CA_Providence Saint Joseph Medical Center by Patient Point

Patient Information Guide

501 S. Buena Vista St. | Burbank, CA 91505 (818) 843-5111 | www.providence.org/saintjoseph

Burbank Healthcare & Rehabilitation Center

Post-Acute Transitional Care Unit with 24-Hour Skilled Nursing Services Specializing in Physical, Occupational and Speech Therapies, Rehabilitation and Outpatient Services

“Located less than 1 mile from hospital.” Medicare Certified – Most Other Insurances Accepted

Success, One step at a time ... 1041 S. Main Street • Burbank, CA 91506 (818) 645-2854

www.burbankrehabilitation.com

Preferred Provider for Providence St. Joseph Medical Center and Other Fine Medical Facilities Ambulance Transportation Services to All Major Hospitals and Healthcare Facilities Include: • Fleet of emergency vehicles, licensed and fully equipped to maximize patient care and comfort • Basic life support (BLS-EMT) • Advanced life support (Paramedic) • Critical care transport (Nurse) • Non-emergency medical transportation solutions for individuals, allied medical facilities, health plans and hospitals

AMBULANCE DISPATCH AVAILABLE 24/7 (877) 542-7773

Only those who care for others know what it’s really like to care for others. That’s why AARP created a community with experts and other caregivers to help us better care for ourselves and for the ones we love.

aarp.org/caregiving or call

1-877-333-5885 ®

You’re at the center of everything we do. We’re at the center across the street. You’re at the center of everything we do. We’re at the center across the street.

Tri Dao, MD Family TriMedicine Dao, MD Family Medicine

Lisa Kao, MD Pediatrics Lisa Kao, MD Pediatrics

Ruby Minosa, MD Family Medicine Ruby Minosa, MD FamilyYou Medicine can You can

Sue Chung, MD Sue Chung, MD Rheumatology Rheumatology starts 6/27/16 starts 6/27/16

Ileana Shaw, MD Ileana Shaw, MD Family Medicine Family Medicine

Elijah Wasson, MD

Elijah Wasson, MD Internal Medicine Internal Medicine

191 Street,Suite Suite100 100 191S.S.Buena Buena Vista Vista Street, Burbank, 91505 Burbank, CA CA 91505 (818) 869-7600 869-7600 (818) Choosing a Facey doctor your careisiseasy. easy.We Weaccept accept most andand Medicare Advantage Choosing a Facey doctor forfor your care mostHMO, HMO,PPO, PPO,Medicare Medicare Medicare Advantage health plans. your insurance companyhow howyou you can can switch ofof thethe health plans we currently health plans. AskAsk your insurance company switchtoday. today.For Fora alistlist health plans we currently contract with, visit our website at facey.com/insurance or call 1-844-MY-FACEY. contract with, visit our website at facey.com/insurance or call 1-844-MY-FACEY.

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Other people may be there to help us, teach us, guide us along our path, but the lesson to be learned is always ours. UNKNOWN

In This Guide Welcome to Providence Saint Joseph Medical Center Telephone Directory During Your Stay

3 4 5-7 Parking 5 Calling Your Nurse 5 Language Access Services 5 Telephone 5 Visiting Hours 5 Valuables 6 Cellphones 6 Wireless Internet Access 6 Fire Safety 6 Fire Drills 6 Smoking 6 Electrical Appliances 6 TV 7 Flowers & Mail 7 Gift Shop 7 Pastoral Care/Spiritual Care 7 Cafeteria 7 ATM 7

8 Speak Up Take charge of your care.

12 Stay Safe You can contribute to healthcare safety.

OUR ADDRESS

501 S. Buena Vista St. Burbank, CA 91505 818-843-5111 The editorial content displayed here is the responsibility of PatientPoint. This material is for your educational use only. It does not contain, nor should it be construed as containing, medical advice. Talk to your doctor before making any lifestyle or treatment changes. Sponsors are responsible for the material provided, and your healthcare provider’s participation in the program does not represent an explicit or implied endorsement of any material presented. The people shown are models and are not known to have any health condition. Images are for illustrative purposes only. Image credits: Getty Images, iStockphoto. ©2016 PatientPoint ®

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In This Guide continued

25 Don’t Leave Until... 6 things you should know before you walk out the door.

31 For the Caregiver Your role as patient advocate.

33 Resources 2

Speak Up Family Initiated Rapid Response Team Your Rights & Responsibilities Stay Safe Fall Prevention Infection Prevention for Patients and Families Protect Yourself From Pressure Ulcers Diabetes Management What Are Your Advance Directives? Your Privacy & Information Do You Have Pain? Don’t Leave Until… Preparing for Discharge

8 9 10-11 12-14 15

16-17 18-19 20 21 22-23 24 25-27 28-30 When You Are Discharged 28 Going Home 28 Billing 28 Coordination of Benefits 29 Medicare 29 Commercial Insurance 30 For Self-Pay Patients 30 For the Caregiver 31-32 Giving Back 32 Resources 33-34 Staff Definitions 33 Caregiver Resources 34 Smoking Cessation 35 Television Directory 36 Games 37-39 Medication Tracker 40

: www.providence.org/saintjoseph 818-843-5111

Welcome to Providence Saint Joseph Medical Center With any new experience there is an element of uncertainty. If this is your first hospital visit, you probably have many concerns regarding your care – such as what to expect, whom to ask questions, and what is the best way to participate in your recovery. This information should answer many of your questions and make you feel more comfortable about your hospitalization. Providence Saint Joseph Medical Center has enjoyed a long tradition of providing personalized, compassionate and safe care. Since 1943, our healthcare team has been devoted to delivering the best medical care possible. Our team of nurses, doctors, technologists, technicians, therapists, and support staff all share in the Providence tradition of caring. Together, we are dedicated to providing skills and services necessary to give you excellent, respectful care. You are the key member of your healthcare team, and because of that we encourage you to become involved in your healthcare. Ask questions. Tell us your concerns, hopes, and needs related to your care, treatment, services or any patient safety issues. With your assistance, we can work toward our mutual goal – giving you excellent care in a supportive environment. Please read this information and keep it handy during your stay.

Mission Statement As people of Providence, we reveal God’s love for all, especially the poor and vulnerable, through our compassionate service.

Julie J. Sprengel Chief Executive Providence Saint Joseph Medical Center

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Telephone Directory MAIN NUMBER 818-843-5111

Patient Information/ Lobby 818-847-3502

Gift Gallery 818-847-3400

Cafeteria 818-847-7597

General hours of operation are weekdays, 8:00 a.m. to 4:30 p.m. Admitting 818-847-3404 Audiology & Speech Pathology 818-847-4334 Case Management 818-847-3600 Clinical Social Work 818-847-4798 Community Health 818-847-3351 Diabetes Counseling Service 818-847-3277 Information Desk 818-847-3502 Emergency Department 818-847-4010 Financial Counseling 818-847-3416 Language Access Service/ Interpreter Service 818-843-5111 Medical Records 818-847-3801 Mother Baby Education Programs 818-847-4143 Nursing Administration 818-847-4777 Nutrition Service 818-847-3470 Outpatient Registration 818-847-4988 Pastoral/Spiritual Care 818-847-4606 Palliative Care 818-847-3391 Patient Relations/Service Excellence 818-847-4611 Pharmacy 818-847-3777 Physician Referral 818-847-3472 Radiology 818-847-3440 Rehabilitation Services 818-847-4370 Safety and Security 818-847-4646 Support Groups 888-432-5464 Please visit us at www.providence.org/saintjoseph

Calling a Department WITHIN the Hospital? Dial the full seven-digit number (without the 818 area code).

: www.providence.org/saintjoseph 818-843-5111

During Your Stay We have policies and procedures in place to help you and your family work with our doctors, nurses and staff to get the most from your hospital stay. Please take a few minutes to review these guidelines with your loved ones.

Parking

Visitor parking is located in the front of the medical center on Alameda. There is a fee for parking. Discount parking validations may be purchased in the cashier’s office. Extended care patients, visitors with special needs or patients who have parked in the emergency lot may call Security at 818-847-4646 for special accommodations. For patients staying over 14 days, validations are available in the Cashier’s Office off the main lobby. Valet parking is also available Monday through Friday from 7:00 a.m. to 4:00 p.m. at the front entrance to the medical center.

