Thursday, 20 July 2017

Managing Life after a Fracture

After suffering a fracture, it’s tempting to take the easy path and lie on a couch all day, waiting for the cast to come off. That could be a big mistake. If your doctor has told you to stay as active as possible, that is exactly what you should do. There are 2 aspects to this. The first is to be active at home and the second is to go out and resume your normal activities as far as possible. Of course, everything must be done with your doctor’s approval.

Staying Active At Home

Make your home compatible with your mobility restrictions. Get your friends and family to help you.


  • Rearrange furniture to create comfortable pathways and movement spaces throughout the house.
  • All homes have clutter. Clear away all the non-essentials, especially things that can cause a fall.
  • Remove rugs and carpets and if that is not possible, tape down the edges so you do not trip on them.
  • Add lighting to any dimly lit places in the house and keep nightlights on at night.
  • Install handrails on stairs and grab bars in the bathroom.
  • Always keep a phone in your pocket so you can call for help when you need it.
  • Keep mentally active. Watching TV is fine, but there is a reason they call it the “idiot box.” Read, do crossword and jigsaw puzzles or play online games to keep your mind stimulated and active.
  • Use your phone to stay in touch with friends and relatives. Social interaction, even if only verbal, will keep you bright and cheerful.

Going Out

No matter how much you can do at home, staying indoors all the time can make you bored and the dullness and lassitude that sets in can affect you both mentally and physically. Travelling with a fracture is not easy – besides the problems of mobility that arise from being in a wheelchair, on crutches or a walker, having an arm in a sling and other restrictions, you need to be able to travel in safety and comfort to prevent making the injury worse, Trying to board public transport can be not just difficult but also dangerous. Contorting yourself, cast and all, into a taxi or a friend’s car can be extremely uncomfortable. Falling or stressing the fracture could do serious damage and affect your recovery. The best way to travel with a fracture is by using Non-Emergency Medical Transportation (NEMT). The special vehicles available will reduce the stress of getting on and off and you will be able to travel in comfort. Additionally, the drivers are trained in the special requirements of medical transportation so you do not have to worry about the injury during your trip. Whether it is an essential trip, or just going on a social visit, NEMT allows you to travel in comfort and safety. Before choosing an NEMT provider, check out its qualifications, reputation, the range of services and whether the types of vehicles available contain those that meet your specific needs. If you are a senior citizen, check to see if seniors’ discounts are available.

Thursday, 22 June 2017

A Change of Scenery is Good Medicine

Being immobile after sickness, surgery or injury can be very depressing. Being stuck in the same place, often in the same room, day after day can suck the strength out of a person as much as the reason for being immobile in the first place. There is a reason behind the old saying “variety is the spice of life.” The mind and body both need the stimulus of change to stay alert and gain strength. Without this “spice” life can be bland and dull which could cause the patient to become withdrawn and inward looking. As any doctor will say, a positive attitude is an essential part of any recovery, from any kind of sickness or injury. A change of scene can be the stimulus that hastens recovery or, if the condition is a permanent one, makes life happier.

Transportation can be a Problem

There are two factors that limit mobility and the ability to travel. The first, of course, is the physical condition of the patient. Some conditions may not allow for excessive movement or traveling even short distances. This is beyond the caregiver’s control. The second issue is that of finding the appropriate transport.  Many medical conditions do not permit a person to sit in a regular car seat. Even if there is no apparent pain or discomfort, travel could exacerbate the condition, the signs of which will only appear later. However, if there is no medical reason for the patient to remain in only one location, there is a safe, convenient and comfortable way to transport those who cannot travel by normal car or public transport. That is by the use of Non-Emergency Medical Transport (NEMT). NEMT is different from an ambulance which is meant only for transporting patients to and from a hospital or other medical facility. It cannot be used for transporting a patient to a social occasion, a visit to a park or another place that makes them happy, or any of the other outings the healthy take for granted but which mean so much to those for whom going out is a problem. NEMT can take patients to where they need to go and, equally importantly, where they want to go.

