www.physiciansforhealthyhospitals.com
Hospital ory Phone Direct e Insid
Remember To Speak Up! Stay Safe While In The Hospital Ease The Transition From Hospital To Home
Patient Guide
Pediatric Partners Established in 2000, Pediatric Partners MPC is a team of board-certified pediatricians who provide quality healthcare to our community’s children. We offer 8 “kid-friendly” and convenient offices throughout southwest Riverside and northern San Diego counties. Our Doctors and Providers A. Abjelina, MD C. Busto, MD C. Camacho, MD S. Cason, MD E. Chen, MD A. DelRe, MD D. Hines, MD S. Johnson, MD J. Keith, MD R. Lee, MD P. McChesney, MD G. Minka, MD T. Mohr, MD B. Ortiz, MD J. Paik, MD V. Reinherz, MD T. Reynoso, MD C. Taft, MD B. Winter, MD J. Carrasco, C.P.N.P. C. Sousa, C.P.N.P. B. Gordon, P.A.-C T. Crafts, P.A.-C
Serving the Healthcare Needs of Our Community’s Children
Locations to Serve You Corona (951) 278-8278
Hemet – Appointment Only (951) 765-7002
Wildomar (951) 200-2220
Redhawk (951) 587-0992
Menifee (951) 301-5380
Temecula
Hemet – Main (951) 765-1777
Fallbrook
(951) 587-8116 (760) 451-0070
Pediatric Partners welcomes new patients and accepts most major medical Insurance Plans - Anthem Blue Cross/Blue Shield, Tri Care, United Healthcare and more. Se Habla Español
www.pediatricpartners.net
UNKNOWN
Other people may be there to help us, teach us, guide us along our path, but the lesson to be learned is always ours.
In This Guide Welcome to Hemet Valley and Menifee Valley Medical Center(s) 2 About Us 3-4 Patient Portal 5 Telephone Directory 6 Television Channel Listing 7 Your Satisfaction 8 During Your Stay 9-12 Speak Up 13 Stay Safe 14-19 Do You Have Pain? 20-21 Don’t Leave Until... 22-23 After-Hospital Care 24-25 For the Caregiver 26 Be Prepared 27-28 Make the Most of Your Doctor’s Visit 29-30 Watch What You Eat 31-33 Community Resources 34 Games 35 My Medications 36 *
13 Speak Up Take charge of your care.
14 Stay Safe You can contribute to healthcare safety. Hemet Valley
1117 E. Devonshire Ave. Hemet, CA 92543 951-652-2811
Menifee Valley
* PHH is a locally physician-owned hospital and healthcare system. A list of owners is available on our website.
28400 McCall Blvd. Menifee, CA 92585 951-679-8888
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 ®
Hemet Valley 951-652-2811 :
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Welcome to Hemet Valley and Menifee Valley Medical Centers Mission Commitment for Healthier Communities
Vision Provide Accountable and Compassionate Care
Values Accessibility Compassion Positive Attitudes Professionalism Respect Teamwork Trustworthiness Measurable Quality
On behalf of our Board of Directors, Medical Staff, Hospital Administration, Staff and Volunteers, welcome to our medical center. Our goal is to provide you with quality, courteous service for your healthcare needs. If, at any time, you have any questions or needs with respect to your care, please do not hesitate to ask a member of our staff for assistance. In this patient guide, you will find information on the various hospital departments and available services. Please take a few minutes to review this guide and familiarize yourself with our services and staff. You may also find the information useful after your discharge from the hospital. Please let us know if you have any comments about your care. Our entire staff is dedicated to making the experience of all patients, family members and guests at our medical center a positive one. If, during the course of your stay, any aspect of your care does not meet your expectations, please do not hesitate to let us know so that we may address your concern. Thank you for giving us the opportunity to serve you. We look forward to serving your healthcare needs now and in the future. Wishing you good health,
Kali P. Chaudhuri, MD Chairman and CEO
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About Us - Hemet Valley Medical Center OUR ADDRESS 1117 E. Devonshire Ave. Hemet, CA 92543 951-652-2811
n 24-hr Emergency Department
n Cardiovascular Services including Cardiac
Catheterization, Electrophysiology
n Surgical Services including Orthopedic, Gynecological,
Urological, Vascular, General Surgery and ENT
n Critical and Intensive Care
n Diagnostic Imaging including U.S., CT, MRI, X-ray
and I.R.
n Laboratory Services
n Maternity & Nursery
n Oncology & Radiation Therapy n Physical Therapy
n Speech & Occupational Therapy n Endoscopy
n Addiction Recovery Services
Hemet Valley 951-652-2811 :
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About Us - Menifee Valley Medical Center OUR ADDRESS 28400 McCall Blvd. Menifee, CA 92585 951-679-8888
n 24-hr Emergency Department n Cardiovascular Services
n Surgical Services including Orthopedic, Gynecological,
Urological, Vascular, Eye, Retinal, Bariatrics and General Surgery n Intensive and Telemetry Care n Diagnostic Imaging including CT, Ultrasound, Nuclear Medicine and X-ray n Laboratory Services n Physical Therapy n Speech & Occupational Therapy n Endoscopy
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Patient Portal Access Your Medical Record Online Today!
We at Hemet Valley and Menifee Valley Medical Centers believe that every patient should have easy, instant access to his or her health information at any time. We are pleased to present this opportunity through the use of a secure Internet portal. Using this portal, you will be able to access your health information online. All you need to activate this service is a valid email address. You will then be able to access information from your visit, allergies, procedures, lab and radiology results, vitals, and more—all in one place!
