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HOW DIABETES CAN EFFECT THE BODY

TEAM OF DIRECTORS SUZY WINEBARGER President LIZ LANDRETH Executive Vice President

BRAIN

EYES

People with diabetes are two to four times likely to suffer a stroke than people without the disease.

Blurred vision, caused by high blood sugar, high blood pressure and poorly controlled diabetes, can lead to blindness

SUSAN MORGAN Director of TIP Hospice SARA EGGERING Regional Director of Missouri HomeCare MARCY COX Director of Vaccinations & Private Duty PAULA RAYMOND Director of Administration

KIDNEYS

HEART

High blood sugar can cause kidney damage and lead to dialysis.

Heart disease is the number one killer of people with diabetes and is caused by high blood pressure and high cholesterol.

SHARON BILLINGSLEY Director of HR & Payroll

Health & WellnessNEWS

October 2013 / Issue #002 / 4th Quarter

7/" 5*1

)FBMUI$BSF )PNF$BSFt)PTQJDFt1SJWBUF%VUZ

ROBINE CARRON Director of Billing & Collections MARK HORTON Director of Business Development SANDY LERCZAK Business Development Manager

FEET

LEGS

Gout and Type 2 diabetes often coincide, due to high blood sugar and poor diet.

Damaged nerves and blood vessels can cause poor circulation in feet and legs, requiring amputation in the most severe cases.

NICOLE BREWER Creative Director

THE LATEST NEWS Branch Events

Vaccinations Regular and high-dose flu shots as well as pneumonia vaccines are offered at Missouri and Illinois branch locations to the public on a walk-in basis Monday-Friday, 8 a.m. – 5 p.m. Plan, prevent and protect by getting vaccinated with VNA-TIP HealthCare. For more information call 800.642.6099 and press ‘3’ for vaccinations or visit vnatip.com.

Farmington Volunteers

Mt. Carmel Patient Last Wish

Quarterly Newsletter For Our Patients, Families, And Communities

Farmington PrivateCare Open House VNA-TIP celebrated the opening of the PrivateCare division office in Farmington with an open house event in conjunction with the Farmington Chamber of Commerce. A ribbon cutting and social was held October 1. Company picnic VNA-TIP held its annual company fall picnics with a Halloween theme. The South’s picnic was on October 23 at the Benton Township Community Building and the North’s and Missouri’s picnic was held on October 30 at the Godfrey Knights of Columbus Hall. The traditional costume contests, bake-offs, karaoke and bingo were held.

Branch Anniversaries Carlinville Annual Memorial Service

6 YEARS

Farmington HomeCare October 2007

6 YEARS

Farmington Hospice

October 2007

6 YEARS

Belleville Hospice

December 2007

Mt. Carmel HomeCare

December 2001

12 YEARS

Staff Happenings

Connect with Us!

Patient Last Wish Don Krug, a patient of VNA-TIP’s Mt. Carmel hospice division, had always wanted to fly in a small plane and see Mt. Carmel from above. On July 23, 2013 Krug’s wish came true. TIP Hospice Chaplain, Brad Garner, contacted Mt. Carmel Airport Manager, Ken Wood, who agreed to pilot the airplane that would take Krug, his wife and brother, along with staff, Garner and Marci Rigg, Volunteer Coordinator, in flight. Wood instructed and allowed Krug to fly the plane as he sat in the co-pilot seat. VNA-TIP thanks all involved who made this joyful day possible. Blog Stay up to date with VNA-TIP HealthCare by checking out our new blog at: http://vnatiphealthcare.wordpress.com/

IN THIS ISSUE Physical Therapy Awareness

A Closer Look at Hospice Care

The Fight Against Breast Cancer

Cautionary Care to be Diabetes-Aware

Alzheimer’s: A Hope for a Cure

Latest Company News

Staff Spotlights 3440 De Paul Lane, Suite 201 Phone: 314.595.6800 Bridgeton, MO 63044 Web: vnatip.com