Finding the Right NEMT

When looking for an NEMT service, the key factors to keep in mind are:


  • Being fully insured, licensed and bonded
  • The availability of the right type of vehicle - one that meets the special requirements of the patient
  • Experience in transporting the elderly and those with mobility limitations
  • Drivers who are trained in the special requirements of medical transportation
  • Familiarity with the area to find the most convenient and comfortable route to the destination and back
  • Punctuality – keeping a patient waiting for a trip that he or she is looking forward to is not a good thing
  • Reasonable pricing. This is important because once the benefits of the ability to go out are seen; there will be more need to use the service.

A Non-Emergency Medical Transportation service that offers all this and more is the one to use.  The patient will benefit from the travel and be happier and healthier. This, in turn, will make the job of the caregivers an easier one.

Sunday, 21 May 2017

Taking Grandpa to the Doctor

Medical checkups and regular visits to the doctor become increasingly important as a person ages. Taking an elderly relative with mobility limitations to a doctor or other medical appointment can be a problem for family members and caregivers. Since they cannot drive themselves, someone has to take them and then bring them home. This responsibility typically falls on a family member. However, in an increasingly time strapped world, dropping a long standing commitment to transport Grandpa can be a major problem. In addition, there are the special needs. For example, if Grandpa is wheelchair bound, using a family car can be a huge challenge, not to mention the discomfort to him, the tension for you and the safe transportation issues. It’s not really a good idea to do it yourself.

The Transportation Options


  • Driving Grandpa yourself is not, for the reasons mentioned, the best option.
  • You could use the standard yellow cab. But cab drivers are not trained in dealing with and transporting the elderly and mobility impaired. Even if they want to, they will not know how to help the person into the taxi, carry the wheelchair and at the destination, help grandpa out and back into the wheelchair.
  • Ridesharing is a possibility, but here too the same problems as with the yellow cab will arise. Rideshare companies screen their drivers’ background and driving records, but they are not given any training in transport those with limited mobility.
  • Ambulances are typically meant for emergency situations and taking Grandpa to a doctor’s appointment or out for a social visit does not fall into that category. You can’t call 911 for help taking Grandpa for his scheduled checkup or to go to a granddaughter’s wedding.

It is because of the problems that arise when transporting the mobility impaired for non-emergency travel that the Non-Emergency Medical Transportation came into being.

Non-Emergency Medical Transportation (NEMT)

NEMT is the best way to take Grandpa to the doctor. It is also the best option for those who have temporary mobility issues like patients recovering from surgery or an injury. NEMT vehicles are specially modified to transport the mobility impaired so they are able to travel in comfort and safety. Air conditioning adds to the comfort levels. NEMT drivers are trained in transporting the mobility impaired and can do a much better job of it than a layman. When it is a loved one’s safety and comfort involved, you cannot afford to compromise on quality. Use only an NEMT service that has the experience and a proven track record of transporting people in the best possible manner. Look for one that is available 24x7 and that offers domestic service as well as event standby. Of course, it should be fully insured. With the right NEMT, you are freed from the responsibility of ensuring that Grandpa is taken, in the right manner, to where he needs to go.

Thursday, 20 April 2017

The Importance of Non-Emergency Medical Transport

In 2015 the National Conference of State Legislatures (NCSL) released a report on the importance of Non-Emergency Medical Transport (NEMT) and why the need for it is growing. According to the report, around 3.6 million Americans miss or delay scheduled medical care appointments because they do not have appropriate transportation.

The Changing Medical Care Scene

Advances in medical treatment means that an increasing number of those who would earlier have been treated as inpatients are now able to return home and come back for care only as required. The need for NEMT is not only for those recovering from sickness, surgery or injury. Those with chronic conditions such as arthritis, asthma, cardiac conditions, pulmonary disease, diabetes and so on need medical services on a regular and frequent basis. In a 2009 study, the Centers for Disease Control (CDC) estimated that over 75% of the adult population of America that is over the age of 55 has at least one chronic condition that needs regular medical supervision and care. The 66% of the 20 million adults with chronic kidney disease who need dialysis on a regular basis rely on others for transport to go to their appointments. For many these people, the stress of travel for medical consultation or treatment is a major issue that could have a negative impact on their health. Because of this, the benefits of the shift from inpatient to outpatient care are often diluted.