Calling Your Nurse

The intercom system in your room is mounted on the wall above the bedside table. This system is used for direct voice contact with the staff members at the nursing station. Extending from the intercom is a pillow speaker that can be clipped to your bed for convenience. To call the nursing station, press the top bar marked “NURSE” and a staff member will respond via the intercom. When the nursing staff member answers, please make your request in a normal speaking voice. Some beds have the nurse call button built into the side rail. Please clarify with your nurse as to which nurse call system you have.

Language Access Services

Language services are available: 24/7 via over-the-phone or video remote interpreting (VRI) and are available for non-English or limited English-speaking patients at no charge. American Sign Language (ASL) is provided at no charge via VRI. TYY services are provided, contact your nurse or the operator “0” on the room phone for more information.

VISITING HOURS

Telemetry, MedicalSurgical and Transitional Care Units We offer open, unrestricted visitation unless restricted by the patient or surrogate of the patient. Patients may select one adult person to stay with them during the night hours from 8:00 p.m. to 8:00 a.m. There may be area specific recommendations for the healing and comfort of patient needs. Maternity Visitors and siblings: 11:00 a.m. to 8:00 p.m. Fathers or significant other with ID bracelet: anytime. Critical Care: CCU/ICU Please refer to “Visiting Guidelines for families and Visitors” posted in the ICU waiting room or in the ICU.

Telephone

Telephones are provided in all patient rooms. Incoming calls go directly to your room. Special www.providence.org/saintjoseph 818-843-5111 :

During Your Stay volume controlled telephones, ringing flashers and translation services are available upon request. n Hospital Operator, Dial “0”. n Room-to-Room, Dial “1” + Room # + Bed #. n Please dial the operator to assist you with outside calls. Operators also will provide you with information about local and long-distance fees that may apply.

Cellphones

Leave Your Valuables At Home We encourage you to leave valuables at home. If you do bring a valuable item, deposit it in the hospital safe. A security officer will give you a receipt. To inquire about lost articles, please call 818-847-4646 until 3:30 p.m. Please don’t put eyeglasses, hearing aids or dentures on your bed or food tray—they may be damaged or lost. Providence Saint Joseph Medical Center cannot be responsible for replacement of personal belongings.

Cellphones may be used in designated areas. Camera functions (photo, video or audio recording) may not be used.

Wireless Internet Access

Wireless internet access is available to patients and visitors. To access the wireless network, double click the wireless icon and select PHS Guest. This network is public, free, and does not require a password.

Fire Safety

We periodically conduct fire drills. If you hear an alarm, stay where you are. In the event of an actual emergency, hospital staff will notify you.

Fire Drills

For your protection, the hospital conducts routine fire and emergency drills on a regular basis. You will be asked to disregard the flashing lights, doors and ringing bells. If a drill occurs while you are here, you and your visitors will be asked to keep doors closed and remain in your room until the activity is completed.

Smoking

Providence Saint Joseph Medical Center is a smokefree hospital and strictly forbidden inside the medical center. The South Patio is the only location on hospital grounds where smoking is permitted.

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Electrical Appliances

Electrical appliances including hair dryers, curling irons, razors, radios, heating pads, portable heaters, VCRs, computers and other devices are not permitted in patient rooms. You may use only battery-operated devices.

Televisions are provided in each patient room. Please be considerate of others and keep the TV volume down. The sets are controlled by the pillow speaker that may be clipped to your bed or by controls located on the side rail panel. Channel listings are located at the back of this book. All televisions have closed captioning available for the hearing impaired. The Education Channel is on Channel 49, you also may view the variety of educational programs at www. thepatientchannel.com; use password 02592.

Flowers & Mail

During your stay, volunteers may deliver flowers and mail to your room. They will also post outgoing mail for you. Outgoing mail may be taken to the nursing station or given to your attending nurse. Postage stamps are available in the gift shop. Mail received after you are discharged will be forwarded to your home address.

Gift Shop

The Providence Gift Gallery offers flowers, candy, gifts, jewelry, clothing, slippers, toiletries, magazines and seasonal items. Hours of Operation: 10:00 a.m. to 8:00 p.m. Monday through Friday 11:00 a.m. to 3:00 p.m. Saturday 1:00 p.m. to 4:00 p.m. Sunday

Pastoral Care/Spiritual Care

The hospital has a team of chaplains available to offer service to our patients and their loved ones. Please ask your nurse to request a visit from a chaplain or call us directly, 818-847-4606. Our Lady of Sorrows chapel is located outside the East Tower, next to the Emergency Department parking Lot. Mass is celebrated Monday through Friday at noon and on Sunday at 10:30 a.m. There is a Protestant Service in the chapel on Wednesdays at 10:30 a.m. All services are broadcast on Channel 6.

Where’s the Cafeteria? Location: Garden Level in North Tower Hours: Daily from 6:30 a.m. to 8:00 p.m.

Cafeteria Visitors are welcome to eat in the cafeteria. Patients who have permission to eat in the cafeteria must have a card from the unit secretary in order to be served. Vending machines for “heat and eat” options, snacks and beverages are available 24 hours a day in the Arnold Café. There is a 15-minute closure between 10:15 and 10:30 a.m. to switch from breakfast to lunch/dinner.

ATM For your convenience, an automated teller machine (ATM) is located on the garden level next to the Arnold Café.

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FRANCIS BACON 1561–1626

Who questions much, shall learn much, and retain much.

Speak Up! Take charge of your care. During your stay, the doctors, nurses and staff of

your hospital will treat you and your family as partners in your own care. One important way that you can be involved is to speak up. Ask questions, voice your concerns and don’t be afraid to raise any issues relating not only to your care and treatment, but also to overall hospital services. In the pages that follow, you’ll find a step-by-step guide to making the most of your hospital stay—how to stay safe, get the information you need, ask the right questions and interact effectively with your doctors, nurses and hospital staff.

STEP UP & SPEAK UP SPEAK UP: Ask questions and voice concerns.

Remember:

It’s your body, and you have a right to know.

rite down any questions W you have n Choose a support person to communicate with the doctors and staff n K eep a list of doctors you see and the meds they prescribe

PAY ATTENTION: Make sure you’re getting the right treatments and medicines. EDUCATE YOURSELF: Learn about the medical tests you get and your treatment plan.

FIND AN ADVOCATE: Pick a trusted family member or friend to be your advocate or support person. WHAT MEDS & WHY: Know what medicines

Don’t Get Overwhelmed, Write It Down!

you take and why you take them.

CHECK BEFORE YOU GO: Use a hospital, clinic, surgery center or other type of healthcare organization that meets The Joint Commission’s quality standards. PARTICIPATE IN YOUR CARE: You are the center of the healthcare team.

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Courtesy of The Joint Commission.

Family-Initiated Rapid Response Team What is the Rapid Response Team?

The Rapid Response Team (RRT) is an inhouse team consisting of a Critical Care RN and a Respiratory Care Practitioner. The RRT brings critical care expertise to the patient bedside and is available in all inpatient and outpatient areas of the medical center campus 24 hours a day.

When can the family call the RRT?

fter meeting with your nurse and floor charge A nurse, if you feel your loved one is still experiencing unrecognized concerns. n Family members or visitors feel there is a serious change in the patient’s condition. n This is an EMERGENCY call and should only be made for a serious change in your loved one’s condition. n

Our goal is to provide excellent care to our patients. The Rapid Response Team is a partnership between the healthcare team, patients and their families, ensuring that your loved ones receive the highest quality of care.

How do I call the RRT?

all the hospital operator. Dial “899.” C When you call the operator, give him or her: n Your name n Patient’s name n Location (patient’s room and bed number) n Brief description of why you are calling RRT n The RRT will be dispatched quickly to your area along with the nursing supervisor. n n

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Rights & Responsibilities As a patient, you have the right to respectful and considerate care. In addition, there are specific rights and responsibilities you have during your hospital stay.

