South Florida Hospital News
Thursday October 1, 2020

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October 2010 - Volume 7 - Issue 4


When family members call to initiate non medical care in the home, they often start the conversation with “he/she doesn’t want help but …”. I always explain that most everyone feels this way. It is hard to give up total independence, but it is easy to start out with a few hours a week and work from there.

Medicare rules are coming soon that will slash payments for return admissions. Medicare spends $17.4 billion annually on unplanned readmissions that occur within 30 days of the patient being discharged, according to a 2009 study published in the New England Journal of Medicine.
It is important that anyone in the healthcare field keeps an antenna up to notice the signs that a client needs that extra ounce of care that might keep them from readmission.
   • Three hours of care a day or a few times a week can make a difference in the safety and lifestyle of a client.
   • A 10 a.m. to 1 p.m. shift can ensure that the client is eating and is safe with morning care.
   • Evening meals can be made ready for warming and are much more nutritious and with less sodium than some frozen meals.
It is a challenge, in this economy, for elderly client to afford extra care. Family members, in northern states, often find that supplementing for such care is much more economical than multiple trips for frequent admissions due to falls due to weakness and safety issues.
Elderly clients and family members may want Medicare home healthcare with a misunderstanding that they must embrace their long term care issues.
Transition "coaches" have been assigned, in various areas or the Country, to follow clients after hospital discharge. In a Modern Healthcare article from August 2010, up to 75% of readmissions are preventable. Companion care could be utilized by such coaches, as an affordable option for client follow-up. Such follow-up can include "care calls" to ensure clients feel safe that they have access to low-cost intervention. Training would, of course, be involved in training the coach/advocates. E-mail or text message updates help family members, who are at a distance, feel closer to the situation. Embracing this long term care option is such a relief to the client and for the caregiver.
Those initial words, “You have breast cancer,” can be terrifying and evoke a multitude of emotions. However, for many women there is another significant concern.

In our era of micro-management and super specialization, it is a common perception amongst many people that a “super” specialist needs to be involved with patient care when certain problems arise.

Multiple randomized studies have shown that adding adjuvant radiation therapy after breast conservation surgery significantly decreases the risk of local recurrence.

Over the past few decades, breast cancer has received much attention from both the general public and the media. As providers of breast cancer care here at the Memorial Breast Cancer Center ...

The American Society of Breast Surgeons has approved the use of nipple-sparing mastectomy for select women who are undergoing breast surgery.

Combining outstanding healthcare services and a commitment to positive patient experiences, Holy Cross Hospital recently opened Phase I of the new Dorothy Mangurian Comprehensive Women’s Center ...

The two converging foci of hospital buildings—functional operations and social design- must be married in the architecture of new or renovated patient care housing ...

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