May 2008                                  Your Partners in Home Care                      Volume 1, Issue 2
 

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Linda Jones, RN
Owner

 Melanie West, MBA, MT
Chief Operating Officer 

 Julianne Stroud
Director of Education 

 Joanne Corbo Cruz, MSW, LMSW
Medical Social Work Manager

Jennifer Hayes
Director of P
atient Services

Dr. Pedro Caing

Medical Director

Dear Friends & Relations,

In 1963 there were 17 million living Americans 65 years and older. In 2006, an estimated 37 million Americans (12% of the population) were 65 and older. Projections forecast that by 2030, approximately 71.5 million will be 65 and older (20% of the population). Today, one in six Americans or 44 million people is age 60 years or older.

The theme for Older Americans Month May 2008 is "Working Together for Strong, Healthy and Supportive Communities". The 2008 Program Champions highlight programs and initiatives in states and communities that demonstrate the principles of the Administration on Aging’s efforts to modernize community-based long term care and provide greater assurance that older people in the U.S. will maintain their independence in the community longer than ever before.  The 2008 Program Champions demonstrate streamlined access to information and services, evidence-based prevention and wellness projects, and consumer-directed service programs that help seniors avoid unnecessary placement in nursing home facilities. They also highlight innovative programs that assist older people before, during and after natural or man-made disasters. An important new program, the National Family Caregiver Support Program, will help hundreds of thousands of family caregivers of older loved ones who are ill or who have disabilities.

I wanted to share this information with you for awareness and knowledge that we are all connected and  for all to understand that by working together, and learning from other successful states’ programs, vulnerability and other negative aspects of aging could become a thing of the past.

Congratulations to all 2008 Program Champions: Alabama, Alaska, Colorado, Connecticut, Delaware, Hawaii, Kansas, Maryland, New York, Ohio, Oklahoma, Washington (National Asian Pacific Center on Aging).

For more information, visit: U.S. Administration on Aging.

Joyfully,

Linda Jones, RN

Owner, Health Care Partners, Inc.


HCP Update:

by Julianne Stroud, RN, Director of Education

Today many organizations have been formed to protect animals, children and the elderly. There was a time when only animals were protected with rights instead of children. In health care, many helpless victims of elder abuse tend to remain silent, and like children, they have great fear and are too timid to face the truth about their protectors, they fall into  “I’m going to die anyway”  and believe they are unworthy of respect and dignity.

The mission of Adult Protective Services (APS) is to protect older adults and persons with disabilities from abuse, neglect and exploitation by investigating and providing, or arranging for services as necessary to alleviate or prevent further maltreatment. Penalties have been established for harm caused to a vulnerable adult and for those who interfere with an APS investigation. Public Act 222, establishes penalties for financial exploitation.

All persons who are employed, licensed, registered or certified to provide health care services, educational services, social welfare services, mental health, other human services, law enforcement officers and employees of the office of county medical examiner must report suspected cases of adult abuse, neglect or exploitation. The law contains a penalty for failure to report when mandated to do so.

The law requires an oral  report made immediately, a written report can be sent later, to describe the suspected incident and need for protective services when there is reasonable cause to believe an adult is in danger because of suspected abuse, neglect, or exploitation and is vulnerable. A report may be made by calling the statewide Adult Protective Services 24-hour hotline 800-996-6228.

Health Care Partners, Inc. recently invited Ms. Harriet Glassman, BSW, Oakland County Adult Protective Services Manager from the State Department of Human Services to speak to the staff. Ms. Glassman presented to all disciplines including in-house staff; all employees were educated and made aware of the different items to keep in mind when confronted with suspicion.

ANYONE CAN REPORT AND CAN BE ANONYMOUS. THOSE WHO REPORT ARE PROTECTED.

Intake available 7 days a week/24 hours a day.


HCP Profile:
Mr. Eide Alawan, Patient Support Services

Name: Eide Alawan.  

Born: Detroit, Michigan. Married to Edna for 44 years with 3 sons, 1 daughter and 2 grandsons. 

Childhood Dream: “To serve the community at large and specifically the Muslim community”. 

Graduated: 1959 Cass Tech High School; 2 years at Henry Ford Community College. 

Awards: December 2006, The Youth Law Center "Loren Warboys Unsung Hero Award" for his efforts on behalf of at-risk youth. The award is presented each year to individuals who have made extraordinary contributions to improve the lives of at-risk youth in the child welfare and juvenile justice systems.

