NavCareNet.com Blog

Don't Turn Away from CCM

Posted by Diana Porter on Apr 21, 2017 3:36:28 PM

When your doctor talks to you about chronic care management, do you tune him out? Do you think that even though you're retired, you're too active to need it? Chronic care management, CCM, is a Medicare reimbursed care coordination program for senior adults with two or more chronic medical conditions, like hypertension, asthma, COPD, depression, or arthritis, and much more. It helps for things like coordination of care and providing 24/7/365 access to a healthcare professional. It is at least 20 minutes of non-face-to-face care for you. Much of what is done is behind the scenes and as a Medicare beneficiary, you have a right to it, if you need it. So, before you tune your doctor out, learn a little bit more about it. Here are a couple links that will help you in your research.

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NavCare on IntellectualRadio

Posted by Diana Porter on Mar 1, 2017 11:00:00 AM

NavCare Vice President, Gwendolyn Oglesby-Odom, Ed.D., MSN, BSN, RN, joined the team of "Heres to Live with Zemrah" on IntellectualRadio last night to talk about Chronic Care Management with NavCare.

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Topics: TCM, CCM

Chronic Care Management and Infections in Older Adults

Posted by Dr. Joseph F. West on Feb 7, 2017 11:15:00 AM
Infections at any age are discomforting and potentially life-threatening. For older adults, infections may lead to complications for existing complex health conditions, chronic discomfort and poor health, and a greater risk of hospitalization or even death. One in three deaths of persons over the age of 65 is directly associated with an infectious disease. Symptoms and diagnosis are often more difficult because the typical signs can be misread or not frequently observed. A sudden change in mental status or decline in physical function may be the only visible sign in an older patient with an infection.
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Topics: TCM, Prevention, CCM, Infections, MRSA, VRE

Older Adults Not Getting Enough Healthy Sleep

Posted by Dr. Joseph F. West on Jan 26, 2017 3:30:00 PM

Many seniors deal with several health problems related to aging. Patients managing chronic disease, complex health concerns and pain quite often are not getting enough sleep. Sleep patterns change with aging, and because of sleep disorders or sleep disturbances, older adults do not get healthy deep sleep. Common sleep disorders can include having trouble falling asleep, restlessness during the night, inability to tell night from day, and waking up too early in the morning. Some common health issues that prevent seniors from getting healthy sleep include chronic pain (e.g. arthritis), substance abuse, depression, neurological problems, diet, and nutrition.

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Topics: CCM, Sleep apnea, insomnia, Healthy Sleep

Managing Hypothyroidism in Senior Adults Through CCM

Posted by Dr. Joseph F. West on Jan 24, 2017 3:39:01 PM
Aging heightens onset for thyroid disease. Thyroid disease may elevate risks factors for high cholesterol, heart disease, osteoporosis and reduced cognitive function. Thyroid disease may be difficult to detect or may be wrongly attributed to existing chronic disease. There are two types of diagnoses for the disease. When the thyroid produces too much hormone it’s called hyperthyroid. If too little hormone is made, it’s called hypothyroid. Hypothyroidism is much more common in the elderly population, and older women particularly are at risk with 1 in 5 women over the age of 65 having hypothyroidism.

Symptoms of hypothyroidism such as fatigue, lack of concentration, or dry skin can look like complaints associated with aging. Other symptoms can include arthritis, intolerance to cold or rapid temperature change, fluctuations in weight, or problems in the heart's electrical system which can cause it to beat abnormally slow. Severe hypothyroidism may lead to congestive heart failure. Emotional and psychiatric well-being are major concerns for hypothyroidism. Depression, seizures, senile dementia, and slurred speech could be caused by hypothyroidism. In addition, low thyroid function is commonly associated with deteriorating cognition and Alzheimer's disease. Changes in cognitive efficacy can be related to declines in working memory, language processing, problem-solving, long-term memory, and decision-making.

Patient education is an integral part of care. Chronic Care Management (CCM) can help patients, caregivers, and healthcare providers remain mindful of symptoms for hypothyroidism. For those patients diagnosed with the disease, CCM Care Managers can coordinate follow-up care with an endocrinologist, another specialist, or home care.

In addition to specific hypothyroidism treatment recommendations and care planning, Care Managers can monthly discuss related healthcare topics with patients. For example, many older adults are interested in nutrition, sexuality and aging, exercise, and other topics related to preventing illness and promoting quality of life. Seniors may be interested in tips for removing barriers to independence and learning how to maximize their strengths. CCM Care Managers are a strong resource for encouraging patient follow-up, building an awareness of community services to lessen social isolation, and adherence to medical recommendations.

With advancing age, there is often a corresponding normal decline in touch, hearing, vision, and memory function. The effects of chronic diseases, together with the normal changes that occur with aging, may hinder patient education. Care Managers are trained to identify challenges which hamper learning. They can provide patients with the right tools to address complex disease like hypothyroidism. Caregivers and healthcare providers must remember to check for an accurate diagnosis since hypothyroidism often looks a lot like another system in the body. Older patients with hypothyroidism require special attention to gradual and careful treatment, and most likely will require lifelong follow-up. Through careful assessment of developmental factors, selection of age-appropriate and tailored strategies is important to implement effective hypothyroidism patient and provider education.
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Topics: CCM, Cognitive Health, low thyroid function, hypothyroidism


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This blog allows us the opportunity to share insights into unique information, news and updates, as well as provide a place to interact with you. As a care management organization, our blogs will take you through the many facets of care management, from chronic care and transitional care management, to population health management which is where we begin.

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