1606 N. 7th Street Terre Haute, IN 47804 812-238-7000 www.myunionhospital.org
TV CHANNEL GUIDE Page 8
SPEAK UP!
Ask Questions and Voice Concerns Page 12
Do You
HAVE PAIN? Page 16
KNOW YOUR RIGHTS Page 18
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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.
In This Guide Welcome to Union Hospital Our Commitment to Care Your Satisfaction Telephone Directory During Your Stay
2 3 4 5
6-11 Handicap Valet Parking 6 Visiting Guidelines 6 Nurse Call Button 6 Temperature 6 Mail/Flowers 7 Telephone 7 Hospital Safe 7 Lost and Found 7 TV 7 Public Restrooms 7 TV Channel Listing 8 Medications from Home 9 Fire Safety 9 Smoking 9 Patient Meals 9 Guest Meals 9 Valuables 9 Electrical Devices 10 CaringBridge 10 Newspapers 10 Vending Areas 10 ATMs 10 Gift Shop 10 Pharmacy 10 Services for Those with Sight or Hearing Impairments 11 For Non-English Speaking People 11
1606 N. 7th Street Terre Haute, IN 47804 Chapels 11 Chaplains 11 Cafeteria and Vending Areas 11
Speak Up 12 Stay Safe 13-15 Do You Have Pain? 16-17 Rights & Responsibilities 18-20 Your Privacy & Information 20-21 Advance Directives 22 For the Caregiver 23-24 Don’t Leave Until 25-26 Preparing to Leave the Hospital 27-31 After-Hospital Care 32-33 Games 34-36
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. ©2015 PatientPoint ®
www.myunionhospital.org 812-238-7000 :
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Welcome to Union Hospital Mission We exist to serve our patients with compassionate healthcare of the highest quality.
Vision Our Vision is to be exceptional—as your trusted partner and your best choice for healthcare.
Your Opinion Counts Soon after your discharge, you may receive a telephone call or mailed survey on behalf of this hospital. Please take the time to speak with the representative, or complete and return the survey in order to share your opinions about your hospital stay. Your feedback is an important part of our goal of improving the care and services we provide.
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Dear Patient & Caregiver Thank you for choosing Union Hospital for your care. As your trusted partner and best choice for healthcare, we are dedicated to providing you with exceptional quality care. We are committed to you and your health and hope that you will feel comfortable and confident in recommending us to your family and friends. Please let us know if there is anything more that we can do for you. After you are discharged from the hospital, you may receive a patient satisfaction survey in the mail asking you to evaluate your care. I ask you to complete the survey. Your feedback will help us improve. It will also help us reward and recognize those staff members you feel really made a difference during your hospitalization. But do not wait to get the survey. If you want to discuss your care, please let a staff member know your thoughts, or call me at 812-238-7606. Thank you for your trust and confidence in Union Hospital. We always want you to have the best possible experience during your stay with us. Sincerely, Steven Holman President and CEO
: www.myunionhospital.org 812-238-7000
Our Commitment to Care Our goal is to provide the best patient care. If at any time you have questions or concerns about the quality of care that you or a family member are receiving or have received at our hospital, do not hesitate to speak with your nurse or the nursing supervisor. If you feel that your issue wasn’t resolved, please contact the compliance department at 812-238-7533 with your complaints or concerns. You may call at any time during or after your stay. In addition, you have the right to file a complaint or concern with the following: The Indiana State Department of Health 2 North Meridian Indianapolis, IN 46202 317-233-7825 All patients filing a grievance, who believe they have not received a prompt, fair, equitable, or reasonable decision or resolution to their grievance, may file a complaint with: The Office of Civil Rights U.S. Department of Health and Human Services Region V 300 South Wacker Drive Chicago, IL 60606 Office of Quality and Patient Safety The Joint Commission One Renaissance Boulevard Oakbrook Terrace, IL 60181 800-994-6610 Email: patientsafetyreport@jointcommission.org
If you are a Medicare patient, you have the right to contact the following organization directly to have your care and treatment reviewed: Quality Improvement Organization (QIO) listed here: KEPRO 855-408-8557 If you are a Medicare or Medicaid patient, you may also contact the Centers for Medicare and Medicaid Services to file a complaint/grievance: Beneficiary Complaint Response Program 800-633-4227
Ethics Committee When a healthcare choice also involves an ethical concern—such as a family member’s wish to refuse life-sustaining treatment, or a disagreement between family members or other caregivers concerning Advance Directives— decision-making can become overwhelming. Our Ethics Committee is available to hear such concerns. Requests for a consultation may be made by the patient, a family member, the physician, nurse or other staff member. Our Ethics Committee can be accessed through the case management departments of the hospitals or the nursing supervisors.
