Beatitudes Community

Suicide Prevention Awareness Month

It occurred to Pooh and Piglet that they hadn’t heard from Eeyore for several days, so they put on their hats and coats and trotted across the Hundred Acre Wood to Eeyore’s stick house. Inside the house was Eeyore. “Hello Eeyore,” said Pooh. “Hello Pooh. Hello Piglet,” said Eeyore, in a Glum Sounding Voice. “We just thought we’d check in on you,” said Piglet, “because we hadn’t heard from you, and so we wanted to know if you were okay.”

Eeyore was silent for a moment. “Am I okay?” he asked, eventually. “Well, I don’t know, to be honest. Are any of us really okay? That’s what I ask myself. All I can tell you, Pooh and Piglet, is that right now I feel really rather Sad, and Alone, and Not Much Fun To Be Around At All. Which is why I haven’t bothered you. Because you wouldn’t want to waste your time hanging out with someone who is Sad, and Alone, and Not Much Fun To Be Around At All, would you now.”

Pooh looked at Piglet, and Piglet looked at Pooh, and they both sat down, one on either side of Eeyore in his stick house. Eeyore looked at them in surprise. “What are you doing?” “We’re sitting here with you,” said Pooh, “because we are your friends. And true friends don’t care if someone is feeling Sad, or Alone, or Not Much Fun To Be Around At All. True friends are there for you anyway. And so here we are.” “Oh,” said Eeyore. “Oh.” And the three of them sat there in silence, and while Pooh and Piglet said nothing at all; somehow, almost imperceptibly, Eeyore started to feel a very tiny little bit better. Because Pooh and Piglet were There. No more; no less. (A.A. Milne, E.H. Shepard)

This is Suicide Prevention Awareness Month — a time to raise awareness on this stigmatized, and often taboo, topic. The goal is to ensure that individuals, friends and families have access to the resources they need to discuss suicide prevention and to seek help. Suicidal thoughts, much like mental health conditions, can affect anyone regardless of age, gender or background. In fact, suicide is often the result of an untreated mental health condition. Suicidal thoughts, although common, should not be considered normal and often indicate more serious issues. It can be frightening if someone you love talks about suicidal thoughts. It can be even more frightening if you find yourself thinking about dying or giving up on life. Not taking these kinds of thoughts seriously can have devastating outcomes, as suicide is a permanent solution to (often) temporary problems.

Did you know?

  • 78% of all people who die by suicide are male.
  • Although more women than men attempt suicide, men are nearly 4x more likely to die by suicide.
  • Suicide is the 2nd leading cause of death among people aged 10–34 and the 10th leading cause of death overall in the U.S.
  • The overall suicide rate in the U.S. has increased by 35% since 1999.
  • 46% of people who die by suicide had a diagnosed mental health condition.
  • Annual prevalence of serious thoughts of suicide, by U.S. demographic group:
    • 4.8% of all adults
    • 11.8% of young adults aged 18-25
    • 18.8% of high school students
    • 46.8% of lesbian, gay and bisexual high school students

If you or someone you know are in crisis or are experiencing difficult or suicidal thoughts, call the National Suicide Hotline at 1-800-273 TALK (8255)

You also have crisis resources available here on campus that will connect you to the treatment and support you need. Call Chaplain Peggy (X16109) or Chaplain Andrew (X18481) or Josephine Levy (X16117) and Jessica Meyer from Success Matters (X16110) or speak to any staff member and they will help you find the support you need.

Beware; You Need to Be Aware

For those of you with Medicare Part A and Part B insurance, the following may come as a surprise to you.  What I am referring to is, over the last few years, there had been an increase in the hospital admission practice of admitting patients under an outpatient “observation” status versus an “inpatient” status.  While we don’t see this happening as often, it is still something to be aware of and keep fresh in your mind.

