Wednesday, December 8, 2010

Are you suffering from a loss or tradegy? 5 ways to help you cope.

When suffering from a loss or tradegy often we don't know what to do or where to turn.

Here are 5 tips to help cope.
1. Take things one day at a time. Don't look ahead. Do the best you can everyday and make a list to help accomplish daily goals.
2. Take care of yourself. Don't be so hard on yourself. During a loss it's important to be nice to yourself. Each day is a gift live as if it's the last!
3. Do something for someone in need. There's never a better feeling than helping someone.
4. Don't forget to thank all the people in your life who has supported and loved you. Again, helping someone else is the best medicine!
5. Forgive...it will make you feel lighter!

Monday, November 29, 2010

Do you know what your health insurance deductible is?

Every year at this time I start thinking about and talking about deductibles and co-insurance. For 2011 medicare recipents have a $167.00 deductible. What does that mean? Starting January 1, 2011 the recipent or patient will have to pay out of pocket $167.00 before any office visit or medical expense is covered. Also, medicare only pays for 80% of the charges. If there is no secondary insurance than the patient would be responsible for the 20% remaining balance. If you have private insurance than other deductibles and co-pays may apply. It is essential to call your insurance company to insure you know your policy prior to receiving health care. For more information call Oxygen Plus Medical Equipment or visit www.oxygenplusmichigan.com.

Tuesday, October 5, 2010

Have you gotten your flu shot yet?

Protect yourself!

Vaccination is the Best Protection Against the Flu.This year, the Centers for Disease Control and Prevention (CDC) is encouraging everyone 6 months of age and older to get vaccinated against the seasonal flu. The risks for complications, hospitalizations and deaths from the flu are higher among individuals aged 65 years and older. Medicare pays for the seasonal flu vaccine and its administration for seniors and others with Medicare with no co-pay or deductible. And remember, vaccination is particularly important for health care workers, who may spread the flu to high risk patients. Don’t forget to immunize yourself and your staff. Protect your patients. Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu.

Remember– Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug. For information about Medicare’s coverage of the influenza vaccine and its administration, as well as related educational resources for health care professionals and their staff, please visit http://www.cms.gov/AdultImmunizations.

Did you also know that there are many more covered benefits that you may not be aware of. Visit Oxygen Plus Medical Supply for more information or go to www.oxygenplusmichigan.com

Friday, September 24, 2010

Immunization time..are you ready?


Fall is officially here...

October is the time to get your flu shots. If your a Medicare recipent flu shots are a covered benefit. Consult with your physician or local pharmacy for questions. there are a number of "flu clinics" in your area also. Most senior citizen centers have them annually and also some churches. Look for signs posted in your community or call your local Chamber of Commerce. Often home medical equipment companies particpate as well. Call Oxygen Plus at 734-429-7444 or visit http://www.oxygenplusmichigan.com/ for more information.

Thursday, September 16, 2010

Do you have problems getting up out of a chair?

Do you have Arthritis?
Getting up out of a chair can be difficult.
The lift chair by Pride Mobility can be the solution. Totally electric and looks exactly like a reclining chair. They come in several colors and styles. They even have select styles that have removable arms and many other features. The chairs can be leather,ultra suede or fabric. They have 2 or 3 position available. The lift mechanism in the chair may be reimbursable by your insurance dependable on situation. Feel to to stop by our store and look at the ones on display. Also visit http://www.oxygenplusmichigan.com


Monday, August 30, 2010

Living with Arthritis...

The term "Arthritis" includes over 100 joint inflammation diseases and conditions.
Everything from Osteoarthritis to gout to rheumatoid arthritis. Currently, there are 46 million arthritis patients in the US. Arthritis occurs more often as people age. Arthritis is general costs the US economy $128 billion per year.

The first most common form of Arthritis is Rheumatoid Arthritis. It is a chronic condition that causes inflammation in the tissues lining the joints. Some of the symptoms include pain and stiffness. Keeping the inflammation down is key. Drinking plenty of water is important. Eating healthy, getting adeguate rest and minimizing stress is helpful also. At times alternating heat and cold packs may be helpful.

