Banner Graphic, Volume 17, Number 36, Greencastle, Putnam County, 13 October 1986 — Page 4

THE BANNERGRAPHIC, October 13,1986

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Nurse aide training at vocational school

The Putnam County Area Vocational School, in conjunction with some of the local area nursing homes, will offer free nurse aide training classes. THE ONLY CHARGE will be $22 for a textbook. Thirty hours of classroom instruction and 75 hours of work experience will be included in the training, which will be approximately 10-12 weeks. After finishing the program the student will be eligible to take the Nurse Aide Exam as required by the Indiana Health Facilities Council and the Indiana State Board of

Brown Co. tour cancelled

The Extension Homemakers tour to Brown County on Oct. 23 has been cancelled, according to Dorothy

ELECT NANCY MICHAEL Democrat for Putnam COUNTY CLERK

>, JE.

Paid for by Nancy Michael for Clerk Committee

JUST A REMINDER Computer classes are starting at North Putnam High School. Plan now to attend! Introduction to Computers Tuesday, 6-9 p.m. Advanced Computer Operations Wednesday, 6-9 p.m. Introduction to BASIC Programming Thursday, 6-9 p.m. For more information call: 653-3515

CHIROPRACTIC SERVICES

(_ • Specializing in spine and nerve rehabilitation • Sports injury • Clinical nutrition •Supporllveiherop.es x-ray • Workman's compensation • Personal and auto injuries | • All approved insurance accepted i • Medicare and Medicaid I OPEN J >AILYB:OOa.m. Vl* ■r~ closed Thursday w| ’-x by appt. call 653-4447 AVAILABLE FOR EMERGENCIES MOHR CHIROPRACTIC CENTER, P.C.

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We’re ready to loan money for any new or used car. In fact, we can have your loan processed the same day you contact us. We'll have you on the road again in no time. For more information phone Bill Hayes or Millie Buis. Or stop by Central National Bank to apply. 653-4161 CENTRAL NATIONAL BANK service) SK. BAN,< ‘ A MERCHANTS NATIONAL COMPANY ONE CENTRAL SQUARE GREENCASTLE, INDIANA 46135

Health before employment as a nurse aide. Upon passing of all three phases of the training program (classroom instruction, work experience, and state exam) the student will receive a Certificate of Completion of Nurse Aide Training, which is necessary for employement in a nursing home. CLASSES WILL BEGIN Oct. 20 and will be conducted each Monday and Wednesday 1-4 p.m. for a total of 10 sessions. Persons may call the Putnam County Area Vocational School (653-3618) for further information or to enroll.

Lawler, tour organizer. Those making reservations should expect to have notice of the cancellation.

lifestyle

Calendar of events Tuesday The Brick Chapel Home Extension Club will meet at 11 a.m. Tuesday, Oct. 14, with Reba Early. Joan Gambs will be co-hostess. Margaret O’Hair will present the lesson, “Accessorizing Clothes.” Members are asked to bring a salad for the luncheon and a can of fruit juice for the food pantry. The Volunteer Sewing Group will meet 9 a.m.-noon Tuesday, Oct. 14, in a downstairs classroom at First Christian Church in Greencastle. All help will be welcome. The Better Homes Extension Club will meet at 7:30 p.m. Tuesday, Oct. 14, at the home of Darlene Bee. Kathy Ritter will present the lesson, “Accessorizing Clothes.” Members are asked to bring food pantry items. The Happier Homes Extension Club will meet at 7:30 p.m. Juesday, Oct. 14, at the home of Mrs. Bruce Collins. Fillmore Applegate Lodge No. 155 will have a stated meeting at 7:30 p.m. Tuesday, Oct. 14. Presentation of the Award of Gold will be featured. The Four Leaf Clover Extension Homemakers Club will meet Tuesday, Oct. 14, with Nell Kersey. Devotions will be given by Margaret Neese. The lesson, “Accessorizing Clothes,” will be presented by Shirley McElroy. Wednesday Gobin Methodist Church will have an all-church pitch-in dinner at 6:30 p.m. Wednesday, Oct. 15. The program, “Many People of North America,” will feature Mrs. Oowah Nah Chasing Bear as speaker. Bethel Circle will serve as hostess. “Holiday Hi-Lites” will be the theme of the Greencastle Christian Women’s Club luncheon noon to 2 p.m. Wednesday, Oct. 15, at the DePauw University Student Union. The program will include holiday decorating ideas and Missy Gregg as featured speaker Music will be by David Ott, professor of music at DePauw. The Greencastle Garden Club will meet at 9:30 a.m. Wednesday, Oct. 15, at the home of Mrs. L. Turk. Mrs. Fred Silander will be cohostess. The Greencastle Business and Professional Women’s Organization will celebrate National BPW Week at a 6:30 p.m. dinner Wednesday, Oct. 15, in Room 221 of the DePauw University Student Union. The 7:30 p.m. public meeting will feature three local women who will describe their recent trip to the Soviet Union. Call Claudia Williams, 653-3141, for dinner reservations or arrive at 7:30 for the public meeting. Temple Lodge No. 47, F. & A.M., will have a slated meeting at 7:30 p.m. Wednesday, Oct. 15. Visitors are welcome. Refreshments will be served. Thursday Theta Chapter, Delta Theta Tau, will meet at 8 p.m. Thursday, Oct. 16, at the home of Carolyn Elliott. This will be the Founder’s Day Meeting and is required. A written excuse will be needed by members who do not attend. Main Street Greencastle will have a town meeting at 7:30 p.m. Thursday, Oct. 16, at the office of Wilson Hutchens & Wilson, 16 S. Jackson St. Everyone is welcome. Friday Putnam County A.A.R.P. Chapter No. 1303 will meet at 1:45 p.m. Friday, Oct. 17, at the Senior Center. The program will be “Meet the candidates”, followed by a sing-along.

