PPIs: Something To Think About

Andrea M. Hartley CPhT
Pharmacy Technician / Central Supply Manager
The GRAND of Dublin

PPIs: Something To Think About

Do you have one of these PPIs in your medicine cabinet?

  • Prilosec (omeprazole), available as an OTC and prescription
  • Nexium (esomeprazole), available as an OTC and prescription
  • Prevacid (lansoprazole), available as an OTC and prescription
  • Zegerid (omeprazole & sodium bicarbonate), OTC only
  • Protonix (pantoprazole), prescription only
  • Aciphex (rabeprazole), prescription only
  • Dexilant (dexlansoprazole), prescription only

20-30% of Americans use a PPI (proton Pump Inhibitor) to manage symptoms of GERD (gastroesophageal reflux disease), acid reflux, frequent heartburn and ulcer symptoms, and several other indications.  These medications have been a mainstay in treatment of stomach acid-related disorders since their introduction in 1989.  In layman’s terms, they work by binding to the proton pumps in the cells of our gastric glands and causing them to reduce acid secretion.

Their safety and efficacy have made PPIs one of the most prescribed medications.  The first PPI was approved for over-the-counter sales in 2003, allowing the convenience of self-treatment.  However, the approval for OTC sales has also contributed to the overuse & misuse of PPIs.

Many people who don’t necessarily need PPIs are using them and this can lead to problems due to a higher risk of bone fracture and higher risk of obtaining certain bacterial infections, among other things.

If you use a PPI, consider talking to your doctor about it at your next appointment. Some of the questions that patients need to ask their physicians are:  Should I be taking this?  Would a lower dose be effective? Is there an alternative to this medication?  Do the risks outweigh the benefits in my situation? Find out if another medication, such as an antacid (Tums, Mylanta, Maalox etc.) or H2 blocker (Tagamet, Pepcid, Zantac, Axid) might be better for you to use.  Or there may be some lifestyle changes you could try to reduce your symptoms.

If you use a PPI, it’s definitely something to think about.

Resident Rights – Ohio & Federal Nursing Home Residents’ Bill of Rights.

Catherine Denlinger, MSW, LSW
Director of Social Services
The GRAND of Dublin

Resident Rights

This SSS (Social Services Series) will be a continuation of Ohio & Federal Nursing Home Residents’ Bill of Rights. During our last series we looked at the first five resident rights.  We will resume summarizing the resident rights continuing with number six.

  1. Residents have the right to request and obtain the name and any specialty of any physician and/or any other person that is responsible for his/her care or coordination of care in the center.
  2. Residents have the right to request/assign/select an attending physician that is not on the staff of the nursing center if they so wish (in accordance with the rules and written policies/procedures of the nursing center).
  3. Residents have the right to partake in the decisions that affect his/her life including but not limited to communication with the physician and/or staff of the nursing center regarding their care/treatment planning, medical condition, prognosis, etc. Residents further have the right to access their medical record as well as to give and/or withhold informed consent for treatment after the consequences of that choice is explained.
  4. Residents have the right to withhold payment for physician visits if the physician did not actually visit the resident.
  5. Residents have the right to confidentiality of their medical records. Residents have the right to refuse the release of their records to anyone outside the nursing center, except in cases of a transfer to another center, hospital or health care system.
  6. Residents have the right to privacy, especially during medical examination and/or care/treatment of their person.
  7. Residents have the right to refuse care/treatment.
  8. Residents have the right to be free from physical/chemical restraints or prolonged isolation. Physical or chemical restraints or isolation may be used in an emergency situation without authorization of the attending physician only to protect the resident from injury to self or others.
  9. Residents have the right to utilize the pharmacy of their choosing.
  10. Residents have the right to exercise all civil rights.

