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Department Spotlight: Hospice & Palliative Care
In the book of life, everyone eventually reaches the final chapter. End-of-life isn’t often something a patient or loved one wants to think about. The end of someone’s life isn’t a final option – it's a privilege. At Renown Health, we have a compassionate team prepared to approach this privilege with kindness and care. The Hospice & Palliative Care department at Renown is the best of the best. Their efforts go far beyond simply addressing physical pain; they also bring emotional and spiritual solace to patients and family members navigating the complexities of serious illness and end-of-life. This team provides crucial guidance and expert knowledge, comfort and care when it is most needed. Bringing Dignity to the Final Days Contrary to popular belief, hospice and palliative care is not a “last resort” option for families. In fact, it’s quite the opposite. These caring professionals work hard to ensure a patient’s final days are free of pain and full of peace, rather than focused on the end. This type of care isn’t a death sentence – it's a living gift. Each patient is involved in his or her own end-of-life process. They have a huge role in deciding on their own and with their family members how they want to live out their remaining days. “Every team member’s daily work focuses on how to facilitate a good death for each patient,” said Tanya Prosch, Hospice Supervisor. “Ultimately, it is up to each patient’s family to be involved in this process. Every day, there is a lot of communication among team members as we prioritize the needs of our patients. As patients decline and their symptoms change, we continuously assess what topics we will discuss. This creates a beautiful back-and-forth dynamic among the team, patients and families.” “Together, we come as a team to provide what they need, ensuring individualized care for each patient and family based on their safety and specific needs,” added Rachel Schneider, Transitional Care Specialist. “Our care plans are not cookie-cutter; they are tailored to fit each unique situation.” The hospice team provides comfort and support to those in the final stages of a terminal illness. Hospice is focused on one main goal, which is enhancing quality of life for patients and their families. “In general, hospice staff conduct home visits to see our hospice patients,” said Amy Nieminen, Manager of Home Health & Hospice. “We have an interdisciplinary team that includes nurses, aides, chaplains, social workers and volunteers. Together, we address both the physical and emotional, spiritual and social needs of our patients and their families at the end of life, ensuring they have a meaningful and peaceful experience. We do a lot of work with families and loved ones, providing follow-up calls and support for the patient’s caregivers after their passing. Our support extends for up to a year, with grief specialists available to help families through their loss. Additionally, we have rotating on-call nurses every night and weekend, so patients are never left without care.” While palliative care shares similar duties to hospice care, it differs slightly. Palliative care can be involved at any stage of a serious illness, even during treatments. “During in-home palliative care, we work with patients who may be physically ready for hospice but who are not yet psychologically, emotionally or spiritually prepared to make that transition,” said April Lennon, APRN for In-Home Palliative Care. “They may still be exploring treatment options and working with their specialists. We provide a lot of support, helping them understand the consequences and benefits of various treatments. Additionally, we focus on symptom management for patients experiencing significant pain or nausea, assisting them in managing these symptoms effectively.” On both sides of this department, the team has the opportunity to be especially involved in their patients’ lives and in the lives of their families. Giving loved ones more time with their relative facing end-of-life is a duty that these team members take seriously. “My job is to educate families about what’s coming next and what is happening now, as there is a lot that occurs during the death process,” said Katie Adams, Hospice Nurse Case Manager. “Families will never regret the time and effort spent during this process. We have only one chance to get this right. This is not just a random hospitalization that people will forget; it is a significant moment that everyone around the patient will remember.” “Being able to connect more deeply with patients’ and families’ stories and their narratives about life is essential, as it provides a broader understanding beyond just the medical picture of what is happening,” added Libby Krayk, APRN for Hospice. “We explore their expanded value and belief systems to assist with decision-making, helping them make choices together. When patients are no longer distracted by pain or nausea, they can focus on their long-term desires and goals and spend more time with their families." “Crisis intervention, social work, education, family conferences, and placement issues are all part of what we do, and it’s quite exciting,” added Donald Kamka, Social Work Care Coordinator. “You become fully invested in the lives of those you help, which is what makes this job so rewarding. This is a remarkable time in their journey, and it’s evident that everyone involved has a vested interest in it." Naturally, many questions, worries and fears arise during this time in a patient’s life. The Hospice & Palliative Care team members are expert communicators and know exactly how to relieve some of those anxieties, prompting a more peaceful end-of-life. According to this team, it’s all about transparency and compassion. “Our role involves helping patients navigate the healthcare system as they face death,” said April Lennon. “Home visits can range from one hour to three hours, depending on the needs of the patient and their family. We engage with entire families, including those who are out of town, coordinating care and working with many providers in the area. Our hope and goal for every patient is to ensure they understand what they are doing and why they are doing it, empowering them to make their own choices.” “We often find ourselves addressing the most difficult information, which can sometimes be seen as the ‘elephant in the room’ that people tend to avoid,” added Libby Krayk. “I ask patients