Joined HCP: In 2004, with the Transcultural Department under Ms. Najah Bazzy, RN, and is currently working in Patient Support Services. 

Passion(s): Interfaith and Intrafaith Outreach; MI Roundtable; Interfaith Hope & Health Coalition; Interfaith Partners. He is a founding member of Faith Communities for Families and Children in Wayne County, Michigan, sponsored by The Skillman Foundation. He is a member of the Islamic Center of America, located in Dearborn, Michigan, the largest mosque on the North American continent. 

Greatest job demand: “The ability to understand and be sensitive to the needs of assigned cases. One challenge is knowing that folks I see are not even being seen by their own family and maybe sometimes the client doesn’t even know [that] but anyway, they still become like family and it’s difficult to become unbonded. The difficulty is to serve when they are assigned and to cut them off when care ends.” 

Greatest impact in your life: “September 11, 2001. It caused my life to accelerate to explain my faith tradition which is Islam. I do Interfaith Outreach and presentations. I am a panelist on Interfaith Odyssey on Sunday mornings at 7:00 a.m. on PBS, the show concerns itself with community curiosity of how faith tradition deals with certain topics of interest and faith questions on spirituality and healing. I saw the Pope and was 1 in a delegation of 130 people of various faiths. It was a great and powerful experience to be a part of”.  

Greatest invention ever: The computer. 

What makes your heart soar? “Seeing people of faith coming together to improve relationships throughout the community, throughout the world.”

Email Eide: ealawan@healthcarepartnersinc.com


Article of the Month:

 

Conversation on Chocolate with Jennifer Hayes

 

If it tastes this good, it has to be bad, right?

WRONG!

by Jennifer Hayes, Director of Patient Services

Chocolate is regularly eaten for pleasure. But, there are many potential beneficial health effects from eating chocolate.

 

Antioxidants extracted from chocolate suppress cell-damaging chemicals and boost immune functioning in human blood samples. Diets high in flavonoid-rich cocoa powder or dark chocolate benefit the circulatory system by lowering blood pressure and have slightly higher concentrations of good HDL cholesterol.

 

Other beneficial effects are suggested, such as anticancer, brain stimulator, cough preventer and antidiarrheal effects.

Studies have shown that eating dark chocolate can improve insulin sensitivity, or how well insulin works in the body, which, in turn, may help with blood glucose control. Remember chocolate is certainly no substitute for taking your blood pressure, cholesterol, or diabetes medicine!

Eating large quantities of any chocolate increases risk of obesity. There is concern of mild lead poisoning for some types of chocolate. Chocolate is toxic to many animals because of insufficient capacity to metabolize theobromine.

When chocolate is mixed with sugar and fat, it appears to boost the “feel-good” chemicals of endorphins and serotonin in the brain, thus promoting euphoria and calm. 

Pleasure of consuming

Part of the pleasure of eating chocolate is due to the fact that its melting point is slightly below human body temperature: it melts in the mouth. A study reported by the BBC indicated that melting chocolate in one's mouth produced an increase in brain activity and heart rate that was more intense than that associated with passionate kissing, and also lasted four times as long after the activity had ended.

For more info on chocolate visit: http://en.wikipedia.org/wiki/Chocolate


Mental Health:

by Joanne Corbo Cruz, MSW, LMSW

Successful Family Caregiving

Family caregivers are a fast growing community. Baby boomers are aging, more of our injured troops from the Iraq War are coming home and many families aren’t fully prepared for the challenges of caregiving.  According to the Department of Health and Human Services, 50 million people in the United States are family caregivers for their elderly parent(s), the chronically ill, disabled children, spouse or friend. This “free service” is estimated to cost $306 billion dollars a year, which is twice the cost of homecare and nursing home combined at $158 billion. This reality says a lot about the importance of the family’s mental, emotional and physical well being to be able to successfully provide long term or even temporary care. The National Family Caregivers Association (NFCA) helps provide some answers and messages to live by, such as (1) Believe in yourself (2) Protect your health (3) Reach out for help (4) Speak up for your rights. Visit www.thefamilycaregiver.org


by Pedro V. Caing, MD

Dr. Pedro V. Caing is the Medical Director of Health Care Partners, Inc. He is an active staff member of Oakwood Hospital in Dearborn, Michigan, and he maintains a private practice in Internal Medicine at 3735 Monroe Street, Dearborn, MI 48124.

telephone: 313-277-6560, email caing62740@comcast.net.