You Have the Right to:

✔ b e informed of the hospital’s rules and regulations as they apply to your conduct. ✔ expect privacy and dignity in treatment consistent with providing you with good medical and psychiatric care. ✔ receive considerate, respectful care at all times and under all circumstances. ✔ expect prompt and reasonable responses to your questions and requests. ✔ know who is responsible for authorizing and performing your procedures or treatments. ✔ know the identity and professional status of your caregivers. ✔ know what patient support services are available, including access to an interpreter if language is a problem. ✔ have access to your medical records according to hospital policy. ✔ be informed of the nature of your condition, proposed treatment or procedure, risks, benefits and prognosis, prospects for recovery and any continuing healthcare requirements after your discharge in terms you can understand. ✔ be informed of medical alternatives for care or treatment or nontreatment. 10

✔ refuse treatment, except as otherwise provided by law, leave the hospital even against the advice of members of the medical staff and to be informed of the consequences of your refusal. ✔ receive access to medical treatment or accommodations regardless of race, sex, creed, sexual orientation, national origin, religion, physical handicap, economic status, educational background, color, ancestry, disability, medical condition, marital status, registered domestic partner status or sources of payment. ✔ know if the medical treatment prescribed for you is for experimental purposes and to give your written consent to participate if you choose. ✔ participate in the decision-making process related to the plan of your care. ✔ have access to professionals to assist you with emotional and/or spiritual care. ✔ exercise your cultural values and spiritual beliefs as long as they do not interfere with the well-being of others, or the planned course of any medical care. ✔ participate in the discussion of ethical issues that may arise. ✔ express concerns regarding any of these rights in accordance with the grievance process. ✔ formulate advance directives and appoint a surrogate to make healthcare decisions on your behalf

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to the extent permitted by law. Have all rights above apply to your legal decision-maker. ✔ designate visitors of your choosing, unless no visitors are allowed or they are a danger to health and safety. ✔ examine and receive an explanation of your bill. ✔ confidential treatment of all communication and records to your care; and information on how to authorize access to your medical records.

✔ k nowing the consequences of your own actions if you refuse treatment or do not follow the healthcare providers’ instructions. ✔ being considerate of the rights of other patients and hospital personnel and to follow hospital policy and regulations regarding care and conduct. Upon request, this guide will be provided to your next of kin or agent under durable power of attorney for healthcare.

You are Responsible for:

✔ p roviding accurate and complete information to your healthcare providers about your present and past medical conditions and all other matters pertaining to your health. ✔ reporting unexpected changes in your condition to your healthcare providers. ✔ informing your healthcare providers whether or not you understand the plan of care and what is expected of you. ✔ following the treatment plan recommended by your healthcare providers. ✔ keeping appointments and, if you cannot, notifying the proper person.

Providence Saint Joseph Medical Center is dedicated to serving you and ensuring that your experience with us is a positive one. If you have concerns about the care you or your family member received, we encourage you to speak with the nursing leader(s) on the unit they are staying or the hospital’s nursing supervisor on duty. If you feel that your issue wasn’t resolved, contact Patient Relations at 818-847-4611. You also may submit a complaint to the California Department of Public Health.

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HENRY H. TWEEDY 1868-1953

Fear is the father of courage and the mother of safety.

Stay Safe You can contribute to healthcare safety. While you are in the hospital, many people will enter your room, from doctors and nurses to aides and orderlies. The following information will help make your hospital stay safe and comfortable.

Employee ID All hospital employees wear identification badges. Feel free to ask any staff member for his or her name and job classification. If you do not see an ID badge on an employee, please call your nurse immediately.

Don’t Be Afraid to Ask… A number of people may enter your hospital room. Be sure to: n Ask for the ID of everyone who comes into your room. n Speak up if hospital staff doesn’t ask to check your ID. nA sk if the person has washed his or her hands before he or she touches you. n I f you are told you need certain tests or procedures, ask why you need them, when they will happen and how long it will be before you get the results. 12

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PATIENT IDENTIFICATION Any time staff members enter your room to administer medications, transport you, or perform procedures and treatments, they must check your birth date and name before they proceed. At times, you may be asked the same questions repeatedly. We are aware that this may be annoying. Please understand, however, that this verification process is a critical component in our patient safety program in order to guarantee that all of our patients receive the correct medications and treatments.

Check ID

STAY SAFE

Fighting Infections While you’re in the hospital to get well, there is the possibility of developing an infection. The single most important thing you can do to help prevent infections is to wash your hands and make sure that everyone who touches you—including all doctors, staff and visitors—washes his or her hands, too.

You, your family and friends should wash hands:

1. after touching objects or surfaces in the hospital room 2. before eating 3. after using the restroom It is also important that your healthcare providers wash their hands with either soap and water or an alcohol-based hand cleaner every time, both before and after they touch you. Healthcare providers know to practice hand hygiene, but sometimes they forget. You and your family should not be afraid or embarrassed to speak up and ask them to wash their hands.

Happy Birthday to You! Wash your hands with soap and warm water for 15 to 20 seconds. That’s about the same amount of time that it takes to sing the “Happy Birthday” song twice.

No Soap? No Problem.

Doctors, nurses and other healthcare providers come into contact with a lot of bacteria and viruses. So before they treat you, ask them if they’ve cleaned their hands.

Alcohol-based hand cleaners are as effective as soap and water in killing germs. To use, apply the cleaner to the palm of your hand and rub your hands together. Keep rubbing over all the surfaces of your fingers and hands until they are dry.

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STAY SAFE

Know Your Meds While you are hospitalized, your doctor may prescribe medications for you. Be sure that you understand exactly what they are and why they are being prescribed. Use this checklist to help you get the information you need from your doctor: What is the name of the medicine? What is its generic name? Why am I taking this medicine? What dose will I be taking? How often, and for how long? When will the medicine begin to work? What are the possible side effects? Can I take this medicine while taking my other medications or dietary supplements? Are there any foods, drinks or activities that I should avoid while taking this medicine? Should I take my medicine at meals or between meals? Do I need to take the medicine on an empty stomach or with food or a whole glass of water? What should I do if I forget to take the medicine and miss a dose?

USE THE MEDICATION TRACKER ON PAGE 40 TO HELP YOU MONITOR YOUR MEDICATIONS.

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Preventing Medication Errors By taking part in your own care, you can help the members of your healthcare team avoid medication errors. Here’s how: Be sure that all of your doctors know what medications you have been taking, including prescription drugs, over-thecounter medications, herbal and vitamin supplements, natural remedies and recreational drugs. Be sure that all of your doctors know of any allergies you may have— to medications, anesthesia, foods, latex products, etc. When you are brought medications or IV fluids, ask the person to check to be sure you are the patient who is supposed to receive the medications. Show that person your ID bracelet to double-check. Remember—you play an important role in helping to reduce medication errors.

Fall Prevention Fall prevention is a joint responsibility among patients, family members and the healthcare team. Your medical condition may change your ability to move safely. In fact, patients often fall because they are on medications that make them dizzy or drowsy, they are weak and unsteady due to illness or medical procedures, or theyâ&#x20AC;&#x2122;ve been sitting or lying down for long periods. Your fall risk is assessed when you come in to the hospital and this assessment is repeated frequently during your stay. If you are at risk of falling, a yellow tab is placed on your hospital ID band. You may be asked to wear red socks or to have special footwear for your safety.

Please ask your nurse or physical therapist if you have any questions about our fall prevention program.

Because we are committed to your safety, we will require that you: n DO NOT get up unattended â&#x20AC;&#x201C; use your call light. n Keep necessary items in reach, including your call light. n Wear the provided skid-proof footwear. n Do not go to the restroom without our assistance. n Do not remove, unplug, or disable provided safety alarms. In addition to the above, your healthcare team will: n Provide you with individualized fall prevention strategies. n Provide special safety equipment. (i.e. bed, lift, transfer equipment, etc.). n Provide supervision. n V isit you frequently throughout the day and night. n Educate you and your family on fall prevention.

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Infection Prevention for Patients and Families Hand Hygiene

The single most important thing we can all do to prevent infections from spreading around is to either wash our hands with soap and water, or use alcohol gel. In the hospital, we use alcohol gel a lot because it kills 99.99 percent of germs – we have containers in every patient room and in hallways, too. Soap and water still are good for getting rid of germs, and there are some occasions when we are mandated to wash rather than using gel. Family and visitors should wash/gel after touching a patient in the hospital.

Respiratory Hygiene

In the winter, many people have coughs and colds. These are most often caused by viruses, like influenza. When you are coughing or sneezing, people around you can “catch” your virus if you do not cover your mouth (either with a tissue, your arm or as a last resort, your hands). Masks are available for patients in waiting areas such as the Emergency Room. The PSJMC staff is instructed to wear a mask if any patient is coughing – even if we don’t know the cause of the infection. This is called “respiratory hygiene,” and we should remember the teaching of Los Angeles Public Health Department to “COVER YOUR COUGH.”