Library series for children The Putnam County Library will sponsor an After School Club on four consecutive Mondays, Oct. 20 and 27 and Nov. 3 and 10. The sessions are for children in third through fifth grades and will run from 4 to 5 p.m. each week. The programs will consist of stories, including tall tales and ghost stories, games and projects. Because of limited space, children need to be registered for the series. Parents may register children at the library or by calling 653-6216.

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Federal proposals impose new rules on nursing homes

c. 1986 N.Y. Times News Service WASHINGTON After trying for five years to reduce federal regulation of nursing homes, the Reagan administration has reversed itself and plans to impose new rules to protect patients’ rights. The proposals were drafted by the Department of Health and Human Services in response to recommendations made in February by the National Academy of Sciences. The regulation of nursing homes is one of the few areas where the administration has been forced to abandon its goal of reducing government involvement. Under the new rules, every nursing home resident would be guaranteed a “dignified existence.” Nursing homes would have to inform patients of how they could get in touch with legal aid lawyers and state regulatory officials, how they could obtain their own medical records and how they could influence the policies of the home where they live. Nursing homes with a history of deficiencies would be inspected more often than others, and patients would be entitled to see all inspection reports. Consumer groups and lobbyists for the elderly, joined by members of Congress from both parties, denounced the administration’s earlier plan to relax or repeal federal standards for safety and sanitation in nursing homes, the rights of patients and the qualifications of the staffs. Federal officials said the new rules would not require additional spending by the government or by the nursing home industry, and for this reason consumer advocates said the rules still did not go far enough. The federal government in 1985 spent $7.8 billion on nursing home care, or 24 percent of the total amount spent for such care in the United States. More than 1.3 million older Americans who are covered by Medicare or Medicaid live in nursing homes. Under Medicaid, the federal government spent $6.5 billion for care in nursing homes last year and the the state and local authorities spent $5.3 billion. Nursing homes must meet federal standards to be eligible for federal money under these programs. Health officials said the regulation of nursing homes became even mtre important in the last few years because, under a new Medicare payment system, patients were being discharged from hospitals earlier than before. As a result, nursing homes report that they are receiving many patients who are acutely ill and need close monitoring as well as special types of therapy. Reps. John D. Dingell of Michigan and Henry A. Waxman of California, both Democrats, have introduced a bill to carry out many of the recommendations made by the national academy through its Institute of Medicine. In an interview Monday, Dr. William L. Roper, head of the federal Health Care Financing Administration, which runs Medicaid and Medicare, said, “We hope Congress will hold off and not enact a statute, but give us an opportunity to act administratively.” This action would be adopting new regulations and procedures. A confidential 48-page summary of the proposed rules show they would require nursing homes to take

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Utilization of senior services low WASHINGTON (AP) - One in five elderly people visit senior citizen centers or use other senior services, and women are more likely than men to avail themselves of the programs, a government study says. The study also found that elderly people who live alone even those who are handicapped are more likely to visit senior centers than older people who live with someone. “The most revealing finding is the low utilization rates among the elderly population,” said the study titled “Aging in the Eighties Use of Community Services.”

numerous steps to enhance the “quality of life” for residents. Patients would have to be informed of their legal rights; they could inspect their medical records on request, and they would have to r eceive written notice at least three days before being discharged or transferred to another facility. In a memorandum to Dr. Otis R. Bowen, secretary of Health and Human Services, Roper said the new rules would “state unambiguously that each resident has a right to a dignified existence, selfdetermination, communication with and appropriate access to persons and services inside and outside the facility.” In addition, he said, the rules would require nursing homes to “assert, protect and facilitate the exercise of these rights.” However, the documents show that the administration has rejected recommendations from the national academy that would require the hiring of additional federal inspectors and an increase in federal aid to the states for inspection of nursing homes. The administration also rejected a proposal that would prohibit nursing homes from discriminating against Medicaid recipients in either admissions or services. Rep. Ron Wyden, D-Ore., said the, administration was working from a “faulty premise” if it believed the necessary changes entailed no increase in spending. “A lot of what needs to be done will require more Medicaid funds to improve patient care and patient protections,” he said. Julie A. Trocchio of the American Health Care Association, which represents 9,000 nursing homes, said the proposals were “a very good, comprehensive package.” She said that in some areas the industry was willing to accept more stringent requirements than the government planned to impose, on the assumption that Medicaid would help pay for any additional training or staff required. The academy said there was “widespread evidence that nursing homes actively discriminate” against Medicaid beneficiaries in favor of private patients who are able to pay hore than the government pays. The health care financing agency told Bowen that a dederal rule forbidding such discrimination would be an improper intrusion into the “private business oanagement” of nursing homes. Under current law there are two types of homes: skilled nursing facilities, which must have a licensed nurse on duty at all times, and intermediate care facilities, which must have a licensed nurse on duty on the day shift seven days a week. The academy said the distinction between the two types of nursing homes should be abolished. The Reagan administration generally agrees that there should be a single set of requirements for all nursing homes, but it would preserve some distinctions between skilled and intermediate facilities. “For example, we would not require 24hour nursing staff coverage for freestanding intermediate care facilities,” Roper said in his memorandum to Bowen. The government also rejected the academy’s recommendation that every nursing home with 100 beds or more be required to employ at least one full-time social worker. The federal government pays states to inspect nursing homes that participate in Medicaid.