4 WEDNESDAY, JUNE 30,1993 Valley Living THE UKIAH DAILY JOURNAL To report local n«w» Mephom MaurMn Connor-Blot, 468-3526 Staff at Uklah's new Adult Day Health Care Program demonstrate some of the activities In which people attending the program may become Involved. Paula Rezentes, program aide, helps Ruth Park, program nurse, practice step climbing to waiting Sherrl Gregory-Pruett, social worker. Carolyn Dean, second from right, Is the activity coordinator and Nice Alterman, at right, Is the program director. Carole Hotel/The Duly Journal Keeping people out of nursing homes By CAROLE HESTER for The Journal T here's a new program in town that falls right in line with President Clinton's philosophy of reducing the budget. How? By helping people maintain their independence and remain at home, rather than becoming institutionalized. Politicians are beginning to realize that it costs less money to help people stay healthy enough to live at home than it does to maintain them in a convalescent care home. The Adult Day Health Care program, brand new, helps keep people as healthy, active and independent as possible when advancing years, physical or mental conditions call for extra care and attention. You don't have to be-fraU~antf elderly- to qualify, but you must be over 18, with physical or mental health conditions which impair active, independent living. Your personal physician must prescribe ADHC services. Currently open Monday, Tuesday and Thursday for clients from 9 a.m. to 2 p.m. at Ukiah Senior Center, the program offers an organized daily program of health services by a professional stall and trained aides, working in cooperation with a person's personal physician. People with walkers or in wheelchairs are welcome, but the center cannot accommodate the bedridden. You may be referred to ADHC by your physician, a community or health care agency, or come in on your own. Regardless of how you are referred, your physician must prescribe care in this program. The team of health professionals then evaluates your condition and needs, and designs a personalized plan of care that may include some or all of the following: • Nursing care — daily health monitoring; administering medications; direct nursing care; supervising diet; personal " cafe" and merajpy programs and giving health education • • • Rehabilitation therapies—physical, occupational and speech therapy as needed for chronic disabiities such as arthritis, or for disabilities from an acute illness or trauma, such as a stroke; mobility training; exercise; self-care training for daily living • Social work services — Individual and family counseling; family and caregiver support and education groups; liaison with other community agencies and programs • Nutritional services — Diet planning and counseling; hot lunch meal service; nutritional snacks; special diets as needed • Recreational activities — Friends, activities, classes, and outings; music, arts and crafts programs; celebrations and conversation • Personal care — Bathing and personal hygiene; grooming of hair, nails and skin; special-need wardrobe assistance • Transportation — Vans and liftab- outs for transport to and from the center, physicians and other health services as needed. According to Nice Alterman, program director at all three sites — Fort Bragg, Ukiah and Willits, the concept began in 1978 in Chinatown, San Francisco. "On Lok" health services were pioneers in adult day health care. Since that time the concept has grown and spread. The Mendocino County program was begun as a three-year federal grant demonstration rural health project. There are 18 months left in the grant funding. Redwood Coast Seniors, a non-profit organization in Fort Bragg, initiated the grant. They are the "parent" site. The staff consists of Alterman; Sherri Gregory-Pruett, a licensed social worker who splits her time between Willits and Ukiah; Ruth Park, registered nurse and program nurse; Carolyn Dean, activity coordinator; Paula Rezentes, program aide; Lisa Kritz, registered physical therapist and Judy Burdis, occupational therapist, also half-time at Willits and halftime at Ukiah. Who pays and how? One low daily fee is charged for your entire package of services, based on a sliding scale according to your ability to pay. Medi-Cal reimbursement is available to those who qualify. Alterman stressed the importance of volunteers in this program. "Volunteers could provide either general help or a specific skill, such as an activity like woodworking, watercolor or reading poetry. We encourage a variety of people to be a part of this program and welcome the help," said Alterman. For more information, call 462-2995 or 462-2997. It's a long wait marking time for a transplant EDITOR'S NOTE—About 2^00 people die each year in the United States while waiting for organ transplants. While the number of people needing transplants is now more than 30,000 and growing, the number of people who donated organs last year was only just over 4 £00. Here's what it's like for some of those who are waiting. PITTSBURGH (AP) — Transplant candidate Kimberly Fuller is trapped in her cramped hospital room like an inmate in a jail cell. Her crime: She has bad lungs that will kill her if they are not replaced She