2016 Faulkner County
Resource Guide
Choose a retirement community Serving senior citizens is a rewarding and fun career, according to those in the profession, and one that can be done for generations of men and women who have contributed so much for local communities. When making a decision for senior living and long term care, making the right decision is a crucial step. Some things to consider are: • Finding the right fit. Considering the proper level of services provided is essential because making a move later is taxing and stressful for the resident. 2 Faulkner County Resource Guide
• Safety. An effective, attentive and considerate team of professionals will ensure quality caregiving and meeting needs for a client and their families. • Comfort. A resident will want a place to call home for years to come. Be sure the choice you make for senior and retirement living is one that is comfortable, warm and welcoming. Be sure that any long term living facility encompasses the community outside its walls as well. Residents will enjoy being involved in
local activities on college campuses and with county senior centers for example. Highlights of a “good” facility include 24/7 services, easy accessibility to staff and security and an overall sense of compassion and relationship building on behalf of staff members and residents alike. One mistake many people make in choosing the move to a retirement/senior living community is waiting too late. It is important to make the choice when opportunities to enjoy the atmosphere, activities and friendships are high priorities in one’s life.
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Pick a primary care physician Primary care physicians often regard themselves as part of a patient’s family, as when committed to caring for members of a community, often providing quality healthcare at discounted rates to an underserved population. It is important for patients to consider the following when choosing the right provider for primary care, according to industry professionals: • Can they provide you and your family with a Patient Centered Medical Home? At the heart of the Patient Centered Medical Home is the relationship between the patient and his or her health care team led by your doctor or provider of choice. A main concern on behalf of the health care team should be the health and wellness of patients and a primary goal to provide the best comprehensive and coordinated health care for patients at all stages of their life. • Do they accept my health insur4 Faulkner County Resource Guide
ance policy? Check with your insurance company to determine whether or not a provider is in your network. If you are currently not enrolled in an insurance plan, ask your health care provider if they can help. Some providers employ uniquely qualified case managers for the Medicaid Outstation worker program, which was established in 1999 in Arkansas. Case managers can help if you have questions with the following: a. Applying for Medicaid b. Applying for Social Security c. Medicare Advantage Plans d. Medicare Part D e. Low Income Subsidy f. Community Resources • And last but not least, do you genuinely like and trust this provider? After selecting a provider that suits your requirements, schedule an appointment to meet them. During your visit,
ask yourself a few questions: Does the doctor listen to you without interrupting? Does she fully answer your questions? Does he explain your diagnosis and treatment, and specify a date for a follow-up visit? You are more likely to seek treatment when you like and trust your primary care provider. Primary care practices these days often will offer a variety of assistance programs to help patients and their families with even more services, including transportation to medical appointments, pediatric care, extended night and weekend hours, electronic patient portals and more. It is always a good idea to ask questions and learn as much as possible about a primary care practice and its physicians and policies before making decisions for your family.
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Find the right architect Designing a building is a complicated process, and finding the right architect is the key to satisfaction with the final project. Be sure to research local architects who are educated and trained and know to ask the right questions of a client to determine their needs, wants and vision. The architect and team will take that program information and design a facility that meets those requirements in a functional and attractive way that includes comfort, technology and productivity. This should be as specific as selecting the right heating and cooling system that satisfies the budget and the desire for comfort. Options should be presented, and do not rule out the need for compromise in many cases, which requires a good relationship between the client and architect from the beginning. The architect should act as a representative and advocate in the construction process, leading the client through the processes. A certain amount of trust is required to allow any architect to provide those necessary 6 Faulkner County Resource Guide
services. Hiring a local architectural firm is something every client should consider. A local firm is on many occasions able to devote more time to local projects, even driving by projects to and from work. This offers credibility and responsibility on behalf of a local architectural team as well. Too many people select an architect based on the fee quote alone. A low fee usually means you will get services that reflect that low fee. It’s an old saying but “you get what you pay for”. When selecting an architect, people should do a little research. Find out exactly what services are included in that fee. Determine if the architect has a good reputation. Find out if the firm designs buildings that reflect the client’s needs rather than the architect’s wants. Ask around to determine if the architect has a history of bringing projects in budget. Ask questions such as: Is the architect easy to work with? Is he responsive? Is he available when you need him? Paying your architect an extra percentage point in his fee could bring
big benefits to your budget and schedule. I always recommend that people look for an architect with a good track record. Does he have a string of happy clients behind him? Architectural software continues to evolve as it does in all fields. Design plans are now easily entered into a computer and the software sees it in three dimensions. It keeps up with size, finishes and shapes so architects can access all kinds of information that used to require a lot of effort. For example, if a designer enters a brick wall on the side of a building, the software can provide the number and texture of the bricks as well give the client an image of the way the wall looks. Realistic looking, three-dimensional, computer generated images have become the standard in the industry. The days are gone when a client did not know what he was getting until the building was completed. Local firms are keeping abreast of the latest technology, and as Faulkner County continues to grow, the architectural industry will keep up.
