Newspapers / The Chowan Herald (Edenton, … / March 31, 1977, edition 1 / Page 17
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Patient Discharge Programs Studied By CAROLYN PORTIER CHAPEL HILL An qjjterly woman who lives tmone comes home from a 'hospital after being diagnosed as diabetic. She has been taught how to give herself the required daily insulin injections, but she can’t see well enough to dfaw the vital serum into the syringe. Without some type of help, the chances are great the wpman will have to leave hfr home and be admitted to a nursing home. 'Help is what a patient discharge program provides. In this case the woman would be scheduled weekly visits by a public health nurse who could fill a week’s supply of syringes that can be stored in a refrigerator until needed. ■ This is only one of the types of problems patient discharge programs can handle, according to Susan Darrell, a graduate student in the department of health education in* the School of Public Health at the University of North Carolina at Chapel Hill. Jarrell has been involved in designing and evaluating patient discharge programs as part of her field work requirement. Since Sep tember she has been working with the Forsyth County Public Health Department evaluating the effectiveness of the Baptist and Forsyth County hospitals’ patient discharge programs. The way the program works, Jarrell explained is a public health nurse is to full-time duty in NEED TO BUY AUTO INSURANCE SEE YOUR FARM BUREAU INSURANCE AGENT We Sell Auto Comprehensive and Collision at a 15 Per Cent Discount. We Also Give a 10 Per Cent Discount on Fire Lines and Have Paid a 20 Per Cent Dividend For Several Years. SEE US FOR ALL YOUR INSURANCE NEEDS J. E. Stallings, Agency Manager 482-7434 OR Kermit Layton 482-2627 CAUC ON A WORLD OF OnvC COLOR! Enjoy the sharpest, brightest color and black and white pictures your TV set can deliver with this Channel Master color-engineered antenna and Automatic Colorotor! « SAVE ..r~ — NOW! GET THIS CHANNEL MASTER ANTENNA & COLOROTOR PROFESSIONALLY INSTALLED Channel Master Antennas are electronically engineered to provide your set with the strong, interference-free signals it needs to do its best job. They’re durably built for yean of superior performance by the world's largest manufacturer of TV/FM reception equipment Channel Master Colorotors aim the antenna to the exact angle needed to pick up channels coming from different directions, end "fine tune" the antenna for peak reception. ' 1 fir flk ■liil TV jff iviwVn w Qi I v jihvivi . - a hospital. She has access to patient charts and ad missions data and identifies those patients that might need some type of help upon being discharged from the hospital. The nurse then contacts the patient and the patients’ physician and they discuss what types of ser vices may be needed. Follow-up visits with the patient’s private physician may be arranged, Jarrell said, or the patient may be referred to several service agencies in the area. Ser vices could include scheduling visits with social workers, public health nurses, nutritionists or appointments with public agencies providing advice and assist on financial problems. “The needs are either medical, social, emotional or financial,” Jarrell said. “ Those patients most likely to need some type of service upon being discharged are surgery patients, patients needing dressing changes, stroke victims, cancer patients, diabetics and elderly patients, and those suffering accidents resulting in delibiltating problems like broken hips, back injuries.” Some hospitals may offer aftercare services through social workers, Jarrell said, or some physicians may plan for services for their patients, but the services on the whole may not be coordinated. Some patients may be overlooked. Also, having a public health nurse coordinate all services, she said, assures that patient health care needs as well as financial and social needs will be met. “Hospitals need one person who can sit down and figure out who will need help, and what types of services they will need,” she said and then can see to it that these services are rendered.” If someone is not there to insure that patients receive this type of help, she said, many times their situations worsen and they often end up returning for another stay in the hospital. “The idea is to identify patients who may need help and begin planning their discharge care needs on the day they are admitted,” she explained. “I met one woman in a hospital cafeteria once,” Jarrell said, “who told me her husband had suffered spinal injuries from an automobile accident. He had been in three hospitals, she said, and probably would be partially paralized for the remainder of his life. The woman, who had also been injured in the accident, was traveling one hour every day to be with her husband. They had no income and no insurance. “The hospital had no patient discharge program and so no one had contacted the couple to help them. They needed financial and emotional support. When the husband was released he would need rehabilitation training and home physical therapy. If a program had been active in that hospital the couple would have had the help and support they needed.” Jarrell said there are presently very few hospitals in North Carolina having a coordinated patient discharge program. Her evaluation of the Forsyth programs will be complete in May and will be used as her master’s thesis. The evaluation includes 140 diabetic patients grouped according to whether they saw the public health nurse coordinator and received referrals, didn’t see the coordinator, or saw the coordinator and received no referrals. Jarrell intends to determine how many benefited from the services and how many could have benefited. The Veterans Ad ministration treats more than 1.1-million patients