Contact Precautions

The Centers for Disease Control and Prevention (CDC) has recommended that healthcare workers use “STANDARD PRECAUTIONS” when taking care of all patients. This means that for all patients we wear protection such as gloves, a mask or a gown when we will be doing tasks that may result in being exposed to body fluids, such as sputum, urine or blood. On occasion, patients may have bacteria that are not easily treated by ordinary antibiotics—these are called 16

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“drug resistant.” To help lower the risk of these bacteria spreading around, we use extra precautions for drugresistant bacteria. Because most bacteria are spread by hands, we call these precautions, “CONTACT PRECAUTIONS.” You may see a bright green sign outside a patient’s door with pictures and written instructions, reminding everyone to be more careful in those rooms. Hand hygiene is especially important after caring for these patients. Families and friends should wash/gel before leaving the room.

MRSA Screening

A new law in 2009 requires that we test the noses of certain “high risk” patients for MRSA – skin germ that has caused infections both in the community and in hospitals. If you are in one of these groups, e.g. on dialysis, we will swab the inside of your nose and look for MRSA. Your doctor will follow up with you if MRSA is found and we will provide instructions. Prepared by the Epidemiology & Infection Prevention Department, PSJMC

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Protect Yourself From Pressure Ulcers Pressure Ulcers A pressure ulcer, or bedsore, is a serious problem in the hospital and at home. Pressure ulcers can slow your recovery, causing pain, infections and other problems.

What Is A Pressure Ulcer?

A pressure ulcer is an injury to the skin and the tissue beneath it. It is caused by pressure on the skin. Pressure ulcers tend to occur over bony parts of the body (elbow, heel, hip, etc.) that you sit or lie on for long periods of time. The pressure squeezes tiny blood vessels that supply the skin with nutrients and oxygen. When skin goes without nutrients and oxygen for too long, a pressure ulcer forms. The area turns red at first. Unless treated quickly (changing your position, for example), the pressure can damage the skin and muscles.

Causes for Pressure Ulcers

Pressure ulcers are more likely to develop or worsen if you: n Slide down in a bed or chair. n Rub or create friction on the skin. n Cannot move or change positions. n Lose control of your bowel or bladder. n Donâ&#x20AC;&#x2122;t get enough nutrients or fluids. n Have poor circulation or fragile skin. n Have problems thinking clearly. n Have problems feeling pressure or pain.

Know Your Risks

The risk for developing pressure ulcers increases especially if you meet one of the following criteria. n Cannot change position by yourself. n Wetness from continuous or periodic loss of bowel control. n Not eating or drinking enough. n Reduced bladder control. n Confined to a bed or wheelchair.

Staying Healthy

Prevention Take Care of Your Skin n Allow members of your healthcare team to inspect your skin at least twice daily. n Moisturize dry skin, but do not rub or massage skin over bony parts of your body. 18

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se absorbent pads to pull moisture away from your skin. U If you notice abnormal areas, notify your nurse as soon as possible. n Clean your skin thoroughly (or ask for help) as soon as possible after soiling. n Apply cream or ointment to protect your skin from urine and/or stool. Limit Pressure n If you are in bed, reposition or ask to be repositioned every two hours. n If you are in a chair, your position should be changed at least every hour. n If you are able to shift your weight, you should do so every 15 minutes while sitting. Reduce Friction n When shifting position or moving in your bed, don’t pull or drag yourself across the sheets. Also, don’t push or pull with your heels or elbows. n

By assisting your healthcare team, you may be able to reduce your risk for pressure ulcers.

A Patient’s Guide If you are confined to bed for long periods of time: n Your healthcare team may recommend a special mattress or overlay, for better pressure redistribution. n The head of your bed should be as low as possible, unless other medical conditions do not permit. If you need to raise the head of the bed for certain activities, try to raise it to the lowest point possible for as short a time as possible. n Pillows or wedges may be used to help keep you off your back or in between your legs to keep your knees or ankles from touching each other. n Avoid lying directly on your hip bone when lying on your side. n Pillows may be placed under your legs to keep your heels off the bed. Never place a pillow behind the knee. Be Sure That You: nA sk questions and help plan your care. nE xplain your needs, wants and concerns. nK now what is best for you. nB ecome an informed consumer of healthcare.

www.providence.org/saintjoseph 818-843-5111 :

Diabetes Management Diabetes is a growing epidemic. Nearly 24 million people or 8 percent of the United States population has diabetes.* Whether you’ve just been diagnosed or had diabetes for a long time, the hospital’s American Diabetes Association (ADA) recognized Diabetes Self-Management Education program can help you successfully manage your diabetes. The program offers one-on-one consultation with the diabetes dietitian and diabetes nurse educator. Also, a two-part class series is offered monthly and taught by certified diabetes educators (CDEs) and other disciplines. Classes and individual consults are covered by Medicare, most insurance plans and health management organizations (HMOs) with prior authorization. You will need a doctor’s prescription for diabetes education. For more information and to schedule an appointment, call 818-847-3277. * Information obtained from Centers for Disease Control and Prevention (CDC), 2008. Additional Information available at: American Diabetes Association, Los Angeles Chapter 323-966-2890 www.diabetes.org

: www.providence.org/saintjoseph 818-843-5111

Martin Gelbard, MD

Philip Weintraub, MD

Michael Hyman, MD

Shahin Chandrasoma, MD

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Armen A. Kassabian, M.D. A Leader in the Field of Urology SPECIALIZING IN: ARMEN A. KASSABIAN, M.D. Board-Certified Urologic Surgeon Chair, Department of Urology, Providence Saint Joseph Medical Center 2015 Urology Staff Member at Glendale Adventist Medical Center

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You can help prevent colon cancer. If youâ&#x20AC;&#x2122;re 50 or older, talk to your doctor about getting screened for colon cancer. There are several screening options available, including simple take-home options. Visit cancer.org/colon or call 1-800-227-2345 to learn more.

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• Total parenteral nutrition (TPN)

• Post-surgical care • Skin and advanced wound care • Tracheostomy care • Respiratory therapy • Isolation (C-Diff/MRSA/VRE)

What Are Your Advance Directives Patient Services Advance Directives

You have the right to make decisions about your own medical treatment. These decisions become more difficult if, due to illness or a change in mental condition, you are unable to tell your doctor and loved ones what kind of healthcare treatments you want. That is why it is important for you to make your wishes known in advance. Here is a brief description of each kind of directive:

Living Will

A set of instructions documenting your wishes about life-sustaining medical care. It is used if you become terminally ill, incapacitated, or unable to communicate or make decisions. A living will protects your rights to accept or refuse medical care and removes the burden for making decisions from your family, friends and medical professionals.

What Are Advance Directives? A living will, healthcare proxy and durable power of attorney are the legal documents that allow you to give direction to medical personnel, family and friends concerning your future care when you cannot speak for yourself. You do not need a lawyer in order to complete advance directives.

Healthcare Proxy

A person (agent) you appoint to make your medical decisions if you are unable to do so. Choose someone you know well and trust to represent your preferences. Be sure to discuss this with the person before naming him or her as your agent. Remember that an agent may have to use his or her judgment in the event of a medical decision for which your wishes arenâ&#x20AC;&#x2122;t known.

Durable Power of Attorney

For healthcare: A legal document that names your healthcare proxy. Once written, it should be signed, dated, witnessed, notarized, copied and put into your medical record. For finances: You may also want to appoint someone to manage your financial affairs when you cannot. A durable power of attorney for finances is a separate legal document from the durable power of attorney for healthcare. You may choose the same person for both, or choose different people to represent you.

www.providence.org/saintjoseph 818-843-5111 :

Your Privacy & Information If you believe your health information was used or shared in a way that is not allowed under the privacy law, or if you werenâ&#x20AC;&#x2122;t able to exercise your rights, you can file a complaint with your provider or health insurer. You can also file a complaint with the U.S. government. Go online to www.hhs.gov/ocr/ privacy/ for more information.

Privacy & Your Health Information

You have privacy rights under a federal law that protects your health information. These rights are important for you to know. Federal law sets rules and limits on who can look at and receive your health information.

Who must follow this law?

ost doctors, nurses, pharmacies, hospitals, clinics, M nursing homes and many other healthcare providers and thier vendors. n Health insurance companies, HMOs and most employer group health plans. n Certain government programs that pay for healthcare, such as Medicare and Medicaid. n

What information is protected?

I nformation your doctors, nurses and other healthcare providers put in your medical records. n Conversations your doctor has with nurses and others regarding your care or treatment. n Information about you in your health insurerâ&#x20AC;&#x2122;s computer system. n Billing information about you at your clinic. n Most other health information about you held by those who must follow this law. n

You have rights over your health information.