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Choosing an urgent care clinic What is Urgent Care and how does it differ from Emergency Care? With more Americans having insurance through the Affordable Care Act, access to healthcare has never been greater. However, with rising healthcare costs and more of that cost placed on consumers, patients are demanding new ways to receive lower cost, quality healthcare. The growth of high deductible health plans has resulted in empowered healthcare consumers. Almost every street corner has some type of urgent care center. Since 2008, 8 Faulkner County Resource Guide
the number of urgent care facilities has increased from 8,000 to 9,300. No matter the name – Urgent Care, Walk-in Care, Immediate Care, or Convenient Care – the focus is on treating patients quickly, affordably and in convenient locations. These Centers treat patients who have an injury or illness that requires immediate care, but is not serious enough to warrant a visit to an Emergency Department. The distinguishing factors of urgent care are that medical care is delivered on a walk-in basis, with no appointment needed, and most are open 7 days a week with evening and weekend hours, mak-
ing it convenient for families. The doctors, nurses and other healthcare practitioners who typically work in an urgent care center are qualified and skilled to treat these non-life threatening conditions. Urgent care should not be considered a replacement for ongoing primary care, nor a substitute for emergency care, which remains the best option for emergency situations. With no appointment needed and convenient hours, urgent care centers offer peace of mind for patients that comes with knowing they have access to quality medical care when their doctor’s office may not be open.
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Pick a bakery Being a hometown bakery involves a variety of great customers, according to the best in the business. It is likely that way because, generally speaking, pastry chefs and customers alike enjoy the experience of either baking a daily pastry of perfection or a custom birthday cake. Customers often become like a bakery family and customer service is the crux of the whole business. It is a business built on relationships and communication. According to industry experts, necessary attributes for bakery employees while dealing with customers are communication, concern, respect, and giv10 Faulkner County Resource Guide
ing customers full attention. The baking business is the busiest during any given holiday season, with the main push in the two weeks prior to Christmas, the week of Thanksgiving, Valentine’s Day, Easter, and the whole month of May, in preparation for Mother’s Day, graduation and the peak of wedding season. A good bakery will prepare staff for the long hours and days that come with holidays. It also will keep shelves stocked for walk-in customers, even in the busiest seasons. Technology in the baking industry has leaped beyond icing kits of yesterday, as modern kitchens use consists
computers and printers which work together to print edible images with edible ink and paper to place on cakes and even on cookies! Many individuals and businesses in and around Faulkner County take advantage of this technology for all kinds of occasions at their favorite hometown sweet shops and bakeries. Some bakeries will offer breakfast items, whether it be sweets, a biscuit or croissant sandwiches. Lunch items may also appear on a given menu and can include sandwiches and other specialties. Gift items also can be a draw at hometown bakeries, as convenience is a big key to pleasing customers.
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Maximize your hearing Hearing loss is one of the most common chronic conditions in The United States and affects more than 10 million Americans over the age of 65. According to the National Center For Health Statistics it is more common than cataracts, diabetes and orthopedic problems. Hearing loss may be acquired by heredity, the normal aging process and exposure to loud sounds. All of these conditions create cochlear nerve damage and are treated through the use of hearing aids. Often, people are incorrectly told that their hearing loss cannot be helped – this is not true. The correction for this type of loss is the use of hearing aids because there is no surgical or pharmaceutical treatment available. Symptoms of hearing loss include: • Complaining that other people mumble when they speak or speak too fast. • Difficulty understanding individuals in a group or restaurant • Often needing to ask others to repeat what they are saying • Turning the TV up so loud that others complain • Tinnitus, often described as hearing crickets, ringing, buzzing or roaring sounds In addition to the obvious problems associated with hearing loss, a National Council on Aging study found that untreated hearing loss can lead to anxiety, depression, paranoia, anger and insecurity as a result of not being able to actively participate in conversations. Individuals 12 Faulkner County Resource Guide
in the study who wore hearing aids reported improvement in family social relationships. The Earlier The Better Early intervention in treating hearing loss with hearing aids is critical. Patients with hearing loss rarely complain of actual loss of hearing but rather complain of an inability to understand speech. Speech understanding is a cognitive activity that requires regular stimulation. If the ears are not picking up sound and sending it to the brain properly the ability to understand declines because of a lack of stimulation. When a person with hearing loss needs to wear hearing aids and does not, over a period of time their ability to understand words diminishes. It’s a case of use it or lose it. Hearing Aids Improve Hearing Hearing aids can’t restore your hearing to the level of an 18 year old but patients wearing modern hearing aids often comment that it’s the closest to natural hearing that they have experienced in many years. Modern hearing aids can be so small and comfortable that patients get used to them within the first few days. Digital technology has eliminated the whistling and squealing often associated with hearing aids from previous decades and computer technology allows your audiologist to program an exact prescription for each ear to exactly match your hearing loss. Most hearing
aids today can directly BlueTooth connect, or link to a compatible cell phone so that telephone conversations go straight into the users hearing aids. This dramatically improves ease of listening over the telephone. Where to Seek Help Doctors of Audiology (Au.D.) are the health care experts to seek out for problems related to hearing loss and should be the first contact a patient makes if hearing loss is suspected. They are specially trained in the diagnosis and treatment of hearing loss and hearing related disorders. Many Audiologist have independent offices and some work in Ear, Nose and Throat (ENT) specialty offices. It is advisable to avoid mail offers for “free hearing tests” and high pressure hearing aid sales stores that have multiple offices throughout the country where the emphasis is on selling the patient a hearing aid. Senior adults are especially vulnerable to these gimmicks and often report being unhappy with their decision. Insurance Coverage For Hearing Aids Policies and coverages vary considerably but coverage for hearing aids has becoming more available in recent years. Many active and retired State and Federal employees have standard policies that cover most or all of the cost of today’s hearing aids. Your provider should be able to verify your individual policy coverage during your initial visit.
