Six nurses from the Visiting Nurse Association (VNA) recently received certification in chemotherapy from the Oncology Nursing Society after completing a two-day training program. The VNA also welcomed two new patient care managers and one nurse received wound care certification. Additionally, the current medical director of VNA Hospice is relocating and several changes are being made to physician coverage of hospice patients and facilities. The newsletter also provides information on the VNA's cardiac care program and answers frequently asked questions about artificial nutrition and hydration at the end of life.
This document provides information about recent activities and events at New Jersey Federally Qualified Health Centers (FQHCs). It begins with a letter from the President & CEO of the New Jersey Primary Care Association reflecting on the past year and highlighting their work supporting FQHCs. It then discusses various FQHC events from the past few months, including breast cancer awareness events, health center expansions and awards, and community outreach programs. The document promotes upcoming training opportunities through the NJPCA and their partnership with RWJ on Project ECHO for expanding specialty care access at FQHCs.
This document provides information about advanced directives. It defines an advanced directive as a legal document that specifies a person's wishes for medical treatment if they become unable to make decisions. It discusses the importance of advanced directives for patients, families, and physicians. It also describes different types of advanced directives like living wills, medical powers of attorney, and do not resuscitate orders.
This document celebrates National Nurses Week and recognizes the dedication and excellence of nurses at Kennedy Health System. It discusses the themes of ethical practice and quality care for Nurses Week. The document highlights the values and professional practice model that guide nursing care at Kennedy. It also describes the relationship-based care model that will be implemented and how it aligns with nursing philosophy and objectives. Throughout the week, nurses will be celebrated for their compassion and commitment to improving patients' lives.
This document summarizes an advance medical directive webinar presentation. It discusses the key components of advance medical directives including durable power of attorney, living wills, and organ donation directives. It also summarizes a landmark Virginia Supreme Court case on withdrawing life-prolonging treatment from patients in a persistent vegetative state. The document provides guidance on drafting, executing, and revoking advance medical directives.
This document summarizes a presentation on health care consent and advance care planning given by Judith Wahl from the Advocacy Centre for the Elderly. The presentation is divided into two parts, with part one covering health care consent basics and part two focusing on advance care planning. It discusses key concepts like informed consent, substitute decision-makers, and the difference between advance care plans and health care consent. Questions from participants are addressed during the webinar.
This annual report summarizes the activities and accomplishments of the Community Health Centers of Burlington (CHCB) in fiscal year 2014. It provides an overview of CHCB's continued efforts to provide affordable, high-quality healthcare to all members of the community regardless of their ability to pay. Key highlights include a 33% increase in youth patients served, treating over 120 patients through medication-assisted treatment for opioid addiction, and the community health team providing care coordination and support to over 1,260 patients. Financially, CHCB ended the year with a net income of $978,695 and over $4 million in cash assets.
Advance care planning: "Let's get talking"MS Trust
This presentation by Dr Jo Poultney, Dr Sarah MacLaran, and Dr Julia Grant looks at advance care planning and how to support patients to express their preferences about care: what they do and don't want to happen and the people important to them.
It was presented at the MS Trust Annual Conference in November 2014.
The document provides information about continuing education (CE) credit approval for various healthcare professionals through different VITAS Healthcare programs. It lists the states and professional groups that various VITAS programs are approved to provide CE credits for, including nurses, social workers, nursing home administrators, and respiratory therapists. It also provides the approval numbers and organizations. The document contains multiple sections that continue listing the state-by-state and professional group CE credit approval information for VITAS Healthcare programs.
This document provides information about recent activities and events at New Jersey Federally Qualified Health Centers (FQHCs). It begins with a letter from the President & CEO of the New Jersey Primary Care Association reflecting on the past year and highlighting their work supporting FQHCs. It then discusses various FQHC events from the past few months, including breast cancer awareness events, health center expansions and awards, and community outreach programs. The document promotes upcoming training opportunities through the NJPCA and their partnership with RWJ on Project ECHO for expanding specialty care access at FQHCs.
This document provides information about advanced directives. It defines an advanced directive as a legal document that specifies a person's wishes for medical treatment if they become unable to make decisions. It discusses the importance of advanced directives for patients, families, and physicians. It also describes different types of advanced directives like living wills, medical powers of attorney, and do not resuscitate orders.
This document celebrates National Nurses Week and recognizes the dedication and excellence of nurses at Kennedy Health System. It discusses the themes of ethical practice and quality care for Nurses Week. The document highlights the values and professional practice model that guide nursing care at Kennedy. It also describes the relationship-based care model that will be implemented and how it aligns with nursing philosophy and objectives. Throughout the week, nurses will be celebrated for their compassion and commitment to improving patients' lives.
This document summarizes an advance medical directive webinar presentation. It discusses the key components of advance medical directives including durable power of attorney, living wills, and organ donation directives. It also summarizes a landmark Virginia Supreme Court case on withdrawing life-prolonging treatment from patients in a persistent vegetative state. The document provides guidance on drafting, executing, and revoking advance medical directives.
This document summarizes a presentation on health care consent and advance care planning given by Judith Wahl from the Advocacy Centre for the Elderly. The presentation is divided into two parts, with part one covering health care consent basics and part two focusing on advance care planning. It discusses key concepts like informed consent, substitute decision-makers, and the difference between advance care plans and health care consent. Questions from participants are addressed during the webinar.
