Our Lady Of Lourdes Regional Medical Center Digital Patient Guide by Guide Publishing

Important Information For Your Stay

Patient & Visitor Information

Leaving The Hospital Your Discharge Checklist

pg. 21

Manage Your Care Speak Up!™, Be A Participant In Your Care pg. 10

Understand Your Meds Help Prevent Medicine Errors

pg. 12

Ways To Prevent Hospital Infection What You Can Do

pg. 14

Patient Guide Provided by

4801 Ambassador Caffery Parkway • Lafayette, LA 70508 • (337) 470-2000 • www.LourdesRMC.com

QUICK REFERENCE: During Your Stay, For Patients & Visitors AT YOUR REQUEST MEAL SERVICE Made to order fresh meals ordered from the menu. To order meals call 3663 (FOOD). Hours: 6:30 am–7 pm. Patients may select their mealtime or may receive meals at standard times from standard menu.

DINING ROOM

INTENSIVE CARE UNIT (ICU) VISITING HOURS To better accommodate the needs of our patients and families, we offer an open visitation policy on our Intensive Care Unit. Please limit two visitors in each room at a time. Pending the patient’s assessment by the attending physician, an overnight visitor may be allowed. Visitors under the age of 14 are not allowed in the ICU.

Daily: 6:30 am–7 pm

FLAIR-GIFT SHOP

DOOR SIGNS

Hours: Monday–Friday 8 am–5:30 pm Saturday 10 am–2 pm

Sliding door signs located adjacent to patient’s room door serve to communicate information that helps us maintain a safe environment for the patient. Signs will indicate if the patient is at risk for a fall, infection precautions or patient fasting.

GETWELL NETWORK • • • •

• • • • •

Press POWER button on pillow speaker NAVIGATION: Press arrows and select BEGIN YOUR WELCOME VIDEOS: Press SELECT TELEVISION ACCESS: Press TV on pillow speaker - CHANNEL UP AND CHANNEL DOWN: CH+ and CH- Press MENU button / select TOOLS / TV/ TV GUIDE INTERNET ACCESS: Press WEB -Plug in keyboard to side of pillow speaker MOVIE ACCESS: Press MOVIES VOLUME CONTROL: On right side of pillow speaker TURN CLOSED CAPTIONING ON: Press CC TURN LIGHTS ABOVE BED ON / OFF: Press light bulb 1 and/or light bulb 2

SMOKE-FREE CAMPUS Our Lady of Lourdes is a Smoke-Free campus. This is important for the comfort and wellness of our patients and staff. This Smoke-Free policy includes inside the medical facility and adjacent buildings, grounds, sidewalks and parking lots.

YOUR TELEPHONE • • • • •

To make a call: Dial 9, then proceed with your call. Receiving Calls: Your room can be dialed directly, except as a collect call, by dialing 470-3 (+ the room number). Calls cannot be charged to your room. Toll Free Numbers: Dial 9, then dial 1-800 + number. Phone Problems: Please report any telephone problems to the Nurse’s Station. The repair will be made as soon as possible. We regret any inconvenience this may cause.

COMMUNICATION BOARD

FAMILY KITCHENS

We want always to be responsive to your needs. Your caregiver will note their contact numbers for each shift on the white board in your room.

On each floor of the hospital you have access to: • Vending Machines • Coffee • Ice • Microwave

INTERNET SERVICES Free wireless Internet access is available hospital-wide for laptops/ phones. Connect to the network called “Guest.”

MASS St. Agnes of Assisi Chapel Hours: Sunday–Friday 11:30 am

GUEST VISITING HOURS Daily: 7 am–9 pm Lobby Hours: 7 am–9 pm Please use the North Entrance near the ER after hours. Children may visit during these hours if accompanied by an adult. After 9 pm, only two guests may remain in the patient’s room.

Accredited by the Joint Commission on Accreditation of Healthcare Organizations

• • •

Pulmonary (Ventilator weaning) Wound Care Medically Complex Rehabilitation

• • • • •

Pulmonology Internal Medicine Critical Care Infectious Disease Wound Care

• • • •

Nephrology Neurology Cardiology Surgery

What’s In Our Guide OUR MISSION

VISITOR INFORMATION

IMPORTANT PHONE #S HOURS OF OPERATION

3 3

PATIENT SATISFACTION

OUR HOSPITALISTS

DURING YOUR STAY Floor Maps Telephones, Internet, ATM Fire Drills Public Restrooms Medicine Dining/Nutritional Services, At Your Request Room Service Vending Flair Gift Shop Lost & Found Flowers Personal Belongings Pastoral Care, Mass & Chapel Television & The GETWELLNETWORK

5 6 6 6 6

6 6 6 6 7 7 7 7

ADVANCE DIRECTIVES

FOR THE CAREGIVER

MEDICAID COMMUNITY CARE

BILLING & FINANCIAL

Speak Up!™

YOUR RIGHTS & RESPONSIBILITIES

16 -17

YOUR PRIVACY

FOCUS ON HEALTH Six Ways To Help Prevent Hospital Acquired Infection You Can Quit Smoking

OUR DISCHARGE PROCESS

18 19

Use Our Discharge Checklist

ONLINE PATIENT CENTER Your Healthcare Is Just a Few Clicks Away

MED TO BED Bedside Prescription Delivery Service

OTHER SERVICES

Lourdes Foundation Lourdes Rapid Response Team

AFTER HOSPITAL CARE

23 23

OUTPATIENT Post-Procedure, Before You Leave! Outpatient Services

25 26-27

ENTERTAIN YOUR BRAIN 28

10-15

Manage Your Care, Patient Safety Ten Tips To Help You Manage Your Care I.D. Bracelets/Name Badges 10 Tips For Your Doctor Visit Prepare For Surgery Choose Your Support Person What Is An Advocate? Questions, Concerns, Complaints 11 Understand Your Meds, Help Prevent Medicine Errors Common Drug Interactions 12 Your Medicine Minder Keep Track of Your Medications 13 Ways To Prevent Hospital Infection Are You At Risk For A Blood Clot? Prevent Falls 14 Know Your Pain Level Keep Your Vaccinations Up-To-Date 15

The editorial content of this guide is the sole responsibility of Patient Engagement Solutions, LLC®. It is intended only for educational use. Please speak with your doctor before making any lifestyle or treatment changes. The people shown in the patient guide are models and are not known to have any health conditions. Images are for illustrative purposes only. ©Patient Engagement Solutions, LLC 2016. Our Lady of Lourdes Regional Medical Center is not, in any way, responsible for the advertisements in this patient guide. Our Lady of Lourdes Regional Medical Center makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. Our Lady of Lourdes Regional Medical Center receives no remuneration in exchange for any advertisement.

We are very honored to have you as our guest. As stewards of Christ’s call to serve, our team stands ready to care for you and your loved ones in the tradition of the Franciscan healing mission.

WELCOME

From Our President & CEO

As a member of the Franciscan Missionaries of Our Lady Health System (FMOLHS), we are dedicated to providing world-class, mission-driven healthcare as we embrace the fast-paced changes in the medical field. Our Lady of Lourdes continues to offer healthcare services worthy of our healing mission and our commitment to personal and organizational excellence. If you have any questions, needs, concerns, or would like to find out about our many services, I personally invite you to contact our Advocacy Representatives at extension 2810 (from inside the hospital). We promise you our best efforts— every moment of the day.

William F. “Bud” Barrow President & CEO, Our Lady of Lourdes Regional Medical Center 1

OUR MISSION & VALUES

Our Mission

Our Leadership

Inspired by the vision of St. Francis of Assisi and in the tradition of the Roman Catholic Church, we extend the healing ministry of Jesus Christ to God’s people, especially those most in need. We call forth all who serve in this healthcare ministry, to share their gifts and talents to create a spirit of healing-with reverence and love for all of life, with joyfulness of spirit, and with humility and justice for all those entrusted to our care. We are, with God’s help, a healing and spiritual presence for each other and for the communities we are privileged to serve.

As stewards of Christ’s call to serve, Our Lady of Lourdes puts great emphasis on leadership at the local level - while also upholding the tradition of our Franciscan healing mission.

Our Vision To make a significant difference in our communities through Catholic healthcare services.

Who We Are And How We Ought To Act Franciscan Missionaries of Our Lady Health System Principles of Organizational Ethics The Franciscan Missionaries of Our Lady Health System and its sponsored organizations have a clear sense of our organizational ethic, which is who we are and how we ought to act. This organizational ethic, molded and shaped by the examples of Jesus, St. Francis of Assisi, our Franciscan sisters, and the Roman Catholic Church, set forth not only our boundaries, but expectations that we strive to achieve in our healing encounters, our business transactions and as good corporate citizens.

As a faith-based, mission-driven organization, and law abiding corporate citizen, the principles listed on this page represent our organization’s expectations of both individual and corporate behavior, which serves to follow the examples of those who have gone before us.

Our President and Chief Executive Officer, William F. “Bud” Barrow, provides strong strategic and operational leadership to our organization. In addition, our Board of Directors provides high-level oversight, while our Medical Executive Committee plays an integral role in overseeing medical services and quality of care. Combining organizational excellence with medical expertise, we are committed to doing what is right and best at all times for the patients and families we serve.

Questions If you have questions about our Organizational Ethics, please call the Resident Ethics Expert at 337-470-4722 or Advocacy at 337-470-2810. Our Lady of Lourdes wants you to be fully informed. Additional information can be obtained in this Patient Information Guide, on our website at LourdesRMC.com, or by emailing us at Info@LourdesRMC.com. Please ask your caregiver for help with information or questions you might have about this guide.

Being Of Service • We serve those who need our care. • We continually pursue excellence. • We respect and support those who serve others. • We demonstrate our commitment to the community’s health.

Taking Care Of Resources • We are honest in our daily work. • We protect information. • We avoid conflicts of interest. • We abide by rules and regulations.

Our Values • SERVICE The privilege of reaching out to meet the needs of others. • REVERENCE AND LOVE FOR ALL OF LIFE Acknowledging that all of life is a gift from God. • JOYFULNESS OF SPIRIT An awareness of being blessed by God in all things. • HUMILITY Being authentic in serving as an instrument of God. • JUSTICE Striving for equity and fairness in all relationships with special concern for those most in need.

For waiting family and friends, rooftop courtyards, a meditation garden, and balconies have been incorporated throughout the hospital for a breath of fresh air. Quiet prayer rooms, family kitchens and comfortable waiting spaces are provided on every patient level for guest comfort. As an important part of our team, we want you to enjoy your time with your hospitalized family member or friend. To provide the best care, security, privacy, and comfort for all patients, we ask you to follow these guidelines for hospital visits: • Be sure children are well-supervised by an adult at all times. Children may not play in halls or stairwells. Any child who might have a cold or fever should not come to the hospital. • Discourage family and friends with colds, sore throats, and other viruses or infections from visiting the patient in the hospital. • Respect all “no visitor,” “isolation,” or any other signs that have been ordered by the attending physician.

We Are A Smoke-Free Campus! This is important for

the comfort & wellness of our patients & staff. This includes inside the medical facility and adjacent buildings, grounds, sidewalks, and parking lots. Please put out all cigarettes before entering the Lourdes campus so we can all breathe a little easier! (See pg.19 for help quitting!)

• Observe our need for quiet. Have conversations quietly and in private. • Place your cell phones on vibrate. • Visit the patient in small groups of three or less. Larger groups can be overwhelming and can intrude into other families’ needs for privacy. End your visit by 9 pm, unless you are the support person staying the night. • Patient and guest parking is located in the lots in front of the main entrance to the hospital. Call Security with parking issues at 337-470-2266.