To Gain Access to the Portal
While a patient in the hospital … Please contact the Patient Access Department at extension 6108 and request assistance in signing up for the Patient Portal; staff also can assist with creating an email address.
Signing up from home…
Step 1 Go to www.relayhealth.com; click on “Register” (top right corner of screen). Step 2 Click on “Patient” to register. Step 3 Once registration is completed, in order to have your health information available from your stay, you must click on “Providers” to make a connection to the facility you had care at. Step 4 To make this connection, click on “Add Provider or Facility.” Step 5 Search for and select the facility you had care at: Hemet Valley Medical Center or Menifee Valley Medical Center. Now the facility should show as one of your providers, and you will be able to access those records. Welcome To the Portal!
Should you have any difficulty registering for this service, please contact RelayHealth Customer Support by phone at 1-866-RELAYME (1-866-735-2963) or by email at support@ RelayHealth.com.
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Telephone Directory Hemet Valley 951-652-2811
Information Desk 6116
Pharmacy 6100
Menifee Valley 951-679-8888
Information Desk 7325
Pharmacy 7454
Calling a Department WITHIN the Hospital? Dial the last four digits of the number.
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Hemet Valley Medical Center
951-652-2811
Menifee Valley Medical Center
951-679-8888
Extension Admitting 6111 Case Management 5146 Chaplain 5145 Dietitian 6133 Emergency Department 5190 Gift Shop 6114 Human Resources 5800 Information Desk 6116 Laboratory 5046 Medical Records 5116 Nursing Administration 5530 Pathology 5063 Patient Advocate 5233 Patient Financial Services 5900 Pharmacy 6100 Quality Services 5119 Radiology 5008 Security – Emergency Calls 300 Security – Non-emergency calls 5102 Extension Admitting 7008 Case Management 7545 Chaplain 7353 Dietitian 7415 Emergency Department 7373 Gift Shop 7270 Human Resources 7261 Information Desk 7325 Laboratory 7293 Medical Records 7499 Patient Financial Services 7672 Pharmacy 7454 Quality Services 7265 Radiology 7569 Security – Emergency Calls 300 Security – Non-emergency calls 7377
: 951-679-8888 Menifee Valley
Television Channel Listing Hemet Valley 2 KCBS 4 KNBC 5 KTLA 7 KABC 9 KCAL 11 FOX 11 13 CNN 14 ESPN 16 USA
22 TNT 23 TBS 24 BLOOMBERG 26 DISCOVERY 28 TLC 30 ABC FAMILY 32 AMC 34 GALAVISION (ESPANOL) 36 UNIVISION (ESPANOL)
Menifee Valley 2 CBS 3 C-SPAN 4 NBC 5 KTLA 6 PBS 7 ABC 8 USA 9 KCAL 10 TNT 11 FOX 12 AMC 13 MYTV13
14 15 16 17 18 19 20 21 22 23 24 25
KWHY KMEX HN CNN ESPN DISCOVERY DISNEY GOLF TLC HISTORY TCM TOON
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ALBERT EINSTEIN 1879-1955
Truth is what stands the test of experience.
Your Satisfaction We encourage your feedback to improve care. Your healthcare is our priority. To determine where
improvements are needed, this hospital takes part in the Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) survey. The HCAHPS survey measures your satisfaction with the quality of your care. It is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S. After you are released from the hospital, you may be selected to participate in the HCAHPS survey. The survey asks multiple choice questions about your hospital stay. Please take the time to fill out the HCAHPS survey; your feedback is valuable!
What is HCAHPS?
The HCAHPS survey is backed by the U.S. Department of Health and Human Services. The survey is used to improve the quality of healthcare. HCAHPS makes survey results public so hospitals are aware of where changes are needed. The results also enable healthcare consumers to review and compare hospitals before choosing a healthcare provider.
You are part of the team COMMUNICATE It’s your health; don’t be afraid to ask your doctors and nurses questions. PARTICIPATE You are the center of your healthcare team so ask questions, understand your treatment plan and medications, and communicate with your doctors and nurses. APPRECIATE There are hundreds of people in the hospital who need help; please be patient as doctors and nurses attend to everyone.
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If you are unhappy with your care, we encourage you to forward your concerns to us by writing the Quality Services Department, 1117 E. Devonshire Avenue, Hemet, CA 92543, or by calling 951652-2811 ext. 5119. Every attempt will be made to provide you with a written response within thirty (30) days. The written response will contain the name of a person to contact at the hospital, the steps taken to investigate the grievance, the results of the grievance process, and the date of completion of the grievance process. Concerns regarding quality of care or premature discharge will also be referred to the appropriate Utilization and Quality Control Peer Review Organization. Regardless of whether a complaint is filed using the hospital’s grievance process, you have the right to file a complaint with the State Department of Health Services at 625 E. Carnegie Drive, San Bernardino, CA 92408, telephone number 909-3887170, and/or The Joint Commission at 1-800-994-6610 or by emailing complaints to jcaho.org.
During Your Stay Visiting Hours Hemet Valley
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.
General
Flu Season
Visitors must be age 14 or older. Visitors to the ICU must be 18 or older.
Children under the age of 14 (18 for OB and ICU) are not permitted to visit. OB sibling visits are suspended during flu season.
