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Robert Goodman, MSW

Living and Aging with a Disability

Living and Aging with a Disability 150 150 Robert Goodman, MSW

By Robert Goodman, MSW

Have you recently lost your vision, become disabled, in need of services to help you become more independent? Are you living with a lifelong disability and notice changes in your functional capacity? There are services available to help you become and maintain your independence. Some of these services are listed at the end of this article.
It is difficult to be functioning independently one day, suddenly end up in a hospital, and have to learn to walk or function independently over again. There are services that can help you learn activities of daily living (walking, bathing, eating, personal care, etc). Other agencies help with the psychological aspects of adjusting to a disability. There is no harm in asking for help. Support groups offer support, friendship, and love.
Perhaps you have reached a point where it is becoming dangerous for you to continue driving. There are options available to help non-drivers. First, Boca Raton has several bus routes that take you to most places. The 91 bus that leaves from the clubhouse will help you connect to these routes. Century Village has buses (with steps) that go into the community. Palm Tran Connection provides door to door service throughout Palm Beach County for people who cannot use public transportation. If you are concerned about keeping your driver’s license for identification purposes, you don’t have to worry. Florida offers a non-driver’s ID card for those who need a form of identification to replace a driver’s license.
There has been a lot of research in recent years on what changes occur in the physical functioning of persons living with lifelong disabilities, such as polio, cerebral palsy, multiple sclerosis, developmental and intellectual disabilities, and mental illness. The research has found that some people with lifelong disabilities have noticed more joint pain/arthritis, problems with balance, and fatigue at an early age.

What Equipment Will I Need When Coming Home from the Hospital?

What Equipment Will I Need When Coming Home from the Hospital? 150 150 Robert Goodman, MSW

By Gregory Ullman,

Kin-Care Home Medical & Mobility

 

When a patient comes home from the hospital or a rehab facility, it is often a time of relief and anticipation.  It can also be a confusing time as loved ones try to anticipate needs within the home.  Proper home equipment is essential to a smooth and safe transition.  Below is a list of commonly required equipment for someone coming home from the hospital.  Items that may be covered by Medicare are marked with an (M).  (To determine for sure whether Medicare will cover the item, consult with the experts at Kin-Care or your local medical equipment supplier.)

 

Commode (M)  Often referred to as a “3-in-1 commode” because it can be used bedside, over the toilet, or as a shower bench.

Mobility Aids Wheelchair (M), walker (M) and/or a cane (M). Careful consideration should be given to the patient’s mobility abilities. Even someone who has no specific problem with walking may need assistance when first coming home, due to a weakened state.

Hospital Bed (M) If the patient is bedridden or has special needs, Medicare may cover the rental of a hospital bed, which mechanically raises and lowers the head and legs, resulting in a more comfortable and safer recovery.

Over-Bed-Table Can be used with a hospital bed or home bed, for meals, and/or other activities.

Bed Rails If a hospital bed is not required, it may still be advisable to install bedrails to prevent a fall off the bed. These can be inexpensive and easy to install.

Underpads In case of temporary incontinence, washable or disposable underpads can be essential.

Support Surface (M) Pressure ulcers (aka bedsores) are an ongoing risk and can have devastating consequences. The patient should be carefully checked before coming home or upon arrival for any skin breakdown. Even a reddish spot may be classified as a Class I pressure ulcer, qualifying the patient for a Medicare-covered gel pad or air mattress. Use of preventative measures such as these can be critical to maintaining the skin health of the patient.

Reacher As a convenience to pick up items and/or to avoid bending down and possibly falling.

Sockaid To help put on the stockings.

Hip Kit Containing a kit of useful items, such as a dressing stick, long handled shoehorn, long handled bath sponge to help with common hygiene requirements.

Aids to Daily Living (ADL’s) There are a myriad of useful items available – call bells, special eating utensils, elastic shoelaces, etc – that can make life easier for the patient in recovery. Stop by Kin-Care or your local medical supply store to see the wide variety of products available.

Wound Care Products (M) Bandages, tapes, gauze, and ointments as necessary.  It is helpful to request a list of necessary or useful items upon discharge.

Cast Protector Protects a bandaged wound or cast from getting wet when bathing.

