Mould Empower Serve ’s Post

The authors' guidance that "the success of health care–based housing interventions must not be judged solely by short-term chronic disease control and changes in health care use" highlights how challenging it is in a for-profit environment to make these long-term investments without the pressures of the leveraged financial vehicles. Value-based care must continue to evolve to account for these interventions, and support patients, providers and care givers in non-clinical domains. That said the authors have also shared promising results between 2018 and 2021during which patients who were enrolled in the program had 2.5 fewer primary care visits and 3.6 fewer outpatient visits per year, including fewer social work, behavioral health, psychiatry, and urgent care visits. #healthcare #valuebasedcare #socialdeterminantsofhealth #primarycare #housing

Here are six compelling reasons why your loved one might need the specialized care offered by BHN Home Healthcare: 1. Complex Medical Needs: For individuals with conditions requiring regular medical attention, such as heart disease, diabetes, or respiratory issues, BHN Home Healthcare provides necessary medical supervision and treatments directly at home, ensuring continuous and expert care. 2. Recovery and Rehabilitation: Post-surgery or after a hospital stay, your loved one may need professional support during recovery. BHN’s caregivers are trained to assist with rehabilitation exercises, medication management, and wound care, promoting faster and safer recovery in the comfort of their home. 3. Mobility Issues: As mobility decreases due to age or illness, daily activities become challenging. BHN Home Healthcare offers assistance with walking, transferring, and preventing falls, thereby enhancing safety and independence at home. 4. Dementia Care: Managing dementia requires specialized knowledge and patience. BHN provides caregivers skilled in dementia care, who can deliver consistent routines and cognitive engagements to improve the quality of life for those affected. 5. End-of-Life Care: For those in the final stages of life, BHN offers compassionate hospice care at home, focusing on comfort and dignity. This service supports both the patient and their family during this difficult time. 6. Respite for Family Caregivers: Caring for a loved one can be physically and emotionally draining. BHN Home Healthcare provides respite services to relieve family members, allowing them to rest and recharge while knowing their loved one is in good hands. Each of these points underscores the personalized and attentive care that BHN Home Healthcare can provide, making a significant difference in the lives of both patients and their families.

Home health care provides medical and personal support for all kinds of people - not just seniors! Here are some examples of who can benefit: 1. People Recovering from Surgery or Illness: Home health care professionals can provide post-operative care, including wound dressing changes, medication management, and mobility assistance. 2. Individuals with Chronic Conditions: Patients with chronic diseases like diabetes, heart disease, or COPD often require regular medical care. Home health care can help manage these conditions, reducing hospital visits and improving quality of life. 3. Persons with Disabilities: Home health care can assist individuals with disabilities in managing their daily activities, providing therapy services, and ensuring they receive necessary medical care. 4. Patients Requiring Rehabilitation: Those who need physical, occupational, or speech therapy can receive these services at home, making it more convenient and comfortable. 5. Individuals Needing Palliative or Hospice Care: Home health care can offer comfort to those dealing with serious illness or nearing the end of life, providing medical care, pain management, and emotional support. 6. Mental Health Patients: People dealing with mental health issues like depression or anxiety may benefit from the consistent support and therapeutic services offered by home health care providers. 7. New Mothers and Infants: Home health care can provide critical support for new mothers, including infant care, postpartum care, and health monitoring for both mother and baby. Home health care offers medical care, personal assistance and companionship for people of all ages and health statuses. It's an invaluable resource! If you know anyone who may need home health care, contact us today!

Interested in what a GP does all day? Here’s a list of 10 minute cases in my clinic. 1. A patient with chronic urinary issues causing pain, debilitating frequency of passing, ruining their life. Also severe chronic pain despite huge doses of strong painkillers. Anxiety. Insomnia. Overwhelm. Distrust in the healthcare system. 2. 4 separate patients with sciatica, all requiring a thorough examination despite agonising pain slowing this considerably. One needing an interpreter but with multiple abnormalities on blood tests requiring more investigations. Another with symptoms and signs of cauda equina (central spinal compression) needing urgent A&E assessment. 3. A patient with 3 separate complaints but all requiring urgent referral. 4. A patient requiring an intimate, examination, no nurse on site so had to wait until another GP free to chaperone. After a discussion, then needed to find alternative medication due to a complex symptom. 5. A patient presenting with their child who they feared was suffering post traumatic stress. The family risks homelessness. 6. A couple trying to conceive, one appointment booked but with 2 histories to document and 15 different tests to organise at different times of the month. 7. A patient with complex needs, assaulted, scared of hospitals but with signs of a fracture. Also with severe mental illness, chronic pains and poor memory. 8. A patient petrified of cancer, presenting with 10 different symptoms but with red flags due to long term smoking, requiring not only a thorough examination but also smoking cessation education, psychological support and a listening ear. 9. 20 other cases, most with complex needs, multiple demands and aggravated by the delay in appointments. Needless to say I left 2 hours late that day. Exhausted physically and emotionally. I’m open to suggestions from colleagues and NHSE on how I could possibly see these cases safely in 10 minutes. I don’t blame the surgery for allocating these people to me. Someone needed to see them. But the complexity is intense and there are no easy solutions. This is happening every day to GPs across the country. So if you overhear someone questioning what a GP actually does all day. It’s not the coughs and colds. It’s the complex and heart crushing. So keep up the valiant work, fellow GPs. And never feel you are defective at the end of a day if you haven’t even got the energy to think. We do a complex and incredibly valuable job, despite what some politicians may say.

