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Copyright 2000 Globe Newspaper Company  
The Boston Globe

August 6, 2000, Sunday ,THIRD EDITION

SECTION: CITY WEEKLY; Pg. 10

LENGTH: 775 words

HEADLINE: CITY WEEKLY / SENIOR SET Nancy Boland Johnson reports on senior affairs for regional newspapers.;
BOOKLET HAS SOLID ADVICE FOR FAMILIES OF NURSING-HOME RESIDENTS

BYLINE: By Nancy Boland Johnson, Globe Correspondent

BODY:
Thousands of American families face nursing home challenges every day. When a loved one enters a nursing home, families assume a new role, making sure that others provide good care.

"Solving Nursing Home Problems," a recent AARP publication, is a guide for people who care for someone in a nursing home. "The booklet will help you identify sources of assistance, understand how laws protect your loved one and you as a family member, and how to recognize common care problems and ways to prevent them," said Chryste Hall, AARP Massachusetts communications director.     When you have a problem, try to discuss it with the nursing home staff, the booklet recommends. It is important to develop a cooperative relationship with all personnel. This can help keep small problems from becoming serious. Medicaid and Medicare nursing homes are required to allow families to form family councils and to meet privately in the facility.

The booklet states: "The family council should not be only a forum for nursing home staff to tell you what they want you to know. Councils should also provide an opportunity for families to talk freely among themselves and present concerns or grievances to the staff."

Residents and family members have a right to talk to surveyors when they inspect the facility where a loved one lives. Nursing homes must show you the results of their most recent state survey. They must disclose any plan of corrections they were required to take to address deficiencies found by surveyors.

"Families sometimes fear if they complain or make an issue of a situation, someone will take it out on the resident when they are not there," said Deborah Banda, AARP Massachusetts state director. "Fear should not prevent you from insisting on good care for the resident. Nursing home workers say that families who call attention to problems get results."

The law says that nursing homes must provide: a copy of residents' rights requirements; the name, address, and phone number of the long-term care ombudsman; and information about filing complaints of abuse, neglect, or theft of personal property with the state survey agency.

For a free copy of the booklet, call AARP Massachusetts at 720-5600.

Consumers can now shop online for prescriptions. Most online pharmacies are lawful. However, the Mayo Clinic Health Letter reminds consumers to be leery of Web sites that sell unapproved drugs.

In some ways, online shopping for medications works similarly to shopping at a local drugstore. When purchasing over-the-counter products, you search by name or category. After you select the product you want, you go to the "check out" and pay by credit card and give your mailing address.

The Mayo Clinic Health Letter explains that ordering prescription drugs online is similar to ordering from mail-order pharmacies. You set up an account (in this case, online) with the pharmacy. You also must provide insurance information. You mail or fax a prescription from your doctor. Your medication is then mailed to you within a few days.

Web pharmacies can be helpful for people who can not get out easily or who live far from a pharmacy. Internet pharmacies say they save you money. If you know your prescription costs at your local pharmacy, you can comparison-shop online to see if you will save money. Web pharmacies say another advantage is that they are open 24 hours a day, 365 days a year. However, some local pharmacies also have similar schedules.

Licensed pharmacists should be available to verify that prescriptions are filled correctly and that customers are told about potential side effects or possible drug interactions.

The Mayo Clinic Health Letter warns consumers that "foreign-based sites that promise cheap prescription drugs may be providing drugs that have expired or are not approved for use in the United States."

The Food and Drug Administration offers these tips to consumers who buy health products online:

Do not buy from sites that offer prescription drugs for the first time without a physical exam, sell a prescription drug without a prescription, or sell drugs not approved by the FDA.

Avoid sites that do not have a registered pharmacist to answer questions.

Avoid sites that do not identify themselves or do not provide a US address and phone number.

Beware of sites that advertise a "new cure" for a serious disorder or a cure-all for a wide range of ailments.

When shopping online, use common sense. Look for companies that come recommended.Send news items of senior services or programs for elders to Senior Set, The Boston Globe, Zone Sections, PO Box 2378, Boston, MA 02107-2378.

LOAD-DATE: August 6, 2000




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