Let’s Talk About: Living at home after a Stroke

Let’s talk about: Living at Home After Stroke

Most stroke survivors are able to return home and resume many of the activities they did before the stroke. Leaving the hospital may seem scary at first because so many things may have changed. The hospital staff can help prepare you to go home or to another setting that can better meet your needs.

How do I know if going home is the right choice?

Going home poses few problems for people who have had a minor stroke and have few lingering effects. For those whose strokes were more severe, going home depends on these four factors:

*Ability to care for yourself: rehabilitation should be focused on being able to perform daily activities such as eating, dressing and bathing.

*Ability to follow medical advice: this is a critical step in recovery and preventing another stroke or other complications after stroke. It’s important to take medication as prescribed and follow medical advice.

*A Caregiver: someone should be available who is willing and able to help when needed.

*Ability to move around and communicate: if stroke survivors aren’t independent in these areas, they may be at risk in an emergency or feel isolated.

What changes do I need to make at home?

Living at home successfully also depends on how well your home can be adapted to meet your needs.

*Safety: take a look around your home and remove anything that might be dangerous. This might be as simple as taking up throw rugs, testing the temperature of bath water or wearing rubber-soled shoes. Or it may be more involved, like installing handrails in your bathroom or other areas.

*Accessibility: you need to be able to move freely within the house. Changes can be as simple as moving the furniture or as involved as building a ramp.

*Independence: your home should be modified so you can be as independent as possible. Often this means adding special equipment like grab bars or transfer benches.

What if I can’t go home?

Your doctor may advise a move from the hospital to another type of facility that can meet your needs for a short time or permanently.  It’s important that the living place you choose is safe and supports your continued recovery. Your social worker and case manager at the hospital can give you information about facilities that might work for you. Possibilities include:

*Nursing Facility: this can a good option for someone who has ongoing medical problems. This type of facility provides round-the-clock care.

*Skilled nursing facility: this is for people who need more than usual medical attention, continued therapy and more care than a caregiver can provide at home. This type of facility also providers round-the-clock care.

*Intermediate care facility: this is for people who don’t have serious medical problems and can manage some level of self-care.

*Assisted living: this is for people who can live somewhat independently but need some assistance with things like meals, medication and housekeeping.

How can I learn more?

*Call 1-888-4-STROKE (1-888-478-7653) to learn more about stroke or find local support groups or visit StrokeAssociation.org.

*Sign up to get Stroke Connection magazine, a free magazine for stroke survivors and caregivers at strokeconnection.org.

*Connect with others sharing similar journeys with stroke by joining our Support Network at strokeassociation.org/supportnetwork.

Do you have questions for the doctor or nurse?

Take a few minutes to write your questions for the next time your see your healthcare provider.

For example:

What living arrangement would you recommend for me?

Is there a caregiver or stroke support group available in my community?

*This information was provided to our Stroke Support Group by the Loving Hands organization.  If you need more information, please call the number provided by the American Heart Association and the American Stroke Association.

 

Posted in Bergen County NJ Programs, Disability Programming, Federal Caregiver programs, Health and Life Support Services, Home Care Programs, Men's Programming, New Jersey Senior Programming, New Jersey State Program, New York City Caregiver Programming, New York City Senior Programming, Senior Caregiver Programs, Senior Disability Programming, Senior Rehabilitation Programming, Senior Services, Stroke Programming, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , , | 1 Comment

Let’s Talk about: Complications After a Stroke

Let’s talk about: Complications from a Stroke from the American Heart Association’s ‘Let’s talk about a Stroke’ series. These were provided to us from the Loving Hands Organization when they came to visit us recently.

Let’s Talk about: Complications After A Stroke:

The treating doctor’s highest priorities are to prevent complications that can occur as a result from the stroke and to prevent another stroke. Your doctor must determine that you are medically stable and able to resume some self-care activities. This means that all complications must be treated and under control.

Some things happen as a direct result of injury to the brain due to a stroke. Others are because of a change in your abilities. For example, being unable to move freely can result in bedsores. Clinical depression can also occur with a stroke.

What are common complications of a stroke?

The most common complications of stroke are:

*Brain edema-swelling of the brain after a stroke.

*Pneumonia-causes breathing problems, a complication of many major illnesses. Pneumonia occurs as a result of not being able to move as a result of the stroke. Swallowing problems after a stroke can sometimes result in things ‘going down the wrong pipe’, leading to aspiration pneumonia.

*Urinary tract infection (UTI) and/or bladder control. UTI can occur as a result of having a foley catheter placed to collect urine when the stroke survivor can’t control bladder function.

*Seizures-abnormal electrical activity in the brain causing convulsions. These are common in larger strokes.

*Clinical Depression-a treatable illness that often occurs with stroke and causes unwanted emotional and physical reactions to changes and losses. This is very common after stroke or may be worsened in someone who had depression before the stroke.

*Bedsores-pressure ulcers that result from decreased ability to move and pressure on areas of the body because of immobility.

*Limb Contractures-shortened muscles in an arm or leg from reduced ability to move the affected limb or lack of exercise.

