NewsletterJune 2012Issue 1, Vol. 1

Child INJURY

Nursing Talk

Special iS

Sue

2 American Home Health Newsletter | June 2012

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125

For every child that dies there are...

Global view

State view

hospitalizations

925 treated in ER

Many more treated indoctors’ offices

Rate per 100,000 population

Sweden Netherlands UnitedKingdom

France Canada Australia Poland United States New Zealand Mexico

Rate per 100,000 population

4.0 – 10.9

11.0 – 17.9

18.0 – 25.1

Not applicable

HI

FL

AL

AZ

AR

CA CO

GA

IL

IA

KY

LA

ME

MI

MN

MS

MO

NE

NY

NC

ND

OH

OK

KS

OR

PA

SC

SD

TN

TX

UT

VA

WA

WV

WIID

MT

NV

NM

WY

AK

CT

D.C.

NJDE

MD

NH

RI

MA

IN

VT

2.0 2.4 2.9 3.44.6 4.8

6.08.7

11.112.7

SOURCE: Global Health Observatory Data Repository. Mortality and burden of disease: disease and injury country estimates, 2008, by sex and age.

SOURCE: Web-based Injury Statistics Query and Reporting System (WISQARS), CDC, 2009.

The US child (0-14 years) injury death rate ranks among the worst of all high-income countries

Child (0-19 years) injury death rates vary by state

In 2005, injuries that resulted in death, hospitalization or an ER visit cost nearly $11.5 billion in medical expenses.

The US child injury death rate is 4 times that of countries with the lowest rates.

In 2009, more than 5,700 children’s lives would have been saved if the lowest state death rate was achieved nationally.

US rate is 11.0

SOURCES: Web-based Injury Statistics Query and Reporting System (WISQARS), CDC, 2009.

National Health Interview Survey, 2009 data release, CDC, National Center for Health Statistics.

INJURYThe #1 killer of children in the US

Problem>>Child INJURYChild injuries* are preventable, yet more than 9,000 children died from injuries in the US in 2009. Car crashes, suffocation, drowning,

poisoning, fires, and falls are some of the most common ways children are hurt or killed. The number of children dying from injury dropped nearly 30% over the last decade. However, injury is still the number 1 cause of death among children. More can be done to

keep our children safe.* ‘Child injuries’ refers to unintentional injuries that occur among children and teens 0-19 years.

Every hour, one child dies from an injury.

1 Child 1 in 5About 1 in 5 child deaths is due to injury.

Every 4 seconds, a child is treated for an injury in an emergency de-partment.

4 Seconds

3 American Home Health Newsletter | June 2012 Continued on page 4

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824Deaths

Poisoning

Motor Vehicle

DrowningFall

Suffocation

Fire/burn

80%increase

4,564Deaths

41%decrease

391Deaths

45%decrease

1,160Deaths

30%increase

983Deaths

28%decrease

151Deaths

19%decrease

Causes of child injury and prevention tips

TotalDeaths

• Keep medicines away from children and teens.• Keep cleaning solutions and other toxic products in original packaging and where children can’t get them.

• Always use seat belts, child safety seats and booster seats that are correct for a child’s age and weight. • Use safe-driving agreements or contracts with teens.

• Make sure infants sleep alone; placed on their backs on a firm surface.• Be sure crib meets safety standards.• Avoid loose bedding or soft toys in crib.

• Learn to swim – important for parents and kids. • Use a four-sided fence with self-closing and self-latching gates around pool. • Watch kids closely when they are in and around water.

• Use a soft landing surface on playgrounds (such as sand or wood chips, not dirt or grass). • Use protective gear, like a helmet, during sports and recreation.• Install protective rails on bunk beds and loft beds.

• Use smoke alarms – where people sleep and on every level of the home – and test monthly. • Create and practice a family fire escape plan.• Install a home fire sprinkler system if possible.

Percentages show changes in death rates from 2000 to 2009. Deaths are from 2009. Total deaths include 1,070 from other causes.