Osteoarthritis is prevalent in people age 60 and older. It is a chronic,degenerative form of arthritis where cartilage between the bones in a joint breaks down,causing friction and pain. It generally affects more than one joint and is most often in the weight bearing joints such as the hips,knees and lower back. Ninety percent of people over 40 have signs of osetoarthritis. The symptoms like pain and stiffness often develop much later. Other symptoms include loss of flexibility in a joint,fatigue,poor posture and pain.

Like the case with most diseases following a healthy lifestyle and minimizing stress some symptoms can be minimized. The correct form of exercise can also be beneficial. Always contact your physician before implementing any new exercise.

With most forms of Arthritis it is common that people use mobility aids to help increase mobility and make day to day life easier. Walkers, rollators,canes, grabbers and lift chairs are available to help ease activities. These items are available at most medical equipment companies or DME companies. For more information contact www.oxygenplusmichigan.com or call 734-429-7444.

Monday, August 23, 2010

Hazards at home:Are you at risk for falling?

Did you know falls are one of the greatest causes of serious health problems.

Screening is one of the most important ways to determine if you are "at risk" of falling.
Factors my be physical,such as balancs,flexibility, cardiovascular fitness or environmental, such as hazards around your home.
Quite often the cause of a fall can be right in your own home and is easily corrected.
Below is a list of possible risk factors that may exist in you home.

General risks: poor lighting,slippery floors,uneven floors,throw rugs,runners,mats small objects in pathways.
Kitchen: Unstable step stool,storage areas that require excessive reaching, unstable seating and wet floors.
Outside: walkways in disrepair,wet smooth surfaces,high curbs,poor night lighting garden hose across the walk area.

A more complete list available at OxygenPlus!

It is crucial to determine if you are at risk,identify the factors that put you at risk,modify risk factors and maintain independence. If you are interested in participating in a fall risk screening program please contact OxygenPlus at 734-429-7444 or visit www.oxygenplusmichigan.com

Tuesday, July 27, 2010

Summer time and looking to lose weight!

It's summer and looking to lose weight and get healthy!
Check out this article...
http://womenshealthboutique.blogspot.com/

Monday, July 19, 2010

CALL TO ACTION!!!

Hello,
Many of you know there is no licensing or regulations to speak of over private duty Homecare in the State of Michigan. Most of the ethical agencies would like to see regulation to protect our elderly.
There are currently bills in Lansing to enable our elderly to be left unprotected by allowing "caregivers" to list themselves as if they're credible but with no protections in place.
Not all private caregivers are good, or bad, but there are many people that are advertising as caregivers who are ex-cons, have been terminated from agencies, or can't get hired by agencies because of their backgrounds. Some are just preying on the elderly.
Just recently a woman who hired a "caregiver" from Craigslist, was murdered by that so called caregiver, who turns out to have had a long history of psychiatric problems and criminal charges.
WE MUST speak up to Lansing to protect some of our most vulnerable citizens! We just can't allow a bill that would be like a virtual State of Michigan's craiglist where no standards or safety measures are put in place! There are already too many reports of senior abuse, neglect, scams, and even death at the hands of unsafe providers.
Please take the time to contact your representatives. You can find them below.
Together we can push for safer care for our elderly.
Thank you and if you agree, please pass this on!
Angil Tarach-Ritchey RN, GCM
Visiting Angels
2860 Carpenter Rd. Ste 300
Ann Arbor, MI 48108
(734) 929-9201www.visitingangels.com/annarbor