*Shoulder pain-stems from lack of support of an arm due to weakness or paralysis. This usually is caused when the affected arm hands resulting in pulling the arm from the shoulder.

*Deep venous thrombosis (DVT)-blood clots form in the veins of the legs because of immobility from stroke.

What can be done?

If you need medical treatment, your doctor will prescribe it.

*Medical treatment often involved medical supervision monitoring and drug therapies.

*Physical treatment usually involves some type of activity that may be done by you, a healthcare provider or by both of you working together. Types of treatment may include:

-Range-of-motion exercises and physical therapy to avoid limb contracture, shoulder pain and blood vessel problems.

-Frequent turning while in bed to prevent pressure sores and good nutrition.

-Bladder training programs for incontinence.

*Swallowing and respiratory therapy and deep-breathing exercises. These all help to decrease the risk of pneumonia.

*Psychological treatment can include counseling or therapy for feelings that result from clinical depression. Types of treatment may include antidepressant medication, psychotherapy or both. You may also be referred to a local stroke support group.

How can I learn more?

  1. Call 1-888-STROKE (1-888- 478-7653) to learn more about stroke or find local support groups or visits StrokeAssociation.org.
  2. Sign up to get Stroke Connection magazine, a free magazine for stroke survivors and caregivers at strokeconnection.org.
  3. Connect with others sharing similar journeys with stroke by joining our Support Network at strokeassociation.org/supportnetwork.

We have many other fact sheets to help you make healthier choices to reduce your risk, manage disease or care for a loved one. Visit strokeassociation.org/letstalkaboutstroke to learn more.

Do you have questions for the doctor or nurse?

Take a few minutes to write your questions for the next time you see your healthcare provider.

For Example:

*What complications am I most at risk for?

*What can I do to prevent complications?

*This information is take from the handout from the American Heart Association and the American Stroke Association. I have never used the service so I have no opinion yes or no on the service but please call the Associations phone number or email address for more information.

Posted in Bergen County NJ Programs, Disability Programming, Federal Caregiver programs, Health and Life Support Services, Home Care Programs, Men's Programming, New Jersey Senior Programming, New York City Caregiver Programming, Senior Caregiver Programs, Senior Disability Programming, Senior Rehabilitation Programming, Senior Services, Stroke Programming, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , , | 1 Comment

State of New Jersey: Department of Health: Searching for Long Term Care Facilities, Nursing Homes, Assisted Living and Rehab Centers.

State of New Jersey: Department of Health

Searching for Long Term Care Facilities, Nursing Homes, Assisted Living and Rehab Centers.

To all of you caregivers out there, this is a first step must in the world of Caregiving. Please check out this website provided by the New Jersey Department of Health.

When your loved one needs any type of rehab or in need of skilled nursing care, please check out their website under ‘Health Facilities: Search for Long-Term Care Facilities’. Checking out the state reviews of all the facilities in New Jersey will save you weeks of problems later. The State of New Jersey inspects all the facilities once a year and gives the facility a full report at the end of the inspection and all the results are posted on the website.

You can search by:

*County & Type

*City & Type

*Name of the Facility

*Licensed Owner

*Officer

Other Resources:

*Search for an Acute Care Facility (hospitals, hospices, Etc)

*Click to view Long-Term facilities in Excel Spreadsheet

When checking in New Jersey, the most effective way I checked was going by County & Type. When searching by County and Facility types, here are the steps:

Select a county from the list below, then select one or more facility types. Hint: if you want a list of all the facilities in a county, just select the county and click the Start Search button:

County: (dropdown)

Type of Facility:

*Long Tern Care (nursing homes)

*Residential Health Care Facilities

*Assisted Living Residences

*Comprehensive Personal Care Homes

*Adult Day Care

*Assisted Living Programs

*Adult Family Care

*Pediatric Day Care

Funding Sources:

*Medicaid

*Medicare

*Private Payments

Specialized Care:

*Behavioral Management Program

*Hemodialysis

*Peritoneal Dialysis

*Ventilator Beds

*LTC/Hospital Subacute

*LTC Pediatric

then start your search. Put in the county and detailed information of where you might be looking to place a loved one.

At the top of the detailed information will be three four sections:

*Facility Information

*Inspection Summaries

*Advisory Standards (participation in Advisory standards by a Long-Term Care facility is voluntary. Not all facilities participate).

*Nursing Home Report Card

Under the Inspection Summaries, it will give a detailed list of the problems that occurred during the Annual Inspection. Please pay special attention to this as you will be able to see how the facility handled the problem and corrected it.

Under the Nursing Home Report Card, this gives you the detailed Medicare.gov/Nursing Home Compare. This is the official U.S. Government Site for Medicare.

Look under ‘Find a nursing home’:

The nursing home Compare has detailed information about every Medicare and Medicaid-certified nursing home in the county. States may collect and post additional information that isn’t collected by the federal government. Before you get started, you or your family might also consider ‘Alternatives to Nursing Homes’.

Spotlight:

*Get updated state website information, including the ability to electronically file a complaint against a nursing home in some states.