Child INJURY Continued from page 2

4 American Home Health Newsletter | June 20124

What Can Be Done

CS230813-B

States and communities can

◊ Align efforts with the National Action Plan for Child Injury Prevention, released in 2012 by CDC and more than 60 partner organizations. Visit www.cdc.gov/safechild.

◊ Strengthen data collection on child injury to identify problems and track progress.

◊ Use strategies shown to reduce injuries such as graduated driver licenses, learn-to-swim programs, and prescription drug monitoring programs.

◊ Improve access to poison control centers, trauma center care, and preventive services (such as CPR/first aid training).

Health care systems can

◊ Use technology, such as electronic medical records, to improve the speed and quality of care for injured children, and to monitor the number and severity of injuries.

◊ Include child safety education for new parents and at all pediatric visits.

Employers can

◊ Protect all employees, including youth, from workplace injuries by complying with existing standards and regulations.

◊ Provide proper safety training, education, and protective equipment for each job task.

Everyone can

◊ Take steps to prevent child injury where you live, work, and play.

◊ Be a good role model—wear a seat belt, use a helmet, and follow other safety tips.

◊ Learn more about protecting the ones you love at www.cdc.gov/safechild.

For more information, please contact Telephone: 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: www.cdc.govCenters for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Publication date: 4/16/2012

www http://www.cdc.gov/vitalsigns

Child INJURY Continued from page 3

Article provided by Centers for Disease Control (CDC)www.cdc.gov

5 American Home Health Newsletter | June 2012

Dear Cassandra,

Last week I injured my shoulder at dance class. The doctor says I have a torn rotator cuff, and I will need to have surgery followed by physical therapy. The surgeon says I will be off work for four to six months. I have worked full time for American Home Health for seven years. I have health insurance, dental insurance, life insurance, and long term disability at American Home Health. I also have approximately $25,000 in the 401(k), and I currently have 36 hours of PTO available. I am depressed and worried. I definitely will need my health insurance to continue, and I will need income during the time I am unable to work. Can you help me?

In Pain in Des Plaines

Dear In Pain,

I’m sorry to hear that you injured your shoulder. Life constantly presents us with challenges. Derrick Rose, Chicago Bulls superstar, recently tore his ACL and will be unable to play for eight to twelve months. Millions of Americans are unemployed and desperately want to find jobs. Many homeowners are in danger of foreclosure. Some individuals face life altering adversity, but they persevere and achieve greatness in spite of it. Let me tell you about two.

Django Reinhardt (1910—1953), a gypsy jazz guitarist, was born in Belgium and lived in a Romani (Gypsy) settlement outside Paris. When he was eighteen, he was injured in a fire in his caravan. His right leg was paralyzed, and the third and fourth fingers of his left hand were badly burned. Doctors believed he would never

play the guitar again. Instead, he learned to play in a completely different way and became a famous guitarist and composer. Reinhardt’s most popular compositions included “Minor Swing,” “Daphne,” “Belleville,” “Djangology,” “Swing ’42,” and “Nuages.”

During World War II, several hundred thousand European Romanis were murdered by the Nazi regime. Reinhardt’s problems were compounded by the fact that the Nazis officially disapproved of jazz. He and his family made several unsuccessful attempts to escape occupied France. Part of the explanation of his survival is that he enjoyed the protection of jazz-loving Nazis.

After the war, he toured the United States as a special guest soloist with Duke Ellington and his Orchestra. At the end of the tour, he played two nights at Carnegie Hall. He died at age 43 of a brain hemorrhage.

Beethoven (1770—1827), German pianist and composer, started to go deaf at age 26, but he continued to compose and perform music. His compositions included piano trios, piano sonatas, violin concertos, the opera Fidelio, string quartets, and symphonies. By the time he wrote his Ninth Symphony, he was profoundly deaf and could not even hear the audience applause after the performance.