is an innocent 17-year-old on a hospital's death row, waiting a second time for a reprieve that may never come. The transplanted lungs she received seven years ago are ravaged by infection. Thousands of people like her have died while waiting for organs that could have saved their lives. Kimberly, who uses her own case to promote organ donation, knows the clock is ticking. "I have a big fear that I won't get my transplant," Kimberly said at Children's Hospital of Pittsburgh. "I will die and all of this will be in vain." Kimberly, of Yukon, Okla., is in a trans- plant unit, where emotions bounce up and down like the monitors that track heartbeats. The patients are both young and old. They laugh. They cry. They band together like an Army platoon that just got clobbered in a firefight. "In here, it's kind of like a bunch of Vietnam veterans — the ones who won't tell stories to anyone but other vets," says Vince Ryan, 32, from Youngstown, Ohio. He received five abdominal organs on April 15 at the University of Pittsburgh Medical Center after waiting almost a year. Kimberly, who has a rare degenerative condition that causes scarring of her lung tissue, adds, "Instantly, they pick things up — there is a bond." The war stories are similar. The patients have been told they are going to die unless donor organs become available. They have lung infections, heart disease, hepatitis or maybe improperly formed organs. They're terminally ill, but still have a wild card that could save them. "Some of them get very depressed because it is a long wait," says Valerie Devine, a transplant coordinator at Rush- Presbyterian-St. Luke's Medical Center in Chicago. "A lot of them are afraid. They watch themselves progressively get sicker, and they are worried they will not get an organ in time. There also is some mixed conflict because they are afraid of going through this major procedure." Some transplant candidates have been told at least once to get ready for surgery — no eating, body shaved smooth, sedative administered — then awaken with the same bad organ. Maybe the donor's surviving relatives nixed the harvesting procedure or possibly the organs were damaged and useless. These were false alarms, the most torturous part of this cruel cycle. "They called and said they had a liver but it was no good. After that, I went into a terrible depression," says Marilyn Krach, 45, who waited 19 months before she was finally transplanted April 20. Her old liver was ravaged by hepatitis. "First, you cry because you are having the operation, then you cry because you are not having the operation," Krach says. "It's not fair because your emotions are all mixed." Dano Crosby, 17, of Charleston, S.C., needs a new heart and lungs and thought he was getting them in February. But he woke up in a recovery room and found out the donor organs were damaged in the car accident that killed the donor. "What a bummer, Mom," were his first words as he came out of sedation. Dano, who has a congenital heart defect, was lugging around an oxygen tank that helps him breath. Without it, he turns blue and passes out. "It gets hold of all of us," says his mother, Jan. "We are all stuck in here waiting for something that could happen the next day or in a few months." Or not at all. More than 2,500 people died while waiting for organs in 1991, the most recent year for which statistics are available, according to the United Network for Organ Sharing. The pool of transplant candidates is more than 30,000 and growing, UNOS says. Only 4,548 people in the United States donated organs in 1992, 18 more than in 1991, according to the Association of Organ Procurement Organizations. UNOS was contracted in 1986 by the U.S. Department of Health and Human Ser- See Transplant, Page 5 Community news notes Breakfast Is Saturday Breakfast will be served Saturday at the Ukiah Senior Center, 495 Leslie St. Ham and eggs will be served from 8 a.m. to noon. Pancakes, coffee and juice go along with the breakfast. Sponsored by the Redwood Empire Lions Club, adults will cost $3 and children under 12, $1.50. Flea market is open The Redwood Empire Open Air Market is open 7 a.m to 2 p.m.every Saturday and Sunday at the Redwood Empire Fairgrounds, 1055 N. State St. Admission is free and parking is free for the flea market. Dealers can set up at 6 a.m. for $ 10. Bring your own table. For more information, call 468-4626. AIDS groups receive grants .The Mendocino County HIV Consortium will receive $73,202 in Care Act-Title H funds and $36,273 in federal monies for Housing Opportunities for People Living with fflV in 1993/94. The consortium has recently completed a needs assessment of people living with HIV in Mendocino County. The needs identified as priorities for funding include information on treatment options and referrals; financial assistance for food, wood, housing, naturopathic treatments and transportation; advocates/buddy system; emotional support/support group/counseling; assistance with benefits; nurse case management and respite care. The organizations applying for these funds are AIDS Counseling and Community Education and Support Services, Community Care AIDS Project, Long Valley Health Center, Mendocino County AIDS Volunteer Network and Mendocino