ShareCare of Leelanau, Inc.
Promoting Independent Living for Seniors in Leelanau County

Newsletter

ShareCare's newsletter, the Connector, is published every other month. Below are articles from recent publications. If you'd like to read complete newsletters, click on the links below. (Note: You'll need Adobe Reader to open the newsletters. Click here for their web site--it's a free download.)

bulletNov-Dec '11
bulletSept-Oct '11
bulletJuly-Aug '11
bulletArchived Newsletters

Munson Manor--A Home Away From Home

The Munson Manor Hospitality House is a "home away from home" for family members who face the added stress of traveling during a loved one's hospitalization. The lovely facility, located behind Munson, is also available for patients and their caregivers who must provide their own lodging during outpatient treatments and procedures. Or for consideration is that getting to Traverse City the night before an EARLY morning appointment could make the day of a procedure less stressful.

Cost range is $30 - $55. Special room payment arrangements are available to those in financial need. A reservation is advised by calling (231) 935-2300.

Bravo! For Aid—A letter to the Editor

A recent letter to the editor of the Leelanau Enterprise from a SC member sang our praises, stating that she has been a member of SC since the early years, but recently was a beneficiary of this wonderful organization. The letter talked about some of the services we offer our members, and finally encouraged readers to find out more about us. We truly appreciated her kind words, and encourage others who have received our services to write to the editor. Your word of mouth is our best advertising tool!

Commission on Aging (256-8121)—

If you don’t already receive The Commission on Aging’s monthly newsletter, be sure to call them to have your name added to the mailing list. Each issue provides important information for older adults living in Leelanau County. For example, in this month’s newsletter they provided the following information:

bulletAlzheimer’s Support Group
bullet(935-6380) 1st Wednesday of each month at Tendercare (Suttons Bay) at 2:00PM.
bulletGT Area Parkinson's Support Group (922-4911) 4th Wednesday of each month at the TC Senior Center at 10:00AM.
bulletGT Bay Area Stroke Club (935-6380) 2nd Wed. of each month from 2:30-4:30.
bulletInformation on Foot Care, Outdoor Home Chore, and Dining vouchers.
bulletArticle on the Legal Mistakes Seniors Make

Call the Commission On Aging (256-8121) or click here for more info.

9-1-1

Anne and Deb had the opportunity
to meet and tour the 9-1-1 center with Tom Skowronski, Director of Emergency Management..

Many people are reluctant to call 911, but it may be good for you to know that not EVERY response results in an ambulance trip to the hospital. Mr. Skowronski emphasized that calling 9-1-1 is always the best option in the event of an emergency (or suspected emergency), and that the emergency response team that arrives at your house will determine the proper course of action. To clarify this even further, he specifically said that it’s good to call when you’re not sure if you’re having an emergency—that’s what they are there for.

Dispatchers:
Since dispatchers are generally the first contact made during an emergency, they are considered a critical link between the public and Emergency Services. Leelanau County Dispatchers are highly trained in the latest technology, which allows them to offer the best possible service to the residents of our area. Keep in mind that the more information you can give the dispatcher, the easier it is for him/her to know how to respond to your needs.

The dispatcher will ask some basic questions which steps them through a series of programmed questions to determine the level of emergency you’re experiencing.

Handling Medical Emergencies:
Your answers to a few short questions from the dispatchers will determine the level of service that will be provided.
Dispatchers will ask you what the injury or illness is, if the person is conscious, and what their age is?
All dispatchers are Emergency Medical Dispatchers!  They will stay on the line with the caller and help while the caller is waiting for medical emergency help to arrive.
Dispatchers can give instructions to those administering CPR, treating minor injuries etc.

Helpful tips:
Post your address at the end of your driveway.
Have your address and phone number by the phone (fill out and post the enclosed card).
Have ready a list of current medications.
Remain calm!

For more info on the 9-1-1 system, contact Tom Skowronski at 231-256-8875.

Personal Expo—Simple as ABC

This interesting concept came from one of our members—it’s worth passing on! Have your own personal Expo. It is as simple as ABC!

A.  Pick a day for your annual Expo. It can be your birthday, anniversary, child’s birthday, or any day you will remember annually. The important thing is to select a regular time.

B.  Do or arrange for the following:

bulletReview your medications and allergies. Call or email any changes to Anne Kelly at SC. It’s a valuable source of information in case of accident or medical emergency.
bulletUpdate the list of medications and emergency information you carry in your wallet. Put one in your glove compartment. Give one to your family members or close friends who might be called to help in emergencies until family arrives.
bulletCheck your medicine cabinet and discard any outdated or discontinued medications.
bulletCall for your yearly appointments: doctors, dentist, mammogram, flu shot, etc. If your Expo day isn’t right for fall flu shots, mark a reminder on your calendar for October.