*Use these helpful resources:

-Guide to choosing a nursing home.

-Nursing Home Checklist

-Download the Nursing Home Compare Database

-Get Nursing Home Compare data archives

-Learn how we calculate ratings

-Get tips for printing nursing home information

-For nursing homes: Update your address, phone number and other administrative data.

Tools and Tips:

Get all your long term options:

-Longtermcare.gov

-The Eldercare Locator

-Alternatives to Nursing Home Care

-Learn about Medicare coverage of skilled nursing facility care and swing bed services in rural areas.

-Learn about your rights as a nursing home resident

-Find state resources:

*Long Term Care Ombudsman

*State Survey Agency

-Compare other providers and plans:

*Hospital Compare

*Physician Compare

*Home Health Compare

*Dialysis Facility Compare

*Long-Term Care Hospital Compare

*Inpatient Rehabilitation Facility Compare

*Medicare Plan Finder

*Supplier Directory

Medicare.gov is a federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244.

*This information is taken off the copyrighted government website from the State of New Jersey. This is the first site you should look at when selecting a facility for your loved one. This will give you a guide of the places you might want to consider. Please everyone, plush carpeting, nice photos on the wall and chandeliers may look nice but the care of your loved one is most important. This can save you a lot of heartache and tears later on down the road.

The state website is:

http://www.doh.state.nj.us

The federal website for Medicare is:

http://www.medicare.gov/nursinghomecompare/search

***This make this important step in the care of your loved one. I found all of this helpful.

 

 

Posted in AARP Programming, Bergen County NJ Programs, Disability Programming, Health and Life Support Services, Home Care Programs, Housing Programs, Men's Programming, New Jersey Senior Programming, New York City Caregiver Programming, Senior Caregiver Programs, Senior Disability Programming, Senior Rehabilitation Programming, Senior Services, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , | 1 Comment

Seasonal Flu, Pandemic Flu and Bird Flu: What you need to know-Compliments from your local health department

Seasonal Flu, Pandemic Flu and Bird Flu: What you need to know, compliments from your local health department.

Influenza (Flu)

Do you have the facts?

The Seasonal Flu: refers to several common strains (specific forms) of flu virus that go around each year, mainly in fall and winter. A yearly shot (vaccine) can help prevent it.

The Flu Pandemic: is when a new flu strain starts spreading easily and quickly around the world. Depending on the strength of the strain, it can cause:

*many people to get sick at once

*severe illness and many deaths

*a short supply of food, goods and services if many workers stay home, medical or government services get overloaded or travel is restricted for example.

Producing on effective vaccine for it will take time.

Bird (avian) flu: refers to flu strains that mainly infect poultry and some wild birds. If a bird flu were to evolve in a way that let it spread to people-and then spread easily between people-a flu pandemic could begin.

Flu Pandemics: have happened before. They are likely to happen again some time.

No one can say when or how severe the next one will be.

*the 1900’s had three flu pandemic. The most deadly one in 1918 killed about 675,000 people in the US.

*flu viruses are easily spread and constantly changing. With modern travel, viruses can circle the globe faster than ever.

*a bird flu strain called H5N1 has infected some humans in other parts of the world, but so far it has not spread easily between people.

A lot is being done to prepare: Around the world, governments are taking steps for:

*prevention-like quickly dealing with infected poultry

*minimizing effects-like planning ways to ensure that essential services continue in a pandemic

*treatment-like encouraging the production of flu medications.

The Pandemic Severity Index: if a flu pandemic develops, the Centers for Disease Control  and Prevention will give it an official rating on a scale of 1 to 5 (similar to the hurricane category rating system):

*category 1 means the least severe pandemic

*category 5 means the most severe pandemic

Government agencies and other organizations will then begin using strategies for that category of severity aimed at slowing and containing the pandemic.

There are also simple things each of us can do.

Know about flu germs.

They spread mainly through people’s coughs and sneezes. These things can spray droplets through the air and :

*into the mouths or noses of people nearby

*onto surfaces that people touch before touching their noses, mouth or eyes.

In rare cases, human can also catch flu germs from an infected bird, pig or other animals. This could happen through contact with feces, saliva, mucus, raw meat or raw eggs from the animals.

Different flu strains may cause similar symptoms: but a pandemic has begun, symptoms most likely mean seasonal flu-or a different illness that causes flu-like symptoms. Flu symptoms generally:

*start within 10 days (usually 2) of exposure.

*include fever, chills, headache, body aches and shortness of breath.

Take Steps to help avoid getting or spreading flu germs.

Wash you hands often and well: be sure to scrub your hands and wrists for at least 20 seconds. Avoid touching your eyes, nose or mouth with unwashed hands. Keep on alcohol-based hand sanitizer handy for times when soap and water aren’t available.

Cover coughs and sneezes: use a tissue (use upper sleeve if you don’t have a tissue-not your hands). Put used tissue in the wastebasket. Then wash your hands well. Stay at least 6 feet away from others if you’re coughing and sneezing-or if they are.

