Friday, November 02, 2007

Staph at the Gym? Not if You're Careful
With recent outbreaks of MRSA (methicillin-resistant staphylococcus aureus) infections across the country, many are wondering if they can contract the bacterium at the gym. Centers for Disease Control and Prevention officials confirm that the infection can be spread through shared sports equipment or through skin-to-skin contact, but say the risk is low. They advise open sores or cuts be kept covered when working out as a precaution. It is also noted that cases of MRSA in gyms would be hard to track because the germ has a long incubation period.

Helping Families Stay Together

Maria Radwanski RN MSN CRRN
Health Calls
867 Berkshire Blvd. Suite 104
Wyomissing, PA 19610
(610) 685-2422

http://www.healthcallshomehealth.com/

Choosing a Personal Emergency Response System

A Personal Emergency Response System (PERS) is an electronic device designed to let you call for help in an emergency. If you are a disabled or an older person living alone, or caring for someone, you may be thinking about buying a PERS .

How a PERS Works
A PERS has three parts: a small radio transmitter (a help button carried or worn by the user); a console connected to the user's telephone; and an emergency response center that monitors calls. When emergency help (medical, fire, or police) is needed, the user presses the help button. It sends a radio signal to the console. The console automatically dials one or more pre-selected emergency telephone numbers. Most PERS are programmed to telephone an emergency response center where the caller is identified. The center will try to determine the nature of the emergency. Center staff also may review your medical history and check to see who should be notified.

If the center cannot contact you or determine whether an emergency exists, it will alert emergency service providers to go to your home. With most systems, the center will monitor the situation until the crisis is resolved.

Purchasing, Renting, or Leasing a PERS
A PERS can be purchased, rented, or leased. Some hospitals and social service agencies may subsidize fees for low-income users. There is usually a one time installation fee and a monthly monitoring charge which may cost from $10 to $45.

Before purchasing, renting, or leasing a system, check the unit for defects. Ask to see the warranty and service contract and get any questions resolved. Ask about the repair policy. Find out how to arrange for a replacement or repair if a malfunction occurs. Ask for information about prices, system features, and services. You can then use the information to comparison shop among other PERS providers.

Shopping Checklist
To help you shop for a PERS that meets your needs, consider the following suggestions:
1. Check out several systems before making a decision.
2. Find out if you can use the system with other response centers. For example, can you use the same system if you move?
3. Ask about the pricing, features, and servicing of each system and compare costs.
4. Make sure the system is easy to use.
5. Test the system to make sure it works from every point in and around your home. Make sure nothing interferes with transmissions.
6. Read your agreement carefully before signing.

Questions to Ask the Response Center
You also may want to ask questions about the response center:
1. Is the monitoring center available 24 hours a day, 7 days a week?
2. What is the average response time?
3. What kind of training does the center staff receive?
4. What procedures does the center use to test systems in your home? How often are tests conducted?

Wednesday, October 31, 2007

It's time to re-enroll in a Medicare D plan

It's time to re-enroll in Medicare D again. Even if you enrolled in a plan last year, you need to re-evaluate yours or your loved one's plan and re-enroll. Unfortunatley, plans change from year to year, and some plans will be discontinued. To start, go to the web link below:
http://www.medicare.gov/MPDPF/Public/Include/DataSection/Questions/MPDPFIntro.asp?version=default&browser=IE%7C7%7CWinXP&language=English&defaultstatus=0&pagelist=Home&ViewType=Public&PDPYear=2008&MAPDYear=2008&MPDPF%5FMPPF%5FIntegrate=N

Be sure to take your time and read everything you can about the different plans. While a Medicare Advantage plan provides you with a lower cost Medicare health insurance plan through a private company plus the drug plan, the benefits that you enjoyed under traditional Medicare will change. Some plans are offering no monthly premiums, but the plan does not have the same coverage rules as Medicare. Each year, the plan can change its rules, coverage, and premiums.