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Pick a lawn service Lawncare is one of the most important things homeowners should plan for year round, and hiring professional services to do the heavy lifting is one way to ensure the best possible results no matter the weather, growing season, pest problem or curb appeal challenge. When hiring a company to keep up appearances on your property, it is important to consider four key things: • Do they guarantee work? • How long have they been in business? • Are they local? • Do they have references? Asking these questions ahead of time 14 Faulkner County Resource Guide
will help you eliminate headaches that can come with big home projects. By hiring locally, you also help the economy and get expert advice from lawn care professionals that know the local landscape; it’s benefits and challenges. A quality lawncare service will provide weed eradication, which creates a healthy greenspace and therefore helps the environment. Cheap lawncare is not good, and good lawncare is not cheap! Lawncare is an ongoing process, and untreated turf and landscapes will deteriorate in a hurry. The spring is a crucial time to take care of pre-emergent weeds, with turfcare applications.
Maintenance during the spring is important, as spring rains cause grass to grow and landscapes call for fresh trimming and mulching. Lawncare services should be able to help educate on the best materials and fertilizers for different landscapes. Any reputable service will also have the ability to control insect and disease problems with preventative solutions. Lawn care professionals will also instruct homeowners before application of pesticides in order to provide the safest environment for your family and pets. A good service will be happy to disclose all treatment techniques with a client and go over any and all questions they may have prior to any work done.
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Switching banks Although most banking these days can all be done in a the blink of an eye with a handheld device, customers often express a desire for “the way it used to be,” but certainly with the convenience and technology needed in today’s world. When looking for a new bank, shopping for locally owned and operated facilities can provide just that. Being able to recognize customers and operate on a first-name basis can bring a different kind of credibility and trust to the table, even providing special amenities and services larger banks cannot. This can sometimes even apply to lending policies and practices. Experts advise making note of the following when choosing your bank: 16 Faulkner County Resource Guide
• The bank right next to you may be convenient, but they might not offer the service and flexibility to meet your needs. One size does not always fit all. • It is important for you to feel comfortable with the bank you deal with. You should never feel intimidated by your banker or any of the products and services they offer. A trip to the bank should be as comfortable as stopping by your local food market. • You need to know where the decision makers are for the bank. Factors to consider: Are they local? Do they understand the needs of the community? Do they care about the community?
Do they care about you as a customer? It is important not to underestimate a smaller bank, experts say. Local customer service and tech help is a plus. Knowing staff, management and board members live in the community they serve can often aid in a better understanding of the needs of the local market. Most banks, no matter the size, offer all the same on-line services, including online banking and bill pay, along with an app for your smart phone so paying bills and transferring money can be done at a fingertip. When considering a banking establishment, it is important to make a list of the services and criteria you want and need to fit your lifestyle.
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Selecting collision repair Unfortunately, accidents do happen, and sometimes they involve motor vehicles. When choosing the professional you would like to use, there are many things to consider. You have invested a lot of money and time into your vehicle, so it is imperative to do your homework and find the shop that will best fit your needs. Also remember that your vehicle carries the most important people in your life — your family — throughout the world each day. A decision on who will fix your vehicle is not to be taken lightly. First, get a police report, this is the only way to “prove” damage has occurred. Then you can decide if you need to involve the insurance company. Second, once the initial police reports and insurance claims are filed, it’s time to choose a collision repair shop. We suggest stopping by and meeting the staffsee who you will be dealing with. It is always easier if the repair shop and the customer have the same in mind. Some insurance companies have lists of shops they recommend to do collision repair on their insured vehicles. This is fine, but don’t let the insurance agent or adjuster insist on the use of any particular repair shop. Ask your agent how they 18 Faulkner County Resource Guide
determined which shops to approve and if they guarantee their work. Also ask if the guarantees will not exist if you use a shop that is NOT one they recommend. By obtaining a list, you may have fewer shops to investigate, hopefully meaning you’ll be on the road more quickly. More importantly, it is against the law in Arkansas for an insurance company to tell a customer they have to use a repair facility just because that company considers them a preferred shop. If the insured says they want ABC Collision Center to fix their vehicle, the insurance company has no choice but to work with that person and their shop of choice. Third, be sure to ask any questions that you may have: • Do you offer a warranty? • I will need a rental vehicle to drive, what do you suggest? • How Long will repairs take? • I am uncomfortable driving, or my car is not drivable, can you pick it up or have it towed? • I have an estimate from my insurance company, why is it different from yours? Don’t hesitate to ask for a tour of the facility! Get estimates from each shop, and get the estimate in writing to avoid
misunderstandings later. This is important for you, the customer, so you aren’t charged for unexpected work, and also for the auto shop, so they aren’t bombarded with unexpected complaints about the outcome of the repairs. Three or four estimates should be sufficient to find a reputable repair shop. Always ask if there are repairs that need to be done to the car that will not be covered by your insurance agency. If so, get a separate estimate for those so you know what you may need to spend out of pocket. Never make your decision based on price — just because a shop gives you the lowest estimate doesn’t necessarily mean it is the best choice for you. Make your choice based on your visit to the shop, recommendations from friends and even the advice of your insurance agent. Ask co-workers and friends what shop they use; why they use that particular shop; and will they use it again if needed. You can also contact the Better Business Bureau to find out more about the repair shops vying for your business. Check out the National Auto Body Council web site at www.autobodycouncil.org/ for more help on how to choose a reputable auto collision repair shop.