Important Numbers When using our hospital phones, dial 9 and then the seven digit number for local calls outside the hospital. When calling the numbers below that begin with 470, dial only the last four digits for departments within the hospital. MAIN Information Billing At Your Request Service (In-Room Dining) Admitting Advocacy Flair Gift Shop Cashier Palliative Care Pastoral Care Security Courtesy Shuttle

Guest Visiting Hours Daily: 7 am – 9 pm Children may visit during these hours accompanied by an adult. After 9pm, only two guests may remain in the patient’s room.

Intensive Care Unit (ICU) Our facility has open visitation— which means there is no closing of the unit. However, from 9 pm to 5 am, our unit phone must be used to gain admittance. We will also ask for minimal traffic through the ICU at report times from 7 to 8 in the morning and evening. This is when our shifts change, and we need to focus our time on transferring the care of your loved one. We strive to make you a part of the healing process while providing our patients with the time needed to rest. To provide a balance between family contact and rest time, we have developed the following guidelines: • Only two (2) visitors are allowed in the ICU.

337-470-2000 337-470-2135 337-470-2138 337-470-FOOD (3663) 337-470-2275 337-470-2810 337-470-2800 337-470-4718 337-470-2017 337-470-2196 337-470-2266 337-470-RIDE (7433)

• No food or drinks are allowed in the patient care area.

VISITOR INFORMATION & IMPORTANT #S

Important Visitor Information

• No flowers or latex balloons are permitted. • Do not use cell phones in the rooms or halls, as they can affect equipment. • Please keep a quiet environment—do not wake patients, rest is an important part of healing. • If we need to provide care to the patient while you are visiting, you’ll be asked to leave the room to protect your loved one’s privacy and dignity. • Some critical patients may require decreased visiting hours to aid in the healing process.

Inpatient Rehab M-F: 4 pm – 8 pm Sat-Sun: open visitation

Flair Gift Shop M-F: 8 am – 5:30 pm Sat: 10 am – 2 pm

Dining Room Daily: 6:30 am – 7 pm

• Children under the age of 14 are not allowed in the ICU. 3

PATIENT SATISFACTION & HOSPITALISTS

Patient Satisfaction is Important To Us Our Lady of Lourdes Regional Medical Center participates in The Joint Commission’s accreditation process. This process helps us provide safe, high-quality care, treatment and services by identifying opportunities for improvement. • Our goal is to provide you with the best care possible. Your experience here is important to us, and we want to hear from you.

Patient Survey After Discharge After your discharge from our hospital, you may receive a Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) survey by mail. Please fill it out and return in the envelope provided. HCAHPS is a national, standardized, publicly reported survey of patients’ perspectives of hospital care.

management, communication about medicines, discharge information and overall hospital rating. We value your opinion and appreciate you taking a moment to complete this brief, multiplechoice survey.

Would You Like To Make A Suggestion Or Recognize A Special Nurse Or Staff Member? Submit comments by selecting the FEEDBACK option on your GetWellNetwork home page. (See pg. 7!)

• Are you getting the care you need? Are your doctors and nurses addressing your questions and requests? How can we improve?

What Does HCAHPS Do?

Our Hospitalists

Your doctor has referred you to our hospitalist program to ensure you receive the highest level of care at Our Lady of Lourdes. At discharge, you will return to the care of your primary care physician for additional treatment, follow-up care and medication management.

Benefits of Hospitalists

What should I expect? Like any other doctor, a hospitalist will visit you daily to monitor progress and answer questions. If concerns arise between visits, your nurse will contact the hospitalist team. At discharge, your hospitalist will explain your home care plan and prescribe any necessary medications. The hospitalist will schedule a follow-up visit with your primary doctor; sending a detailed report with test results.

• Rapid response. Hospitalists can respond quickly to changes in patient conditions or to new test results— adjusting your care plan on the spot.

Hospitalists are skilled physicians who specialize in hospital medicine. By focusing their expertise on inpatients, hospitalists are uniquely qualified to diagnose and treat illnesses that hospitalized patients commonly face. During your stay, our hospitalists coordinate all aspects of your medical care, working closely with nurses, specialists, hospital staff and your own family doctor. This team approach ensures that you and your family receive timely information, personal service and comprehensive care—for a smooth and speedy recovery.

• Please talk with your nurse or case manager about any questions or issues you may have. You may also call the Department Director or Nursing Supervisor at 337-470-4124 or the Advocacy Department at 337-470-2810.

HCAHPS measures patients’ thoughts about their hospital experience by asking questions based on communication, responsiveness, cleanliness, quietness, pain

• Enhanced communication. Hospitalists are on site to consult with other specialists and service departments, like lab and radiology, while keeping your primary doctor in the loop.

• Shorter stay. Having a hospitalist on site can shorten your wait time for tests, results and consultations— often speeding your recovery and shortening your hospital stay.

Patient & Guest Parking

Emergency Parking

Patient & Guest Parking

Hospital Entrance

Physician Parking

Patient & Guest Parking

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Bousta ny

Ambassador Caffery Parkway

Physician Parking

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Emergency Parking

Su ark rg ica Pl l H ac os e pi ta l

Employee Parking

Re Ou gi r L on ad al y M of ed Lo ica ur l C de en s te r

Employee Parking

DURING YOUR STAY

Physician Parking

Drive

Main Entrance Emergency Entrance Restrooms Elevators Dining Room Chapel Gift Shop Information James Devin Moncus Medical Building Park Place Surgical Hospital

DURING YOUR STAY

Important Things To Know During Your Stay: TELEPHONE To make a call: Dial 9, then proceed with your call. Receiving Calls: Your room can be dialed directly, except as a collect call, by dialing 337-470-3(+ the room number). Calls cannot be charged to your room. Toll-Free Numbers: Dial 9, then dial 1-800 + number. Phone Problems: Please report any telephone problems to the Nurse’s Station. The repair will be made as soon as possible. We regret any inconvenience this may cause. ELECTRICAL DEVICES If you will be using any electrical device (such as: electric razor, hairdryer, etc.) from home please let the staff know. We need to inspect it to be sure it is working properly and will not interfere with other hospital equipment. Promptly inform our staff if any equipment in your room is not working properly. INTERNET Free wireless Internet access is available hospital-wide for laptops/phones. Connect to the network called “Guest.” Our Lady of Lourdes offers its wireless network as a guest service and does not guarantee uninterrupted service or specific rates of speed, and thus, does not provide personal technical support for its guest wireless network. ATM There is an ATM machine located in the main lobby on the first floor, near the gift shop. Please ask any staff member to direct you if you need assistance. FIRE DRILLS Hospitals are required to conduct routine fire and disaster drills. These drills may involve various alarms, automatic door closures, and response procedures practiced for your safety. If you hear an alarm, stay where you are. In an actual emergency, a hospital staff member will tell you what to do.

PUBLIC RESTROOMS For patient and visitor safety, we ask that visitors use the public restrooms located throughout the hospital. Please ask the hospital staff to direct you. MEDICINE It is very important to give a list of all allergies or reactions to any medication you have experienced in the past. The hospital will need to make a list of all your medications with the name, dose and schedule of how your medications are taken. Please bring the medications with you in their original container. This includes all supplements and over the counter medications. DINING Nutritional Services We strive to provide the highest quality food service to our patients and visitors. To do so, we offer a variety of greattasting menu items that meet all of your nutritional requirements. At Your Request Room Service Our Lady of Lourdes offers room service. At Your Request Room Service Dining is designed with you in mind. Order the food you want when you want it. Place your order by dialing FOOD (3663) anytime between 6:30 am and 7pm from your in-room phone. An operator will take your order and in forty-five minutes your food will be delivered right to your room. Do you like to plan ahead? Call us between meals and place your entire day’s selection at once. Your doctor may place you on a modified diet. If so, the Food Services Department will provide a diet that complies with this order. Seasonings, food items or consistency may be restricted due to a modified diet order. If you’re on a modified or restricted diet, our operators will help you with your selection. Guest trays are also available at an additional charge of $6.00 for breakfast and $8.00 for lunch and dinner. Please request one with the At Your Request Operator who will then send the nutritional service attendant to collect the payment owed and provide you with a

voucher to be presented at time of delivery. Here at Our Lady of Lourdes we want all of our patients to have a great experience with their meals. Please feel free to let your operator know how we can help satisfy all your food service needs. Our Lady of Lourdes offers a wide variety of food in the dining room, including a full breakfast and lunch, cafe-style menu, grill, pizza, hot & cold deli bar, salad bar, and specialty sandwiches. The dining room is located on the first floor down the hallway past the gift shop. Dining Room Hours: Daily: 6:30 am - 7 pm VENDING The vending area includes sandwiches, beverages, and snacks. It is located on the first floor next to the cafeteria. There are also vending stations located in the Family Kitchens (floors 3–6), and in the Emergency Department. Coffee is available in the cafeteria, and in most waiting areas and family kitchens. The VENDING MACHINES in ICU Waiting have personal hygiene items, toothbrushes, and toothpaste. GIFT SHOP Flair, the gift shop at Our Lady of Lourdes, is located in the main lobby on the first floor of the hospital. Flair Gift Shop Hours: Monday - Friday: 8 am - 5:30 pm Saturday: 10 am - 2 pm We gladly take phone orders for hospital patients; call 337-470-2800 to have a plant, flowers, balloons or other gift item delivered to a room during operating hours. LOST & FOUND Patients play a critical role in ensuring their property does not become lost. Please do not place dentures, hearing aids, rings, cell phones, or other personal items on the tray table or under pillows. If you discover you have lost an item, notify the charge nurse immediately. Our Security Department keeps a lost and found log and will check to see if the item has been turned in.

PERSONAL BELONGINGS Personal belongings or items of value such as money or jewelry should be sent home. If it is not possible to send valuables home, they can be secured in the hospital safe. Ask our staff for assistance. When you are discharged your valuables will be returned to you. Lourdes is NOT liable for the loss or damage to property, including, but not limited to: dentures, money, jewelry, cell phones, personal tablets, hearing aids, glasses, documents, or other articles of value unless deposited in the safe.

staff is always available to pray with you and your loved ones - regardless of your religious denomination. We also offer spiritual support through our Pastoral Care team, which includes priests, sisters, other ministers and Christian laypeople who will visit with you during your stay in the hospital. Simply call 337-470-2196 or tell your nurse that you would welcome a visit from our Pastoral Care team.

MASS & CHAPEL

Located on the first floor off of the main lobby, the St. Agnes of Assisi Chapel is open to patients, families, and friends for prayer and meditation.

PASTORAL CARE Providing spiritual support for patients and their families is a big part of who we are and the care we provide at Our Lady of Lourdes. As a Catholic hospital, our staff members are called to serve in a healing ministry of Jesus Christ. As such, our

TELEVISION & The GetWellNetwork Our GetWellNetwork allows you to request services, access your TV, Email, Internet, Movies and more—all from your in-room TV! Get involved in your care and learn more about your health with award-winning educational programming, and the option to give feedback about your stay! GET STARTED:

MASS TIMES Sunday - Friday (No mass on Saturday)

11:30 am You can also view mass on channel 21 on the GetWellNetwork.

DURING YOUR STAY

FLOWERS Flowers are delivered to individual rooms by private florists. Please note that flowers are not allowed in Intensive Care Units.

Located on floors 3–6, we offer our guests access to respite or quiet rooms, for silent reflection and prayer.

