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Continuity Of~Health Corel ASTRONOMY FROM *&< P : m . M A R Y M A T U L K A "All patients must be taught during their hospitalization how to adjust to an optimum level of activity and care after their discharge. Whether the patient has diabetes, a colostomy, or a heart condition, he or she must begin a regimen which will carry over into evervdav life after hospitalization. % "But that's just the first step in discharge planning, as hospitals are now realizing," according to Mary Matulka, R.N., "inator of the new Continuity of Care department at hospital. "In addition, many patients need supportive help from a variety of community resources. They may have to use the services of visiting nurses, family counselors, physical therapists, housekeeping aides, or some health aides. "My job as coordinator of discharge planning is to bring together the patient and those agencies wnich can care for the patient's needs when he or she is discharged from the hospital." This pioneering program has been inaugurated, according to McHenry hospital's nursing service, because of an ongoing crisis in post-hospital care. 'Long hospital stays for the chronically ill are no longer permitted by governmental and insurance organizations," points out Ron Cooker, R.N., director of Nursing Service at McHenry hospital. "Also, the use of hospital beds must be justified constantly. Unless a patient is in the acute phase of his or her illness, further hospitalization will not be approved by such agencies as Medicare, HASP (Hospital Admissions Surveillance program), or the hospital Medical Staff's own Utilization Review committee. "Remember that other patients may be waiting to be admitted to the hospital. This ongoing situation means that > . many patients are discharged from the hospital while still ^j.recupecatijBg or adjusting to a new lifestyle. They need a 1 program of support and care." Itifttoiruism that post Mrs. Matulka and of the patient's admission, according to I Cooker. The diagnosis itself dictates certain nursing care plans; complications encountered in the course of treatment dictates refinements in the plans; the patient's financial situation and living arrangements may call for modifications in the original discharge plans. . "The staff nurse is the person with whom discharge planning starts. She has to assess in the beginning what the patient's nursing care needs may be. She notes in her nursing plans any information which is pertinent to post-hospitalization planning," says Mrs. Matulka, who formerly was a staff nurse at McHenry hospital. "Whether the patient lives alone, has nearby relatives or friends, needs help in getting about, can drive or not, has no visitors - these are facts about which the staff nurse informs me. "Often the physician will mention to me a situation or disability of the patient which concerns him. I myself also talk with the patient in an effort to find those areas with which I may help." - - Not all problems are major, according to Mrs. Matulka; but for the patient "whose security base is this hospital" and who is about to be discharged, even minor decisions may become worrisome. LET S GET TOGETHER AND TALK ABOUT LOW-COST AUTO INSURANCE. ; Check lewandowski Cnuck Lewandowski GIVE ME A CALL FOR THE FACTS ON LOW-COST HEALTH INSURANCE. I 'D LIKE TO ANSWER YOUR QUESTIONS ON LOW-COST HOME­ OWNERS INSURANCE Fortunately Mrs. Matulka can quote various options to the patient: the cost a neighborhood pharmacy will charge for renting a walker, in comparison with the cost of buying a walker; the fee charged by a commercial medi-car (whose driver will even help the patient tip to a third-floor apartment), versus the feasibility of calling an out-of-town daugh'ter to pick up a patient "in a Fiat which cannot accommodate the orthopedic patient's braces, anyway." "I nave no prejudice against utilizing commercial services; • many times, they fill a critical need. However, they have to convince me that their service is dependable, skilled, and worth thefee they will charge the post-hospital patient," Mrs. Matulka says. A-T0,.Z 'Our McHenry County Health department is of great help to and me," she adds. "Because I am hosfyit^l-both the patient and , . based, my followup depends on evaluating what the discharged patient tells me. i "In contrast, the Health department's visiting nurses can go to the patient's home and assess his needs. The patient's family may tell me that a professional nurse is needed, whereas the visiting nurse may determine that a less-costly home health aide can do all that is required-taking blood-pressure and temperature, giving baths, and moving the patient." Mrs. Matulka, a former Chicagoan who lives in Spring Grove, is a graduate of the Columbus Hospital School of Nursing, and is the mother of a son, Donald, 16; and a daughter, Lisa, 10. Her appointment to the position of Continuity of Care coordinator resulted from a pilot studv which the Nursing Service department completed last summer and presented to the McHenry hospital board of directors. "We decided overwhelmingly that this service would be good for our patients," says LeRoy E. Olsen, board president. "Mrs. Matulka has proved that we were right." f K-N, Charles Schweighauser Sangamon State University Taken Aback A young couple was taken aback by the high price on a new compact model car. "Why so much for a small car?" the wife NEPTUNE The eighth planet in the solar system is Neptune, named for the god of the sea. It orbits the Sun at an average distance of 4.5 billion km. and is so far from the Sun that it takes 165 Earth years to make one com­ plete revolution. Put another way, it will make its first com­ plete orbit around the Sun - since its discovery in 1846 - in the year 2011. Neptune rotates on its axis in 15.8 hours. Because it is so far from the Earth its size is difficult to establish accurate­ ly: it is thought to be between 45 and 50 thousand km in diameter. Its mass is calculated as about 17 times the mass of the Earth, and its density is thus only about twice that of water, or a little less than half the average density of the Earth. The planet's atmosphere is made up of methane and hydrogen, both of which have been dctcctcd, with substantial amounts of helium and ammonia probably present. The ammonia is undoubtedly frozen since the temperature near the surface of the planet is PAGE 17 - PLAINDEALER only about 60 degrees Celsius above absolute zero. Neptune has iwo moons, one of which. Triton, is larger than our moon. It revolves around the parent planet in a backwards (compared to most other planetary satellites) or east to west motion. The discovery of Neptune was a triumph of precise, pre­ dictive, mathematical astrono­ my. In the early part of the 19th century it was known that the seventh planet from the Sun, Uranus, was moving in an orbit that showed slight but significant deviations from its predicted path. Two mathe­ maticians, John Couch Adams in England and Urbain Lever- rier in France, independently suggested that these deviations were the result of the gravita­ tional pull of an unknown planet; both predicted where this planet should be. It was found by the astronomer Galle at ' the Berlin Observatory in 1846 less than one degree from where Leverrier predicted it would be. (Adams had predict- - FRIDAY, DECEMBER 2, 1977 cd its position within two degrees.) We sometimes have to think of Neptune as the planet fai- thest from the Sun. Due to the slightly oval (elliptical) orbits of both Neptune and Pluto, the planet we usually regard as being the last planet in the solar system, Neptune is occa­ sionally farther from the Sun than is Pluto. WHAT'S NEW Sooner or later, someone had to do it -- invent a "spork". Combining features of a large spoon and fork, ex cellent for serving sphaghetti and other foods. 7" queried "Well." said -the salesman. "If you want economy, you're going to have to pay for it." in US 14 A 173 24 Hr. Information Dec 2 8 7:00 & 9:45 I,II. 816-943-4461 JOHN HOLMES m COLOR 8:30 pumeoEnTireiY onioomonin HAWAII Rated X INTRODUCING MART MAKARCT • STAR INC CINOY VEST I MARC STEVENS • Sat & Sun Dec 3 & 4 FAMILY MATINEE SANTA'S MAGIC - CHRISTMAS TREE Z^RUQOLPH ALL SEATS $1.00 1:30 Only rtated G «>!,»: VHiMtoiv ftrttton* FIRESTONE Deluxe Champion •171-15 •« PIT TREAD •RAISED WHITE LETTERS OR BLACKBALLS Perfect for large cars or small trucks! 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