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Choose an orthopaedic surgeon As it sometimes happens, your first encounter with an orthopaedic surgeon may be in the hospital emergency room after you have sustained an injury — a fractured ankle, for example, or a sprain. But how do you find an orthopaedic surgeon when there isn’t an emergency and you need a specialist to check out that sore knee or chronic shoulder pain? Here’s a look at what orthopaedists do and how to choose the one that’s right for you. According to the American Association of Orthopaedic Surgeons, “an orthopaedic surgeon is a physician devoted to the diagnosis, treatment, prevention and rehabilitation of injuries, disorders and diseases of the body’s musculoskeletal system. This system includes bones, joints, ligaments, muscles, nerves and tendons. While orthopaedic surgeons are familiar with all aspects of the musculoskeletal system, many orthopaedists specialize in certain areas, such as the foot and ankle, hand, shoulder and elbow, spine, hip or knee. Orthopaedic surgeons may also choose to focus on specific fields like pediatrics, trauma, reconstructive surgery, oncology (bone tumors) or sports medicine.” Some orthopaedists may specialize in several areas and may collaborate with other specialists, such as neurosurgeons or rheumatologists, in caring for patients. There are many musculoskeletal conditions that can be treated without surgery through the use of medication, exercise and other rehabilitative or alternative therapies. Who does an Orthopaedic Surgeon Treat? “Orthopaedic surgeons treat patients of all ages — newborns, children, athletes, baby boomers and the elderly — with conditions that range from bone and joint disorders and fractures to diseases or tears of the muscles, ligaments and tendons in all regions of the body. It is essential that patients and their families develop partnerships with their physicians. This will help ensure that decisions about medical treatments honor the patients’ wants, needs, preferences and values. Orthopaedic surgeons respect the value of diversity and are committed to serving communities and individuals with unique needs.” (aaos. org)
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Things to Consider when Choosing an Orthopaedic Surgeon One of the first things to consider is the doctor’s level of education. An orthopedist may have completed up to 14 years of formal education, including four years of undergraduate education, four years in medical school, five years of concentrated study in an orthopaedic residency at a major medical center, and an additional year of specialty training. After becoming licensed to practice medicine, an orthopaedic surgeon completes board certification. To become board certified, an orthopaedic surgeon must undergo a peer-review process, and then demonstrate his/her expertise in orthopaedics by passing both oral and written examinations given by the American Board of Orthopaedic Surgery. It is important to visit orthopaedic surgeons who are either board certified or in the process of becoming certified. Because orthopaedic surgeons complete a rigorous re-certification process every 10 years, they spend many hours studying and attending continuing medical education courses to maintain current orthopaedic knowledge and skills. Next, make sure the orthopaedist you choose has experience in your injury or condition. Chances are your primary care physician has already diagnosed your problem and has made the referral, but when you contact the orthopaedic clinic make sure to ask for the orthopaedist with experience for your problem. If your primary care physician hasn’t made a referral for you, ask for a recommendation of the best local orthopaedists. Talk to your friends. For common conditions, such as arthritis, ACL surgery, carpal tunnel, etc., you are likely to have co-workers, friends or family who know a good orthopaedist and will have firsthand experience. In addition, an excellent source of information is the AAOS website: www.aaos.org. Once you have made a selection, think about what you want to ask the doctor. During the course of an appointment, an orthopaedist will obtain a complete medical history, prescription drug/medication inventory, and description of the problem. Orthopaedists are skilled in the diagnosis of an inju-
ry or disorder, prescribing treatment, recommending rehabilitation, and offering information on prevention. But, it’s still important to ask questions. Consider bringing a friend or family member with you to help you remember questions. Don’t be afraid to ask about your doctor’s credentials and experience. Here are some questions recommended by the American Association of Hip and Knee Surgeons: • Do you have written materials or videotapes about this surgery that I can review? • How much improvement can I expect from this surgery? • What is your experience doing this type of surgery, and how many have you done? • Are you board certified? • What are the risks involved? How likely are they? • What type of anesthesia will be used? What are the risks? • What type of implant will be used? What is the track record for this type of prosthesis? • Will I have to stop taking any of my medications before surgery? • What options are available to avoid a blood transfusion? • How long will I have to stay in the hospital? • How much pain is normal to expect and how long will it last? Will I receive medication for the pain? • When will I start physical therapy? Will I need home or outpatient therapy? • Will I need to arrange for some assistance at home? If so, for how long? • What limits will there be on activities, such as driving, bathing, climbing stairs, eating, etc.? • How long will I need to be off work? • How often will I need to return for follow-up visits? • What complications, if any, can arise after surgery? What are the signs to look for? Look for an experienced, well-regarded surgeon. Meet your orthopaedist to make sure you can work well with him/her. Trust your instincts. If a meeting with a doctor does not go well, it doesn’t mean he/she is a bad doctor or you are a bad patient. It simply may mean the two of you are not a good fit.