for their permission regarding what they want to know and who they would like involved in the conversation. This approach can help alleviate some of the challenges and stress they may be experiencing. Being honest and discussing matters in a way that they can understand is essential. I take the time to sit down with my patients and connect with them on a human level, rather than just a medical level.” As a not-for-profit health system, volunteers are at the core of our mission delivery. They graciously dedicate hours out of their week to be a friendly source of help for patients. Renown’s Hospice Volunteers exude this level of kindness and more. Our employed team members attribute their volunteers as a major source of success for Renown’s hospice program. “I believe that being a volunteer provides a role that patients perceive as non-threatening,” said Linda Derry, Hospice Volunteer. “As volunteers, patients feel more comfortable talking to us and sharing things. This dynamic allows them the freedom to express not only how they are feeling but also their fears and any other concerns they may have. It is in these moments that we can truly connect with them, as we are volunteering out of a genuine desire to sit and visit with the patients. “When I see a patient, the focus depends on their specific needs,” added Luanne Geissler, Hospice Volunteer. “I often give family members some time to themselves to do whatever they need to do while I visit with the patient. Many of them are very talkative and eager to share their stories. For instance, one patient told me how to make a baked potato while out in the wilderness, which has become one of my favorite stories. Another patient shared her experiences about coming to America from Asia, discussing her church, her religion and her passion for baking. She would even bring bread to her doctor.” “I have one patient whose main desire is to play chess; he has been playing for over 80 years and is still able to play very well,” added Hervey Ibarra, Hospice Volunteer. “When I visit another patient at his home, we engage in conversations about a variety of topics. Additionally, some patients ask me questions about the military and law enforcement. Whatever they want to do and discuss, that is what I focus on during our time together.” Regardless of whether they are a provider, supporting team member or a volunteer, every person on the Hospice & Palliative Care team shares a primary focus: helping patients live their remaining days, no matter how long that may be, with dignity and comfort, surrounded by their loved ones.
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Department Spotlight Community Care Management
When thinking about taking care of your total health, what comes to mind? Perhaps participating in your annual check-ups, taking your prescribed medication, eating a nutritious diet, checking in with your mental health, the list goes on and on. Now, put yourselves in the shoes of someone who may not know where their next meal may come from, someone who may be homebound and not have access to transportation, someone who may be on a fixed income, someone facing homelessness or even someone who may be struggling with substance abuse issues. Getting healthy – and staying healthy – comes with a unique set of obstacles, or social determinants of health, for these patients to overcome. Inequities around social determinants and health behaviors have an outsized impact on patient outcomes, and social and economic factors make up 40 percent of those inequities. This is where the caring and compassionate community health workers, social workers and registered nurses that make up Renown’s Community Care Management (CCM) department rise to the occasion. As the need for resources grows in northern Nevada, these dedicated team members fill those gaps and ensure every patient feels prepared, educated and equipped with everything they need to continue their care journey and live a healthy, fulfilling life. Defying Disparities When our community at risk faces healthcare disparities, it can create complications in each patient’s life that may keep them from addressing their healthcare needs and affect the likelihood of them being admitted or readmitted to the hospital or continuing to struggle with their care management – but not on CCM’s watch. Whenever possible, the CCM team steps in to provide critical resources, education and care journey guidance for any patient that finds themselves in need. “In the simplest terms, we do outpatient case management with vulnerable populations,” said Barb Mader-Scherrer, Director of Community Care Management. “It may be anyone from elderly people who need help managing chronic diseases, to patients experiencing homelessness who are being discharged from the hospital. We work with folks who are facing all sorts of challenges.” Several roles make up the CCM department, including Community Health Workers. These team members are the resource experts, on the front lines of helping educate patients and supporting them as they navigate through the facets of their care. Their main goals? Avoid admissions and readmissions to the hospital and continue to meet their unique goals. “I have the pleasure of working with patients who may need financial help, transportation help or even help utilizing the food pantries in our community," added Steve Arm, Community Health Worker. “We help patients navigate healthcare and social services, address social determinants of health, encourage self-efficiency and provide general health education for many chronic conditions. We also provide home visits for our patients who need extra support.” “The day in the life of a Transitional Community Health Worker is to outreach to the patient while being admitted, do a bedside assessment, complete the social determinants of health evaluation and provide any resources needed to avoid readmission,” added Sherrie Skaggs, Community Health Worker. “Our main population is Medicaid, and many are homeless and financially challenged. As needed, we continue to ensure that follow-up is completed, and all needs and goals are met.” For those learning to cope with their condition and needing hands-on help especially after discharge, the CCM Social Work Care Coordinators take on this complex aspect of the healthcare journey. These individuals provide support and intervention for Renown patients facing a chronic, behavioral health or substance dependency condition to improve their overall quality of life beyond hospital walls, developing