in 171 hospitals each year. Domiciliary and nursing home care is provided for another 30,000 patients. D. F. Walker Hoaor Roll Is Listed Principal James A. Kinion has listed the following students included on the honor roll at D. F. Walker Jr. High School for the fourth six-week grading period: 7th Grade “A” Honor Roll Paula Dunlowe, Valerie Jerkins, Laura Underkofler, Kathy Gard and Barbara Wright “B” Honor RoU Susan Downum, Johnny Dunn, Mary Ann Hollowell, Shelia Cherry, Teresa Forehand, Darrell Gray, Stephanie Hampton, Gordan Jethro and Jamie Lane. Also Charles Ledford, Rhonda Mizelle, Angela •White, Denise Babeaux, Anna Goodwin, Darlene MacDonald, Amy Knox, Kim Maglione and Frankie Parrish. . Also James Slade, Kim Swanner, A1 Bunch, Troy Wright, Wendy Hare and Bill Whichard. Bth Grade “A” Honor Roll Laurie Everson, Carolyn Stepney, Cheryl Harmon, David Hibbard, Mona Nixon, Eliot Atstupenas, Lori Bage and Lynn Dale. Also Susie Keeter, Kelly West, Paula Bass, Martha Gibson, Kellie Sopher, Stacy Waller, Allen Downum and Laurie Ledford. “B” Honor Roll Antoinette Ferebee, Jacqueline Rountree, Randy Lowe, David Jordan, Terry Hoard, Graham Cox, Tom Dail, Ronald Stallings, Debbie Miller and Jean Goodwin. Also James Goodwin, Sandra Spruill, Giacomo Belcredi, Sue Bunch, Patricia Hill, Jacqueline Rankins, Paul Roberson, Marla Jordan, Steve Lane and Susan Miller. Park Included In Guide Pettigrew State Park and Merchants Millpond State Park are among 78 natural areas accessible to the public which are included in “The Living Land: An Outdoor Guide to North Carolina,” written by Marguerite Schumann and published recently by Dale Press of Chapel Hill. The natural areas are described from the stand point of access and their recreational facilities, as well as pertinent facts of geological, biological, and historical interest. Thirteen of the areas are operated by the federal government (parks, seashores, wildlife refuges, and forests), 25 are North Carolina State Parks and natural areas, 23 are recreational lakes and rivers, along with several gamelands and such forests as Bladen Lakes, Duke University, and four owned by North Carolina State University Goodwin, Hill, Hofmann, and Schenck. City and county woodland parks near Fayetteville, Greensboro, and Asheville are listed, as are special interest areas such as Purgatory Mountain-North Carolina Zoological Authority near Asheboro, the N.C. Botanical Garden at Chapel Hill, the Blue Ridge Parkway, the In tracoastal Waterway, and several commercially operated natural parks of the mountains. •.'. 5 . - Thursday, March 31, 1977 BNC Expands American Express Card Program RALEIGH—The Bank of North Carolina, N. A., is now offering a unique charge card program designed for persons with an above average income who do substantial business and personal traveling and entertaining. The American Express Gold Bank Card provides the full range of in ternational charge privileges of the American Express Card, plus the security of a cash reserve of at leasts $2,000 issued by the bank. This cash reserve can be useful for picking up bargains and for emergencies, since it gives cardmembers the option of deferring their monthly American Express charges. The new program offered through the bank also enables the gold card member exclusively, by writing a personal check, to SmM /7~ r f /* downtown Qfielk lyler The texture is heather linen, the fabric is | v "nS. 100% polyester weave. The colors are * t £r * definitely this season. The idea is blazer \ yLjf /^B * matches pants. Blazer coordinates with ff ® check slacks. Add the vest, wear it on either % ‘ If ydT \ i check or solid-tone side. And all these looks I —ts on one hanger! Another great idea y V. I V \ i. :n< • W I m f \ Stop Dally 9:30 Until 6 Except Friday 9:30 • 9:00 and Saturday 9:30 -6. Phone 482-3221 $ * * * I # * Y THE CHOWAN HERALD obtain up to SI,OOO in Travelers Cheques per 21- day period at the overseas travel offices of American Express Company, its subsidiaries and representatives. Payment for the cheques may be drawn from the cash reserve. A special feature of the program makes it possible for cardmembers to borrow money from the bank either as cash, or in the form of a deposit to their checking account. J. C. Saunders, Jr., senior vice president, Bank of North Carolina, N. A., notes, “With this widely-accepted card you can do everything from buying a rough-cut diamond in Rio to pur chasing scientific reports from the U. S. Government. The American Express, Card is accepted worldwide for food, accommodations, transportation, purchases and services. Even Russia’s Intourist honors the American Express Card and, by special government edict, it’s the only charge card accepted in the entire country of Burma.” Individuals who can meet the bank’s requirements for a “signature” loan of at least $2,000 and meet Some of the foods unknown in Europe until Columbus brought them .back from America are turkey, peanuts, pumpkins and potatoes. Hint*6 Ice cream and Jell-0 BRAND GEIATIN Dissolve I package I ki:)|ELL-0' Brand Gelatin in I cupboilinn water Add 1 pint vanilla ice cream by spoonfuls. Stir until ice cream is melted. Chill about 1 hour. For. more tips send SI.OO to. The New joys ofJell-Q* Recipe Book. Post Office Box 5168. ; Kankakee, Illinois 60901. Jcll-Oi> .i registered tr,idem,irk of licner.il fo,*)' G.>r|v>r.iti,,t ©General Find** Corporation N 77 Page 9-B American Express requirements will find the Gold Bank Card readily available to them. Anyone who wishes to obtain the American Express-Bank of North Carolina, N.A. card should apply for it at Bank of North Carolina, N.A., or any of its branches.
The Chowan Herald (Edenton, N.C.)
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March 31, 1977, edition 1
17
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