Renew Your Strength: Physical Therapy Awareness

Preserving the Quality & Integrity of Life: A Closer Look at Hospice Care

VNA-TIP HealthCare draws attention to the physical therapy services

well-being through its compassionate team of experts. VNA-TIP

More than 1.5 million people nationwide receive hospice care each

VNA-TIP provides four levels of hospice care to cover the

our HomeCare division offers in October during National Physical

therapists also review post-surgical needs for adaptive

year. November is National Hospice and Palliative Care Month, a time

various needs of patients and their families:

Therapy Month.

equipment allowing for a safe return home.

to draw attention and raise awareness of this special end-of-life care. VNA-TIP HealthCare’s hospice division, TIP Hospice, affirms the belief

VNA-TIP HomeCare is dedicated to delivering advanced home health care which meets the needs of each patient we serve. Our mission is to reduce complications and future hospitalization while maintaining an optimal lifestyle for each client. One aspect of our HomeCare program is physical therapy.

Physical

therapists

are

educated

in

proper

that patients with terminal illness can live life to the fullest. Since 1978, TIP Hospice focuses on the quality of life and possesses a

VNA-TIP team of physical therapists understands

deep sense of caring and commitment. Our hospice team manages

how the body works and how to maximize mobility.

pain and symptoms associated with terminal illness. A holistic

routine care.

Treatment effectively aids in pain relief, increased

approach addresses spiritual, social, physical and emotional needs of

Crisis Care is provided in patient’s home or

flexibility and strength, improved range of motion,

the patient and their family.

contracted nursing facility to control pain and/or

seniors in that they achieve better balance through

professionals, TIP Hospice includes physicians, nurses, social workers,

an injury or due to a disability or weakness related

strategic strengthening exercises.

bereavement coordinators, chaplains and volunteers. Our team is

to age. To help patients return to their highest There is no better time than now to seek treatment for the

care tailored to the wishes and needs of the individual patient,

muscles, improving mobility and teaching caregivers how to help

management of pain, improvement of mobility and function

whether it be in the home, a hospital or nursing facility. TIP Hospice

patients. VNA-TIP’s physical therapy program not only helps patients

restoration for the body; VNA-TIP HealthCare’s team of expert

services are covered by Medicare, Medicaid and most private

improve body strength, but promotes stronger emotional health and

physical therapists offer flexible solutions.

insurances.

Proactive Strides: The Fight Against Breast Cancer

beneficial actions: EARLY DETECTION Early detection can save thousands of lives each year; according to The American Cancer Society, it improves the

be aware of how their breasts normally look and feel in order to report any abnormalities or changes. By noticing changes

Diabetes comes in two forms, type 1 and type 2.

SELF-EXAMS Beginning in their 20s, women should partake in breast self-exams, which may aid in early detection. Women should

in their breasts, these findings can be reported to a health professional to be further examined. Research has shown that self-exams play a small role in finding breast cancer. REDUCE YOUR RISK FACTORS

stage and treated successfully. Regular visits to a doctor

Adopting a healthy lifestyle and maintaining a healthy

allow for discovery of the cancer before symptoms arise or it

weight with the help of regular exercise aid in lowering

spreads.

breast cancer risks. Smoking, consuming alcohol, having a

By age 40, women should have a yearly mammogram.

Cautionary Care to be Diabetes-Aware Diabetes, a long-term metabolic disease affecting the body’s ability to process sugar or glucose, can produce serious health consequences if not managed properly. With mindful control of diabetes, those affected can live full, healthy and active lives.

chances that the breast cancer can be diagnosed at an early

SCREENINGS

symptoms can not be effectively managed under

acute medical symptoms in order to avoid unnecessary hospitalizations. Respite Care is provided to home patients through coordination with a contracted nursing facility as temporary, short-term assistance in order to give

dedicated to establishing and adhering to a comprehensive plan of

functioning level, our physical therapists focus on strengthening

Take strides toward breast cancer prevention with the following

facility or hospital when pain control and/or acute

balance and coordination. Physical therapy is

Physical therapy is typically prescribed after surgery,

United States, one in eight women receives a breast cancer diagnosis.

In-Patient Care is provided at a contracted nursing

to meet individual patients' needs. The skilled

Consisting of a team of multi-disciplined and specially trained

cancer accounts for over one third of cancers in women and in the

Routine Care is provided in the patient’s home or contracted nursing facility.

rehabilitation methods and design rehab programs

particularly useful in the prevention of falls for

The month of October recognizes breast cancer awareness. Breast

H

poor diet and being overweight add to a greater risk of getting breast cancer.