a strong framework to build a long-term healthcare plan. “As social work care coordinators, we help connect patients with mental health resources, welfare programs, community support, caregiver burnout resources, placement for loved ones with terminal illnesses and much more,” said Irina Osmolovska, Social Work Care Coordinator. “Requests that come to us run the gamut of homelessness, family crisis, food insecurity and even situations where a patient has no electricity for their life-saving medical equipment. We receive challenging requests and are always ready to go above and beyond to advocate for our patients.” Possessing a profound understanding of the delicate balance between medicine and the patient spirit, the CCM RNs help bridge the gaps between the hospital or primary care practice and post-discharge settings, ensuring a smooth transition for patients as they move from one healthcare setting to another. With their expertise in care coordination and patient education, these RNs help enhance patient outcomes and promote continuity of care. “Our group is responsible for making discharge follow-up calls to patients who have Medicare, as well as scheduling their hospital follow-up visit if needed,” said Vanessa Alford, Consulting RN. “The goal is to have every patient see their primary care physician within 14 days of discharge for continuity of care and to prevent readmissions. We also screen patients for eligibility for Chronic Care Management or Personal Care Management. In addition to setting up the patient for follow up, I review each patient's medications, answer any questions they may have about their medications and health conditions.” As another important part of unpacking the intricate web of social determinants impacting health, CCM RN Care Coordinators have the extraordinary opportunity to extend this department’s compassionate care beyond the boundaries of the traditional in-office environment. Whether it be through virtual connections, heartfelt conversations over the phone or in-person encounters outside the hospital, RN Care Coordinators create holistic and enduring plans of care for individuals facing chronic challenges – including behavioral health issues and chemical dependency struggles – at every stage of life. All in all, the CCM department recognizes the interconnectedness of physical, emotional and social well-being for all patients, fostering a sense of wholeness and empowerment to ensure they continue to meet their goals and live healthier, happier lifestyles. “Our team has a holistic approach to our work,” said Barb Mader-Scherrer. “We look at the whole picture. What are the medical things we can do for this person? What education do they need to help them manage their condition? Do they have food in their house? Do they have a safe living environment? Are there substance abuse issues? Do they need help in managing their medications?” “My 18 years of experience in various areas of hospital nursing and home health have given me the knowledge to serve patients in our community holistically, and I feel good about what I do,” added Vanessa Alford. “I hope that I am able to lessen the load on the medical assistants and providers in the clinics so they can focus on their patients on site.”
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Cancer Care
At the Renown Health Institute for Cancer, patients receive innovative, personalized treatment to fight cancer while our experienced team provides the support and technology to maintain a high quality of life. Our clinical expertise and advanced treatment options allow us to blend evidence-based care with cutting-edge research to improve cancer outcomes.
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Six Steps of ER Care for Adults
Triage Procedures for Adult Emergency Care Renown Health provides leading emergency and trauma care 24 hours a day, seven days a week, at three convenient locations. When sudden illness or injury occurs with no warning, we’re here when you need us, and it's important to know what you can expect. Here are the six steps you can expect to experience while visiting a Renown Emergency Room (ER). Renown Regional ER Campus Map | So. Meadows ER Campus Map
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Department Spotlight: Acute Care Rehab Therapy
Being admitted to the hospital is never easy. Being admitted for a traumatic injury can be even harder. Whether it's learning how to walk again or powering through a new speech therapy routine, recovering from an injury that may affect the course of your life can be daunting. But it doesn’t have to be, thanks to the Acute Care Rehab Therapy team at Renown Health. The smiling faces of the Acute Care Rehab Therapy team at both Renown Regional Medical Center and Renown South Meadows Medical Center will make you see that there is a light at the end of the tunnel. Your dedicated physical therapists, occupational therapists and speech language pathologists are here to serve you and place you back on the right path to recovery and function. The Role of Acute Inpatient Therapy The Acute Care Rehab Therapy team comes in at a critical juncture in a patient’s care process after hospital admission. As one of the primary rehabilitation partners on a care team, these dedicated therapists are here to maximize every patient’s safe and independent living before they set off back home – all while reducing the risk of hospital readmission. “As physical therapists, we address musculoskeletal deficits and assess a patient’s current function after acute injury or illness from their baseline and develop a plan for functional recovery,” said Kristie Eide-Hughes, Physical Therapist at Renown Regional. “We also use our clinical expertise to assist with the discharge process and make sure each patient has the best durable medical equipment the first time around, removing the guesswork.” “On the occupational therapy side, we work with patients to facilitate their independence with basic life skills, such as dressing, bathing and using the restroom,” added Jeanne Clinesmith, Occupational Therapist at Renown Regional. “In the pediatric setting, we help babies and kids get back to what they were doing before they came into the hospital,” continued Rhonda Yeager, Pediatric Occupational Therapist at Renown Regional. “In the NICU specifically, we support the development of babies, trying to prevent problems from worsening. It’s nice to be a source of positivity in an otherwise intimidating situation.” The role of therapy in this