Public Restrooms
Please do not use the bathrooms in patient rooms. They are reserved only for patients in order to protect their health. Public restrooms are located throughout the hospital. For everyone’s health and safety, visitors should not use patient bathrooms.
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.
Interpreters
An interpreter is available via telephone through language line services. To activate this service, please contact a hospital staff member for assistance.
Fire Safety
We periodically conduct fire drills. If you hear an alarm, please stay where you are. In the event of an actual emergency, hospital staff will notify you.
11:00a.m. – 8:00p.m.
Maternity
8:00a.m. – 11:00a.m. family bonding (fathers, grandparents, siblings) 11:00a.m. – 8:00p.m. Critical Care Unit
Anytime except for patient care hours of 6:00a.m. – 8:30a.m. 6:00p.m. – 8:30p.m. Immediate family only, no more than 2 visitors at one time. No one under 18 permitted. Day Surgery
Immediate family only 5:30a.m. – 6:30p.m.
Menifee Valley General
8:00a.m. – 8:00p.m. Critical Care Unit
Anytime except for patient care hours of 7:00a.m. – 8:30a.m. 7:00p.m. – 8:30p.m. Immediate family only, no more than 2 visitors at one time. No one under 18 permitted. Day Surgery
Immediate family only 5:30a.m. – 6:30a.m. Hemet Valley 951-652-2811 :
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During Your Stay Smoking Smoking and/or the use of any tobacco products is not permitted anywhere in the hospital. Please ask your physician if a nicotine patch or other medication might be appropriate to help you during your hospital stay. For cessation call 800-NO-BUTTS.
Electrical Appliances
Leave Your Valuables At Home If you have valuables, such as jewelry and cash, please give them to a relative or friend to take care of during your stay. Contact lenses, eyeglasses, hearing aids, and dentures should be stored in your bedside stand when not in use. Please don’t put them on your bed or food tray—they may be damaged or lost. Hemet and Menifee Valley Medical Center cannot be responsible for replacement of personal belongings.
Electrical appliances including hair dryers, curling irons, radios, heating pads, portable heaters, fans, VCRs, computers, and other devices are not permitted in patient rooms. Any electrical appliances that are permitted must be brought to the attention of the nursing staff so the plug-in cords can be checked by engineering.
Cell Phones Cell phone usage is permitted, however if a charger is to be used, please contact your nursing staff so the cord can be checked by the engineering department.
TV Televisions are provided in each patient room. Please be considerate of others by keeping the TV volume down and turning off your TV at bedtime, which is 10:00p.m. Channel listings are located on page 7.
Quiet Time Quiet Time is in observed on all nursing floors between the hours of 8:00p.m. – 8:00a.m.
Mail and Flowers Mail and packages will be delivered to you by a hospital volunteer. Individual florists deliver flowers to patient rooms. Please note that flowers are prohibited in intensive care units. Any mail received after your discharge will be forwarded to your home address. Outgoing mail may be taken to the nursing station or given to your attending nurse. Postage stamps are available in the gift shop
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Cafeteria
ATM For your convenience, an automated teller machine (ATM) is located inside the cafeteria at Hemet Valley Medical Center and inside the front lobby at Menifee Valley Medical Center.
Visitors are welcome to dine in the cafeteria. Cafeteria hours are:
Vending Machines Vending machines offering beverages and snacks are located inside of the cafeteria at Hemet Valley Medical Center. The vending machines at Menifee Valley Medical Center are located directly outside the cafeteria, in the special waiting room located on the first floor, and outside the Emergency Room in the Atrium. They are available 24 hours a day, seven days a week. At Menifee Valley Medical Center there are soda vending machines on every floor.
Gift Shop The gift shop is located in the front lobby. The proceeds from the gift shop are donated back to the hospital through the Volunteer Auxiliary to assist the needs of our patients. Cash, check and credit cards accepted.
Hemet Valley Medical Center Monday – Friday: 9:00a.m. – 4:00p.m. Saturday – 2nd and 4th Saturday of the month 12:00p.m. – 4:00p.m.
Hemet Valley Medical Center Monday – Friday Breakfast 7:00a.m. – 10:00a.m. Lunch & Dinner 11:00a.m. – 6:00p.m. Saturday – Sunday Breakfast 8:00a.m. – 10:00a.m. Lunch 11:00a.m. – 1:00p.m.
Menifee Valley Medical Center Monday – Friday Breakfast 7:30a.m. – 9:30a.m. Lunch 11:00a.m. – 1:30p.m. Saturday – Sunday Breakfast 7:00a.m. – 8:30a.m. Lunch 11:00a.m. – 12:30p.m.
Menifee Valley Medical Center Monday – Friday: 8:00a.m. – 4:00p.m. Saturday – Sunday: 11:00a.m. – 3:00p.m.
Hemet Valley Patient Meal Service Information The ordering process: Upon admittance, your physician will order a special diet plan for you. Each morning, on your breakfast tray, you will find a menu for you to complete for that day’s lunch, dinner and the next day’s breakfast.
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During Your Stay Pastoral Care The hospital Chaplain is available to all patients and their families. Please contact your nurse to request these services.
Please complete your selections during your breakfast. An Ambassador will pick up your completed menu when they return to remove your breakfast tray. If you require assistance, please alert your Ambassador. Meals are delivered within the hours of: Breakfast 7:15a.m. – 9:00a.m. Lunch Noon – 2:00p.m. Dinner 5:00p.m. – 7:00p.m. Please note: During your stay, your physician may change your diet, based on your medical needs. If you have special requests or needs, please contact our Diet Office at Ext. 6136. We are happy to assist! Thank you!
