|1- Who is considered to be Home Bound?
An individual shall be considered to be home bound if the individual has a condition, due to an illness or injury, that restricts the ability of the individual to leave his or her home except with the assistance of another individual or the aid of a supportive device (such as: crutches, a cane, a wheelchair or a walker); or if the individual has a condition such that leaving his or her home is medically contraindicated. While an individual does not have to be bedridden to be considered confined to his home, the condition of the individual be such that there exists a normal inability to leave home; that leaving home requires a considerable and taxing effort by the individual, any absence of an individual from the home attributable to the need to receive health care treatment.
What is the patient is able to leave the home?
If the patient does in fact leave the home, the patient may still be considered home bound, if the absences from the home are infrequent or for periods of relatively short duration, or are attributable to the need to receive medical treatment. Occasional absences from the home for non-medical purposes, e.g., an occasional trip to barber, a walk around the block or a drive, would not necessitate a finding that the patient is not home bound if the absences are undertaken on an infrequent basis or are of relatively short duration and do not indicate that the patient has the capacity to obtain health care outside the home.
2- Maintaining a Healthy Diet:
Healthy Eating for a Healthy Weight
A healthy lifestyle involves many choices. Among them, choosing a balanced diet or eating plan. So how do you choose a healthy eating plan? Let’s begin by defining what a healthy eating plan is. According to the Dietary Guidelines for Americans, a healthy eating plan:
Eat Healthfully and Enjoy It!
A healthy eating plan that helps you manage your weight includes a variety of foods you may not have considered. If “healthy eating” makes you think about the foods you can’t have, try refocusing on all the new foods you can eat, such as:
Do I have to give up my favorite comfort food?
No! Healthy eating is all about balance. You can enjoy your favorite foods even if they are high in calories, fat or added sugars. The key is eating them only once in a while and balance them out with healthier foods and more physical activity.
Some general tips for comfort foods:
3- Immunizations & Swine Flu Information:
Swine flu is an infection caused by a virus. It’s named for a virus that pigs can get. People do not normally get swine flu, but human infections can and do happen. The virus is contagious and can spread from human to human. Symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. and include fever, cough, sore throat, body aches, headache, chills and fatigue.
There are antiviral medicines you can take to prevent or treat swine flu. There is a vaccine available to protect against swine flu. You can help prevent the spread of germs that cause respiratory illnesses like influenza by
Also called: Grippe, Influenza.
The Flu is a respiratory infection caused by a number of viruses. The viruses pass through the air and enter your body through your nose or mouth. Between 5% and 20% of people in the U.S. get the flu each year. The flu can be serious or even deadly for elderly people, newborn babies and people with certain chronic illnesses. Symptoms of the flu come on suddenly and are worse than those of the common cold. They may include:
Is it a cold or the flu? Colds rarely cause a fever or headaches. Flu almost never causes an upset stomach. And “stomach flu” isn’t really flu at all, but gastroenteritis. The main way to keep from getting the flu is to get a yearly flu vaccine. If you get the flu, your health care provider may prescribe medicine to help your body fight the infection and lessen symptoms.
4- Diabetic Diet & Monitoring:
Diabetes – tests and checkups
You can live an active lifestyle when you take control of your own diabetes care. Still, everyone with diabetes must have regular health checkups and tests. These appointments will give you a chance to ask your doctor or nurse questions and learn more about diabetes.
See Your Doctor
See your diabetes doctor every 3 to 6 months. During this exam, your doctor should check your blood pressure, your weight, and your feet.You will also need to see your dentist every 6 months.
An eye doctor (called an ophthalmologist) should check your eyes at least once a year. If you have eye problems because of diabetes, you will probably see your eye doctor more often.
Your doctor should check the pulses in your feet and your reflexes at least once a year. The doctor should also look for calluses, infections, and sores. If you have had foot ulcers before, you should see your doctor every 3 to 6 months.
Hemoglobin A1C (HbA1C) . An HbA1C lab test reflects the average amount of sugar in your blood over the past 3 months. It shows how well you are controlling your diabetes. The normal level is less than 6%. Most people with diabetes should have an HbA1C of less than 7%. Higher numbers mean that your diabetes control is not as good.
A cholesterol test measures how much cholesterol and triglycerides are in your blood. You will have the test on an empty stomach after not eating overnight.
Adults should have this test every year. If you are being treated for high cholesterol, you may have this test more often.
Once a year, you will need a urine test that looks for a protein called “albumin.” Because the test looks for small amounts of albumin, it is sometimes called a test for micro-albuminuria. You will have more of this protein in your blood if you have early kidney damage due to diabetes. But, the level of this protein in urine can also be higher for other reasons. Your doctor may also check your level of kidney function with a blood test every year.
