Care Management

New Efforts to Close Hospitals’ Revolving Doors

Joshua Lott for The New York Times Sue Koner, a transition care manager for Sun Health, checks Ted Cohn’s blood pressure to try to prevent his readmission to a hospital for a heart condition. In the past, the only thing a patient was sure to get after a hospital stay was a bill. But as(…)

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A Revolving Door to Avoid

Two weeks ago, Dr. Arif Nazir got a call from a colleague about a 79-year-old woman at an Indianapolis hospital. The cardiologist on the phone explained there was nothing more that could be done for this patient, who had advanced heart failure, chronic lung disease and diabetes. After a brief conversation, Dr. Nazir agreed to(…)

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Caregiver, Plus M.D. or R.N.

Josh Haner/The New York Times Family caregiving these days often means providing medical care, not just support and companionship. Let’s briefly consider this phrase: “family caregiver.” “The public perception is what you see in ads — people sitting by the bedside, holding hands, making lunch, smiling at one another,” said Carol Levine of the United(…)

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Advice for Dealing With Multiple Ailments

Philippe Huguen/Agence France-Presse — Getty Images A new brochure offers tips for managing medical care of multiple chronic conditions. Here’s the problem: A majority of older adults, the medical literature shows, are coping with at least three chronic conditions. Diabetes, heart disease, arthritis, osteoporosis, hypertension, kidney failure — the list goes on and on. Medical(…)

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A Choice of Community Care, in Your Own Home

For 51 years, Catherine Mack has lived in a four-bedroom house in Haddon Township, N.J. Even at age 96, she has no intention of leaving. Joining other older adults at a nearby retirement community doesn’t appeal to her, although the facility is attractive and has a great reputation. “I think in a place like that,(…)

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When Work Makes You Choose

4:50 p.m. | Updated Rachel Robinson was doing well at T-Mobile in Chattanooga, Tenn. The company hired her in 2006 as a customer service representative, promoted her twice in two years and honored her with an employee award that included a trip to Hawaii. The trouble began in early 2008, when her mother developed a(…)

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In the Hospital, but Not Really a Patient

On Labor Day weekend in 2009, Miriam Nyman, 83, arrived by ambulance at Rhode Island Hospital. She’d fallen, a result of a degenerative brain disorder, and broken her neck. She and her daughter, Tamar Lasky, waited in the emergency room for eight hours until finally, close to midnight, Dr. Lasky needed to go home to(…)

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Managing Care Online

When Wendy Naumann’s father and three siblings received her mother’s diagnosis — a terminal brain tumor — they were overwhelmed. Just communicating within the family to keep everybody updated on her mother’s condition was exhausting, as they were spread out across the country. Add to that the job of coordinating the e-mails, texts and calls(…)

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