Menifee Valley Medical Center Meal Service Information
The ordering process: Upon admittance your physician will order a special diet plan for you. Once your diet order is received by the Dietary department, your meal preferences and selections will be taken by one of our Patient Ambassadors for the next meal. Our Patient Ambassadors will deliver your meals to you at the following times: Breakfast 7:15a.m. – 9:00a.m. Lunch 12:15p.m. – 2:00p.m. Dinner 5:15p.m. – 7:00p.m. Please note: During your stay your physician may change your diet based on your medical needs. If you have any special requests, feel free to let your Patient Ambassador know. We can be reached at Ext. 7443. Thank you!
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FRANCIS BACON
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.
n
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
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
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.
Courtesy of The Joint Commission.
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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 don’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. 14
: 951-679-8888 Menifee Valley
PATIENT IDENTIFICATION Any time staff enters 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 your doctors and nurses—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. Hemet Valley 951-652-2811 :
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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 36 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.
STAY SAFE
Adult Vaccines Vaccines work with your immune system to help protect you from infections and disease. As you age, you’re more at risk of certain health conditions because your immune system isn’t as strong as it used to be. And if you do get sick, the symptoms can be more serious than when you were younger. Three types of vaccines are especially important for older adults, including:
Influenza Vaccine—The flu vaccine
is recommended for all ages every year, and there is a higher-dose vaccine for adults over age 65. You need the vaccine every year because the flu virus changes over time.
Zoster or Herpes Zoster Vaccine—This vaccine protects against shingles. It’s one dose and is recommended for all adults age 60 and up. Shingles causes rash, blisters and severe pain. Pneumococcal Vaccines—
Recommendations recently changed for pneumonia vaccines. Even if you already
received one vaccine, you may still need another. Talk to your doctor about the vaccination schedule that’s right for you. Pneumococcal conjugate or PCV13: You need one dose of this vaccine if you are age 65 or older and didn’t receive it at a younger age. It’s best to get this one before the PPSV23 vaccine (see below). Wait at least 12 months if you receive the PPSV23 first. Pneumococcal polysaccharide or PPSV23: If you are age 65 or older, you need one dose of this vaccine, ideally 6 to 12 months after receiving the PCV13 vaccine (see above).
Your doctor is your best source for information about vaccines. Which vaccines are right for you depend on your age, other health conditions you have (including pregnancy) and where you travel.
Talk to your doctor about other vaccines you may need, including a booster for Td (tetanus diphtheria).
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STAY SAFE
Preventing Falls Hospital patients often fall because they are weak or unsteady due to illness or medical procedures, their medications make them dizzy, or they’ve been sitting or lying down for too long. Hemet Valley and Menifee Valley Hospitals care about our patients’ safety. Please help us keep you safe by following these guidelines during your hospital stay: n Do not get out of bed by yourself. Your hospital bed is probably higher and narrower than your bed at home and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for assistance. n Keep often-used items—call button, tissues, water, eyeglasses, telephone, TV remote—within easy reach. n Do not walk in bare feet. Wear non-skid socks or slippers. n Make sure your robe or pajamas don’t drag on the floor; they can cause you to trip. n Use the handrails in your bathroom and throughout the hospital at all times. n Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment. n Be sure your wheelchair is locked when getting in or out of it. Never step on the footrest. n If you see a spill on the floor, report it at once.
DVT: Lower Your Risk Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in your brain, heart or lungs, causing damage or even death. When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases. Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your stay. And be sure to tell your doctor or nurse if you have any of the following warning signs: A leg cramp or charley horse that gets worse Swelling and discoloration in your leg, upper arm or neck Unexplained shortness of breath Chest discomfort that gets worse when you breathe deeply or cough Light-headedness or blacking out
PATIENTS OF ALL AGES ARE AT RISK OF FALLS BECAUSE OF MEDICATIONS THAT MAY MAKE THEM DIZZY, WEAK OR UNSTEADY. 18
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Smile. We’re bringing modern dentistry to Hemet. We provide thoughtful, modern dental care. Call for an appointment today. Emergency appointments available.
951 658-9980
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HEMET
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4000 W Florida Ave Hemet, CA 92545
DENTAL GRO UP AND O RT H O D O NT I C S
reservations
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951-672-8384
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951-654-5592
Proudly Serving the Community Since 1974
The Most Advanced Radiology Imaging Services in the Hemet and San Jacinto Valley!
Hemet Valley Imaging “Excellence in Imaging Since 1972” • 64-slice CT/CTA – Including the heart and all vascular areas • Ultrasound • Stereotactic and US guided biopsies
• Digital mammography • Digital X-ray • Bone density (DEXA) • MRI – High field • Same-day scheduling for most exams
Most Insurances Accepted! Discounts Available for Non-Insurance Procedures
Ask your physician to refer you to HVI!
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PATIENT FOCUSED • CAREGIVER INSPIRED • CUSTOMER FOCUSED
Office: (951) 765-3900
Dispatch: (877) 267-6622
• Basic Life Support Ambulance Care and Transportation • Paramedic 911 Emergency Ambulance Care and Transportation
877-267-6622
• Nurse Critical Care Ambulance Care and Transportation
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PATIENT FOCUSED • CAREGIVER INSPIRED • CUSTOMER FOCUSED
Office: (951) 765-3900
Dispatch: (877) 267-6622
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Who says you can’t have it all?