Providers and health insurers who are required to follow this law must comply with your right to: n Ask to see and get a copy of your health records. n Have corrections added to your health information. n Receive a notice that tells you how your health information may be used and shared. n Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing. n Get a report on when and why your health information was shared for certain purposes. n File a complaint. 22

: www.providence.org/saintjoseph 818-843-5111

To make sure that your health information is protected in a way that doesnâ&#x20AC;&#x2122;t interfere with your healthcare, your information can be used and shared: n For your treatment and care coordination. n To pay doctors and hospitals for your healthcare and help run their businesses. n With your family, relatives, friends or others you identify who are involved with your healthcare or your healthcare bills, unless you object. n To make sure doctors give good care and nursing homes are clean and safe. n To protect the publicâ&#x20AC;&#x2122;s health, such as by reporting when the flu is in your area. n To make required reports to the police, such as reporting gunshot wounds.

A separate law provides additional privacy protections to patients of alcohol and drug treatment programs. For more information, go online to www.samhsa.gov.

Without your written permission, your provider cannot: Give your health information to your employer. n Use or share your health information for marketing or advertising purposes. n Share private notes about your mental health counseling sessions. n

Adapted from U.S. Department of Health & Human Services Office for Civil Rights

www.providence.org/saintjoseph 818-843-5111 :

TORI AMOS 1963-PRESENT

Healing takes courage, and we all have courage, even if we have to dig a little to find it.

Do You Have Pain? Manage your pain so your hospital stay is as comfortable as possible.

You are the expert about how you are feeling. Be sure to tell your doctor or nurse when

you have any kind of pain.

To help describe your pain, be sure to report: n When the pain began. n Where you feel pain. n How the pain feelsâ&#x20AC;&#x201D;sharp, dull, throbbing, burning, tingling. n If the pain is constant, or if it comes and goes. n What, if anything, makes the pain feel better. n What, if anything, makes the pain feel worse. n How much pain, if any, your medicine is taking away. n If your medicine helps with the pain, how many hours of relief do you get?

USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE HOW YOUR PAIN IS AFFECTING YOU.

: www.providence.org/saintjoseph 818-843-5111

LOUIS PASTEUR 1822-1895

In the field of observation, chance favors only the prepared mind.

Don’t Leave Until… 6 things to know before you leave the hospital.

Be sure to meet with the hospital’s discharge planner early in your stay to ensure a smooth discharge process later on.

When it’s time to be released from the

hospital, your physician will authorize a hospital discharge. This doesn’t necessarily mean that you are completely well—it only means that you no longer need hospital services. If you disagree, you or your caregiver can appeal the decision (see If You Disagree, at right). On the other hand, you may be pleased to learn that your doctor has approved your discharge. But before you can leave the hospital, there are several things that you or your caregiver must attend to. The first step is to know who will be involved in your discharge process. This starts with the hospital’s discharge planner, who may be a nurse, social

worker or administrator, or may have some other title. You and your caregiver should meet this person relatively early in your hospital stay; if not, find out who this person is and be sure to meet with them well before your expected discharge date. If You Disagree You or your support person can appeal your doctor’s discharge decision. If you are a Medicare patient, be sure you are given “An Important Message from Medicare” from the hospital’s discharge planner or caseworker. This details your rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision.

www.providence.org/saintjoseph 818-843-5111 :

Don’t Leave Until… continued Make sure you have the following information before you leave the hospital: 1. Discharge summary. This is an overview of why you were in the hospital, which healthcare professionals saw you, what procedures were done and what medications were prescribed. 2. Medications list. This is a listing of what medications you are taking, why, in what dosage and who prescribed them. (You’ll already have this if you use the My Medications form on page 40 to keep track while you’re in the hospital.) But also having a list prepared by the hospital is a good way to doublecheck the information. 3. Discharge prescriptions. If you want your medications filled by our Providence Pharmacy, please call 818-333-6803 Monday through Friday, 9:00 a.m. to 5:30 p.m.; we will be able to process them through your insurance plans with copays. The medications will be delivered to your room before you leave the hospital. Most insurance plans accepted. 4. Follow-up care instructions. Make sure you have paperwork that tells you: n what, if any, dietary restrictions you need to follow and for how long. n what kinds of activities you can and can’t do, and for how long. n how to properly care for any injury or incisions you may have. n what follow-up tests you may need and when you need to schedule them. 26

Be sure to meet with the hospital’s discharge planner early in your stay to ensure a smooth discharge process later on. n what medicines you must

take, why and for how long.

n when you need to see your physician. n any other home-care instructions

for your caregiver, such as how to get you in and out of bed, how to use and monitor any equipment, and what signs and symptoms to watch out for. n telephone numbers to call if you or your caregiver has any questions pertaining to your after-hospital care.

5. Other services. When you leave the hospital, you may need to spend time in a rehabilitation facility, nursing home, or other institution. Or you may need to schedule tests at an imaging center, have treatments at a cancer center, or have in-home therapy. Be sure to speak with your nurse or physician to get all the details you need before you leave. 6. Community resources. You and your caregiver may feel unprepared for what will happen after your discharge. Make sure your discharge planner provides you with information about local resources, such as agencies that can provide services like transportation, equipment, home care and respite care, and agencies that can help with patient care and respite care.

: www.providence.org/saintjoseph 818-843-5111

Home Healthcare Part-time healthcare provided by medical professionals in a patient’s home to maintain or restore health. It includes a wide range of skilled and nonskilled services, including part-time nursing care, therapy, and assistance with daily activities and homemaker services, such as cleaning and meal preparation. Medicare defines home healthcare as intermittent, physician-ordered medical services or treatment. Durable Medical Equipment (DME) Medical equipment that is ordered by a doctor for use in a patient’s home. Examples are walkers, crutches, wheelchairs and hospital beds. DME is paid for under both Medicare Part B and Part A for home health services. Independent Living Communities for seniors who are very independent and have few medical problems. Residents live in private apartments. Meals, housekeeping, maintenance, social outings and events are provided. Assisted Living An apartment in a long-term care facility for elderly or disabled people who can no longer live on their own but who don’t need a high level of care. Assisted-living facilities provide assistance with medications, meals

in a cafeteria or restaurant-like setting, and housekeeping services. Nursing staff is on site. Most facilities have social activities and provide transportation to doctors appointments, shopping, etc.

Nursing Home A residential facility for people with chronic illness or disability, particularly elderly people who need assistance for most or all of their daily living activities such as bathing, dressing and toileting. Nursing homes provide 24-hour skilled care and are also called convalescent homes or long-term care facilities. Many nursing homes also provide short-term rehabilitative stays for patients recovering from an injury or illness. Some facilities also have a separate unit for residents with Alzheimer’s disease or memory loss. Hospice A licensed or certified program that provides care for people who are terminally ill and for their families. Hospice care can be provided at home, in a hospice or other freestanding facility, or within a hospital. Also referred to as “palliative” care, hospice care emphasizes the management of pain and discomfort and addresses the physical, spiritual, emotional, psychological, financial, and legal needs of the patient and his or her family.

Respite Care provides a temporary break for caregivers. Patients spend time in programs such as adult daycare or in weeklong or monthlong stays in a care facility.

www.providence.org/saintjoseph 818-843-5111 :

Preparing for Discharge When You Are Discharged

Your physician determines when you are ready to be discharged. Your physician and nurse will give you discharge instructions and answer any questions you have about managing your treatment and medications once you are home. If you are confused or unsure about what you need to do, what medications you must take, or if you have to restrict your diet or activities, don’t be afraid to ask and take notes. Be sure you understand any instructions you have been given before you leave the hospital.

Going Home

When your doctor feels that you are ready to leave the hospital, he or she will authorize a hospital discharge. Please speak with your nurse about our discharge procedures. Here are a few tips to make the discharge process run smoothly: n Be sure you and/or your caregiver have spoken with a discharge planner and that you understand what services you may need after leaving the hospital. (See Don’t Leave Until … on page 25 for more discharge advice.) n Verify your discharge date and time with your nurse or doctor. n Have someone available to pick you up. n Check your room, bathroom and bedside table carefully for any personal items. n Make sure you or your caregiver has all necessary paperwork for billing, referrals, prescriptions, etc. When you are discharged, a member of the hospital staff will escort you to the front entrance and help you into the car. After your hospital stay, please bring your hospital discharge instructions with you on your next visit to the doctor.