Greetings Colleagues,
On July 1, 2010, the House passed HB6195, the bill now goes to the Senate where it will be referred to committee. SEIU has hired two large PR firms to convince senators and their constituents that this is a good bill.The bill would create the Michigan Quality Community Care Council (MQCC)Act allowing, by law, MQCC to maintain a registry of caregivers for the Home Help program. The caregivers on this registry will become SEIU members. It is unclear who will be their employer and who, if anyone will pay the employment related taxes and insurance for these caregivers HB 6195 doesn't ensure quality care, doesn't provide adequate protections, and it does not create a level playing field!The National Private Duty Association (NPDA) has worked hard for many years to bring high quality standards to the home care industry. HB 6195 doesn't ensure quality of care of Michigan's most fragile seniors and disabled citizens. The following are minimum standards for NPDA members that are not required by HB 6195. A bureaucrat testified at committee that they do some of these things, whether that's true or not, all of the following should be required in the bill. In-home assessments. NPDA industry standards require that an in-home assessment be done before a caregiver is referred to determine the care needs and ensure that the caregiver's training and abilities match the needs of the client. In addition, regular in-home follow-up should be done, to ensure the quality of care and make any necessary changes in the care plan. HB 6195 should require in-home visits.Criminal background checks. NPDA requires that all individuals hired as caregivers pass a comprehensive criminal background check. HB 6195 should require background checks.Training requirements. NPDA requires that all caregivers receive a minimum of 16 hours of training before they are allowed to provide care. Topics of mandatory training should include areas like: Red Cross first aid and CPR, Basic Care Giving, Senior Safety, Senior Activity, Alzheimer's Training, Personal Care Training, and Transferring including Hoyer lifts. HB 6195 should require minimum training standards for caregivers.Payment of all taxes and insurance. Many seniors are shocked to learn that their caregiver is considered an employee by the IRS and other governmental agencies and as such are responsible for employer share of taxes. NPDA standards require that all employer related taxes, including FICA and Unemployment Insurance, as well as workers compensation are paid in full. HB 6195 should require that the Quality Care Council is responsible for and pays all employers share taxes and provides workers comp insurance, or that they notify the client that they are responsible for paying these taxes and providing appropriate insurance coverage.The current Senate version, substitute SB 731, strips out funding for the Michigan Quality Community Care Council, restricts the advisory council to the Home Help program and prohibits unionization of home help workers. However, it still does not go far enough to meet the above suggested standards and there is no guarantee that it will not require the unionization of workers.We are urging everyone to please contact your Senators and tell them you do not support SB 731 or HB 6195. Urge them not to support these bill either. These bills don't ensure quality care and don't provide adequate protections! They are not good for our seniors and puts them at risk. Here is a link to the State of Michigan web site Senator look up. Below is an interesting article from the July 2, MIRS (Michigan Information & Research Service - News and Information About Michigan Government) web site. This article discusses the politics behind the bill. Please take the time to read it.Regards, NPDA Michigan Chapter Board
(MIRS) Jul. 1, 2010 www.mirsnews.com
House Passes MQC3 Bill
House Democrats passed legislation (HB 6195) to codify into law the Michigan Quality Community Care Council (MQC3) today and entity created as a clearinghouse of sorts for workers who assist low-income elderly and disabled in ways that allow them to stay at their own house. Fairly or unfairly most lobbyists and political observers have been referring to the bill as the MQC3 of the SEIU (State Employee International Union) bill. That's because after the MQC3 public entity was created as a joint venture between the Gov. Jennifer GRANHOLM administration and the Tri-County Aging Consortium in 2004, workers within the group petitioned the SEIU to become a part of the union. A mail-in vote was taken of the home care providers under the MQC3 registry and results were in favor of unionizing those employees who signed up to be part of the entity. The MQC3 currently exists as a pilot project within the Department of Community Health (DCH). It is highly contentious because it was the conduit for what opponents believe is "forced unionization" Proponents of HB 6195 call that a myth, but Republicans and