This homecare agency provides a wide range of in-home medical, rehabilitation, and support services to help clients remain in their homes. They have a doctor-owned, nurse-managed model with strict safety standards. Services include skilled nursing, physical/occupational/speech therapy, medical social work, and 24/7 nurse support. They aim to improve outcomes through coordinated, compassionate long-term care that improves quality of life.
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.
Living as Well as you Can for As Long as you CanBCCPA
Sit down buffet breakfast featuring keynote speaker Dr. Romayne Gallagher, Head Division of Palliative Care, Department of Family & Community Medicine, Providence Health Care; Clinical Professor, Division of Palliative Care, UBC
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.
Living as Well as you Can for As Long as you CanBCCPA
Sit down buffet breakfast featuring keynote speaker Dr. Romayne Gallagher, Head Division of Palliative Care, Department of Family & Community Medicine, Providence Health Care; Clinical Professor, Division of Palliative Care, UBC
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
I am Dr. Saleh Ahmed Hamidi, successfully Conducted a dissertation & also presented by me (08/01/2016) about patient satisfaction level in tertiary level hospital.
Medical Affairs teams in Asia’s diverse markets need to collaborate with R&D and understand the science, the business and the regulations. They need to constantly think strategically and communicate effectively.
• How can Medical Affairs teams be even more impactful in enhancing your company’s scientific reputation?
• How can you better communicate the value of your products to KOLs and Healthcare professionals?
• What makes a successful Medical Affairs team in Asia?
Get the answers and more at the 3rd MEDICAL AFFAIRS FORUM ASIA {link} - the region’s longest running strategy forum where leading medical affairs professionals share best practices, discuss common issues and learn from industry experts to enhance scientific reputation and better communicate the value of products to KOLs.
http://www.pharmaconasia.com/medical-affairs-forum-asia
Mental Health Services in Northwest OhioAvaWilson88
The goal of establishing school-based mental health (SBMH) programs at Williams County school districts is to benefit students who need mental health services but face barriers like travel or cost. To overcome those barriers, Community Hospitals and Wellness Centers (CHWC) has partnered with local school districts to bring mental health professionals right into the schools themselves. For more details, visit: https://bit.ly/2ZkcMgE
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
I am Dr. Saleh Ahmed Hamidi, successfully Conducted a dissertation & also presented by me (08/01/2016) about patient satisfaction level in tertiary level hospital.
Medical Affairs teams in Asia’s diverse markets need to collaborate with R&D and understand the science, the business and the regulations. They need to constantly think strategically and communicate effectively.
• How can Medical Affairs teams be even more impactful in enhancing your company’s scientific reputation?
• How can you better communicate the value of your products to KOLs and Healthcare professionals?
• What makes a successful Medical Affairs team in Asia?
Get the answers and more at the 3rd MEDICAL AFFAIRS FORUM ASIA {link} - the region’s longest running strategy forum where leading medical affairs professionals share best practices, discuss common issues and learn from industry experts to enhance scientific reputation and better communicate the value of products to KOLs.
http://www.pharmaconasia.com/medical-affairs-forum-asia
Mental Health Services in Northwest OhioAvaWilson88
The goal of establishing school-based mental health (SBMH) programs at Williams County school districts is to benefit students who need mental health services but face barriers like travel or cost. To overcome those barriers, Community Hospitals and Wellness Centers (CHWC) has partnered with local school districts to bring mental health professionals right into the schools themselves. For more details, visit: https://bit.ly/2ZkcMgE
Personal Health Budgets and Continuing HealthcareMS Trust
This presentation by Gill Ruecroft, Commissioning Manager, provides an overview of Personal Health Budgets (PHBs) and demonstrates the effectiveness of PHBs through case studies.
It was presented at the MS Trust Annual Conference in November 2014.
Key tools can quickly facilitate goals-of-care (GOC) conversations, advance care planning, and hospice referrals amid the ED’s time constraints and high-acuity challenges.
When Decision-Making Is Imperative: Advance Care Planning for Busy Practice S...VITAS Healthcare
Complex, chronically ill patients present an opportunity to discuss and implement hospice and palliative care. Many elderly patients who present to the ED and other busy practice settings are hospice-eligible because of functional decline and multi-morbidity. Key tools can quickly facilitate goals-of-care (GOC) conversations, advance care planning, and hospice referrals amid time constraints and high-acuity challenges.
MADRE Healthcare Corporate Presentation for Hospitals Healthcare Facilitator ...Bidyut Bikash Dhar
Leading Medical Tourism & healthcare Support service providers in the global medical tourism industry.
Madre Healthcare Team helps the patients in suggesting them the best hospitals in India and also provides medical support services as per patients requirements.
We are inviting you to join hands with Medical support organizations, Hospitals, Healthcare units, Tourism Companies to serve together. Call or WhatsApp - +91.9433365039, 9830363622 or Skype - Bidyutji
Do some waits “feel” longer than others? What specific actions can you take to make your patients’ wait times be part of their health care experience and at the same time feel shorter? Join us to understand the Psychology of Wait.