setting reaches all ages, from babies in the neonatal intensive care unit (NICU) to adults approaching end-of-life care. Every therapeutic approach is tailored specifically to each patient. “Therapy is more of a habilitative approach for infants in the NICU, while it is more of a rehabilitative approach for kids and adults following injury or illness,” said Sara Carolla, Physical Therapist at Renown Regional. Each team member in the Acute Care Rehab Therapy department is dedicated to each patient, helping them make progress from start to finish and giving them the tools to succeed along the way. “I enjoy the variety of the patients we get to see and the ability to see them make gains from the wonderful treatment they get in the hospital from my team,” said Kelly Schwarz, Occupational Therapist at Renown South Meadows. “We provide education as each patient’s acute issues evolve,” added Nicole Leeton, Speech Language Pathologist at Renown Regional. “One of my favorite parts of my work is the patient and family education aspect, and that includes other healthcare provider education as well. It’s a moving picture.” Moreover, every team member gives each patient tools to learn how to be themselves again and empowers them to continue striving for the best possible result of their therapy “We get the opportunity to make a person’s bad experience in life better even by spending one session with them, giving them the keys to unlock something that they didn’t think they had the ability to do,” said Dana Robinson, Occupational Therapist at Renown Regional. On the Road to Independence Our dedicated therapists in the Acute Care Rehab Therapy team set the stage for a patient’s recovery process after trauma, showing them their potential for independence. With a multitude of patients coming into the hospital with many degrees of medical complexity, each day is different while the end goal is always the same: to optimize function as early as possible while overcoming any barriers and paving the way for a comfortable and effective quality of life. “Early intervention is a big piece,” said Nicole Leeton. “Us seeing patients early can get them recovered and independent more quickly and help prevent future illness and injuries. For example, in speech therapy, getting in early and facilitating communication skills for patients with impaired speech can make a huge difference.” Acute Care Rehab therapists dig deeply to see the whole picture of each patient’s situation to foster their independence – their history, social skills, support system and more. “Sometimes, we are the difference between independence and dependence,” said Dana Robinson. “We are the eyes and ears because we have so much time with the patients. Our team is extremely collaborative and develops a great rapport with patients, so they feel comfortable telling us everything going on with them.” “For kids, we teach parents ways they can help their kids by setting up their homes and the equipment they need to succeed,” added Rhonda Yeager. According to the team, one of the biggest keys to independence is repetition. A continual flow of getting up and trying again is crucial for recovery. “Repetition helps people regain their quality of life back sooner and control their recovery process,” said Megan Hough, Physical Therapist at Renown Health. “Helping people continue to get stronger and more independent makes my job so rewarding,” added Sam Brown, Physical Therapist at Renown Regional. Knowing that they have made a difference and help shape a patient’s overall development inspires each therapist to never give up, regardless of how difficult an injury presents. There is no set schedule for recovery, and the therapists are always in the patient’s corner. “This team has the most passionate, caring and dedicated individuals that I know,” said Kendra Webber, Manager of Acute Inpatient Rehab Therapy Services at Renown Regional. They give 110 percent to every patient every time to ensure they have what they need to regain function and independence.” “By tailoring therapy to the individual, the bounds are virtually limitless for what we can accomplish,” added Dana Robinson. It Takes a Village Since acute inpatient therapy is never a one-size-fits-all approach, it truly takes a village for this team to move the mountains they do for patients every day. These teams are fact-finding masters, gathering all the necessary information from the patient, their family and their care team to figure out their precise needs. “We are a consistent presence for our patients, identifying a lot of different needs and meeting those needs to help patients grow in their treatment process,” said Kelly Schwarz. “By collaborating with each patient’s diverse care team, we are able to employ the clinical judgment to help patients overcome physical, emotional and environmental struggles and set them up with the proper resources once they leave our setting.” “Our team has steady communication with physicians, nurses, acute care technicians, respiratory staff, physician assistants, case managers and more to ensure the best possible care,” added Jet Manzi, Physical Therapist at Renown Regional. Constant communication and collaboration are also necessary beyond the acute treatment process. These skills are vital in order to facilitate discharge planning, and the Acute Care Rehab therapists are an essential resource in the discharge process alongside our Hospital Care Management team. “Often times, a patient’s family needs a lot of guidance in helping their loved ones determine the next level, and we help them navigate those steps and the resources available to them,” said Mark Stumpf, Occupational Therapist at Renown Regional. “And it’s all a team effort.” “Our therapists are the most committed, generous, hardworking people,” added Courtney Phillips-Shoda, Supervisor of Rehab Therapy Services at Renown Regional. “Despite being short-staffed, we come to work every single day and give everything to our patients. They are the priority.” If you take away one thing, know this for certain: Renown’s Acute Care Rehab occupational, speech and physical therapists will always be there to help patients continue on a positive trajectory to physical, mental and emotional recovery. “Whether you are a patient or a provider, if there is a problem, never hesitate to reach out to us,” said Nicole Leeton. “We are always receptive to anyone seeking our help.” With the Acute Care Inpatient Therapy team on their side, a patient’s journey to recovery is only just beginning.
