Archive for the ‘Understanding Medical Equipment’ Category

Awesome Assistance for Arthritis: Around the House

May is Arthritis Awareness Month, and Homecare Advocate, is uncovering some great assistive devices that could benefit anyone with arthritis!  We’re doing a 3-part series on these handy helpers. Last week we focused on getting up and going; this week is things you can use in your home.

Helpful home assistive devices

Homecare Advocate Blog: Awesome Assistance for Arthritis: Around the Houseelectric can openers

Cranking a manual can opener by hand can be challenging for arthritic hands.  Electric can openers are easy to use and take up a minimal amount of space.



Homecare Advocate Blog: Awesome Assistance for Arthritis: Around the Housereachers

These easy-grip reachers are great for picking up items that are difficult to reach.  The rubber grip tips can grasp a variety of objects, which is helpful for items on the floor, in upper cabinets, or even in-between the space of the wall and your refrigerator.  Plus, these have metallic tips that can pick up small metallic objects.




Homecare Advocate Blog: Awesome Assistance for Arthritis: Around the Housefood chopper/blender

Not only are food choppers great time-savers, but they also provide a pain-free way to prepare vegetable-rich meals.  Another great way to get your daily recommended fruits and veggies is a power-shake (such as this yummy Carrot Cocktail).

Homecare Advocate Blog: Awesome Assistance for Arthritis: Around the Housebig grip utensils

Large-grip utensils make a world of difference for someone who has difficulty holding onto traditional narrow spoons and forks.  The utensils shown here have rubber padding for easy gripping and features a rocker knife for a smooth cut.  You may also find decorative utensils with larger handles.

Homecare Advocate Blog: Awesome Assistance for Arthritis: Around the Housebottle & jar opener

Bottles and jars can be difficult for anyone–so those with arthritis may have a particularly difficult time removing the lid.  Bottle openers provide a firm grip on the bottle, taking stress and strain off of your hands.  For prescription medicines, talk to your pharmacist about easy-open bottles that are not childproof–just be sure to store them in an area that a young one won’t accidentally find.


Homecare Advocate Blog: Awesome Assistance for Arthritis: Around the Housedoor handles with levers

Now available in a variety of beautiful finishes and styles, lever-shaped door handles are a wonderful substitution for the traditional doorknobs.  They are easy to grasp and turn.

Homecare Advocate Blog Post: Awesome Assistance for Arthritis: Around the Housestair lift

Confidently travel between the floors of your home without triggering arthritis pain in your hips, knees, and ankles with a customized stair lift.  These lifts can be designed to fit a variety of stair-cases, including straight, curved, platform, and more.

seHomecare Advocate Blog: Awesome Assistance for Arthritis: Around the Houseat lift chair

3-position seat lift chairs not only provide a comfortable seat, but their electric remote allows you to raise yourself up without straining your hips and arms.  You can order your own color of fabric and choose upgrades such as heat & massage and more.  For more information on insurance coverage and more, check out our post on seat lift chairs.


Be sure to tune in next week for our series finale, taking you out of the house and into the world.

::AWP::

“Wherever you go, no matter what the weather, always bring your own sunshine.”– Anthony J. D’Angelo

Will Medicare Cover the Purchase of a Seat Lift Chair?

Medicare Part B covers a variety of home medical equipment, including seat lift chairs.  Since many of our patients have questions about coverage, qualifying health conditions, and customizable options, Homecare Advocate is going to cover the Seat Lift Chair basics.

Homecare Advocate Blog: Will Medicare Cover the Purchase of a Seat Lift Chair?

Qualifying Conditions

In order for Medicare to pay for your home medical equipment, you need to have a qualifying medical need.  In the case of seat lift chairs, Medicare requires that you have severe arthritis of the hip or knee or have a severe neuromuscular disease.  To qualify, you must not be able to rise from a chair on your own, but once standing you can ambulate on your own (even if you use a walker or cane for assistance).  Those who require a wheelchair or similar device to move around do not qualify.