Salvation academy in home health care new presentationmasalvationacademy
This presentation contains general information regarding your rights and responsibilities as a patient. As state and federal regulations change, there may be additional changes to this presentation if necessary.
Similar to Who is Comprehensive Home and Companion Services? (20)
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. HOME HEALTH & HOME CARE
Our goal is to help individuals
remain in their home AND in their
community for as long as possible,
no matter their diagnosis, by
providing quality, skilled healthcare
and home care services.
6. PAYING FOR CARE
• Private Pay
• Private Insurance – Premera, Aetna,
etc.…
• Labor & Industries
• Long-Term Care Insurance
We cannot coordinate Medicare OR Medicaid benefits. However,
we can supplement additional hours beyond what is covered under
these programs.
8. A TEAM OF EXPERTS
Dr. Evan Cantini
Medical Director
Julie Clobes, RN, CCM, BSN
Clinical Supervisor
Laura Clark, RN, CSA
Clinical Director
Peter Rigby, PT, MPH
Executive Director
DOCTOR-OWNED, NURSE MANAGED
Dr. Alvin McClean
Chairman of the Board
Jen Fox, PT, DRS
Driver Rehab Specialist
12. WE ARE JOINT COMMISSION ACCREDITED
The Joint Commission
Accreditation is considered the
“Gold Standard” for healthcare
quality control and safety in the
United States.
CHCS is one of the first home care
agencies in the State of Washington
to receive Joint Commission
Accreditation.
13. 1. STRICT SAFETY STANDARDS
We have a “culture of safety” at CHCS.
Everything we do is prioritized by safety for our clients and
safety for our employees.
16. Infection Tracking
We keep an infection log with
client name, diagnosis, type of
infection and treatment. The
client and caregivers are
interviewed to see if they can
identify the source of the
infection and then create a plant
to address it.
17. FALL REDUCTION
Our RNs conduct a full risk
assessment and put
together a customized
fall risk plan of care.
22. “I am doing this job today because it gives me
joy to see the people we care for have a smile
tomorrow.
And to have hope that, despite their condition, they
can still live to do what they aspire to do.”
- Allan N. (CHCS
Caregiver)
24. NAR to CNA
We want our caregivers to have more than just the state
requirement for caregiving. We require that all our caregivers go
through the training to become a CNA, within a three month period
after signing on.
28. LOWER READMITTANCE RATE
Expert oversight and increased safety measures lead to a lower re-
admittance rate to hospitals and rehab facilities.
29. RESTORED FUNCTION
CHCS is currently working on a program for trained restorative aids who
will work in conjunction with home health to improve function in our
clients.
37. WHO WE
SERVE.
a wide range of clients
that require a high level
of care.
An elderly patient with dementia.
A pediatric client with a rare disorder.
A middle aged client with a spinal cord injury.
42. CONTINUITY OF CARE
• Schedule and Attend Doctors Appointments
• Advocate for Client’s Needs to Care Team
• Keep Detailed Medical Records and Update Plan of Care
• Keep Family Informed of Changes in Health and Care
Plan
44. WITH A NEW DIAGNOSIS COMES A
LOT OF QUESTIONS?
45. How will I pay
for care?
What do I
do now?How will I manage my
pain?
WHAT
RESOURCES ARE
OUT THERE? WILLL I HAVE TO
STOP
WORKING?
Can I keep driving?
Who should I call if
something goes wrong?
46. DISEASE MANAGEMENT
The RN Care Manager can help clients become
empowered to manage their disease well.
47. RESOURCE
COORDINATION
RN Care Managers can connect clients to
a variety of resources, such as:
• Specialized Medical Equipment or Services
• Healthcare Organizations
• Disease Management Programs & Specific Benefits
• Support Groups & Other Support Networks
48. Does having a NURSE as a care manager
really make a difference?
49. One of our care managers arrived at a client’s home and
listened to her heart rate, which was irregular and fast
paced.
She asked the client to stand to monitor postural vital signs
and noticed that her heart rate shot up upon standing.
WHAT
DID THE RN
DO NEXT?
50. THE RN ASKED TO SEE THE
CLIENT’S FEET.
She noticed pitting edema
and recognized it as a
possible sign of atrial
fibrillation.
51. The client was admitted to the
hospital with atrial fibrillation.
And an EMERGENCY situation was avoided.
54. DELEGATED
HOME CARE
As care gets more complex, our caregivers can
be delegated by one of our on-staff nurses to
perform tasks that they otherwise could not.
55. 1. ONLY an RN can delegate.
2. Physicians Orders are
obtained
3. RN obtains consent for
delegation and completes
nursing assessment and plan
of care.
4. RN verifies care specialists (CS)
has completed the delegation
course and is certified.
5. RN determines competency of
care specialist for each
delegated task.