A Blessing For You May the Lord bless you and keep you. May His face shine on you. May He look upon you with kindness and peace.

Watch TV: Press the MENU button. Highlight and select the TV option. Find a list of TV channels: Press the MENU button. Highlight and select the TV option. Select TV GUIDE.

Watch a movie: Press the MENU button. Highlight and select the MOVIES option. Choose a category, and then a movie of your choice. Pause a movie or video: Press the MENU button. Highlight and select the MOVIES option. Select PAUSE.

Make sure the TV is on. Press the green MENU button. Use the ARROWS to navigate to different menu choices. Press the SELECT or ENTER button to make selections.

Turn closed captioning ON/OFF:

ACCESS GETWELLNETWORK:

Get involved:

Make sure the TV is on. Press the MENU button. Highlight and select the HOME option.

From time to time, messages may appear on your screen that invite you to: • Watch an educational video • Give feedback regarding your care • Assess your pain • These messages, and others that

Press the MENU button. Highlight and select the TV option. Highlight and select the CLOSED CAPTIONING option.

prompt you to interact with the system, are important to your care. Your attention and response are encouraged. • Request services from your GetWellNetwork Home page, select COMMUNICATE and then HOW CAN WE HELP?

Share compliments & concerns: Would you like to make a suggestion or recognize a special nurse or staff member? Submit comments by selecting the FEEDBACK option on your GetWellNetwork Home page or by contacting the Advocacy department at 2810.

Type a specific web address: Press the MENU button. Highlight and select the INTERNET option. Select the GOTO...Option.

Send an email: From your GetWellNetwork Home page, select COMMUNICATE and then EMAIL. Choose a Web-based email provider.

ADVANCE DIRECTIVES & FOR THE CAREGIVER

What are Advance Directives? An Advance Directive is a legal document that helps the patient’s doctors and family members understand his or her wishes about their healthcare needs. It can help them decide about treatments if the patient is too ill to decide for him or herself. Living Will A Living Will provides instructions that specify what kind of treatment should be given to a person when that individual is unable to make decisions or speak for him/herself and is usually completed in advance of any known illness. It can be specific or general. Power of Attorney for Healthcare A healthcare power of attorney allows a patient to authorize another person to make medical decisions on his/her behalf when the patient is no longer able to do so.

For The Caregiver As a caregiver, you may feel overwhelmed at times. These tips may make the care giving process easier and help you get the support you need while caring for your loved one. Educate Yourself Get all the information you can about the patient’s illness and how to care for them. The more you know, the less anxiety you’ll feel, and the more effective you’ll be. Make a list of tasks required: medications, treatments, meals, doctor appointments, etc. Seek Out Support Seek support from other caregivers, support groups, a therapist, counselor, family, friends or your place of worship. Nurture close relationships; don’t let yourself become isolated. For more information visit, caregiver.org, eldercare.gov or archrespite.org

LaPOST: The LaPOST document is more than an advance directive or a power of attorney for healthcare. It is a physician order that outlines a patient’s wishes for medical treatment and goals of care when the patient has a known serious, advanced illness. It can also be used to translate an advance directive (“living will”) into a physician order. When completed, the LaPOST document must be honored by all healthcare professionals, serving as a road map for those providing medical care to patients with advanced, life-limiting illnesses.

Ethical and Religious Directives for Catholic Healthcare Services Other guidelines from the US Conference of Bishops regarding Catholic healthcare may be found at usccb.org.

Advance Directive Forms Bring your forms every time you come to the hospital. If you have questions, ask your nurse to contact Palliative Medicine at 337-470-2017 or Pastoral Care at 337-470-2196.

Take Time For Yourself • Relax daily and take breaks as often as needed. • Pray, meditate, or do an activity that makes you feel part of something greater. • Watch out for signs of depression and anxiety, and get professional help if needed. • Don’t give up activities that are important to you such as a hobby or visiting with friends. • Exercise, eat right, rest, and keep up with your own healthcare. Keep your own doctor appointments and notice your own physical condition. • Know Your Limits • Be realistic about how much of your time and commitment you can give and set clear limits. • You may need help from friends, other family members, as well as health professionals. Ask for help.

Utilize Community Services There are services to help caregivers in most communities. These include adult day care centers, home health aides, home-delivered meals, respite care, transportation services, and skilled nursing. Long Distance Care If you are managing a loved one’s care from a distance, consider these tips: • Subscribe to an electronic alert system that your loved one wears to summon immediate help. • Get to know your loved one’s doctors and arrange to be updated via phone or email. • Find local services that offer home help services, meal delivery or local transportation for your loved one. • Schedule regular communication with your loved one. A daily email, text, or quick phone call can let them know that they’re not forgotten and give you peace of mind.

Community CARE is a managed care program which links Medicaid recipients in designated parishes with a physician, clinic, Federally Qualified Health Center, or Rural Health Clinics that serves as the Primary Care Provider (PCP) for that recipient.

• The PCP will maintain an integrated medical record for all linked recipients, will provide enrollees with 24-hour, 7-day a week accessibility by telephone, and will coordinate necessary emergency post-stabilization services and inpatient care. In addition, the PCP must provide

KIDMED preventative healthcare immunizations. • All elective procedures require a PCP referral prior to services or payment in advance of services.

• The PCP is paid a monthly management fee for each Community CARE recipient for whom they manage care. • The PCP bears total responsibility for managing all facets of the recipient’s healthcare. This responsibility includes providing patient health education, preventive care, maintenance and acute care, and referral to a specialist and other health services when medically necessary.

Billing And Financial Information Our Lady of Lourdes will file a claim with your insurance carrier(s) for all services rendered. After discharge, you will receive a statement of services provided. You will also receive a statement of account every 30 days until the account is settled. If your insurance carrier requires precertification, please call the telephone number indicated on your insurance card to notify them of your hospitalization or outpatient procedure; physician services or interpretations will be billed by the physician who renders the service. If you require anesthesia, hospitalist, emergency room physician, cardiology, radiology or pathology services, you will receive a separate bill for the professional services associated with the care provided by the hospital. These physicians may not participate in the same networks, alliances or preferred provider organizations as the hospital.

Our Lady of Lourdes requests a deposit from all patients with a deductible or coinsurance amount due. Lourdes expects the bill to be paid in full within 90 days of discharge. Please respond to inquiries from your insurance carrier as quickly as possible to avoid payment delays.

MEDICAID / BILLING & FINANCIAL

Medicaid Community Care

Payment Information The Business Office is available to answer any questions regarding billing, insurance or financing matters. Business Office Hours

If patients are unable to finance their expenses within 90 days, the hospital has extended payment arrangements. Any patient who wishes to discuss their financial obligations may contact our patient account representatives at 337-470-2138 to discuss payment alternatives. For the convenience of our patients, the hospital also operates a Medicaid Enrollment Center to assist patients interested in applying for Medicaid benefits. The office is open Monday through Friday from 8 am – 4 pm.

Monday – Friday 8 am – 4 pm Phone 337-470 – 2138 To make a payment, visit the Cashiers Office Cashiers Office Hours Monday – Friday 7:30 am – 4 pm Phone 337-470 – 4718

SPEAK UP!™ & MANAGE YOUR CARE!

Speak Up!

™

Be A Participant In Your Care We participate in the Speak Up!™ program as a part of our continued commitment to your safety. The goal of Speak Up!™ is to help patients and their advocates become more informed and involved in their healthcare. In the sections titled Patient Safety, you’ll find help for staying safe, getting information, asking the right questions and interacting effectively with your doctors, nurses and hospital staff.

Manage Your Care!

Ten Tips To Help You:

a PHOTO NAME BADGE. Know the people providing your care.

1. SPEAK UP!™: Ask questions and voice your concerns. It’s your body and you have a right to know. When you participate in your care, you are at the center of the healthcare team–so stay involved and don’t be afraid to ask questions!

5. EDUCATE YOURSELF: Understand your diagnosis, treatments and tests. Bring a notepad, take notes and write down any Questions you may have.

2. PAY ATTENTION: Make sure you’re getting the right treatments and medicines. Be sure you understand your Care Plan.

3. CHECK YOUR I.D. BAND: When you are admitted, an I.D. band is placed on your wrist and should NOT be removed during your stay. Please check to be sure it has your correct name. Your wristband will be checked before any medications, procedures or lab tests are administered.

4. CHECK I.D.s OF ALL STAFF: All employees of Our Lady of Lourdes and physicians who enter your room should introduce themselves and be wearing

Courtesy of The Joint Commission

6. CHOOSE YOUR SUPPORT PERSON: Pick a trusted friend or family member to communicate with the doctors and staff and ask questions you may not remember to ask.

7. UNDERSTAND YOUR WHAT, WHY MEDICATION–WHAT, & HOW: Keep a list with you of all medicines you take, how to take them and why you take them. It is also important to list any allergies or reactions to any medications you have.

8. CREATE A FOLDER: Keep all your medical info, appointments, notes and medial history in one handy place.

9. CHOOSE AFTER CARE: If you need care after your hospital stay, be sure that the facility or organization meets The Joint Commission’s quality standards. Understand the next steps you need to take after you leave the hospital.

10. ASK YOURSELF: Is there anything else that I can ask my healthcare team that would help me to be better informed about my care? Is there anything else I can tell them that may improve my care experience?

Your doctor visit is your time to talk to your doctor and ask questions about your health. Here are some tips to help you take a more active role in your care. Don’t Be Afraid To Ask Questions • Don’t be embarrassed to ask questions. It may help you to write down all of your questions or concerns before you see your doctor. • Ask a trusted family member or friend to be your support person. Your support person can help you ask questions, take notes and remember any instructions. • If you don’t understand what your doctor is saying, don’t be afraid to ask your doctor to explain again. • Ask for someone who speaks your preferred language if you are having difficulty. • If you have a diagnosis, be sure you understand your condition, the plan of treatment, medications and any lifestyle changes you may need to make.

Keep Your Doctor Informed • Tell your doctor about all of your prescription and over-the-counter medicines, vitamins and herbal supplements, how much you take and how often. • Tell your doctor about any pain or other symptoms you are experiencing, how long you’ve had them and about any changes in your appetite, sleep or energy level.

Educate Yourself • Learn about your condition from the library, support groups and on trusted websites. A good place to start is nlm.nih.gov/medlineplus.

Know What’s Next • Be sure you know if you need to schedule a follow-up visit or tests. • If your doctor has ordered tests, be sure you understand why you need the test, what it will reveal, how to prepare and what to expect during the test. • If your doctor refers you to a specialist, be sure you understand what kind of specialist and why your doctor has referred you. • If your doctor has prescribed new medication, don’t leave until you understand what you are taking, how to take it and if you should avoid alcohol or certain foods while on the new medication. • Be sure you understand any new dietary or physical activity restrictions that relate to your care. Courtesy of The Joint Commission

Prepare For Surgery To put your mind at ease and to avoid medical mistakes, make sure you, your Support Person and your surgical staff confirm the following: • Your name and the type of surgery you are having. • If you have a mediport, pacemaker, insulin pump or other device. • Your surgical team has marked the correct body part to be operated on and your surgeon knows you are the right person, receiving the right surgery, on the right part.

Choose Your Support Person or Personal Representative Your support person is a friend or family member that you choose to support you during your hospital stay in the following ways:

PATIENT SAFETY

Tips For Your Doctor Visit

• Helps you keep track of questions for your doctor about medicines, procedures or treatments. • Keeps an eye on you for changes in your condition and asks for help on your behalf. Be sure to tell your care team whom you’ve chosen to be your support person.