C.       Document what you’ve done.

You can also use this day for other important things to review and perhaps change for piece of mind, which is part of your physical well being.

bulletUpdate your will to reflect changes in family or your wishes. Is it still kept where your family thinks it is?
bulletCheck beneficiaries on insurance and other important papers.
bulletCheck your medical directive statement. Do you want to change anything?
bulletCheck the contents of your safety deposit box. A list of important items (titles to cars, cemetery lot, titles to house and/or cottages, insurance policies, etc.) in it would be good to give to your beneficiaries, next of kin, etc.
bulletCheck expiration dates on your driver license and passport.

Care Coordination, Anne Kelly, RN, BSN

The best way for me to advocate for you or coordinate your care if you’re coming home from the hospital, is to for me to communicate with your care providers (doctors, nurses, or discharge planners).

The easiest, and sometimes only, way to do that with your permission, is by means of a signed “Authorization for Release of Information” form. Signed forms are on file for most of our members, but if it happens to be missing from your chart, I will ask you to sign one and have it witnessed by a neighbor, spouse, or friend. Having it on file saves time when we unexpectedly need the form and it allows me to do a better job of helping you!

Also, please keep in mind that if you have questions about your health, medications, or any other care issues, I’m just a phone call away (231-386-0028). It’s what I do as the Care Coordinator for ShareCare and I am glad for the opportunity to work with you.
 

Medicare Rights Center

Every month I receive an Email newsletter from the Medicare Rights Center, and with each newsletter I’m amazed by the amount of information they make available regarding Medicare. An article in the Jan-Feb ‘08 issue of The Medicare Counselor deals with “Getting the Most Out of Your Private Drug Plan”. I don’t pretend to be an expert on Medicare, but I want to pass on enough information about reducing the cost of your medications so that you can approach a Medicare expert for more guidance if you are having trouble in that area.

Ways to lower your prescription drug costs:
Check with your doctor to see if there are generic alternatives to brand name drugs.
If your assets and income are low, you may qualify for help paying for your Medicare drug coverage with a program called Extra Help*.
If you are taking a drug that requires a higher co-payment, but your doctor thinks it’s the best medicine for the job, as an exception, your drug plan may grant a lower co-pay.
Check with your doctor for samples. This offers a temporary solution, but it can’t hurt to ask.

*Extra Help is a federal program that may help pay for your monthly drug plan premium, deductibles and co-pays. To qualify, your monthly income must be less than $1,276 a month ($1,711 for a couple) and your assets are low. Extra Help also covers the “gap” in your drug plan. (Note: Extra Help income limits change in February or March.)

The article discusses how to apply for the Extra Help program and how to appeal a decision if you are denied. The Jan-Feb ‘08 issue also included information on vaccinations and eye care coverage. If you’d like a copy, please call the Office. —Deb (386-2273)
 

Resources for Older Drivers

Some of you may have parents or friends whose driving worries you. If so, it would be helpful for you read an article we have in the office from The Summer 2007 issue of the Nursing Spectrum and NurseWeek Specialty Guide. In the article written by Patricia Russo-Meck, RN and Arlen Orhon Jech, RN they give suggestions such as, planning activities during daylight hours, not taking long trips, and finding alternate types of transportation. Below are some references listed in the article:

bulletLePore PR. When You Are Concerned: A Handbook for Families, Friends, and Caregivers Worried About the Safety of an Aging Driver. Albany NY: New York State Office for the Aging; 2000.
bulletIs it time to get off the road? Harvard Health Letter 2002; 27(8): p 1-3
bulletR. Sherer. Older drivers on the road: how can we insure their safety? Geriatric Times Website. www.geriatrictimes.com/g001204.html.Accessed January 24, 2007
bulletAARP Driver Safety. www.aarp.org/families/driver_safety
bulletNational Highway Traffic Safety Administration. www.nhtsa.dot.gov/people/injury/olddrive/booklet.html
bulletThe Alzheimer’s Association. www.alz.org

We have some of the articles in the office, and some can be found on the Internet, but please don’t hesitate to give us a call for help with this issue. —Anne Kelly

Cancer Support Group

A newly-formed cancer support group will hold its meetings on the first Monday of every month from 5:15PM to 6:45PM, in rooms 148-149 at the Northport Public School (enter from the main lobby and follow the signs).

Anyone who has been diagnosed with cancer at any time in life is welcomed. The group is facilitated by Terry Gremel, R.N., M.S.N.. Terry has over 20 years of experience in Oncology and co-facilitated the Cancer Support Group at Munson Medical Center for 15 years. Please call Terry at 386-7715 for more information.
 

Why Can’t I Remember My Address?

Do you ever wonder if something you just did or said is a normal part of ageing, or if it might be related to early stages dementia? Perhaps you’ve already discussed this with your doctor, but you would like a second, more in depth, opinion. There are two clinics in Traverse City that deal with ageing issues, and while ShareCare does not endorse either clinic, we can say that our members have had positive experiences with both. Anne Kelly RN, BSN can guide you through the process of finding help, but please note that both clinics require a referral from your primary care provider. Do you ever wonder if something you just did or said is a normal part of ageing, or if it might be related to early stages dementia? Perhaps you’ve already discussed this with your doctor, but you would like a second, more in depth, opinion. There are two clinics in Traverse City that deal with ageing issues, and while ShareCare does not endorse either clinic, we can say that our members have had positive experiences with both. Anne Kelly RN, BSN can guide you through the process of finding help, but please note that both clinics require a referral from your primary care provider.