STEPS FOR DELEGATION
56. HOSPICE CARE
• On-staff RN Oversight and Delegation of
Caregivers
• Coordination of Care – CHCS nurses to Hospice
Nurses
• In-House Hospice Training Program for Caregivers
(Prior to caring for anyone on hospice.)
• Emphasis on client comfort and family support
We SUPPORT and work with local hospice
agencies to provide additional care
services, beyond what Medicare allows.
68. BENEFITS OF PHYSICAL THERAPY
• Shortened recovery time after injury
and surgery
• Prevention of certain complications
after injury, surgery, and illness
• Improved mobility
• Promotion of healing
• Increased range of motion
• Increased strength and endurance
• Reduced risk of falls
• Reduced pain and joint stiffness
• Improved overall health and fitness
70. Activities of Daily Living (ADLs)- Activities of daily living (ADLs) are basic
self-care tasks, and include the following
• Feeding
• Toileting
• Dressing
• Grooming
• Bathing/showering
• Walking and transferring (such as moving from bed to wheelchair) (PT
and OT)
• Bed mobility
• Procuring proper DME (durable medical equipment) and instruction on
use (wheelchairs both OT and PT) and splinting (PT lower body and
OT upper body)
• Safety while performing ADLs
71. Instrumental Activities of Daily Living (IADL) – Instrumental activities of
daily living (IADLs) are the complex skills needed to successfully live
independently. These skills include the following
• Managing finances
• Handling transportation (driving or navigating public transit)
• Shopping
• Preparing meals
• Using the telephone and other communication devices
• Managing medications
• Housework and basic home maintenance
• Home safety with IADLs
72. SENSORY
INTEGRATION
Sensory integrative dysfunction is a common disorder for individuals with
neurological and learning disabilities such as autism spectrum disorder.
Clients are usually children and treatment includes “play therapy” but also
used for ADLs like getting a child accustomed to brushing his teeth (both
76. Some of the clients that may need SLP services:
• Cerebral Palsy(CP), Language Delay, Hearing Loss, and Autism
(pediatrics)
• Traumatic Brain Injury (TBI)
• Cerebral Vascular Accident (CVA) also known as Stroke
• Parkinson’s Disease (PD)
• Dementia (Alzheimer’s disease, vascular dementia etc…)
• Cancer (Brain tumors, oral cancers)
• Amyotrophic Lateral Sclerosis (ALS) also known as Lou Gehrig's
disease
• Multiple Sclerosis (MS)
77. • Review of health history & physical and any medications
• Examination of entrances, exits and stairs
• Measurements of doorways, etc…
• Observation of where mobility equipment may be necessary (grab
bars, etc…)
• Write-up with safety observations and/or suggestions for modification
Durable Medical Equipment – Is it safe and does it fit them correctly?
HOME SAFETY EVALUATIONS & HOME
MODIFICATIONS
79. • Conducted By Our Driver Rehab Specialist (DRS)
• Our DRS is 1 of 4 Driver Rehab Specialists in the State of
WA, who is actively accepting out-patient clients.
• Different From a Driving School –the emphasis is on
cognition, physical ability and reflexes VS. understanding
of laws and passing the DMV drive test.
FAST FACTS
80. CHCS DRIVER EVAL & REHABILIATION DRIVE SCHOOL & SAFETY COURSES
• Medical Background – PT, DRS • NO Medical Background
• Evaluates Cognitive Functioning • Does NOT Evaluate Cognitive Functioning
• Emphasis on Cognitive and Physical Ability to Drive • Emphasis on Teaching Rules to Pass the Drive Tes
• Emphasis on Safety as it Relates to Rules of the Ro• Emphasis on Safety as it Relates to Physical
and Cognitive Aptitude
• CAN Recommend Modifications to Vehicle
• Driving Rehab Specialist
• Can NOT Recommend Modifications to Vehicle
• Certified Driving Instructor
Different From a Driving School
81. • One hour – Written Recommendations for
Physician, Individual and Family.
• Two hour - Cognitive Assessment
• One hour - Behind the Wheel
EVALUATIONS INCLUDE
82. SIGNS OF UNSAFE DRIVING
• Increased nervousness when driving
• Difficulty seeing road signs or pedestrians
• Has frequent "fender benders" or "near-misses"
• Experiences delays when changing lanes
• Drives significantly slower than the speed limit
83. CHCS has a modified vehicle with a
variety of hand controls and a
passenger side brake, so that people
with progressive neurological diseases
(such as MS, Parkinson's, ALS), spinal
cord injury, amputations, etc..may learn
to continue driving without the use of
their lower limbs.
Equipment for the car was provided by
NMEDA (National Mobility Equipment
Dealers Association) and installed by
Kersey Mobility in Redmond.
84. • Evaluation for installation of mobility devices.
• Behind the wheel training for hand controls & other assistive devices
• Rehabilitation and training for driving with progressive diseases.
• Cognitive assessments for stroke and TBI clients.
REHABILITATION
85. “To know even one life has breathed
easier because you have lived. This is to
have succeeded.”
Ralph Waldo Emerson