J 1 2 Herald - Lantern - Dispatch 2 July '86 f *

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Home Health Agency 1

(From Page 10) every two weeks." Hennigh added. ACCORDING TO Public Health Coordinator Louis J. La manna, services are based on physician's written orders and tailored to the patient's needs. The nurses, he said, may teach or train the patient, a family member, or others, to perform skilled nursing services like giving an injection. irrigating a catheter, preparing or following a diet, applying dressings to wounds, moving a bed-bound patient, and transferring a patient using wheelchairs, crutches. walkers or canes. Anyone over 65 and in need of skilled nursing is eligible, but Towev and j Sea brook said Medicare I have tightened restrictions | "WITH THIS | MEDICARE business, j we're having a tough time I now," said Towey. "If a j person is homebound j because they're frail and | elderly. Medicare won't j cover that, which is a i disservice, I think. "They have to be homebound due to an illness and you have to prove it," she added. "They (requirements) are very strict. Medicare will not pay for daily visits above two to three weeks unless there is an endpoint ( for example, a wound that will eventually heal)." Towey said the agency tries to refer Medicare ineligible people to other social services available to them. "We act as a liason between the patient and social services available to them," said Seabrook. "That's a major part of our job, because of the cuts in Medicare." DESPITE Medicare cuts, anyone needing service can receive it. "As long as they need a nurse, we provide service, whether they have insurance or we need to use a sliding fee ( based on the individual's income)," Towey said. "So, anybody who needs nursing would not be turned away." Towey said the agency has a new 24-hour phone service, and there are nurses on call at all times. And, she said, the level of

service is getting more ] sophisticated. j "We're going to get into real high-tech, like in- ] travenous feedings in the < home, and we can draw for | lab testing now," Towey | said. | NURSES HAVE "long | term relationships" with their patients, visiting the same people, and are given a geographical area to cover to "make it more effective as far as travel goes," Towey said. All the nurses, she said, completed a three-year registered nursing program and many, like Seabrook, were formerly employed by Burdette Tomlin Memorial Hospital in Court House. "I do a lot of teaching; that's one thing I like about public health care, you get to educate the people about their health problems," Seabrook said. "I like public health care because you get to spend more time with the patient." Besides attending to par tients, the nurses work in various clinics run by the Health Department: for venereal disease, child health, tuberculosis, diabetes, blood cholesterol and hypertension. And, they are on-call for emergencies. SEABROOK SAID the nurses are responsible for determining whether to discharge patients. "We discharge them when they meet the goals of their health plan," she said. The Home Health Agency also works with Jersey Cape Visiting College (From Page 3) County, whatever the program?" asked Kilpatrick. "Is additional response absolutely essential to the J determination of this group ' as to the form to be taken?" "Obviously there's a need," said Kistler. "I'd like to see us get on with it." "I hope there is no question how crucially important your recommendation

and ultimate decision is," said Sachs. "There should not be an issue 'whether,' mix and need aside. Vis-a-vis economic development, there is no question this is close to the No. 1 problem in terms of economic growth. Without additional educational facilities, this county will grow slowly, if at all." THE COUNTY IS seeking a better answer to meet higher education needs than the current system of paying from $1 million to $1.5 million a year in chargebacks for students attending classes offered by out-of-county institutions. Present at the meeting ■ were committee members r Kilpatrick, Frederick. Kistler, Hardy, Rowe, Carol Bruno, Ocean City High School Business Department head William A Lauer and Wildwood . j School Supt. Arthur Motz f Absent were Diane Hevener, Ruth Millward, S Gene DeGenova, county II Schools Supt. Robert y Bongart, county Special H Services School Supt. George Bailey, and ;J Wildwood High School J Principal Ernest Harper.

Homemakers on a home aid program. "That program provides care for people eligible for nursing homes who prefer to stay at Towey said. "We do the nursing care for that." The Health Department

contracts aides from Jersey Cape to provide services such as preparing meals, bathing patients, doing laundry and supervising exercise programs. Anyone interested in either programs can contact the county Health Department at 465-3181.

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