This annual report summarizes the activities and accomplishments of the Community Health Centers of Burlington (CHCB) in fiscal year 2014. It provides an overview of CHCB's continued efforts to provide affordable, high-quality healthcare to all members of the community regardless of their ability to pay. Key highlights include a 33% increase in youth patients served, treating over 120 patients through medication-assisted treatment for opioid addiction, and the community health team providing care coordination and support to over 1,260 patients. Financially, CHCB ended the year with a net income of $978,695 and over $4 million in cash assets.
Advance care planning: "Let's get talking"MS Trust
This presentation by Dr Jo Poultney, Dr Sarah MacLaran, and Dr Julia Grant looks at advance care planning and how to support patients to express their preferences about care: what they do and don't want to happen and the people important to them.
It was presented at the MS Trust Annual Conference in November 2014.
The document provides information about continuing education (CE) credit approval for various healthcare professionals through different VITAS Healthcare programs. It lists the states and professional groups that various VITAS programs are approved to provide CE credits for, including nurses, social workers, nursing home administrators, and respiratory therapists. It also provides the approval numbers and organizations. The document contains multiple sections that continue listing the state-by-state and professional group CE credit approval information for VITAS Healthcare programs.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so themselves. There are two types in New Jersey - a proxy directive which appoints a healthcare representative, and an instruction directive like a living will which provides guidance on treatments wanted or not wanted. Advance directives only take effect if a physician determines a person cannot make their own decisions. They help ensure preferences are followed and provide peace of mind that one's voice will still be heard during a medical crisis.
1. The document discusses social determinants of health for patients served by the Anderson Free Clinic, including poverty, lack of stable housing and healthy living conditions, lack of transportation, and poor nutrition due to low income. The clinic aims to address these social factors and provide medical care for related illnesses.
2. As a nonprofit clinic relying on donations, the Anderson Free Clinic must focus on cost-effectiveness to survive. It operates with a small paid staff and many volunteers. Resources are limited and carefully managed to keep services like low-cost medications and free medical/dental care accessible to patients.
3. During an internship at the clinic, the author observed nursing coordinator Elizabeth Young and her exemplary patient care
Our goal is to cover the wide areas of overlap and similarities between the two disciplines, and to also make the differences between the two clearer for you.
Presentation 202 jennifer kennedy hospice and pallative care for a patient...The ALS Association
This document discusses palliative care and hospice care options for patients diagnosed with ALS. It provides an overview of palliative care which focuses on symptom management and quality of life, versus hospice care which provides support for terminal illnesses in the last 6 months of life. The document reviews Medicare eligibility guidelines for hospice, common ALS symptoms addressed by palliative and hospice care, and barriers to referring patients to these services like late discussions around end-of-life care planning.
Hospice provides palliative care to patients with terminal illnesses through an interdisciplinary team approach. It focuses on comfort care and quality of life rather than cure. Dame Cicely Saunders founded the modern hospice movement in the 1960s based on her experience at St. Christopher's Hospice in London. Hospice care can be provided in the home, nursing home, hospital, or independent hospice facility. The hospice interdisciplinary team includes doctors, nurses, social workers, chaplains, home health aides, and volunteers who provide holistic physical, emotional and spiritual support to patients and their families.
This document summarizes the annual report of East Tennessee Children's Hospital for the 2017 fiscal year. It discusses how the hospital treated over 167,000 outpatient visits and provided specialized care through 35 subspecialties. It highlights new facilities and equipment upgrades, including a new surgery center and endocrinology center. It also describes the hospital's focus on family-centered care, safety, and creating a comfortable experience for patients through services like child life, interpreters, therapy dogs and volunteers.
Commonwealth Care Alliance: Care for Medicaid and Dual Beneficiaries with Com...NASHP HealthPolicy
The document describes the case of Anna C., a 55-year-old Medicaid beneficiary with multiple chronic conditions including multiple sclerosis and depression. Under her previous care arrangement, Anna experienced frequent hospitalizations and declining health. After enrolling in Commonwealth Care Alliance's health home program, Anna received a comprehensive in-home assessment and individualized care plan. This led to improved care coordination, engagement in treatment, and significantly better health outcomes over the past year with only a few emergency department visits.
Respiratory Symptoms in the Terminally Ill PatientVITAS Healthcare
The goal of this webinar was to educate healthcare professionals on interventions for cough, dyspnea, hemoptysis, and the “death rattle” in patients with end-of-life respiratory symptoms.
Hospice services can help alleviate distress for patients with advanced lung disease (ALD) through home nursing, symptom management, and caregiver support. However, physicians often fail to recognize eligibility and patients hesitate due to misconceptions. Presenting real patient cases helps illustrate how hospice can improve quality of life for those with burdensome ALD symptoms like Grace, who struggles with activities, and Mick, coping with recurrent hospitalizations.
The goal of this webinar was to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care.
This document provides instructions for replicating a cavity prevention program integrating oral health services into WIC nutrition appointments. The program removes barriers to preventive dental care for low-income families by [1] delivering brief oral health exams and fluoride varnish through WIC visits, eliminating time and travel costs, [2] providing exams and treatment at no cost to clients, and [3] contracting with independent dental hygienists who bill Medicaid to provide financially sustainable services. Over 500 clients received preventive care in the first 3 months of the program.
The goal of this webinar was to help hospice and healthcare professionals understand the ethics and application of artificial nutrition and hydration (ANH) for patients near the end of life.
