Silver Lining Services

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Silver Lining Services
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Why choose SLS LLC?

• SLS currently serves approximately 458 clients
  throughout our various programs, and employs
  approximately 480 people in the greater Cibola
  and McKinley County Areas. 
• We have been acknowledged for our outstanding
  business performance by many local officials and
  pride ourselves on our above average quality
  services and genuine concern for those in need.
• SLS Supports individuals and works to improve the
  quality of life for those of any age who might
  otherwise require institutional care.
• SLS provides care for individuals in their own
  homes and community.
• Our agency has an open door policy and our
  Executive Director can always be reached on or
  off the job.
• SLS provides home and community based services to
  all EEOIC recipients. 
• Family members may serve as HHA providers. 
• SLS now has two locations to serve you.
• SLS has a complete education department all
  skilled nurses will be able to receive continued
  education credits.
• Our most recent additions have been service
  provisions to the Developmentally Disabled and
  EEOIC-DOL Uranium industry workers and our
  skilled nursing department.
• Exceptional Customer Service
• Family like atmosphere
• Determination to do what it takes to serve the
  community
• Strong business staff
• SLS is in the business of sharing and caring to
  the needs of those around us
• Locally owned and operated
• The owners are from and live right in Grants, NM.
• We provide weekly home health aide training

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Our agency prides itself on providing top quality
Skilled Nursing Homemaker/Caregiver services,
Case Management, training, and advocacy. To do
this we provide all of the following
services________________________________________
______________________________

• Skilled Nursing
• Pain Management
• Pulmonary Respiratory Maintenance
• Musculoskeletal Assessment
• Restorative therapy Ambulation
• Range of Motion Exercise Daily
• Nutritional Maintenance
• Wound Skin Breakdown Prevention
• Emotional Support for Client and Family Members
• End of Life Support
• Monitor Vitals Oxygen Saturation
• Assessments of all Body Systems
• Neurological Assessment
• RN Case Management
• Registered Nurse
• Licensed Practical Nurse
• Social Services
• Physical Therapy
• 24/7 skilled nursing available to those that
  qualify 

• Infusion therapies
• Comprehensive wound care therapies
• Palliative care services
• Renal disease services
• Cancer recovery services
• Digestive disease support
• Respite care
• Hospice care

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Cont

• HHA- Eligibility
• Family members may serve as HHA providers. 
• SLS.LLC now has two locations to serve you.
• SLS.LLC will make every reasonable attempt to
  accommodate out of town or out of state
  participants to complete training needs.
• Our agency will train and certify all HHA-Home
  Care Providers at no cost to the HHA.  SLS.LLC
  assumes all training costs. 
• Home Health Aid - HHA
• Companionship and Conversation
• Arrange Appointments
• Medication Reminders
• Plan and Prepare Meals
• Assist with bath, hygiene and grooming
• Light Housekeeping
• Changing Linens/Laundry
• Grocery Shopping
• Escort to Appointments
• Errands
• Case Management
• Information and Referral Services

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Other services and care options

• Social and Cultural Activities
• Encourages learning and recreation
• Supportive setting for residents and their
  families
• Activities that support transition back into the
  community
• Full Cycle Rehabilitation Program
• Physical therapy
• Nursing and Restorative Care
• Customized plan of care for each individual
• Assistance with Activities of Daily Living
• Case Management
• Patient and resident advocacy
• Clinical and financial resource assistance
• Discharge Planning
• Prior to admission
• Discuss recuperation goals and plans for on-going
  care
• During care delivery, plan is re-evaluated

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What is Skilled Nursing?

• Important Background Information Regarding
  Skilled Level Patients
• There are certain conditions that must be met for
  a patient to qualify for skilled home health
  services
• under Medicare, Medicaid, and some insurance
  companies they are
• Be confined to the home (homebound)
• Be under the care of a physician
• Receive services under a plan of care
  established and periodically reviewed by a
  physician
• Be in need of skilled nursing care on an
  intermittent basis or need physical therapy or
  speech
• therapy
• Have a continuing need for occupational therapy
• Clarification of Homebound
• This does not mean the patient must never leave
  their home. In general terms, a patient is
  considered
• home bound if they
• Have a medical condition or an injury that
  restricts their ability to leave their home
  unless
• they use an assistive device (crutches, cane,
  wheelchair, walker)
• Require the use of special transportation
• Require the assistance of another person
• Or, leaving their home is not medically advised
• Patients may leave their homes occasionally for
  church services, hairdressing, attending a family

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Clarification of Skilled Nursing Duties

• A skilled nursing patient is one who requires the
  skills of a Registered Nurse or Licensed
  Practical Nurse. The nurse is responsible for
• making the initial evaluation visit to the
  patient,
• reevaluating their needs regularly,
• initiating and revising the nursing plan of
  care,
• providing the services that require more
  specialized nursing care,
• planning for preventative and rehabilitative
  care,
• preparing clinical notes and informing
  physicians and others participating in the
  patients care
• of changes as they occur.
• According to the Medicare Benefit Manual, 30.4,
  (Medicare reimbursement) skilled nursing care
• must be reasonable and necessary, needed on an
  intermittent basis, and not be solely needed for
• venipunctures for the purposes of obtaining blood
  samples.
• Some examples of patients who would qualify for
  skilled nursing care
• Patients who require intravenous and
  intramuscular injections
• Patients needing Foley catheter insertions
• Patients with pre-existing peripheral vascular
  or circulatory disease (needing observation for
• complications, pain management, teaching related
  to skin care, preservation of skin integrity,
• and prevention of skin breakdown)
• A patient who requires teaching related to
  illness or injury until they can demonstrate

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Examples of patients who do not qualify for
skilled care

• Skilled nurse admits a patient to agency for
  bathing, and completes the teaching of medication
• administration and safety in the home, at the
  admission visit.
• Patient is not compliant with taking
  medications, and needs reminders to take them on
  time.
• Patient has a wound, which the caregiver
  manages competently, and patient is driving their
• own vehicle.
• Medication set-up when the medications taken do
  not require ongoing nursing assessments,
• monitoring or physician consults.
• Venipunctures alone do not qualify a patient for
  home care. The documentation must support the
• rationale behind the venipunctures, for example
• A patient is taking coumadin (blood thinner)
  and requires protimes to monitor it
  effectiveness.
• Documentation reflects no changes in the coumadin
  therapy for 6 weeks. This patient would
• not qualify for skilled care based on this alone.
• A physician requests a chemistry panel and CBC
  drawn on his patient prior to the patients 6
• month check up. This patient would not qualify
  for skilled care based on this alone.
• A patient newly diagnosed with Atrial
  Fibrillation, and new to coumadin therapy, needs
• protimes to monitor for therapeutic effects. This
  patient would qualify for skilled care.

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Contact Information

• If you have any further questions or concerns
  please contact Silver Lining Services Director of
  Nursing Shelia Gholston.
• Office 505-285-3445
• Cell 505-240-0252
• shelia_at_slsnm.net