Each new enrollment affords you the opportunity to disenroll in the plan you had the previous year. However, you must wait until the next enrollment period, typically starting in November each year to change your plan.

Each of the plans vary widely, so it is very important to pay attention to detail when evaluating each plan. In some plans, you can pick your doctors only from the plan's network. In others, you can either choose doctors from in-network, or you can go outside the network. Some of the plans pay only for in-network care, while others will pay for care both in- and out-of-network.

You always have the option of choosing the traditional Medicare plan, but you always should consider enrolling in a Medicare D-only (pharmacy plan). The Medicare D drug benefit offers insurance that will pay some of your drug expenses and will protect you against very high costs. If you have additional drug coverage – from an employer or a state pharmacy assistance program, for example – this will reduce your out-of-pocket expenses more. There is an annual deductible, but the cost to you won't be more than the cap set by Medicare for the year. In 2007, the deductible was capped at $265.

Look for free counselling sessions by your local Office of Aging. Here in Berks County, PA, the Office of Aging and the Berks County Senior Citizens Council provides free seminars through the Apprise program throughout the county. Schedule link:
http://www.berksaging.org/index.html

Tuesday, October 30, 2007

MRSA or Mrs. A? Who or what is she? Why is everyone suddenly talking about her?

MRSA is all over the news right now. Fifteen years ago, MRSA was only found in hospitals. Now, it is a common garden-variety WEED- the kind of wildflower that no one wants and doesn't die with ordinary weed killer. MRSA continues to infect people in the hospital, but is also can cause serious infection in healthy individuals, including healthy athletes.

Why is it in our schools?MRSA is an abbreviation for Methicillin-Resistant Staphylococcus Aureus. MRSA is considered a "super bug", which means that it can be difficult to treat because it is resistant to most antibiotics. The bacteria in MRSA is sometimes referred to simply as "staph," or "staph A". Staph is a common germ found on the skin of healthy people. Because MRSA is found on the skin, infections are occuring from simple cuts and scrapes during football games and wrestling matches.

If staph gets into the body it can cause a minor infection such as boils or pimples or serious infections such as pneumonia or blood infections. One antibiotic commonly used to treat staph infections is methicillin. While methicillin is very effective in treating most staph infections, some staph bacteria have developed a resistance to methicillin and can no longer be killed by this antibiotic.

Traditionally, MRSA only infects hospital patients who are elderly or very ill. Those at more risk are people who have had frequent, long-term, or intensive use of antibiotics. IV drug users and people with chronic illneses or who are immuno-suppressed are also at increased risk.

In the past, MRSA rarely infected healthy people. It isn't unusual now, to find serious skin infections in healthy children, adults, and the elderly living in the community. Skin infected with MRSA will appear red and inflamed around wound sites. An infection will start out looking like a pimple or bug bite. The germs can tunnel deep into the skin and cause infection deep in the tissue below the skin. The infection can get severe enough to cause fever, extreme tiredness, urinary tract infections, pneumonia, toxic shock syndrome, and even death.

While MRSA is resistant to many antibiotics and can be difficult to treat there are a few antibiotics that can cure MRSA infections. Unless the bacteria is completely treated, it can return, especially if the patient doesn't finish the complete course of antibiotic therapy.

The best way to prevent MRSA:

Hand Washing and Normal First Aid
Wash hands immediately after experiencing a cut or brushburn. Clean the skin well, dry it and cover it with a bandaid. Casual contact such as hugging is okay. Persons should use gloves, however, before handling any body fluids of infected persons, and remove the gloves and wash the hands before leaving the infected person's room or home.

Gloving
Those providing first aid to others must wear gloves when touching blood, body fluids and contaminated items. Remove gloves between contact with people and wash hands immediately.

Equipment Care
Appropriate cleaning and disinfecting equipment is important in limiting the spread of the germs.

