Management Project

Alexandra L Thompson

D’Youville

December 5, 2015

Part IOccupational therapy is highly prevalent service offered in hospital settings.

Crum reports that around 581,000 total knee replacements and 193,00 total hip

replacements are performed each year in the U.S. The average ages for these surgeries

are between 60-80 years of age. Due to aging baby boomers, this number is expected to

drastically increase by 2050 (2011). Unfortunately, patients are being discharged within

2-3 days because of the push for hospitals to shorten the average length of stay and

collect more financial benefit. Their decreased length of stay means that they are

receiving less physical and occupational therapy. Their endurance, balance, ability to

participate in activities of daily living (ADLs) and independent activities of daily living

(IADLs) may be less than optimal upon discharge.

Patients are often worried about grocery shopping, getting medications, their

inability to drive, not feeling safe at home alone, etc. when they recovering and are

functioning at a decreased physical state. Depending on the pts age and level of

disability, many hospitals are pushing for outpatient rehab to increase internal cost

benefits. Several patients who sustained hip fractures, spinal, knee or hip surgeries, leave

the hospital in a less than functional state and struggle to be independent when they arrive

home. This leaves patients without good external support at a disadvantage.

My project is eight patient handouts that highlight helpful community resources

for post operative, injured and disabled patients that make it easier for them functionally

do their ADLs and IADLs once they are discharged from the hospital. Occupational

therapists (OTs) can give their patients the applicable- comprehensive handouts that upon

discharge to aid them in their everyday tasks. The handouts consist of local Pennsylvania

resources such as grocery delivery, boxed meal delivery, medication delivery, adaptive

equipment/assistive technology loan programs, veteran benefits, transportation, home

care, and elderly advantage programs.

The goal is to help patients feel more capable and provide them with resources

that will help them to become more independent in their ADLs and IADLs. The target

population is people between the ages of 45-100 years of age. OTs are great at thinking

outside the box and grading situations and tasks so that their clients have a just right

challenge. These services are recommendations for patients to make their everyday

living easier. I would like patients to be able to use these community resources to aid in

their rehab process. I would like to promote autonomy.

Part II: The project. Scroll down V

Peapod Partners with GIANT for Grocery Delivery

Peapod and Giant Grocery store have partnered up to make grocery shopping an experience that you can do from home. Groceries are delivered to your door just 24 hours after your order is placed!

Easy grocery selection can be accessed through the internet or a cell phone (both android and iphone) to select the groceries that you would like delivered to your front door

The first 60 days of delivery is free and you can still earn points toward gas with your Giant card when using peapod.

Peapod has a $60 minimum for groceries being ordered and a $10 service fee not including gas

Find out more at www.peapod.com

Boxed Meal DeliveryWhen ordering from boxed meal delivery companies,

ingredient and recipe cards are sent to your front door!

They way it works: 1. Pick original recipes you like from the website2. Choose the number of people in your family3. Name any accommodations to your dietary and delivery

scheduling preferences4. There is an easy to follow recipe card w/in 35 minutes prep time 5. Each meal is between 500-700 calories6. AND They deliver weekly

Blue Apron: Grocery Delivery, Menu Planning (6 meals 59,94 w/ free shipping)

www.blueapron.com Hello Fresh: Fresh ingredients delivered (Classic Box

69.99- 6 meals)www.hellofresh.com Home Chef Meal Delivery (6 plates 59.70) https://www.homechef.com/cook-well-live-well?gclid=CjwKEAiA1o-zBRDomsWasvKh4S8SJADSlZkqTxmcBSSh3TGMGkD_iA74smkTB8_tptqUNkbvfU-fmhoCnHTw_wcB

Other companies that deliver refrigerated food: Five Star Home Foods: Meat & produce Schwans: Nationally recognized specialty foods

Meds on WheelsThe following drugstores will fill and deliver your prescriptions right to your door!

CVS http://www.cvs.com/help/help_subtopic_details.jsp?subtopicName=Ordering+prescriptions+for+home+delivery&topicid=400011

Drugstore.com http://www.drugstore.com/medicine-and-health/qxg180610-0

GetMyRX delivery www.getmyrx.com

Familymeds.com www.familymeds.com

Harrisburg’s Hometown Pharmacy www.harrisburgpharmacy.com

Walgreens ships prescriptions for free www.walgreens.com

Walmart ships for free and deliver $10/90days www.walmart.com

Pennsylvania Veteran BenefitsThere

are 6 PA State

run

Veteran housing programs1. The Delaware Valley Veterans Home in Philadelphia2. The Gino J. Merli Veterans Center in Scranton3. The Hollidaysburg Veterans Home4. The Pennsylvania Soldiers' and Sailors' Home in Erie5. The Southeastern Veterans Center in Spring City6. The Southwestern Veterans Center in Pittsburgh

Pennsylvania Financial Assistance Benefits includes Persian Gulf Conflict Veterans' Bonus Program: Allows

Veterans to earn up to $525 in total (translates $75 per month). Veterans Emergency Assistance: A program that provides

food, dairy, shelter, fuel and clothing, to vets, widows, and infant children in an emergency situation for up to 12 months.