If you get sick, act responsibly: if you think you might have caught a flu virus, call your health-care provider, a clinic or a local flu hotline. Find out:

*if you should stay home and for how long

*how to protect others-for example, by staying in a separate room.

*how to treat symptoms-or if you should go in for testing or treatment.

Get away available flu shots: the yearly shot helps prevent the seasonal flu. Authorities are no developing and stockpiling vaccines for a potential pandemic flu strain. The vaccines may:

*offer some protection if a flu pandemic starts

*got to high-priority groups first-like those who provide essential services to help others.

Other steps:

*check the news. Authorities will announce a pandemic and provide information and instructions. Also find out if your local or state health department had a flu hotline or website.

*find out what to do if you must travel in an area with a flu outbreak. See http://www.cdc.gov/travel/.

*find out if you job requires additional preparation or prevention steps.

*report sick poultry. USDA veterinarians can help-call 1-866-536-7593. Report any groups of dead wild birds to local wildlife officials.

*in a flu pandemic, a medical face mask or an N95 respirator may offer some protection if you can’t avoid crowds or close contact with someone who has pandemic flu. Find out more about their proper use.

Thoroughly meat, poultry and eggs.

Carefully clean any surface-including hands and utensils-after contact with ray products. This helps kill flu or other germs that might be present.

Support “common good” efforts: if the flu pandemic occurs, authorities may use several strategies to help stop or slow it, depending on its severity. These may include:

*shutting down mass transit or preventing travel into or out of certain areas.

*restricting gatherings (school, movies, sports events, etc.)

*asking everyone to stay home

*separating people who have or may have pandemic flu from others.

Create an emergency kit:

Store enough bottled water, food and other supplies to last at 2 weeks (This will help if utilities falter or you’re stuck at home for any reason).

Learn more:

*www.pandemicflu.gov

*www.cdc.gov/flu/

*1-800-CDC-info (1-800-232-4636) 1-888-232-6348 (TTY) and ask about pandemic plans at work or school. Together we can help protect our families, communities and country.

*Please read: talk to a professional. This folder is not a substitute for the advice of a qualified expert.

*This information was provided by the Channing Bete Company via the local health care department. Please check the websites for updated information.

 

 

 

 

 

Posted in Bergen County NJ Programs, Disability Programming, Health and Life Support Services, Men's Programming, New Jersey Senior Programming, Senior Caregiver Programs, Senior Disability Programming, Senior Services, Support Services for Seniors, Uncategorized | Tagged , , , , , , , , , , , , , , , | 1 Comment

Silver Sneakers Fitness Program: Tivity Health

Silver Sneakers Fitness Program: Tivity Health

Silver Sneakers: The Gold Standard in Senior Fitness solutions

https://www.silversneakers.com/

Silver Sneakers

Empowering Active Aging:

The nation’s leading community fitness program specifically designed for older adults, SilverSneakers, promotes greater health engagement and accountability by providing members with regular exercise (strength training, aerobics, flexibility) and social opportunities at more than 13,000 locations nationwide-all at no cost to them.

As America continues to age, senior-focused health and vitality programs will become more and more essential to ensuring aging adults can continue to be vital, active members of our communities and our world. Tivity Health is at the forefront, continuing to expand our standard-setting program’s reach with locations, features and benefits members won’t find in any other program.

For full program features and to check eligibility, visit our dedicated SilverSneakers website.

Our Company: Tivity Health: Partners in the pursuit of better

Living healthier, hppier, longer-together

At Tivity Health, we work hand in hand with clients, members and healthcare partners to create everyday opportunities for long-lasting health and vitality. Our flagship products-SilverSneakers, Prime Fitness and WholeHealth Living-are sought after by consumers and organizations alike not simply because they work but because we care.

Our company of passionate experts is dedicated to delivering a consumer experience that goes beyond supporting physical health to advancing overall vitality-especially in aging population where consumption and costs of healthcare are greatest. We work side by side with millions of consumers, thousands of fitness and community centers, hundreds of healthcare practitioners and many of the nation’s largest payers and employers to boost lifelong physical activity, connectivity and productivity for members.

Advancing Vitality:

We meet consumers where they are, empowering them to take meaningful steps toward a healthier, happier, more productive life. Our solutions are especially designed to address the greatest health barriers adults face today-and the new challenges they’ll encounter tomorrow.

*13.5 million Americans now eligible for SilverSneakers-the nation’s leading community fitness program designed for active seniors.

*10,000*fitness centers currently enrolled in our Prime Fitness Network for improving member access and commitment to regular exercise.

*25*years of clinical and operational expertise in managing specialty health benefits and networks, including chiropractic services, physical therapy, occupational therapy, acupuncture, massage and complementary and alternative medicine (CAM) services.

Let’s work together: Ask how Tivity Health can help you meet the challenges of today’s healthcare environment.

Tivity Health

701 Cool Springs Boulevard

Franklin, TN  37067

Call us: 1 (800) 327-3822

*This information was taken off the Tivity Health site online and you should either access the website for more information or call the number above for more details.

