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Stories of Care

Home Care Heals Minds and Bodies

Since losing her husband two years ago, 88-year-old Jean has struggled with depression. Suzette S., a behavioral health nurse with VNSNY, had cared for the Nassau resident previously, and when she was reassigned to Jean’s case last August she could see that things had gotten worse.

“Jean had lost 20 pounds, wasn’t sleeping well, and had no interest in eating,” Suzette recalls. “Hospitalization was a real possibility.” While Suzette had made only limited progress before in treating Jean’s depression, this time was different: In recent months, VNSNY Home Care has introduced a new set of behavioral health protocols, including “triggers” that alert the home care team when behavioral health care is needed, new evidence-based clinical pathways, and a psychoeducation technique in which patients are encouraged to become involved in their own care.

In another important shift, VNSNY’s behavioral health nurses are now more pro-active in making recommendations to physicians about their patient’s psychiatric medications. Picking up on this, Suzette observed that Jean’s multiple medications were causing more problems than they were solving. “Their combined side effects were upsetting her more,” she says. Realizing the drug Remeron would address all of Jean’s symptoms, Suzette suggested substituting this medication for the others, and Jean’s primary care physician readily agreed.

Following the new care model, Suzette also explained to Jean about the new medication and the importance of taking it daily, and got her buy-in. “Within three weeks Jean was doing much better,” reports Suzette. “Today, her medication compliance is one hundred percent and she is a different person. She’s re-gained her weight, is talking and eating more, and has started cooking again. Now, during my weekly visits, she asks what she can make for me!”

“Without Suzette, I wouldn’t be in the good condition I am,” adds Jean. “She’s my soul mate.”

Behavioral Health & Dementia Management

Behavioral Health & Dementia Management

Many people don't realize that home healthcare is a treatment option for patients with mood and cognitive disorders, including two of the most common: depression and dementia. Read More
Depression and Older Adults: Symptoms and Solutions

Depression and Older Adults: Symptoms and Solutions

8 warning signs, and steps to take to help your loved one. Read More
Patience and Understanding Help a Client Progress

Patience and Understanding Help a Client Progress

A post-operative patient needed both physical therapy and emotional support following hip replacement, and VNSNY physical therapist Patricia V. was there. Read More
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