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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 Healthcare 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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: www.myunionhospital.org 812-238-7000
Hospital Compare
is a government website that allows users to compare the quality of care provided by hospitals. The information provided on this website is based on HCAHPS survey results. www.medicare.gov/ hospitalcompare n
The Leapfrog Group
rates hospitals that take part in the Leapfrog Hospital Quality and Safety Survey. The survey measures how well hospitals meet the Leapfrog Group’s quality and safety standards. Survey results are reported on Leapfrog’s website for users to compare hospitals. www.leapfroggroup.org/cp n
The HFAP is a non-profit,
nationally recognized accreditation organization. It has been accrediting healthcare facilities for more than 60 years and under Medicare since its inception. Its mission is to advance high-quality patient care and safety through objective application of recognized standards. Its accreditation is recognized by the federal government, state governments, managed care organizations, and insurance companies. For more information, go to: www.hfap.org.
Telephone Directory While in the hospital your phone number is 812-238+ the four-digit extension number on your phone hand set. If you cannot find the extension, call the hospital operator by dialing 0.
MAIN NUMBER 812-238-7000
Gift Shop East 812-238-7675
Chaplain’s Office 812-238-7628 Compliance Department 812-238-7533 Diabetes Education 812-238-7577 Emergency Room 812-238-7523 Foundation 812-238-7534 Gift Shop East 812-238-7675 Gift Shop West 812-238-7673 Healthcheck 812-238-7711 Intensive Care Waiting Room 812-238-7590 Lobby Pharmacy 812-238-4935 Nutrition Services 812-238-7503 Medical Records 812-238-7647 Security 812-238-7639 Surgery Center 812-231-4600
Gift Shop West 812-238-7673
Please visit us at www.myunionhospital.org
Calling a Department WITHIN the Hospital? Dial the last four digits of the number. Calling OUTSIDE the Hospital? Please dial 9 first, then the number.
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During Your Stay Handicap Valet Parking Officers from the Union Hospital Security office are available to park your car for you and return your keys. The officer will retrieve your car and bring it back to the location you indicate on the Union Hospital campus. Call Ext. 7639 to make arrangements for staff to park your car. There is no fee for this service.
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.
Visiting Guidelines
We encourage visitors for emotional support and recovery. To provide a restful and safe environment, we ask that all visitors comply with the following guidelines: n Be considerate of other patients by keeping noise to a minimum. n Refrain from visiting if you have a cold, sore throat or any contagious disease. n Observe “No Visiting� and precaution signs before entering the room. n Leave the room during tests or treatments if asked. n An adult must accompany children visiting. n Overnight visitors must register and wear a name badge to ensure security. Ask your nurse about obtaining a visitor pass from the Admitting Department.
Nurse Call Button
To call your nurse, simply push the nurse call button. Your nurse will be with you as soon as possible.