The Anna Westin Act of 2015 is the first eating disorder legislation to receive bipartisan support at introduction in the past decade. However, further support is needed for the Anna Westin Act to become a law. Find out how Veritas Collaborative, an eating disorder treatment center in NC, is not only passionate about “Anna’s Law” but is also reaching out for others to join the support. Find out how you can show your support and learn more about The Anna Westin Act at http://veritascollaborative.com/blog/2015/07/a-call-to-action.
The document provides background information on a 60-year-old patient named D.P. who was admitted to the hospital with acute kidney injury. Key details include that he has a history of chronic kidney disease, type 2 diabetes, and hypertension. He lacks formal education and has a history of unhealthy behaviors like poor diet, smoking, and substance abuse. He is currently undergoing further evaluation and treatment in preparation for fistula placement and management of his acute medical issues.
Advanced Lung Disease: Prognostication and Role of HospiceVITAS Healthcare
This document provides an overview of advanced lung disease (ALD) and the role of hospice. It defines different types of ALD including obstructive and restrictive lung diseases. Signs and symptoms of ALD are discussed along with factors associated with poorer prognosis. Guidelines for hospice referral in ALD are reviewed. Trends showing increasing home and hospice deaths for those with lung disease are presented. Pharmacologic management of ALD focuses on symptom control rather than disease modification.
Deciding When Hospice Care is Needed | VITAS HealthcareVITAS Healthcare
The goal of this webinar is to help healthcare professionals address the specific challenges of end-of-life care when determining a terminal prognosis, so they can provide the optimum care for the patient and family during the final stages of life.
Read the 2013-2014 Annual Report for Children's Hospital to find out how we are serving the kids of Knoxville and the greater East Tennessee area. Find out more at https://www.etch.com/about/annual-report/
This document summarizes Tim Delesalle's story of surviving a sudden heart attack. It describes how his family administered CPR and paramedics rushed him to Royal Columbian Hospital (RCH) where Dr. Dorval performed an emergency angioplasty to open a blocked artery. It highlights RCH's role in saving Tim's life through their rapid response and specialized cardiac treatment.
FINANCIAL FREEDOM...Opportunities are like sunrises. If you wait too long, yo...truth777
This document outlines a business opportunity with the Forever Living Products (FLP) company through their partnership with the FA$TRACK business club. It describes FLP's generous reward scheme that can earn individuals over N5,000 monthly through building their social network within the club. The club provides strategy and support to help members succeed. Higher levels in the marketing plan like Manager can earn over N250,000 monthly. Perks like cars, vacations, and profit sharing are also outlined. Initial investment amounts to join are N150,000 for products and positioning in the network. Commitment, teachability, and sharing the opportunity are emphasized as keys to success.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so themselves. There are two types in New Jersey - a proxy directive which appoints a healthcare representative, and an instruction directive like a living will which provides guidance on treatments wanted or not wanted. Advance directives only take effect if a physician determines a person cannot make their own decisions. They help ensure preferences are followed and provide peace of mind that one's voice will still be heard during a medical crisis.
1. The document discusses social determinants of health for patients served by the Anderson Free Clinic, including poverty, lack of stable housing and healthy living conditions, lack of transportation, and poor nutrition due to low income. The clinic aims to address these social factors and provide medical care for related illnesses.
2. As a nonprofit clinic relying on donations, the Anderson Free Clinic must focus on cost-effectiveness to survive. It operates with a small paid staff and many volunteers. Resources are limited and carefully managed to keep services like low-cost medications and free medical/dental care accessible to patients.
3. During an internship at the clinic, the author observed nursing coordinator Elizabeth Young and her exemplary patient care
Our goal is to cover the wide areas of overlap and similarities between the two disciplines, and to also make the differences between the two clearer for you.
Presentation 202 jennifer kennedy hospice and pallative care for a patient...The ALS Association
This document discusses palliative care and hospice care options for patients diagnosed with ALS. It provides an overview of palliative care which focuses on symptom management and quality of life, versus hospice care which provides support for terminal illnesses in the last 6 months of life. The document reviews Medicare eligibility guidelines for hospice, common ALS symptoms addressed by palliative and hospice care, and barriers to referring patients to these services like late discussions around end-of-life care planning.
Hospice provides palliative care to patients with terminal illnesses through an interdisciplinary team approach. It focuses on comfort care and quality of life rather than cure. Dame Cicely Saunders founded the modern hospice movement in the 1960s based on her experience at St. Christopher's Hospice in London. Hospice care can be provided in the home, nursing home, hospital, or independent hospice facility. The hospice interdisciplinary team includes doctors, nurses, social workers, chaplains, home health aides, and volunteers who provide holistic physical, emotional and spiritual support to patients and their families.
This document summarizes the annual report of East Tennessee Children's Hospital for the 2017 fiscal year. It discusses how the hospital treated over 167,000 outpatient visits and provided specialized care through 35 subspecialties. It highlights new facilities and equipment upgrades, including a new surgery center and endocrinology center. It also describes the hospital's focus on family-centered care, safety, and creating a comfortable experience for patients through services like child life, interpreters, therapy dogs and volunteers.
Commonwealth Care Alliance: Care for Medicaid and Dual Beneficiaries with Com...NASHP HealthPolicy
The document describes the case of Anna C., a 55-year-old Medicaid beneficiary with multiple chronic conditions including multiple sclerosis and depression. Under her previous care arrangement, Anna experienced frequent hospitalizations and declining health. After enrolling in Commonwealth Care Alliance's health home program, Anna received a comprehensive in-home assessment and individualized care plan. This led to improved care coordination, engagement in treatment, and significantly better health outcomes over the past year with only a few emergency department visits.
