Therapy for Total Knee Replacement Page 2 The Good

8
The Good, The Bad and The Barbeque
First and foremost, our sincere thanks to
our hosts Katsy and Jim Whittenburg and
Kathleen Mecom Fogarty for their support
and boundless hospitality.
Thank you to all our sponsors and in-kind
donors for helping to make The Good, The
Bad and The Barbeque a great success!
Together we raised over $100,000 for Elder
Care’s important programs and services.
A very special thanks to Roger Skelly and
Charlie Taraboletti for their help in making
this a spectacular evening.
Presenting
Sponsors:
66 Federal Credit
Union
ConocoPhillips
Wells Fargo AdvisorsAmy Cady First Vice
President
Prime Sponsors:
Amedisys
ARVEST Bank
Bartlesville Radio:
KWON,KYFM, KRIG,
KPGM
Central Sates
Printing
Dink’s Pit Bar-B-Que
Osage Million Dollar
Elm Casino
The A.E. and
Juanita Richardson
Foundation
Choice Sponsors:
Bank of Oklahoma
Barking Dog Design
Group
Bartlesville Regional
United Way
Carter Healthcare
Schwegman
Insurance and
Financial Services
Select Sponsors:
Armstrong Bank
BancFirst
BMI Health Plans
Roger Box
Bratco
Brewer, Worten,
Robinett
Comforting Hand
Hospice
Doenges Ford
Lincoln-Mercury
Toyota
Donna Barclay/REMAX of Bartlesville
Gallery Ranch
Green Country
Village
Internal Medicine
Kane Cattle Company
Keller Williams Real
Estate
Dr. Lajara
McAnaw Family
Foundation
Osage Federal Bank
Professional
Mortgage
Regional Medical
Laboratory
Shanadoa Home
Health
State Farm Insurance
Tallgrass Estates
Live Auction Donors:
66 Federal Credit Union
Bank of Oklahoma
The William Bohon Family
Brewer, Worten, Robinett
Dink’s Pit Bar-B-Que
The Canebrake Resort
The Fairfield Inn
Fancy Pants Greetings
Frank & Lola’s
Fusion Massage Therapy
Scott Griffin
The Daily Grille
Mark and Debbie Haskell
Shelley Koster, Keller
Williams Real Estate
Mazzio’s Pizza
McCoy’s Jewelers
OK Mozart Festival
Papa John’s Pizza
The Frank Phillips
Foundation
Second Street Bakery
Emma Standish
Sterlings Grille
Silent Auction Donors:
Amir’s Persian Imports
Barking Dog Design
Group
Melvin Barnes
Bartlesville Civic Ballet
Bartlesville Community
Center
Bartlesville Community
Concerts
Bartlesville Boarding
Kennel
Dr.Jamie Bennett, O.D.
Body by Colaw
Dwight Boesiger
Boles Jewelry
Buffalo Wild Wings
Charles Chambers
Irene Chang
Prime Times
Thank Yous
Dr. Bradley Cobb O.D.
Frances David
Charlie Drake
Elder Care Board of
Directors
Elder Care Staff
Elite Nails
Fanning Jewelry
Minor Forge
Gail’s Hairstyling and Spa
Gallery Ranch
Betsey Gregory
Head Country
Hillcrest Country Club
Hopestone Studio
Inn at Price Tower
Jude’s Health & Java
Richard Kane YMCA
Keepsake Candles
Kiddie Park Board
Elise Kilpatrick
Lela Kunze
Kathy Lloyd
Murphy’s Steakhouse
Nowata Road Liquor
Oakley Chevrolet Buick
Pontiac
Orville Knight
Outlaw’s Chophouse
Tina Parsons
Emily Potts
Joni Su Randolph
Bessie Rayburn
Regional Dermatology
Rib Crib
Jane and Earl Sears
Shooting Star Farms
Simple Serenity Massage
Therapy
Emma Standish
Kathy and John Swanson
Taco Village
Tallgrass Estates
Larry Thrash
Tumbleweed’s
Steakhouse
Jeff Vunderink
Holly Wesley
Barbara Williams
Stevie Williams
Yocham’s Custom
Leather
Issue 6
Volume 11
An Elder Care Publication
Therapy for Total Knee
Replacement
Page 2
BBQ Volunteers:
Elizabeth Anderson
Katelyn Bishop
Sean Brong
Mary Daly
Joe Esser
John Gerkin
Tom Gallery
Monica Green
Judi Hildebrand
Melvin Hildebrand
Michael Johnston
Dale Lewis
Bret Miller
Sally Miller
Chad Moreland
Julie Tate
Niki Walker
BBQ Volunteer Groups:
66 Federal Credit Union
Bartlesville Ambulance
Charles Lewis and Boy
Scout Troop 6
The City of Bartlesville
Vicki Hastings, ARVEST
Bank
Hill Steel Corporation
Mullendore Cross Bell
Ranch Staff
Osage County Reserve
Sheriff’s Unit
United Linen
Wal-Mart Distribution
Center
June 2010
Christy Bashford, PTA helps Frances Salih gain strength and
range of motion in her knee after her recent minimally invasive
knee replacement.