Women in their 20s and 30s should have a clinical breast

VNA-TIP HealthCare stresses the importance of knowledge and

exam as part of a regular health exam by a medical

early detection. Home infusion services such as chemotherapy and

professional every three years.

oncology as well as community education and support are offered by VNA-TIP experts to ensure superior care for patients.

TYPE 1 DIABETES Describes cases in which the body cannot produce any insulin. Typically type 1 occurs before the age of 40, and is the most common form of childhood diabetes. TYPE 2 DIABETES Describes cases in which the body cannot make enough insulin or where the body becomes resistant to insulin, thus working inadequately. Type 2 is the most common form of diabetes, accounting for around 90 percent of all diabetes cases. Both forms of diabetes can lead to heart disease, stroke, blindness and nerve damage. However, when effectively treated and maintained, people living with diabetes can reduce the risk of complications and symptoms.

patient’s primary caregiver a rest.

VNA-TIP HealthCare will be there each step of the way helping patients and families embark on a journey that may seem uncertain.

To be proactive, recognize early signs of diabetes. Symptoms of both forms include unexplained fatigue, increased thirst, frequent urination, weight-loss, slow healing of wounds and blurred vision. Symptoms typically develop over a few weeks with type 1 diabetes. With type 2 diabetes, symptoms tend to develop slowly and over a period of months, also tending to be mild or not apparent. What can you do to prevent or delay the onset of diabetes? Maintaining a healthy lifestyle consisting of a well-balanced diet, low in sodium and sugar intake, increased physical activity, a continued healthy weight and being smoke-free. VNA-TIP HealthCare is committed to educating patients and caregivers affected by diabetes so that they are knowledgeable and comfortable with their health at home. VNA-TIP experts can provide knowledge and plans on suitable diets for those with type 1 or type 2 diabetes along with skilled nursing in diabetic care.


Alzheimer’s Aware: A Hope for a Cure Alzheimer's is a progressive disease that destroys memory and other important mental functions. It is the most common cause of dementia, a disorder that results in the loss of intellectual

E A R LY DETECTION M AT T E R S

and social skills. In the United States, 5.4 million people are living with

Brought to you by the

Alzheimer’s disease. Alzheimer’s disease is the sixth leading cause of death in the U.S. and cannot be prevented or cured.

1

Although there is no cure, there is still hope that research will

Memory changes that disrupt daily life

Asking for the same information over and over

One of the most common signs of Alzheimer’s, especially in the early stages, is forgetting recently learned information. For example: Relying on memory aides (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own.

provide one. The Alzheimer's Association is the leading, global voluntary health organization in Alzheimer's care and support,

Forgetting important dates or events

Typical age-related changes: Sometimes forgetting names or appointments, but remembering them later.

and the largest private, nonprofit funder of Alzheimer's research. Each year the Alzheimer’s Association has a nationwide event, the Walk to End Alzheimer’s, to raise awareness and funds for care, support and research.

2

Challenges in planning or solving problems Some people may have difficulty concentrating and take much longer to do things than they did before. They may have trouble following a familiar recipe or keeping track of monthly bills.

VNA-TIP HealthCare joined the fight against Alzheimer’s disease by participating as a corporate team in the annual Walk

Typical age-related changes: Making occasional errors when balancing a checkbook.

To End Alzheimer’s events. The first event VNA-TIP took part in

Some people may experience changes in their ability to develop and follow a plan or work with numbers.

was held at Busch Stadium on August 31, 2013. Exceeding the $2,000 fundraising goal by over $1,000, VNA-TIP was named a “Top 10 Corporate Supporter” for the St. Louis region. VNA-TIP

3

also participated in Walks in Springfield, Carbondale and

Difficulty completing familiar tasks People with Alzheimer’s often find it hard to complete daily tasks such as: Typical age-related changes: Occasionally needing help to use the settings on the microwave or record a television show.

Driving to a familiar location, managing a budget at work, or remembering the rules of a favorite game.