Respiratory Symptoms in the Terminally Ill PatientVITAS Healthcare
The goal of this webinar was to educate healthcare professionals on interventions for cough, dyspnea, hemoptysis, and the “death rattle” in patients with end-of-life respiratory symptoms.
Hospice services can help alleviate distress for patients with advanced lung disease (ALD) through home nursing, symptom management, and caregiver support. However, physicians often fail to recognize eligibility and patients hesitate due to misconceptions. Presenting real patient cases helps illustrate how hospice can improve quality of life for those with burdensome ALD symptoms like Grace, who struggles with activities, and Mick, coping with recurrent hospitalizations.
The goal of this webinar was to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care.
This document provides instructions for replicating a cavity prevention program integrating oral health services into WIC nutrition appointments. The program removes barriers to preventive dental care for low-income families by [1] delivering brief oral health exams and fluoride varnish through WIC visits, eliminating time and travel costs, [2] providing exams and treatment at no cost to clients, and [3] contracting with independent dental hygienists who bill Medicaid to provide financially sustainable services. Over 500 clients received preventive care in the first 3 months of the program.
The goal of this webinar was to help hospice and healthcare professionals understand the ethics and application of artificial nutrition and hydration (ANH) for patients near the end of life.
The Anna Westin Act of 2015 is the first eating disorder legislation to receive bipartisan support at introduction in the past decade. However, further support is needed for the Anna Westin Act to become a law. Find out how Veritas Collaborative, an eating disorder treatment center in NC, is not only passionate about “Anna’s Law” but is also reaching out for others to join the support. Find out how you can show your support and learn more about The Anna Westin Act at http://veritascollaborative.com/blog/2015/07/a-call-to-action.
The document provides background information on a 60-year-old patient named D.P. who was admitted to the hospital with acute kidney injury. Key details include that he has a history of chronic kidney disease, type 2 diabetes, and hypertension. He lacks formal education and has a history of unhealthy behaviors like poor diet, smoking, and substance abuse. He is currently undergoing further evaluation and treatment in preparation for fistula placement and management of his acute medical issues.
Advanced Lung Disease: Prognostication and Role of HospiceVITAS Healthcare
This document provides an overview of advanced lung disease (ALD) and the role of hospice. It defines different types of ALD including obstructive and restrictive lung diseases. Signs and symptoms of ALD are discussed along with factors associated with poorer prognosis. Guidelines for hospice referral in ALD are reviewed. Trends showing increasing home and hospice deaths for those with lung disease are presented. Pharmacologic management of ALD focuses on symptom control rather than disease modification.
Deciding When Hospice Care is Needed | VITAS HealthcareVITAS Healthcare
The goal of this webinar is to help healthcare professionals address the specific challenges of end-of-life care when determining a terminal prognosis, so they can provide the optimum care for the patient and family during the final stages of life.
Read the 2013-2014 Annual Report for Children's Hospital to find out how we are serving the kids of Knoxville and the greater East Tennessee area. Find out more at https://www.etch.com/about/annual-report/
This document summarizes Tim Delesalle's story of surviving a sudden heart attack. It describes how his family administered CPR and paramedics rushed him to Royal Columbian Hospital (RCH) where Dr. Dorval performed an emergency angioplasty to open a blocked artery. It highlights RCH's role in saving Tim's life through their rapid response and specialized cardiac treatment.
FINANCIAL FREEDOM...Opportunities are like sunrises. If you wait too long, yo...truth777
This document outlines a business opportunity with the Forever Living Products (FLP) company through their partnership with the FA$TRACK business club. It describes FLP's generous reward scheme that can earn individuals over N5,000 monthly through building their social network within the club. The club provides strategy and support to help members succeed. Higher levels in the marketing plan like Manager can earn over N250,000 monthly. Perks like cars, vacations, and profit sharing are also outlined. Initial investment amounts to join are N150,000 for products and positioning in the network. Commitment, teachability, and sharing the opportunity are emphasized as keys to success.
Rural school districts face unique challenges due to their geographic isolation from state legislators who primarily represent urban areas. A former rural school board member and current county commissioner advocates that rural education leaders must increase their political engagement with all legislators through bipartisan conversations to help legislators understand rural issues and the economic impact of rural communities. He also stresses the importance of local control and allowing communities to operate their schools in a way that meets their students' needs. A bill allowing electronic participation in school board meetings was initially proposed by a rural district but eventually helped address this issue statewide.
The document outlines various partnership and sponsorship opportunities with the Colorado Association of School Boards (CASB) at different levels - Bronze, Silver, Gold and Platinum. The benefits of each level are described, such as complimentary registrations for the annual convention, discounts on exhibit booths, advertising opportunities, and recognition. It also describes underwriting opportunities for CASB publications, conferences, and programs to support their work and gain visibility.
This document summarizes a research paper that examines the association between low income and mental health issues in the United States using data from the 2012 General Social Survey. The paper finds that Americans with the lowest incomes, earning $0-25k annually, are more likely to report experiencing stress, depression or emotional problems at least one day per month compared to higher-income groups. This adds to previous mixed research on the relationship between income/income inequality and mental health. The paper controls for demographic factors and discusses how financial hardship and lack of resources may increase mental distress for low-income individuals.