*Disclaimer: I have never used the service so I can’t recommend it yes or no to how good it is but I have heard in the past from members who have it that it has been very helpful. Please go online or call for details or if your health plan covers the program. Check to see if there is any initial costs and ask their representatives for details. You can not put a price tag on your health.

Posted in Bergen County NJ Programs, Disability Programming, Health and Life Support Services, Men's Programming, New Jersey Senior Programming, Senior Caregiver Programs, Senior Disability Programming, Senior Services, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , , | 1 Comment

Public Rights of Way Accessible Guidelines (PROWAG) to parking in New Jerseys Downtowns.

We brought up the issue of the parking spaces in New Jersey downtowns with Joe Zesski, the program Manager of the Northeast ADA. This is what he emailed our group in response to the question:

There is an obligation for Title II entitles (state/local government) to provide access to their programs. As such, one could argue that where on-street parking is provided by a city, they should include accessible spaces/designations. There is a standard call the Public Rights of Way Accessible Guidelines (PROWAG), which is not yet enforceable but is expected to become so when it is eventually adopted by the Department of Justice and the Department of Transportation. Here is what was said about parking:

The Public Rights of Way Accessibility Guidelines (PROWAG) contain scoping for on street parking and technical requirements for the design of the on street accessible parking spaces. They can be found via this link, https://www.access-board.gov/guidelines-and-standards/streets-sidewalks/public-rights-of-way/proposed-rights-of-way-guidelines in Section R214 (scoping) and R309 (design of on street accessible parking spaces).

Re: the PROWAG on street parking standard , the PROWAG is not yet enforceable under the ADA, however, they are absolutely viewed as the Best Practice stand currently. When it comes to on street parking, especially , The 2010 ADA standards of Accessible Design do not address on street parking at all, so Title II entities that provide on street parking have an obligation to provide access for people with disabilities (because of Program Accessibility Obligations) but no clear guidance on “how” to design accessible on street parking. Since the PROWAG does provide technical scoping and technical criteria on this issue, they are considered the Best Practice document to apply when entities want to achieve access but do not have an enforceable standard that tells them exactly “how” to do that. Many entities are applying the PROWAG as if it were enforceable already and I think that approach is smart. Eventually, DOJ will likely incorporate the PROWAG into the ADA standards but in the meantime given that you have this obligation to make your “programs” accessible (and parking is considered a “program”) applying the PROWAG’s on-street parking guidelines is absolutely the way to go and very much shows a good faith to meet your ADA obligations for program accessibility.

*Since this is not “Law” yet, the towns have to meet their obligations on their terms right now. Things will change when it adopted into the law.

*This was brought up when the question was asked of why there were rules to Mall parking but not to the downtown shopping districts of towns in New Jersey.

Posted in Bergen County NJ Programs, Disability Programming, Health and Life Support Services, Men's Programming, New Jersey Senior Programming, New Jersey Senior Transportation Programming, New Jersey State Program, Senior Driving Programs, Senior Services, Senior Transportation Programming, Senior Travel Programs, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , , , | 1 Comment

Hotel Reservations for people with Disabilities: Revised Regulation for Title III from the Department of Justice

This was sent to us from Joe Zesski , Program Manager, Northeast ADA: This was on a question about hotel reservations for the disabled.

Reservations made by places of lodging. A public accommodations that owns, leases (or leases t0) or operates a place of lodging shall with respect to reservations made by any means, including by telephone, in person or through a third party-

  1. Modify its policies, practices, or procedures to ensure that individuals with disabilities can make reservations for accessible guest rooms during the same hours and in the same manner as individuals who do not need accessible rooms;
  2. Identify and describe accessible features in the hotels and guest rooms offered through its reservations service in enough detail to reasonably permit individuals with disabilities to assess independently whether a given hotel or guest room meets his or her accessibility needs;
  3. Ensure that accessible guest rooms are held for use by individuals with disabilities until all other guest rooms of that type have been rented and the accessible room requested is the only remaining room of that type;
  4. Reserve, upon request, accessible guest rooms or specific types of guest rooms and ensure that the guest rooms requested are blocked or removed from all reservations systems and;
  5. Guarantee that the specific accessible guest room reserved through its reservations service is held for the reserving customer, regardless of whether a specific room is held in response to reservations made by others.

https://www.ada.gov/regs2010/titleIII_2010_withbold.htm

To file a complaint with the Department of Justice, a person can either call their 800 telephone number 1-800-514-0301 or fill out an online complaint at this link:

https://www.ada.gov/complaint/

*Special Disclaimer: the law continues to change and be modified, so if there is any concerns or questions, please email or call the above Departments. Things are always updating.

*Whenever you need a special room when travelling, always call to confirm the reservation up until the day before and write down the names of the people you worked with on the phone. It saves a lot of headaches later.

Posted in Bergen County NJ Programs, Disability Programming, Men's Programming, New Jersey Senior Programming, New Jersey Senior Transportation Programming, New York City Senior Programming, Senior Caregiver Programs, Senior Services, Senior Transportation Programming, Senior Travel Programs, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , | 1 Comment

CML: A free audio magazine for adults with impaired vision or other disability

Choice Magazine Listening records the best articles, stories and poems from over 100 of the finest magazines.