• 24-hour skilled nursing -Remodeled private and semi-private • Inpatient and outpatient suites with in-room bathroom -Phones by each patient rehabilitation -Remodeled private andbed semi-private
-Beautiful views from each room suites with in-room bathroom -32” Flat panel televisions in each room -Phones by each patient bed -Free Wi-Fi -Beautiful views from each room -Access to Kindle Fire HD for web surfing
• Physical, occupational and speech therapy
-32” Flat panel televisions in to each room -Short-term rehabilitation close home
• Private-Free rooms Wi-Fi
Joint Commission accr edited
www.lcca.com/menifee -Access to Kindle Fire HD for web surfing
• Rehab-Short-term suites rehabilitation close toLCCA.com/menife e home
951-679-6858
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• Wound management www.lcca.com/menifee
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Questions for My Doctor Be Informed
You and your caregiver need to stay informed about your medical condition and treatments while you are hospitalized. Once you are released from the hospital, it is important to have this information available so you can share it with your primary care physician during your next visit. These checklists will help you ask questions while in the hospital and keep track of vital health and medication information.
About My Medicines
See “My Medications� on page 36. Once you are discharged from the hospital, your pharmacist can help answer your questions about medications, including what the label on the medicine bottle means. Ask your pharmacist to put your medicines in easy-to-open containers, and ask for large-print labels.
About My Medical Tests
4 Why do I need this test? 4 What will this test show about my health? 4 What will the test cost? Will my health insurance cover the costs? 4 What do I need to do to get ready for the test? 4 How is the test done? What steps does the test involve? 4 Are there any dangers or side effects? 4 How will I find out the results of my test? How long will it take to get the results? 4 What will we know after the test? 4 Will I get a written copy of the test results?
About My Condition
4 What effect did my hospitalization have on my condition? Is it cured or just under control for now? 4 How can my condition be treated or managed, or made better? 4 How will this condition affect me? Will I need to change some of my activities? 4 Are there long-term effects of my condition? 4 How can I learn more about my condition?
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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 feels—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.
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Medications for Pain Pain medication may be given in different forms: n Tablet or liquid
n Injections into your skin or a muscle (IM) n Injections into a vein (IV)
n Through a small tube in your back (an epidural) n Via Patient-Controlled Analgesia (PCA): a
method of giving medicine into the vein with a pump that you control so you receive medicine when you need it
What You Can Do
If your current pain treatment is not working, talk with your caregiver about finding other methods that will help reduce or relieve your pain. Some things you can do: n Hold the incision or painful area with a blanket or pillow when coughing or moving n Walk if your doctor allows n Take your mind off the pain by watching a movie, reading, or playing a game
Are you afraid that you’ll become addicted to pain medicine? This is a common concern of patients. Studies show that addiction is unlikely, especially if you have never had a history of addiction to drugs or alcohol. Talk to your doctor or nurse about your fears.
In addition, there are other non-medicinal ways to relieve pain. Speak with your doctor about whether any of these treatments may be right for you: n Acupuncture, which uses small needles n Hypnosis n Physical therapy to block pain n Electrical nerve stimulation, which uses n Massage n Heat or cold small jolts of electricity to block pain n Exercise n Relaxation
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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 walk out that hospital door.
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, 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 22
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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 him or her 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.
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. Having a list prepared by the hospital is a good way to double-check the information you should already have been keeping track of. 3. Rx. A prescription for any medications you need. Be sure to fill your prescriptions promptly, so you don’t run out of needed medications.
Be sure to ask what foods to stay away from while on your medications.
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 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.
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MOTHER TERESA
Love begins by taking care of the closest ones –the ones at home.
After-Hospital Care Know what your healthcare options are after you leave the hospital. When you leave the hospital, you may need to spend some time in a rehabilitation facility, nursing home, or other institution. Or you may be able to stay home and receive healthcare services there. Be sure that you and your caregiver understand the plan for your care before you are discharged from the hospital. Here’s a brief explanation of the various services that you may use during your recovery. 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 non-skilled services, including part-time nursing care, therapy, and assistance with daily activities and homemaker services, such as cleaning 24
Be sure that you and your caregiver understand your care plan before you are discharged from the hospital. 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.
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After-hospital care that is tailored to your needs can speed your recovery and help you get back to your normal routine. 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. Assistedliving facilities provide assistance with medications, meals in a cafeteria or restaurant-like setting, and housekeeping services. Nursing staff is onsite. 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 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. 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. Hemet Valley 951-652-2811 :
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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.
advance directives Know whether or not your loved one has an advance directive and if so, what it specifies.
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.
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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 13).
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 36.
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.
FRAN DRESCHER 1957-
Surgery is half the race, but you have to go for the follow-up or do yourself a major disservice.
Be Prepared
How you can make your surgical procedure and follow-up care as safe as possible. Mistakes can happen during surgery.
As an active member of your healthcare team, you can make your surgical procedure and follow-up care as safe as possible. Here’s what you need to know.