Edwardsville. Fundraising efforts consisted of several contests and events in the VNA-TIP service area. Restaurant fundraisers at Bob Evan’s and Applebees in Bridgeton, 50/50 drawings, themed basket raffles, Cardinals ticket giveaways, selling Monical’s pizza coupons, inter-office donations and gift card giveaways were

4

some ways money was raised in support of the Walk.

Confusion with time or place People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there. Typical age-related changes: Getting confused about the day of the week, but figuring it out later.

VNA-TIP HealthCare would like to thank all who participated, donated and assisted with fundraising for their Walk To End Alzheimer's team and for making it a huge success.

5

Trouble understanding visual images and spatial relationships

Some people may

In terms of perception,

have difficulty

they may pass a mirror

reading, judging

and think someone else

distance and

is in the room. They may

determining color or contrast.

not realize they are the person in the mirror. Typical age-related changes: Vision changes related to cataracts.


STAFF SPOTLIGHT: VNA-TIP HealthCare is a company full of bright stars. From clinicians to HR to IT, each employee plays an integral role in the company’s success. Here are a few employees who personify VNA-TIP’s dedication to “Teamwork and Excellence.”

Brian Rabacchi Clinical Liason Brian Rabacchi began his career with VNA-TIP in December 2012 and has quickly made progress. His supervisor, Mark Horton, stated, “It is a privilege to support Brian with his new position. He has adapted to the fast pace of sales and has become a valued member of our team.” Brian, also a Licensed Social Worker, works out of the Carlinville office, but educates the Springfield community about VNA-TIP services.

Marketing – Carlinville/Springfield

Edna Kingcade Secretary Edna is noted by her colleagues as an exemplary employee. She began her career with TIP Hospice in October of 2012 and swiftly mastered the HCHB computer program and has proven to be the “go to” girl in the office. Edna takes initiative and volunteers for projects and tasks with enthusiasm. She has a drive to match her skill set and has been diligently working towards Medicare and Medicaid compliance.

TIP Hospice – Bridgeton

Mike Allen Hospice Chaplain As a chaplain, Mike’s compassion has been widely seen by others. Mike's loyalty to VNA-TIP is unwavering, notes his supervisor Susan Morgan. She says, “He goes above and beyond every day in all that he does. I can always go to Mike for assistance and he joyfully does all that I ask of him.”

TIP Hospice – Alton


Renew Your Strength: Physical Therapy Awareness

Preserving the Quality & Integrity of Life: A Closer Look at Hospice Care

VNA-TIP HealthCare draws attention to the physical therapy services

well-being through its compassionate team of experts. VNA-TIP

More than 1.5 million people nationwide receive hospice care each

VNA-TIP provides four levels of hospice care to cover the

our HomeCare division offers in October during National Physical

therapists also review post-surgical needs for adaptive

year. November is National Hospice and Palliative Care Month, a time

various needs of patients and their families:

Therapy Month.

equipment allowing for a safe return home.

to draw attention and raise awareness of this special end-of-life care. VNA-TIP HealthCare’s hospice division, TIP Hospice, affirms the belief

VNA-TIP HomeCare is dedicated to delivering advanced home health care which meets the needs of each patient we serve. Our mission is to reduce complications and future hospitalization while maintaining an optimal lifestyle for each client. One aspect of our HomeCare program is physical therapy.

Physical

therapists

are

educated

in

proper

that patients with terminal illness can live life to the fullest. Since 1978, TIP Hospice focuses on the quality of life and possesses a

VNA-TIP team of physical therapists understands

deep sense of caring and commitment. Our hospice team manages

how the body works and how to maximize mobility.

pain and symptoms associated with terminal illness. A holistic

routine care.

Treatment effectively aids in pain relief, increased

approach addresses spiritual, social, physical and emotional needs of

Crisis Care is provided in patient’s home or

flexibility and strength, improved range of motion,

the patient and their family.

contracted nursing facility to control pain and/or

seniors in that they achieve better balance through

professionals, TIP Hospice includes physicians, nurses, social workers,

an injury or due to a disability or weakness related

strategic strengthening exercises.

bereavement coordinators, chaplains and volunteers. Our team is

to age. To help patients return to their highest There is no better time than now to seek treatment for the

care tailored to the wishes and needs of the individual patient,

muscles, improving mobility and teaching caregivers how to help

management of pain, improvement of mobility and function

whether it be in the home, a hospital or nursing facility. TIP Hospice

patients. VNA-TIP’s physical therapy program not only helps patients

restoration for the body; VNA-TIP HealthCare’s team of expert

services are covered by Medicare, Medicaid and most private

improve body strength, but promotes stronger emotional health and

physical therapists offer flexible solutions.

insurances.