What is an Advocate? Your Advocate, along with your Clinical Service Team members, work to meet your needs and exceed your expectations to receive exceptional care and service. Your advocate answers questions on your behalf about what to expect during your stay in the hospital.

Do You Have Questions, Concerns or Compliments? If you have questions, concerns, compliments and/or suggestions, you may contact your Advocate by calling extension 2810, Monday through Friday 7:30 am to 4 pm. After hours, the nursing supervisor can be reached by dialing extension 4124. Also, submit comments by selecting the FEEDBACK option on your GetWellNetwork Home page! 11

PATIENT SAFETY

Understand Your Medication

• Are there any foods, drinks or activities that I should avoid while taking this medicine?

Your doctor may prescribe medication for you while you are in the hospital. It is important that you understand exactly what they are for and how to take them. The checklist below will help you ask your doctor the right questions:

• Should I take my medicine with or between meals, on an empty stomach, with food or water?

• What is the name of the medicine? • What is this medicine for? • How do I take this medicine, how much do I take, how many times a day and for how long? • What are the possible side effects? • Can I take this medicine while taking other medications or dietary supplements?

Common Drug Interactions Prescription and non-prescription drugs can interact with food, caffeine and alcohol. This interaction can interfere with a drug’s effectiveness or cause side effects. • Ask your doctor before starting any new prescription or non-prescription medication. • If a prescribed medication interferes with eating or fails to work, tell your doctor right away. • Some medications may require you to avoid certain foods and beverages altogether. Other medications may require timing the dosage an hour before or after meals.

• What should I do if I miss a dose? Use a watch you can program, your computer, a tablet or cell phone to set an alarm that will help you remember to take your medications on time. Use the Medicine Minder provided on page 15 to help you keep track of all of your medications, strengths and dosages.

THERE ARE NO DUMB QUESTIONS WHEN IT COMES TO MEDICATION: You have an experienced staff on hand to help you fully understand your medications. So–ask!

Help Prevent Medicine Errors

Tell Your Doctors And Nurses: • All medications you are taking, including prescription or overthe-counter drugs, herbal or vitamin supplements, natural remedies and recreational drugs. Make a list before you go to the hospital. • If you have allergies to medications, anesthesia, foods, latex products, etc. Medical alert tags are a good way of relaying information about you. For example, if you are allergic to any medications, are diabetic or on blood thinners, the tag would display this information. These medical alert tags can be found at your local pharmacy. Be sure that any medications, procedures or lab tests ordered match the name on your ID bracelet.

MEDICATION

AVOID

EFFECTS

Antidepressants

Alcohol

Side-effects such as drowsiness

Aspirin, Acetaminophen, NonSteroidal Anti-Inflammatory Drugs

Excessive alcohol consumption

May cause stomach bleeding, liver damage

Antihistamines

Alcohol, caffeine

Increased drowsiness, excitability

Blood-Thinning Medications (such as Warfarin)

Foods rich in vitamin K (okra, collards, cabbage, kale, broccoli) Ginko, ginger, large amounts of garlic, cranberry juice

Reduced effectiveness of medication Increased effects of medication

Bronchodilators (Albuterol, Theophylline)

Alcohol, caffeine

Side effects such as vomiting, headache, excitability, rapid heartbeat

Digitalis

Senna or St. John’s Wort, Black Licorice

Reduced effectiveness, irregular heartbeat

Dilantin (Anti-Epileptic Drug)

Alcohol, calcium supplements

Increased side-effects, reduced effectiveness, decreased absorption

Diuretics

Monosodium glutamate, too high or too low potassium diet

Facial flushing, chest tightness, potassium deficiency, rapid heartbeat

HIV (Antiretroviral Medications)

High doses of Vitamin E, St. John’s Wort, garlic, calcium supplements

Possible decreased effectiveness

Lithium

Low-salt diet

Risk of sodium depletion

MAO Inhibitors

Broad beans (fava), chicken & beef liver, pickled herring, aged or processed cheeses, alcohol and caffeine

Severe headaches, rapid rise in blood pressure (may be fatal)

Osteoporosis Medications

Mineral water, taking with full stomach

Reduced effectiveness

Statins (Cholesterol-Lowering Drugs)

Large amounts of grapefruit juice

Reduced effectiveness

Tetracycline, Penicillin, Erythromycin

Dairy products, taking with fruit juices

Decreased absorption, reduced effectiveness

Thyroid Medications

Soybean flour diet, cotton-seed meal, walnuts

Possible reduced effectiveness, adjustment to dosage may be necessary

Courtesy U.S. Food and Drug Administration and hiv.va.gov

List all medications you are currently taking, (prescription, over-the-counter and vitamin supplements) their name, strength and dosage. (Example: Haldol-25mg twice a day, Aspirin-12mg daily, Albuterol Inhaler as needed, Zyrtec-10mg as needed, Calcium) Name of Medication

Date Started Taking

Dose (How Much)

What are you allergic to? List any medications, supplements or foods.

Use this Medicine Minder to record the names, dosages and instructions for your medications you will need to take when you leave the hospital. Reason For Taking

Reason For Taking

Describe symptoms

Handy Reference: Medications You Need To Take After Leaving The Hospital Name Of Medication

When Taken

YOUR MEDICINE MINDER

Handy Reference: Medications You Are Currently Taking

This is your chance to ask your Doctor any questions about your medications. DONâ&#x20AC;&#x2122;T BE AFRAID TO ASK QUESTIONS until you fully understand!

Dose (How much) When To Take It

How to Take It (on an empty stomach, with food, etc.)

NOTES:

PATIENT SAFETY

Ways To Prevent Hospital Infection While you’re in the hospital, there is the possibility of developing an infection. You can reduce your risks by taking these simple precautions:

1. Clean Your Hands. • After touching objects or surfaces • Before eating • After using the restroom

2. Keep Vaccinations Up-To-Date. Be sure you are protected from the spread of infection by knowing what vaccinations you might need. If you don’t know, ask your hospital staff.

Are You At Risk For A Blood Clot? Deep-vein thrombosis or DVT, is a blood clot that forms in a vein often in the lower leg or thigh. When the blood clot breaks away and travels through the blood stream to an artery, blocking blood flow, it can cause death or damage to the brain, heart or lungs. Risks of blood clots is greater if you are inactive for long periods, such as during a hospital stay. To lower your risk of DVT, follow these tips:

• Talk to your doctor about your risk of DVT and using compression stockings or blood-thinners while you are in the hospital. • Notice the following symptoms during your stay: swelling, pain, tenderness or discoloration in one or both legs, arm or neck; sudden coughing that may bring up blood; sharp chest pain; rapid breathing or shortness of breath; severe light-headedness.

Courtesy, National Heart, Lung, and Blood Institute

3. Cover If You Are Sick. Limit the spread of germs by sneezing and coughing into tissues that you promptly throw away. Avoid touching other people. If you do develop an infection, ask the staff if there is anything else you should do to help prevent the spread of germs.

4. Check Your Bandages. If a bandage on a wound or IV becomes loose or wet, let your nurse know. Also, if you have a catheter or drainage tube, tell your nurse if it becomes loose or dislodged.

5. Remind Staff To Clean Their Hands. You’ll notice that your healthcare providers wash their hands both before and after they touch you. While this is standard practice, don’t hesitate to speak up and ask them to wash their hands if they forget.

6. Tell Guests Not To Visit If They Are Sick. Also, ask your guests to clean their hands when they enter your room.

Wash Your Hands With Soap And Warm Water For 15 To 20 Seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.

No Soap? Use Sanitizer. Alcohol-based hand sanitizers can quickly reduce the number of microbes on hands. Simply apply sanitizer to your palm and continue to rub over the entire surface of your hands and fingers until they are completely dry.

Courtesy of Centers for Disease Control & Prevention

Prevent Falls

• Keep the call button and items you need within your reach.

Falls may occur when a patient tries to get out of bed either to go to the bathroom or walk around the room when they are weak or unsteady due to illness, inactivity, or the side-effects of medications. If you need to get out of bed:

• Lower the height of the bed and the side rails so that you can reach what you need.

• Use your call button to ask for help getting out of bed if you feel unsteady. • Ask for help going to the bathroom or walking around the room or in hallways. • Always use handrails in the bathroom and hallways. • Wear non-slip socks or footwear. • Do not let your robe or pajamas drag the floor; they may cause you to trip.

• Talk to your doctor if your medicine makes you sleepy, light-headed, sluggish or confused. Ask how to reduce these side effects or if you can take another medicine.

Courtesy of The Joint Commission

PROVIDING CANCER TREATMENT

CLOSER TO HOME Stephen R. Wilt, M.D., Ph.D.

Julian J. Krawczyk, M.D. Perri B. Prellop, M.D.

Andrew R. Harwood, M.D., F.R.C.P. (C)

John F. Anderson, M.D.

LAFAYETTE BONE & JOINT CLINIC

• •

Surgical & Non-Surgical Procedures Treatment For Neck, Wrist, Arm, Elbow, Shoulder, Back, Hip, Leg, Knee, Foot & Ankle Pain & Injuries

• • • • •

Total Joint Replacements for the Hip, Knee & Shoulder Spine Surgery Sports Medicine Reconstructive Surgery Orthopaedic Trauma

• Home Medical Equipment • Retail Pharmacy • Compounding • Enteral and Oral Nutrition Services • Respiratory Oxygen Services

A L W A Y S 4809 Amb. Caffery Pkwy., Ste. 200 Lafayette, LA 70508 337-412-6205

1472 S. College Rd., Suite 101 Lafayette, LA 70503 337-234-4656

• Medicare Part B Billing • Institutional Pharmacy • Ostomy & Colostomy Products • IV Supplies & Services

A V A I L A B L E

1002 N. Parkerson Crowley, LA 70526 337-783-7263

2 4 / 7

1725 West Sale Rd. Lake Charles, LA 70605 337-474-7000

www.carmic haelsmed.com

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blakeliving.com • (337) 993-8898 • Ageless Louisiana Living

• • • • •

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Staph Infections (MRSA) Wound Infections Infection Prevention Pre & Post Travel Care

EXPERT, COMPASSIONATE CARE... Specializing in:

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• • • • • • • • • • •

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Now accepting new patients 155 Hospital Drive, Suite 203 • Lafayette, LA 70503 Ph: 337 -233-8000 • Fx: 337-233-3475 LafayetteBrainandSpine.com

COMMITTED TO QUALITY CRITICAL CARE

Our Pulmonary Team pulls together.

When it comes to pulmonary and critical care, Lourdes offers one of the finest groups of pulmonologists in the region—working together to bring quality care to our patients. Our Intensivist Program utilizes a team approach to treat patients with life-threatening conditions such as respiratory failure, stroke or severe trauma in the Lourdes Intensive Care Unit.

Justin Ardoin, MD

Mehandi Haran, MD Richard Fei, MD Frank Courmier, MD

This approach results in: • • • •

Improved Patient Survival Rates Quality Of Care Decreased Procedure Complications Increased Medication Safety

For ofﬁce appointments call 337-470-3040 www.LourdesRMC.com

4811 Ambassador Caffery Pkwy, Suite 305 (Inside Park Place)

• • • • •

Board Certified Hematologists and Oncologists Nurse Practitioners and Physician Assistants On Staff Chemotherapy and Other Infusions Administered By Oncology Certified Nurses In-Office Lab Four locations in Lafayette, New Iberia, Opelousas, and Crowley

W H AT T O O K Y O U A L I F E T I M E TO LEARN CAN BE LOST IN MINUTES. WITH A STROKE, TIME LOST IS BRAIN LOST.