Some Medicare patients have found that after being admitted into the hospital for a few nights, they were then discharged to a skilled nursing facility and that their stay was not going to be covered under their Medicare Part A benefits because when they were admitted to the hospital, they were admitted under an outpatient “observation” status.

The difference between an outpatient “observation” status and “inpatient” status according to Medicare.gov, is that an “inpatient” status means you are formally admitted to the hospital per a doctor’s order.  An “observation” status means a doctor has not written an order to admit you to the hospital.  This may be the case if you are getting emergency care, observation services, outpatient surgery, lab test, x-rays, etc. Medicare.gov also states, “The decision for inpatient hospital admission is a complex medical decision based on your doctor’s judgment and your need for medically necessary hospital care. An inpatient admission is generally appropriate when you’re expected to need two or more midnights of medically necessary hospital care, but your doctor must order such admission and the hospital must formally admit you in order for you to become an inpatient.”

What does all of this mean? If you have been admitted as an “inpatient”, Medicare Part A will cover your hospital services after you have met your deductible as well as will cover eligible drugs administered as part of your inpatient treatment during a covered stay.  Medicare Part A will also cover 100% for the first 20 days in an approved skilled nursing facility or rehab if the patient had spent at least three midnights in the hospital admitted as an “inpatient”.  If you were classified as “observation”, Part A will not cover the services.  Medicare Part B can cover your hospital services; however, a copay is required and varies depending on the service.   Additionally, prescription drug coverage during an outpatient “observation” stay is not covered by Part A or Part B potentially leading to more out of pocket expenses.   Medicare Part B may be used in skilled nursing facilities to cover the physician visits as well as the rehabilitative therapies prescribed.

What can you do to avoid this type of situation?  AARP offers the following tips:

  1. Ask about your admission status each day you are in the hospital as it may change.
  2. Ask the hospital doctor to reconsider your case if you were admitted under an “observation” status.
  3. Ask your own doctor whether “observation” status is justified. If not, ask him/her to call the hospital to speak with the hospital doctor for an explanation.

For more detailed information on how Medicare covers hospital services, including premiums, deductibles, copayments, or any other questions you have about Medicare, you may reach out to Josephine Levy, our Success Matters Resource Navigator who is also a Medicare State Health Insurance Program Counselor, at x16117.  You may also visit Medicare.gov/publications to view the “Medicare & You” handbook or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.*

Healthy Living for Healthy Lungs

With warmer spring weather arriving, we are all enjoying the welcoming temperatures of the season and spending more time outdoors. But with spring comes higher pollen counts and an increase in allergic symptoms. In Arizona, allergens cause more severe and prolonged allergy symptoms due to the extended growing seasons. Phoenix residents also endure more air pollution in the form of soot, dust, aerosols and emissions than most large cities, which can exacerbate allergy symptoms, as well as other lung conditions like asthma and chronic obstructive pulmonary disease (COPD).  Allergies, asthma, and COPD combined affect over 56% of the population, and COPD, in particular, has a higher rate of occurrence among older adults.  But breathe easy…we’ve got you covered.

Better Breathers is a group sponsored by the American Lung Association, which meets every 2nd Monday of the month at 4PM in the Motion Studio.  This group supports individuals with various lung conditions and provides valuable insights and tools for lung health.  Under the thoughtful leadership of resident, Barbara Carpenter, the Better Breathers hosts speakers and regularly addresses topics, such as:

  • How COPD, asthma, and allergies affects the lungs
  • Breathing techniques and relaxation to manage lung conditions
  • Exercise
  • Talking with your physician
  • Medications and other treatment options
  • Air pollution

Like many residents on campus, participants in Better Breathers are committed to living their lives to the fullest, despite physical challenges that may arise.  Through peer support and education, Better Breathers helps residents and community members learn proactive ways to face lung conditions head on and embrace life!