George Blythe has been playing Santa Claus for over 23 years in Indian River County. He enjoys engaging children in conversations about Christmas traditions and celebrations rather than just asking what gifts they want. As a Realtor, George also transforms into Santa each year from mid-summer until December 26th, delighting hundreds of children but finding it difficult to stop being Santa after Christmas.
This document is an introduction to a school board member leadership workbook published by the Colorado Association of School Boards (CASB). It provides an overview of the workbook's contents which aim to assist school board members in meeting their responsibilities. The workbook covers topics like how local school boards operate, Colorado's system of education governance, developing policies, supporting student achievement, and advocacy. It emphasizes that school board members have an important role in ensuring all Colorado students have access to high-quality education.
THIS IS YOUR ROAD TO FINANCIAL FREEDOM...Opportunities are like sunrises. If ...truth777
Need More information? Call: +234 703 8962 260. What are your dreams in Life? Job, Money, traveling, wealth, financial freedom, education in the best schools, happy family, vacations, riches, dollars, becoming millionaire? What ever your dreams are, this an opportunity to actualize that dread. Go through the slides to the end and you would be glad you did. See you at the end.
This document contains two emoji - a star and a fork. It does not provide any words or context, so a meaningful summary cannot be generated from the limited information given. The document appears to be non-textual in nature.
セキュリティを重視した本格ビジネスサイトをWordPressで作るためのセミナーSPIRAL Inc.
http://developer.pi-pe.co.jp/wpseminar/wpseminar.html
国内トップクラスの導入実績と高い専門技術を持つWordPressインテグレーターであるプライム・ストラテジー株式会社と共催で、本格的なビジネスサイトをWordPressで構築したい開発者の方におすすめの「セキュリティを重視した本格ビジネスサイトをWordPressで作るためのセミナー」を開催しました。
セッションでは、セキュリティ対策方法や便利なプラグイン、クラウドサービスをご紹介し、WordPressサイトとSPIRAL®の「会員管理アプリ for WP」をつなぐWordPressプラグイン「 WP Member Login by SPIRAL 」の実装方法を解説いたしました。
WP Member Login by SPIRALとは?
http://www.pi-pe.co.jp/spiral-suite/function/plugin/wp-mls.html
WP Member Login by SPIRALの詳しい使い方と無料トライアル
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This document provides information about various services and events at LRGHealthcare facilities. The main pieces of information include:
- Convenience Care provides walk-in treatment for common injuries and illnesses at LRGH with convenient hours and no appointment needed.
- A new communication system called Voalté allows the healthcare team at LRGH to communicate instantly to coordinate patient care.
- Living Well workshops help people manage chronic health conditions through education on nutrition, stress management, and goal setting.
- Advanced Orthopaedic Specialists, formerly Orthopaedic Professional Association, provides joint pain treatment and holds seminars on joint health.
- Upcoming events include a hospice care discussion, golf classic
Clinica Esperanza/Hope Clinic "International Healthcare on the local bus line...Annie De Groot
Clínica Esperanza/Hope Clinic (CEHC) provides primary healthcare to uninsured Rhode Island residents. CEHC aims to offer high-quality and culturally competent care with an emphasis on prevention. It is run by volunteer healthcare providers and staff, with support from community donations. The document discusses CEHC's services, patient demographics, outcomes in managing chronic conditions, and initiatives like the CHEER walk-in clinic and Navegantes program to improve healthcare access and navigation. It also notes ongoing challenges around increasing demand and reducing emergency room use.
This document provides information about nurse practitioners (NPs) and independent nurse practice (INP). It defines NPs as registered nurses who have graduate-level nursing education and can diagnose, treat, and prescribe medications within their scope of practice. INPs are registered nurses who provide healthcare services independently. The document discusses the history and development of the NP role in the US since the 1960s. It also outlines the education, certification, and scope of practice of NPs in different specialties. Challenges to the NP and INP roles are mentioned, as well as strategies to address them through legislation, guidelines, and adherence to professional and legal standards.
Palliative Care vs. Curative Care - December 2023VITASAuthor
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
The document profiles several medical doctors who work for the Orange County Health Care Agency. It provides brief biographies of each doctor, including their educational background, years of experience, areas of specialty or focus, and reasons for practicing medicine. The doctors work in a variety of specialties including infectious diseases, emergency preparedness, mental health, family medicine, and more. They describe fulfilling their roles as physicians, advocates, innovators and more in order to improve public health and serve the community.
The ONU HealthWise program began in 2010 with modest goals of improving employee health, satisfaction, and decreasing healthcare costs while providing education for students. It has since expanded to serve the surrounding community, offering services like disease management, medication management, health screenings, and a new tobacco cessation program. In 2015, ONU launched a mobile health clinic to improve access to healthcare in underserved Hardin County, where many lack primary care due to its rural nature, aging population, and poverty. The clinic has been successful in its first six months at helping patients manage chronic conditions.
The document discusses the value of hospice care within the Medicare system. It notes that recent statistical analyses found hospice generated cost savings in a patient's last six months of life and up to a year of hospice enrollment. The document then proposes examining these results from different perspectives within the serious illness care continuum, including from primary care physicians and considering diversity, equity and inclusion. Expert hospice and palliative care clinicians would discuss the importance of earlier access to such care in a patient's disease trajectory, as well as the
This document provides information about Katie Zwick's health academy program and rotations. It describes an orientation week where students toured local hospitals and learned proper procedures. It discusses presenting hand washing lessons to elementary students. Finally, it outlines several potential health care career options at both entry-level and long-term levels, including descriptions, interests, requirements and sources.