Real Estate Tax Exemption: Veterans are Exempt from real estate taxes

Blind Veterans Pension $150/Month Paralyzed Veterans Pension $150/Month Educational Gratuity: Provides $500 per semester to

honorably discharged children of a Veteran Free Hunting/Fishing/Fur Trappers/Antlerless Deer licenses

available for certain disabled veterans

The Pennsylvania Veterans Foundation (PFV)

The PVF has awarded more than 20 organizational grants totaling nearly $80,000.  These organizations provide a myriad of support to Pennsylvania Veterans ranging from mental heath care to providing homes to facilitating recreational and spiritual assistance that enhances the lives of the wounded and special needs veterans. Find out more today at http://www.paveteransfoundation.org/

Adaptive Equipment Loan Programs

The following programs have equipment loan programs for temporary use of adaptive equipment and durable medical equipment.

Pennsylvania’s Assistive Technology Lending Library Lends tools for communication, computer access, control, education, house/personal, professional training, recreation, and vocational managementhttp://disabilities.temple.edu/programs/assistive/atlend/

Pennsylvania Assistive Technology Institute Available for all ages, and income levels. They distribute

Adapted Vehicles Computers, iPads, and tablet software and hardware Adapted sports equipment Hearing aids and other devices for people who are deaf/hard of hearing Home modifications (ramps, showers, counter tops) Scooters and wheelchairs Seat lift chairs Safety and security devices

http://disabilities.temple.edu/programs/assistive/piat/

Medical Equipment Recycling Program-UPMCProvides medical equipment to those who lack the insurance coverage or the means to buy new Durable Medical Equipment. Wheelchairs, walkers, hospital beds, bathroom equipment, such as shower chairs, tub benches, and potty chairs, as well as lift chairs. http://www.upmc.com/locations/hospitals/horizon/about/giving/Pages/equipment-recycling.aspx

Pennsylvania Assistive Technology Foundation Offers loans up to $60,000 to people who do not have the means to buy assistive devices. https://patf.us/

65+ BenefitsMeals on Wheels: A senior nutrition program that is church, volunteer, senior centers, and community centers run. 1-2 meals per week are delivered to your door. Recipients are the elderly who are temporarily physically disabled. A note from Social work or your doctor is often required is often required to apply. It is a salary-based donation run program. https://meals-on-wheels.com/?gclid=CjwKEAiA1o-zBRDomsWasvKh4S8SJADSlZkqBx1LKiMl9FAvaGa8x7wkVjaBy5e0-SeVIe_KE9D5hxoCDtvw_wcB

Area Agencies for the Aging:Offers Information and counseling on:- Protective services to prevent or stem abuse or exploitation- Transportation- Legal assistance for those who cannot afford it- Home support to help with tasks of daily living- Home health care, attendant care, & adult daycare- Socialization/Recreation & educational activities- Home-delivered meals- Advocacy or ombudsman support to help negotiate complaints concerning providers - Caregiver support services- Assessment and case management- Aid with shelter and housing- Employment https://www.pabar.org/pdf/guidelegalservicessc.pdf

AARP: Benefits include discounts associated with travel, health, & insurance, financial planning, events, programs, and publication resources to those over the age of 65.http://www.aarp.org/

Pennsylvania Benefits: Offers affordable state and federal government benefits which include:

Medicare & Medicaid services And The Dept of Aging offers

- Medical assistance- Education on The healthy steps for older adults fall prevention- PA Sr. games to promote staying active- Mental Health resources- Information on Alzheimer’s Disease care units and training

60+ TransportationThe following transportation services are

available to residents of PA

ACCESS: Red Rose provides door-door shared ride services for seniors and people with disabilities.

PA Free Transport System: Provides free transport on local, established bus routes to seniors 65 and older

*Capital Area Transits (CAT) Paratransit Division provides Share-A-Ride Transportation service to County residents age 60 or older who cannot use the fixed route bus system or who reside in areas not served by community based transportation programs. The co-pay is 15% of the trip cost.

The following link provides transportation options for people over the age of 65 years old:https://pa211.communityos.org/zf/profile/search/dosearch/1/taxonomy_name/Senior%20Ride%20Programs

Support Groups

Pinnacle Health System offers Support group on varying topics:

Cardiac and Stroke: Heart failure center education group, powerful heart support, stroke support

Anorexia Nervosa & Associated Disorders

Cancer Related: Cancer survivorship and support, children’s lives include moments of bravery (CLIMB), Persons w/oral head and neck, strength in numbers, young cancer survivors

Diabetes: Hispanic diabetes & insulin pump support

Maternal & Childbirth Education: Heartstrings, New Mom Network 1, 2, 3, Rainbow pregnancy after loss, terrific twos, and working moms.

Mental health and Coping: Depression Bipolar support alliances, anxiety: coping w/ anxiety and panic (CAP)

Tobacco Cessation

Weight Loss & Bariatric

For more information, visit: http://www.pinnaclehealth.org/corporate-and-community-wellness/community-wellness-and-prevention-programs/support-groups/

Home Care Help

*CARE.com is a wonderful resource to find special needs care, senior care, housekeeping, errands, odd job hires and much more.

Angels on Call offers in-home care to the elderly and disabled.

Home Instead Senior Care offers education and safe alternatives to leaving seniors at home alone.

Home Care of Lancaster

Home Care Associates

Pennsylvania Homecare and Hospice Services

Pennsylvania Homecare Association is a great way to find the perfect type for your home care needs.

Resources

Crum, K. R. (2011). Readiness for discharge: occupation-based

treatment in the orthopedic setting. OT Practice, 16(14), 14-23

6p.