NEMT is not a luxury. It is an essential component of modern medical care and must be viewed as such. NEMT is a specialization that is an important to a patient’s health as treatment by a doctor specializing in the condition being treated.

Comfort, Convenience and Safety

If you have a friend or family member who has mobility problems and who needs to travel for medical care or rehabilitation, it is tempting to try and transport them yourself. It is a gesture of the affection and regard you have for them. However, the question to be asked is – is it the right way to do it? Mobility issues mean special transportation needs, both in terms of the type of vehicle to be used and the special care that needs to be taken when carrying them. Your friend or loved one may not complain about the pain and discomfort that traveling in a normal car causes. You may not be aware of the risks to the person’s health. That is why using a specialized NEMT service is the best thing to do. There is no need to feel that you are letting your friend or loved one down by not taking them where they need to go in your own car. You are using NEMT because you care and that is what you need to explain to them. Of course, you can travel with them in the NEMT vehicle. The comfort, convenience and safety of NEMT will make life easier for you and the one you are helping out.

Thursday, 23 March 2017

Where Should Your Loved Ones Recover?

Having a loved one in hospital is always a cause for stress in the family and there is great relief at the time of discharge. But that often does not mean that the stress is over. There is still a lot that needs to be done do ensure that the recovery goes smoothly. The patient may need a period of care and rehabilitation and this will usually require a great deal of support. Planning for the discharge and what comes after should begin well in advance to ensure that everything goes smoothly.

Before Discharge

Before the patient is discharged you should obtain the following information from the hospital:


  • The expected date of discharge
  • The type of care that the patient will require and whether specialized services will be necessary and if so, a list of approved care providers and services.
  • The recommendations of the doctors and nurses on what actions you should take.
  • Contact information from where additional information may be obtained and questions answered.

Care and Rehabilitation Options

There are 3 main care options available after discharge from a hospital:

  • If the recovery involves continued inpatient care, a nursing facility is the normal option. The trained nurses and caregivers here will be able to provide the patient the support and care that is needed for continued recovery.
  • If extensive physiotherapy or rehabilitation is required, a rehabilitation hospital is the best option. As there could be multiple sessions or treatments during the day, often for an extended duration, staying where the treatment will be given, places the least strain on the patient.
  • Home is often the preferred option. If the patient needs only part time rehabilitation of specialized care, a certified home health care agency will be able to provide the services needed. Being at home in familiar surroundings with the family around can lift the morale and spirits of the patient and this can help to expedite the recovery.

The Transportation Issue

Wherever the patient may go after leaving the hospital, visits back there for checkups, consultation with other medical specialists and other follow up actions will be required. In addition, being able, health permitting, to go out once in a while to visit friends or places that are dear to the patient can provide a change of surroundings and atmosphere which will make the patient happier. Traveling can be uncomfortable and stressful for the patient. There is also a risk of injury that could affect recovery. The right way to transport patients is to use a Non-Emergency Medical Transport service. Using specialized vehicles designed for transporting the sick and injured, and driven by professionals who are trained in the specialized transport needs of patients, your loved one can travel in comfort and safety as often as is required to go where he or she needs to for completing the recovery process. With doorstep service and very reasonable rates, there is no need to stress the family or the patient by transporting them yourself.

Sunday, 19 February 2017

Traveling With Mobility Issues

Having mobility issues does not mean that you are a prisoner in your home. Whether it is a temporary issue or a long term one, being able to go out can be good for you. Of course, you need to check with your doctor before doing this, but if you get the go ahead, why not? The answer is often that the logistics of travel are too cumbersome to surmount. A normal car may not be suitable if you are in a wheelchair or if there are other constraints. And then there is the question of your safety and comfort. There is a way to overcome all these problems and that is by using Non-Emergency Medical Transport (NEMT).

What Is NEMT?