County Public Health Department. Call 462-1932 for more information. Airport users to meet The Ukiah Airpot Commission and airport staff will conduct an airport users meeting, 11 a.m. July 8 in the lobby at the airport. This public meeting is for all Ukiah area pilots, aircraft owners, fixed base operators, airport tenants, non-based users who utilize airport facilities and other interested people. Reservations are not required. Topics will include airport, runway and navigation-aids improvements; new master plan and future development programs; hangar and tie-down rentals, fees, availability and rules. Staff will answer questions and take suggestions from users. For more information, call 463-6293. Gun club gets award The Ukiah Gun Club is the recipient of the 1992 NRA Club Meritorious Achievement Award. The award recognizes clubs which have met NRA standards in the areas of administrative organization, member services, program development and public service. The Ukiah club has demonstrated significant achievements over the past year by sponsoring youth programs, conducting firearms training courses, publishing a club newsletter and actively participating in local legislative programs. The local club competed with 15,000 other gun clubs for the award. Learn to plan estate A class on tax and estate planning will be held at 2 p.m. July 7 through the Ukiah Community Services Department. Michael Long will conduct the workshop. It will include information on proper estate planning and protecting the spouse and heirs. Learn how to secure assets and claim available benefits to protect the estate from See NOTES, Pag* 5 Health Seniors: Exercise to be flexible OXFORD, Ohio (AP) — Older people who exercise regularly can improve their balance and flexibility, thereby decreasing their chances of falling, a Miami University study suggests. But fear of falling — the leading cause of accidental death among people 75 and older—keeps some of them from exercising. "It's important for seniors not just to gain muscle use, but not to lose what they have," says Dr. Eugenia Mills, who directed the study. "For some elderly people, the fear of falling may limit their activity, and that only reduces their use," she says. In an eight-week low-aerobic- intensity program, participating seniors (ages 65 to 88) significantly increased flexibility of both ankles and the right knee, with improved balance 22 percent better than that of a non-exercising control group. Mills says it's not clear why flexibility improved in one knee and not the other. Safe, easy movements were chosen for the study, Mills says. The exercising experimental group met three times a week for 20 minutes of exercises, then exercised three more days on their own. Mills thinks that a long-term program could further improve balance and flexibility. She also would like to develop exercises for seniors confined to bed; manufacturing engineering students currently are working on a design for apparatus to help with such exercises. Don't forget immunizations By The Associated Press You know you have to get your kid immunized before he starts school; but health officials are^out to convince you to roll back the timetable to the start. The U.S. Public Health Service says youngsters should have all major immunizations — diptheria, tetanus, whooping cough, polio, measles, mumps, rubella, hemo- philus b and hepatitis B — by the time they reach their second birthdays. Initial shots should be started while a baby is still in the hospital at birth, with subsequent shots at two months, four months, six months and 15 months, the service says. The service says that last year there were 2,000 cases each for measles and mumps and 3,000 of whooping cough — most of them occurring in incompletely vaccinated toddlers. Complications from these childhood diseases can be serious, the service says: • Mumps, a disease of swollen glands near the neck, can lead to arthritis, inflammation of the heart, kidney, ovary and testicles, sometimes causing sterility. • Measles can produce middle ear infections, pneumonia, and is sometimes fatal. • Whooping cough, or pertussis, is a serious, long-lasting infection that can invite secondary infections. Hospitalization often is needed. • Diptheria can cause heart and kidney failure. • Polio can cause paralysis or death. • Rubella, or German measles, may be mild in children but if transmitted to a pregnant woman can cause deafness or retardation in her baby. There are effective vaccines for all of these, the service says. Also recommended are two newer vaccines—Hffl, which protects against bacterial meningitis, a serious illness that spreads quickly through pre-schools, and a vaccine against deadly hepatitis B infections, which can be transmitted through transfusions, drug needle sharing or sexual contact with an infected person. The service also points out that older people still need to be vaccinated — booster shots for tetanus should be taken every 10 years to renew protection. Collectors' Items The first U.S. airmail stamps, featuring a picture of an airplane, were introduced in 1918. On some stamps, the airplane was printed upside-down, making them collectors' items.
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