There is way too much acceptance and ‘normalisation’ these kind of schedules for all NHS staff. GP’s, nurses, therapists, care workers to name some other groups of NHS staff. Mostly because it’s been going on for way too long and no solutions have been found. Sadly the NHS is broken despite all the amazing work that is done every day, the dedication, the passion and all money which has been thrown into it etc. It is so good to read posts like this expressing the human reality of working in the NHS. Life and health are certainly more complex, yet we we have more knowledge and information than ever. A new digital era. There are less resources, less time for authentic connections and far more trauma and stufffering now than when the NHS was birthed. A radical shift to community-based relational Body Mind approaches is needed. Its already beginning but it is not going to happen overnight. It’s slow and painful because we are yet to shift as a human race to different ways of thinking and being in the world needed for this to happen. 😊👌🙏🏻

You're a physician, Tom. Most GPs have zero training in mental health/illness. You complain of a heavy workload which leads many people to say what a hero GPs are. Yet, if we had psychologists as GPs, with no training in physical health/illness, and they expected themselves to address that, I think few reasonable people would consider that acceptable. How many GP practices have clinical psychologists as equal partners in the practice? Yet, this has been shown to reduce presentations by almost half, to create better outcomes, and sustain it over 8 years in follow up. How many have clinical social workers? Instead, you'll have a practice of several GPs all acting outside their area of competence, even though they claim competence in those area with no training. And none of them has clinical supervision. So, no, I don't agree with your framing of the difficulty of GPs' professional lives: it is the cost of physicians seeing themselves as exceptional, excluding other professions, and then claiming to be over-worked and creating a discourse of martyrdom. It is deeply unethical as it is patients who actually pay the price for physicians' sense of exceptionalism.

The work culture in physical therapy rehabilitation within rural NGOs (Non-Governmental Organizations) often emphasizes collaboration, community engagement, and resourcefulness. Here are some key aspects of this work culture: Collaborative Approach: In rural areas, NGOs often work closely with local healthcare providers, community leaders, and government agencies to coordinate and deliver services effectively. Physiotherapists collaborate with other healthcare professionals, such as doctors, nurses, and community health workers, to ensure holistic care for patients. Community-Centered Care: NGOs operating in rural areas prioritize community needs and actively involve local residents in decision-making processes. Physiotherapists engage with community members to understand their unique challenges, cultural beliefs, and healthcare preferences, tailoring rehabilitation programs to meet their specific needs. Resourcefulness and Adaptability: Working in resource-limited settings requires physiotherapists to be resourceful and adaptable. They may need to improvise equipment, utilize community resources creatively, and develop innovative solutions to overcome logistical challenges and deliver high-quality care. Empowerment and Education: NGOs in rural areas often prioritize empowerment and education as integral components of their rehabilitation programs. Physiotherapists not only provide direct care but also educate patients and caregivers about their conditions, treatment options, and self-management strategies, empowering them to take control of their health. Sustainability and Capacity Building: NGOs focus on building sustainable healthcare systems in rural areas by investing in local capacity building and training initiatives. Physiotherapists may conduct training workshops for community health workers, volunteers, and aspiring healthcare professionals to enhance their knowledge and skills in rehabilitation and community health promotion. Flexibility and Adaptation: Rural NGOs operate in dynamic environments with ever-changing healthcare needs and socio-economic conditions. Physiotherapists working in these organizations must be flexible and adaptable, willing to adjust their approaches and strategies based on the evolving needs of the community.