On March 25th, members of the Better Breathers group will be making a special trip to the LUNG FORCE Expo. The LUNG FORCE Expo is a program designed for patients, caregivers and healthcare providers to learn more about the latest trends, resources and research surrounding lung conditions.  Speakers from a variety of fields will present current medical information on topics that have the most impact on those whose lives are touched by these conditions.

If you’re interested in learning more about Better Breathers or attending the LUNG FORCE Expo, join us Monday, March 13th at 4PM in the Motion Studio or catch us next month on April 10th. 

Hello Beatitudes!

I was asked to write my first article while Jon Schilling was on vacation.  Since I’m one of the newest full time employees, I thought that it would be best for me to take this opportunity to introduce myself to Beatitudes Campus.

I am a personal fitness instructor, certified by the National Academy of Sports Medicine since 1996.  I worked as a fitness instructor in various Health Clubs and Medical Clinics. Most of that time I worked at Mountain Shadows Resort and Golf Club in Paradise Valley.

I am a new full time employee, but I am not new to this campus.  Many of you know me from my previous positions.  I started working here for Beatitudes at Home in July, 2012.

I later became the group instructor in the Functional Fitness class.

I left Beatitudes at Home to work in a physical therapy clinic in 2013 for two years, but I continued to be the instructor for the Functional Fitness class.

From the beginning, I made it clear that I enjoyed working with the people in this environment and that I wanted to work here full time.  The average age of my fitness clients, over the course of my 20 year career, has always been 50+ years old.

My new position title is Fitness Specialist.  My duties include Fitness Center Attendant, Personal Fitness Instructor and Group Fitness Instructor.

Now that I am here full time, I will channel all of my studies into fitness training for residents 65 years and older.   This means that I will find the best ways to address age related physical illnesses and injuries.

I am gathering as much literature on dementia as I can find, so I can create effective workout strategies that best serve residents who may suffer from this terrible disease.  I also want to be able to offer useful tips to help friends, relatives and caregivers to communicate with them through troubling times.

The physical therapists who work on campus are wonderful!  I have a good relationship with them.  Residents who have suffered from an illness or injury that work with the campus therapists may want to extend their physical rehabilitation long after they have been discharged.  I can do one on one fitness sessions to extend the physical therapist’s treatment strategies within my limitations as a Certified Fitness Trainer.  It has been three months since I have been a full time employee on Campus.  I DO NOT need any more time to analyze my decision to take this position.  I already concluded that I made the BEST decision to join this team.

I feel very comfortable with the staff and the residents.  I enjoy getting opportunities to share laughs with everyone, especially when I “goof up” during my fitness classes.

If I haven’t had the pleasure of meeting you yet, please stop me in the hallways, come to one of my fitness classes or stop by the Fitness Center.  I’M LOOKING FORWARD TO IT!

Look Into an Eye Exam

When was the last time someone sat you down, looked deep into your eyes and measured your intraocular pressure?

That’s the pressure inside your eye. Measuring it can find early signs of glaucoma, one of several common eye disorders that can appear without much warning.

Like many health conditions, eye diseases often are easiest to treat when found early. It’s one reason why eye experts suggest regular eye examinations—and why it might be time for you to schedule one.

A good look at your eyes

A comprehensive exam at an ophthalmologist’s office can be an eye-opening experience in many ways.

People often aren’t aware that their vision could be better than it is, according to the National Eye Institute (NEI). You may be surprised at how much more clearly you could be seeing.

You also might undergo some testing that literally widens your eye—or your pupils, at least. Called a dilated eye exam, it uses drops to enlarge your pupils so the doctor can more easily spot damage or eye diseases like age-related macular degeneration, diabetic retinopathy or glaucoma. Keep in mind that the test can leave your vision blurry for a few hours.

Other testing you can expect during a complete eye checkup:

  • A visual field test to measure your peripheral—or side—vision.
  • A light beam shined into your eyes to check pupil constriction.
  • A visual acuity test to assess how well you see at different distances.
  • A test to check for glaucoma by measuring eye pressure.