Now, let me answer your questions. Since you have worked at American Home Health at least a year and 1,250 hours within the past year, you will be eligible for Family and Medical Leave (FMLA). This allows you up to twelve weeks of unpaid leave because of your serious medical condition. Your health insurance, dental insurance, life insurance, and long term disability will continue for twelve weeks as if you were at work. That means you will continue to pay only your portion

of the premiums rather than the full cost. If you are able to return to work at the end of the twelve weeks, you are to be returned to the same or similar position at work. If you exhaust the twelve weeks of FMLA, you will be eligible to continue your health and dental insurance under COBRA. You would need to pay the full cost of the premiums plus a 2% administrative fee.

The long term disability takes effect after a three month exclusionary period. Long term disability pays 60% of your customary earnings.

Since you have $25,000 in the 401(k), you could request two loans or a hardship distribution. The loans must be at least $1,000 each. You would repay the loans through payroll deduction. The interest rate on the loan(s) would be the Prime Rate at the time of loan inception.

If the money is to be used for the payment of your medical care or to prevent foreclosure on or eviction from your principal residence, you could request a hardship distribution. You would need to pay ordinary income tax on this money. In addition, if you have not reached 59 ½ and the reason for the hardship withdrawal is not the payment of certain medical expenses, the distribution would be subject to a 10% nondeductible penalty tax in addition to income tax.

Since you have 36 hours of PTO available, you can use that during your recovery. Just fill out the requests on-line as usual.

To brighten your spirits, I am giving you links to the music of Django Reinhardt and Beethoven. I hope their stories will inspire you and their music will make your days go faster until you can return to work.

Nursing Talk

Continued on page 6

PERSEVERANCE IN SPITE OF ADVERSITY

6 American Home Health Newsletter | June 2012

L e t ’ s b l o g w w w . a h h c - 1 . c o m / b l o g@

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Nursing Talk

AHHC NewsletterEditors: Karen Centowski & Edward Lara Designer: Edward Lara

Contributions: Edward Lara, Karen Centowski, Pedro Oliverio

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1660 N. Farnsworth Ave., Ste.3Aurora, IL 60505

Django Reinhardt (1910—1953), jazz guitarist and composer (Genres: Jazz, Gypsy Jazz, Romani Music)

Most popular compositionsThe first link is the original piece. The second link is a cover version.

“Minor Swing”1. http://youtu.be/uTlo809EIlo2. Gipsy Jazz http://youtu.be/B6uXGSTfz_4

“Daphne”1. http://youtu.be/5sPfyx5t_5A2. Bireli Lagrene & Richard Galliano (jazz

manouche live) http://youtu.be/WjVZbMDGHKE

“Belleville”1. http://youtu.be/nS2ylPAUxzA2. Havana Swing http://youtu.

be/3JrTOpx1IVs

“Djangology”1. http://youtu.be/DVa3EDKUSH02. Alf Hågedal & Hrafnaspark

http://youtu.be/cfbtiCNFm84

“Swing ‘42”1. http://youtu.be/BJDUq_pWzzQ2. Bonner Jazz Trio http://youtu.be/

OwxQCL27BBw

“Nuages”1. http://youtu.be/qn_90PKM1xE2. By Sportiello,Roberscheuten,Breinschmid

http://youtu.be/E1l8Y600vBQ)

Ludwig van Beethoven (1770—1827), German composer and pianist

“Opus 1—three piano trios 1795”http://youtu.be/kp1Bv04_zYA

“Opus 18—six string quartets 1801”http://youtu.be/KKFzy7tEXu4

“Opus 13—“Pathetique,” piano sonata”http://youtu.be/FL0u9QXNvEg

“Opus 20—“Septet” 1799” http://youtu.be/DjRW9i_QwAk

Sonata No. 14--“Moonlight Sonata” http://youtu.be/4Tr0otuiQuU

“Fifth Symphony”http://youtu.be/_4IRMYuE1hI

“Seventh Symphony”http://youtu.be/tei3tUY09Pc

“Christ on the Mount of Olives”http://youtu.be/_xjcS3X8PC8

“Fur Elise” http://youtu.be/_mVW8tgGY_w

“Ninth Symphony”http://youtu.be/_-mvutiDRvQ

Cassandra

We invite you to submit questions for this column. E-mail edward.lara@ahhc-1.com.

Continued from page 5