1223 Swan Drive
Bartlesville, OK 74006
918-336-8500
www.abouteldercare.org
Dischare from Hospital
Page 2
Opportunities for Caregivers
Page 4
After Surgery Support
Page 6
2
New Advances in Total Knee Replacement
7
Prime Times
By J. Beau Rapp, Physical Therapist
Osteoarthritis is the leading cause of disability in the
general population of the United States. Arthritic knee
pain originates from degeneration of the articular
cartilage in the knee joint. Cartilage absorbs shock in
weight bearing joints throughout our body, and can
degenerate as we age. As the cartilage degeneration
progresses, it leads to altered mechanics of the joint
and extreme pain with activity. Over time this
pathology can progress and lead to bone on bone
contact due to loss of cartilage.
Symptoms of a degenerative knee include local pain
during and/or after activity, joint stiffness and swelling,
loss of motion and audible joint grinding.
As for any orthopedic problem, different severities of
arthritis warrant different medical management.
Numerous non-operative treatments are available to
help manage this problem including
anti-inflammatory medication, joint injections and
physical therapy. Physical therapy intends to prevent
physical impairment and restore functional ability
through the use of therapeutic exercise, physical
modalities, and patient education.
“Physical therapists provide education on the nature
of their pathology, performing an individualized
evaluation and assessment of the person and their
problem that includes establishing a treatment plan to
target the problem tissues,” said Beau Rapp,
physical therapist. “Therapists help normalize the
joint mechanics of the knee and provide the optimal
environment to maintain cartilage health with
appropriate manual techniques, specific cartilage
training programs and with proven exercises to
strengthen important muscles to help balance the
joint and prevent further damage.”
Severe knee degeneration often requires a surgical
procedure where damaged surfaces of the knee joint
are removed and replaced with artificial surfaces by
having a total knee arthroplasty (TKA). After a TKA,
therapists help to manage post-op pain and swelling
while restoring joint motion and strength to allow the
patient to resume their previous function. Surgical
candidates are those who have failed to find relief of
their symptoms with conservative care. Realistic
expectations after a TKA include walking without knee
pain on all surfaces including stairs, improved
tolerance to prolonged walking and standing and to
regaining the ability to perform previous activities
without knee pain. After surgery, jogging and highimpact activities should be avoided.
A new and upcoming alternative to traditional surgery
for people who suffer from knee pain is the minimally
invasive/quadriceps sparing TKA. This technique uses
the same reliable implants as traditional total knee
replacement, but is less invasive. The prime
advantage of this quadriceps sparing surgery is fewer
traumas to muscles and tendons as the surgeon does
not cut through the important quad tendon and leaves
a smaller incision. Therefore, the person will have a
shorter hospital stay with less pain and a shorter
rehabilitation time.
“Rehab is painful, but now I don’t hurt when I walk!”
said Frances Salih, a recent therapy patient at Elder
Care after a recent minimally invasive TKA performed
by David O. King, DO in December 2009. “I can wash
windows on a small ladder, and rearrange my furniture
without knee pain.”
Dr. King mentions that “with this new procedure his
patients have less pain, move faster after surgery and
are home usually within two or three days.” He also
points out that most patients who have knee
replacement surgery are functionally equal after one
year. He said “the huge advantage to this new
approach is during the first four weeks, which is
traditionally the most painful time.”
The physical therapy department at Elder Care
specializes in administering excellent individualized
care in a compassionate environment. We dedicate
ourselves to provide high-quality skilled services to
manage multiple medical conditions, and the
impairments that accompany these conditions. We
would love help you manage your knee pain. You can
contact us directly at 918-766-0391.
FULL Page AD
6
After Surgery Support in the Home
Prime Times
By Sissy Gage, Home Services Director
The road to recovery after any kind of surgery starts
with understanding what your body needs before,
during and after surgery. Prior to, patients may spend
considerable time preparing for the surgery.
Preparations often include learning about the
procedure and recovery, pre-operative testing and
organizing the household for aftercare. But what
happens when you arrive home after surgery when
the procedure is over? The purpose of this article is to
answer that question for patients and their families.
Prior to discharge, patients are given written
instructions and necessary prescriptions or
medications. The instructions provide reminders for
various aspects of home care.
Patients returning home should “pre-arrange” for
someone responsible to drive them home and stay
with them the first day or two. To make the ride home
more comfortable, have the driver bring pillows and a
blanket. Ride in an upright position with seatbelt
fastened. You may need to stop for a break to stand up
if your ride is longer than one hour.
