NAVIGATING HEALTHCARE IN THE UNITEDSTATESEmily RNAdjunct Faculty University ofSioux Falls: Dept of Nursing
Understanding Health and Health Care•If you are sick, get care as soon as possible so that your health does not get worse....
Understanding Health and Health Care•Most hospitals must treat you during a medical emergency, even if you cannot pay.
What is health?• Health in your country may include body, mind and spirit.• In the U.S., health focuses on the body.• Body...
What is illness or being sick?• Illness or being sick in your home country may mean you are out of  balance.• Restoring ba...
What is illness or being sick?   In the U.S., illness means that that there is physical disease.   This means that the bod...
What is medical care?• You may know medical care as a mix of science, traditional care, and  spiritual care.
Traditional Care• Herbs• Potions• Prayer• Acupuncture
What is medical care?• In the U.S., medical care focuses on the body.• It is based on science.• It does not include spirit...
What is Medical Care?
In the U.S., you are responsible for your health•You must be a partnerwith your doctor orother caregiver.•You may talk wit...
You Have Rights!• You have a right to be treated with respect.
You Have Rights!• You have a right to have your questions answered.
You Have Rights!• You have a right to participate in your care. You have a right to  informed consent.
You Have Rights!• You may have a right to an interpreter.
You have a right to privacy.
Emergency Care• Serious emergency care is needed for life-threatening or very bad  illness or injury.• These might include...
Emergency Room
Symptoms of Heart Attack
Symptoms of a Heart Attack• Symptoms of a heart attack can include:• Discomfort, pressure, heaviness, or pain in the chest...
Symptoms of a stroke• If you have symptoms of a stroke, call 911 or other emergency  services right away. Symptoms may inc...
Symptoms of a Stroke  Sudden trouble speaking.  Sudden confusion or trouble understanding simple  statements.  Sudden prob...
Emergency Care• Emergency care might also be needed for less serious emergencies:• Minor burns• Cuts needing stitches• Sim...
Non Emergency Care• Routine care includes:• Physical exams• Well-child and well-baby exams• Immunizations• Regular tests (...
Non Emergency Care at Clinic• Emergency Care
Where can I get regular care?• This may depend on what your insurance is or if you have any at all.
If you are insured…• You may go to:• Any person or place that takes your insurance.• These include:  • Doctors’ offices  •...
I have no insurance, where can I go?• Falls Community Health• Contact Us• Falls Community Health• 521 N. Main Ave.• Sioux ...
Falls Community Health• Providing an Open Door for Medical and Dental Care• Falls Community Health’s mission is to be an o...
Avera Downtown Clinic• Health Care Clinic and Downtown Center - Avera McKennan• 300 N Dakota Ste 117  Sioux Falls, SD - 57...
What is the difference between Medicaid andMedicare?• A: Many people confuse Medicaid and Medicare. Medicaid and  Medicare...
Insurance facts• Insurance Cards• Deductible• Co-Pay• Monthly premium
Affordable Care Act5 Things to Know for Healthy Individuals• Under the health care law, insurance companies can no longer ...
Affordable Care Act• Job-based health plans and new individual plans are no longer  allowed to deny or exclude coverage to...
Medicaid• Medical Benefits Card• What does the card look like?• It is a magnetic stripe, plastic card like the one show be...
Medicaid Card
Medicaremed·i·care/ˈmediˈke(ə)r/(in the US) A federal system of health insurance for people over 65 years of ageand for ce...
Prevention of Illness: The best medicine• An ounce of prevention is worth a pound of cure.
Tips for staying healthy• Drink the optimal amount of water.
Tips for staying healthy• Eat a healthy diet.
Tips for staying healthy• Wash your hands regularly.
Tips for staying healthy• Get the right amount of sleep every night.
Tips for staying healthy• Exercise regularly.
Final notes about Health Care in the USA• Be persistent• Keep appointments• Try to see the same Doctor time after time• Ta...
Thank you!