Temperature
If the temperature in your room becomes too hot or too cold, notify your nurse. For safety reasons, fans or heaters brought from home are not allowed. 6
: www.myunionhospital.org 812-238-7000
Mail/Flowers
Public Restrooms
Your address during your stay at Union Hospital is: 1606 North Seventh Street Terre Haute, Indiana 47804 Your room number is not needed to send cards or flowers. Mail and flowers are delivered to patient rooms Monday through Friday. Mail received after your discharge will be forwarded to you. Outgoing cards and letters can be left at the nurses’ station. Flowers are not permitted in Intensive Care units.
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.
Telephone
For local calls, dial 9 then the 7-digit number. For longdistance calls, dial 9+0 and the complete number using your calling card or credit card. Long-distance calls cannot be billed to your hospital account. For calls within the hospital, dial only the four-digit extension.
Hospital Safe
If you cannot send your valuables home, please speak with your nurse about storing them in the hospital safe. Union Hospital cannot be responsible for any valuables left in your room.
Lost and Found
If you lose or find personal property, call Security at extension 7639. Union Hospital Security is responsible for collecting and holding all personal property left on hospital grounds. Due to limited space, found property will be disposed of by Security as follows: 10 days for unidentified property and 15 days for owner-identified property.
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. TV viewing is provided at no charge.
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During Your Stay TV Channel Listing 2
WTWO SD NBC
30.4
2.1
WTWO HD NBC
31
C-SPAN
3
Pivot
32
Fuse
4
CNBC*
33
IFC
5
Travel Channel
34
Discovery Channel
6
Women’s Entertainment
35
MTV
7
A&E
36
MTV2
8
CMT
37
FOX News Channel
9
Syfi
38
WAWV-ABC
TIU Espanol
10
WTHI SD CBS
38.1
10.1
WTHI HD CBS
39
Headline News
10.2
WTHI FOX (WTHI DT2)
40
HSN
11
Patient Channel Union
41
TV Guide Network
12
Christian Television
42
Nickelodeon/Nick At Nite
13
ABC Family
43
PRST
14
AMC
44
Reelz Channel
15
WTHI FOX (WTHI-DT2)
45
Spike TV
16
CNN
46
QVC
17
Comedy Central
47
TLC
18
Disney Channel
48
The Weather channel
19
Blockbuster Studio
49
TBN
20
E! Entertainment
50
TBS
21
Eternal Word Televison
51
TNT
22
FX
52
TV Land
23
HGTV
53
USA
24
History Channel
54
VH1
25
Kids & Teen TV
55
ESPN
26
Lifetime
56
ESPN2
28
INSP
57
ESPN News
29
Cartoon Network*
58
ESPNNU
30
WTIU
59
Food Network
30.1
WTIU HD
60
TV Games Network
30.2
TIU World
61
MSNBC*
30.3
WTIU
WAWV-HD FOX
ToAccess Accessthe thePatient PatientEducation Education Channel Channel To TV is off: TV power to turn on.channel Wait for listings to If TV is off: IfPress the TVPress powerthe button to turnbutton on. Wait for the channel listings icons atand theselect. appear. the Scroll over the iconstoatappear. the top Scroll of the over pagethe to “Media” top of the page to “Media” and select.
If TV is on regular viewing channels: Push the Guide button to access the source If TV is on regular viewing channels: Push the Guide menu. Continue pushing Guide button until you reach “Home.” From the home page, button to access the source menu. Continue pushing scroll overbutton the icons the reach top of “Home.” the pageFrom to “Media” and select. Guide untilayou the home page, overthe theguide, icons use at the of the page to Toscroll navigate thetop following buttons: “Media” and select. UP: 2 DOWN: 8 LEFT: 4 RIGHT: 6 SELECT: 5 To navigate the guide, use the following buttons:
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UP: 2 DOWN: 8 LEFT: 4 : www.myunionhospital.org 812-238-7000
RIGHT: 6
SELECT: 5
For everyone’s health and safety, visitors should not use patient bathrooms. Medications from Home
Please do not bring any medications (prescription, over-the-counter, or illegal drugs) to the hospital unless instructed by your physician. All medications you take while a patient at Union Hospital have been prescribed by your physician, are dispensed by the hospital pharmacy and administered by a trained professional. Patients are not permitted to administer their own medications or to keep personal medications, unless approved by their physician.