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Choosing the right home health care
The comfort, privacy and familiarity of home are often ‘just what the doctor ordered’ when it comes to recovery. Patients who have been discharged from the hospital, but continue to need follow-up care from various health care professionals, benefit from the services, and convenience, of home healthcare. Home care gives patients who are recovering from surgery, chronic illness, injury, or other health conditions that require longer-term care, access to a comprehensive team of medical professionals at the patient’s home. The health care team is comprised of physicians, nurses, therapists, social workers and other professionals who can assist with the patient’s various needs or questions regarding insurance or financial commitments during their recovery process. A customized treatment plan is created for every patient who receives home care, in order to meet their individual needs and to help ensure that the recovery process is as personal and thorough as possible. What services are offered? Home care is designed to fulfill needs in a number of different circumstances. Medical professionals from a local medical center may offer comprehensive in-home care to patients who are recovering from surgery, serious injuries or a chronic illness or disease. The comprehensive treatment plan is tailored to the individual’s needs and may include any of the following: • Chronic disease management • Wound care • IV therapy 22 Faulkner County Resource Guide
•Medication Management •Nutritional services •Strength, balance & mobility improvement •Physical therapy •Occupational therapy •Speech therapy •Bathing/ personal care assistance •Medical social work services Home care teams that are an extension of a major medical center often use electronic charting systems that provide medical teams with continuity of care so each member of the different disciplines has thorough communication regarding a patient’s care and any changes that may require follow-up. Home care teams are often available 24 hours a day, seven days a week for any needs an individual may have. What are the key questions that should be asked when considering a provider? • What is the background of the company? Home care is offered by a number of organizations, from local medical centers to private companies. Know how long the company has been in business, who owns the company, if it is licensed and if it is in good standing. • What are the qualifications of the staff? Make sure the organization you are considering performs background checks on its employees and inquire as to wheth-
er they are licensed or contract workers and whether they are insured and bonded by the home care agency. • Will I have the same home care team every time? The ideal home care scenario is to have the same health care professionals see to a patient’s needs on a regular basis. This helps ensure consistent care and better outcomes. • Do you conduct a home visit before care begins? It’s important that the patient, the patient’s family and the home care team discuss the customized treatment plan for the individual. Most home care providers will work directly with a patient’s doctor to report regularly on the care the patient is receiving. • What does home care cost? Cost is based on the needs of the individual but, because home care requires a physician’s order, services are usually covered by private health insurance, Medicare or Medicaid. In some cases, home health may cover the entire cost, without any out-of-pocket expense for the patient. As with anything, customer service and compassion are key indicators of a good organization. Consider the size and reputation of the organization you’re considering and be sure to visit with as many employees as you can. Your first impression of a company will likely be the experience you or your loved one receives on a daily basis.
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Mortgage and lending A customer seeking mortgage lending should get advice from a reputable company — one that will inform the customer of their options, including long term fixed rate mortgage loans. The customer has the ability to finance a home and obtain a fixed interest rate for a period of 10, 15, 20, 25 or 30 years. Depending on the borrowers need, property location and total family income the borrower may be able to obtain a loan that requires a reduced down payment. The mortgage professional will be able to counsel a borrower concerning the mortgage process and what will be required and understands what will be needed to make a deal work. The faster a potential borrower can provide the mortgage professional with information they need, the faster an approval can be in hand. 24 Faulkner County Resource Guide
The mortgage professional will run your credit report. In some cases your credit may not be where it needs to be in order to finance a home right away, and the mortgage professional can suggest what you can do to clean up credit in order to obtain financing at a later date. The mortgage professional will create a realistic expectation for when you should have your loan approved and be ready to close. Your mortgage loan is a process and can’t be approved overnight. Be patient. Both you and your mortgage professional want one thing — you to close on your home. One mistake many customers make is thinking that obtaining financing on a home will be a fast process. They don’t always understand why they are asked to provide certain documentation. The loan process can be lengthy at times due to
many elements involving the borrowers credit, assets and the property appraisal, just to name a few. The mortgage professional will review the loan file and must document all aspects of the file. The mortgage professional will communicate what supporting documentation is needed. Get the requested information to the mortgage professional as quickly as possible. Finally, listening and communication are essential on behalf of both parties. The mortgage professional must be able to take the information provided by the customer, assimilate the information and communicate with the customer what loan product will work best. The mortgage professional must inform the customer why the loan product will work best and what is needed from the customer in order to get the loan approved and closed.