Le arn the warning signs at StrokeAssociation.org or 1-888-4-STROKE. ÂŠ2004 American Heart Association. Made possible in part by a generous grant from The Bugher Foundation.

SYED FAZAL MD, FACC, FSCAI Board Certified by the American Board of Internal Medicine • American Board of Cardiovascular Disease • American Board of Interventional Cardiology • • • • • •

Heart Disease Peripheral Arterial Disease (PAD) High Blood Pressure Congestive Heart Failure Stress Test Echocardiogram

• • • •

Pacemaker Implantation Angiogram of Neck, Heart & Legs Angioplasty of Heart & Legs/ Kidney Arteries Screening for PAD

(337)-988-9003

LOCATIONS: 4906 Ambassador Caffery Pkwy, Lafayette, LA 70508 304 Hospital Dr #8, Abbeville, LA 70510 • 4210 Hwy 167, Maurice, LA 70555

Your pain level is an important factor in your recovery. It is vital that you acknowledge your pain level. When describing your pain, be sure to tell your healthcare team:

PATIENT SAFETY

Your Pain Level

How Bad Is Your Pain On This Scale? 0. No Hurt

• How long you’ve been feeling pain. • Where you feel pain. • How your pain feels—dull, aching, throbbing, sharp, stabbing, burning or tingling.

2. Hurts Little Bit

4. Hurts Little More

• If your pain is constant, or if it comes and goes. • If there is anything that makes your pain feel better or worse. • How much, if any, relief you are getting from your medicine.

6. Hurts Even More

8. Hurts Whole Lot

• If your medicine gives you relief and for how long. Be honest about your pain. Talk to your healthcare team about managing your pain with different treatment options.

Keep Your Vaccinations Up To Date! Even if you were fully vaccinated as a child, the protection from some vaccines you received can wear off. You may also be at risk for other diseases due to your job, lifestyle, travel, or health conditions. Ask your doctor what vaccines you may need based on different risk factors.

Why Get Vaccinated? Vaccines Can Reduce Your Chance Of Getting Certain Diseases Vaccines work with the body’s natural defenses to strengthen immunity to disease and can reduce your chances of getting other diseases. For instance: Hepatitis B vaccine can reduce your risk of liver cancer. Human Papilloma Virus (HPV) vaccine reduces your risk of cervical cancer.

10. Hurts Worst

Tell Your Nurse Or Doctor About Your Pain. Controlling It Can Help You: • Stay comfortable while you heal • Get well faster • Return to your daily routine • Reduce anxiety and stress • Improve your sleep • Reduce your risk of medical complications • Decrease your risk of chronic pain

Flu vaccine reduces your risk of flurelated complications from existing health conditions like heart disease, diabetes and chronic lung disease.

Vaccines Are One Of The Safest Ways To Protect Your Health • Talk with your doctor before being vaccinated, and find out which vaccinations are recommended for you. • Our Lady of Lourdes encourages all eligible patients to get their Flu and Pneumonia vaccinations.

You Can Protect Your Loved Ones From Disease Family members may not be able to get certain vaccines due to their age or health condition. Infants, older adults and people with weakened immune systems (like those undergoing cancer treatment) are especially

vulnerable to infectious disease. Protect them by having your own and other family member’s vaccinations up to date.

You Can’t Afford To Get Sick Vaccines can help you stay healthy so you don’t miss work or valuable time with family.

Vaccines Are Tested And Monitored • Vaccines are tested before being licensed by the Food and Drug Administration (FDA). Both the CDC and FDA continue to monitor vaccines after they are licensed • Vaccine side effects are usually mild and temporary. The most common side effects include soreness, redness or swelling at the injection site. Severe side effects are very rare Courtesy of Centers for Disease Control and Prevention

PATIENT RIGHTS & RESPONSIBILITIES

Your Patient Rights You have rights and a role regarding your treatment and care. The list below will help you learn about your rights and role as a patient, which can help you make better decisions about your care. As a patient, you or your legal representative have the right to: • Whenever possible, be informed of the patient rights and responsibilities in advance of furnishing or discontinuing patient care. • Have a family member, chosen representative and/or his or her own physician notified promptly of admission to the hospital. • Receive treatment and medical services without discrimination based on race, age, religion, national origin, sex, sexual preferences, handicap, diagnosis, ability to pay or source of payment. • Be treated with consideration, respect and recognition of their individuality, including the need for privacy in treatment. • Be informed of the names and functions of all physicians and other healthcare professionals who are providing direct care to the patient. These people shall identify themselves by introduction and/or by wearing a name badge. • Receive, as soon as possible, the services of a translator or interpreter to facilitate communication between the patient and the hospital’s healthcare personnel. • Participate in the development and implementation of his/her plan of care. • Information about pain, the appropriate assessment of pain, and to be able to participate in pain relief measures with input from their doctor and all concerned staff. • Make informed decisions regarding his/her care. The patient has a right to be informed of his/her health status and to be involved in their care planning, treatment and the ability to request or refuse treatment. This must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate. • Be included in experimental research only when he/she gives informed, written consent to such participation, or when a guardian provides such consent for an incompetent patient in accordance with appropriate laws and regulations.

The patient may refuse to participate in experimental research, including the investigations of new drugs and medical devices. • Be informed if the hospital has authorized other healthcare and/or education institutions to participate in the patient’s treatment. The patient shall also have a right to know the identity and function of these institutions, and may refuse to allow their participation in his/her treatment. • Know that the hospital reuses some items that are manufactured for single use. All such items are re-manufactured in accordance with FDA standards. • Formulate advance directives and have hospital staff and practitioners who provide care in the hospital comply with these directives. • Be informed by the attending physician and other providers of healthcare services about any continuing healthcare requirements after his/her discharge from the hospital. The patient shall also have the right to receive assistance from the physician and hospital staff in arranging for required follow-up care after discharge. Medicare patients have the right to receive Medicare Discharge Information (CMS R-193). • Have his/her medical records (including all computerized medical information) kept confidential as permitted under applicable law. • Access information contained in his/her medical records within a reasonable time frame. • Be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience or retaliation by staff. • Receive care in a safe setting and to be free from all forms of abuse and harassment. • Examine and receive an explanation of the patient’s hospital bill regardless of source of payment, and may receive upon request, information relating to financial assistance available through the hospital. • Be informed of his/her responsibility to comply with hospital rules, cooperate in the patient’s own treatment, provide a complete and accurate medical history, be respectful of other patients, staff and property and provide required information regarding payment of charges. Except in emergencies, the patient may be transferred to another facility only with a full explanation of the reason for transfer, provisions for continuing care and acceptance by the receiving institution.

• Have a family member or other individual present with him/her for emotional support during their hospitalization. The hospital does reserve the right to revoke this privilege if the individual’s presence infringes on others’ rights, safety, or is medically or therapeutically contraindicated. • File a grievance, without recrimination, to voice a complaint about the care received and have the complaint/ grievance reviewed, addressed and when possible resolved in a timely manner. If any patient or his/her representative has concerns about these rights, he/she may contact the Department Director or Nursing Supervisor at 337-470-4124 or the Advocacy Department at 337-470-2810 to file a formal complaint. Additionally, patients may directly file a complaint with the: Hospital Complaint Desk, Department of Health and Hospitals, Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821, or call 225-342-6429, regardless of whether a complaint is filed with Our Lady of Lourdes. Medicare beneficiaries may call 800-433-4958. The public may contact the Joint Commission’s Office of Quality Monitoring to report any concerns or register complaints about a Joint Commissionaccredited healthcare organization by either calling 800-994-6610 or emailing complaint@jcaho.org. Information obtained from the following sources: The Joint Commission, Centers for Medicare & Medicaid Services and Louisiana Administrative Code.

• For telling your doctor when you are unable to follow any recommended treatments.

You, the patient, are responsible for following hospital rules and regulations, especially those affecting patient care, personal conduct and safety. You are responsible:

• For telling your doctor about any unexpected change in your condition.

• For providing a complete and accurate medical history. • For asking questions whenever you don’t understand the information being provided. • For following the recommendations and advice prescribed.

• For accepting the consequences of your actions if you refuse treatment or if instructions are not followed. • To be considerate of the needs of other patients, staff and hospital property.

What Rights Do You Have Over Your Health Information?

Your Health Information Is Protected By Federal Law. The Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information.

Health Insurers and Providers must comply with your right to: • Ask to see and get a copy of your health records • Have corrections added to your health information • Receive a notice that tells you how your health information may be used and shared • Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing • Get a report on when and why your health information was shared for certain purposes If you believe your rights are being denied or your health information isn’t being protected, you can file a complaint with your provider or health insurer or with the U.S. Government.

• Most doctors, clinics, hospitals, psychologists, chiropractors, nursing homes, pharmacies and dentists • Health insurance companies, HMOs, company health plans, and certain government programs that pay for healthcare, such as Medicare and Medicaid

What Information Is Protected? • Information your doctors, nurses, and other healthcare providers put in your medical record • Conversations your doctor has about your care or treatment with nurses and others • Information about you in your health insurer’s computer system • Billing information about you at your clinic • Most other health information about you held by those who must follow these laws

• For providing accurate insurance information, for working with the hospital to arrange payment and for advising the hospital about your ability to pay. • For recognizing the effect of lifestyle on your personal health. Your health depends not just on your hospital care, but also on the decisions you make in day-to-day living.

• For assisting in the control of noise and number of visitors to your room.

Privacy and Health Information

Who Must Follow This Law?

• For respecting the property of other patients, the staff and the hospital.

YOUR PRIVACY

Your Patient Responsibilities

Who Can See and Receive Your Health Information? The Privacy Rule sets rules and limits on who can look at and receive your health information. To make sure that your health information is protected in a way that does not interfere with your healthcare, your information can be used and shared: • For your treatment and care coordination • To pay doctors and hospitals for your

•

• • •

healthcare and to help run their businesses With your family, relatives, friends, or others you identify who are involved with your healthcare or your healthcare bills, unless you object To make sure doctors give good care and nursing homes are clean and safe To protect the public health, such as by reporting when the flu is in your area To make required reports to the police, such as reporting gunshot wounds

Your health information cannot be used or shared without your written permission. Without your authorization, your provider generally cannot: • Give your information to your employer • Use or share your information for marketing or advertising purposes or sell your information • Share your mental health professional’s private notes about your counseling sessions Courtesy of The U.S. Department of Health and Human Services

Contact

337-470-2134 For Copies of Your Medical Records.

FOCUS ON HEALTH-INFECTION

Six Ways To Help Prevent Hospital Acquired Infection: 1. SPEAK UP!™ Talk to your doctor about any questions or worries you have about your care and hospital infection.

2. KEEP HANDS CLEAN Be sure everyone cleans their hands before touching you.

3. GET SMART ABOUT ANTIBIOTICS Ask if tests will be done to make sure the right antibiotic is prescribed.

4. KNOW THE SIGNS AND SYMPTOMS OF INFECTION See the chart on this page to help you identify the symptoms of infection and tell your doctor if you have any of these symptoms.

5. TREAT DIARRHEA SERIOUSLY Tell your doctor if you have 3 or more diarrhea episodes in 24 hours, especially if you have been taking an antibiotic.

Hospital-Acquired Infections (HAI) are infections that occur during your stay in the hospital. Be aware of the most common infections, their symptoms and take steps to reduce your risks of HAI during your hospital stay.