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.
Smoking
Smoking and/or the use of any tobacco products is not permitted anywhere in the hospital or on hospital grounds.
Patient Meals
Meals are made to your order by our Room Service. Every effort will be made to accommodate your food and beverage preferences based on your physician’s diet order. Menus are available in your room. Please ask your nurse for assistance if you are not able to find the menu or cannot order for yourself. 1. D ial *5 or 5555 between the hours of 7:00 a.m. and 7:00 p.m. 2. Identify yourself to the Room Service Associate who will verify your name, room number and the diet ordered by your physician. 3. Place your order. If you are on a special/restricted diet, our Room Service Associate will assist you with your meal selections when you place your order.
Leave Your Valuables At Home If you have valuables, such as jewelry, credit cards and cash, please give them to a relative or friend to take care of during your stay. Store your contact lenses, eyeglasses, hearing aids and dentures in containers labeled with your name and place them in a drawer in your bedside table when not in use. Please don’t put them on your bed or food tray— they may be damaged or lost. Union Hospital cannot be responsible for replacement of personal belongings.
Guest Meals
Guest meals are delivered at a charge of $7 per tray. A tray may include: 1 entrée, 2 side dish selections, www.myunionhospital.org 812-238-7000 :
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During Your Stay Electrical Devices Electrical devices 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.
Stay Connected CaringBridge eases communication and encourages love and support when it matters most. We’re for anyone facing any health condition: big or small, acute or long term, available as long as you need. CaringBridge is available online 24/7, accessible to anyone, anywhere. CaringBridge.org
Newspapers Newspaper vending boxes are located in the main entrance of Union East and Union West.
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beverage and dessert. Meals will be paid for with cash or check when the tray is delivered.
Vending Areas
Beverages and snacks are available in the vending areas located in the following locations: Lower Level Union Hospital West and all floors in Union Hospital East.
ATMs
Automated teller machines are located in the main lobby of Union West (First Financial). Other ATMs are located in the lower level of Union East (First Financial, Old National Bank and Vigo County Credit Union).
Gift Shop
The Gift Shops, located in the lobby of Union Hospital West and lower level of Union East, offer a wide selection of greeting cards, flowers, toiletries, sundries and unique gift items. Hours are: Union East Union West Mon.–Fri. 9:00 a.m.–7:30 p.m. 9:00 a.m.–5:00 p.m. Sat. 10:00 a.m.–5:00 p.m. 10:00 a.m.–2:00 p.m. Sun. Noon–5:00 p.m. Closed The Service League of Union Hospital operates the Gift Shop(s) with proceeds from sales going to the Union Hospital Foundation.
Pharmacy
For your convenience, prescriptions ordered by your physician may be filled in the Lobby Pharmacy before you go home. Please call 812-238-4935 to speak with a Pharmacy staff member. The prescription will then be transferred to the pharmacy of your choice for any additional refills. Your nurse can make these arrangements prior to discharge. Hours are Monday through Friday 7:30 a.m.–5:15 p.m.
: www.myunionhospital.org 812-238-7000
Services for Those with Sight or Hearing Impairments
Cafeteria and Vending Areas
Telecommunications devices are available for people with hearing and sight impairments. People with hearing impairments may use the portable telecommunication device for the deaf. Large-button telephones are available for people with sight impairments. Both devices are portable and can be taken directly to the person who needs them. Please ask your nurse for assistance.
For Non-English Speaking People
Interpreters are available for people of nearly every language. The nurse will make arrangements through Tele-Interpreters at 888-326-2686, Access Code 211200.
