Home Health Care In Austin: Looking At A More Independent Route

Like many of the elderly Health Care issues in Austin and other major cities is a big issue. People are looking for a way that they can stay in their own homes as they face the aspect of growing older and not being able to take care of themselves. Health care in Austin and across the United States does not pay for people to get help in their own homes. Families face a growing burden of care for elderly and disabled relatives and most people will have to pay for their own support services in old age as the state’s role shrinks and there is no funding for services.

There is a solution. The option of hiring caregivers to come into your home is becoming more and more popular today. These caregivers come several times a week to help with activities of daily living including daily light household cleaning, bathing, meal preparation, and taking clients to appointments and companionship.

With the new trends of people living longer, staying healthier, and wanting to stay in their own homes, there is a need for such Personal Caregiver services all across the United States. On average these caregivers spend about 15 to 20 hours a week with each senior. The average cost varies from about $13 to $20 dollars an hour depending upon the area of the country that you live in. This can be long term care at home or short term care to help get through a crisis and the family can choose how much time per week the assistance is available. There is also some local and state funding available to subsidize the cost for low-income families to enable them to get the help that they need. If it were not for this option, most of the elderly would either end up in an assisted living facility, in a nursing home or at an adult daycare facility.

FACTS ABOUT HOME CARE AND AGING:

Home care is one of the fastest growing segments of the American health care system.
There are 70 million people over the age of 50 in the U.S
Someone turns 50 every 7 seconds.
The demand for home health care services will continue to accelerate as the nearly 80 million baby boomers age.
Eighty three (83) percent of homeowners surveyed nationwide have said they would like to remain in their homes for the rest of their lives.

Medication Safety Advanced In The Hospital Pharmacy With Mckesson Ehr & Cpoe Technology

Incentives from the American Recovery and Reinvestment Act of 2009 (ARRA) are helping to create a wave of healthcare IT implementation activity. In all likelihood, we will see more IT adoption in healthcare in the next five years than in the previous 20. Physicians and nursing staff will increasingly incorporate healthcare IT into their daily workflow, creating greater opportunity for pharmacists to be more engaged in an organization’s medication safety and use processes.

Prior to the creation of Electronic Health Records (EHRs), it was a cumbersome process for the pharmacist to access each patient’s paper record for medication review. The EHR has the potential to change all that. Properly configured, the EHR can serve as the pharmacist’s “eyes and ears” on the entire medication use process, 24 hours a day, seven days a week. Now the pharmacist is in a position to make a much greater contribution to the multidisciplinary care team.
Computerized physician order entry (CPOE) enables drug orders to instantly come into the pharmacy in an electronic format, eliminating transcription-related errors. Integration of CPOE and the pharmacy information system provides a unique opportunity to incorporate drug therapy best practices, guidelines for use, and surveillance related to medication safety and utilization into the EHR.
The EHR will ultimately cross all disciplines in a hospital. In order for EHR adoption to be successful, each institution must view the transition as a multidisciplinary issue. This approach means that the walls that have so long separated and isolated departments must be broken down in favor of a broader and more effective approach. These teams can provide a powerful means of evaluating patient care workflows from end to end and identifying ways to improve safety and efficiency.

EHRs also bring an unprecedented level of transparency to every department within the hospital, including the pharmacy. The data collected by the EHRs can be analyzed to bring a high level of clarity to healthcare processes. When everyone has a single source for truth, misunderstanding and misconceptions quickly give way to greater efficiency and effectiveness. Instead of wading through mounds of reports and discovering negative trends long after they have started, dashboard alerts allow for near real-time monitoring. Such transparency can serve as a powerful agent of change.
All of these advances will change the way pharmacists work in new and fundamental ways. The result will be professionals that are firmly integrated into the care process and better able to share their training and experience with colleagues. That’s an approach with real benefits for both caregivers and patients alike.
For a complete version of this article, or to learn more about medication safety, Electronic Health Record or CPOE solutions, visit McKesson online.

Drugs And Medicine For Treatment Of High Blood Pressure

There were hardly any drugs for the treatment of this condition. It was only in the latter half of the last century, that medical science made rapid advancements, and today drugs allow a hypertensive patient to live a near normal life are available.

The first real drug to treat hypertension was given to the rest of the world by India’s indigenous system of medicine, Ayurveda. The roots of the plant ‘sarpgandha’ (rauwolfia serpentina) formed a part of the repitoire used for treating various ailments. Indian researchers of the system discovered the blood pressure lowering properties of these roots. Subsequently in 1953, Swiss scientists isolated the pure chemical substance, and named it reserpine (SERPASIL), which remained in the forefront for the treatment of high blood pressure for almost two decades. Now, it has been replaced by more modern drugs and is rarely used.

In spite of these recent advances, it is a pity that the treatment of hypertension remains palliative rather than curative. There is a difference between anti-hypertensives and other drugs like antibiotics. The latter drugs destroy micro-organisms and remove the cause of the infective state, enabling a complete cure; while the former, hardly ever cure the disease. They only lower the blood pressure without removing the cause. Nevertheless, these drugs are important, as they are all at we have. They increase the lifespan and quality of life of patients of high blood pressure.

Since all of us fear high blood pressure, let us first examine what blood pressure (BP)actually is and why blood should need a pressure at all.

Nimodipine (Nimodip 30 mg)

It increases brain blood flow, therefore, it is commonly used in the treatment of stroke. Nicardipine, nitrendipine, lercanidipine and lecidipine are some other drugs.

Advantages: All CCBs are useful in angina, IHD and hypertension. Except diltiazem and verapamil all can be combined with beta-blockers (Atenolol commonly). They are also usefull in migraine and peripheral vascular disease. Kidney blood flow is well maintained and nifedipine may increase urine output. The antihypertensive effect is not blunted by anti-intlamatory pain relievers which is its unique feature.

Adverse effects and Precautions: As a group CCBs can cause sensation of vomiting, constipation, swelling over feet and hypotension. Verapamil and diltiazem precipitate congestive heart failure and heart blocks. Verapamil and diltiazem are never used with betablockers. They are not safe in pregnancy. These should be used with caution in angina to avoid alarming rise in pulse rate. These drugs do not significantly alter blood lipids and may have some bronchodilatory effects, thus are very useful in asthmatic hypertensives. In this aspect they are better than nonselective beta-blockers.