CML’s Unique Service: Since 1962 Choice Magazine Listening has been serving adults with conditions that make it difficult to read standard print. The philanthropist LuEsther T. Mertz founded CML so all Americans could enjoy the best writing from leading magazines. CML’s editors select articles, stories and poems from more than 100 publications, including: National Geographic, Time, Sports Illustrated, Harper’s, Scientific American, The New Yorker, Smithsonian, Rolling Stone, Natural History, Southern Living, Travel-Leisure, McSweeney’s, Texas Monthly, Horticulture, Esquire, Discover, Outside, Audubon, and Vanity Fair.

Who can receive CML?

Any adult who has difficulty reading or even holding a magazine is eligible. CML’s subscribers include those with conditions such as low vision, macular degeneration, blindness, MS, diabetes, cerebral palsy, ALS, dyslexia and Parkinson’s.

Here’s how it works:

Four times a year, listeners receive 12 hours of great magazine writing. A talking book player is also provided free of charge. Recipients enjoy the issue for several weeks, then return it in the postage free mailer it arrived in. It’s as easy as that! (CML is also available as a download.) CML is a nonprofit organization supported by tax-deductible donations and grants. This service is free of charge to all listeners.

Any questions?

We’re happy to help. Give us a call 9 to 4 Eastern Time and you’ll speak to a friendly person, not a machine.

Toll Free: 1-888-724-6423

http://www.choicemagazinelistening.org

Choice Magazine Listening

A Free Audio Magazine

BS Channel Drive

Port Washington, NY  11050

*All of this information was taken off the CML Pamphlet.

*Disclaimer: I have never used this service before so I can not recommend it yes or no on how it works. The best thing to do is call the service at the above number for more details.

 

Posted in Bergen County NJ Programs, Disability Programming, Health and Life Support Services, Men's Programming, New Jersey Senior Programming, New York City Senior Programming, NJ Library Programming, Senior Caregiver Programs, Senior Services, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , , | 1 Comment

Homeland Security: Preparing makes Sense for People with Disabilities and Special Needs.

Homeland Security: Preparing makes Sense for People with Disabilities and Special Needs. Get Ready Now. http://www.ready.gov

Preparing Makes Sense. Get Ready Now.

The likelihood that you and your family will recover from an emergency tomorrow often depends on the planning and preparation done today. While each person’s abilities and needs are unique, every individual can take steps to prepare for all kinds of emergencies from fires and floods to potential terrorist attacks. By evaluating  your own personal needs and making an emergency plan that fits those needs, you and your loved ones can be better prepared. This guide outlines commonsense measures individuals with disabilities, special needs and their caregivers can take to start preparing for emergencies before they happen. Preparing makes sense for people with disabilities and special needs. (Get Ready Now).

  1. Get a Kit of Emergency Supplies:

The first step is to consider how an emergency might affect your individuals needs. Plan to make it on your own for at least three days. It’s possible that you will not have access to a medical facility or even a drugstore. It is crucial that you and your family think about what kinds of resources you use on a daily basis and what you might do if those resources are limited or not available.

Basic Supplies: Think first about the basics for survival-food, eater, clean air and any life-sustaining items you require. Consider two kits. In one kit put everything you will need to stay where you are and make it on your own for a period of time. The other kit should be a lightweight, smaller version you can take with you if you have to leave your home. Recommended basic emergency supplies include:

*Water, one gallon of water per person per day for at least three days for drinking and sanitation.

*Food at least a three day supply of non-perishable food and a can opener if kit contains canned food.

*Battery-powered or hand crank radio and a NOAA Weather Radio with tone alert and extra batteries for both.

*Flashlight and extra batteries.

*First aid kit.

*Whistle to signal for help.

*Dust mask to help filter contaminated air and plastic sheeting and duct tape to shelter-in-place.

*Moist towelettes, garbage bags and plastic ties for personal sanitation.

*Wrench or pliers to turn off utilities.

*Local maps.

*Pet food, extra water and supplies for your pet or service animals.

Include Medications and Medical Supplies:

If you take medicine or use a medical treatment on a daily basis, be sure you have what you need on hand to make it on your own for at least a week. You should also keep a copy of your prescriptions as well as dosage or treatment information. If it is not possible to have a week-long supply of medicines and supplies, keep as much as possible on hand and talk to your pharmacist or doctor about what else you should do to prepare.

If you undergo routine treatments administered by a clinic or hospital or if you receive regular services such as home health care, treatment or transportation, talk to your service provider about their emergency plans. Work with them to identify back-up service providers within your area and the areas you might evacuate to. If you use medical equipment in your home that requires electricity to operate, talk to your health care provider about what you can do to prepare for its use during a power outage.

Additional Items: In addition, there may be other things specific to your personal needs that you should also have on hand . If you use eyeglasses, hearing aids and hearing aid batteries, wheelchair batteries and oxygen, be sure you always have extras in your home. Also have copies of your medical insurance, Medicare and Medicaid cards readily available. If you have a service animal, be sure to include food, water, collar with ID tag, medical records and other emergency pet supplies.