ECDC 2015 Annual Report Final 10-16-16yepimcynthia
El Centro de Corazón is a Federally Qualified Health Center that has served the East End of Houston for 21 years. In 2015, it operated 3 health centers providing over 44,000 patient visits for medical, dental, behavioral health and other services. El Centro aims to promote health for the underserved population it serves, which is 92% Hispanic and 97% living at or below 200% of the federal poverty level. Key highlights from 2015 included expanding services, community health education events, and providing over 450 free mammograms through partnerships. Financially, El Centro operated on a budget of over $10 million and continued its mission of serving all patients regardless of their ability to pay.
Hospice care provides compassionate care for those near the end of life, allowing them to spend their final days with dignity and comfort, surrounded by loved ones. It aims to ease suffering and enhance quality of life for both patients and their families. Hospice care can be provided in various settings, including at home, and focuses on palliative care rather than curative treatment for those with a life expectancy of six months or less. The document discusses the history and benefits of hospice care, comparing it to treatment in hospitals, and examines different hospice care providers and their services.
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
CSC Insight into Patient Access to Care in CancerBev Soult
The document summarizes key findings from a survey of 692 cancer patients and their families about access to care. It finds that while most patients had health insurance, many did not receive recommended social/emotional support services or referrals to such services. Over 20% reported delays in care and nearly 20% felt they did not have adequate time with providers. Only 34% discussed costs of treatment with providers. Nearly half paid more for care in the past year due to insurance premiums, deductibles, and co-pays. Over a third were seriously concerned about out-of-pocket costs and bankruptcy from medical expenses. The survey aimed to understand challenges patients face in accessing comprehensive cancer care.
Original Medicare Parts A and B cover most, but not all, health supplies and services. For this reason, you may need to consider a Medicare supplement plan. Unlike Medicare, Medicare’s supplemental plans are provided by private insurance companies. Medigap covers the payment of a portion of the medical and hospital costs not covered by Original Medicare, such as co-insurance, co-payment and annual deductibles.
The grant will be used to establish a diabetes self-management education program (DSME) to teach patients with poorly controlled diabetes the lifestyle changes necessary to manage the condition.
This document discusses quality improvement efforts around breast and colorectal cancer screening at CommunityHealth, a nonprofit health center providing free healthcare to low-income, uninsured residents in Chicago. For breast cancer screening, opportunities for improvement include developing patient reminder systems, better use of EMR tools to flag overdue patients, and providing more education. For colorectal cancer screening, a tiered approach using fecal immunochemical tests for average-risk patients and colonoscopies for high-risk patients was implemented. Additional strategies to boost screening rates include intensive provider and staff education and targeted patient outreach. Success will be measured by benchmarking screening rates over time.
Web only rx16 treat-wed_1115_1_hudson_2badaOPUNITE
The document discusses treatment and outcomes of neonatal abstinence syndrome (NAS). It summarizes a presentation by two doctors on NAS treatment. It then describes a study examining outcomes of a palliative early treatment model for NAS at Greenville Memorial Hospital. The model involved early low-dose methadone treatment for opioid exposed newborns in a low-acuity nursery setting. Results showed lower length of stay, less weight loss and medical complications compared to national averages, with total hospital costs averaging $5,909 per case.
The document summarizes services provided at The Scarborough Hospital in Toronto, Canada. It describes the hospital as serving a diverse population of almost 1 million people. It provides information on emergency departments, geriatric emergency management nurses, an after-hours clinic, geriatrics clinics, outpatient services, and expectations for patients and what patients can expect from the hospital.
This document is the 2014 annual report of the Visiting Nurse Association Health Group (VNA Health Group). It summarizes the organization's mission to help individuals achieve their best health and well-being through compassionate home and community care. In 2014, VNA Health Group served nearly 110,000 people across New Jersey. The report highlights the organization's three programmatic institutes and new strategic plan focused on engagement, quality, innovation, and sustainability. It also recognizes the leadership's roles in advancing health care and their communities.
1. VOLUME 1 • NO. 2
CV"IsiTING NuRSE AssociATION
HOMECARE&J-IOSPICE
NEWSLETTER FOR PHYSICIANS AND MEDICAl COMMUNITY
Employee Spotlight
Six VNA Nurses Earn Che1notherapy Certification from 011cology Nursing Society
Visiting Nurse Association nurses
Joy Hulecki, Susan Haberlack, Lisa
Kearney, Millie Gowen, Delia Ellis
and Anne Marie Tranghese recently
received certification from the
Oncology Nursing Society to care for
patients receiving chemotherapy.
The two-day program, presented
by oncology nurse experts, provided
nurses with a comprehensive overview
of chemotherapy and biotherapy
and included information on newly
approved drugs to keep them apprised
of the latest developments in drug
therapy. The program covered current
and evidence-based content on
From left: Joy Hulecki, Lisa Kearney. Anne Marie
Tranghese, Millie Gowen andSusan Haberlack
principles, types and classifications of
chemotherapy and biotherapy, effective
ways to monitor patients receiving
chemotherapy and biotherapy, and
patient education on chemotherapy and
biotherapy side effects and symptom
management.
"Chemotherapy is moving toward the
outpatient setting. We expect more
therapy to be administered orally
in the future. The administration of
chemotherapy is being met in our
community, and with our new clinical
expertise, the VNA is better equipped
to support people in our community
who are receiving cancer treatment.
We will focus on patient education,
symptom management and improving
quality of life," said Hulecki, an ARNP
consulting with the VNA's oncology
nursing team.