Chapels
Union Hospital has two chapels. Both are open to all patients, family members, visitors and employees 24 hours a day, seven days a week, for prayer and meditation. Special services are held for people of all faiths throughout the year. The Robert Westrup Memorial Chapel is located on the lower level of the East building. The Combs Memorial Chapel is located on the lower level of the West building. If you are a patient, please mention to your nurse that you would like to visit one of the chapels.
Chaplains
Chaplains are available to offer comfort and support to you and your family at all times. Please dial 0 and ask the switchboard operator to connect you to the chaplain’s office on-call representative. The chaplain’s office is always ready to assist you with a chaplain of your own faith or to notify a particular clergy of your request. Clergy may visit any time needed.
Union Station Cafe (lower level Union Hospital East) Hot meals, sandwiches and salads are available daily for visitors. Hot food serving times are: Breakfast 6:00 a.m.–10:00 a.m. Lunch 10:45 a.m.–2:00 p.m. Dinner 4:00 p.m.–7:00 p.m. Beverages and snacks are available anytime from 7:00 a.m.–7:00 p.m. Union Hospital Coffee Shop (1st floor Union Hospital East) Hot and cold beverages, snacks, and foods made to go. Hours: 9:00 p.m.–5:00 a.m. 7th Street Café (5th floor of the Professional Office Building) Specialty gourmet coffees, cold beverages, soups, sandwiches and desserts. Hours: 6:00 a.m.–2:00 p.m. Monday through Friday.
www.myunionhospital.org 812-238-7000 :
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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.
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.
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: www.myunionhospital.org 812-238-7000
Courtesy of The Joint Commission.
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.
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
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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. Union Hospital cares 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 14
: www.myunionhospital.org 812-238-7000
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.
www.myunionhospital.org 812-238-7000 :
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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 you get.
USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE HOW YOUR PAIN IS AFFECTING YOU.
No Pain
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Tolerable
Tolerable but Increases with Activity
: www.myunionhospital.org 812-238-7000
Not Tolerable
Severe
Worse Pain Possible
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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Rights & Responsibilities Patient Rights
The patient, or his or her representative is notified of the patient’s right in advance of furnishing or discontinuing patient care whenever possible. n The right to impartial access to treatment regardless of race, religion, sex, sexual orientation, ethnicity, age, or handicap; n The right to exercise his or her rights while receiving care or treatment in the hospital without coercion, discrimination or retaliation; n The right to have a surrogate (parent, legal guardian, person with medical power of attorney) exercise the patient’s rights when the patient is incapable of doing so, without coercion, discrimination or retaliation; n The right to participate in the development and implementation of his or her plan of care; n The right to make informed decisions regarding his or her care, be informed of his or her health status, be involved in care planning and treatment; and be able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary to inappropriate; n The right to formulate advance directives and to have hospital staff and practitioners who provide care in the hospital comply with these directives; n The right to have a family member or representative of his or her choice and his or her own physician notified promptly of his or her admission to the hospital; n The right to personal privacy; n The right to receive care in a safe setting; 18
: www.myunionhospital.org 812-238-7000
n The right to be free from all forms of
abuse or harassment or neglect;
n The right to confidentiality of his or
her clinical records;
n The right to access information contained
in his or her clinical records within a reasonable time frame. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet these requests as quickly as the record-keeping system permits; n The right to be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff; n Inform each patient (or support person, where appropriate) of his or her visitation rights, including any clinical restriction or limitation on such rights, when he/she is informed of his or her other rights under this section, in advance of furnishing patient care whenever possible; n Inform each patient (or support person, where appropriate) of the right, subject to his or her consent, to receive the visitors whom he/she designates, including, but not limited to, a spouse, a domestic partner (including a samesex domestic partner), another family member, or a friend, and his or her right to withdraw or deny such consent at any time; n Not restrict, limit, or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, or disability; n Ensure that all visitors enjoy full and
Caring For