Include Emergency Documents: Include copies of important documents in your emergency supply kits such as family records, medical records, wills, deeds, social security number, change and bank accounts information and tax records. It is best to keep these documents in a waterproof container. If there is any information related to operating equipment or life-saving devices that you rely on, include those in your emergency kit as well and also make sure that a trusted friend or family member has copies of these documents. Include the names and numbers of everyone  in your personal support network as well as your medical providers. If you have a communication disability, make sure your emergency information list notes the best way to communicate with you. Also, be sure you have cash or travelers checks in your kits in case you need to purchase supplies.

2. Make a Plan for what you will do in an Emergency:

The reality of a disaster situation is that you will likely not have access to every conveniences. To plan in advance, thing through the details of your everyday life. If there are people who assist you on a daily basis, list who they are and how you will contact them in an emergency. Create your own personal support network by identifying others who will help you in an emergency. Create your own personal support by identifying others who will help you in an emergency. Think about what modes of transportation  and what alternative modes of transportation could serve as a backups. If you require handicap accessible transportation be sure your alternatives are also accessible. If you have tools or aids specific to your disability, plan how you would cope without them. For example, if you use a communication device, mobility aid or rely on a service animal, what will you do if these are not available? If you are dependent on life-sustaining equipment or treatment such as a dialysis machine, find out the location and availability of more than one facility. For every aspect of your daily routine, plan an alternative procedure. Make a plan and write it down.Keep a copy of your plan in your emergency supply kits and a list of important and contact in your wallet. Share your plan with your family, friends, care providers and other in your family, friends, care providers and others in your personal support network.

Create a Personal Support Network: If you anticipate needing assistance during a disaster, make a list of family, friends and other who will be part of your plan. Talk to these people and ask them to be part of your support network. Share each aspect of your emergency plan with everyone in your group including a friend or relative in another area who would not be impacted by the same emergency who can help if necessary. Make sure everyone knows how you plan to evacuate your home, school or workplace and where you will go in case of a disaster. Make sure that someone in your personal support network has an extra key to your home and knows where you keep your emergency supplies. Teach them how to use any lifesaving equipment or administer medicine in case of an emergency. If you use a wheelchair, oxygen or other medical equipment show friends how to use these devices so they can move you if necessary or help you evacuate. Practice your plan with those who have agreed to be part of your personal support network.

Inform your employer and co-workers about your disability and let them know specifically what assistance you will need in an emergency. This is particularly  important if you need to be lifted or carried. Talk about communication difficulties, physical limitations, equipment instructions and medication procedures. If you are hearing impaired, discuss the best ways to alert you in an emergency. If you have a cognitive disability be sure to work with your employer to determine how to best notify you of an emergency and what instruction methods are easiest for you to follow. Always participate in exercises, trainings and emergency drills offered by your employer.

Develop a Family Communications Plan:

Your family may not be together when disaster strikes, so plan how you will do in different situations. Consider a plan where each family member calls or emails the same friend or relative in the event of an emergency. It may be easier to make a long-distance phone call than to call across town, so an out-of-town contact not in the impacted area may be in a better position to communicate among separated family members. You may have trouble getting through or the phone system may be down altogether but be patient. For more information on how to develop a family communications plan, visit http://www.ready.gov.

Deciding to stay or go:

Depending on your circumstances and the nature of the emergency, the first important decision is whether you stay or go. You should understand and plan for both possibilities. Use common sense and available information to determine if there is immediate danger. In any emergency, local authorities may or may not immediately be able to provide information on what is happening and what you should do. However, you should monitor television or radio news reports for information or official instructions as they become available. If you’re specifically told to evacuate or seek medical treatment do so immediately. If you require additional travel time or need transportation assistance, make these arrangements in advance.

Consider your Service Animal or Pets:

Whether you decide to stay put in an emergency or evacuate  to a safer location, you will need to make plans in advance for your service animal or pets.  Keep in mind that what’s best for you is typically what’s best for you animals. If you must evacuate, take you pets with you if possible. However if you are going to a public shelter it is important to understand that by law only service animals must be allowed inside. Plan in advance for shelter alternatives that will work for both you and your animals; consider loved ones or friends outside of your immediate area, pet-friendly shelters and veterinarians who would be willing to take in you and your pets in an emergency. For more information about pet preparedness, visit http://www.ready.gov.

Stay put:

Whether you are at home or elsewhere, there may be situations when its simply best to stay where you are and avoid any uncertainty outside. Consider what you can do safely shelter-in-place alone or with friends, family or neighbors. Also consider how a shelter designated for the public would meet your needs.

There could be times when you will need to stay put and create a barrier between your self and potentially contaminated air outside. This process is known as the situation. If you see large amounts of debris in the air or if the local authorities say the air is badly contaminated, you may want to take this kind of action. For more information about ‘sealing the room’ visit http://www.ready.gov.

Evacuation:

There may be conditions in which you will decide to get away or there may be situations when you may be ordered to leave. Plan how you will get away and anticipate where you will go. Choose several destinations in different directions so you have options in an emergency. Ask about evacuation plans at places where you spend time including work, school, community organizations and other places you frequent. If you typically rely on elevators have a back-up plan in case they are not working.