Sources• Web MD• Center for Disease Control CDC• Virginia Department of Health• City of Sioux Falls website
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Navigating health care in the United States

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  • You may think of these as being together.Good health may mean that you are in balance.ExamplesHot and coldFour humors: Blood, phlegm, black bile, and yellow bile
  • If you have symptoms of a Heart Attack your BEST chance of survival is to get to and Emergency RoomChest Pain
  • 5 Things to Know for Healthy IndividualsUnder the health care law, insurance companies can no longer drop you when you get sick just because you made a mistake on your coverage application.Parents have new options to cover their children. If you have children under age 26, you can insure them if your policy allows for dependent coverage. The only exception is if you have an existing job-based plan, and your children can get their own job-based coverage.Job-based health plans and new individual plans are no longer allowed to deny or exclude coverage to any child under age 19 based on health conditions, including babies born with health problems.Starting in 2014, if your income is less than the equivalent of about $88,000 for a family of four today and your job doesn’t offer affordable coverage, you may get tax credits to help pay for insurance.Starting in 2014, if your employer doesn’t offer insurance, you will be able to buy insurance directly in the Health Insurance Marketplace that gives you power similar to what large businesses and members of Congress have to get better choices and lower prices.
  • Transcript of "Navigating health care in the United States"

    1. 1. NAVIGATING HEALTHCARE IN THE UNITEDSTATESEmily RNAdjunct Faculty University ofSioux Falls: Dept of Nursing
    2. 2. Understanding Health and Health Care•If you are sick, get care as soon as possible so that your health does not get worse.•If you need care right away, go to the nearest hospital emergency room.
    3. 3. Understanding Health and Health Care•Most hospitals must treat you during a medical emergency, even if you cannot pay.
    4. 4. What is health?• Health in your country may include body, mind and spirit.• In the U.S., health focuses on the body.• Body and mind are separate.• To be in good health means the body is free of illness (disease).
    5. 5. What is illness or being sick?• Illness or being sick in your home country may mean you are out of balance.• Restoring balance will make you well.
    6. 6. What is illness or being sick? In the U.S., illness means that that there is physical disease. This means that the body and parts of the body are not working right. To restore health means to restore the body to good working order.
    7. 7. What is medical care?• You may know medical care as a mix of science, traditional care, and spiritual care.
    8. 8. Traditional Care• Herbs• Potions• Prayer• Acupuncture
    9. 9. What is medical care?• In the U.S., medical care focuses on the body.• It is based on science.• It does not include spirit or religion.• It often uses machines to test for and treat illness.
    10. 10. What is Medical Care?
    11. 11. In the U.S., you are responsible for your health•You must be a partnerwith your doctor orother caregiver.•You may talk with relatives The final decisions about care are yours.
    12. 12. You Have Rights!• You have a right to be treated with respect.
    13. 13. You Have Rights!• You have a right to have your questions answered.
    14. 14. You Have Rights!• You have a right to participate in your care. You have a right to informed consent.
    15. 15. You Have Rights!• You may have a right to an interpreter.
    16. 16. You have a right to privacy.
    17. 17. Emergency Care• Serious emergency care is needed for life-threatening or very bad illness or injury.• These might include:• Heart attacks• Serious car wrecks• Bad burns• Bad broken bones (bones that break the skin)• Very high fever; convulsions• Symptoms of stroke
    18. 18. Emergency Room
    19. 19. Symptoms of Heart Attack
    20. 20. Symptoms of a Heart Attack• Symptoms of a heart attack can include:• Discomfort, pressure, heaviness, or pain in the chest, arm, or below the breastbone.• Discomfort radiating to the back, jaw, throat, or arm.• Fullness, indigestion, or choking feeling (may feel like heartburn).• Sweating, nausea, vomiting, or dizziness.• Extreme weakness, anxiety, or shortness of breath.• Rapid or irregular heartbeats.
    21. 21. Symptoms of a stroke• If you have symptoms of a stroke, call 911 or other emergency services right away. Symptoms may include:• Sudden numbness, tingling, weakness, or loss of movement in your face, arm, or leg, especially on only one side of your body.• Sudden vision changes.• Sudden trouble speaking.