6. PROTECT YOURSELF Get vaccinated against flu and other infections to avoid complications.

Courtesy U.S. National Library of Medicine and Centers for Disease Control and Prevention

Central Line Associated Bloodstream Infection

Catheter Associated Urinary Tract Infection

Surgical Site Infection

VentilatorAssociated Pneumonia

HOW INFECTION BEGINS

Bacteria or other germs travel down a “central line” and enter the blood

Germs enter the urinary tract through the catheter tube

Either internally at the site of the surgery or on the skin at the surgery site

Germs enter the lungs through the ventilator tube

SYMPTOMS TO LOOK FOR

• Fevers and chills, or the skin around the central line may become sore and red

• Fever, burning or pain in the lower abdomen

• Fever, redness and pain around surgical site or drainage of cloudy fluid from surgical wound

• A cough with discolored phlegm

• Bloody, burning or frequent urination

• Fever and chills • Shortness of breath

PREVENTION

• Avoid touching the area

• Be sure that all staff clean their hands before and after handling your central line

• Empty the bag regularly and clean hands before touching the catheter

• Not smoking before surgery may help reduce your risk of infection

• Avoid touching the ventilator tube

• Be sure that staff clean their hands before and after handling your catheter

• Do not irritate your skin or encourage infection by shaving near surgery site

• Be sure that staff wears a mask, cap, sterile gloves, gown and drape while handling your central line • Have your central line removed as soon as possible

• Make sure the catheter is securely attached to the leg to prevent twisting, kinking or tugging at the tube • Keep bag lower than the bladder preventing back flow

Let’s Go Over The Most Common Hospital Infections

• Know how to care for the catheter before leaving the hospital

• Be sure that staff clean their hands before and after handling your dressings • Clean hands before touching the surgical wound or dressings. If the bandage gets wet or dirty, tell the staff immediately • Know how to care for your wound and dressings before leaving the hospital

• Family members & visitors should wash hands often • Be sure that staff clean their hands before and after handling the ventilator tube • Ask the doctor about elevating the head of the bed to a 45˚angle to prevent pneumonia • Have the ventilator removed as soon as possible • Ask staff to regularly clean patient’s mouth

You may know that there are health risks to smoking yet still find it hard to commit to quitting. Consider that the health risks of smoking are many and the benefits to quitting are worth the effort. If you are preparing to quit, or even just thinking about it, make a list of all the reasons you want to quit and remind yourself of your reasons daily. They can inspire you to stop smoking for good! Here are a few reasons you may want to add to your list:

Your Health And Appearance: • Your risks for cancer, heart attack, heart disease, stroke, cataracts and other diseases will go down • You will reduce your chances of having to return to the hospital • You will breathe easier and cough less • Your blood pressure will go down • Your skin will look healthier, and your teeth will look whiter

Your Lifestyle: • Quitting will save you money • You will be able to taste & smell food, flowers and other things better • Your clothes will no longer smell

Your Loved Ones: • You will be doing your part in protecting family and friends from the dangers of secondhand smoke • If you’re not thinking about where and when to smoke, you’ll have more time to spend with loved ones and on things that matter.

Health risks from smoking are preventable, so make a plan to quit today. Check out these resources for more information: cancer.org & smokefree.gov

Get Ready, This is how to S.T. A. R.T ! SET a quit date. TELL family and friends and get their support. ANTICIPATE the challenges of quitting like dealing with temptations, withdrawal, and cravings. REMOVE cigarettes and other tobacco from your home‚ car‚ and work. TALK to your doctor or pharmacist about options for quitting.

Your Quit Day When you’re ready, here are some tips to help you succeed: • Tell your support group that this is the day you’ve decided to quit. • Do not smoke, not even one puff! • Keep active—exercise is a great way to occupy your mind and body. • Drink lots of water and juices.

Stay smoke-free! Staying smoke-free is the most important stage of the process. Here are a few tips to help you stick to it. • Remember your reasons for quitting and think of all the benefits to your health, your finances, and your family. • Remind yourself that there is no such thing as just one cigarette – or even just one puff. • Ride out the desire to smoke. It will go away, but don’t fool yourself into thinking you can have just one.

FOCUS ON HEALTH-QUIT SMOKING!

You Can Quit Smoking!

• Avoid alcohol, it lowers your chance of success. • Plan a healthy diet and find ways to exercise and stay active.

What if you slip up? Here’s the difference between a slip and a relapse: a slip is a one-time mistake that’s quickly corrected, a relapse is going back to smoking. You can use the slip as an excuse to go back to smoking, or you can look at what went wrong then renew your commitment to quitting for good!

• Avoid situations where people are smoking. • Get plenty of rest. • Keep your mouth busy with sugar-free gum or candy. 19

DISCHARGE INFORMATION

Our Discharge Process Our hospital’s healthcare team will make every effort to ensure our discharge process addresses all your questions and concerns. To help us expedite your discharge, please inform a member of the healthcare team as soon as possible, of any special needs (home health, medical equipment, etc.) you may require upon discharge. DISCHARGE INSTRUCTIONS When you are ready to go home, your doctor will write a discharge order. Your nurse will give you written instructions as per your doctor’s order for followup care, medications and follow-up appointments. Please review with your nurse, sign and take your copy and any prescriptions your doctor has written.

TRANSPORTATION Arrangements for getting home are the responsibility of the patient or family member. If you foresee any difficulties, please tell your nurse as soon as possible, and he/she will ask Social Services to assist you. Ambulance transportation can be arranged for medical reasons only on the recommendations of your doctor.

PERSONAL BELONGINGS Please collect all personal items, medication or medical equipment. Double-check all drawers and closets. Reclaim valuables from the safe.

STAFF ESCORT When you are ready to leave, a member of the staff will escort you to the walk-in North Entrance. Family members or guests can call 337-470-RIDE (7433) or Ext. 7433 from a hospital phone to have the courtesy shuttle take them to their car.

PATIENT SATISFACTION SURVEY Following discharge you will be sent a Patient Satisfaction Survey. Please complete this survey and return in the envelope provided. Your comments are very important to us, as we strive to provide the best possible care.

MEDICARE INPATIENT RIGHTS As a hospital inpatient, you have the right to the following: • Receive Medicare covered services. This includes medically necessary hospital services and services you may need after you are discharged, if ordered by your doctor. You have a right to know about these services, who will pay for them and where you can get them. • Be involved in any decisions about your hospital stay, and know who will pay for it. • Report any concerns you have about the quality of care you receive to the Quality Improvement Organization (QIO) listed here: KEPRO 844-430-9504

planned discharge date, you may have to pay for any services you receive after that date.

CALLING THE QUALITY IMPROVEMENT ORGANIZATION (QIO) AND FILING AN APPEAL 1.

MEDICARE DISCHARGE RIGHTS During your hospital stay, the hospital staff will be working with you to prepare for your safe discharge and arrange for services you may need after you leave the hospital. When you no longer need inpatient hospital care, your doctor or the hospital staff will inform you of your planned discharge date. If you think you are being discharged too soon: • You can talk to the hospital staff, your doctor and your managed care plan (if you belong to one) about your concerns. • You also have the right to an appeal, that is, a review of your case by a Quality Improvement Organization (QIO). The QIO is an outside reviewer hired by Medicare to look at your case to decide whether you are ready to leave the hospital. If you want to appeal, you must contact the QIO no later than your planned discharge date and before you leave the hospital. If you do this, you will not have to pay for the service you receive during the appeal (except for charges like copays and deductibles). • If you do not appeal, but decide to stay in the hospital past your

You must contact the QIO no later than your planned discharge date and before you leave the hospital. If you do this, you will not have to pay for the services you receive during the appeal (except for charges like copays and deductibles). • Contact information for the QIO: KEPRO 844-430-9504 • You can file a request for an appeal any day of the week. Once you speak to someone or leave a message, your appeal has begun. • Ask the hospital if you need help contacting the QIO. • The name of this hospital is Our Lady of Lourdes Regional Medical Center, Medicare provider ID Number 17-204445. You will receive a detailed notice from the hospital or your Medicare Advantage or other Medicare managed care plan (if you belong to one) that explains the reasons they think you are ready to be discharged. The QIO will ask for your opinion. You or your representative need to be available to speak with the QIO, if requested. You or your representative may give the QIO a written statement, but you are not required to. 4. The QIO will review your medical records and other important information about your case.

The QIO will notify you of its decision within one day after it receives all necessary information. • If the QIO finds that you are not ready to be discharged, Medicare will continue to cover your hospital services. • If the QIO finds you are ready to be discharged, Medicare will continue to cover your services until noon of the day after the QIO notifies you of its decision.

IF THE DEADLINE TO APPEAL IS MISSED, YOU HAVE OTHER APPEAL RIGHTS. YOU CAN STILL ASK THE QIO OR YOUR PLAN (IF YOU BELONG TO ONE) FOR A REVIEW OF YOUR CASE • •

•

If you have Original Medicare call the QIO listed above. If you belong to a Medicare Advantage Plan or other Medicare Managed Care Plan, call your plan. If you stay in the hospital, the hospital may charge you for any services you receive after your planned discharge date. For more information call 800-MEDICARE, 800-633-4227, or TTY: 877-486-2048.

ADDITIONAL INFORMATION •

•

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-0692. The time required to complete this information collection is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, MD 21244-1850

Before you leave, check off these boxes! ❏ A Written ‘Discharge Summary’ Was Given To Me. This includes the reason for my hospital stay, my treatments, procedures, surgery, medications and prescriptions. I need to understand all of these things, including how to take care of myself when I get home.

❏ The Reason For My Hospital Stay Was Clearly Explained To Me Before Discharge. This includes tests, procedures, surgery, medications and plan of care in the hospital and when I am at home.

❏ My Questions Were Answered Clearly, So That I Understood Them. I should not leave the hospital until I understand how to take care of myself when I get home. I will ask if I do not understand.

❏ After My Questions Were Answered, I Could Explain The Answers In My Own Words. It is important that I can show a clear understanding of why I was in the hospital, my tests, procedures, surgery, medications, prescriptions and plan of care for when I leave.

❏ I’ve Made a List Of My Medications. This includes any

❏ I’ve Asked Questions About My Follow-Up Care such as, “Are there any limits on my activity or diet? or “ Do I need medical supplies?”.

❏ I’ve Asked If I Will Need Medical Supplies Or Equipment. This includes wheelchairs, hospital bed, oxygen or a walker. Know my approved local Medicare suppliers by visiting: Medicare.gov or calling 1-800 MEDICARE.

❏ I Know Who To Call and What To Do in case I have questions after I leave and when I get home. I have been given a phone number to call, and written it down or saved it in my phone.

❏ I Know What Warning Signs to look for or problems that might slow my recovery.

Don’t be afraid to ask questions if you don’t understand your discharge instructions! ❏ I Know If I Have AfterHospital Services Needs for personal care such as help eating, dressing, going to the bathroom, cooking, shopping or doing laundry.

new medications my doctor has given me, how and when to take them and if they are safe to take with any other medications such as vitamin supplements or over-the-counter medications.

❏ I Know If I Need Help With Home Healthcare such as

❏ My Pharmacy Has My New Prescriptions. Before I leave the

❏ I’ve Asked My Discharge Planner to find Local Support Groups

hospital, be sure I understand how and when to take my new medications.

❏ I’ve Written Down Follow Up Appointments with my doctor or tests I may need after I leave, and I know how I am getting to these appointments.

BEFORE YOU LEAVE!-DISCHARGE CHECKLIST

keeping up with or getting to doctor appointments, medication reminders, physical therapy, wound care, injections or medical equipment.

or after-care services I may need.