To review these rights in more detail please visit: Lawriter – ORC – 3721.13 Residents’ rights. codes.ohio.gov/orc/3721.13 and/or https://www.ohca.org/nursing_home_residents_bill_of_rights

May 2018 Employee of the Month

Employee Name: Jessica Wells
Position: LPN
Length of Service: 1 year

Reason they won EOM: Jessica is a dedicated employee that spends that extra time to get to know her residents. Families have complimented on what a great job she does and they love the way she treats their loved ones!

Favorite Sports Team:  Cleveland Cavs
Favorite Food: Chocolate
Hobbies/Interests: going out with friends
Family: From Delaware, 2 sisters that are also nurses!

What is DME (Durable Medical Equipment)?

Andre Hartley, CPht
Central Supply Manager
The GRAND of Dublin

What is DME (Durable Medical Equipment)?

DME, or Durable Medical Equipment, is a reusable item ordered or prescribed by a physician to a person with an illness, disability or injury.  These items serve a medical purpose and can stand repeated use.  They can be used in the home or in a care facility.

We have residents at the Grand who bring in their own DME to use while they are here.  Having familiar equipment that they know how to operate can be a comfort to those recovering in a new environment.  For any residents who are unable to bring in their own, the central supply department has a wide array of DME that can be borrowed or rented (depending on insurance) during a stay here.  Below are a few examples of some common DME you or your loved one may need to use during a stay:

DMEOxygen concentrators/generator: for those with trouble keeping up the oxygen levels in their blood.  This device takes in air, removes the nitrogen from it, and delivers purified oxygen to the user.  Just by plugging it into an outlet, it provides an endless supply of oxygen at up to 10 liters per minute, or LPM.

Low Air Loss, Alternating Pressure or Dual Therapy Air Mattress: As prescribed by a physician, this mattress system is for residents who have certain types of wounds or are at high risk for skin ulcers.  Tiny holes in the cover of these mattresses continually blow out air to reduce skin pressure.  This air flow also wicks away moisture from the skin to prevent breakdown.  This type of mattress also contains multiple cells of air that inflate and deflate very slowly to change pressure points and promote circulation.

Nebulizer machine:  A small device for residents who need certain inhaled medications, or breathing treatments.   You may need to use one of these machines if you have a chronic condition such as asthma, or an acute issue like pneumonia.  A nebulizer uses an air compressor to disperse medication in the form of a mist that can easily be inhaled.

Negative-Pressure Wound Therapy Pump or NPWT Pump:  As prescribed by a physician, NPWT promotes healing of certain types of wounds by applying a vacuum through a sealed dressing.  The reduced pressure caused by the vacuum draws fluid away from a wound and increases blood flow to the area.  The sealed dressing turns an open wound into a closed wound in a controlled environment.

These are just a few examples of the DME available for use by our residents here at The Grand.  Our Therapy department also carries an array of wheelchairs, walkers and other mobility devices for use by our residents.  If you would like more information about the availability of a particular DME item during your stay, please ask about it during your tour!

May 2018 Newsletter

Mother’s Day – May 13th 

Main Street Muffin’s with Moms @ 10:30am

Stop by Main Street outside the cafe to grab a complimentary muffin and coffee in honor of Mother’s Day and all of our beautiful Moms!

Flower of the Month – Lily of the Valley

Lily of the valley, the birth flower for the month of May, got its name from early Christian monks. It probably references a quote from the biblical Song of Solomon: “I am the rose of Sharon and the lily of the valley.” The flower’s Latin name, Convallaria majalis, means “valley” (Convallaria) and “the month of May” (majalis), which probably refers to where it thrives and when it blooms.

Employee of the Month

Nkendem Atenchong
Position: LPN
Length of Service:6 months

Reason they won: Nkendem is a wonderful, kind, and smart nurse. Does everything he can to help the residents. Is very caring.

Favorite Sports Team: Cleveland Cavaliers
Favorite food: African food
Hobbies/interests: Soccer, basketball, and spending time with family and friends
Family: Is married and has 3 boys!