TED Stockings (for the bedbound / Compression Hose (for those who are able to walk) to help reduce or prevent swelling of the legs and feet.

Overnight Bags and related items. Many items and options are available if the patient has more severe incontinence issues.  We are happy to consult with you to determine a strategy to most appropriately deal with incontinence.

Heel and/or Elbow Protectors To help prevent injury or skin breakdown in these sensitive areas.

Special Pillows/Cushions A bed wedge behind the back or a special cushion to raise the knees or legs to make the patient comfortable or in some cases necessary to reduce/prevent swelling or for other reasons.

Lift Chair (M, in some cases) An electric recliner that also helps the patient get up. A wonderful item for the recovering patient who does not need to remain in bed but who has difficulty with a regular chair.

Hip Chair An alternative to the lift chair for the patient recovering from hip surgery or other procedure that makes it difficult to sit down.

Bath Safety Items, including grab bars, shower bench, raised toilet seat, and toilet rails. The bathroom is the place in the home where most serious injuries occur.  For those with limited abilities, it is crucial to add or install these items to decrease the risk of falling. The ideal time to obtain or install these items is before the patient comes home from the hospital.

Bed Pan/Urinal For obvious reasons.

Blood Pressure Kit  It might be necessary to take the patient’s blood pressure.

Heating Pads / Ice packs For pain relief or to reduce swelling or recommended by the medical professional.

 

This list is intended as suggestions for items that may be required or desirable.  It is not intended to constitute medical advice–you should always rely on the recommendations of medical professionals.

 

Planning ahead can increase safety and comfort and result in a smooth and happy transition from hospital to home.  Feel free to call or stop by your local Kin-Care store for more information and advice. ◙

Copyright 2009 Kin-Care Home Medical & Mobility

All rights reserved. www.kin-care.com

Hiring Independent Private Duty Help

Hiring Independent Private Duty Help 150 150 Robert Goodman, MSW

Professional healthcare workers (home health aides, companions, homemakers) can be hired through a licensed home health care agency or these services can be obtained from independent providers who are usually called independent contractors.
Independent contractors work for themselves are not employed by a licensed home health agency. They do not have to meet the same standards that licensed agency employees must comply with.
The responsibility of recruiting, hiring, supervising, counseling, and training belongs to the client or client’s family.

J Milano Designs LLC

JMilanodesigns.com

JMilanodesigns.com 400 229 Robert Goodman, MSW
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Florida Health & Social Services Welcomes You

Florida Health & Social Services Welcomes You 150 150 Robert Goodman, MSW

FLNavigator.com is the online version of the Florida Health and Social Services Navigator Resource Guide.  Started in 2002 by Robert Goodman, MSW, It is distributed to health and social service professionals at hospitals, nursing homes, and other health care facilities throughout South Florida.
For information on purchasing the latest version of the Florida Navigator Resource Guide or on advertising on the Florida Navigator website please contact Robert Goodman.
Thank you for visiting FLNavigator.com. We hope you find it informative and make it a resource for your health care needs.  If you have any comments, questions, or feedback, please Contact Us.
 
Covering BROWARD, INDIAN RIVER, MARTIN, MIAMI-DADE, OKEECHOBEE, PALM BEACH, AND ST. LUCIE COUNTIES

Medicare 2012

Medicare 2012 150 150 Robert Goodman, MSW

The Savvy Senior

By Robert Goodman, MSW
The time has come to evaluate your Medicare coverage for 2012. From October 15 to December 7 you will have the option of joining or changing your Medicare Advantage Plan. You have several choices.
You can stay with original Medicare and/or buy a supplemental (Medigap) policy. If you want prescription drug coverage, you must also join with a Medicare Prescription Drug Plan (Part D).
You can choose to join a Medicare Advantage Plan  Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Medicare Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans.
If you’re enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage. You must take the drug coverage that comes with the Medicare Advantage Plan. Some plans offer additional benefits, such as vision and hearing screenings, disease management, and other services not covered under Original Medicare. Medicare Advantage Plans must offer emergency coverage outside of the plan’s service area (but not outside the U.S.).
A Health Maintenance Organization (HMO) plan is a health care plan in which you generally must get your care and services from doctors or hospitals in the plan’s network, and you may need a referral to see a specialist.
A Preferred Provider Organization (PPO) plan you can generally obtain health care from any doctor or hospital you want within their network. You have the flexibility to go to any doctors, specialists, or hospitals that aren’t in the network, but it will usually cost more. Monthly premiums and how much you pay for services vary depending on the plan.