Before Your Surgery
nA rrange for transportation to and
from the hospital or surgical center.
nA sk a relative or friend to go to the
hospital or surgical center with you, to stay during your procedure, and accompany you home afterward.
nB ring a list of any questions you have
about your surgery to your pre-surgical doctor’s visit. Also bring a list of all the prescription, over-the-counter, and herbal medications that you are currently taking or that you took until very recently. Review the list with your surgeon and ask if there are any you should stop taking prior to your procedure. nB e sure your surgeon knows about any allergies you have to medications and foods. nA sk your surgeon whether you can eat or drink before your procedure, and if so, what kinds of food or drink, and within how many hours of your surgery. nA sk your surgeon whether you should remove nail polish or temporary dental appliances (such as a bridge), if you can wear deodorant or body lotion, and if there are other preparations you need to make prior to surgery. nF ind out if you will need therapy after your surgery, who will arrange for it, and whether you can have therapy at home.
It’s hard to remember everything yourself. When you meet with your doctor, bring your questions and a friend. Your friend can help listen, take notes and ask questions, too!
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A Team Effort
Here’s how to work with your surgical team to get the best outcome: n Know the preparations you must make before your surgery. n Get to the hospital or surgical center early on the day of your surgery. n Review paperwork carefully before signing. n Make sure the proper part of your body is marked for surgery. n Get your post-surgical care instructions in writing before you leave.
On the Day of Your Surgery
nS hower or bathe and wash your hair.
Don’t wear makeup or perfume. Be sure to follow any other pre-surgery instructions you were given. nL eave your jewelry, money, credit cards, and other valuables at home. nA llow yourself plenty of time for travel. nO nce you arrive at the hospital or surgical center, you will be given an Informed Consent form to sign. Read it carefully. Make sure everything on the form is correct. If you don’t understand something, ask questions before you sign the form.
Before Your Procedure Begins n Staff at the hospital or surgical
center should ask you the following questions more than once before your surgery: Your name What kind of surgery you’re having The part of your body that is being operated on nA healthcare professional will mark
the spot on your body that is going to be operated on. Make sure he or she marks only the correct part. If he or she makes a mistake and has to make a new mark, be sure the old mark is completely cleaned off. 28
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n I f you won’t be awake for the
marking, be sure your relative or friend watches the marking. nA sk your surgeon if the team will take a “time-out” just before your procedure. This is done to make sure the team is doing the right surgery on the right body part of the right person.
After Your Surgery
nS peak up about any pain you are
having and ask for relief. Be specific about the intensity and location. n I f you are given medications right after surgery, ask what they are and what they are for. Ask about side effects. If you are given a prescription for medications you must take while recovering, be sure you understand the instructions for the dosage, how frequently you need to take the medications, and for how long. n I f you are given IV (intravenous) fluids right after surgery, ask what they are and what they are for. Be sure someone monitors the fluid level. nA sk your surgeon if your activities need to be limited, and if so, for how long. Ask when you will be able to resume work, exercise, and travel. nB e sure to get instructions for post-surgical care in writing before you leave.
BUDDHA
Health is the greatest gift…
Make the Most of Your
Doctor’s Visit Simple Steps to Get What You Need.
Communicating with your doctor is key. Don’t be afraid to speak up, ask questions, and share information so you receive the best possible care. Do you ever leave the doctor’s office
feeling like you didn’t have the time to get your questions answered or your concerns voiced? While the typical doctor’s visit lasts just 15 minutes, there are steps you can take to make the most of the time you do have.
1. Be prepared.
Start at home by making a list of your concerns and questions. Bring this to your doctor’s visit, along with a current list of all medications you are taking, including vitamins, herbs, and over-the-counter medicines. If you are seeing this doctor for the first time, bring a copy of your health history. If you’ve recently had a hospital stay, bring along copies of your hospital records, including a list of any medications you were prescribed while in the hospital. Hemet Valley 951-652-2811 :
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2. Show and tell.
Share the following information with your doctor during your visit: Your reason for making the appointment Any symptoms you are having How long you’ve had your symptoms Any home remedies you’ve tried Any changes in your mood, sleep, diet, and physical activity levels
3. Ask questions.
Ask every time you don’t understand something your doctor tells you. Don’t be afraid to ask your doctor to repeat something she or he has said, or to ask that it be explained in simpler terms. Take notes during the visit so you don’t forget important information. Also: n If your doctor wants to schedule tests, be sure you understand exactly what they are, why you need them and how long it will be before you get the results.
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n If your doctor wants to prescribe new
medication, be sure you understand what the medication is for, what the correct dosage is, how long you’ll need to take the medication and what, if any, side effects to watch out for. Be sure to ask if this new medication will interfere in any way with the medications you are currently taking. n If you are dealing with a specific disease, such as breast or prostate cancer, or a medical condition, such as high blood pressure, ask for educational materials that you can take home.
4. Know before you go.
Before you leave the doctor’s office, be sure you know what the next steps are. n Will you need to return for another visit or for follow-up tests? n Will you need to fill a prescription? n Will you need to monitor your diet or activities?
ROBERT B. SHERMAN 1925–2012
A spoonful of sugar helps the medicine go down.
Watch What You Eat
This chart will help you steer clear of side effects that can be caused by pairing certain foods and medications.