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10 Things You Might Not Know About Urgent Care
Visiting a Renown Urgent Care location is an excellent option when you have a non-severe condition, such as a skin rash or sore throat, can't get in to see your primary care provider in a timely manner or if you need an appointment after regular business hours. To learn more about the ins and outs of Urgent Care, we spoke to David Lemak, MD, Division Chief Urgent Care, who let us know some reasons to visit Urgent Care, how to make your visit as efficient as possible, and more. Remember, for a life-threatening emergency, call 911 immediately! Urgent Care is similar to a Primary Care provider Urgent Care providers can do most of the things your Primary Care provider can do, with visits billed the same as an office visit. If you could put the word “severe” in front of your reason for visiting Urgent Care, please go to the emergency department right away For a list of what is an appropriate visit for Urgent Care click here. Also, we recommend that babies 2 months old and younger should go to the Renown Children’s Emergency Department, not Urgent Care. Renown Health has 10 Urgent Care locations across northern Nevada There are five locations in Reno, two in Sparks, one in Carson City, one in Fernley and one in Fallon. For a complete list of Renown Urgent Care locations, click here. Many of your Urgent Care needs can be accomplished via a virtual visit, from the comfort of your home or office Conditions Appropriate for a Virtual Visit Included: - Common cold and cough symptoms - Muscular, tendon or joint pain not cause by injury - Allergy or sinus symptoms - Pink eye - Urinary discomfort - Backache - Sexually transmitted illness screening - Rashes or skin sores - Medication refills (no controlled substances) Some conditions are not appropriate for a virtual visit. They include: - Chest or abdominal pain - Shortness of breath - Traumatic injuries - Dizziness or confusion - Bleeding - High fever - Persistent vomiting - Loss of vision - Substance abuse or psychiatric problems Book ahead for shorter wait times, but remember walk-ins are always available. Click here to make your appointment. This booking page conveniently shows the next available appointment at each location. Typically, mornings and late afternoon (right before dinner time) have the shortest wait times if you plan on walking in. You will be asked to wait in your car when you arrive at a Renown Urgent Care facility. While you wait (or even before you arrive), patients are encouraged to complete all registration paperwork and co-pay information online. Urgent Care is great for visits such as back-to-school physicals, camp physicals, commercial motor vehicle exams and more. Sometimes you cannot get in to see your primary care provider to meet the last-minute deadlines for certain school or work-related physicals. Many of these appointments can be completed at Urgent Care; we just recommend you call ahead and confirm that our facility offers what you need. An Urgent Care provider can virtually order a PCR COVID-19 test. Whether you have a possible exposure, are not feeling quite like yourself or need a negative test for upcoming travel, a COVID-19 test can be ordered for you. The cost for a visit to Urgent Care is dependent on your benefits, but the visit is billed the same as a standard office visit. If you don’t have insurance, a basic visit to a Renown Urgent Care will cost $125.
