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Search resuls for: "Tony Leys"


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“Covid is not pretty in a nursing home,” said Deb Wityk, a 70-year-old retired massage therapist who lives in one called Spurgeon Manor, in rural Iowa. She has contracted the disease twice, and is eager to get the newly approved vaccine because she has chronic leukemia, which weakens her immune system. But many nursing homes will not begin inoculations until well into October or even November, though infections among this vulnerable population are rising, to nearly 1 percent, or 9.7 per 1,000 residents of mid-September from a low of 2.2 per 1,000 residents in mid-June. “The distribution of the new Covid-19 vaccine is not going well,” said Chad Worz, the chief executive of the American Society of Consultant Pharmacists. That has added new complications for operators of nursing homes, who have encountered resistance throughout the pandemic in persuading people, especially employees, to receive yet another round of shots.
Persons: , Deb Wityk, Spurgeon, Chad Worz Organizations: Disease Control, American Society of, Pharmacists Locations: Iowa
Marilyn researched online and learned the University of Kansas Health System has a special medical clinic for adults with Down syndrome. The clinic Marilyn found is in Kansas City, Kansas, 80 miles northwest of the family’s cattle farm in central Missouri. A directory published by the Global Down Syndrome Foundation lists just 15 medical programs nationwide that are housed outside of children’s hospitals and that accept Down syndrome patients who are 30 or older. But she has felt treated like a child by other health care providers, who have spoken to her parents instead of to her during appointments. Advocates and clinicians say it’s crucial for health care providers to communicate as much as possible with patients who have disabilities.
In Iowa, 13 of the 15 nursing homes that closed in 2022 were in rural areas, according to the Iowa Health Care Association. “We’ve had more nursing homes go bankrupt in the last year than in the last 10 years combined,” she said. Nationally, the Centers for Medicare & Medicaid Services reported recently that 129 nursing homes had closed in 2022. In Iowa, Medicaid pays nursing homes about $215 per day per resident, according to the Iowa Health Care Association. Willett said a recent survey found that 72% of Iowa’s remaining nursing homes were freezing or limiting admissions below their capacity.
The Health Resources and Services Administration, which aims to improve health care for underserved people, offers many of these grants. But the use of methadone for addiction treatment is tightly regulated, due to concerns that it can be abused. Federal regulators approved Suboxone in 2002, opening an avenue for addiction treatment in towns without methadone clinics. Or a patient’s primary doctor could take over the buprenorphine treatment after an addiction treatment specialist stabilizes a patient. Storjohann said some health care professionals believe addiction treatment would lead to frustration, because patients can repeatedly relapse.
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