Did you know foods you eat could affect the medicine you take? Eating or drinking certain foods can cause your body to absorb medicine slower or faster. This can make medicine less effective or cause troubling side effects. The chart below lists some common drug-food interactions, but it does not include every medication or food interaction. Be sure to ask your doctor or pharmacist about possible interactions between food, vitamins, supplements, herbals or other drugs before taking any prescription or over-the-counter medications. DRUG CLASS
RX MEDICINE
TIPS
Analgesics (pain relievers)
Percocet (acetaminophen/ oxycodone) Tylenol #3 (acetaminophen/ codeine) Norco, Vicodin (acetaminophen/ hydrocodone)
Avoid drinking alcohol. Take with food to reduce upset stomach. Avoid overthe-counter Tylenol (acetaminophen)containing products. It’s unsafe to take more than 4,000 mg of acetaminophen in 24 hours.
Anti-arrhythmics (irregular heart beat)
Cordarone, Pacerone (amiodarone)
Avoid eating grapefruit and drinking grapefruit juice. May take with or without food, but take the same time each day.
Antibiotics
Ampicillin Penicillin
Take on an empty stomach for best absorption.
Cipro (ciprofloxacin) Doxycycline Tetracycline Levaquin (levofloxacin)
To improve absorption, avoid antacids, iron-containing foods and calcium-rich dairy products.
Flagyl (metronidazole) Tindamax (tinidazole)
Avoid alcohol while taking and for 3 days after finishing the medication. Take with food to prevent upset stomach; take probiotics (yogurt or supplements) to prevent diarrhea.
Griseofulvin
Take with fatty food (ice cream, whole milk or cheese) for better absorption.
Coumadin, Jantoven (warfarin)
Avoid sudden increase or decrease in foods rich in vitamin K (green leafy vegetables, avocados, soybeans, green tea, bacon, butter, cheese) and multivitamins with vitamin K. Check with your doctor or pharmacist for a complete list. Limit alcohol and cranberry juice.
Anti-coagulants (blood thinners)
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Watch What You Eat continued DRUG CLASS
RX MEDICINE
TIPS
Antidepressants
Paxil (paroxetine) Prozac (fluoxetine) Zoloft (sertraline) Lexapro (escitalopram) Celexa (citalopram)
Avoid drinking alcohol; avoid use of nicotine or tobacco products.
Antipsychotics
Clozaril (clozapine)
Avoid drinking alcohol and caffeine.
Abilify (aripiprazole) Seroquel (quetiapine)
Avoid drinking alcohol and grapefruit juice.
Dilantin (phenytoin)
Take on an empty stomach at the same time every day. Avoid calcium or antacids within 2 hours of taking medicine.
Carbatrol, Tegretol (carbamazepine)
Avoid eating grapefruit and drinking grapefruit juice.
Depakote (divalproex) Lamictal (lamotrigine) Lyrica (pregabalin) Topamax (topiramate) Zarontin (ethosuximide)
Avoid drinking alcohol.
Cholesterol
Lipitor (atorvastatin) Mevacor (lovastatin) Zocor (simvastatin)
Avoid eating large amounts of grapefruit or grapefruit juice (greater than 1 quart per day). Do not eat oat bran within 2–4 hours of taking medicine.
Diabetes Drugs
Glucophage (metformin) DiaBeta (glyburide) Glucotrol (glipizide) Amaryl (glimepiride)
Avoid drinking alcohol. If diabetes is well controlled, limit alcohol to 1–2 drinks per day consumed with a meal.
Gastrointestinal Drugs
Reglan (metoclopramide)
Avoid drinking or limit alcohol. Take 30 minutes before meals.
Nexium (esomeprazole) Prilosec (omeprazole) Protonix (pantoprazole)
Take at least 1 hour before meals.
Tagamet (cimetidine) Zantac (rantidine)
Avoid drinking alcohol, caffeine and nicotine.
Colcrys (colchicine)
Avoid eating grapefruit and drinking grapefruit juice.
Zyloprim (allopurinol)
Take after meals.
Anti-seizure
Gout Medications*
*If you have gout, avoid large amounts of purine-rich foods (anchovies, beef stock gravies, sardines, shellfish, asparagus, lentils and red meat—especially pork). Check with your doctor or pharmacist for a complete list.
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DRUG CLASS High Blood Pressure
RX MEDICINE
TIPS
ACE Inhibitors
Avoid potassium-based salt substitutes and eating large amounts of foods high in potassium (almonds, bananas, cantaloupe, kidney beans, oranges/orange juice, potatoes with skin, tomato juice, spinach).
Monopril (fosinopril) Prinvil, Zestril (lisinopril) Vasotec (enalapril) Calcium Channel Blockers Calan (verapamil) Cardizem (diltiazem) Plendil (felodipine) Procardia (nifedipine)
Avoid drinking Seville (sour) orange juice, eating grapefruit, and drinking grapefruit juice.
Beta Blockers Tenormin (atenolol)
Avoid drinking orange juice. Do not take calcium products within 2 hours of taking medicine.
Lopressor (metoprolol tartrate)
Take with or immediately after meals. Do not take calcium products within 2 hours of taking medicine.
Diuretics Aldactone (spironolactone) Dyrenium (triamterene) Midamor (amiloride)
Avoid potassium-based salt substitutes and eating large amounts of foods high in potassium (bananas, cantaloupe, kidney beans, potatoes with skin, tomato juice, spinach).
Immunosuppressant Drugs
Neoral, Sandimmune (cyclosporine) Prograf (tacrolimus) Rapamune (sirolimus)
Avoid eating grapefruit and drinking grapefruit juice. Avoid potassium-based salt substitutes and eating large amounts of food high in potassium (almonds, avocados, bananas, cantaloupe, kidney beans, oranges/orange juice, potatoes with skin, spinach).