Billing

What a Hospital Bill Covers The hospital bill covers the cost of your room, meals, 24-hour nursing care, laboratory work, tests, medication, therapy and the services of hospital employees. You will receive a separate bill from your physicians for their professional services. The hospital is responsible for submitting bills to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you and your insurance company and that you have the final responsibility for payment of your hospital bill. 28

: www.providence.org/saintjoseph 818-843-5111

Coordination of Benefits (COB)

Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered under two or more insurance policies. This usually happens when spouses or partners are listed on each otherâ&#x20AC;&#x2122;s insurance policies, when both parents carry their children on their individual policies, or when there is eligibility under two federal programs. This also can occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance. Most insurance companies have COB provisions that determine who is the primary payer when medical expenses are incurred. This prevents duplicate payments. COB priority must be identified at admission in order to comply with insurance guidelines. Your insurance may request a completed COB form before paying a claim and every attempt will be made to notify you if this occurs. The hospital cannot provide this information to your insurance company. You must resolve this issue with your insurance carrier in order for the claim to be paid.

Uninsured? Financial counselors are available to explain all charges and help you make payment arrangements. Call 818-847-3416, weekdays 9:00 a.m. to 4:30 p.m.

Medicare

This hospital is an approved Medicare provider. All services billed to Medicare follow federal guidelines and procedures. Medicare has a COB clause. At the time of service, you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. This is referred to as an MSP Questionnaire and is required by federal law. Your assistance in providing accurate information will allow us to bill the correct insurance company. Medicare deductibles and co-insurance are covered by your secondary insurance. If you do not have secondary insurance you will be asked to pay these amounts or establish a payment plan. If you are unable to pay these amounts, we will help you determine if you qualify for a state-funded program.

www.providence.org/saintjoseph 818-843-5111 :

Preparing for Discharge Commercial Insurance

As a service to our customers, we will forward a claim to your commercial insurance carrier based on the information you provide at the time of registration. It is very important for you to provide all related information such as policy number, group number and the correct mailing address for your insurance company.

For Self-Pay Patients

Patient Financial Services Department will send statements for payment of self-pay accounts. You will receive two to three billing statements and two to three telephone calls over a 90-day period to obtain a payment or to make payment arrangements. If payment arrangements are not established and no payment is made during the 90-day period the account will be placed with a collection agency. If you need an itemized statement you can obtain one by calling our Financial Service Department at the number listed below or by using the website at www.providence.org/saintjoseph. If you have any questions regarding your billing statement, you can contact the patient Financial Services Department at 866-923-5941 (toll-free).

: www.providence.org/saintjoseph 818-843-5111

BUDDHA

In compassion lies the world’s true strength.

For the Caregiver

Your role as a patient advocate.

CAREGIVER...

know what condition your loved one is being treated for.

patient’s rights Know your patient’s rights and responsibilities (See page 10).

advance directives Know whether or not your loved one has an advance directive and if so, what it specifies (See page 21).

While your loved one is in the hospital, who will speak up for him or her? You can, by being the patient’s advocate— the person who will help the patient work with doctors, nurses and hospital staff. To help your loved one make the best decisions about his or her care and treatment, follow the advice in the caregiver list at right. While you are making sure that your loved one’s needs are being met, don’t neglect your own. Caregiving is a stressful and time-consuming job. You may neglect your diet, your normal exercise routine and your sleep needs. You may find that you have little or no time to spend with friends, to relax, or to just be by yourself for a while. But downtime is important. Don’t be reluctant to ask for help in caring for your loved one. Take advantage of friends’ offers to help and look into local adult daycare programs. Find out more about how you can ease the stress of caregiving at www.caregiver.org.

ask questions If your loved one is too ill or reluctant to ask questions, make note of his or her concerns and any you may have and don’t be afraid to speak up (See Speak Up! on page 8).

help track medications Your loved one may be prescribed medications while in the hospital and may be seen by several doctors. Keep track of it all with My Medications on page 40.

what’s next? Will your loved one need home care or care at another facility? Ask to speak with a case manager to find out what your options are.

www.providence.org/saintjoseph 818-843-5111 :

For the Caregiver… continued

HOURS: Monday: closed Tuesday: 10:00 a.m. – 4:00 p.m. Wednesday: 10:00 a.m. – 2:30 p.m. Thursday: 10:00 a.m. – 2:30 p.m. Friday: 9:30 a.m. – 1:30 p.m.

Leeza’s Care Connection – Summon Your Strength Leeza’s Care Connection (LCC) is a community gathering place where family caregivers come together and develop a new set of skills that help them become stronger, more resilient and grounded with their new life of change and the demands of caregiving. In 2002, Leeza Gibbons, radio and TV personality, created Leeza Gibbons Memory Foundation to honor her mother and caregivers everywhere caring for loved ones with a memory disorder or any chronic and/or progressive illness. All LCC programs are free of charge and held at Providence Saint Joseph Medical Center unless otherwise stated. Services include: n Caregiver Resources

n One-on-One Family Meetings

n Preserving Family Memories – Scrapbooking n Support Groups

n Health & Wellness Programs n Information and Referral

Main Number:

www.leezascareconnection.org

818-847-3686

LCC is located inside the medical center, on the first floor of the South building, next to Clinical Social Work Office.

Giving Back Helping Us Help Others

Providence Saint Joseph Medical Center is a nonprofit Catholic organization providing a variety of charity services for the community. Uncompensated (charity) care is available for patients in need through the generous support of private donors. If you would like to donate, please contact the Providence Foundation at 818-847-4673 (HOPE). 32

: www.providence.org/saintjoseph 818-843-5111

Resources Staff Definitions

in diagnosing and treating your illness or Physicians injury. Your primary care physician or a hospitalist will supervise your care while Case Management 847-3606 you are in the hospital. Case managers and discharge planners will work with you and your family Nurses 847-4700 to discuss your individual discharge In each nursing unit, a registered nurse is needs. They are available also to assist with arrangements for in-home care, responsible for supervising patient care and directing the nursing and support admission to a long-term care facility staff of the unit. Registered nurses are or rehabilitation care. assisted by nursing assistants. The nursing staff is available around the clock. Clinical Social Work 847-4798 Clinical social workers offer emotional Dietitians 847-3471 support, counseling and guidance to help patients and their families deal with A registered dietitian will review your financial, social and emotional problems medical record and work with your healthcare team to develop a nutrition related to illness or hospitalization. care plan for you. Registered dietitians are also available to educate you about Bioethics Consultations 847-3351 any diets you may need to follow after Bioethics consultations with physicians, you are discharged. caregivers, families and patients help with difficult choices when there are questions Rehabilitation Therapists 847-4740 or disagreements about a patientâ&#x20AC;&#x2122;s Physical therapists, occupational care. Anyone may ask for a Bioethics therapists, speech pathologists and Consultation when there appears to be a audiologists will work with you, your conflict regarding the care of the patient. family and your medical team to help meet goals of recovery. Therapy may Pharmacists 847-3786 range from brief consultation to longWhile you are in the hospital, all of your term intervention, based on the extent of medications are dispensed by our hospital your injuries or illness. pharmacists. They can answer any questions you have regarding your medications. Technicians and Technologists Skilled health professionals perform Chaplain 847-4606 and assist with laboratory and The hospital has a team of chaplains other procedures, including X-rays, available to offer service to all our patients mammograms, ultrasound, CT scans, and their loved ones. Chaplains are MRIs, cardiac catheterization, radiation available to offer spiritual care, emotional therapy and other procedures that help support and patient advocacy as desired, www.providence.org/saintjoseph 818-843-5111 :

Resources whatever the religious affiliation or lack thereof. Please ask your nurse to request these services or call us directly.

