and without an assistive device (if safe)
  • Assessing all components of gait
  • Observing gait again with a knowledge of the patient's gait components
Physical Therapy for a shuffling gait will include strength training, which is modified to suit each individual's specific ability level, balance training and assistive device training.

A fall can pose a huge setback for seniors. Remember that falls are preventable with early intervention!

Tuesday, April 26, 2011

Resource Corner: Ask Medicare

    Medicare.gov offers numerous resources for seniors. Today I want to point you towards it's "Ask Medicare" feature. This gem is not the first thing you see when you visit Medicare.gov, but it is one of the most helpful parts of the sites. This area offers resources targeted to caregivers and breaks information down into four catagories:

Billing
This section deals with the medical care that Medicare covers, how to decipher the bills and statements you will receive from Medicare and how to appeal a claim or file a grievance. If you, or your loved one, is currently on service with a home health or hospice company, there should be a billing specialist who can help you navigate this process. If Millcreek Home Health and Hospice is your agency, call our office and ask for Bianca with any questions.

Navigating Medicare
This section offers information on all the basics of Medicare, including how to enroll, a comparison of health plans and advice on how to manage health care. This is a great resource, but if you live in Salt Lake County, Millcreek Home Health and Hospice recommends contacting Salt Lake County Ageing Services to schedule a one on one review of your unique situation. They can help you determine if Medicare alone will provide enough insurance, connect you to community resources and answer questions about ageing. Ageing Services can be reached at (801) 468-2459.

Overwhelmed? Get Help
This section deals with the many resources out there for caregivers. Millcreek Home Health and Hospice recommends checking them out before you get overwhelmed. Our number one piece of advice for caregivers is to plan early! We know that it is difficult and sometimes painful to think about the eventual decline in health of a loved one, but you will save hours of heartache and hardship if you have the difficult conversations and plan for the worst when you and your loved one are not in crisis. Have a plan for both finances and be sure that you or your loved ones has completed advanced directives that make their medical wishes clear. If you do get overwhelmed, don't wait to ask for help. Contact a home health company. Chances are if your parent requires the kind of care that overwhelms you, they qualify for home health and can benefit from skilled nursing, physical therapy, occupational therapy and home health aides. You can call Millcreek Home Health and Hospice with questions, too at (801)463-2478.

Care Options
This section is where the rubber meets the road and you can get some solid data and evidence about who does a good job providing medial care to seniors. You can compare hospitals, nursing homes, rehabilitation centers and home health companies (our favorite!). Millcreek Home Health and Hospice encourages you to choose at least three companies to compare so that you can be sure that you will receive the best care possible. Home health companies should welcome the opportunity to meet with you and answer questions. It is very important that you not only approve of the quality of care that they provide, but also that you like them and trust that they will be respectful when visiting you or your loved one at home. Remember, home health is 100% covered by Medicare.
  
Check out Medicare's Ask Medicare feature by clicking on this link: http://www.medicare.gov/caregivers/index.asp

Have fun exploring this great resource!

Tuesday, April 19, 2011

Employee Spotlight: Angel Sullivan, Director of Clinical Services

Angel Sullivan, Registered Nurse (RN, BSN), Certified Hospice and Palliative Nurse (CHPN), Certified Lymphedema Therapist (CLT).

Angel Sullivan serves as the leader of Millcreek's Hospice Team & works closely with all of Millcreek's internal departments to ensure that patients receive the highest level of quality care available. Angel holds certifications in both Lymphedema and Hospice and Palliative Care and holds a Master’s degree in Healthcare Administration with an emphasis in Gerontology. She has worked exclusively in the Home Health and Hospice since 2004. Angel's significant knowledge about end of life issues guides our hospice team in all aspects of the care they provide.  Her clinical expertise is critical in her role as a leader, educator and supervisor for nurses and aides at Millcreek Home Health and Hospice. In addition to being part of Millcreek’s management team, she continues to provide exemplary direct patient care in the areas of hospice, home health and lymphedema therapy.

Wednesday, April 6, 2011

Ten Reasons to Get a Home Health Evaluation For Your Loved One

In our marketing efforts and personal lives, Millcreek's staff is asked over and over again why we are so deeply connected to the work we do. The short answer is because we know that the work we do has a tremendous effect on the health and well being of seniors. Somehow that doesn't answer the question. So here are ten good reasons to ask your loved one's doctor for a home health evalutation.

10. Constant trips to the Doctor’s office wear seniors out. Home Health means that nurses can assess and report on changes in condition from the comfort of their home, minimizing unnecessary trips to the doctor.  After one initial visit to the doctor, home health nurses can perform physician ordered lab draws, treat wounds, administer certain medications and offer many more services that decrease visits to the doctor’s office. 
9. They do a great job showing their doctor how they are at their best. For many seniors a doctor’s visit is a lot like a job interview: they put their best foot forward and don’t show any of their weaknesses.  Many times, a home health nurse is able to observe things in the home that are relevant to a senior’s medical condition. An unsafe bathroom is something a doctor would never know about, but a home health nurse can not only identify hazards, but offer solutions to minimize danger.
8. Home Health helps seniors maintain their independence. Seniors tell us over and over again that they don’t want to be treated like children.  But their children and caregivers know that independence and safety need to go hand in hand. Along with the medical care they provide, home health clinicians routinely do home safety evaluations to ensure that any preventable harm does not come to pass. Occupational Therapists help install adaptive equipment, teach techniques to compensate for weaknesses and offer solutions for safety in the home. A senior who is able to maintain their health is a senior who can remain independent.
7. Home Health is covered 100% by Medicare. There is no out of pocket cost to seniors. All services provided in home health and covered with no co-pay, which means that seniors with limited income can use more of their money for activities that improve their quality of life, not just their health.
6. Experts provide professional coordination of care. Home Health Case Managers coordinate care from numerous resources including physical therapy, occupational therapy, speech therapy and home health aides and report all changes and observations to their family members & doctor.
5. It prevents seniors from falling. Nearly all falls are preventable, yet the damage that falls cause is one of the leading causes of death among seniors.  Things that contribute to falls, like gait abnormalities, poor balance and muscle weakness, can all be addressed though in home physical therapy. More often than not, seniors gain strength & improved balance that prevents them from falling.
4. It is an unlimited Medicare benefit.  Home Health can provide care and support as long as they are Medicare eligible. That means that a senior may use home health services for anywhere from a few weeks to an infinite amount of time.  A senior is discharged when they meet their full rehabilitative potential and health related goals, but they will never “run out” of this Medicare benefit. 
3. Home health provides social support services in addition to medical care. Professionals support family members too, by answering questions, teaching about the progression of diseases and connecting them to valuable community resources. 
2. Home health prevents small problems from becoming big disasters. Preventative maintenance and dealing with problems early on is extremely important with seniors.  A problem like a urinary tract infection is a mere discomfort for a younger adult, but can wreak havoc on the system of a senior. Home Health Nurses and therapists recognize symptoms of small issues early on, provide proactive treatment and prevent small problems progressing to big problems.
1. It is the best way to keep your loved one safe and healthy at home.  The thing we want most for all of our patients, is the same thing you want for your loved ones: for them to be as comfortable as possible and to avoid any preventable trauma or illness. Home Health is proven to reduce unnecessary hospitalizations. In fact, it is Medicare’s largest cost saving measure because it addresses seniors health concerns early on and keeps them safe and healthy at home.