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Article Title: Hospitalized Again?  Keeping Your Older Parent from Returning to 
the Hospital
Author: Pamela Dombrowski-Wilson
Category: Elder Care, Health, Family
Word Count: 654
Keywords: hospitalization of parents, parent health care, staying out of the 
hospital
Author's Email Address: [email protected]
Article Source: http://www.articlemarketer.com
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According to studies by Medicare 18-20% of patients find themselves back in the 
hospital within 30 days of being released.  Lack of follow up by patients is 
the main reason for a return trip.  Discharge instructions almost always 
recommend that patients see their primary care physician within one to two 
weeks of being released from the hospital. 

This is important because medical care today is very different from medical 
care years ago when your primary care physician actually came to the hospital 
to see you.  Today, physicians called hospitalists care for you while in the 
hospital.  Your primary care physician cares for you when you are in the 
community.  Many times your primary care physician has no idea you were even 
hospitalized, thus the importance of making an appointment to discuss further 
treatment for the condition that placed you in the hospital in the first place. 
 Otherwise it's likely you'll win a return trip to the hospital.

Make sure any prescriptions that you leave the hospital with are filled and 
that you take the medication as prescribed.  These prescriptions were written 
for a reason, yet many of go unfilled.  Were you prescribed physical or other 
therapy?  Participate.  Again more recommendations that go unheeded by 
patients.  Did you think you ended up in the hospital because you were caring 
for yourself properly?  Is it your intention to go back home and do the same 
thing?  You're playing monopoly with your life, lose a turn and go back to the 
hospital.

Many older adults fail to see the progression and seriousness of their 
diagnosis.  This occurs for several reasons.  Physicians talk in medical speak. 
 Older adults seeing the physicians as god-like are hesitant to ask questions; 
they do not ask questions about anything they do not understand.  Physicians 
also diagnose versus offer information that affects the day to day life of 
their patients.  For example many physicians do not tell patients to lose 
weight, improve their diets or stop smoking when this direction would benefit 
many individuals.  

Due to insurance issues, hospitals are also rushed to push patients out the 
door, usually in three days or less.  This rush many times does not allow for 
conditions to be fully diagnosed thus the problem resulting in the 
hospitalization is not resolved.  What happens then?  The patient is released, 
does not take medications, does not make a follow up appointment with the 
primary care physician and ends up back in the hospital.

This is expensive not only to the patient but the healthcare community.  In 
2009 a trip to the hospital costs the average Medicare patient a co-pay of 
$1,068.  The ambulance trip to the hospital another $600-800. If individuals, 
not insurance, had to pay these costs I have to believe that we would take 
better care of ourselves.

Other issues with older adults that complicate this situation is memory loss.  
Many individuals do not take care of themselves because they simply can't 
remember if medications were taken, meals were eaten, and bathing was 
completed.  About fifty percent of individuals over the age of 85 have 
dementia, many times undiagnosed unless a family member notices because the 
individual cannot report a condition to their physician of which they are not 
aware.   To further complicate the situation; most general physicians do not 
have experience with the subtlety of memory loss.  

It is important if you are an older adult to have someone who can advocate for 
your health care needs.  If you are a child, offer to attend medical 
appointments or coordinate information for your parents.  Make sure they follow 
up with post hospitalization recommendations.  You'll save unnecessary trips to 
hospital emergency rooms and help your parent have a better quality of life.  A 
little help goes a long way.

Pamela D. Wilson, The Care Navigator, supports adult children and others caring 
for loved ones. She also hosts a weekly talk show on 630 KHOW Denver focusing 
on caregiving. Contact her at http://www.thecarenavigator.com where you can 
also access free information.
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