It takes times to recover from surgery, so the best
advice is to take it slow. Most post-surgery
individuals can expect to feel tired. Normal activities
may be restricted for several weeks. This may include
working, lifting and driving a motor vehicle. Surgery
not only affects your ability to concentrate, but
medication taken for pain may impede your ability to
drive safely. It is best to closely follow the physician’s
orders for a safe and speedy recovery. It is also
important to eat a well-balanced diet, drink plenty of
fluids and get rest.
After surgery, support in your home is vital to a quick
recovery, but may not be available to everyone. Elder
Care receives a number of calls from individuals over
the age of 60 who are scheduled for surgery and live
alone. Most of them are concerned about not having
the support they need to assist with the transportation
to and from the hospital, their pets being looked after,
preparing meals for them and running errands to pick
up groceries and supplies.
“These are just a
few of the
concerns we
hear,” said Sissy
Gage, Home
Services
Director. “What
Elder Care wants
people to know
is if you have a
worry please call us. We have the staff that is available
and wants to help you.”
Elder Care can help with compassionate, home care
services delivered right in your loved one’s home.
Whether a few hours a day or long-term care 24 hours a
day, an Elder Care companion can assist you. All
companions are thoroughly screened, trained, matched
to your preferences, professional and reliable. Elder
Care offers a wide variety of services, which may grow
to include activities and support that are unique to you
and your older loved one’s needs. This helps out-oftown family members have peace of mind.
“Here at Elder Care we have a geriatrician, nurses,
therapists, a senior care consultant, care managers,
housekeepers, companions as well as activities for
those who just want some socialization,” Gage said.
Elder Care also provides, at no charge, the ability for
people to borrow medical equipment such as walkers,
canes, wheelchairs, shower chairs, etc. that may be
necessary for post-operative recovery.
Medical equipment can be expensive, and often the
need is only temporary. As a result, we appreciate
receiving equipment donated to us. Then we, in turn,
can loan that equipment out to people who need it.
Elder Care’s services help families and individuals fill the
gap in care and ensure loved ones are safe and secure
post surgery. Call Elder Care at 918-336-8500 and ask for
our Senior Care Consultant, Christina Bishop or Sissy
Gage, Homes Services Director. Our staff will be happy
to assist you in any way they can.
Prime Times
published monthly by
ELDER CARE
Excellence in senior care
since 1983
1223 Swan Dr.
Bartlesville, OK 74006
Tel. 918-336-8500
Fax 918-336-8519
[email protected]
www.abouteldercare.org
A United Way Agency
Program Management
Mike Fogle
Executive Director
Frank Danel
Facility Manager
Sissy Gage
Home Services Director
Sue Kulp
Care Manager Supervisor
Mary Grove, P.T., GCS
Physical Therapy Director
Andrea Harvick
Adult Day Health Director
Deirdre McArdle
Development Director
Stevie Williams
Community Relations Director
Chris Taylor, D.O.
Geriatric Physician
Director, W. R. Bohon Senior Health Clinic
Board Members
John Swanson, President
Elizabeth Gallery, Vice President
Thad Kent, Treasurer
Roger Box
Amy Cady
Jim Clark
Frances David
Kelly Diven
Janice Drake
J.P. Fitzgerald
Special Judge John Gerkin
Sandy Moore
David Oakley, Jr.
Marci Piper
Gerald Reed, D.O.
Lisa Roll
Kay M. Sallee
Richard Sewell
Rosie Swindell
Coordination of Care From Hospital
3
By Linda Bracker, Care Manager
Older persons who have been hospitalized often require special planning for care
after they are discharged. Care may range from basic assistance at home to include
bathing, dressing, toileting, etc. to rehabilitation needs or nursing home care.
Making early contact with a hospital discharge planner, usually through the Social
Work Department, is important. You and a family member assisting you after
discharge are an important part of the planning team. Below is a list of important
steps to take in order to make a safe transition from hospital to home or
specialized care facility.
1) Where will you get care and who is the designated person(s) that will help you
once you are discharged?
2) Make sure you understand your health conditions, talking directly with the
physician/hospitalist before leaving the hospital.
3) Understand what problems might arise and what to watch for once discharged,
and know how to handle the problems.
4) Make a list of all prescriptions and know what the medications are. Do you
know what the medications are for, when to take them, what side effects they
may have, and what pharmacy to use?
5) Gain knowledge about all medical equipment and supplies you might need, i.e.,
cane, walker, wheelchair, incontinence supplies, etc., and how to obtain them:
Elder Care has a no-charge medical equipment loan.
