Health Care Reform: Hearing Before the Committee on Energy and Commerce, House of Representatives, One Hundred Third Congress, First Session, on President Clinton's Proposal to Reform the Nation's Health Care System, Volume 4

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Page 127 - Waunan, and the other members of the subcommittee for this opportunity to testify on one of the most critical issues facing our nation today.
Page 222 - You are at moderate nutritional risk. See what can be done to improve your eating habits and lifestyle. Your office on aging, senior nutrition program, senior citizens center or health department can help. Recheck your nutritional score in 3 months. 6 or more You are at high nutritional risk. Bring this checklist the next time you see your doctor, dietitian or other qualified health or social service professional. Talk with them about any problems you may have. Ask for help to improve your nutritional...
Page 222 - Read the statements below. Circle the number in the yes column for those that apply to you or someone you know. For each yes answer, score the number in the box. Total your nutritional score.
Page 222 - I take 3 or more different prescribed or over-the-counter drugs a day. Without wanting to, I have lost or gained 10 pounds in the last 6 months.
Page 225 - Individual to the appropriate health care or social service professional in your area. For example, a dietitian should be contacted for problems with selecting, preparing, or eating a healthy diet, or a dentist if the individual experiences pain or difficulty when chewing or swallowing. Those Individuals whose Income, lifestyle, or functional status may endanger their nutritional and overall health should be referred to available community services: home-delivered meals, congregate meal programs,...
Page 223 - POORLY Eating too little and eating too much both lead to poor health. Eating the same foods day after day or not eating fruit, vegetables, and milk products daily will also cause poor nutritional health. One in five adults skip meals daily. Only 13% of adults eat the minimum amount of fruit and vegetables needed.
Page 223 - Any disease, illness or chronic condition which causes you to change the way you eat, or makes it hard for you to eat, puts your nutritional health at risk. Four out of five adults have chronic diseases that are affected by diet. Confusion or memory loss that keeps getting worse is estimated to affect one out of five or more of older adults. This can make it hard to remember what, when or if you've eaten. Feeling sad or depressed, which happens to about one in eight older adults, can cause big changes...
Page 320 - ... Even opponents, who argued that the timing was not right, spoke eloquently about the importance of covering services in the home. Just before the proposal was defeated by a 169-243 vote, Congressman Pepper stated: This is a day for which I have waited and worked, and I might say prayed for, for 50 years — a chance to lighten the burden upon the masses of the people of this country, trying to help those saddled with a long-term illness .... We can help millions of people to meet crises in their...
Page 223 - PAIN A healthy mouth, teeth and gums are needed to eat. Missing, loose or rotten teeth or dentures which don't fit well or cause mouth sores make it hard to eat. ECONOMIC HARDSHIP As many as 40% of older Americans have incomes of less than $6,000 per year.
Page 297 - In Wisconsin, a young boy born with cerebral palsy and sensory impairments requires a tracheostomy tube to help him breathe, a gastrointestinal tube to help him eat, and other extensive medical, health, and social supports. He lives at home with his family, attends his neighborhood school, and relies on a number of basic supports from numerous sources such as the school system, private insurance, Medicaid waiver services, and state and county community and respite care services programs. While managing...

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