Planning and follow-up care are critical in hospital stays/ Paula’s Healthy Living

Being admitted to a hospital can be a stressful and expensive experience.  It is one place that most patients would like to leave quickly, with good results.  But one in six Medicare patients are readmitted within a month of being discharged (Dartmouth Institute for Health Policy and Clinical Practice).  What can be done to prevent this re-admittance?  Planning and diligent follow-up care are critical

It is critical to have an advocate or to be your own advocate when staying at a hospital.  This job entails monitoring your testing, medicines, doctor visits and hospital charges that you incur during our hospital stay.  But that advocacy can’t end when you walk out the door.

All your follow up appointments should be scheduled before being discharged.   Due to a variety of reasons, most patients over 65 don’t see their physician for follow up appointments.  This can lead to undiagnosed complications and re-admittance to the hospital.

Older patients may not understand what coverage Medicare or private insurance provides for aftercare.  There may be at-home nurse visits, telephone monitoring (check vitals from home), and rehab available.

Make a plan before leaving the hospital with written discharge instructions, and medication instructions.  This is required by regulations of Medicare.  If you don’t feel that the hospital is providing this information, ask to speak to the lead-nurse, administrator or even hospital clergy at the facility.  It’s your right.

Have the prescriptions filled right away.

Ask for help from your friends, family or church community.  People who have support follow through more regularly with appointments and medications.

If you feel you shouldn’t be discharged because you’re faint or unsteady, your pain isn’t manageable, you can’t urinate have bowl movements, or can’t keep food down, SPEAK UP!  Call your insurance representative, or ask to speak to a floor manager of the hospital to make sure you’re capable of caring for yourself when you leave.

 Workout Diary:

Pure Barre class- 55 minutes

Strength Train with trainer- 55 minutes

20 reps, 3 sets each 3 exercises

step up with single leg onto an 18″ box with cable leg cuff on(2 plates) with a shoulder press holding 8 lb barbell

walking lunge with double lunge at the top of each stride- holding 10lb barbells

bent over rear butt kick with cable cuff (2 plates)

bent over rear delt raise- 4 lb barbell (rotator cuff sore)

single leg attached to cable cuff, knee to chest- 3 plates

arnolds- 8 lb

50 squats holding 18lb kettlebell

Food Diary:

Breakfast-

1 cup egg whites, with spinach (125 cal.)

2 piece Ezekial whole grain, no gluten bread with calorie free butter spray (160 cal.)

A.M. Snack-

1 cup non fat cottage cheese (160 cal.)

1/2 cup of bluberries(30 cal.)

1 scoop whey protein powder(125 cal)  All the above blended with ice

Lunch-

lo-carb wrap with 1/2 cup black beans, 0 % Greek yogurt, mango salsa, 1 oz turkey – (300 cal.)

Salad – spinach, beets, zucchini, sunflower seeds, carrots, no calorie caesar dressing(Waldon Farms)(2 tbls)(100 cal.)

P.M. Snack-

1/2 apple( 40 cal.)

12 almonds, roasted, no salt ( 125 cal.)

Dinner-

4 oz grilled chicken kabobs( low sodium tariake ), pinapple, cherry tomatoes(210 cal.)

1/2 cup green napa cabbage, mushrooms, pea pods,scallion, garlic, EVOO ( 90 cal.)

3/4 cup brown rice (served under kabobs) (100 cal.)

Dessert-

1/2 cup raspberries, 1/4 cup breakfast cereal, 1/2 cup non fat greek yogurt (150 cal.)

Homemade popcorn ( 90 cal)

TOTAL CALORIES- 1805

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