Understanding and Treating Anxiety Disorders in Older Adults

For low-income Collier County residents who are working but uninsured, access to the medications they need is not as easy as going to a regular chain pharmacy to pick them up. Thats where the Neighborhood Health Clinics expanded non-narcotic medication room comes in, giving patients managing chronic conditions including hypertension and diabetes timely access to medications at no cost. The 1,850-square-foot medication room, located at the clinic on Goodlette-Frank Road near Central Avenue, was built at a cost of $500,000 and is named for the late Stacy Forman, a Naples philanthropist who donated funding for the expansion.Keith Maples, CEO of Neighborhood Health Clinic, said the expanded medications facility enhances the clinics ability to serve patients faster and more efficiently. On a typical day, a patient can walk in and when they walk out, theyre walking out with thousands of dollars worth of medication that, if it were outside of the Clinic, they would not be able to fill those prescriptions because it would be outside of what they could afford, Maples said. He said the expanded space, equipped with updated technology and increased storage capacity, allows for a larger inventory of non-narcotic medications that enables the Clinic to fill prescriptions immediately to minimize delays in treatment. In 2024, the Clinic distributed $6.5 million in retail value of medications thanks to partnerships with Americares, Direct Relief, Dispensary of Hope and other pharmaceutical companies. The expansion allows us to work even more with our pharmaceutical partners to basically procure all of the medications necessary for our patients, Maples said. He said that many patients arriving at the Clinic for the first time have not previously received medical care for the condition needing treatment and may have vastly elevated blood pressure or blood sugar levels, for example.  When they walk through the doors, theyre at such a heightened level that were trying to bring it back to a controlled number to where its manageable for them, Maples said. If their A1Cs are through the roof, their [blood] sugars are through the roof, were trying to get them back to an established number that helps them feel better. Well never cure them of all those illnesses, but well maintain that health for them, so they feel better and have a better quality of life.Clinic grows to meet patient demand The nonprofit Neighborhood Health Clinic was established in 1999 by Dr. Bill and Nancy Lascheid to provide medical care to low-income, working but uninsured Collier County adults. Their daughter, Leslie Lascheid, now serves as president of the organization. In 2024 the clinic saw more than 12,000 patient visits and delivered more than 30,000 patient procedures, Maples said, with all medications, primary care, specialty care, surgeries and outpatient procedures provided free of charge to patients.All funding is through philanthropy, as the Clinic does not receive any city, county, state or federal funding including Medicaid or Medicare. Over the years the clinic has expanded as the patient load has increased. The original 11,000-square-foot facility more than doubled in size with the completion of the Armstrong Medical Specialties Building in 2021, which expanded the campus to 23,000 square feet.  The addition of the Van Domelen Education and Wellness Building, also in 2021, took the total to its current 32,000 square feet, and when the Bill and Candy Raveis Pathology Building is completed this summer, the total campus will be at 43,000 square feet, according to Marcie Berland, the Clinics director of development. Maples said the Clinic has expanded strategically over the years to meet the medical needs of patients many of whom work in hospitality, service or construction industries in Collier County and the growing volume of patient visits. When weve expanded, we didnt do it just to do it, he said. We based it on what were the patient needs and what do we need in-house on a daily basis to deliver the care, providing the opportunity for a patient to walk in the door, get all the care they need and not have to go to another location somewhere else, or come for another appointment. Because when our patients miss days of work, thats food on the table and the roof over their heads. Its not like if I call in sick: I get a sick day and still get paid.  He said the campus expansions allow most procedures including lab work to be done in-house, creating opportunities for sustainable, uninterrupted patient care. When that patient walks through the doors, I never want them to wonder where theyre going to get their care or how theyre getting to their next appointment, Maples said. Many of our patients get rides here, or they walk or ride their bikes, because very few own cars that they can drive in.  And while the Clinic does have a full-time paid staff of 14 and five part-time staff, no medical professionals are paid to deliver care, Maples said. More than 250 physicians, 50 dentists, 100 nurses and 300 non-medical personnel deliver care and provide patient education on a volunteer basis. 

