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Saturday, April 18, 2009

Mesothelioma Surgery

Mesothelioma Surgery. Surgery for mesothelioma. Removal of mesothelioma tumors by surgery. Surgery mesothelioma. Mesotheleoma surgery for removal of cancerous tumors. Malignant tumor removal by surgical operations. Operations to remove mesothelioma.

Debulking of mesothelioma. Mediastinoscopy is sometimes used as an aid in staging extent of disease when enlarged nodes are seen using imaging techniques. Laproscopy for mesothelioma. VATS, or video-assisted thoracic surgery.

Pleuroperitoneal Shunt for relief of mesothelioma pain. Pleurectomy for mesothelioma. Chest Tube Drainage and Pleurodesis. Surgery for mesothelioma.

Coping

Mesothelioma patients often feel more comfortable and secure being cared for at home. Many patients want to stay at home so that they will not be separated from family, friends, and familiar surroundings. Home care can help patients achieve this desire. It often involves a team approach that includes doctors, nurses, social workers, physical therapists, family members, and others. Home care can be both rewarding and demanding for patients and caregivers. It can change relationships and require families to address new issues and cope with all aspects of patient care. To help prepare for these changes, patients and caregivers are encouraged to ask questions and get as much information as possible from the home care team or organizations devoted to home care. A doctor, nurse, or social worker can provide information about patients’ specific needs, the availability of home care services, and a list of local home care agencies.

Services provided by home care agencies may include access to medical equipment; visits from registered nurses, physical therapists, and social workers; help with running errands, meal preparation, and personal hygiene; and delivery of medication. The state or local health department is another important resource in finding home care services. The health department should have a registry of licensed home care agencies.

Financial assistance to help patients pay for home care is available from public and private sources. Government-sponsored programs, such as Medicare, Medicaid, the Older Americans Act, and the Department of Veterans Affairs, cover home care for those who meet their criteria.

Some people may qualify for Medicare, a health insurance program for the elderly or disabled that is administered by the Centers for Medicare & Medicaid Services (CMS). Medicare may offer reimbursement for some home care services. Cancer patients who qualify for Medicare may also be eligible for coverage of hospice services if they are accepted into a Medicare-certified hospice program. Information about Medicare services and coverage is available from the toll-free Medicare Hotline at 1–800–633–4227 (1–800–MEDICARE), or by writing to 7500 Security Boulevard, Baltimore, MD 21244–1850. Deaf and hard of hearing callers with TTY equipment may call 1–877–486–2048. Medicare information can also be accessed at http://www.medicare.gov on the Internet.

Medicaid, a jointly funded, Federal-State health insurance program for people who need financial assistance for medical expenses, is also coordinated by CMS. At a minimum, states must provide home care services to people who receive Federal income assistance such as Social Security Income and Aid to Families with Dependent Children. Medicaid coverage includes part-time nursing, home care aide services, and medical supplies and equipment. Information about coverage is available from local state welfare offices, state health departments, state social services agencies, or the state Medicaid office. The phone number for the state Medicaid office can be found in the blue pages of Government listings in the phone book, under the state health department heading. A list of state Medicaid phone numbers is also available on the CMS Web site at http://cms.hhs.gov/medicaid/mcontact.asp on the Internet.

The Older Americans Act provides Federal funds for state and local social service programs that help frail and disabled people age 60 and older remain independent. This funding covers home care aide, personal care, escort, meal delivery, and shopping services. Older persons, their caregivers, or anyone concerned about the welfare of an older person can contact their local Area Agency on Aging (AAA) for information and referrals to services and benefits in the community. AAAs are usually listed in the white pages of the phone book under the city or county government headings. A nationwide toll-free hotline operated by the Administration on Aging, the Eldercare Locator, provides information about AAAs and other assistance for older people; the number is 1–800–677–1116.

Veterans who are disabled as a result of military service can receive home care services from the Department of Veterans Affairs (VA). Only home care services provided by VA hospitals may be used. More information about veterans benefits is available by calling 1–877–222–8387 (1–877–222–VETS). Information can also be found on the VA’s Web site at http://www.va.gov/health_benefits/ on the Internet.

Private health insurance policies may cover some home care or hospice services, but benefits vary from plan to plan. Policies generally pay for services given by skilled professionals, but the patient may be responsible for a deductible or copayment. Many health maintenance organizations require that home care or hospice services be given by authorized agencies. It is best to contact the insurance company to see which services are covered.

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