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equal visitation privileges consistent with patient preferences; n The right to be fully informed of and to consent or refuse to participate in any unusual, experimental or research project without compromising his or her services; n The right to know the professional status of any person providing his or her care/services; n The right to know the reasons for any proposed change in the Professional Staff responsible for his or her care; n The right to know the reasons for his or her transfer either within or outside the hospital; n The right to know the relationship(s) of the hospital to other people or organizations participating in the provisions of his or her care; n The right to access the cost, itemized when possible, of services rendered within a reasonable period of time; n The right to be informed of the source of the hospital’s reimbursement for his or her services, and of any limitations which may be placed upon his or her care; n The right to be informed to have pain treated as effectively as possible; n The patient’s family has the right of informed consent of donation of organs and tissues. n You or your representative may file a complaint or grievance at any time with: The Indiana State Department of Health 2 North Meridian Indianapolis, IN 46202 317-233-7825
Patient Responsibilities
The patient or his or her representative is notified of the patient’s right in advance of furnishing or discontinuing patient care whenever possible. n The responsibility to supply accurate and complete information about past illnesses, hospitalizations, medications, and other matters relating to his or her care. n The responsibility to timely notify the physician or nurse about any change in his or her condition. n The responsibility to participate in his or her own healthcare by following instructions and medical advice and to accept the consequences if he/she chooses not to follow instructions or medical advice. n The responsibility to ask questions if he/she does not understand directions and procedures, or if he/she is unable to follow them. n The responsibility to cooperate with Union Hospital, Inc. staff and physicians in observing safety rules, regulations and policies. n The responsibility to follow written rules and behaviors which are specific to the area on which he/she is being treated. n The responsibility to respect others’ property and that of Union Hospital, Inc. n The responsibility to follow the nosmoking policy in all buildings and on the grounds of Union Hospital, Inc. n The responsibility to be considerate of other patients in limiting noise and the number of visitors. n The responsibility to be considerate of Union Hospital, Inc. personnel who www.myunionhospital.org 812-238-7000 :
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Rights & Responsibilities are involved in providing his or her healthcare. n The responsibility to cooperate and assist in making discharge plans in a responsible and timely manner. n The responsibility to timely report perceived risks he/she may have noted in the care received. n The responsibility to participate in
appropriate testing, including voluntarily providing blood or body fluid samples, in the event a medical services provider has been exposed to the patient’s blood or body fluids during treatment. n The responsibility to cooperate with arranging for timely payment for services rendered and to meet those financial obligations.
Your Privacy & Health Information Your 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 weren’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/hipaa/ for more 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?
n Most doctors, nurses, pharmacies, hospitals,
clinics, nursing homes and many other healthcare providers n Health insurance companies, HMOs and most employer group health plans n Certain government programs that pay for healthcare, such as Medicare and Medicaid
What information is protected?
n Information 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 insurer’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
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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 To make sure that your health information is protected in a way that doesn’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 public’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
How do I get copies of my medical records? If you or a member of your family wish to view your medical record while you are a patient in the hospital, an order will be obtained from your physician to allow this. Once you have been discharged from the hospital, you have the right to obtain a copy of your record from the Medical Records Department. 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:
n 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
Adapted from U.S. Department of Health & Human Services Office for Civil Rights www.myunionhospital.org 812-238-7000 :
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What Are Your Advance Directives? 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. You will be asked about your advanced directives on admission. In this way, you ensure that the hospital has your most current information. If you or your family members have any questions about advance directives after reading the material provided, a representative from Medical Social Services is available upon request to answer questions. Advance directive forms are available by calling Medical Social Services, 812-238-7670, or Public Relations, 238-7657.
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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.
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 aren’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.myunionhospital.org 812-238-7000
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 18).
advance directives Know whether or not your loved one has an Advance Directive and if so, what it specifies (See page 22).
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 12).
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 a pocket-sized notebook.
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.
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For the Caregiver continued Resources for Caregivers Remember to ask for help
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 National Respite Network and Resource Center archrespite.org 800-473-1727 Respite care services can help with tasks or caring for your loved one so you can get some relief.