Medicare relies on your physician’s documented notes in your medical record to show that you have one of the above qualifying conditions and that your physician believes that your condition will either improve or that further deterioration will be prevented once you have the seat lift chair.  Your physician will need to provide your home medical equipment company with a Certificate of Medical Necessity for your seat lift chair and a prescription that contains the following information:

  • Beneficiary name
  • Detailed description of the item
  • Signature of the treating physician (& date signed)
  • Start date of need
  • Length of need

Coverage & Cost

Medicare will only cover the lift mechanism inside a seat lift chair, not the seat lift chair itself.  Medicare has an established rate (an “allowable”) that determines the price of the item.  The allowable for a seat lift mechanism is $362.33.

Like all Part B items covered by Medicare, the patient is responsible for paying the 20% co-pay of the Medicare allowable for an item.  This co-pay may be paid by your secondary insurance, or you may pay for it out of pocket.  Medicare prohibits the home medical equipment company from waiving the co-pay.  In the case of a seat lift mechanism, the 20% co-pay of $362.33 is $71.

The patient will be financially responsible for paying for the rest of the seat lift chair cost.  This cost can vary depending on the size of chair, the fabric options, and any additional features added on.  Please keep in mind that there is an annual deductible that must be met for Part B before Medicare will pay for anything; the 2012 deductible is $140.

The home medical equipment company may process your order in one of two ways, “assigned” and “unassigned”.  The more common, way is “unassigned claim” in which the customer pays for everything up front, and Medicare reimburses the patient for the portions Medicare pays for once the claim is approved.

Seat Lift Chair Options

There are a variety of two-position and three-position seat lift chairs for you to choose from.  Your home medical equipment company should know your measurements so that the chair is appropriate for your body.  (Think of Goldilocks: you don’t want one too big or too small, you want it just right.)

Types of Chairs

Two position chairs have a seated position and a lifted position.

Three-position chairs have the seated, lifted, and reclined positions.  These are popular chairs since one can elevate their legs at/above their heart and are comfortable for resting/napping.

Bariatric (heavy duty) chairs are able to handle up to 700pounds, whereas the standard weight limits on seat lift chairs are around 325-375 pounds.

Additional Features

Depending on the manufacturer and model of seat lift chair, you may be able to add on a variety of customizable features so suit your preferences and needs.  Common options are:

  • Upgraded fabrics (and pick your color)
  • Heat & Massage
  • Head and Neck Pillow
  • Extra Pocket

Delivery, Warranty, & Service

Some companies, like Lambert’s, offer delivery with the purchase of a seat lift chair.  Check with your local home medical equipment company on their delivery service area and whether or not there is a fee.  Lambert’s does not charge if the delivery destination is within our service area.  Likewise, the warranty and repairs will vary depending on the manufacturer and the company you purchase your seat lift chair from.  For example, Lambert’s does not charge for any labor of work done on the chair the first 6 months of ownership.  In all cases, ask your equipment company for an estimate before having a repair performed on your chair.

I hope this overview has helped!  Do you have additional questions about seat lift chairs, coverage, and options?  Contact your local homecare company for more information.

::AWP::

How to Clean Your Medical Equipment

Homecare Advocate Blog: How to Clean Your Medical EquipmentSpring is in the air!  Over the course of the past 10 days, our hometown has gone from highs in the low 40′s to now the upper 70′s, trees are in bloom, and lawns are getting their first haircut of 2012.  Many tackle their annual Spring Cleaning, which is our inspiration for this post.  Homecare Advocate met with respiratory therapists and medical service technicians to bring you the best cleaning instructions for your medical equipment.

Canes & Walkers

  • Daily: Clean the handle as per the recommendations of the manufacturer.
  • Weekly: Dust off debris and dirt.
  • 1-2 times/month: For a wood cane polish to keep wood healthy & shiny. If a metal cane or walker, use a light soapy water & cloth, then wipe dry.
  • Replace cane/walker tips if they become damaged.