Diabetes: A Serious Disorder

Knowledge and understanding can overcome the frustration in management.

Diabetes afflicts 20.8 million people in the United States, with over 2.3 million new cases diagnosed each year. Diabetes costs the U.S. an estimated $174 billion in medical expenditures and lost productivity. By the time one is diagnosed with type 2 diabetes mellitus, more than 50% of the insulin secreting beta cells in the pancreas have been lost due to cell death. Because diabetes is a complicated disease that worsens over time, early and aggressive management is important to prevent its devastating complications. Complications associated with diabetes include heart disease, kidney failure, blindness and stroke. It ranks 6th in the 10 leading causes of death.

It is not uncommon for diabetes to co-exist with other metabolic disorders. A condition called Metabolic Syndrome consists of Diabetes, High Blood Pressure and Abnormal Cholesterol (high triglycerides, bad LDL and low good HDL) levels.

There are new effective medications, along with diet and exercise, that are available now to achieve treatment goals. This means a fasting blood sugar between 70 – 100 mg% and a hemoglobin A1C of less than 7%, blood pressure of not over 120/80, total cholesterol of less than 200, triglycerides less than 150 and LDL of 70 or below. Early diabetes responds well to oral medications: Metformin, Actos and Avandia lower insulin resistance; Sulfonylureas (glypizide and glyburide) stimulate the pancreas to produce more insulin; Januvia increases incretins, the intestinal hormone that suppresses glucagon production - the substance that causes the transfer of blood sugar in the liver into the blood. Novel Insulin preparations are required when the pills are ineffective.

After a thorough examination your doctor will decide what strategy is best for you. Regular checkups are necessary to ensure that there are no side effects of the medications and that the treatment is at goal. Periodic urine examination, blood test for kidney function and cholesterol determination, yearly dilated eye examination, heart checkups and a baseline ultrasound test of the arteries in the neck and lower extremities are necessary to monitor possible diabetes complications.

The average person with diabetes takes nine different medicines. He may not feel any different whether he takes them or not, but the pills are intended to keep his numbers right on target and avoid serious health problems later.


Healthy Aging: A Lifelong Guide to Your Well-Being

Suggested Reading

 

 Dr. Weil, age 63,  presents health facts in a non-threatening way. His main mission here is to recommend "aging gracefully," which he considers accepting the process instead of fighting it. As the director of the country's leading integrative-medicine clinic (combining the best of traditional and alternative worlds), he focuses on proper nutrition, moderate exercise, and meditation and rest among his "12-point program for healthy aging." The most eye-opening sections are those that discuss the spirituality of aging and its emotional aspects.


Last issue's Suggested Reading:

A Family Caregiver Speaks Up, "It Doesn't Have to be This Hard"

by Suzanne Geffen Mintz, President of the National Family Caregivers Association

 

ABOUT THE BOOK:  Full of advice for family caregivers, this one of a kind book written by a family caregiver provides lessons from family caregivers across the country, tips for interacting with the healthcare system to better meet the needs of families dealing with chronic illness, and a cogent presentation of how public policy has a profound effect on even the most intimate details of life in caregiving families.  

Thank You...

to all of our referring physicians, nurses, social workers and office staff for providing excellent care to our patients!  The staff at Health Care Partners continues to provide quality care to our patients and communicates their progress to all of our referring physicians! 
 
Health Care Partners tracks our outcome-based quality improvement measures on a monthly basis.  Our scores for the last quarter were above the national average on 4 of the 7 measures! 
 
At Health Care Partners, we care and it shows!!!


Quick Links
www.healthcarepartnersinc.com www.professionalparentcare.com
www.thefamilycaregiver.org www.healingdoc.com
www.senioroptionsmi.com www.banananose.com

Contact Us

For more helpful information, contact Health Care Partners at any of the following numbers.

Health Care Partners, Inc.
18000 W. Nine Mile Rd. Suite 400
Southfield, MI 48075


Phone: 248-358-1186


Fax: 248-784-3919

 

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For back issues of e-news, visit our website and click on the Contacts page at www.healthcarepartnersinc.com


           

 The Health Care Partners e-newsletter team
Douglas Jones Jane Cortez Arnel Doreza
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