Tea Party activists have used it as an election year rallying cry (See "'Forced Unionization' Issue Births Another Bill," 5/20/10). Two Republicans joined the Democrats in voting for the bill today. They were Rep. Tory ROCCA (R-Sterling Heights) and Rep. John WALSH (R-Livonia). The final vote tally was 66-41. The legislation faces an unsure future in the Senate. However, bill sponsor Rep. Bert JOHNSON (D-Highland Park) has predicted the Senate will pass it. In addition, a rumor that began circulating earlier this week was that all House Speaker Andy DILLON(D-Redford Twp.) had to do was get the bill passed in the House to earn the SEIU endorsement in the gubernatorial race. Meanwhile, speaking on condition of anonymity, a GOP House member told MIRS he didn't mind the bill being brought up because it would be just one more issue the Republicans could use in the election. Rep. John PROOS (R-St. Joseph) spoke out against the legislation. "I believe doing this bill at this time is unnecessary," Proos said. "When you consider what has happened with interlocal governmental agreements and forced unionization. Before we codify this we should make sure they are scrutinized." Proos went on to say that before the legislature codifies the MQC-3 it should pass his own measure (HR 0270), which would urge the Attorney General to take the steps necessary to increase the scrutiny of interlocal governmental agreements, and require that any interlocal agreement with the state of Michigan have biannual audits conducted by the Auditor General and reauthorization by the Governor. Johnson said using the rhetoric "forced unionization" issue is a "red herring." "The red herring in this room is the forced unionization issue," Johnson said. "If this was about something else it could be true. But not this bill. Those who oppose this need to take into account the people who have testified in favor of this legislation." This morning, supporters of HB 6195 held a press conference, which featured several persons, including patients, involved in the home care arena. The statements were all about the need for home health care and the financial advantages to the taxpayer of being taken care of at home over institutions such as nursing homes. Without the so-called "forced unionization" issue, the legislation is about making sure those who work in Michigan's home healthcare industry are qualified and undergo background checks. A news release circulated at the press conference sought to "fact check" what it referred to as factual errors issued by a group called National Private Duty Association. But the issue of "forced unionization," which was likely to be the major obstacle facing the HB 6195, was not mentioned. The only two lawmakers present at the press conference were Johnson and Rocca. "This is not an issue that should be politicized," Johnson said, in reference to those who were opposing HB 6195. MIRS asked Johnson about the "forced unionization" issue, which opponents of HB 6195 claim is the real reason for the union's push to get HB 6195 enacted. "Representative John Walsh, who is a lawyer, has looked the bill over up and down and says there's nothing that indicates any kind of forced unionization," Johnson responded. MIRS asked if attempts to amend the bill with wording to prevent forced unionization would be adopted or quick gaveled down in the House. "That's a leadership question," Johnson said. "Attempts to amend bills are always in play on the floor." MIRS asked if the timing of the legislation's movementat this timewas connected with efforts to get endorsements of the SEIU. "I'm glad you asked that," Johnson said. "This isn't just an SEIU question. This isn't a union issue." Johnson went on to say that the bill was supported by AARP and several other groups that aren't unions. He said that, in an election year there are a lot people politicizing almost everything. Supporters also argue claim that using the rhetoric "forced unionization" is unfair because it insinuates the SEIU election broke state law, which by all appearances, it did not. While it could be argued that the Granholm administration back-doored a bunch of employees into a union, it's never been argued the process was illegal. Also, it's pointed out that any person within the MQC3 can opt out of the union at any time, but they still must pay and administrative fee. A Walsh amendment was adopted on the House floor. It inserted language that stated the "information in the registry is confidential, is not subject to disclosure under the freedom of information act and shall be disclosed only to providers and consumers for purposes of this act." Two amendments offered by Rep. Jim STAMAS (R-Midland) were defeated by quick gavel. One would have required that the wages and benefits for providers that opted out of unionization under the MQC-3 shall be 1.9 percent greater than the wages of a provider who has not opted out. The other would have set a sunset of Dec. 31, 2012.