When to schedule eye checkups

The American Academy of Ophthalmology (AAO) recommends vision exams for children:

  • At birth. All newborns should have a basic exam. Some newborns may need additional exams based on risk factors.
  • Between 6 months and 1 year of age.
  • Between 3 and 3 1/2 years of age.
  • When they start school and any time after that when a problem is suspected.

For adults, the AAO recommends comprehensive exams to screen for eye disorders at the following intervals:

  • At least one exam between ages 20 and 29.
  • At least two exams between ages 30 and 39.
  • A baseline screening for age-related disorders at age 40. (Your eye doctor will tell you how often to come in between ages 40 and 64.)
  • A complete exam at least every two years after age 65.

The above schedule is in addition to updates for lens prescriptions or treatment for eye injuries or ongoing problems.

Your eye doctor might suggest more frequent checkups if you:

  • Have a family history of eye problems.
  • Have high blood pressure or diabetes.
  • Had a previous eye injury.
  • Are an African American over age 40, which puts you at higher risk for glaucoma.

Keep your eyes healthy

There are a number of steps you can take between exams to keep your eyes healthy, according to the NEI. These include:

Ban rays. Wear protective sunglasses when outdoors. Look for shades that block 99 to 100 percent of both UVA and UVB rays.

Go for goggles. Wear the appropriate protective eyewear when working around the house or playing high-impact sports.

Look away. Give your eyes a rest after staring at the computer or focusing on anything for a long period of time. The NEI suggests looking away into the distance for about 20 seconds every 20 minutes.

For more information log on to www.azblue.com.

Medicare Benefits and YOU

1620218Late each year, beneficiaries are offered the opportunity to review their Medicare plans and make changes accordingly during the Medicare Open Enrollment Period. Understanding how your insurance selection impacts you is more important today than ever before. This is crucial since the Affordable Health Care Plans and Medicare are key Congressional discussion items.

To help educate and inform you on Medicare updates and available options, we have asked a third party insurance consultant, Ellen Dean from Dean and Associates, to come and discuss changes in Medicare on Monday, October 19th at 2:30pm in the Motion Studio at the Nelson Administration Center.  Mrs. Dean, an expert on senior health insurance since 1992, will inform you on the complexities of Medicare Insurance Coverage and Part D Prescription Drug Coverage.  Ellen’s partner, Katie Ponton, will also be available to specifically discuss changes directly related to the 2017 Part D Drug Plans.  Additionally, Ellen has agreed to meet individually with residents and their families to evaluate insurance coverage and re-enroll you into a different insurance plan if you so desire.  Medicare open enrollment is scheduled for October 15-December 7, 2016 with changes effective for a January 1, 2017 start date.  As a Certified© Financial Planner and Health Insurance Broker, Mrs. Dean and Katie work with many insurance companies and are not restricted to a limited few….their expertise is highly valued!

Like many health care providers, we are not contracted with many Medicare Advantage HMO Plans.  This is due, in large part, to the fact that many HMOs do not reimburse our Health Care Center at the rate that covers the cost of care provided.  Offering high-quality skilled nursing care services is important to us because we know these services are important to you and your family.  In addition, to add to our continuum of care, the services offered by Beatitudes Home Health are only reimbursed by Medicare at this time, as well as our outpatient therapy clinics which are contracted with Medicare and very few other insurance companies.

It is essential that you understand your current options and find a plan that works best for you in regards to costs and access to care.   Our experience has shown that residents who have Medicare with a traditional supplement have greater satisfaction with health care services.  These residents have more choices in providers and may see lower out-of-pocket costs in the event of a medical emergency, post-hospital skilled care event, or cancer treatments.

I hope you will join us on October 19th for this special informational session covering the 2017 Traditional Medicare vs. Medicare Advantage plan (HMO) Benefits. Additionally, you may set a private appointment with Mrs. Dean right here on Campus by calling 602-266-9200. *