Newspaper Page Text
Community-based program helps
seniors be home for the holidays
AUGUSTA
Ruby Kitchen has gotten many
invitations to spend Christmas
with friends. But she probably
won'’t accept, she says.
Mrs. Kitchen, 94, of Augusta,
would rather be home for Christ
mas and every other day of the
year, she adds.
“Oh, it’s just wonderful being
home,” says Mrs. Kitchen, who
has lived in the same house for
52 years. “As long as I have even
a little bit of my faculties, I want
to stay home.”
Mrs. Kitchen and 950 other
elderly and/or disabled persons
in the 16-county Central Savan
nah River Area (CSRA) are able
to stay in their homes this holi
day season and year-round be
cause of the CSRA Area Agency
onAging’s Community Care Ser
vices Program.
“The Community Care Servic
es Program offers community
based care as an alternative to
nursing-home placement,” says
long-term care coordinator Mar
garet Gilbert. “For an average of
$430 a month versus $2,000 a
month, we can keep a client in
his or her home or in a residen
tial-based personal care home
with 24-hour supervision. This
saves the state and the taxpayer
a lot of money.
MCG doctor authors hook for PCPs
Dr. Roger P. Smith, chief
section of General Obstetrics
and Gynecology at the Medi
cal College of Georgia (MCGQG),
has authored Gynecology in
Primary Care, a guide book
for the primary care physi
cian.
“The reality of our health
caresystem todayisthat man
aged care has changed how
we practice medicine and the
idea of the book is to be a
practical resource for the pri-
Primary Healthcare Services, Inc. can take
care of you or your loved ones’ health care
needs during your stay in hospitals,
personal care homes, nursing homes or at
home. We offer:
* Case management
» Skilled Nursing Care - RN, LPN
* Assistance with personal hygiene
*Light housekeeping
* Assistance with medications
* Meal preparation
° Restplte care
o Staff available 24 hours a day
The healthcare team consists of professional
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i A L B A R K i
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“A Continuum of Healthcare
“And there is the added social
benefit of keeping people in their
homes,” Ms. Gilbert says. “That
is an intangible cost savings. It
keeps families together better. ...
I have never heard of anyone
who would rather go to a nursing
home than stay in their own
home. Of course, when a person
needs a high level of skilled care,
nursing homes meet their needs.”
Mrs. Kitchen is proof of the
social benefits of community
based, long-term care, she says.
A year ago, she had a hezart at
tack and was sent to a nursing
home torecuperate after the hos
pital discharged her.
“When I finally realized where
I was,” Mrs. Kitchen recalls, “I
didn’tlikeit. I wanted to be in my
home eating and bathing on my
schedule. When I got to where I
could getaround in a wheelchair,
I told my doctor I wanted to go
home. He said, ‘But who will feed
you and take care of you?’ I told
him to call Meals on Wheels and
that I would get friends to take
care of me when I needed help.
“Then he said, ‘But you have
two more weeks of time in the
nursing home thatisalready paid
for.’l told him I would just give it
to somebody else. You know
what? I went home the next day.”
The Community Care Services
mary care physician responding
to that change,” Dr. Smith said.
His book is one of Baltimore
publisher’s Williams & Wilkins
Primary Crew Series.
“What we felt was needed was
not just another textbook. Text
books are there for reference and
to tell you about research. But
that isn’t what you need on a
day-in, day-out basis in a busy
practice. What you need is a
practical sort of guide to gynecol
ogy, Dr. Smith said. =
Program became involved with
Mrs. Kitchen’s care after that,
Ms. Gilbert says. She uses anin
home electronic support system
in case of emergency, has help
with bathing and light house
keeping, and gets reimbursement
for her medications.
Medicaid payments from the
state and federal governments
cover these and other services
for Community Care Services
Program clients. Other available
services include non-skilled re
spite care for the primary care
giver, skilled services such as
nursing and physical therapy,
adult daycare in a group setting
and personal care home place
ment.
“This year we have been able
to serve many clients,” Ms. Gil
bert says. “Ours is the state’s
second-largest community care
program outside of Atlanta. Still,
the need is great. We have more
than 500 people on our waiting
list, so it is important to call as
soon as you need help. But we
are usually able to serve clients
within two months. In 1997, our
main goal is to continue to man
age the program well so we can
bring more people into the pro
gram.
“People can help by writing
their congressional representa-
His book looks chronologically
at the medical problems of wom
en, including adolescence, the on
set of sexual activity and meno
pause. Later in the text, he cov
ers problems that don’t neces
sarily fall into a time frame.
Each chapter outlines the prob
lems and the basic science be
hind it, then moves to diagnosis
and treatments. “Each chapter
has a hints-and-tricks section
which passes along information
that youlearn from years of prac
tives and asking them to support
community-based services,” Ms.
Gilbert says. “The need is so
great, and this type of programis
saving the taxpayers a lot of mon
ey.”
Meanwhile, the CSRA program
will work hard to improve long
term care conditions for the eld
erly and disabled, Ms. Gilbert
adds. To make the holidays spe
cial, the case management firms
that contract with Ms. Gilbert’s
program are providing clients
with gift baskets. And many
caregivers are taking advantage
of some much-needed respite care
during the holidays, she says.
“Sometimes just a little bit of
help is all it takes to keep some
one in their home,” Ms. Gilbert
says. “There’s just nothing bet
ter than being able to be at home,
especially for the holidays.”
For more information on the
Community Care Services Pro
gram, you may call the CSRA
Area Agency on Aging at (706)
667-4695 or toll free at 1-888-92-
AGING or 1-888-922-4464. The
agency serves the following 16
counties in the CSRA: Burke,
Columbia, Emanuel, Glascock,
Hancock, Jefferson, Jenkins,
Johnson, Lincoln, McDuffie,
Richmond, Screven, Taliaferro,
Warren, Washington and Wilkes.
ticing gynecology. We need
ed abook that would dothat,”
Dr. Smith said. For further
study on each topic, reading
lists and references are pro
vided.
Dr. Smith also is primary
author of a companion piece
comingout in the spring, Pri
mary Care Proceduresin Gy
necology, which covers topics
of interest to gynecologists
expanding their roles in pri
mary care.
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Publication
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