6) Find out what you will need help with: bathing, dressing, grooming, toileting
assistance, shopping for food, housework and transportation. A companion at
Elder Care is available to assist with any of these tasks.
7) Are you able to complete tasks that require special skills such as changing
bandages, giving shots, using medical equipment?
8) For Caregivers who are assisting their loved ones, know and understand what
help they will need from you. If the care is beyond your scope of knowledge,
ask the hospital discharge staff to develop a plan that includes experienced care
from outside agencies. If your Caregiver is worried, anxious or stressed
about care once you are discharged, find out about support groups like the one
at Elder Care that meets on Tuesdays at 10 am.
9) Know what physicians to call for follow-up medical procedures/appointments
after hospital discharge.
10) Make a list of all aftercare appointments and what tests you will be expected to
complete once you are discharged.
11) Keep all hospital discharge paperwork and instructions. Make sure you
understand all instructions before leaving the hospital.
12) If outside assistance is needed by a home health agency or nursing home, ask
your hospital discharge planner to check with several before making a final
decision.
13) Understand the cost of your medications, equipment and all services; what
should be covered by your insurance and what out-of-pocket costs you will be
responsible for. Ask your hospital discharge planner about any financial
resources that you might be eligible for to assist with payment.
4
Adult Day Health Opportunities for Caregivers
Prime Times
By Andrea Harvick, Adult Day Health Director
Caring for another person takes
time, effort and work. Plus,
most caregivers juggle care
giving with full-time jobs and
parenting. In the process,
caregivers put their own needs
aside. Often the caregiver
suffers from fatigue and
depression and may not even
know it. About one in four
American families care for
someone over the age 50.
caring for others all your life,” said Andrea Harvick, Adult
Day Health Director. “And if you are the caregiver, it may
be equally difficult to consider allowing ‘strangers’ to care
for your loved one. Adult day centers offer a win/win
situation for
everyone in the
family, not only
the participant or
member who
attends the
program, but also
for the family
member who has
primary
responsibility as caregiver.
Adult day health provides a
much needed respite for the
caregiver, affording a break
from the physical demands and
stress of providing round-theclock care.”
While help of all types is
available, a valuable, though
not well-known service, is
Adult Day Health. This
program is designed for older
adults who can no longer
manage independently or
who are isolated and lonely.
DayBreak Adult Day Health
Other reasons you should
can offer much needed
consider DayBreak include
respite for the caregiver.
when you or a loved one is
Caregivers may feel reluctant
isolated and desire
to use adult
companionship; cannot be
day centers
safely left alone at home; or live
because they
with someone who works outside
seem
the home or who is frequently
unfamiliar
away from home.
or because a
loved one is
DayBreak offers a safe, secure
hesitant to
environment to spend a day
try something
participating in enjoyable and
new.
educational activities. For more
Contrary to
information about Adult Day Health
this belief, most participants see improvement in
services, please call 918-336-8500.
mental and physical health, gain an enhanced level
of independence, get pleasure from socialization and
Photo Credits: Top left: Cira A. makes cupcakes for race
enjoy nutritious meals. In return, caregivers benefit
day; Top right: Vickie B. and John K. play dominos with
by getting a break from care giving duties while
ConocoPhillips New Hires; Center: Wesleyan Christian school
knowing that a loved one is in good hands.
band performs for DayBreak; Left bottom: Bessie R. and
“It’s challenging to admit you need help, especially if Virginia C. enjoy a Mother’s Day tea; and Right bottom:
Mike R. delivers homemade dog biscuits to the SPCA.
you’ve been a highly independent person used to
5
Events Calendar
June
12 - Open House Tour, 10 am. All are invited.
20 - Father’s Day
22 - Caregiver Support Group: Open Discussion, 10 am
GO: Day of Beauty, 10 am
24 - DayBreak Open House, 5 pm
Golden Hour: Fourth of July Spectacular with the
Ad Lib Singers, 5:30 pm
29 - Caregiver Support Group: Open Discussion, 10 am
July
4-5 - Fourth of July Holiday; Elder Care office closed
6 - Caregiver Support Group: Open Discussion, 10 am
9 - Washington County Senior Fair, Dewey Fair
Grounds, 9 am - 1 pm
13 - Caregiver Support Group: Open Discussion, 10 am
GO: Stretch & Tone, 1:15 pm
15 - GO: Stretch & Tone, 1:15 pm
20 - Caregiver Support Group: Open Discussion, 10 am
GO: Stretch & Tone, 1:15 pm
GO: OKLAHOMA! in outdoor theater, 5:45 pm
22 - Golden Hour, 5:30 pm
GO: Stretch & Tone, 1:15 pm
27 - Caregiver Support Group: Open Discussion, 10 am
GO: Stretch & Tone, 1:15 pm
29 - GO: Day Trip to Philbrook, 10:15 am
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