NEMT is not an ambulance – that is for emergency and as the name says, NEMT is for non-emergency situations. NEMT is a specialized service that caters to the specialized transportation needs of those with mobility problems. NEMT will pick you up from your home, hospital, nursing home or wherever you are. It will then take you to where you need to go. Specialized vehicles that have been modified to suit the needs of those with mobility issues are used for this. The better services offer air conditioned vehicles to add to you comfort. The drivers are specially trained to assist you in your travel and ensure your safety. A caregiver can travel with you, if required.

Finding the Right NEMT

Finding the right NEMT service is critical to your comfort and security. Among the things to look for are:

  • Special vehicles professionally designed to suit the needs of the mobility impaired.
  • Climate control for extra comfort.
  • Residential and commercial services.
  • 7 days a week, 24 hours a day availability.
  • Fully trained drivers with experience in transporting those with mobility limitations.
  • Event standby.
  • A company that is licensed, bonded and fully insured.
  • A reputation for quality and reliability with testimonials to back up the claims.
  • Payment options that suit your needs.

The Benefits

Being able to move around and travel where you want to is a great feeling.  From a visit to the doctor for a checkup to dropping in on a friend, going to the library and much more, if your doctor has given you the go ahead, why not do what you want to? The cost can be surprisingly low and your budget will not be hurt.

The place you want to go to could be near or far away. If you live in the San Francisco Bay Area, your range of places to visit is large and the distance can vary considerably. With a professional NEMT service, it doesn’t matter. You can go where you want to.

Stop worrying about the places you can’t go to and start planning or where you can. All it takes to get started is a phone call to the right NEMT.

Monday, 23 January 2017

Transporting a Disabled Parent

Caring for an elderly parent is a labor of love. However, it can also be very stressful, especially if the parent has mobility problems. From just being unstable on the feet to being unable to walk due to injury or medical conditions to varying degrees of paralysis, the issues could be varied. It is important to remember that while caring for a parent with mobility problems is tough, it is even harder on the parent.

Depression

A loss of mobility leads to a feeling of being dependent on others. This can often lead to feelings of guilt at being a burden on the rest of the family. In addition, and often a more serious matter, is that the limitations that the lost mobility results in can lead to depression. This, in turn, can cause other medical issues or exacerbate existing ones. That is why it is important to provide the parent with mobility assistance and a way of traveling that is safe and designed to meet their needs.

Around The Home

Setting up the home to make movement as easy as possible can make a world of difference to the parent. Replacing steps with ramps, where possible, to allow for wheelchair access, creating doorways broad enough for the wheelchair to pass through, removing rugs to make using a walker easier, installing hand holds and grab bars are just a few of the modifications that could be done. These will not normally affect the comfort the others in the home but it will allow the parent to be more mobile indoors and by doing this, feel like less of a burden on the others.

Outside The Home

Being able to travel outside the home is also important. This does not just mean going to the doctor or hospital for treatment and other essential travel. Social visits and other recreational activities are also important. The issue here is that of safety. In many cases, a normal car or van is not suitable for transporting the partially or fully immobile. Special facilities may be required to entering and exiting the vehicle. Inside there must be secure seating or space for a wheelchair or stretcher to be securely placed.

This may sound like a description of an ambulance, but that is incorrect. An ambulance is meant only for emergency medical treatment and transport. Transporting those with mobility issues who do not require emergency medical treatment does not fall into this category. That does not mean that there is no way out.

Non-Emergency Medical Transportation

Non-Emergency Medical Transportation (NEMT) refers to a specialized service that is designed to safely transport the partially or fully immobile on journeys that are not emergencies. The vehicles are specially equipped to meet the needs of these special passengers and carry the equipment required to ensure that the trip is a safe one. The drivers are trained in the care that must be taken in transporting these passengers. When transporting a parent or loved one with a professional NEMT company that is insured, licensed and bonded you can be sure that they will be cared for to the highest standards and treated with respect and consideration to make the journey as comfortable as possible. One way of being sure that you have chosen the best NEMT service is to check the testimonials they have received. That will give a true unbiased picture of how good they are.