Beyond the Surface: Naples Cancer Advisors Spotlight Melanoma During Awareness MonthMay 1, 20256 Min ReadBy Jillian Hunt, CNP Executive Director of Clinical Operations at Naples Cancer AdvisorsMay is Melanoma Awareness Month, and in sun-drenched Collier and Lee Counties, its more than a calendar observance. Its a call to action. The sunny environment increases exposure to ultraviolet (UV) rays, which are a significant risk factor for skin cancer, including melanoma. Understanding the risks and adopting preventive measures can help residents enjoy the sun safely while minimizing their skin cancer risk.At NCA, we specialize in delivering second opinions and expert oncology guidance at no cost to patients. Our team, including nationally recognized oncologist Dr. Philip Leming, believes that no one should face a cancer diagnosis alone. This month, we want to shine a light on reshaping melanoma prevention, detection, and awarenessso you can stay protected and proactive.Prevention: A Daily Practice, Not Just a Summer ChecklistMost people know the basics: use sunscreen, avoid tanning beds, cover up when outside. But melanoma doesnt just show up where the sun shines. It can develop under your fingernails, between your toes, even on your scalp or eyes. We educate patients to look everywhere, not just the obvious spots.One powerful (and often overlooked) fact: a single blistering sunburn in childhood doubles your lifetime risk of melanoma. Thats why prevention is a family affair. We urge parents to build sun safety habits early and keep them consistent all year.Detection: A Watchful Eye is The Best ToolThe front line of defense against skin cancer is early detection. Identifying skin changes especially changes in moles is the easiest way to catch skin cancer earlier.What is a mole?A mole is a benign (non-cancerous) growth on the skin that develops when melanocytes, the cells responsible for producing pigment, cluster together instead of being evenly distributed. Moles can be present from birth or develop later in life.ABCDEs of Moles and Melanoma Detection Asymmetry: One half of the mole doesnt match the other. Border irregularity: The edges of the mole are uneven, ragged, or notched. Color variation: The mole has multiple shades of brown, black, or other colors like red, white, or blue. Diameter: The mole is larger than 6 millimeters (about the size of a pencil eraser). Evolving: The mole has changed in size, shape, or color, or has new symptoms like itching, bleeding, or crusting.The ABCDEs are a helpful tool for self-examination and can prompt individuals to seek professional medical advice if any of these signs are present.Dermatologists remain the front line in detection and diagnosis. However, emerging technologies are offering exciting backup. Artificial intelligence skin scanners and total body imaging are improving the speed and accuracy of diagnosis.Whether its through advanced tools or a trained eye, one truth remains: catching melanoma early saves lives.The NCA Difference: Compassionate, Cost-Free Cancer GuidanceNaples Cancer Advisors was founded to be a bridge for patients who feel lost, overwhelmed, or unsure where to turn after a cancer diagnosis. We offer a second set of expert eyes, help explain treatment options, connect people to top-tier providers, and support them throughout their journey.Melanoma may be aggressive, but its also highly preventable and treatable when caught early. This May, we urge everyone in our community to schedule a skin check, learn your ABCDEs (Asymmetry, Border, Color, Diameter, Evolving), and take sun safety seriously.And if you ever need clarity or support after a diagnosis, Naples Cancer Advisors is herefree, local, and fully focused on you.Jillian Hunt, CNP BioJillian has been caring for cancer patients since 2004. In that time, she has set the benchmark for her patient-centric approach in Cincinnati, Southwest Florida, and beyond.Her professional journey began at Cincinnati Childrens Hospital Medical Center in 1999 on the hematology/oncology/bone marrow transplant unit and later the emergency department.After spending five years caring for children, Jillian found her passion in caring for the adult oncology patient. Starting as a chemotherapy infusion nurse in private practice with Dr. Philip Leming at Cincinnati Hematology Oncology, she then pursued an advanced degree to offer a higher level of care to her cancer patients.Jillian has been an oncology nurse practitioner since 2011 and is passionate about patient care, education and staying current on research opportunities available for the patients she cares for.Jillian is a national speaker traveling to educate clinicians on the use and management of toxicities of medications that are used in cancer treatments. She has spoken at national nursing conferences and sits on several advisory boards. Jillian feels strongly about staying on the front lines to improve patient care and expert advice on cancer.Jillian was born and raised in Cincinnati and graduated from Lakota High School. She and her husband have five children. Outside of her love and passion for oncology, Jillian and her husband are licensed foster parents and have participated in global mission trips to serve orphaned children around the world.Naples Cancer Advisors239-846-2273 (CARE)3201 Tamiami Trail N, Suite 112, Naples, FL 34103

Receiving medical treatment at home can be a comfortable and convenient option for many patients. Home infusion therapy allows individuals to receive necessary intravenous (IV) treatments in a familiar environment, reducing hospital visits while ensuring high-quality care.Home infusion therapy involves administering medication or fluids through an IV at home under the supervision of trained health care professionals. With the increasing demand for home health care services, this option is becoming a preferred choice for many individuals, from young children to seniors who require intermittent doses of IV therapy.What Can Be Treated with Home Infusion Therapy?Home infusion therapy is a medical treatment that delivers medications and fluids directly into the bloodstream via an intravenous (IV) line, allowing patients to receive important therapies without the need for hospital visits. This approach is beneficial for a wide range of conditions across all age groups, from children to seniors. It is particularly useful for managing chronic illnesses, infections, and nutritional deficiencies, providing a convenient and effective way to receive treatment in the comfort of home.Some of the most common conditions (Opens in a new window) treated with home infusion therapy include:Infections