Proactive Strides: The Fight Against Breast Cancer

beneficial actions: EARLY DETECTION Early detection can save thousands of lives each year; according to The American Cancer Society, it improves the

be aware of how their breasts normally look and feel in order to report any abnormalities or changes. By noticing changes

Diabetes comes in two forms, type 1 and type 2.

SELF-EXAMS Beginning in their 20s, women should partake in breast self-exams, which may aid in early detection. Women should

in their breasts, these findings can be reported to a health professional to be further examined. Research has shown that self-exams play a small role in finding breast cancer. REDUCE YOUR RISK FACTORS

stage and treated successfully. Regular visits to a doctor

Adopting a healthy lifestyle and maintaining a healthy

allow for discovery of the cancer before symptoms arise or it

weight with the help of regular exercise aid in lowering

spreads.

breast cancer risks. Smoking, consuming alcohol, having a

By age 40, women should have a yearly mammogram.

Cautionary Care to be Diabetes-Aware Diabetes, a long-term metabolic disease affecting the body’s ability to process sugar or glucose, can produce serious health consequences if not managed properly. With mindful control of diabetes, those affected can live full, healthy and active lives.

chances that the breast cancer can be diagnosed at an early

SCREENINGS

symptoms can not be effectively managed under

acute medical symptoms in order to avoid unnecessary hospitalizations. Respite Care is provided to home patients through coordination with a contracted nursing facility as temporary, short-term assistance in order to give

dedicated to establishing and adhering to a comprehensive plan of

functioning level, our physical therapists focus on strengthening

Take strides toward breast cancer prevention with the following

facility or hospital when pain control and/or acute

balance and coordination. Physical therapy is

Physical therapy is typically prescribed after surgery,

United States, one in eight women receives a breast cancer diagnosis.

In-Patient Care is provided at a contracted nursing

to meet individual patients' needs. The skilled

Consisting of a team of multi-disciplined and specially trained

cancer accounts for over one third of cancers in women and in the

Routine Care is provided in the patient’s home or contracted nursing facility.

rehabilitation methods and design rehab programs

particularly useful in the prevention of falls for

The month of October recognizes breast cancer awareness. Breast

H

poor diet and being overweight add to a greater risk of getting breast cancer.

Women in their 20s and 30s should have a clinical breast

VNA-TIP HealthCare stresses the importance of knowledge and

exam as part of a regular health exam by a medical

early detection. Home infusion services such as chemotherapy and

professional every three years.

oncology as well as community education and support are offered by VNA-TIP experts to ensure superior care for patients.

TYPE 1 DIABETES Describes cases in which the body cannot produce any insulin. Typically type 1 occurs before the age of 40, and is the most common form of childhood diabetes. TYPE 2 DIABETES Describes cases in which the body cannot make enough insulin or where the body becomes resistant to insulin, thus working inadequately. Type 2 is the most common form of diabetes, accounting for around 90 percent of all diabetes cases. Both forms of diabetes can lead to heart disease, stroke, blindness and nerve damage. However, when effectively treated and maintained, people living with diabetes can reduce the risk of complications and symptoms.

patient’s primary caregiver a rest.

VNA-TIP HealthCare will be there each step of the way helping patients and families embark on a journey that may seem uncertain.

To be proactive, recognize early signs of diabetes. Symptoms of both forms include unexplained fatigue, increased thirst, frequent urination, weight-loss, slow healing of wounds and blurred vision. Symptoms typically develop over a few weeks with type 1 diabetes. With type 2 diabetes, symptoms tend to develop slowly and over a period of months, also tending to be mild or not apparent. What can you do to prevent or delay the onset of diabetes? Maintaining a healthy lifestyle consisting of a well-balanced diet, low in sodium and sugar intake, increased physical activity, a continued healthy weight and being smoke-free. VNA-TIP HealthCare is committed to educating patients and caregivers affected by diabetes so that they are knowledgeable and comfortable with their health at home. VNA-TIP experts can provide knowledge and plans on suitable diets for those with type 1 or type 2 diabetes along with skilled nursing in diabetic care.