NPDA Michigan Chapter Executive Board Members:
Russ Knopp - Comfort Keepers, President - (231)-929-9044
Wynn Esterline - Home Instead Senior Care, Vice President- (517)-266-7788
Phil Simpson - Continuum Home Care Services LLC, Treasurer - (866)677-2440
David Smith - Home Instead Senior Care, Secretary - (269)553-7773Tina Rowley - Home Home Instead Senior Care, Membership Chair (248)203-2273Joyce Lovse - AngelCare Home Health Care Inc., Education Chair- ( 616)284-3399
Marcia Williams - Visiting Angels, Communications - (248)350-8700Greg Adair - Affordable Home Care- (877)424-3578Jeffrey Welsh - Right At Home Care - (248)816-3200Augustine Arbulu - Metro Home Health - (800)462-5632

Monday, May 24, 2010

DO YOU NEED MORE ENERGY? DO YOU WANT TO LOSE WEIGHT?

Are you tired? Do you have a problem with concentration and memory?

Studies have shown that by simply taking a daily dose of Rhodiola your energy level increases. Rhodiola helps energize brain cells,boosts serotonin, helps burn calories and helps the heart muscle pump more efficiently. This herb is full of phytonutrients that help fight in all aspects of life. It is recommended to take on a empty stomach. Rhodiola is a great product to add to your supplements and weightloss plan. For more information contact www.annarborhealthpro.com

Are you trying to lose inches or tone body. There is a new herbal based body contour wrap that detoxifies,tightens and firms skin. It helps to smooth out and decrease the appearance of cellulites. It can be applied on any body part. The applicator can be applied individually every 72 hours. For more infomatin contact www.wrapyourfatoff.com

Wednesday, April 28, 2010

Individual Choice!

Where should I get care or service?


One of the most popular questions I get asked by patients is, "can I get equipment wherever I want?". The answer is Yes...it is the individuals choice as to where they get the equipment that is prescribed. Even with the appropriate documentation and the suggestion of the doctor the patient has the right to choose where they get service and care. The physician cannot mandate where they receive service.

In this situation the patient should research on their own where to get the equipment or care. Normally, I recommend getting several references from family,friends and other health care professionals. Another key is to call your insurance company often they have a list of accepted providers or caregivers. Using your local company is always an option also.


If you have Medicare for primary insurance it is clearly stated by Medicare that the patient has the right to choose wherever they receive care and in no way can the provider or supplier entice the patient in any manner. The same holds true for the physician. It is NOT acceptable for the physician or caregiver to insist the patient receive equipment,care or service from one particular company. It would be a direct conflict if that was happening.

If you know of anyone participating in this kind of activity please call Medicare immediately at
1-800-medicare or go to http://www.medicare.gov/. Feel free to contact 734-429-7444 for more information.

Sunday, April 11, 2010

Buyer/Patient Beware

The following article was written by Angil Tarach-Ritchey,RN who is the owner of Visiting Angels of Ann Arbor.You can visit the company website at http://www.visitingangels.com/annarbor . I urge every small business owner to frequently do internet searches on their company name. This particular company is a franchise. Therefore, certain rules apply with the use of the name. One main concern is the safety of patients. It is horrible to think about the care that these patients could receive. It is vital to do in depth checks on whatever company you decide to use for homecare.
http://www.annarbor.com/passions-pursuits/buyer-beware-thoroughly-check-any-homecare-company-you-call/. Please read article and pass along information. For more information feel free to contact Theresa Likert at www.oxygenplusmichigan.com or call 734-429-7444.

Thursday, February 25, 2010

Electric Wheelchair how do I get one?

There are several things to consider when someone may need a power wheelchair. First of all, the process is usually initiated by a licensed professional. Normally, a MD, PT or OT will recommend the need for a power operated vehicle. For a power wheelchair or electric wheelchair an evaluation needs to be performed and that licensed professional will usually recommend a specific piece of equipment. Then the physician or person who evaluated the patient will sometimes refer or tell the patient of a place they can get it. At times the patient will know of a medical equipment store themselves. Medicare and many other private insurance companies reimburse for this piece of equipment as long as the appropriate paperwork is in place and the criteria is met. Depending on the insurance criteria for reimbursement is different. Obviously, reimbursement is for the least costly alternative based on the need shown. It is important to know that not all power wheelchairs need an evaluation from a PT or OT. It depends on the model and the billing code.

I always tell my patients if they feel they need a power operated vehicle of some kind they probably do. The first step is to talk to your primary physician or nurse practioner. A power wheelchair is not always what is needed. At times, a scooter will best fit the needs of the patient. The physician can help determine that. There are many alternatives on the market.

Finally, once a piece of equipment is decided on the medical equipment company will get the patients information, verify insurance and all paperwork then order the wheelchair and setup delivery with the patient. Once the paperwork is completed the chair is usually delivered in about 5-7 business days. Sometimes quicker if the item is in stock. Some medical equipment companies can and will follow-up on the paperwork. It is important to work with a medical company that will insure that the process is followed correctly and the paperwork is correct so that the patient has the best chance of getting the piece of equipment reimbursed. Lastly, getting the best piece of equipment will best determine compliancy and patient satisfaction. Please contact OxygenPlus Medical Equipment 734-429-7444
www.oxygenplusmichigan.com

Tuesday, February 16, 2010

The New Massage Form by American Breast Care

Survivor of breast cancer? Looking for a new breast form?