See Full Newsletter

Resident Rights in a Nursing Center

Social Services Series

Catherine Denlinger, DOSS, MSW, LSW
Director of Social Services
The GRAND of Dublin

Resident Rights in a Nursing Center

resident rightsIn 1987, the Federal Government enacted the Nursing Home Reform Act.  This law mandates that residents living in a long term care facility have the same basic rights of those residing in the community.  This law states that nursing centers “must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care”.  This law stresses the importance of a resident’s dignity, comfort and self-determination.  There are currently 32 resident rights.  These rights can be found on numerous sites on the Web.   In this SSS (Social Services Series) we will be listing all of these rights.  At this time, we look at the first 5 resident rights.

  1. Residents have the right to a safe and clean living environment.
  2. Residents have the right to be free from physical, verbal, mental and emotional abuse and to be treated at all time with courtesy, respect and full recognition of dignity and individuality.
  3. Residents have the right to adequate and appropriate medical treatment, nursing care and to ancillary services.
  4. Residents have the right to have all reasonable requests and inquiries responded to promptly.
  5. Residents have the right to have their clothes and bed sheets changed as the need arises.

Here at The Grand of Dublin, our staff strives to provide the best possible quality of care to each and every resident.  We treat our residents with respect and promote their independence as well as focus on their comfort needs.  Our center provides a home-like environment so that residents can focus on their medical improvement.  We treat each resident in a holistic manner and provide the necessary services for their physical, mental and psychosocial well-being.

The list of resident rights that we will be listing over the next several SSS can be found at the following site:

www.http//codes.ohio.gov/orc/3721.13

When and How to Wash Your Hands

by Frank Mackovine
Dietary Director
The GRAND of Dublin

When and How to Wash Your Hands

WHEN?

  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • Before and after treating a cut or wound
  • After using the toilet
  • After changing diapers or cleaning up a child who has used the toilet
  • After blowing your nose, coughing, or sneezing
  • After touching an animal, animal feed, or animal waste
  • After handling pet food or pet treats
  • After touching garbage

wash hands, handwashing

HOW?

  • Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
  • Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your
  • hands, between your fingers, and under your nails.
  • Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
  • Rinse hands well under clean, running water.
  • Dry hands using a clean towel or air dry them.

With not much effort you can keep you and your loved ones safe from illness and yes, even those that you don’t like!

New Medicare Cards to Debut in April 2018

New Medicare Cards to Debut in April 2018

by Corey Ohalek
Associate General Counsel
Vrable Healthcare, Inc.

MedicareAs the technology world expands, so does the risk of fraud and identify theft. In order to combat “fraud, fight identity theft, and keep taxpayer dollars safe,” the Centers for Medicare and Medicaid Services (CMS) will be issuing new Medicare cards to Medicare enrollees beginning in April 2018. The previously enacted Medicare Access and CHIP Reauthorization Act of 2015 mandates CMS to remove Social Security numbers (SSN) from all Medicare cards by April 2019. SSN-based Health Insurance Claim Numbers (HICN) will be replaced with “a new, unique, randomly assigned number called a Medicare Beneficiary Identifier (MBI).” Congress’s belief is that the change from the SSN-based HICN will “better protect private healthcare and financial information, as well as federal healthcare benefit and service payments, from fraud.” Medicare Beneficiaries will not see a change in the “enrollees’ Medicare benefits, and the effective date of the new cards remains the date that each beneficiary was or is eligible for Medicare.”

April 2018

In April 2018, new Medicare cards will be issued through the mail with mailings occurring in phases based on geographic location dictated by CMS. CMS will provide additional details on the timing of the new cards as the mailing progresses. Providers, such as Vrable Healthcare, Inc., have been preparing their facilities for the upcoming change to ensure a smooth transition to the new cards. Lastly, as an effort to provide more protection to enrollees, CMS has made it clear that it will “never ask enrollees for personal or private information or charge a fee to obtain the new card. In fact, enrollees need not take any action to obtain these new Medicare cards.”

For more information on the upcoming changes to the Medicare cards, click here.