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Ear, nose and throat specialist Ear, nose, and throat physicians are finding more solutions for patients than ever before, as professionals in the industry are solving problems affecting the daily lives of millions of American patients. Looking first for a local practice that provides comprehensive care for both adult and pediatric patients is a good start for treating problems ranging from ear infections to head and neck cancer. Some specialty areas that may be offered include allergy testing and treatment (both medically and with immunotherapy for patients suffering with allergic rhinitis), sleep apnea management, balloon sinuplasty (recently approved and less invasive method to treat chronic sinus infections) and hearing problems, including providing and servicing hearing aids. When sinus problems occur, sufferers know all too well the strain on the air spaces in the bones around the noses and eyes. Blockage of mucus can cause severe infection or acute sinusitis. Allergies, colds, pollution, cigarette smoke, and even hormone changes with pregnancy are among some things that can contribute to these problems. Professional ear, nose, and throat physicians can provide outpatient solutions to sinus problems. However, sometimes, there are sinus infections that are resistant to medical management. Balloon sinuplasty is an FDA approved, safe and effective procedure to treat chronic sinusitis symptoms. The 26 Faulkner County Resource Guide
techniques and instrumentation are currently being used by otolaryngologists both in the operating room and the clinic to treat the symptoms of chronic sinus disease. Multiple studies have shown both the safety and effectiveness of balloon sinuplasty. With this technique, there is no cutting away of tissue. Only a small balloon is used to dilate the opening to the sinuses thereby providing relief of the symptoms of chronic sinusitis. The recovery time is decreased with this procedure, usually allowing patients to return to work as soon as the next day. While the technique does not cure all sinus problems, in carefully selected patients, it can provide a less invasive and very effective treatment for their sinus issues. Types of care services to consider when choosing an ENT include: • Allergy management — diagnosing and treating upper respiratory tract problems caused by allergies. Choosing a physician who is also a surgeon and specialist, other non-allergic causes of upper respiratory tract problems can be diagnosed and treated. When needed, testing using the Immunocap blood test can be used to determine the specific offending allergen and tailor immunotherapy either as allergy shots or sublingual drops for treatment. Comprehensive allergy management can often provide lasting relief for allergy problems. • Curbing snoring problems — sometimes a symptom of a more severe problem known as sleep apnea. An ENT physician can treat the soft palate with
an outpatient and even in office procedure that can often resolve the problem of snoring. This condition markedly increases the risk for heart attacks, strokes, and even car accidents. Diagnosing sleep apnea requires an overnight sleep study. Relief can be achieved using a small mask and machine to help one breathe at night or even surgery to remove obstructing tissue from the airway. • Improving overall hearing health — identifying hearing problems and providing sound solutions. Your medical professional can treat ear infections, perforated ear drums, and hearing loss. A trained audiologist is also available to treat problems with sensorineural hearing loss and tinnitus. Hearing loss associated with aging and noise exposure is a treatable condition using state of the art, digital, programmable hearing aids. The newest generation of hearing aids provides exceptional sound quality and comfort unlike older technology. • Ability to perform head and neck surgery — Other doctors often refer patients to an ENT professional. ENT physicians are trained to treat problems with tumors or masses in the head and neck, thyroid disease and tumors, hoarseness, swallowing issues, and salivary gland problems. When seeking the best comprehensive ENT care, seek a practice that will address overall issues and one that is willing to answer any and all questions you may have concerning care now and for your long term health.
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Pick a florist Florists go beyond typical services these days, offering so much in addition to exceptional floral design. Many experienced and well thought of shops also offer selection of home décor that can suit anyone’s budget and style. As demand for experience and expertise grows on behalf of hometown floral services, top requested needs from clients now include custom design work and exceptional service from start to finish. The best shops will also cater to the Do-It-Yourself client, offering an array of materials and advice for the customer. Convenience is key in the floral de28 Faulkner County Resource Guide
sign world, according to local experts. Look for a shop that offers online ordering from your computer or mobile device with same-day service and a variety of products to choose from. An important bonus is finding a local shop with this amenity that continues to maintain a local boutique florist atmosphere. Customers can follow a store’s social media accounts to see what is currently trending in the world of floral design and to get examples of the work from a specific shop. Most reputable florists will employ a staff that is customer-centered and will maintain a satisfaction guarantee on all work.
Knowing when to plan ahead is a good tip when you can do so. Florists say they see a consistent flow of business throughout the year with every day occasions such as, birthdays, anniversaries, weddings, sympathies, get wells and new babies. But the industry and local business peaks from November to May due to significant custom floral and design-related holidays. It is important, experts say, that the floral business is about feelings — sending out love, sympathy, happiness, and/ or gratitude for someone else. A friendly and sincere approach to each customer is something that should be valued by a local florist.