Volunteers 847-3501 Volunteers give thousands of hours each year to our hospital to enhance the care of our patients and their families. They provide support throughout the hospital, including staffing the information desk, delivering mail and flowers, operating the gift shop and escorting patients. Diabetes Nurse Educators 847-3277 Diabetes management can be a lot to handle. There is so much to learn and a lot of lifestyle adjustments to consider. A diabetes educator will assess your particular needs and work with you to make sure you know what to do to stay healthy and reduce the risk of serious complications such as heart disease, blindness, kidney failure and nerve damage. Health & Fitness Center 818-953-4494 Exercise safely with guidance! Our Health & Fitness Center offers individualized exercise & nutrition programs, specialized medical-grade exercise equipment, professional staff and care coordinated with your physician. Hours: Monday – Friday: 5:30 a.m. – 12:30 p.m. Monday, Wednesday, Friday: 4:30 p.m. – 6:30 p.m. Program Membership: Monthly: $85 Quarterly: $225 Annually: $800 Initial Evaluation (Required): $50 34

Caregiver Resources

www.aoa.gov Caregiver resources from the Administration on Aging www.caregiving.com Online support groups and articles on caregiving Eldercare Locator 800-677-1116 www.eldercare.gov Help with locating aging services throughout the U.S. 800-MEDICARE www.medicare.gov—then search for caregivers Official U.S. government site for people with Medicare National Alliance for Caregiving www.caregiving.org Support for family caregivers and the professionals who serve them Caregiver Action Network 202-454-3970 www.caregiveraction.org Support for caregivers of chronically ill, aged or disabled loved ones California Department of Public Health (CDPH) 1-800-236-9747 www.CDPH.ca.gov/services Healthcare screening, testing, care certificates, complaints and advocate information

: www.providence.org/saintjoseph 818-843-5111

Smoking Cessation

The Risks of Smoking & Benefits of Quitting

Cigarette smoking is the most Benefit of Quitting: Risk gradually preventable cause of illness and death decreases, reaching normal after in the United States. Each year, more 10 years. than million children and adults start smoking cigarettes. People who smoke n Risk: Cancer of the Bladder die earlier than those who do not A smoker’s risk is seven to 10 times greater than a nonsmoker’s. smoke. Aside from the specific risks listed below, smokers are at higher risk Benefit of Quitting: Risk decreases gradually over seven years to that of for developing a wide variety of medical problems including but not limited a nonsmoker. to ulcers, cataracts, osteoporosis and n Risk: Cancer of the Pancreas premature wrinkling. The risk of dying from this cancer n Risk: Shortened Life Expectancy is two to five times higher for smokers An average smoker can expect to live than nonsmokers. 8.3 fewer years than a nonsmoker. Benefit of Quitting: Since risk Benefit of Quitting: After 10-15 appears related to dose, quitting years, an ex-smoker’s mortality rate should reduce the rick. approaches that of a person who has n Risk: Chronic Bronchitis never smoked. & Emphysema n Risk: Heart Disease Smokers face four to 25 times greater Smokers are twice as likely to have a risk of death from these diseases. Lung heart attack as nonsmokers and five damage occurs even in those who times more likely to die suddenly from are young. a heart attack. Benefit of Quitting: Within weeks Benefit of Quitting: Increased of quitting, a cough disappears. Lung risk decreases sharply one year after function may improve and the rate of quitting smoking. deterioration may slow down. Risk: Lung Cancer Cigarette smoking is responsible for nearly 85 percent of all lung cancers. Benefit of Quitting: After 10-15 years, an ex-smoker’s risk approaches that of one who has never smoked.

Risk: Larynx Cancer Smoking increases risk by up to 18 times that of a nonsmoker.

Information obtained from the American Cancer Society. Additional information available at: 1-800-227-2345 Telephone assistance is available at: 1-800-NO-BUTTS (1-800-662-8887)

www.providence.org/saintjoseph 818-843-5111 :

Television Directory 3 Hallmark Movies/Old TV Shows 6 Spiritual Care Chapel 8 KCBS CBS 10 KNBC NBC 12 KTLA WBN 15 KMEX Univision Spanish 16 KABC ABC 17 KCET PBS 18 KCAL Independent/(Lakers) 21 KVEA Telemundo Spanish 22 KTTV FOX 23 KWHY TMO Spanish 24 KCOP UPN 25 Fox Sports West Fox Sports 26 Fox Sports West 2 Fox Sports 27 Newborn-Spanish Educational 28 Newborn-English Educational 30 CNN News 31 TBS Atlanta Super Station 32 Inspirational Life Inspirational/Religious 33 TNT Variety/Sports/Movies 34 Discovery Kids Kids Entertainment 35 Freeform Family Entertainment 36 USA Network Dramas/Variety/Sports 37 Animal Planet About Animals 38 Discovery Life Variety Educational 39 Health Net Variety Educational 40 AMC Movies 41 FOX NEWS News 42 TLC Variety Educational 43 Bloomberg Financial News 44 Music Big Band 45 Music Classical 46 Music Soft Rock 47 Nature Sounds Relaxation 48 Armenian Public Television Armenian Programming 49 Patient Channel Patient Education from the Wellness Network 50 Channel Guide 51 ESPN Sports Network 52 ESPN 2 Sports Network 53 ESPN News Sports News 54 ESPN Classics Classic Sports 55 Lifetime Movies Contemporary Movies

You also may view a variety of educational programs at www.thepatientchannel.com; use password 02592. 36

: www.providence.org/saintjoseph 818-843-5111

GEORGE DORSEY 1868-1931

The more you use your brain, the more brain you will have to use.

Crossword

Source: www.satorimediaworks.com

ACROSS 1 Israelite tribe 4 Biblical giants 8 Universe (pref.) 12 Stitchbird 13 Synthetic rubber 14 Table scraps 15 Eg. god of pleasure 16 Tallow (2 words) 18 Madame Bovary 20 Commotion 21 Padded jacket under armor 25 Son of Zeus 29 Dish (2 words) 32 Ganda dialect 33 Agent (abbr.) 34 Indian sacred fig 36 "Blue Eagle" 37 Ravine 39 Immense 41 Swelling 43 State (Ger.) 44 Medieval shield 46 Before (Lat.) 49 Culm (2 words) 55 Fiddler crab genus 56 Snake (pref.) 57 Unfledged bird 58 Centers for Disease Control (abbr.) 59 Love (Lat.) 60 Tooth (Lat.) 61 Exclamation DOWN 1 Deride 2 Attention-getting sound 3 Raze 4 Amer. Bar. Assn. (abbr.) 5 Pigeon 6 Black cuckoo 7 Hindu god of love

8 Banner 9 Yellow ide 10 As written in music 11 Mountain standard time (abbr.) 17 Amer. Dental Assn. (abbr.) 19 Pointed (pref.) 22 End 23 Auricular 24 Rom. historian 26 Build 27 Irish sweetheart 28 Hall (Ger.) 29 Created 30 Old-fashioned oath 31 Beer ingredient 35 Afr. worm 38 Vomiting 40 Drain 42 Amer. Cancer Society (abbr.) 45 Habituated

47 Alternating current/direct current (abbr.) 48 Apiece 49 Tibetan gazelle 50 Revolutions per minute (abbr.) 51 Exclamation 52 Nautical chain 53 Belonging to (suf.) 54 Manuscripts (abbr.) ANSWER KEY

www.providence.org/saintjoseph 818-843-5111 :

DAVID NIVEN 1910-1983

Keep the circus going inside you, keep it going, don’t take anything too seriously, it’ll all work out in the end.

Word Search

P S C I R T A I D E P D N M E I N F E C T I O N I W X G E R K E K X T D T H S E E M O D A K E T R Y H Y U F R S S U I C N Z A L E E R V I J H R D C E F E Q R A G L A D E G L U I B H R A Z E N H N E G Y X O N T U P C O Y C T H X F B E D E N Y Z N D L H O I V E N B P F E J T N E O S B V C V C J A S M Z X E H P C O Z E E I J T A T M H J I L C T Y A R X R I F A W T T H V U L O L F Y W E E E B A T Y C N E G R E M E N T R L X W K B A N D A G E L T Y T BANDAGE

OXYGEN

How did you do?

BED

PATIENT

CARE

PEDIATRICS

Check your answers below.

DOCTOR

RECOVERY

EMERGENCY

SAFETY

FEVER

SNEEZE

HEART

SURGEON

HOSPITAL

THERAPY

INFECTION

TREATMENT

MEDICINE

WHEELCHAIR

NURSE

XRAY

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P S C I R T A I D E P D N M E I N F E C T I O N I W X G E R K E K X T D T H S E E M O D A K E T R Y H Y U F R S S U I C N Z A L E E R V I J H R D C E F E Q R A G L A D E G L U I X H R A Z E N H N E G Y X O N T U P C O Y C T H X F B E D E N Y Z N D L H O I V E N B P F E J T N E O S B V C V C J A S M Z X E H P C O Z E E I J T A T M H J I L C T Y A R X R I F A W T T H V U L O L F Y W E E E B A T Y C N E G R E M E N T R L X W K B A N D A G E L T Y T

ANSWER KEY

WOODY ALLEN 1935-PRESENT

It is impossible to travel faster than the speed of light, and certainly not desirable, as oneâ&#x20AC;&#x2122;s hat keeps blowing off.