VNA Welconzes Patient Care Managers Nancy Conroy and Nancy Baker
Nancy Conroy Nancy Baker
Registered nurses Nancy Conroy and
Nancy Baker have joined the Visiting
Nurse Association as patient care
managers. Conroy will oversee the
agency's cardiac, orthopedic, post-op
and internal medicine specialty teams;
Baker will oversee the agency's wound,
IV and pediatric specialty teams.
Prior to joining the VNA, Conroy
- who has more than 20 years of
nursing experience - was the assistant
director of nursing for HealthSouth.
Stephanie Vaccaro Ean1s Wound Care Certification
Stephanie Vaccaro, RN, wound
care nurse at the VNA, has earned
her wound care certification, making
her the second nurse on staff with
advanced expertise in wound care.
Vaccaro works on the wound care
team to provide specialized care
to patients with conditions such as
diabetic wounds and post-surgical
wounds. Together, tl1is specialized
team of nurses serves approximately
one third of the VNA's patients.
Vaccaro obtained her wound care
certification after attending a week-
long seminar in Ft. Lauderdale and
passing a wound care examination.
APRIUMAY 2006
Additionally, she worked for
more than 10 years at Indian River
Memorial Hospital.
Baker, who has more than 30 years
of nursing experience, relocated
to Vero Beach from New Port Richey,
where she worked at Gentiva Health
Services and Hernando Pasco
Homecare and Hospice.
The VNA will send
two more nurses to
a seminar in July to
receive their wound
care certification and
has plans to have all
of the wound care Stephanie J·accaro
nurses certified by year's end.
2. Think of the VNA When Your Patient ...
• has a medication change or any new • has a wound, skin tears, or other
area that is reddened or inflamedmedication ordered
• has a new order • exhibits behavioral changes, i.e.
cries frequently, sleeps excessively,
isolates self
• has recently fallen
• makes visits to the emergency room
• returns from a hospital stay • has loss of appetite resulting in
weakness and risk to integrity of
skin and overall health
• returns from a rehab or skilled care
facility stay
• makes frequent calls to your office
A Message from Dr. Cunningham ...
2
Dear Colleague,
As most of you are aware, effective May 17, 2006, I will
be relinquishing my position as medical director for
VNA Hospice of Indian River County to relocate to
Alabama.
Effective May 10, I will not be accepting any new
hospice patients. If you refer patients to VNA
Hospice, please plan to follow them through the
program. Also effective May 10, Dr. Richard Penly
will cover the Hospice House and hospice in-patients at
Indian River Memorial Hospital. As associate medical director for
VNA Hospice, Dr. Penly also is an available resource for primary physicians.
To help bring patient care to an even higher level, the VNA has recently hired
three part-time medical directors to serve Sebastian, nursing homes/ assisted
living facilities and the Hospice House. Final interviews are underway for
a fu11-time medica] director, who will serve as a VNA Hospice "champion"
and oversee the hospice program. The full-time medical director will cover
the entire county, including home visits, Indian River Memorial Hospital and
Sebastian River Medical Center.
We hope to have our four medical directors on board by June 30. Thank you
for your patience during this transition period, as VNA Hospice continues to
work hard to ensure Htat each patient and family receives the finest hospice
care possible.
If you have any questions or concerns, please do not hesitate to contact me at
(772) 473-2978.
Thank you for supporting VNA Hospice and for allowing me the opportunity
to serve you and your patients.
Sincerely,
~~-
Richard Cunningham, D.O.
Medical Director, VNA Hospice of Indian River County
VISITING NURSE AsSOCIATION
Questions that Docto
About Artificial Nutritio
It is very common for doctors to
provide fluids and food to people who
are very sick or recovering from surgery.
This is called "artificial nutrition anc
hydration," and, like all medical
treatments, it can be helpful or harmfuJ
dependi.J;lg on the situation.
When there is no hope of recovery
from an illness or an injury, decisions
about artificial nutrition and hydration
at the end of life can be very difficult,
especially for loved ones. If the person
who is ill or injured cannot communicate
families can have different opinions
and be tom apart.
Q: What happens when artificial
nutrition and hydration is given to
patients who are at the end of life?
A: When someone with a serious, life-
limiting ilh1ess is no longer able to
eat or drink it usually means that the
body is beginning to stop functioning.
Artificial nutrition and hydration
will not bring the person back to a
healthy state.
Most doctors agree that artificial
nutrition and hydration can increase
suffering in patients who are dying
3. 1
s Frequently Ask ...
(Food) and Hydratio11 (Fluids) At the Ettd o
and no longer have the ability or
interest to eat food and drink liquids
themselves. Artificial nutrition and
hydration can add more discomfort
to a dying person's physical symptoms,
such as bloating, swelling, cramps,
diarrhea and shortness of breath.
It is important to remember that
the person's body is beginning to
shut down because of the disease
and dying process, not because of the
absence of food and liquid. There are
ways to ensure a person's comfort
at the end of life by treating dry lips
and mouth. VNA Hospice and
palliative care professionals are
experts in providing comfort
treatments.
Q: Is it considered suicide to refuse
artificial nutrition and hydration?
A: No. Everyone has the right to refuse
or discontinue a medical treatment. A
person at the end of life is dying, not
by choice, but because of a particular
disease. It is not considered suicide
to refuse or stop a medical treatment
that cannot bring back health.