Don’t be reluctant to ask for help in caring for your loved one! 24
: www.myunionhospital.org 812-238-7000
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, 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 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, upon admission you were given a copy of “An Important Message from Medicare.” This details your rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision. This message can be found on page 28.
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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. 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. 26
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Preparing to Leave the Hospital 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 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. 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, closet and bedside table carefully for any personal items. n Retrieve any valuables you have stored in the hospital safe. n Make sure you or your caregiver has all necessary paperwork for billing, referrals, prescriptions, etc. n If you had blood work or other tests done, be sure you know the results before you are discharged.
Discharge Planning and Medical Social Services
The Case Management and Medical Social Services departments assist you and your family throughout your hospitalization and arrange for healthcare services after discharge. As part of the hospital’s care team, we work closely with your physician and follow your course of stay. We provide information to your insurance company, if necessary, and assist in coordinating any services needed after your stay. If you anticipate any post-hospital needs, we can provide you with a list of resources available in your community to assist you with home care needs, rehabilitation and other services. Let your nurse know if you would like our assistance.
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.
If You Think You Are Being Discharged Too Soon: n You can talk to the hospital staff, your doctor and
your managed care plan (if you belong to one) about your concerns. n You also have the right to an appeal, that is, a review of your case by a Quality Improvement Organization www.myunionhospital.org 812-238-7000 :
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Preparing to Leave the Hospital Case Management and Medical Social Services Call 812-238-7100 Mon.–Fri. 9:00–5:00 p.m. Call 812-238-7000 Evenings or weekends Ask to have Case Management paged. The Manager of Case Management: 812-238-7100.
(QIO). The QIO is an outside reviewer hired by Medicare to look at your case to decide whether you are ready to leave the hospital.
An Important Message from Medicare About Your Rights
As a hospital inpatient, you have the right to: n Receive Medicare-covered services. This includes medically necessary hospital services and services you may need after you are discharged, if ordered by your doctor. You have a right to know about these services, who will pay for them, and where you can get them. n Be involved in any decisions about your hospital stay, and know who will pay for it. n Report any concerns you have about the quality of care you receive to the Quality Improvement Organization (QIO) listed here: KEPRO, 855-408-8557 Your Medicare Discharge Rights Planning For Your Discharge: During your hospital stay, the hospital staff will be working with you to prepare for your safe discharge and arrange for services you may need after you leave the hospital. When you no longer need inpatient hospital care, your doctor or the hospital staff will inform you of your planned discharge date. If you think you are being discharged too soon: n You can talk to the hospital staff, your doctor and your managed care plan (if you belong to one) about your concerns. n You also have the right to an appeal, that is, a review of your case by a Quality Improvement Organization (QIO). The QIO is an outside reviewer hired by Medicare to look at your case to decide whether you are ready to leave the hospital. — If you want to appeal, you must contact the QIO no later than your planned discharge date and before you leave the hospital. — If you do this, you will not have to pay for the services you receive during the appeal (except for charges like co-pays and deductibles).
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n If you do not appeal, but decide to stay in the hospital
past your planned discharge date, you may have to pay for any services you receive after that date. n Step-by-step instructions for calling the QIO and filing an appeal are below. To speak with someone at the hospital about this notice, call 812-238-7100 during normal business hours. For immediate assistance, and during evenings or weekends, please call 812-238-7000 and ask to have Case Management paged. The Manager of Case Management can be reached at 812-238-7100.
Check your room before you leave to ensure no belongings are left behind. When you are ready to leave, an escort will take you to the lobby.
