THINGS WE WISH WE KNEW AND THINGS WE SHOULD KNOW THINGS WE WISH WE KNEW AND THINGS WE SHOULD KNOW.
Hospital 101: Things to Know Before You Go There€¦ · Important Things to Know Before You* Go to...
Transcript of Hospital 101: Things to Know Before You Go There€¦ · Important Things to Know Before You* Go to...
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Important Things to Know Before You* Go to the Hospital!
* Or someone you know
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Overview • Who Goes and Why?
• What your Doctor Doesn’t Know!
• Going, Going, Gone Before you Know it!
• Admitted or Observed?
• Following Through with the Plan
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I am Just NOT Going!
• Persons aged 65+ had more hospitalizations than any other group
• 74% admitted through Emergency Room
• One of five go back into the hospital within 90 days of release!
• Mortality rate and length of stay are both higher with rehospitalization
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Why Do Older Adults Go?
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
900,000
Number of Hospital Admissions
Heart Failure Pneumonia
Atherosclerosis Heart Rhythm
Heart Attack Lung Problems
Stroke Arthritis
Adjust devices Dehydration
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“Sicker and Quicker”
• People are in the hospital for much shorter times than ever before
– Bypass? 2 days!
• Discharge doesn’t happen when you are healed
• Most of the care takes place by your hands and in your home
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You May Need a Friend!
• Your hospital stay will not go as planned…
• You will receive care which you may not understand…
• You will have questions…
• You may not be heard…
• Have someone with you to help you listen to instructions and capture the facts!
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Going Home is Important • A successful hospital stay
continues with a successful hospital release
• There are several things you and your family or friends can do while you are in the hospital to make your discharge successful
• Keeping track of just four things can make a difference in whether you go back to the hospital
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The First Priority—Medication
• Hospital stays can change what meds you take and how you take them
• Hospital staff will need to know what you take
• Always keep a current list of your medication in your wallet or purse
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Managing Medications • Before you leave the
hospital get a current list of medicines, dose, and how to take it
• Ask about ALL medicines—those before the hospital as well as new ones added in the hospital
• Have a plan to keep them organized…
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Ask Questions about Medicine • What are they for?
• How should I take them? – With food/no food
– Timing; when/how often
– Mixed or separate; OTC
– Crush or not
– When to quit?
• Talk to your Doctor before discontinuing anything
• Take everything to one pharmacist for a good look!
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The Second Priority—Warning Signs
• These are things that tell you that your condition is getting worse
• Before you leave ASK what you should watch for
– Write it down!
– Don’t leave the hospital without the list of danger symptoms
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Warning Signs
• At the FIRST SIGN of a problem—tell someone or call the doctor
• Know your doctors’ telephone numbers and which one to call – Know who to call after hours
and on the weekend
• You know your body—waiting to tell will only make things worse
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The Third Priority—See Your Doctor
• The hospital may not inform your doctor about your hospitalization
• The hospital is most likely not going to call you or follow up with you to see how you are doing
• Your doctor may not even know you were in the hospital
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Make the Call!
• You absolutely MUST see your primary care doctor within the week you leave the hospital
• When you call, tell the person who sets appointments that you just got out of the hospital
• If they tell you there are no openings, ask to speak to the nurse
• DO NOT TAKE NO FOR AN ANSWER
• Keep the appointment
• Write your questions down as you think of them before you go
• Make sure you have a ride!
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Plan your Ride to the Doctor
• You may not be able to drive safely so be sure you plan how to get there…
– Friends
– Specialized Transportation
– Family Members or Taxi
– Volunteer
– Faith Community
– If eligible for Medicaid
676-6749 or 738-4554
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The Fourth Priority—Make a Record • Your health is your
responsibility
• You are the most accurate source of information—only you know the whole story
• Healthcare professionals do not share your information with one another
• Keeping a record will provide a record for others when you are ill and treatment will be faster
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Keep a Health Record
• Keep track of anything you think is important:
– Illnesses or problems, dates, and treatments
– Medications, including herbs and vitamins; any negative experiences
– Hospital stays, dates, why you were there and what happened to you
– Immunizations; oral health care, eye exams, mammograms, physicals
• Keep it out so you can keep it updated
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It’s Your Job • Don’t expect that your
health information will be shared with other medical providers, even with electronic medical records
• If you hear misinformation, speak up!
• It is your information and your responsibility to keep it straight
NOTICE! I am in charge of my
medical care. If you have a
question, ASK ME!
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When You Leave the Hospital
• Be sure you have the information you need and do not leave without it
• Remember that you may not be able to do the same things as when you left home
• ASK FOR HELP!
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Not Ready To Go? • The hospital may try to discharge
you before you feel ready to go.
• If so, call the Quality Improvement Organization (QIO) 800-949-7536, (in Western Washington) before the end of the day of the planned discharge.
• Tell them you want an “expedited hearing” about your discharge.
• They will review the record and make a decision by noon of the following day.
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Admitted or Observed? • You came in through the
Emergency Room.
• You were taken to a room, received medical care, tests, meals, and a toothbrush.
• You have been here for four days.
• You may be in OBSERVATION
• ASK if you are ADMITTED!
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Three Is Your Lucky Number…
• Unless you have been admitted to the hospital for three days, MEDICARE will not pay for nursing home care.
• As you make plans for discharge, ASK if you have been in long enough to recover in a nursing home.
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Home Might not Be Sweet • If you have ANY questions
about your ability to self care or manage with your caregiver, you may want to consider a very short stay in a nursing home until you get ready
• Medicare will pay for home health care if you are homebound, need skilled care, and have a doctor’s order
• ASK BEFORE you leave the hospital!
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If You Need Help… • There are many
community agencies ready to help you and your caregiver
• Call Senior Information and Assistance for help with nearly any issue
• Call the Family Caregiver Support programs for tips with caregiving and assistance to find services and equipment
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To Review… • Get prepared before
you need to go
• Get a health record set up
• Write down your medications
• Talk to close friends and family and identify an advocate to help you when you are not at your best
• Pack a “just in case” bag and include a list of things to remember – Warm socks
– A toothbrush and paste
– Your health record
– A manila folder for papers
– A family picture
– Two pairs of your
best clean
underwear
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Don’t Put it Off • Planning now will assist
you to heal later
• Discuss your plan your family or friends
• Remembering is as easy as 1,2,3,4!
• Call for help with planning or for a discharge coach
360-676-6749
800-585-6749
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For More Information
• Caregiver Support is available by calling the Northwest Regional Council
– Skagit—360-428-1301
– Whatcom—360-676-6749
• Aging and Disability Resource Information is available by calling the Northwest Regional Council
– Skagit—360-428-1301
– Whatcom—360-738-2500