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Choosing a spine & pain clinic
Pain management and care should be focused on the patient, and a specialty clinic that will foster a relationship with a patient is essential. A clinic that employs liaison prepared to work directly with medical providers on a number of levels is key to success. A true Specialty Pain Clinic, will require referrals of patients from a primary care physician. In some cases, these clinics will have unique procedures that do not require referrals if a procedure is not covered by insurance. When seeking a pain management provider, it is important to first examine the healthcare team available to the patient. Seeking answers about the credibility of the clinic, its doctors and staff are among the most essential first steps. Then, it is always a good idea for a patient to make sure the clinic they consider is accessible and available regularly. Online reviews of a clinic are valuable resources. Patients may also consider a local pain management provider over satellite clinics associated with bigger mar30 Faulkner County Resource Guide
ket healthcare. In some cases, shopping locally for healthcare can offer a myriad of accessibility and technological options smaller satellite clinics may not have available, such as the ability to perform on-site procedures and specialized equipment. Traffic in a pain management clinic tends to rise in winter months, primarily because many patients with chronic pain have more challenges during this time of year. Other times, insurance policy changes at the end and the beginning of a year cycle can play a role in what healthcare options are covered, and patients take advantage of existing plans and beginning new ones. Pain management clinics are equipped to answer questions and find the right plan of action for each case, and local experts encourage questions on the topic. Specialty pain clinics that are truly patient-centered will keep up to date with current technology, including using innovative real-time radiology machines, allowing healthcare professionals preci-
sion and accuracy to target the source of pain. Image guidance is the key to pinpointing and properly diagnosing ailments of each individual person/patient, experts agree. Staying on top of technology doesn’t only involve the tools and imaging machines, but also applies to online and social sites, which many times include informational videos for conditions treated and animated videos for procedures offered. These kinds of technologies, now common offerings of specialty clinics, allow a patient the ability to better understand their individual problems and to be prepared before they are seen for an appointment. People who have tried traditional medical procedures or medicine are finding more options through pain management professionals. Finding compassionate, patient and caring healthcare providers goes a long way in the pain management process as well. A good bedside manner should be part of the whole package for any patient.
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Choosing a pediatrician Searching for a pediatrician for your beloved children is one of the most important searches you will make in your lifetime. You may need a pediatrician to care for your newborn, or you may need to find a doctor after moving to a new town. Whatever the reason, the best thing to do is ask others for recommendations. Ask your friends, your family, your co-workers – anyone who has small children will have an opinion on who is the most congenial, the most caring, the most compassionate pediatrician in town. According to the American Academy of Pediatrics, pediatricians are trained to: • Help you determine healthy lifestyles for your child and useful ways to role model your choices. • Offer advice to prevent illness and injuries. • Provide early and appropriate care of acute illness to prevent its progression. • Treat life-threatening childhood conditions requiring intensive care. • Guide you in anticipating your child’s needs from newborn to 21. If you are looking for someone to care for your newborn, start your search while you are pregnant. Give yourself time to research the options in your area before the baby arrives. You can even ask your obstetrician to suggest names of good pe32 Faulkner County Resource Guide
diatricians. Other good sources for recommendations might be your childcare provider, if your child will be attending a day care or nursery, or the children’s minister at your local church. These folks come into contact with parents and children on a daily basis and normally have their ears and eyes open for information. The American Academy of Pediatrics suggests visiting with the pediatricians you are considering. Both parents should attend the interviews and take notes, if necessary. Questions can range from billing matters to how the doctor handles emergency calls. Other recommended questions from the American Academy of Pediatrics include “how soon after birth will my baby need to visit,” “are you available by phone and e-mail,” and “who is your backup pediatrician when you are on vacation.” If you choose a clinic with multiple doctors, ask if your child will see the same doctor each time or will it vary upon the doctor’s availability. Also check to see if the pediatrician is certified at the nearest local hospital, and ask where you child would be hospitalized in case of serious illness. Some insurance companies have an approved network of physicians, so you might be required to choose from this list – check early on with your insurance
agent. If you have moved to a new town and don’t know many people, you can still ask questions in order to choose the best pediatrician. Hospitals and medical societies will have lists of pediatricians. And don’t feel ashamed to ask your new neighbors who have children – most parents are glad to share their knowledge in order to keep children happy and healthy. You can also ask your child’s former pediatrician for recommendations. Be diligent in your search for a pediatrician by looking at the credentials of those contending for the job. Pediatricians can be certified with the American Academy of Pediatrics after extensive training, in addition to earning their medical degree at a reputable university. Most importantly, make sure that you feel comfortable with the pediatrician. Does he or she talk to you with words you can understand rather than medical “initials”? Does the doctor seem to be compassionate about caring for those who are ill, no matter the age? If you choose the best pediatrician for your child, he or she will have a friend and advocate for many years to come. By taking your initial search seriously, you can help shape your child’s life in a positive fashion from his or her first days.
