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Page 4/The Battalion/Wednesday, August 26, 1987
Howdy, Sir!
Photo by Robert It
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Freshmen cadets introduce themselves to senior Squadron 15 cadets
in a method known as “whipping out.” The “fish,” as freshmen are
known in the Corps of Cadets, announce their name, hometown and
major to the upperclassmen who reply in the same manner.
Social worker: Local programs
help elderly to remain at home
By Pam Tragesser
Reporter
In Brazos County there are a vari
ety of programs — such as Meals on
Wheels and Home Health Care —
that help to keep elderly people out
of nursing homes and in their own
homes, says Albert Benavides, a so^
cial worker associate with the Texas
Department of Human Services.
To provide community care for
homebound people who have little
or no family resources, the Depart
ment of Human Services in Bryan
arranges for in-home care through
contracted services, he says.
Texas Home Health Care Inc. is
the only agency in this region under
contract by the Department of Hu
man Services to cover Family Care,
which is for people who don’t have a
medical problem but still need assis
tance in the home, says Connie Neu-
gent, lead supervisor at the agency.
Texas Home Health is a non
profit, state-funded organization
that provides services for the elderly
and handicapped, although the ma
jority of the clients are elderly.
“The goal of our program is to try
to provide a home atmosphere,”
Neugent says. “Keep the elderly per
son at home as long as possible.”
If this program weren’t available,
most of the elderly people would
have to go to a nursing home or have
some other type of supervision, she
says.
“The majority of the clients can
not get into the bathtub and then get
out»” she says. “A lot of them are
weak.”
The agency has three supervisors,
a lead supervisor, and a secretary.
They are in charge of hiring workers
and then monitoring the work to
make sure it is done to a casework
er’s specifications, Neugent says.
When a provider wants a job, he
goes through the agency, she says.
Clients of home health live in both
apartments and homes, and some
live with family members, Neugent
says.
“The goal of our program is to try to provide a home
atmosphere. Keep the elderly person at home as long
as possible. ”
— Connie Neugent, Texas Home Health Care Inc.
lead supervisor
Many times when an elderly per-
lily, the fam-
son is living with his family,
ily members need a few hours to get
out of the house. They can do this
while a provider is there, she says.
This type of service can only be
provided to each client for a few
hours a day. This allows the elderly
to be in a home atmosphere while
still receiving the help they need,
Neugent says. The extent of the
service given depends on the indi
vidual’s needs.
Since the Home Health supervi
sors are licensed vocational nurses,
they are responsible for showing the
providers proper lifting techniques
so they can correctly help the pa
tients, she says.
They also teach the providers
other things they need to know, such
as how to dust the home of a person
who has emphysema, Neugent says.
In the Bryan office, there are sev
eral hundred providers who help
these elderly people, Neugent says.
The providers go into the home
and prepare meals, do laundry, give
personal care, go shopping and keep
the client in a clean, safe environ
ment, she says.
The provider is responsible for
basic housekeeping, Neugent says.
“Everyday things that you would
do at home would be the things you
would do for this person,” Neugent
says.
If the elderly person lives with
family members, the provider’s ma
jor responsibility is to keep the major
living areas clean, especially the bed
room and bathroom, she says.
Clients cannot be transported
with workers on company time. If a
provider wants to volunteer to take
the client somewhere on his own
time, it is between them, she says.
Providers don’t do any skilled
nursing, such as taking blood pres
sure, Neugent says. If they discover
a problem with a particular client,
the case is handled through the cli
ent’s doctor.
“If we feel a client’s condition has
worsened, we usually refer it to
skilled nurses,” Neugent says. “We
also refer it (the case) to the casewor
ker.”
The caseworker will re-evaluate
the case and a lot of times make
changes in the amount of service
that can be given, she says.
Another program is called Pri
mary Home Care, Benavides says.
This covers all the services of Family
Care and some medical services.
The supervisors for this program
are registered nurses who can per
form skilled nursing care. Primary
Care services are not under contract,
so clients are given a choice of the
agency they want to use; there are
three main agencies in the Bryan-
College Station area.
To become eligible for either
Family Care or Primary Care, a cli
ent must contact the Department of
Human Services, Benavides says. A
caseworker from the department is
sent to determine the eligibility of a
client based on income and physical
abilities, Neugent says.
In analyzing these cases, the De
partment of Human Services looks
at the minimal care needs of the cli
ent.
Along with income, the person’s
functional capabilities are analyzed
using a client's needs as*
form. A series of questionsard
(for example, “Doyouhavtti
getting dressed?’’) and then f
from zero to three, withthmsl
ing a need for total assistant
score of 24 points is receiveda
derly person is eligible for strd
of assistance, providing hek®
the income and resourcegui(/e@
Benavides says.
If a client scores 18points,li(| “
igible for Meals on Wheels. 11
tain the emergency responsexi
the required scores are even!|
he savs.
These response systems anj
those elderly people whoivd
or who are by themselvesmosia
day and have trouble dialing!
phone. This system comes >1
transmitter that is connected;!
telephone system so all theckl
to do is push it and thesig
to a base station. This tectoi
can be life-saving.
“A lady that around 3 a.®J
a.m. was suffering a hearts
mashed the button and witfel
utes the ambulance wasdisp)
and she was brought to the hosJ
Benavides says.
If the system isn’t used,tlK|
station w ill test it once a ntf
make sure it is in workingordc ;
Costs for these pi
funded through Medicareoti|
caid. Medicare insurance is ad
to any person age 65 on
sically, it covers hospital
he says.
Medicaid is funded throuc
state. This gives the individualB
cal insurance to supplement; si
Medicare would pay, Benavide
If the elderly person ha- jy
come over $670 per month®,
sources greater than $5,000 I D<;
merit of Human Services s®
can’t he provided, BenaviddB
fhe department tries to find;/,'
programs to help these peopl(||
as the Brazos Valley De-e.
Counc il and local churches. ,
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