❏ I Know I Can Visit Our Lady of Lourdes Online Patient Center to conveniently and securely view test results, request an appointment, view health records, pay your hospital bill and more. Enroll today by visiting LourdesRMC.com or call 855-359-0270. (See following page for more information).

ONLINE PATIENT CENTER & MED TO BED

Online Patient Center. Your Healthcare – Just a Few Clicks Away. Now there’s a convenient and secure way to access your health information and records online, 24/7. • • • • For more information call the Medical Call Center at

855-359-0270

MED TO BED Bedside Prescription Delivery Service Med to Bed is a pharmacy bedside service that delivers discharge prescriptions to your bedside prior to you leaving the hospital. Convenient bedside service eliminates the extra stop at the pharmacy after a surgery or hospital stay. This service saves the patient and family precious time while recovering. Med to Bed is just another way Our Lady of Lourdes strives to provide our patients with seamless care. How do I let the pharmacy know I’d like my discharge prescriptions delivered to my bedside? If you are an inpatient or day surgery patient, let your nurse know you would like to participate in Med to Bed, and we’ll take care of it.

What types of payments do you accept for prescriptions and supplies? Park Pharmacy accepts cash, check and credit or debit cards.

Ask Your Nurse About Our Convenient Prescription Service called Med To Bed. How will I be notified when my prescriptions are ready? Once your prescription is filled, a pharmacy staff member will deliver it to your bedside and offer counseling on the medication. What if I forgot to bring my prescription insurance card to the hospital? Park Pharmacy will search for your prescription coverage online or will gladly call a pharmacy that has your information on file. Can my prescription be put on my hospital bill? Prescriptions filled upon discharge cannot

View Test Results Request an Appointment View Health Record Pay Hospital Bill & More

TO SIGN UP 1. Receive a personal identification number (PIN) via email if you elected to enroll during admission, also included in your discharge packet. 2. Create an account by logging in with the PIN and creating a username and password at LourdesRMC.com. 3. Log on regularly to view results and manage your health. Patient records are not available online until after discharge. Take charge of your healthcare and enroll today!

be added to your hospital bill—however, Park Pharmacy is able to collect your co-pay when we deliver the medications to your bedside. Do you accept my insurance plan? Park Pharmacy accepts a majority of prescription insurance plans and directly bills your prescription to your insurance provider. You are responsible for any copayment required by your insurance carrier at the time of prescription delivery. When is Park Pharmacy open? Monday – Friday 7 am – 7 pm Saturday 8 am – 2 pm

Where is Park Pharmacy? Park Pharmacy is conveniently located in Park Place Surgical Hospital on the campus of Our Lady of Lourdes and has a drive through.

Lourdes Foundation, acting as the fundraising arm of Our Lady of Lourdes Regional Medical Center, seeks and facilitates gifts at all levels to provide charitable healthcare programs and outreach services in Acadiana not funded by traditional resources. Some of the programs supported by the Foundation include: St. Bernadette Community Health Clinic, Northside High Health Center, and Congregational Health Services. These programs support the mission of Lourdes, by extending our healing ministry to those most in need. As the future of health care in our country evolves, so does the question of financial reimbursements, escalating costs and increased number of patients. However, one thing remains unchanged... our promise to provide compassionate,

quality care for all of Jesus’ children in our community. This commitment is present on our hospital campus and even more so in our community clinics.

inscribed brick, a chapel window, or in other naming areas around campus.

Each day hundreds of lives are touched by experiences at one of Lourdes’ community services. Perhaps you personally have been healed by Lourdes or maybe your family or friend. Please consider partnering with us so that others in our community can experience excellent care.

OTHER SERVICES

It Is In Giving That We Receive

For More Information On These Programs, Visit LourdesFoundation.com & View Our Video, “Be The Change”. Make an online tax-deductible donation today and become part of our mission serving those most in need. Or consider a gift in honor of your care team, in memory of someone you love or in your estate plan. Gifts may be recognized in an

Contact Jeigh Stipe, Executive Director or Yvette Davis, Development Officer, at 337-470-4610 for more information.

Lourdes Rapid Response Team Problems can occur at any time when a patient is in the hospital. Lourdes Rapid Response Team can help BEFORE there is a medical emergency. The Lourdes Rapid Response Team consists of a Critical Care Nurse and a Respiratory Therapist who will respond within minutes of being called to assess the patient and determine if their condition is worsening. The Rapid Response Team will respond when a patient may be getting sicker, especially when these symptoms are observed: • Change in heart or breathing rate • Large drop in blood pressure • Much more or less urine output • Appearing confused or unable to think as clearly as usual If you’re worried, don’t wait— notify your nurse to call the Rapid Response Team if necessary.

AFTER HOSPITAL CARE

After-Hospital Care Before you leave the hospital, your doctor and discharge planner will talk to you about your after hospital care. This includes instructions for how to take care of yourself at home, your home health needs or your transfer to another facility. To make sure your transition from the hospital goes smoothly, be sure you understand the next steps in your care. For example, when you leave the hospital, you might go: • Home, with no needed services • Home, with help from a caregiver • Home, with help from Home Health • To a Rehabilitation setting (such as Skilled Nursing or Rehab Facility)

Care options after your hospital stay may include: Home Health services can help you recover from illness or injury in the comfort of home. Home Health covers a wide range of healthcare services: • Personal care: including bathing, dressing and eating • Healthcare: physical, speech and occupational therapy or skilled nursing • It can also include home care services such as assistance with cooking, cleaning, other housekeeping and monitoring one’s medication regimen. At Lourdes Home Health, it’s all about helping people. With home care, you can trust that the treatment plan prescribed by your doctor will be followed thoroughly, as you receive compassionate care from our trained home care professionals. Our staff includes: nurses, therapists and home health aides. Call 337-406-2539 to learn more about compassionate healthcare delivered in the comfort of home.

Independent Living usually refers to apartments or communities designed for seniors who are able to live independently, without medical care or nursing staff. They offer a balance of independent living with services and amenities that typically include: • Restaurant-style dining

• • • •

Scheduled transportation Concierge services Housekeeping and laundry services Full calendar of programs and events

Continuing Care Retirement Communities are for individuals who may be independent now, but are expected to require Assisted Living in the future. Residents can transfer to different care within their current long-term community, easing the transition process.

Assisted Living is designed to provide assistance with basic activities of daily living such as bathing, grooming and dressing. Some states also allow assisted living to offer medication assistance and/ or reminders. These communities offer a more home-like atmosphere and provide an independent lifestyle with customized assistance such as: • Assistance with daily tasks • 24-hour care staff • Medication assistance management • Incontinence management • Restaurant-style dining/Meal prep • Apartment cleaning and linen services • Local transportation services • Full calendar of activities Memory Care Facilities are highly specialized in caring for people who are living with the effects of Alzheimer’s or other forms of dementia. The focus of memory care communities is on understanding each individual resident in order to provide comfort and security in a homelike environment. Memory care facilities usually offer: • Staff trained in positive validation techniques • Safe, secure and uplifting environment • Spacious indoor and outdoor areas • Specially designed ‘peaceful areas’ • Life enrichment and specialized cognitive stimulation exercises

Rehabilitation services are offered in acute-care hospitals, rehabilitation hospitals, clinical and office practices, skilled-care nursing facilities and sports medicine clinics. Rehabilitation programs vary in length and intensity, but commonly help people who have experienced a major injury, disorder or illness to regain the skills needed to return to everyday

living. There are three main types of rehabilitation–physical, occupational and speech therapies. Rehabilitation Hospitals require patients to endure high-intensity inpatient rehabilitation care and meet the following requirements: • Need two of the three types of therapy (physical, occupational and/or speech) • Need 24-hour physician and nursing services • Are able to participate in three hours of therapy per day

LTAC stands for Long Term Acute Care. They specialize in the treatment of patients with serious medical conditions that require care on an ongoing basis but no longer require intensive or diagnostic care. These patients are typically discharged from the intensive care units but, require more care than they can receive in a rehabilitation center, skilled nursing facility, or at home. LTAC care includes: • Prolonged ventilator use or weaning • Ongoing dialysis for chronic renal failure • Intensive respiratory care • Multiple IV medications or transfusions • Complex wound care/care for burns

Skilled Nursing Facilities provide highly skilled medical care and personalized assistance from trained medical professionals. A nursing home is an option for those who cannot be cared for at home and need supervised care. Services Include: • Assistance with daily tasks • 24-hour Medical care staff • Medication management • Continence management • Local transportation services • Physical, speech and occupational therapy

Hospice Care is for people whose life expectancy is six months or less, and involves pain and symptom relief rather than ongoing curative measures. The goal of hospice care is to help people who are dying to do so with dignity, in comfort and at peace. This care is provided by health professionals that support the entire family during the patient’s stay. Hospice typically provides services such as speech and physical therapy, therapeutic massage, dietary assistance, bathing and other personal care services including grief counseling for family members.

❏ Ask if there are any limits on your

After your procedure, you will be discharged (allowed to go home) by your doctor and instructed to follow an after-care plan. This plan includes any new medications prescribed by your doctor and information about diet or physical activity and how to take care of yourself at home. Use the following checklists to be sure that you understand your after-care plan.

❏ Ask if there are any foods you

Before You Leave The Hospital ❏ Arrange for someone to drive you

physical activities.

should avoid. Is there a special diet your doctor wants you to follow?

❏ What symptoms or signs should you look for to indicate a problem with your recovery?

❏ Ask if you will need Durable Medical Supplies or equipment. This includes wheelchairs, hospital bed, oxygen or a walker. Know your approved local Medicare suppliers by visiting Medicare.Gov or call 1-800-MEDICARE. ❏ Know who to call in case you have

home from your procedure.

questions after you leave.

❏ Check the area around you carefully

❏ Find out if you will need personal

for any personal items and take them with you.

❏ Understand Any Medications You have been prescribed. This includes any new medications your doctor has prescribed, how and when to take them and if they are safe to take with any other medications. Tell your doctor about any other medications you are currently taking including vitamin supplements or over-the-counter medications. Do any of your meds look alike or sound alike? Be sure you know the difference between them and check your prescriptions carefully. Use the handy Medicine Minder on page 15 to help you keep track!

❏ Make Sure Your Pharmacy Has Your New Prescriptions and know how you are going to pick them up.

❏ Be sure you and your caregiver understand the next steps for your care after you leave the hospital. Write down any follow-up appointments with your doctor or tests you may need after you are discharged and know how you are getting to these appointments. Use the handy NOTES section on page 13.

care such as help eating, dressing, going to the bathroom, cooking, shopping or doing laundry.

❏ Find out if you will need medical help such as keeping up with or getting to doctor appointments, medication reminders, wound care or injections.

❏ Be sure you know what comes next. If you need other care options after you leave—discuss this with your healthcare team and be sure your support person is with you when you ask. Other care options may include Home Health, Independent Living, Assisted Living or a Nursing Home.

Don’t Leave Until You Check-Off These Questions! ❑ Was my diagnosis, treatment and it’s risks clearly explained to me before discharge? ❑ Were my questions answered so that I understood them? ❑ After the staff gave me the information I needed and answered my questions, did they ask me to explain what I had learned in my own words?