Questions to ask Medicare Advantage Providers
1.    Is there a monthly premium and how much is it?
2.    What doctors can I see and how much it will cost me to see a doctor.
3.    What hospitals can I use and how much it will cost me to use a
hospital (either as inpatient or in an emergency).
4.    What happens if I am traveling and need to see a doctor?
5.    How much it will cost me for outpatient procedures.
6.    Is there a monthly drug premium and how much is it?
7.    How much it will cost me for your medicines over the course of a year.

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States. For information go to http://ssa.gov/prescriptionhelp.
Temple Beth Shalom is sponsoring a program on November 10th from 9 AM-12:30 PM where you will be able to meet with representatives of various Medicare Advantage Plans and learn more about the benefits they offer.
The source for much of the information in this article is from www.Medicare.gov. You can find information on Medicare; look for a Medicare plan in your area, or compare Medicare Advantage Plans.

The Birds and the Bees

The Birds and the Bees 150 150 Robert Goodman, MSW

The Savvy Senior

By Robert Goodman, MSW
Several years ago a friend decided to start dating after the death of her husband. Before she started dating again I told her I wanted to talk to her about something. She said, “You’re not going to talk to me about the birds and the bees are you?” I said I was and proceeded to talk about sexually transmitted diseases, including HIV and AIDS. She was shocked by both my bringing up the subject and by the statistics. But this is a conversation that everyone must have.
The availability of erectile dysfunction medications has resulted in increased sexual activity among the elderly. Older adults continue to be sexually active. They also are less likely to use protection because pregnancy is not an issue after menopause. The Centers for Disease Control explains that seniors might be less knowledgeable about HIV/AIDS and therefore less likely to protect themselves with condoms or seek testing.
Heterosexual adults over age 50 account for an increasing proportion of persons living with HIV/AIDS. Statistics compiled by the New York City Department of Aging (DFTA) report that 14% of all reported HIV/AIDS cases in the United States in 2004 were among people over age 50. The HIV/AIDS issue has moved from a problem in the gay and white communities to a problem faced by minorities and the elderly. In 2003, 52% of older Americans living with HIV/AIDS were either Black or Hispanic. In addition, people who were diagnosed with HIV/AIDS at a younger age are living longer as a result of new medications.
The NYCDFTA also found that:

  • Older adults who are exposed to HIV are at greater risk than younger people because of weakened immune systems.
  • Health providers may not screen older adults for sexually transmitted diseases because of lack of training or ageist attitudes.
  • Older adults are not diagnosed properly as having HIV/AIDS

because many of the symptoms resemble the symptoms of old age.
In 2009, nearly 20 percent of all new HIV and 25 percent of all AIDS diagnoses in Florida were in those older than 50. More than half of the cases were among those who live in South Florida, according to the Broward County Health Department.
Some state projections say that the majority of people with the disease will be seniors by the year 2015.
Susan Mintz has been aware of this subject for 30 years since her husband was diagnosed with HIV. She explains that the baby boomers who are now aging live with a 60s mentality that we are as invincible now as when we were teenagers. She states  “ that we are now playing Russian roulette with a loaded gun.” Many baby boomers continue to use drugs and are increasingly exposed to this disease as they start dating after the loss of a spouse.
Educating older adults about HIV/AIDS has become her passion and priority. Her goal is to prevent the spread of this disease. She facilitates a support group to educate older adults about sexually transmitted diseases in our clubhouse in her quest to reach this goal. “We need to talk about it.” She explains, “this issue is not necessarily about you, but about the ones around you. We need to be concerned about our friends, acquaintances, and family members.”
The HIV/AIDS support group, which she calls “I love my life” meets on the first Monday of each month in Room G in the clubhouse at 4 PM. To learn more about the support group contact Susan at 561.271.1879.
You can also learn more about her experience with HIV/AIDS by visiting her website: www.susanmintz.com. For more information on STDs and older adults log onto www.cdcnpin.org/scripts/population/elderly.asp