Homecare Advocate Blog: How to Clean Your Medical Equipment

CPAP & BiPAP Machine

  • Daily: Disassemble nasal mask/pillows and wash with Dove or Ivory and warm water in a container.  Rinse, air dry, an reassemble.  Replace monthly.  (Note: Do not use alcohol, vinegar, or harsh detergents.)
  • Weekly: Wash your headgear/softcap and straps with Dove or Ivory and warm water.  Replace masks every 6 months. (Note: Never use dryer, iron, or bleach.)
  • Weekly: Wash tubing in Ivory or Dove, rinse, and hang to dry.  Replace every 3 months.
  • Weekly: Wash the reusable filter in mild detergent and water, rinse, and air dry.  Replace every 6 months. (If using a disposable filter, discard when it becomes discolored.)
  • To clean the exterior of the CPAP machine, unplug and wipe with a slightly damp cloth of warm water.  Dry completely prior to plugging into an outlet.  (Note: Never submerge in water or allow water to enter vents/ports.)

CPAP/BiPAP Heated Humidifier

  • Daily: Wash the water chamber in mild soapy water.  Rinse.
  • Weekly: Soak the water chamber in 1:1.5 solution of white vinegar to distilled water for 20 minutes, totally submerging the water chamber.  Rinse well.  Replace every 6 months.

Hospital Bed

  • As necessary: Wearing rubber gloves, unplug any electrical equipment connected to the bed from the outlet.  Remove and wash bed linens.  Spray a germicidal spray (such as Citrus II or Clorox) onto a cloth, and wipe the bed frame, rails, headboard, footboard, mattress, and electrical devices.  Dry with a sterile cloth.  Make bed, and reconnect electrical devices to the outlet.

Nebulizer

  • After each treatment: Disassemble nebulizer from air tubing and mouthpiece.  Rinse all nebulizer parts in warm running water.  Shake excess water off, then air dry.  Cover with a paper towel while drying to prevent dust particles from getting on it.
  • Daily: Disassemble as above.  Wash in a solution of 1:3 white vinegar and water for 30 minutes, then rinse thoroughly and air dry on a paper towel.  (Note: It is important not to use a towel to dry it, as that will affect the flow of medicine.   Air drying is the only way to properly dry it out.)

Oxygen Concentrator

  • Daily: at least once/day, remove the nasal cannula and wipe it clean with a damp cloth.  Replace the cannula every 2 weeks and tubing every 90 days.
  • Weekly: clean the inlet air filter by removing it from the concentrator and washing under warm tap water.  Be sure to dry it with a clean towel before inserting it into the concentrator.
  • Monthly: Wipe down the concentrator’s exterior with a damp cloth.

Homecare Advocate Blog: How to Clean Your Medical Equipment

Seat Lift Chair

  • Weekly: Vacuum crumbs/dirt in the seat, arms, and crevices of the chair.
  • Weekly: Mist a germicidal spray on a clean cloth, and wipe the remote for the chair.
  • If soiled everywhere, have it professionally cleaned.
  • If needing a general cleaning or spot cleaning, check the label on your seat lift chair for the fabric code and cleaning method best suited for the material.  Always test an inconspicuous spot of the fabric with the cleaner to see if it damages/colors/distorts the fabric.
    • Suede: dry sponge or specialized suede brush
    • Micro-Suede: wipe with a dry cloth or rubbing alcohol.  Relax stiff spots with a soft brush
    • Brisa or Ultra-Leather: soap, water, and/or alcohol-based cleanser solution. Disinfect with 5:1 water/bleach solution.

Wheelchair

  • Weekly: Wipe with a damp cloth, using a mild detergent such as Dove or Ivory for dirty/sticky spots.  Dry to prevent rusting.
  • Monthly: Check all nuts and bolts for tightness.
  • Monthly: Check the inflation of your tires, per the guidelines on the outside of the tire.  (Note: A bike pump may be used to inflate the tires; do NOT use a high-pressure pump for vehicles.)
  • Periodically, clean the wheel axle/caster of any grime or buildup.  To keep the hinges properly lubricated, use an all-purpose silicone lube spray.