OUTPATIENT-BEFORE YOU LEAVE

Post-Procedure After Care

❑ Have I received a written discharge plan that is easy to read and understand? ❑ Have I received a written discharge plan that has the information I need to take care of myself at home? ❑ Do I understand that I have follow-up appointments with my doctors and know how I am getting to them? ❑ Do I have a written list of my discharge medications and know which ones are new or changed? ❑ If I need home healthcare, medical equipment, or other help or services after I go home, have I arranged these? ❑ Do I understand what to do and who to call if a problem arises after I am home? 25

OUTPATIENT SERVICES

Lourdes Outpatient Rehab Clinic offers the most comprehensive therapy program in Acadiana with highly trained and experienced physical, occupational and speech therapists using the latest technology and procedures. Lourdes Outpatient Rehabilitation Services guides the patient in their recovery from injury, illness or surgery. Our orthopedic rehab gyms, in Lourdes Fitness Center, utilize the most advanced rehabilitation equipment available. The goal of Lourdes Outpatient Rehabilitation is to examine each patient’s individual needs and develop a treatment plan that helps them regain normal function, improve their quality of life and regain independence.

Special classes, such as aquatic therapy, are offered for patients to reduce joint stress and pain while increasing strength and range of motion.

• Physical Therapy (PT) helps decrease pain and increase strength, range of motion and ability to perform basic motor skills. PT is helpful for athletes with a sprain, strain or fracture, patients recovering from knee injuries including ACL, PCL MCL, LCL and meniscus tears; patients recovering from orthopedic surgery such as join replacement, patients suffering from arthritis, back, shoulder or hip pain and other chronic conditions; patients with work-related injuries such as tendonitis or bursitis, patients with neurological conditions, loss of balance or difficulty walking.

• Occupational Therapy (OT) promotes independence in daily life skills such as feeding, grooming, dressing, bathing, driving and more. A few of our specializations include Orthopedic Rehab, Hand Therapy, Wound Care/Pulsed Lavage, Burn Rehabilitation, Cognitive/Visual Perceptual Retaining, Ergonomic Evaluations, and Neurological Rehab.

Call Lourdes Outpatient Rehab Clinic at 337-470-2859 for more information.

Centrally located on the campus of the former hospital, near the corner of St. Mary and Dunreath Streets, alongside Lourdes Fitness Center.

• Speech Therapy (ST) is helpful for patients who have speech-language dysfunction or a swallowing disorder following a stroke or brain injury. ST is also useful for pediatric patients with delayed language development and patients diagnosed with Parkinson’s disease.

Burn Clinic

Our Outpatient Burn Clinic provides care for minor burns anywhere on the body - as well as follow-up care for inpatients who have been discharged from the hospital to go home. Even burns that seem minor, although they may not require hospitalization, still require specialized care in order to avoid medical complications. That’s why we offer Outpatient Care, to ensure healing and help patients and their families care for their injuries properly.

Call Lourdes Burn Clinic at 337-470-4279 for more information. M-F, 9 am-2 pm Location: 6th floor of hospital

Imaging

Lourdes Imaging is the only provider in Acadiana that combines the most advanced imaging technology guided by local board-certified diagnostic radiologists. We specialize in the following imaging: Musculoskeletal, Breast, Neuroradiology, Interventional Neuroradiology, Nuclear and Interventional Radiology. As the largest imaging provider, Lourdes Imaging offers patients multiple locations in and around Acadiana that are American College of Radiology accredited facilities. We are committed to matching each patient with the right equipment and the right specialist for the best results. We offer same-day and after-hours appointments. Some of our services include: • 3T, 1.5 and Open High Field MRI • PET/Nuclear Medicine • Low Dose CT scanning (including a 64-slice scanner) • Mammograms • Ultrasound, Fluoroscopy and X-Ray

Call Lourdes Imaging at 337-470-SCAN for more information.

In 1997, Our Lady of Lourdes Sleep Disorder Center was the first accredited sleep disorder center in Acadiana and still maintains high marks in credentialing. Our three on-staff, registered sleep technologists use state of the art equipment and expertise to diagnose and treat sleep disorders. Private rooms use infrared and low light cameras to record every type of sleep disorder for observation. Six comfortable bedroom suites with private bathrooms, allow patients to groom, dress and be ready to leave for the daily routine.

Call Lafayette Sleep Center at 337-289-5605 100 Asma Blvd, Bldg 1, Ste 205

Day: M-F 7:30 am-4 pm Night: M-F 8:30 pm-6 am Call Crowley Sleep Center at 337-783-4448

1325 Wright Ave, Tower One Bldg Ste 1

Day: M-F 7:30 am-4 pm

Infusion Therapy

Located on the first floor of the medical office building on the New Lourdes campus, our 15-chair Outpatient Infusion Services unit provides patients with intravenous (IV) therapy to treat cancer as well as other conditions. Our experienced, highly skilled nurses provide individualized care that includes dosing, administering and monitoring of drug therapies. In addition, our unit supervisor is an Oncology Certified Nurse who is also certified in chemotherapy and biotherapy treatments. Our full range of infusion therapy treatments include: • Chemotherapy • Biotherapy • Hormonal Therapy • Antibiotics • Fluids • Blood Products & Transfusions • Injections into the skin or muscles

NEUROLOGY CENTER STROKE REHAB Lourdes is the leading provider of neuromedical services in the region-with a comprehensive program that features more than 100 highly specialized caregivers, procedural advancements, the latest in diagnostic treatments, seven neurological clinics and much more.

OUTPATIENT SERVICES

Sleep Disorders

• Stroke Center of Excellence Fully certified by the Joint Commission, our Stroke Center of Excellence was the first facility of its kind in Acadiana and is one of only five in the state.

• Louisiana Stroke Network Lourdes formed the Louisiana Stroke Network to provide outlying hospitals with access to robotic telemedicine technology and our skilled neuromedical physicians - allowing faster diagnosis and treatment for stroke patients at participating hospitals.

• Highly Specialized Neurological Clinics Lourdes offers a comprehensive range of neurological clinics that provide unique care for specific ailments ranging from adult ADD to ALS, headaches, muscular dystrophy, multiple sclerosis, memory disorders and stroke.

Call Lourdes Neurological Clinics at 337-470-4444 to schedule an appointment.

If you have questions or need general information about any of our clinics, please call 337-470-4978. The Lourdes Neurology Center is now located inside Park Place Surgical Hospital at 4811 Ambassador Caffery Parkway, Suite 401A.

ANSWERS

1. ARCDIAC

2. REAWT

3. XGYNEO

4. ACATRBEI

5. ESNUR

6. EHEACLTHAR

7. ELGYALR

8. IEXEESRC

9. ISVUR

10. RNUTIONTI

10.

11. IESADSE

11.

12. OSTYMMSP

12.

13. ULGSN

13.

14. AX-RY

14.

15. LPSHIOAT

15.

16. ESRTSS

16.

17. IEIMDECN

17.

18. KOSMING

18.

19. EIHYGEN

19.

20. DORTCO

20.

Here is a brain exercise whose aim is to stimulate the associations between words in your temporal lobe. Read the word pairs. Find a third word that connects the two or is associated with both words.

Entertain your brain by solving our selection of word problems related to health and medicine. Have fun! (Solutions are below. Don’t peek until you have tried to unscramble all the words!)

1. LOCK — PIANO 2. SHIP — CARD 3. TREE — CAR 4. SCHOOL — EYE

(The first pair is PIANO and LOCK. The answer is KEY. The word KEY is connected with both the word PIANO and the word LOCK: there are KEYS on a PIANO and you use a KEY to LOCK doors.)

5. PILLOW — COURT

Ready to stimulate connections in your temporal lobe?

8. ARMY — WATER

Enjoy! (Solutions are on far right of page. Don’t peek until you have tried to solve all the pairs!)

6. RIVER — MONEY 7. BED— PAPER

9. TENNIS — NOISE 10. EGYPTIAN — MOTHER 11. SMOKER — PLUMBER Courtesy www.SharpBrains.com

SOLUTIONS 1. LOCK — PIANO : Key 2. SHIP — CARD : Deck 3. TREE — CAR : Trunk 4. SCHOOL — EYE :Pupil, Exam or Private 5. PILLOW — COURT : Case 6. RIVER — MONEY : Bank or Flow 7. BED — PAPER : Sheet 8. ARMY — WATER : Tank 9. TENNIS — NOISE : Racket 10. EGYPTIAN — MOTHER : Mummy 11. SMOKER — PLUMBER : Pipe

Word Association

Health Word Scramble

ANSWER KEY: 1. Cardiac, 2. Water, 3. Oxygen, 4. Bacteria, 5. Nurse 6. Healthcare, 7. Allergy, 8. Exercise, 9. Virus, 10. Nutrition, 11. Disease, 12. Symptoms, 13. Lungs, 14. X-Ray, 15. Hospital, 16. Stress, 17. Medicine, 18. Smoking, 19. Hygiene, 20. Doctor

ENTERTAIN YOUR BRAIN

QUESTIONS

• • • • • •

Private & Semi-Private Rooms Physical, Occupational & Speech Therapy Advanced Wound Care & IV Therapy Full-Time Nurse Practitioner Medicaid & Medicare Certified Beds Post-Acute Rehabilitation Services

418 Albertson Pkwy, Broussard, LA 70518 • Phone: (337) 839-9005

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Physical, Occupational & Speech Therapy Post-acute Rehab Advanced Wound Care & IV Therapy

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Alzheimer’s Unit Full-Time Nurse Practitioner Medicaid & Medicare Certified Beds

1511 Dulles Drive, Lafayette, LA 70506 • Phone: (337) 216-0950

We bring healing

HOME.

At Lourdes Home Health, our caring team of registered nurses, home health aides, licensed practical nurses and medical social workers come together every day to deliver the expert care you need. We also offer physical therapy, occupational therapy and speech therapy to aid in the healing process. And qualified patients in our care receive the Philips Lifeline medical alert service at no additional charge as part of the plan of care.

5000 Ambassador Caffery Parkway, Suite 102 337.406.2539

Putting primary care well within your reach

Primary Care Designed with YOU in Mind.

Kelly T. Cahill, Jr., MD

Ashley Ayo Guy, MD

Deidre Stelly, MD

FAMILY MEDICINE

337.470.3370

FAMILY MEDICINE

337.470.3260

337.332.2242

3220 KALISTE SALOOM RD. LAFAYETTE, LA

2445 E. MILTON AVE. YOUNGSVILLE, LA

112 CHAMPAGNE BLVD. BREAUX BRIDGE, LA

Sunshine Little, MD

Kathryn Strother, MD

FAMILY MEDICINE

337.470.3560

337.470.3280

337.470.3260

805-B ALBERTSON PKWY. BROUSSARD, LA

3824 NE EVANGELINE THWY. STE. B CARENCRO, LA

2445 E. MILTON AVE. YOUNGSVILLE, LA

Wartelle Castille, MD INTERNAL MEDICINE

James M. Mwatibo, MD FAMILY MEDICINE

337.470.3100

337.470.3120

850 N. PIERCE ST. STE. B LAFAYETTE, LA

850 N. PIERCE ST. STE. D LAFAYETTE, LA

Dana Clay Dicharry, MD

Ken Spiller, MD

INTERNAL MEDICINE

337.470.3075

337.470.3109

2621 NORTH DR. STE. E ABBEVILLE, LA

4809 AMBASSADOR CAFFERY PKWY., STE. 410 LAFAYETTE, LA

FAMILY MEDICINE

337.332.2242 112 CHAMPAGNE BLVD. BREAUX BRIDGE, LA

FAMILY MEDICINE

337.470.3250 402 E. EDWARD ST. ERATH, LA

Christopher Foti, MD FAMILY MEDICINE

337.470.3280 3824 NE EVANGELINE THWY. STE. B CARENCRO, LA

For a follow up appointment call 337-470-GoMD (4663).