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Serious Illness Care – Delivered Directly to Your Home by Renown Health
Nurse practitioners will come to your home to discuss your needs, develop a personalized plan, and align with your team to ensure excellent health care through at-home Renown Palliative Care. Nos complace anunciar que ahora ofrecemos servicios de interpretación en español para nuestro cuidado paliativo a domicilio. Renown Health, the only Level II Trauma Center in northern Nevada, and the leader in offering the most innovative services for critically ill adults and children is also home to a Palliative Care team dedicated to providing compassionate, specialized care for individuals and families facing the challenges of serious illness. “As Reno’s only not-for-profit health care organization we are constantly investing in better care and essential services for our community. Our goal is to keep care local, and to enhance the quality of life for patients and their families,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “Empowering people with serious illnesses to receive advanced care planning in the comfort of their homes helps fuel a spirit of independence and eliminates visits to the hospital or the emergency room. This in-home Palliative Care program reflects Renown’s commitment to serving the needs of our community and ensuring patients with serious illnesses have convenient access to the clinical expertise they need, day and night.” “At Renown Health, our multidisciplinary Palliative Care team, led by physicians and nurse practitioners, work collaboratively to provide clinical support and compassionate guidance for patients with chronic and life-limiting illnesses,” says Dr. Jonathan Theriot, a specialist in Palliative Care with Renown Medical Group and a faculty member of University of Nevada, Reno School of Medicine. “We offer a consultative service that can be used at any time during a person’s illness. People can continue to see their physicians and receive treatment (such as chemotherapy or dialysis) while on service. Our nurse practitioners will come to the home to discuss the person’s individual needs and concerns and develop a personalized health care plan. We work closely with other physicians and care teams such as primary care, oncology, and home health to align and ensure the best care possible. We are available 24/7 to answer questions. Our only goal is to support the patient and their family.” Key features of the Renown Palliative Care program include: Comprehensive Symptom Management: Focused on alleviating pain, nausea, fatigue, and other side effects and symptoms to ensure patient comfort. Emotional and Psychological Support: Provide counseling and support services to help patients and their families cope with the emotional challenges of serious illness. Spiritual Care: Offer resources and support for patients to explore spiritual concerns and a sense of well-being. Coordination of Care: Ensure seamless communications, alignment, and collaboration between healthcare clinicians on a unified care plan tailored to each patient’s needs. Support for Families: Provide education, respire care, and support services to help families navigate the complexities of caregiving for a person with a serious and life-limiting illness. When is the time right for Palliative Care? New diagnosis of chronic or life-limiting serious illness; Need for patient and caregiver support regarding medical decision-making; Difficult physical or emotional symptoms that impact daily life and routines; Frequent hospitalizations or Emergency Room visits; Uncertainty regarding health care options and available resources; Questions about end-of-life care; Increased difficulty completing activities of daily living. What services can Palliative Care provide? Advance care planning; Serious illness conversations; Symptom management through collaboration with your primary physician or medical provider; Reducing stress and anxiety; POLST and DNR completion; Durable medical equipment including assessment for walkers, wheelchairs, and greater mobility. Does Insurance or Medicare/Medicaid pay for Palliative Care at home? Financial coverage for at-home palliative care services varies by provider and insurance plan. Medicare and Medicaid cover palliative care patient visits by a physician or advanced practice nurse. Some Medicare Advantage and health insurance plans offer coverage for palliative care visits and services, but specifics vary by plan. For specific guidance, contact your employer or health plan to determine coverage details and length of coverage including copays, out-of-pocket costs, and other charges for palliative care. Does Renown offer at-home Palliative Care for people who speak Spanish? "Nos complace anunciar que ahora ofrecemos servicios de interpretación en español para nuestro cuidado paliativo a domicilio," dice Monica Gonzalez-Ruesga, Community Liaison, Renown Home Health. "Estamos dedicados a brindar cuidado de alta calidad y satisfacer las necesidades lingüísticas y culturales de nuestra comunidad." Renown utiliza un servicio de interpretación telefónica en vivo para los pacientes que hablan español. Can I self-refer to the Renown Palliative Care team? Yes. Self- and physician referrals are both accepted Mon-Fri 8AM-4:30PM at 775-982-2828. More information on the Renown at-home Palliative Care program is available at renown.org/Health-Services/Palliative-and-Supportive-Care. For media interviews with Dr. Jonathan Theriot, Monica Gonzalez-Ruesga or a member of the Palliative Care team, contact news@renown.org. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.
Read More About Serious Illness Care – Delivered Directly to Your Home by Renown Health
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Most Common Reasons Women Visit the ER