TYPE I Diet:
One of the most challenging aspects of managing diabetes is meal planning. Work closely with your doctor and dietitian to design a meal plan that maintains near-normal blood sugar (glucose) levels. The meal plan should give you or your child the proper amount of calories to maintain a healthy body weight.The food you eat increases the amount of glucose in your blood. Insulin decreases blood sugar (glucose). By balancing food and insulin together, you can keep your blood sugar (glucose) within a normal range. Keep these points in mind:
Monitor blood sugar (glucose) levels. The doctor will tell you if you need to adjust insulin doses based on blood sugar (glucose) levels and the amount of food eaten. Having diabetes does not mean you or your child must completely give up any specific food, but it does change the kinds of foods one should eat routinely. Choose foods that keep blood sugar (glucose) levels in good control. Foods should also provide enough calories to maintain a healthy weight.
Type II Diet:
If you have type 2 diabetes, your main focus needs to be on weight control. Most people with this disease are overweight. You can improve blood sugar (glucose) levels by following a meal plan that:
Examples of foods high in monounsaturated fats include peanut or almond butter, almonds, and walnuts. You can substitute these foods for carbohydrates, but keep portions small because these foods are high in calories. Learn how to read food labels to help you make better food choices. Often, you can significantly improve control of type 2 diabetes with moderate weight loss (for example, 10 pounds) and increased physical activity (for example, 30 minutes of walking per day. Some people will need to take medicine by mouth or insulin in addition to making lifestyle changes.
One of the most challenging aspects of managing diabetes is meal planning. Work closely with the doctor and dietitian to design a meal plan that maintains near-normal blood sugar (glucose) levels. The meal plan should give you or your child the proper amount of calories to maintain a healthy body weight. Having diabetes does not mean you or your child must completely give up any specific food, but it does change the kinds of foods your child should eat routinely. Choose foods that help keep glucose levels in good control. Foods should also provide enough calories to maintain a healthy weight. Regular monitoring of blood sugar (glucose) at home will help you learn how different foods effect blood sugar (glucose) level.
5- Infection Control:
Every year, many lives are lost because of the spread of infections in hospitals. Health care workers can take steps to prevent the spread of infectious diseases. These steps are part of infection control. Proper hand washing is the most effective way to prevent the spread of infections in hospitals. If you are a patient, don’t be afraid to remind friends, family and health care providers to wash their hands before getting close to you.
Other steps health care workers can take include:
6- When to call 911:
A 911 emergency is a situation in which someone needs immediate help because he or she is injured or in immediate danger. So if you’ve had a car accident and someone is hurt, obviously you’ll call 911. But if your car just broke down and you need a tow truck, you’ll need to call a towing service (or, better still, your parents!). Call 911 if there’s a fire, if someone has had an accident, or if you see a crime being committed. When you call 911, the emergency dispatch operator will probably ask what, where, and who questions such as:
“What is the emergency?” or “What happened?”
“Where are you?” or “Where do you live?”
“Who needs help?” or “Who is with you?”
There are many reason to call for help, the most crucial factors to call for help are:
1- prolonged chest pain
2- prolonged pain
3- prolonged bleeding
7- Benefits of Home Health:
There is nothing like the comfort and security of home when you’re ill or recovering from an illness. Research shows that even for those living with chronic illness or disability, living at home is often the best option for physical and mental well being. Some of the benefits of in-home care include:
8- Food Allergies:
Food allergy is an abnormal response to a food triggered by your body’s immune system. Allergic reactions to food can sometimes cause serious illness or death. Tree nuts and peanuts are the leading causes of deadly allergic reactions called anaphylaxis.
In adults, the foods that most often trigger allergic reactions include:
Problem foods for children are eggs, milk as well as peanuts.
Sometimes a reaction to food is not an allergy. It is often to a reaction quote on quote “food intolerance”. Your immune system does not cause the symptoms of food intolerance; however these symptoms can look and feel like those of a food allergy.
9- Medication Safety:
What should you communicate with your doctor?
List information to discuss with your pharmacist:
What are measures to promote safe and accurate administration?
10- What is Guided Imagery:
A technique that involves using the imagination and mental images to promote relaxation, changes in attitude or behavior, and encourages physical healing. Also known as visualization.You can use an instructor, tapes, or scripts to help you through this process.
Guided imagery is based on the concept that your body and mind are connected. Using all of your senses, your body seems to respond as though what you are imagining is real. An example often used is to imagine an orange or a lemon in great detail-the smell, the color, the texture of the peel. Continue to imagine the smell of the lemon, and then see yourself taking a bite of the lemon and feel the juice squirting into your mouth. Many people salivate when they do this. This exercise demonstrates how your body can respond to what you are imagining.You can achieve a relaxed state when you imagine all the details of a safe, comfortable place, such as a beach or a garden. This relaxed state may aid healing, learning, creativity, and performance. It may help you feel more in control of your emotions and thought processes, which may improve your attitude, health, and sense of well-being.
What is guided imagery used for?
Guided imagery has many uses. You can use it to promote relaxation, which can lower blood pressure and reduce other problems related to stress. You can also use it to help reach goals (such as losing weight or quitting smoking), manage pain, and promote healing. Using guided imagery can even help you to prepare for an athletic event or for public speaking.
Is guided imagery safe?
Guided imagery is safe. No known risks are associated with it. Guided imagery is most effective when the person teaching it has training in guided imagery techniques.
11- Home Safety