requiring repeat doses of IV antibioticsDehydrationNutritional support for individuals who cannot eat or digest food normallyChronic diseases like Crohns disease, rheumatoid arthritis, hemophilia and multiple sclerosisPain management through intravenous medicationCancer-related treatments, including chemotherapy and immunotherapyImmune deficiencies requiring IV immunoglobulin therapy (IVIG)Hormone therapyBenefits of Home Infusion TherapyReceiving IV therapy at home offers numerous advantages, making it an attractive option for many patients and their caregivers. It reduces the need for frequent hospital visits, reducing exposure to infections and minimizing the stress associated with travel. Additionally, home infusion allows patients to maintain many of their daily routines, promoting a better quality of life while undergoing treatment.Key benefits of home infusion therapy include:Convenience: Reduced need for hospital stays or lengthy outpatient visits, reducing time and energy spent on transportation and waiting rooms.Lower infection risk: Reduced exposure (Opens in a new window) to hospital-acquired infections may help protect those with weakened immune systems.Cost-effectiveness: Often more affordable (Opens in a new window) than inpatient treatment, potentially lowering overall health care expenses.Emotional well-being: Patients receive care in a familiar and comfortable setting, leading to less anxiety and a more positive treatment experience.Faster recovery: Allows patients to rest and recover in their own home, which can contribute to better treatment adherence and overall health outcomes.Family involvement: Loved ones can play a more active role in patient care, offering emotional support and assistance during treatments.Enhanced independence: Patients can continue many of their daily activities, work, or school schedules with minimal disruption while receiving necessary treatment.Medicare and Home Infusion TherapyMedicare covers specific home infusion therapies (Opens in a new window) under Part B and Part D, but understanding eligibility criteria is essential. Part B typically covers professional services, including nursing, monitoring, and patient education, when provided by a qualified home infusion therapy supplier.The Durable Medical Equipment (DME) benefit covers the infusion pump, supplies, and certain home infusion drugs administered via a pump.Part D may cover certain infusion drugs that are not covered under Part B or the DME benefit, depending on the specific medication and administration method.Key Medicare considerations for home infusion therapy:Coverage typically includes certain infused medications and associated nursing services.Patients must meet eligibility requirements based on medical necessity.Alternative payment options, such as private insurance or out-of-pocket payments, may be available for non-Medicare patients.Coverage for home infusion therapy under Medicare depends on factors such as the type of medication, its method of administration, and the involvement of qualified home health providers. Patients should check with their Medicare plan to determine their benefits and any potential out-of-pocket costs.The Role of Family Caregivers in Home InfusionFamily caregivers play a vital role in home infusion therapy, helping patients receive their treatments safely and effectively. They must be trained to manage infusion equipment (Opens in a new window), recognize potential side effects, and communicate with health care providers to address any concerns. Proper education and guidance help caregivers provide the best possible support to their loved ones.Responsibilities of home caregivers include:Monitoring the infusion site for signs of infection or complicationsEnsuring medications are administered correctly and on scheduleCommunicating with medical professionals about any concerns or changes in the patient's conditionLearning how to handle infusion equipment safely and effectivelyWhat to Expect During Home Infusion TherapyThe process of home infusion therapy begins with a consultation (Opens in a new window) between the patient and their health care provider to determine the best course of treatment. Once a plan is established, a trained nurse sets up the necessary equipment and administers the medication. Throughout treatment, the patients condition is closely monitored to ensure safety and effectiveness.Steps involved in home infusion therapy:(Opens in a new window)Initial consultation and prescription from a health care providerDelivery of infusion medications and supplies to the patients homeSetup of IV lines and infusion pumps by a qualified professionalMonitoring of vital signs and response to treatmentRegular updates to physicians and adjustments to care plans as neededCan a doctor prescribe IV fluids at home? Yes, physicians can prescribe home IV fluids if a patient meets the medical criteria for in-home treatment.Explore Your Options for Home Infusion TherapyHome infusion therapy is a valuable health care option that enhances patient comfort while providing essential medical treatments. By understanding the process, benefits, and considerations involved, patients and caregivers can make informed decisions. Those interested in learning more should explore available resources and speak with health care professionals to determine the best approach for their needs.If you or a loved one requires home infusion therapy, consider discussing your options with a trusted provider to ensure the highest quality of care and support.To learn more, reach out to a BrightStar Care representative.Home Infusion Therapy FAQsMany patients and caregivers have questions about how home infusion therapy works, its logistics, and what to expect. Below are answers to some of the most common concerns.How are medications and supplies for home infusion therapy delivered? Medications and necessary supplies are typically delivered directly to the patients home (Opens in a new window) through a specialized pharmacy or home health care provider.Can I travel while receiving home infusion therapy? Traveling while receiving home infusion therapy is possible but requires careful planning. Patients should consult their health care provider to arrange for medication supply (Opens in a new window) and identify health care facilities at their destination.What support is available for caregivers assisting with home infusion therapy? Caregivers can access educational resources, training, and support from health care providers to ensure they are prepared to manage home infusion therapy safely and effectively. To learn more call, us today at 303-300-6666.