US outpatient care for serious mental health issues declined during COVID-19 By Stephanie Soucheray A study today in the Annals of Internal Medicine shows that while telemedicine helped some groups seeking mental health care during the COVID-19 pandemic, Americans with serious mental health symptoms suffered from a decline in in-person outpatient mental health visits that has persisted. Moreover, this lack of outpatient care for those with significant mental illness was seen mostly in patients with lower incomes and education levels. In a related study, fewer Swedish teens sought care for mental health issues during COVID-19, but their mental health appeared to improve during the pandemic. Drop in outpatient mental health treatment "Thanks to a rapid pivot to telemental health care, there was an overall increase during the pandemic of adults receiving outpatient mental health care in the United States," said Mark Olfson, MD, MPH, of Columbia University, first author of the Annals study, in a university press release.   "However, the percentage of adults with serious psychological distress who received outpatient mental health treatment significantly declined." The study was based on trends seen in participants in the Medical Expenditure Panel Survey Household Component, given from 2018 to 2021 to 86,658 adults. Respondents were asked how frequently in the previous 30 days they had felt so sad that nothing could cheer them up, nervous, restless or fidgety, hopeless, that everything was an effort, or worthless (all, most, some, a little, or none of the time). Responses were scored from 0 to 4, with a score of 13 or higher defining serious psychological distress, the authors said. During the study period, the rate of serious psychological distress among adults increased from 3.5% to 4.2%, the authors said, likely due to the pandemic and subsequent lockdowns, stress, job loss, and school disruptions. The rate of outpatient mental health care increased from 11.2% to 12.4% overall from 2018 to 2021. But the rate decreased from 46.5% to 40.4% among adults with serious psychological distress. ***Click on image below to access the rest of this piece. Posted on MLCA by Larry Cole

Common Questions About Senior Personal Care Services: What is the difference between senior personal care and home health care? Senior personal care focuses on assisting with daily living activities, while home health care includes services provided by licensed medical professionals like nurses or therapists. In some cases, a combination of both may be necessary. How much do senior personal care services cost? The cost of senior personal care services can vary depending on the level of care needed, the frequency of visits, and your location. Interim HealthCare offers free consultations to discuss your needs and provide a personalized cost estimate. How do I know if senior personal care services are right for my loved one? If your loved one is struggling with daily activities like bathing, dressing, or maintaining their home, personal care services can be beneficial. Additionally, if loneliness or safety concerns are present, these services can offer valuable support. How do I choose a senior personal care provider? Look for a reputable provider with a proven track record and qualified caregivers. Interim HealthCare conducts thorough background checks and training for all our caregivers. It's also important to consider your loved one's personality and preferences when choosing a caregiver. Can senior personal care services help with dementia or Alzheimer's disease? Personal care for seniors at home can be crucial for individuals with dementia or Alzheimer's. Our caregivers are trained to provide compassionate and specialized senior care that promotes safety, manages daily needs, and supports cognitive function as much as possible. Get a Free Consultation from Interim Healthcare Mid-Atlantic.

Mihaylova v Western Isles Health Board included a claim for a failure to make reasonable adjustments. The judgment states: “The respondent… applied a PCP to the claimant, namely requiring consultant psychiatrists to fulfil on-call duties which included night-time on-call duties. The claimant argues that the PCP put the claimant at a substantial disadvantage… by reference to the fact that her pain relief medication prevented her from being able to fulfil night-time on-call duties, which led to her being dismissed. With the respondent unable to fill one of the roles on a permanent basis, they had to secure locums through locum agencies, who we heard have a financial incentive to maximise the earnings of the locum; and the locum role attracts those who tend to want to maximise their earnings. They can earn large sums by doing a full-time role within normal hours and being paid for out of hours including night work at significant rates of pay. They earn at a substantial rate for 24 hours a day in one week and for ordinary working hours the next, with [the respondent] saying they can cost £600,000 as opposed to a consultant psychiatrist in a permanent post costing about £200,000 gross (this figure we understood to be based on pay at the top of the scale and employer on-costs). The claimant’s salary [was] £137,000. [The respondent’s] evidence was that with a total budget for mental health services… of £2,843.681 of which the psychiatry budget was £520,986, at least £366,000 must be attributed to the costs of the claimant’s adjustment (that figure as it transpired being an underestimate). Using the claimant’s proposed figures of £500,000 for the claimant and a locum, which was significantly less than the figures suggested by the respondent, we accept that costs, relative to the budget for mental health services and for psychiatric service was disproportionately high. Further, and of particular significance, the evidence was that there was no indication of when that might change or even if it might change… It was apparent that there would be no change in the short or even medium term and indications from the evidence were that it was unlikely to change at all… Thus the costs of the adjustment were likely to continue for the foreseeable future. We accept as self-evident, that overspend in one department, when the budget was not unlimited, would impact on the rest of the budget and the rest of the service. We conclude therefore that to continue to engage a second locum consultant in addition to the claimant was not a reasonable adjustment...” A link to the judgment is in the comments. #employmenttribunal