If you or someone you know is experiencing a medical emergency, it's essential to seek immediate attention by calling 9-1-1 or visiting the ER for a thorough evaluation by a trained medical professional and timely intervention. Access to a convenient and trusted emergency room (ER) is critical to any person’s healthcare needs, including medical emergencies related to women’s health. We explored some common scenarios and warning signs prompting women to seek immediate medical attention with Aiden Gould, Board-Certified Emergency Physician at Renown Health. When your medical emergency can’t wait, Renown ER is here to provide you with the region’s leading emergency care to diagnose and treat your condition or illness. Understanding Common Reasons Women Visit the Emergency Room Gynecological Emergencies: One of the most common reasons women may seek emergency care is due to gynecological emergencies such as severe pelvic pain, abnormal bleeding or complications related to pregnancy. These issues can be alarming and warrant immediate medical attention if the issue persists or is out of the ordinary for you. Emotional and Physical Well-Being: For those facing diverse medical or mental health emergencies, seeking prompt assistance is crucial for a thorough assessment and safe, timely intervention. Renown ER teams are equipped with trained professionals who provide compassionate care for individuals seeking help in the following situations: Suicide risk assessment and intervention Substance abuse assessment Assault and trauma care Crisis support and intervention Resources for ongoing care and well-being support Severe Abdominal Pain: Unexplained and severe abdominal pain that is substantially different than what is normal for you is a symptom you should never ignore as it can indicate underlying issues. Warning signs of an acute medical situation include fever, vomiting or a rapid change in motor function and inability to move due to pain. Respiratory Distress: Difficulty breathing, persistent coughing and other respiratory issues can be especially concerning. Women with pre-existing respiratory conditions like asthma or those experiencing sudden respiratory distress should seek immediate care from a medical professional. Warning signs of respiratory distress may include a significant change in one’s breathing rate, changing of the skin color to blue, gray or paleness due to lack of oxygen, nose flaring and chest retractions. Cardiovascular Emergencies: Heart-related issues are not exclusive to men. Women can also experience cardiovascular emergencies that often go undiagnosed because symptoms differ from men. Symptoms like chest pain, extreme fatigue, vomiting or pain in the abdomen, shortness of breath or palpitations should be evaluated by an emergency medical professional as timely intervention is critical in such cases. Renown leads the region in cardiology care with our technological expertise and patient-centered approach. Our comprehensive team diagnoses heart disease and other cardiac conditions, offering personalized treatment plans. Neurological Symptoms: Sudden and severe headaches, seizures or other neurological symptoms may prompt women to visit the ER if symptoms are extremely disorientating or debilitating. These symptoms could be indicative of various conditions from mild to severe, including strokes or neurological disorders that require prompt evaluation. Renown Regional Medical Center is a Comprehensive Stroke Center, providing primary stroke care including evaluation, treatment and education to patients who arrive at a Renown facility with the signs and symptoms of a stroke. Compassionate Care in Times of Need At Renown Health, we understand that your time is valuable, especially in emergency situations. That's why we strive to provide patients with exceptional care, compassion and respect. Plan ahead and make informed decisions about seeking medical care by viewing your estimated triage wait time at a Renown ER.
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Renown Recognized for Quality Care for Heart Attack & Failure
American Heart Association awards shine national spotlight on care offered in northern Nevada. Renown Regional Medical Center has been honored once again by the American Heart Association (AHA) for high quality heart care. Renown’s focus on quality and applying the most up-to-date, evidenced-based treatment guidelines improves patient outcomes, getting people home sooner and back to doing what they love. “We are pleased to recognize Renown for their commitment to heart failure care,” said Lee H. Schwamm, M.D., national chairperson of the Quality Oversight Committee and Executive Vice Chair of Neurology, Director of Acute Stroke Services, Massachusetts General Hospital, Boston, Massachusetts. “Recognizing the significance of preventing, diagnosing and caring for people with heart and vascular disease, which continues to be on the rise and taking far too many lives, is of critical importance to us at Renown,” says Tony Slonim, M.D., DrPH, FACHE, president and CEO, Renown Health. “We are proud of our incredible team for providing the highest-quality clinical care, and thank the American Heart Association for this national recognition.” Renown Regional was awarded The Get with the Guidelines – Heart Failure Gold Plus Quality Achievement award for continually ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, as well as AHA’s Mission: Lifeline Gold Receiving honor for the treatment of patients who suffer severe heart attacks. “Renown offers the most highly-skilled and experienced heart and vascular team and the most advanced heart center in the region. Having national recognition for being the region’s heart care leader is critical to a Destination Health strategy,” said Josiah "Sy" Johnson, MBA, chief of staff for Renown Health. “We at Renown are proud to bring a high level of world-class care providers, leading-edge care and new delivery approaches to meet the needs of people in northern Nevada through our Institute for Heart & Vascular Health.” Why This Recognition Matters to You - Heart Attack Care Every year, more than 250,000 people experience an ST elevation myocardial infarction (STEMI), the deadliest type of heart attack, caused by a blockage of blood flow to the heart that requires timely treatment. Renown earned the award by meeting specific criteria and standards of performance for quick treatment to re-establish blood flow to blocked arteries in heart attack patients. “Our expert staff treat problems that extend from mild to the most critical of emergencies,” said Christopher M. Kozlowski, MD, MHA, vice president and medical director of Renown Institute for Heart & Vascular Health. “Specialized physicians including cardiologists, interventional radiologists, heart and vascular surgeons, emergency medicine and trauma surgeons, primary care providers, nurses and other clinicians work as a team to determine the best treatment plan for each patient. We