Handling of Laundry
Clean clothing, towels, and sheets that have blood or body fluids immeditely or as soon as possible to prevent the spread of the bacteria to your own skin and to others. If they need to be moved before laundering, place in a closed plastic bag and wear gloves when handling them.

Here's what you can do to protect yourself, family members or friends from hospital-acquired infections:

Ask all hospital staff to wash their hands before touching you — every time.

Wash your own hands frequently.

Make sure that intravenous tubes and catheters are inserted and removed under sterile conditions; some hospitals have dramatically reduced MRSA blood infections simply by sterilizing patients' skin before using catheters.

Preventing MRSA found in the Community

Keep personal items personal. Avoid sharing personal items such as towels, sheets, razors, clothing and athletic equipment. MRSA spreads on contaminated objects as well as through direct contact.

Keep wounds covered. Keep cuts and abrasions clean and covered with sterile, dry bandages until they heal. The pus from infected sores often contains MRSA, and keeping wounds covered will help keep the bacteria from spreading.

Sanitize linens. If you have a cut or sore, wash towels and bed linens in hot water with added bleach and dry them in a hot dryer. Wash gym and athletic clothes after each wearing.

Wash your hands. In or out of the hospital, careful hand washing remains your best defense against germs. Scrub hands briskly for at least 15 seconds, then dry them with a disposable towel and use another towel to turn off the faucet. Carry a small bottle of hand sanitizer containing at least 62 percent alcohol for times when you don't have access to soap and water.

Get tested. If you have a skin infection that requires treatment, ask your doctor if you should be tested for MRSA. Many doctors prescribe drugs that aren't effective against antibiotic-resistant staph, which delays treatment and creates more resistant germs.

Monday, October 29, 2007

Making Your Home Accessible for Aging Needs

Senior citizens fear moving into a nursing home and losing their independence more than death, according to a research study released this week. "Aging in Place in America,” commissioned by Clarity and The EAR Foundation, also found baby boomers emotionally distraught about their aging parents' future. The poll stated that 82% fear their parents will be mistreated in a nursing home and 89% worry their parents will be sad.

Bottom line, Americans of all ages value their ability to live independently. But without a plan for aging in place, it can be hard to stay in control of your life. Knowing your health risks and financial options can make a big difference in your ability to stay in a familiar place. Aside from active life expectancy, chronic illnesses and the ability to provide for daily needs must be considered in the plan. As lifestyles and needs change, the home environment must change to make it possible to remain safely at home.

Home modifications make living at home safe, comfortable, accessible, and enjoyable. In some cases, it may be better to convert part of the caregiver's home into on "accessory apartment," designed to accommodate the physical needs of an elderly relative. An accessory apartment provides a safe, accessible living space while maintaining independence for both the caregiver and the carereceiver. Home modifications help a person remain at home with dignity, safety and comfort.

The following are examples of some of the potential safety risks within a home and some of the possible solutions.


Stairs
Ramps or stair glides
Railings on both sides
Lighting at top and bottom of stair
Non-slip surfaces on treads
Adjust height of riser


Bathrooms
Grab bars
Accessible sinks
Built in shower seats
Faucet levers
Mirror extensions
Wider doorway
Control of water temperatures

Floors
Non-slip surfaces throughout the house


Entrance
Doorbell
Peep holes
Door intercoms

Telephones
Jumbo-button telephones
Adjustments for hard of hearing
Telephones throughout the house
Telephone awareness lights

Kitchen
Lower counters and shelves
Wider doorways
Jumbo face clocks
Lower windows
Under counter lights

Bedroom
Rearrange closet space
On/off touch control lamps
Crank operated windows
Widen doorway

Electricity
Ground fault circuit interrupter-type (GFCI) electrical outlets

Lighting
Oversized light switches or lighted switches
Night lights in rooms and hallways
General lighting improvement throughout the house

Fire/Burglary
Smoke alarms
Fire extinguishers
Security systems (medical and personal)

Resource
National Aging in Place Council http://www.naipc.org/