Homecare Advocate Blog: How to Clean Your Medical EquipmentIf you have other questions about the cleaning and maintenance of your equipment, contact your local home medical equipment company. Many companies like Lambert’s have trained technicians on staff that can do repairs and professional-grade cleanings on durable medical equipment.  These companies may also offer specialty air fresheners, such as ElimO Healthcare, help neutralize odors in a room from issues such as incontinence, smoke, urine, and more.

A little elbow grease will go a long way for keeping your medical equipment performing optimally while lengthening its useful life. Regular maintenance and cleaning will help keep you healthier so that you can enjoy this beautiful season we’re entering.  What are some of your spring cleaning tips?

::AWP::

Dangers of Smoking While Using Oxygen

Two days ago marked the latest tragedy of a person burned or killed due to smoking while using oxygen.  The Lorain, Ohio woman’s face, eyebrows, and hair were burned by the flash fire that erupted as she smoked, but fortunately she survived.  The day before, a Scottish man in Edinburgh was not so lucky.  While receiving treatment at a local hospital, he snuck into a bathroom to have a cigarette in spite of being on oxygen.  His cigarette sparked a fire, cost him his life, and endangered the other patients and staff of the hospital.

These are not isolated incidents.  Just in the past 10 days, news reports reveal a staggering number of deaths and injuries caused by smoking while on oxygen:

  • Jan. 3–Lorain, OH woman burns face, eyebrows, hair
  • Jan. 2– Edinburgh, Scotland man died
  • Jan. 1– Lakewood, CO man died
  • Dec. 30–Kansas City, KS man did over $3,000 fire damage to home
  • Dec. 30–Portland, OR man burns face, lungs
  • Dec.  27– Manchester, NH man died
  • Dec. 27– Carthage, MO 2 hospitalized with burns, dozen homeless from fire

However, do not interpret these events to mean that oxygen therapy is something to be afraid of.  It is to be respected.

Oxygen therapy is a life-saving medical treatment that has benefitted millions of Americans and others throughout the world.   It is a critical part of treatment for a variety of illnesses, injuries, and diseases, including Chronic Obstructive Pulmonary Disease (COPD), one of the leading causes of death worldwide.  Oxygen therapy allows one to receive a higher concentration of pure oxygen, aiding in heart function, easier breathing, better sleeping, reduced blood pressure, improved mental clarity, and more.

The same reasons that enable oxygen to help people are also what makes cigarettes + oxygen such a deadly combination.  When one receives oxygen therapy, it’s 100% pure oxygen.  As you remember from grade school, the three ingredients to make a fire are fuel, heat, and an oxidizing agent (oxygen).

Fire Triangle

If you or a loved one uses supplemental oxygen, Homecare Advocate offers the following tips:

  • If you’re on oxygen, DO NOT smoke.
  • If you live with or visit someone on oxygen, DO NOT smoke around them.
  • Stay away from open flames, sparks, and gas (including gas stoves).
  • Turn the oxygen off while not in use.
  • Avoid petroleum-based products.
  • Do not use aerosol sprays nearby.
  • Comply with all safety instructions provided by your home medical equipment company.
  • Keep your oxygen concentrator in a well-ventilated area.
  • Never allow the tubing, cannula, or mask to be covered, as it can result in a buildup of concentrated oxygen.
  • Keep the name and number of your home medical equipment provider in a prominent spot for reference.
  • Post a sign stating DANGER: No Smoking, Oxygen in Use (download the one below if you’d like)

Homecare Advocate Blog Post #48: Dangers of Smoking While Using Oxygen

Companies like Lambert’s who provide oxygen to our patients have qualified respiratory therapists and service technicians who are available to assist you with training, instructions, maintenance, repairs, and support while you are using supplemental oxygen.  If you have any questions on how you can create a safer environment for you and your loved ones while using oxygen, please call your provider.

::AWP::