HOW DIABETES CAN EFFECT THE BODY

TEAM OF DIRECTORS SUZY WINEBARGER President LIZ LANDRETH Executive Vice President

BRAIN

EYES

People with diabetes are two to four times likely to suffer a stroke than people without the disease.

Blurred vision, caused by high blood sugar, high blood pressure and poorly controlled diabetes, can lead to blindness

SUSAN MORGAN Director of TIP Hospice SARA EGGERING Regional Director of Missouri HomeCare MARCY COX Director of Vaccinations & Private Duty PAULA RAYMOND Director of Administration

KIDNEYS

HEART

High blood sugar can cause kidney damage and lead to dialysis.

Heart disease is the number one killer of people with diabetes and is caused by high blood pressure and high cholesterol.

SHARON BILLINGSLEY Director of HR & Payroll

Health & WellnessNEWS

October 2013 / Issue #002 / 4th Quarter

7/" 5*1

)FBMUI$BSF )PNF$BSFt)PTQJDFt1SJWBUF%VUZ

ROBINE CARRON Director of Billing & Collections MARK HORTON Director of Business Development SANDY LERCZAK Business Development Manager

FEET

LEGS

Gout and Type 2 diabetes often coincide, due to high blood sugar and poor diet.

Damaged nerves and blood vessels can cause poor circulation in feet and legs, requiring amputation in the most severe cases.

NICOLE BREWER Creative Director

THE LATEST NEWS Branch Events

Vaccinations Regular and high-dose flu shots as well as pneumonia vaccines are offered at Missouri and Illinois branch locations to the public on a walk-in basis Monday-Friday, 8 a.m. – 5 p.m. Plan, prevent and protect by getting vaccinated with VNA-TIP HealthCare. For more information call 800.642.6099 and press ‘3’ for vaccinations or visit vnatip.com.

Farmington Volunteers

Mt. Carmel Patient Last Wish

Quarterly Newsletter For Our Patients, Families, And Communities

Farmington PrivateCare Open House VNA-TIP celebrated the opening of the PrivateCare division office in Farmington with an open house event in conjunction with the Farmington Chamber of Commerce. A ribbon cutting and social was held October 1. Company picnic VNA-TIP held its annual company fall picnics with a Halloween theme. The South’s picnic was on October 23 at the Benton Township Community Building and the North’s and Missouri’s picnic was held on October 30 at the Godfrey Knights of Columbus Hall. The traditional costume contests, bake-offs, karaoke and bingo were held.

Branch Anniversaries Carlinville Annual Memorial Service

6 YEARS

Farmington HomeCare October 2007

6 YEARS

Farmington Hospice

October 2007

6 YEARS

Belleville Hospice

December 2007

Mt. Carmel HomeCare

December 2001

12 YEARS

Staff Happenings

Connect with Us!

Patient Last Wish Don Krug, a patient of VNA-TIP’s Mt. Carmel hospice division, had always wanted to fly in a small plane and see Mt. Carmel from above. On July 23, 2013 Krug’s wish came true. TIP Hospice Chaplain, Brad Garner, contacted Mt. Carmel Airport Manager, Ken Wood, who agreed to pilot the airplane that would take Krug, his wife and brother, along with staff, Garner and Marci Rigg, Volunteer Coordinator, in flight. Wood instructed and allowed Krug to fly the plane as he sat in the co-pilot seat. VNA-TIP thanks all involved who made this joyful day possible. Blog Stay up to date with VNA-TIP HealthCare by checking out our new blog at: http://vnatiphealthcare.wordpress.com/

IN THIS ISSUE Physical Therapy Awareness

A Closer Look at Hospice Care

The Fight Against Breast Cancer

Cautionary Care to be Diabetes-Aware

Alzheimer’s: A Hope for a Cure

Latest Company News

Staff Spotlights 3440 De Paul Lane, Suite 201 Phone: 314.595.6800 Bridgeton, MO 63044 Web: vnatip.com


4th Quarter | Issue #002