Fire Safety:

Plan two ways out of every room in case of fire. Check for items such as bookcases, hanging pictures or overhead lights that could fall and block an escape path. Check hallways, stairwells, doorsways, windows and other areas for hazards that may keep you from safely leaving a building during an emergency. Secure or remove furniture and objects that may block your path. If there are aspects of preparing your home or workplace that you are not able to do yourself, enlist the help of your personal support network.

Contact your Local Emergency Information Management Office:

Some local emergency management offices maintain registers of people with disabilities so you can be located and assisted quickly in a disaster. Contact your local emergency management  agency to see if these services exist where you live or visit http://www.ready.gov to find links to government offices in your area. In addition, wearing medical alert tags or bracelets that identify your disability can be a crucial aid in an emergency situation. When traveling, consider alerting hotel or motel workers, if you will need help in a disaster situation.

3. Be Informed about what might Happen:

Some of the things you can do to prepare for the unexpected such as assembling an emergency supply kit and making an emergency plan are the same regardless of the type of emergency. However, its important to stay informed about what might happen and know what types of emergencies  are likely to affect your region. For more information about specific types of emergencies, visit http://www.ready.gov.

Be prepared to adapt this information to your personal circumstances and make every effort to follow instructions received from authorities on the scene. Above all, calm be patient and think before you act. With these simple preparations, you can be ready for the unexpected.

Preparing makes sense for people with disabilities and special needs. Get ready Now.

*This information was developed by the U.S. Department of Homeland Security in consultation with AARP, the American Red Cross and the National Organization on Disability.

*I don’t know the program that well so please read the pamphlet.

Posted in Bergen County NJ Programs, Career Programming for people with disabilities, Disability Programming, Disaster and Terrorism Training Programs, Federal Caregiver programs, Health and Life Support Services, Men's Programming, New Jersey Senior Programming, New Jersey State Program, New York City Senior Programming, Senior Caregiver Programs, Senior Disability Programming, Senior Rehabilitation Programming, Senior Services, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , | Leave a comment

BVMI: The Bergen Volunteer Medical Initiative

BVMI provides free primary medical care to low-income, working Bergen County Residents

*who do not have healthy insurance or the means to pay for care.

If uninsured and need a doctor, perhaps BVMI can help. You may qualify for FREE healthcare if:

Someone in your household is working and you either live or work in Bergen County and your household meets the income guidelines:

1 person: up to $35,640.00 annually

2 people: up to $48,060.00 annually

3 people: up to $60,450.00 annually

4 people: up to $72,900.00 annually

Call (201) 342-2478 to find out if you qualify. Eligibility screening is by appointment only.

BVMU Healthcare Center

Hackensack, NJ  07601

(201) 342-2478

http://www.bvmi.org

Please follow the following file or link attachments.

GBCA Builds New Medical Clinic

Since 2009, Bergen Volunteer Medical Initiative, a non-profit health care organization has deployed the talents and skills of volunteer doctors, nurses and medical professionals in service to those in our community who have no health insurance.

BVMI’s partnership with GBCA was central to its early success, when GBCA built for BVMI, a new state of the art health clinic at 241 Moore Street in Hackensack. This home has been ground zero for meeting the health care needs of 1000 people annually through a network of over 200 specialists.

As momentum has built for the revitalization of downtown Hackensack, GBCA has plans to repurpose in Main Street property by building a new residential and retail building in what currently houses the BVMI clinic. Thus, BVMI is once again in need of a new home and once again, GBCA is pleased to step up to the task.

As we speak, GBCA’s construction team is building a brand new, expanded clinic for BVMI at 75 Essex Street in Hackensack. It will include six exam rooms, three doctor consult rooms, a nurse’s station, a lab, medical records room and a secure medication storage along with reception and patient waiting rooms.

“I think BVMI is one of the most impressive organizations I have seen in my 30 years of community-building work,” remarked GBCA CEO Bob Halsch. “It is just such partners that President Lyndon Johnson contemplated that we invest in when he created Community Action at the drawing of the War on Poverty.”

VMI’s Executive Director, Amanda Missey, commented “GBCA was with us at the beginning when we had so much energy and commitment,  but no place to actually serve our patients. Our two organizations have a shared mission and values and we are natural partners in our mutual pursuit of a more healthful and vital life for all in our community.”

*From the Bergen Volunteer Medical Initiative pamphlet/Greater Bergen Community Action Inc.

*BVMI service is not intended fro Medicare beneficiaries.

*Disclaimer: I have never used this service so I have no opinion on it either yes or no. Please call their number for information on the plan.

Posted in Bergen County NJ Programs, Disability Programming, Federal Nutrition Programs, Health and Life Support Services, Medicare/Medicaid Programming, New Jersey Senior Programming, Obesity Programs, Prescription Drug Programs, Senior Caregiver Programs, Senior Disability Programming, Senior Rehabilitation Programming, Senior Services, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , | 1 Comment