MAO Inhibitors
Eldepryl, Zelapar, Emsam (selegiline) Marplan (isocarboxazid) Nardil (phenelzine) Parnate (tranylcypromine)
Avoid foods high in tyramine (aged cheese, avocado, banana, bologna, pepperoni, salami, pickled herring, liver, raisins, yeast extracts, red wine, sour cream). Avoid drinking large amounts of alcohol and caffeine (chocolate, coffee, tea).
Osteoporosis
Bisphosphonates Fosamax (alendronate) Boniva (ibandronate) Atelvia, Actonel (risedronate)
Take on an empty stomach with 8 oz. of water in the morning before breakfast. Do not take any other drugs, vitamins or food within 30 minutes (60 minutes for ibandronate) of taking medicine. Remain upright, not reclining or lying down, for 1 hour after taking.
Thyroid Hormones
Levoxyl, Synthroid, Unithroid, Tirosint (levothyroxine)
Take on an empty stomach 30–60 minutes before breakfast with 8 oz. of water. Avoid eating walnuts, soybean flour, dietary fiber, and calcium products within 4 hours of taking medicine.
Limit caffeine when taking Calan.
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Community Resources The following contacts are a sampling of services available in Riverside County. Many of resources listed below will be able to link you with resources to meet your individual personal needs.
211 Riverside County
Comprehensive referral and resource service Contact information: Dial 211
Blindness Support Services
Provides home assessment and linkage to resources to promote independence for individuals with visual impairment. 951-341-9244
Center on Deafness
Information and referral source for individuals with hearing impairment 951-275-5000
Riverside County Office on Aging
Connecting individuals to information about aging, living with disability, long-term services and support. Resources and referrals. 1-800-510-2020
HELP
Free resources and senior outreach 888-983-5337
Adult Protective Services Hotline: 1-800-491-7123
Child Protective Services/ DPSS Hotline: 1-800-442-4918
Domestic Violence Crisis Line 951-683-0829 1-800-339-7233
24-Hour Crisis/ Suicide Prevention Hotline 1-800-339-7233
Notes ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ 34
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GEORGE WILLIAM CURTIS 1824-1892
It is not the ship so much as the skillful sailing that assures the prosperous voyage.
Word Search Sail the Seven Seas P Y F G U T Y G P U C D N S G C A R I B B E A N I W A G O N K A K X J D C H T C E M O U I K W T A Y I Y L F N I S U T R N M P L F E A V A J H T D H E F A Q I A B L R D E G L C E B N R C Z W N R N A I D N I R S U H C S Y E T Q X N D E R N A W Z F J T H P I V O N B U F U J T N I E M B E C R C J R T J Z X D H I C O Z W T I J F I M M E J I L C H E L H X R D X S M T R H V U L I L F J W W Y L B E T E T V S P N T H F X N B C X W K S O U T H A E L D B X
ANSWER KEY P Y F G U T Y G P U C D N S G C A R I B B E A N I W A G O N K A K X J D C H T C E M O U I K W T A Y I Y L F N I S U T R N M P L F E A V A J H T D H E F A Q I A B L R D E G L C E B N R C Z W N R N A I D N I R S U H C S Y E T Q X N D E R N A W Z F J T H P I V O N B U F U J T N I E M B E C R C J R T J Z X D H I C O Z W T I J F I M M E J I L C H E L H X R D X S M T R H V U L I L F J W W Y L B E T E T V S P N T H F X N B C X W K S O U T H A E L D B X
ARCTIC ATLANTIC BALTIC BERING CARIBBEAN CHINA INDIAN JAPAN MEDITERRANEAN NORTH PACIFIC RED SOUTH SOUTHERN
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IMMANUEL KANT 1724-1804
Science is organized knowledge. Wisdom is organized life.
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)
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)
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)
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:____________________________ /_____________________
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: 951-679-8888 Menifee Valley
Delivering Heart-to-Heart Cardiovascular Care Our physicians are now admitting patients at Loma Linda University Medical Center, Murrieta.
Sun City Medical Office Bldg. 27830 Bradley Road Sun City, CA 92586 Bhoodev Tiwari, M.D., F.A.C.C.
Lakshmi Nair, M.D., F.A.C.C.
Rahul Gaglani, M.D.
951.672.3888 LLUMC, Murrieta Office Bldg. (Next to Loma Linda University Hospital) 28078 Baxter Road, Suite 428 Murrieta, CA 92563
Jatin Amin, M.D. Samir Artoul, M.D., F.A.C.C. SPECIALIZING IN: Coronary Stenting Procedures • Coronary Angiogram • Vein Clinic/Venous Ablation Pacemaker, ICD & Defibrillator Implants and Monitoring • Echocardiogram Heart Failure and Coumadin Clinic • Exercise/Nuclear Stress Test Holter Monitoring • PTCA • Tilt Table Study • Cardioversion Also Specializing in Womens’ Cardiovascular Health HOSPITAL AFFILIATIONS: Menifee Valley Medical Center, Rancho Springs Medical Center, Inland Valley Medical Center, St. Bernardine’s Hospital and Loma Linda University Medical Center, Murrieta
951.246.8881 Stonebridge Medical Office (Across from Inland Valley Medical Center) 36320 Inland Valley Drive, Suite 301 Wildomar, CA 92595
951.894.7124
We Are A Five-Star Facility…
“Caring is our Passion”