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2016 Faulkner County resource guide directory Advertisers ARcare…………..................................................………..Page 5
First Security Bank......................................................Page 25
Arkansas Spine & Pain.................................................Page 31
First Service Bank........................................................Page 17
Central Arkansas Ear, Nose & Throat Clinic.....Page 13 & 27
Grassroots Lawn Care, Inc...........................................Page 15
Central Arkansas Pediatrics........................................Page 33
Julies Sweet Shoppe.....................................................Page 11
College Square Retirement Living.................................Page 3
Rik Sowell Architects, Inc. .............................................Page 7
Conway Regional Health System....................Page 23 & Back
Sherwood Urgent Care...................................................Page 9
Conway Orthopaedic & Sports Medicine Clinic..........Page 21
Tipton Hurst..................................................................Page 29
Conway Collision Center..............................................Page 19
Category Retirement Community……………….…………....…….Page 2
Orthopaedic Care………….………….………….………Page 20
Primary Care Physician………….………….…………...Page 4
Home Health Care.…….………….………….………….Page 22
Architect………….………….………….………….……....Page 6
Mortgage & Lending………….…..………….………….Page 24
Urgent Care………….………….………….………….…...Page 8
Ear, Nose & Throat………….…….………….………….Page 26
Bakery………….………….………….…………..............Page 10
Florist………….………….…………...............………….Page 28
Hearing………….………….………...........….………….Page 12
Spine & Pain………….………….…...……….………….Page 30
Lawn Care………….………….………….…………........Page 14
Pediatrician………….………….………….…………..... Page 32
Switching Banks………….………….………….……….Page 16
Medical Facility………….………….………….………...Page 35
Collision Repair………….………….………….………...Page 18
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Choosing a medical facility Communities nationwide have a rapidly increasing selection of health care options. The concept that “one facility meets every need” can be appealing, but how do you select the right hospital for your family? There are a few key questions you should ask before reaching your decision. Do you have specific health care needs? Consider first whether any family member has specific health care needs that need specialized treatment. For example, do you plan to have children soon and need a medical center with neonatal care where you can deliver your baby and receive pediatric care all within the same hospital? Will anyone need cardiovascular surgery that would require comprehensive follow up care including cardiac rehabilitation? Once you have determined whether anyone in your family needs specialized care, you can begin to look at what each facility you are considering offers and whether it meets or exceeds your short and long-term needs. Do you have a PCP? If you have a Primary Care Physician (PCP), ask for their input on which hospitals offer the best care, especially if you have certain health care needs that may require a multi-disciplinary approach. Also, learn where your PCP has admitting privileges. Your doctor can help recommend specialists or surgeons at the hospital with which they are most familiar and comfortable. It’s best to establish this information now, and avoid having to make a hasty decision later or in the event of an emergency. Regardless of whether you have a PCP, learn whether the hospital you are researching employs hospitalists. Hospitalists are physicians who are responsible
for the overall care of patients while they are hospitalized. If you have a PCP, the hospitalist will communicate your condition and follow-up treatment plan with your primary care doctor. Hospitalists are available to patients 24/7 while the patient is hospitalized, a practice that is especially beneficial since primary care physicians must divide their time between private practice and the hospital. The hospitalist serves as a main point of contact for patients and works with every member of an individual’s medical care team, from surgeons, to nurses, to therapists and more. Comprehensive care In keeping with the “one place does it all” concept, explore everything the hospitals on your short list provide. When surgery, therapy and follow-up care can all take place within the same medical center, and with health care professionals who collaborate as a medical team, it is often much more convenient for the patient, and outcomes are better, when there is continuity of care. Treatment after surgery, after an injury, or for a chronic disease doesn’t always end when a patient is discharged. Follow-up care such as rehabilitation in the form of physical therapy, pediatric care after labor and delivery, or behavioral issues for example, require longerterm outpatient or sometimes inpatient care. When that care is offered at the same medical facility, not only is it more convenient, it benefits the patient in the long run. Convenience Convenience is a consideration that is two-fold. First, does the hospital you are considering offer care in enough disciplines to provide your family with all of the health care options you need within
that particular hospital? Secondly, how important to you is it that your hospital is close to home and family? It’s not uncommon for local hospitals to offer all of the services found in major metropolitan medical centers, but don’t assume that so-called satellite hospitals in your community offer comprehensive care. Satellite hospitals may offer care in a particular specialty, but they may not offer comprehensive care in that area. Be sure to inquire. The convenience of having access to comprehensive health care that is just miles from home is appealing. Plus, local hospitals employ members of the community so it’s sometimes easier to form beneficial relationships with the physicians, nurses and staff who will be treating you and your family. Insurance Healthcare is expensive, so it’s important that you know how your health insurance factors into your hospital of choice. How much does your plan cover at the different hospitals and, if there is a wide margin of how much your insurance will cover between hospitals you are considering, does the quality of health care they offer make up for any additional cost you would be paying? Quality and reputation Patient outcomes and safety are always the priority at hospitals. There are a number of websites that list hospitals’ ratings on safety, quality, patient outcomes, patient feedback and other key metrics. It’s always a good idea to ask friends and colleagues who have been treated at a particular hospital for their feedback on their personal experience. While there are always exceptions, firsthand experience is often the best gauge of the quality of the staff and the facility overall. THECABIN.NET 35