encourage all patients to discuss with their care team whether they should undergo formal screening for early heart disease.” Why This Recognition Matters to You - Heart Failure Care According to the AHA, more than 6.5 million adults in the United States are living with heart failure. Heart failure patients can lead full, enjoyable lives when their condition is managed with proper medications or devices and with healthy lifestyle changes. “Renown’s reputation as the region’s heart care leader has been built over many years. We performed the area’s first open-heart surgery, angioplasty, stent and valve replacements decades ago. Renown Regional offers incredible advancements like trans-catheter aortic valve replacement (TAVR) and trans-catheter mitral valve repair (TMVr) with MitraClip therapy, lifesaving alternatives to open-heart surgery for patients considered high-risk or inoperable,” said Erik Olson, chief executive officer of Renown Regional Medical Center. “Offering the highest level of comprehensive care for patients experiencing cardiac and vascular disease, Renown developed its first division of cardiothoracic surgery dedicated to heart surgery patients in 2019.” The Renown Institute for Heart & Vascular Health program now offers a Diagnostic Electrophysiology Lab; a Chest Pain Center using the D-SPECT® heart camera; multiple Interventional Labs; Heart Failure Program; several Cardiac Catheterization Labs; Interventional Cardiology and Cardiac Surgery when necessary; and the only Pritikin-certified Healthy Heart Program in the West, creating individualized rehabilitation plans tailored to each patient’s needs, so they can exercise safely, eat healthy, manage stress and cook nourishing, balanced meals, all while gaining a healthy mindset. Renown is among the nation’s top-performing hospitals for heart attack treatment and one of only 105 hospitals nationwide to receive the American College of Cardiology ACTION Registry Silver Performance Achievement Award recognizing success in implementing a higher standard of care for heart attack patients. Renown’s Roseview, Sierra and Cardiac Intensive Care Units (ICUs) are the only ICUs in Nevada to receive the Beacon Award of Excellence from the American Association of Critical Care Nurses. U.S. News and World Report’s Best Hospital rankings recently named Renown hospitals as best in the state of Nevada. Patients in need of advanced heart care can speak with their care provider about Renown Medical Group – Specialty Care, which can be reached at 775-982-6270 or visit renown.org/HeartCare. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About Mission: Lifeline The American Heart Association’s Mission: Lifeline program helps hospitals and emergency medical services develop systems of care that follow proven standards and procedures for STEMI patients. The program works by mobilizing teams across the continuum of care to implement American Heart Association/American College of Cardiology Foundation clinical treatment guidelines. For more information, visit heart.org. About Get With The Guidelines Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 9 million patients since 2001. For more information, visit heart.org.
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3 Reasons to Choose a Senior Care Plus Health Plan
Senior Care Plus was Nevada’s first Medicare Advantage Plan and is still providing healthcare coverage to qualifying members in Washoe, Carson City, Clark & Nye Counties. Senior Care Plus is administered by Hometown Health, the insurance division of Renown Health. That relationship means Senior Care Plus is the only Medicare Advantage Plan supported and accepted at Renown. This preferred access to Renown is a great benefit for northern Nevadans. When it comes to healthcare coverage, there are three key factors to keep in mind. Here’s why a Senior Care Plus Medicare Advantage Plan is your best choice. 1. Cost Cost matters when searching for the right insurance plan. Of the four Senior Care Plus plans available to residents of Washoe County and Carson City, three offer a zero-dollar monthly premium and all of them offer zero-dollar primary care office visits. That means no out-of-pocket costs for you. Additionally, all Senior Care Plus plans have an annual out-of-pocket maximum. This means when you reach this amount, that’s all you will pay. Senior Care Plus pays all other covered medical benefits for the rest of the year. That’s the beauty of a Senior Care Plus Medicare Advantage Plan. 2. Size of Provider Network and Accessibility Although saving money is important, it’s more important to be able to see a doctor when and where you need to. Senior Care Plus members enjoy the most comprehensive healthcare provider network in the region. Thousands of providers, including many hard-to-find specialists, are in the Senior Care Plus network. Since Senior Care Plus is part of the Renown Health family, you get priority access to all that Renown has to offer, which you won’t find with any other Medicare Advantage Plan. 3. Coverage Medical coverage needs are personal and unique to every member. Understanding a plan’s benefits is essential when picking the best coverage for you. Of course, the important benefits you associate with a healthcare plan are included in all Senior Care Plus plans: urgent care visits, specialists’ visits, lab services, imaging — all with reasonable copays. What sets Senior Care Plus apart from the rest are the additional benefits for preventive health. For example, Senior Care Plus offers plans with a comprehensive dental benefit with first-dollar coverage, meaning you pay nothing until the benefit limit is reached. Senior Care Plus Medicare Advantage Plans also have a vision benefit allowing you to get a new pair of eyeglasses every year. In addition, these plans offer a fitness benefit, so you can join a local gym because Senior Care Plus wants to keep you healthy. Another interesting benefit is the over-the-counter benefit. If you choose the Renown Preferred Plan, you can select $50 worth of over-the-counter products such as: cold medicine, dental products, diabetic supplies, and digestive aides. Remember, that’s $50 worth of over-the-counter products four times per year. All on a plan that doesn’t cost a thing. Senior Care Plus Medicare Advantage Plans offer many added benefits tailored to Nevadans.
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