The Geriatric Assessment Clinic (106 S. Madison Street, Traverse City) attempts to improve the quality of life for older adults and keep them independent for as long as possible. They address the following: The Geriatric Assessment Clinic (106 S. Madison Street, Traverse City) attempts to improve the quality of life for older adults and keep them independent for as long as possible. They address the following: home safety and living; placement guidance, patient and caregiver education; family/caregiver stress level; driving issues; prescription medication assistance; competency; depression and mental health; dementia; falling; polypharmacy; diet.

During your visit you will meet with health care professionals who are trained in the special needs of older adults. The team includes: Medical Director (team leader, certified in gerontology); Certified Gerontology Nurse (conducts a home visit; assesses self-care skills); Social Worker (psychosocial assessments); Pharmacist (completes a medication profile and reviews for appropriateness). For more information call the Geriatric Assessment Clinic at 231-935-8127 or 231-935-6650.

The Memory and Movement Disorder Clinic (1213 W. Front Street, Traverse City) provides an interdisciplinary team assessment for anyone experiencing memory concerns, symptoms of Parkinson’s disease and other movement disorders. The clinic offers the following: a comprehensive neurological assessment, with additional testing, if indicated; assessment of caregiver knowledge and needs; information and recommendations regarding community support services; assistance with management of the dementia or movement disorder, as indicated.

This clinic’s team includes the following professionals: Neurologist who performs a comprehensive neurological evaluation; R.N. who performs a nursing assessment and assesses activities of daily living and self-care skills; Social Worker who assesses family support and financial needs; performs a geriatric depression screening test, evaluates caregiver stress. For more information call the Memory and Movement Disorder Clinic 231-935- 0386.

Recognizing a Stroke

Sometimes symptoms of a stroke are difficult to identify, and unfortunately, the lack of awareness can spell disaster. A stroke victim may suffer brain damage when people nearby fail to recognize the symptoms of a stroke. Now doctors say a bystander can recognize a stroke by asking three simple questions:

bulletS  Ask the individual to SMILE.
bulletT  Ask the person to SPEAK A SIMPLE SENTENCE.
bulletR  Ask him or her to RAISE BOTH ARMS.
bulletT  Ask him to STICK OUT HIS TONGUE. If' it's crooked or pulls to one side, that's an indicator.

If he or she has trouble with any of these tasks, call 9-1-1 immediately and describe the symptoms to the dispatcher.

After discovering that a group of non-medical volunteers could identify facial weakness, arm weakness and speech problems, researchers urged the general public to learn to ask the three questions. Widespread use of this test could result in prompt diagnosis and treatment of the stroke and prevent brain damage.

FIVE WISHES

FIVE WISHES is a document that, once filled out and signed, directs how you wish to be treated in the face of a serious illness. It also lets you list who you wish to designate as your patient advocate. If you would like help filling out a FIVE WISHES document, you can call the Advance Care Planning Department at Munson: 231-935-6176. They will send you a copy of the Five Wishes Document if you don’t already have one. Also, Anne Kelly, RN is able to help if you have questions while filling out your FIVE WISHES.

Choosing a Physician

For those of you looking for a physician to replace Dr. Stafford, here are some questions you may want to ask yourself and the doctors’ offices you may be considering: 

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Do you prefer a male or female physician?

bullet

Is s/he Board Certified?

bullet

Is s/he a “Family Practice” or “Internal Medicine” specialist?

bullet

Is s/he an M.D. or  a D.O.?

bullet

Will s/he visit me if I’m admitted to Munson, or will I be seen by the Hospitalists?

Does s/he participate in Medicare?  If not, you will pay the bill before leaving the doctor’s office and mail it into Medicare for partial reimbursement.  Participation means that doctor accepts what Medicare is willing to pay for that visit.

The Physician’s Referral office told me that all the doctors in the area can see their own patients if admitted to Munson, but most choose not to (for time-savings I suspect).  Two who do follow their own are Dr. Mary Clifton, MD (internal medicine, Board Certified), and Dr. Carl Anders, MD (also internal medicine and Board Certified).  The Physician’s Referral service depends on the doctors in the area to submit information for listing, so their list is not comprehensive.                               

 

231-256-0221
1-805-852-4814 (Fax)
7401 E Duck Lake Rd  #600
Lake Leelanau, MI 49653
info@sharecareleelanau.org

Everyone involved with ShareCare is requested to respect all matters
of
confidentiality whether they are personal, medical, or financial.

Copyright 2000-2012 ShareCare of Leelanau, Inc.  • All Rights Reserved  • Updated 01/31/12