Sudoku

Fill in the blank squares so that each row, each column and each 3-by-3 block contain all of the digits 1 through 9.

ANSWER KEY

How did you do? Check your answers here. Source: www.sudoku-puzzles.net

www.providence.org/saintjoseph 818-843-5111 :

IMMANUEL KANT 1724-1804

Science is organized knowledge. Wisdom is organized life. IMMANUEL KANT 1724-1804

My Medications Keep track of all medications you are prescribed while in the hospital. When you get home add all other medications—including over-the-counter, vitamins and herbs—to this list. Update your list as needed.

Medication:______________________________________________________________ (include brand and generic names)

Dose: Take _______ times per day at (circle all that apply): 12–1 a.m. / 2–3 a.m. / 4–5 a.m. / 6–7 a.m. 8–9 a.m. / 10–11 a.m. / 12–1 p.m. / 2–3 p.m. / 4–5 p.m. / 6–7 p.m. / 8–9 p.m. / 10–11 p.m. Reason for taking:__________________________________________________________ Prescribed by:______________________________ Date started:_____________________ Pharmacy name and number:____________________________ /_____________________ Medication:______________________________________________________________ (include brand and generic names)

: www.providence.org/saintjoseph 818-843-5111

KnoW

Your

Meds Make sure you understand: n

What your medicines treat

Why you need them How to take them

Questions about your meds? Talk to your doctor or nurse.

THE ROY AND PATRICIA DISNEY FAMILY CANCER CENTER THE ROY AND PATRICIA DISNEY FAMILY CANCER CENTER THE ROY AND PATRICIA DISNEY FAMILY CANCER CENTER ANDDISNEY PATRICIA DISNEY FAMILY CANCER CENTER THE ROYTHE ANDROY PATRICIA FAMILY CANCER CENTER THE ROY AND PATRICIA DISNEY FAMILY CANCER CENTER Providence

The Roy and Patricia Disney Family Cancer Center DISCHARGE PRESCRIPTION SERVICE at Providence Saint Joseph Medical Center at Providence Saint Joseph Medical Center

Providence with FREE In-Room Delivery Providence Providence Providence Providence Please Please call call (818) (818) 333-6083 333-6083 from from your your room. room.

at Providence Saint Joseph Medical Center

PHARMACY PHARMACY PHARMACY PHARMACY DISCHARGE PRESCRIPTION SERVICE PHARMACY PHARMACY DISCHARGE PRESCRIPTION SERVICE

with FREE In-Room DeliverySERVICE DISCHARGE PRESCRIPTION with FREE In-Room DeliverySERVICE DISCHARGE PRESCRIPTION DISCHARGE PRESCRIPTION SERVICE with In-Room Delivery PleaseFREE call (818) 333-6083 from your room. DISCHARGE PRESCRIPTION SERVICE FREE In-Room Our Personnel will pick up your Please Please call (818) 333-6083 from your prescriptions. room. Our Pharmacy Pharmacywith Personnel will pick Delivery up your prescriptions. Please have have the the following following with FREE In-Room Delivery at Providence Saint Joseph Medical Center

at Providence Saint Joseph Medical Center

Please call (818) 333-6083 your room.Delivery with FREEfrom In-Room Please call (818) 333-6083 from your room. •• Your benefit card Your prescription prescription benefit card Please call (818) 333-6083 from your room. Our Pharmacy Personnel will pick Please up for your call prescriptions. Please have the following information available: (818) 333-6083 from your room. Method of co-pays (major credit cards accepted) Our• Personnel will pick up your Please have the following information available: •Pharmacy Method of payment payment for prescriptions. co-pays (major credit cards accepted)

Your prescription benefit card Our••Pharmacy Personnelbenefit will pick up your prescriptions. Please have the following information available: Your prescription card Our•Pharmacy Personnel will pick up your prescriptions. Please have the following information available: Method of payment for co-pays (major credit cards accepted) •• Your prescription benefit card Our Personnel pick upbe your prescriptions. Please have following Method of Pharmacy paymentmedications for co-payswill (major credit cards accepted)directly Once will delivered to your room prior your Once processed, medications will be delivered directly to the your roominformation prior to to availab your • Yourprocessed, prescription benefit card • Method of•Pharmacy payment for co-pays (major credit cards accepted) Your prescription benefit card Our Personnel will pick up your prescriptions. Please have the following informat Once processed, medications will be delivered directly to your room prior to your leaving the hospital. • Method of payment for co-pays (major credit cards accepted) Once processed, medications will be delivered directly to your room prior to your leaving the hospital. Method of payment for co-pays (major credit cards accepted) ••Your prescription Once processed, medications will bebenefit deliveredcard directly to your room prior to your leaving the hospital. Once processed, medications will be delivered directly to your room prior to your leaving the hospital. • Method of payment for co-pays (major credittocards accepted) Once processed, medications will be delivered directly your room prior to your leaving the hospit

181 S. Buena Vista St. | Burbank, CA 91505 CA 91505 181 Buena St. || Burbank, 181 Buena Vista Vista St. | Burbank, CA 91505 181S.S. S. Buena Vista St.medications Burbank, CA 91505 Once processed, Hours: 9 a.m. - 5:30 p.m., Monday - Friday will be delivered directly to your room prior to your leaving 181 S. Buena Vista | Burbank, CA 91505 Hours: 9 a.m. - 5:30St. p.m., Monday - Monday Friday Hours: 9 a.m. 5:30 p.m., -- Friday Hours: 9 a.m. - 5:30 p.m.,CAMonday Friday (818) | www.providence.org/saintjoseph 181 S. 748-4950 Buena Vista St. | Burbank, 91505 at Providence Saint Joseph Medical Center Hours: 9 a.m. - 5:30 p.m., Monday - Friday (818) 748-4950 | www.providence.org/saintjoseph at Providence Saint Joseph Medical Center 181 S. Buena Vista St. | Burbank, CA 91505 Hours: 9 a.m. 5:30 p.m., Monday Friday (818) 748-4950 | www.providence.org/saintjoseph (818) 748-4950 | www.providence.org/saintjosephat Providence Saint Joseph Medical Center at (818) 748-4950 | www.providence.org/saintjoseph at Pr Pr Hours: 9 a.m. - 5:30 p.m., Monday - Friday (818) 748-4950 | www.providence.org/saintjoseph at Providence Saint Joseph Medical Center (818) 748-4950 | www.providence.org/saintjoseph 181 S. Buena Vista St. | Burbank, CA 91505 at Providence Saint Joseph Medical Cente

(818) 748-4950 | www.providence.org/saintjoseph

BURBANK

Distinctive Residential Settings | Chef-Prepared Dining and Bistro Premier Health and Wellness Programs | Award-Winning Assisted Living & Memory Care Professionally Supervised Therapy and Rehabilitation Services Six Los Angeles area locations. Winner of the George Mason University Healthcare Award for the © Circle of Friends memory program for Mild Cognitive Impairment.

The Community Built for Life.®

ProvidenceSt.Joseph_1_2016_social.indd 1

1/20/16 3:09 PM

Say Thank You

ank those who touched your life, or the lives of your loved ones, with kindness in a time of need. When a donation is made to our Foundation in the name of a special physician, staﬀ person, or employee, that person is recognized as a

Guardian Angel

and receives an Angel pin in honor of his or her extraordinary eﬀorts with an acknowledgment of your thanks and appreciation. To Donate call the Foundation at 818 847-4673

or www.ProvidencePowerOfGiving.org

C R E AT I N G

HEALTHIER COMMUNITIES

TOGETHER

For over 70 years, Providence Saint Joseph Medical Center has served its Mission of providing compassionate, high-quality health care services to our community. Our board-certified physicians, valued specialty services and essential community outreach programs continue this tradition of care. Our excellence is backed by five-star rankings from HealthgradesÂŽ, the nationâ&#x20AC;&#x2122;s leading hospital ratings company, for programs that range from stroke care, heart failure treatment and bariatric surgery, to maternity care and knee replacement surgery. For a FREE referral to one of our medical staff physicians, please call 1-888-HEALING (432-5464).

2014-2016

1-888-HEALING (432-5464) | www.providence.org/saintjoseph