Reminder
Registering your cancer patients
helps ensure that Indian River
County will continue to receive
funding from the American Cancer
Society to provide free transportation,
support groups and other services.
Cancer patients camlOt access these
services without first being registered
in the American Cancer Society
Q: What does the law say about
artificial nutrition and hydration?
A: Legally, artificial nutrition and
hydration is considered a medical
treatment that may be refused at
the end of life. If the patient is able
to make decisions, the patient can
tell his/her physician what he or
she wants. For patients who can no
longer talk about their wishes, some
states demand strong evidence to
show what the patient's wishes are.
When there is uncertainty or conflict
about whether or not a person would
want the medical treatment, treatment
will usually be continued. This is
why completing and talking about
advance directives is important - so
that there will be no doubt about
what kind of medical treatments your
patients would want or not want at
the end of life.
Source: 2006 NHPCO. Support is pro~·ided by a grant
from The Robert WoodJohnson Foundation, Princeton,
New Jersey.
database. Anyone in your office who
interacts with your patients can
register them. It's easy and only
takes a few minutes. Remember,
ACS cannot help your patients until
they know who they are!To request a
registration form, call Karen Lampert-
Riley at (772) 978-5560.
HOMECARE & HOSPICE
Cardiac Connection
By providing physician-recommended
medical services at home, including
blood draws and intravenous therapy,
and by communicating with physicians
and patients to make sure the VNA
stays on track with the physician's plan
for the patient's progress, the Cardiac
Connection program can prevent
patients from being hospitalized or
experiencing a deterioration of their
cardiac condition.
The Cardiac Connection program
begins with a physician's referral, which
is followed by an intake meeting with
the patient to develop a patient profile,
including medical history, current
medications and the patient's physical
needs and medical requirements. The
information from that profile, along
with the physician's orders, guides the
VNA team in developing an individualized
plan of care for each patient.
From that point, the VNA oversees
the patient's home care plan, arranging
for any special medical equipment to
be delivered to the home, helping the
patient connect with appropriate
community partners, scheduling nurses
and other professionals to visit on a
regular basis to record vital medical
information and to provide medical
services, while offering a wealth of
educational resources to help patients
manage their condition.
VNA
CARD1AC
CONN~CT10N
Your heart partners
3
4. VNA Hospice Distributing Free Copies ofFive Wishes
VNA Hospice is distributing complimentary copies of
Five Wishes, an easy-to-use tool to help your patients plan
how they want to be cared for in case they become
seriously ill. The legal document lets your patients and
their families know which person they want to make
health care decisions for them when they can't make
them, the kind of medical treatment they want or don't
want, how comfortable they want to be, and how they
want people to treat them. Five Wishes is unique among
all other living wills and health agent forms because it
looks to all of a person's needs: medical, personal,
emotional and spiritual. To request copies of Five
Wishes for your office, call Teri Robotti at (772) 978-5545.
Care Plan Oversight (Medicare Reimbursement) Updatefor ARNPs and PAs
From the Association ofHonze Health Industries ofFlorida
Effective Jan. 1, NPPs may now
"perform home health CPO (G0181
Physician supervision of a patient
receiving Medicare-covered services
provided by a participating HHA)
even though they cannot certify a
patient for home health services and
sign the plan of care."
• The certifying physician and the
NP must be part of the same group
practice
• NPs who are nurse practitioners or
clinical nurse specialists must have
a collaborative agreement with the
certifying physician
PHYSICIAN FEE SCHEDULE
(FEE ALLOWED 2005-06)
Fort Lauderdale
Miami
Rest of Florida
$57.50$60.29$54.94
Code G0179 (Re-Cert)
Fori Lauderdale ;;;;;~$~7~6~.1:4____Miami $78.88
Rest ofFlorida 72.01
Code G0180 (Cat)
Fort Lauderdale ;l--;;;;;;;~~$iL~?]~.6~5Miami $132.26
Resl f.!(Florida $121.98
Code G0181 (CPO)
physician signing the plan of
treatment
• The physician certifying the plan
must provide regular ongoing care
under the same plan of care as does
the NP billing for CPO
• ARNPs can bill for CPO, PAs cannot
separately bill for this service
• The NP providing the CPO must
also have seen and examined the
patient, must integrate the care
with that of the physician, and not
function as a consultant limited to a
single medical condition
Since NPs may not certify or
re-certify patients, can they sign• Physician assistants must be under
the general supervision of the '-------------------' interim orders in com1ection with their
Physician Contacts
This newsletter was created to provide a forum for VNA home health
care and hospice information and education. If there are specific topics
that you would like to know more about or see presented in the newslet-
ter, please let us know. We appreciate and welcome your feedback!
Karen Lampert-Riley
Physician Liaison Manager
(772) 978-5560
kriley@vnatc.com
Teri Robotti
Physician Liaison
(772) 978-5545
trobotti@vnatc.com
Carrie Duprey
Physician Liaison
(772) 978-5571
cduprey@vnatc.com
CPO activities? While there is no direct
answer from CMS on this question,
the Association of Home Health
Industries of Florida staff believe that
this new authorization for NPs to
provide CPO services must include
the authority to sign orders incident
thereto (except for cert and re-cert
which are specifically reserved to
physicians), otherwise it is a useless
grant of authority.
~ 1Y Visiting Nurse Association
Home Healrh Care & Hospice
www.vnatc.com
Uc. # HHA21276095 I HPC5038096 I HHA21387096l
4 1110 35TH LANE • VERO BEACH, FL 32960