    22. 22. Symptoms of a Stroke Sudden trouble speaking. Sudden confusion or trouble understanding simple statements. Sudden problems with walking or balance. A sudden, severe headache that is different from past headaches
    23. 23. Emergency Care• Emergency care might also be needed for less serious emergencies:• Minor burns• Cuts needing stitches• Simple bone fractures (when bones do not break the skin)• Asthma attacks
    24. 24. Non Emergency Care• Routine care includes:• Physical exams• Well-child and well-baby exams• Immunizations• Regular tests (Mammograms, Glucose screening)• Normal illnesses include:• Sore throat or cough• Fever• Stomachache• Earache• Rash• Mild injury (sprained ankle)• Backache
    25. 25. Non Emergency Care at Clinic• Emergency Care
    26. 26. Where can I get regular care?• This may depend on what your insurance is or if you have any at all.
    27. 27. If you are insured…• You may go to:• Any person or place that takes your insurance.• These include: • Doctors’ offices • Clinics, including community health centers and clinics in retail stores. • Hospitals• Ask your insurance company for help finding care.
    28. 28. I have no insurance, where can I go?• Falls Community Health• Contact Us• Falls Community Health• 521 N. Main Ave.• Sioux Falls, SD 57104-5947• Phone: 605-367-8793
    29. 29. Falls Community Health• Providing an Open Door for Medical and Dental Care• Falls Community Health’s mission is to be an open door to quality health care services by removing barriers, especially financial, that exist for working families without health insurance or other resources to meet their health care needs.
    30. 30. Avera Downtown Clinic• Health Care Clinic and Downtown Center - Avera McKennan• 300 N Dakota Ste 117 Sioux Falls, SD - 57104 605-322-6800
    31. 31. What is the difference between Medicaid andMedicare?• A: Many people confuse Medicaid and Medicare. Medicaid and Medicare are both forms of health insurance; yet eligibility for each program is different. Medicaid is the state-federal funded program for low income children and families, elderly and people with severe disabilities. Medicare is a federally funded health insurance program for Social Security beneficiaries.
    32. 32. Insurance facts• Insurance Cards• Deductible• Co-Pay• Monthly premium
    33. 33. Affordable Care Act5 Things to Know for Healthy Individuals• Under the health care law, insurance companies can no longer drop you when you get sick just because you made a mistake on your coverage application.• Parents have new options to cover their children. If you have children under age 26, you can insure them if your policy allows for dependent coverage.
    34. 34. Affordable Care Act• Job-based health plans and new individual plans are no longer allowed to deny or exclude coverage to any child under age 19 based on health conditions, including babies born with health problems.• Starting in 2014, if your income is less than the equivalent of about $88,000 for a family of four today and your job doesn’t offer affordable coverage, you may get tax credits to help pay for insurance.• Starting in 2014, if your employer doesn’t offer insurance, you will be able to buy insurance directly in the Health Insurance Marketplace
    35. 35. Medicaid• Medical Benefits Card• What does the card look like?• It is a magnetic stripe, plastic card like the one show below. The information on the face of the card includes the following:• Last Name• First Name and Middle Initial (MI)• ID Number (9-Digit)• Generation Number (3-Digit)• DOB• Sex• Each individual household member is issued their own card.
    36. 36. Medicaid Card
    37. 37. Medicaremed·i·care/ˈmediˈke(ə)r/(in the US) A federal system of health insurance for people over 65 years of ageand for certain younger people with disabilities.
    38. 38. Prevention of Illness: The best medicine• An ounce of prevention is worth a pound of cure.
    39. 39. Tips for staying healthy• Drink the optimal amount of water.
    40. 40. Tips for staying healthy• Eat a healthy diet.
    41. 41. Tips for staying healthy• Wash your hands regularly.
    42. 42. Tips for staying healthy• Get the right amount of sleep every night.
    43. 43. Tips for staying healthy• Exercise regularly.
    44. 44. Final notes about Health Care in the USA• Be persistent• Keep appointments• Try to see the same Doctor time after time• Take medicines as prescribed• Take responsibility for your care• Health Care is changing• More people will have access
    45. 45. Thank you!
    46. 46. Sources• Web MD• Center for Disease Control CDC• Virginia Department of Health• City of Sioux Falls website

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