American Breast Care has just come out with a new massage form!
Looking for something firmer yet lighter feel? This product has a unique channel design that provides air circulation for the asymmetric breast form. The channels gently massage the chest wall when worn with a supportive bra.the channels hug the chest providing you with the support that you need. Many sizes available.
For more information contact the Womens Boutique in OxygenPlus.
Call 734-429-7444. Visit www.oxygenplusmichigan.com or www.themassageform.com

Wednesday, February 10, 2010

Medigap Insurance

Have you ever heard Medigap?

Medigap policies are health insurance policies that are sold by private insurance companies to fill "gaps" or pay for extra uncovered items. Normally, a medigap policy would pay for items that original Medicare does not cover. Also, benefits not covered like emergenency care outside the US would be covered under this type of policy. Typically, you pay a monthly premium for the coverage. Most private insurance companies sell these types of plans. For more information contact www.medicare.gov. Through the Medicare website you can run a report that compares all the policies in your area.

Tuesday, February 9, 2010

http://www.homehealthcareannarbor.com/everything_elderly_podcasts.html

Everything Elderly on 1290 wlby
Information on Health,Nutrition,Housing and more for Seniors!
Listen to most recent podcast for info on Medical Equipment and Supplies....
http://www.homehealthcareannarbor.com/everything_elderly_podcasts.html

Thursday, February 4, 2010

Febuary in Heart Month

Coronary Artery Disease is the leading cause of death for men and women. Coronary Heart Disease (CHD) is defined as a narrowing of the small blood vessels that supply blood and oxygen to the heart. Men in their 50's are at most risk. However, women after going through menopause are often at high risk as well. Risk factors that can be changed are high blood pressure,high cholesterol,smoking, alcohol and drug use,obesity, diabetes management and lifestyle. It is important to manage stress,exercise and get adequate amounts of sleep. The most common symptom that is noticable is chest pain. One may suffer from shortness of breath or fatigue.Tests that are used to diagnosis heart disease are an electrocardiogram,stress test or an echocardiogram. Medicare and other private insurance may provide coverage for cardiovascular screening blood tests,ultrasound screening,smoking and tobacco cessation.If you have any questions please call your physician. www.oxygenplusmichigan.com
734-429-7444

Thursday, January 28, 2010

Effects of Caregiving on business

Great article on Caregiving and the effects it has on business. Article written by Angil Tarach,Director of Visiting Angels in Ann Arbor,MI
please visit http://www.annarbor.com/passions-pursuits/how-employees-caring-for-an-aging-relative-affects-business/. You can also contact the Senior Service Experts at seniorserviceexperts@gmail.com

Monday, January 18, 2010

Oxygen can ease headaches..........

Have you ever thought about using oxygen for headaches?

Do you suffer from headaches? A cluster headache is defined as a recurrent headache that occurs in"clusters". They are often the most painful and are characterized by a stabbing feeling around or near one of the eyes. Cluster headaches can last for hours or days. Usually, the pain is so intense that one can not work, stand or function at all. The current treatment for an acute attack is an injection of sumatriptan. However, frequent dosing is not recommended because of the side effects. Cluster headaches are more common in men than women and the age group is usually 28-30 years of age. It is becoming more common to use a high-dose , and a high flow oxygen. A prescription is required for the oxygen. There is no side effect or danger in using oxygen for a cluster headache. Normally, a home medical equipment company can supply the oxygen. The treatment is usually at least 12 liters per minute and the oxygen has to be delivered via face mask. For the most part insurance does not cover this benefit. Usually, the oxygen has to be used at onset of headache and if treatment is going to work the headache usually eases up within 15 minutes of using the oxygen. Research has shown to be promising but more study is needed. For more information contact OxygenPlus Medical Equipment at 734-429-7444. Visit www.oxygenplusmichigan.com