Advance Directives, or Living Wills, allow you to document your wishes for end-of-life medical care. In the event that you become incapacitated and unable to express your wishes, Living Wills guide your loved ones and medical professionals involved in your care when important decisions about life-sustaining treatment must be made.
Patients are asked if they have Advance Directives when they are admitted to a Kindred facility, said Kathee Paradowski, Clinical Informaticist Consultant in Kindred’s Hospital Division.
“The goal of an Advance Directive is to make sure that patients are making informed decisions and that we’re following their wishes,” Ms. Paradowski said.
Once the patient’s wishes have been determined, the physician writes orders based on the patient’s desires and the Advance Directives are entered into the patient’s record.
Kindred Nursing and Transitional Care – Pacific Coast in Salinas, California has created their annual Activity Garden Calendar for 2014. The Activity Department developed four patio gardens which they plant and maintain throughout the year with the residents. The gardens have greatly enhanced the atmosphere for residents, family, and staff. Activity Director, Mercy Rosario and Activity Assistant, Valerie Henderson both have strong backgrounds in horticulture. With the help of the other activity staff they have created artistically arranged plantings of ornamentals, flowering shrubs and vines, fruit trees, seasonal vegetables, and succulents.
Unhealthy behavior associated with high anxiety might lead to a greater stroke risk, new research finds. Read the story
"Assessment and treatment of anxiety has the potential to not only improve overall quality of life, but may also reduce the risk of cardiovascular diseases, such as stroke, later in life."
Health care subsidy recipients are required to report life events such as a new job or divorce to their insurance exchange to ensure correct tax refunds are given and additional taxes are not owed. But the requirement is a new responsibility. Read the story
In a recent study, high levels of “bad cholesterol” and low levels of “good” cholesterol were associated with an increased amount of amyloid plaque build-up, which can compromise brain function. Read the story
Students from Jackson Elementary School in Manitowoc, Wisconsin filled the halls of Kindred Nursing and Rehabilitation – North Ridge to sing carols and deliver gifts and homemade cards to the residents. This is a tradition that is in it's fourteenth year. While a small group of students were selected to make the trip, the entire school participates by holding fundraisers to collect funds to buy gifts for the residents. See a video of the children and the smiles they brought to many faces here.
Medicaid expansion and large investments in infrastructure needed for electronic health record systems and improved quality and coordination-of-care measures pose difficult challenges for small, rural hospitals with limited means. Read the story
Innovations and medical advances have improved the process of stroke rehabilitation for many patients. But experts believe that personal attention, an understanding of a patient's specific, individual goals – which can range from getting back to work to being able to join friends for lunch out to playing basketball again – and monitoring emotions and other intangibles, remain hugely important to rehab success. Read the story
I don’t think we spend enough time asking patients what they want. This is an opportunity for us to gain a better understanding of patient goals – Mary Van de Kamp, MS, CCC, SLP, Senior Vice President of Quality and Care Management at Kindred Healthcare
The following questions are commonly asked by patients, family members and caregivers after a planned hospital stay. IntegraCare, an affiliate of Kindred at Home, helped to answer these questions and offer further explanation.
Q: There are usually many key players taking care of the patient, but is there someone that the patient and or family can go to for resources prior to and after discharge from a facility?
A: Case managers are assigned to a patient upon admission and follow the patient until the patient transitions to the next setting. Case managers meet one-on-one with the family and assess the needs of the patient during hospitalization and post hospitalization. They are also available to answer any questions and follow up with concerns from both the patient and family.
Q: You hear a great deal about discharge planning. What exactly is discharge planning?
Sally L. Brooks, Nursing Center Division Vice President, Physician and Medical Development, shares her suggestions for caregivers and those receiving care from loved ones during the holidays.
Like many others, I am smack dab in the middle of the sandwich generation. The holidays are stressful for caregivers. My father passed this fall but Mom needs me now more than ever. My kids all have school activities that increase over the holidays. Did I mention the shopping, preparation, cooking, etc..?
I am reminded about a speaker’s comments using the acronym CARE.
This acronym applies to both caregivers and those receiving care. (I added my definitions to the acronym used.)
In her blog, "You're the Boss," Melinda Emerson takes readers step-by-step through her experience navigating Healthcare.gov in pursuit of health insurance for herself after her policy was canceled under the Affordable Care Act. Read the story
While the introduction of the Affordable Care Act and its website was poorly executed, I am delighted that the law has eliminated pre-existing conditions and lowered rates — at least for me. My big question now is whether the law will keep my insurance company from raising my rates arbitrarily in the future.
According to a report released by the Centers for Disease Control and Prevention, nursing homes still provide the vast majority of long-term care in the United States, despite policies aimed at increasing access to, and utilization of, home health care services. Home and community-based care is grabbing hold and growing more quickly in the Western states, the report said. Read the story
Have you ever heard the term “bed sore” before? “Bed sore” is another way of saying “pressure ulcer,” a condition that occurs when pressure, with or without friction, builds up in an area of the body, such as the sacrum, coccyx, heels or hips, particularly in an immobile person. Pressure obstructs blood flow to the soft tissue, causing injury to the area. Because pressure ulcers can develop in patients confined to wheelchairs or beds in a hospital or long-term care facility, caregivers must be well trained in preventing pressure ulcers and treating them early and effectively when they do develop. The more advanced a pressure ulcer gets, the harder it is to treat and the longer it may take to heal.
Integrating the post-acute care continuum; focusing on seamless transitions made possible through clear communication, and embracing the digital age through electronic health records systems are a few ways that Kindred is leading the charge as the post-acute sphere evolves on the changing American healthcare landscape. Kindred’s own Marc Rothman, MD, Chief Medical Officer for the Nursing Center Division, and Susan Sender, RN, Chief Clinical Officer for Kindred at Home, address these issues in more depth in M.D. Update magazine’s special section on Senior Health.
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