Steps to Appeal STEP 1: You must contact the QIO no later than your planned discharge date and before you leave the hospital. If you do this, you will not have to pay for the services you receive during the appeal (except for charges like co-pays and deductibles). n Here is the contact information for the QIO: KEPRO, 855-408-8557 n You can file a request for an appeal any day of the week. Once you speak to someone or leave a message, your appeal has begun. n Ask the hospital if you need help contacting the QIO. n The name of this hospital is Union Hospital and the provider ID number is 150023. STEP 2: You will receive a detailed notice from the hospital or your Medicare Advantage or other Medicare managed care plan (if you belong to one) that explains the reasons they think you are ready to be discharged. STEP 3: The QIO will ask for your opinion. You or your representative need to be available to speak with the QIO, if requested. You or your representative may give the QIO a written statement, but you are not required to do so. STEP 4: The QIO will review your medical records and other important information about your case. STEP 5: The QIO will notify you of its decision within one day after it receives all necessary information. If the QIO finds that you are not ready to be discharged, Medicare will continue to cover your hospital services. www.myunionhospital.org 812-238-7000 :
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Preparing to Leave the Hospital Financial Assistance If you have questions regarding your hospital bill or financial assistance, you may contact Patient Accounts at 812-238-7621. You may also speak with a Medicaid eligibility representative to assist you in applying for Medicaid or other government-assisted programs. Please call 812-238-7967.
If You Miss the Deadline To Appeal, You Have Other Appeal Rights: n You can still ask the QIO or your plan (if you belong to one) for a review of your case: n If you have Original Medicare: Call the QIO listed on page 29. n If you belong to a Medicare Advantage Plan or other Medicare managed care plan: Call your plan. n If you stay in the hospital, the hospital may charge you for any services you receive after your planned discharge date. For more information, call 800-MEDICARE (800-633-4227), or TTY: 877-486-2048.
Billing & Insurance: 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. If you have questions about these separate bills, please call the number printed on each statement. 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.
Pre-Certification
Most insurance plans now require pre-certification for hospital stays and certain tests and procedures in order for you to be eligible for full policy benefits. It is your responsibility to see that this is completed. This information can be found on your insurance card. If you are unsure of your pre-certification requirements, we recommend that you contact your insurance company as soon as possible.
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 30
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when both husband and wife are listed on each other’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.
Medicare
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.
We will need a copy of your Medicare card to verify eligibility and to process your claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and copayments are the patient’s responsibility.
Medicaid
We will need a copy of your Medicaid card. Medicaid has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary.
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MOTHER TERESA 1910-1997
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 Be sure that you and your caregiver understand your care plan services that you may use before you are discharged from the hospital. during your recovery. and meal preparation. Medicare defines home Home Healthcare healthcare as intermittent, physician-ordered medical Part-time healthcare services or treatment. provided by medical professionals in a Medicare-Covered Equipment and Supplies patient’s home to If you need durable medical equipment (such as a walker, maintain or restore wheelchair, crutches or a hospital bed) Medicare will health. It includes a only cover the cost if you get it from a supplier enrolled wide range of skilled in the Medicare program. This means the supplier has and non-skilled services, been approved and has a Medicare supplier number. If including part-time your supplier does not have a Medicare supplier number, nursing care, therapy Medicare will not pay your claim. To find a supplier and assistance with enrolled in the Medicare program, visit www.medicare. daily activities and gov and select “Find Suppliers of Medical Equipment homemaker services, & Supplies” or call 800-MEDICARE (800-633-4227). such as cleaning TTY users should call 877-486-2048. 32
: www.myunionhospital.org 812-238-7000
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 on site. Most facilities have social activities and provide transportation to doctor’s 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. www.myunionhospital.org 812-238-7000 :
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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.
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ANSWER KEY
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.myunionhospital.org 812-238-7000 :
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WOODY ALLEN 1935-PRESENT
It is impossible to travel faster than the speed of light, and certainly not desirable, as one’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
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: www.myunionhospital.org 812-238-7000
SPECIALIZING IN: • • • • • •
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1801 N. 6th St., Suite 200, Terre Haute, IN Satellite Offices 700 S. Main St., Clinton, IN 1204 N. 1000 W., Linton, IN 115 S. Murphy Ave., Brazil, IN
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