Tab 1

You’ve probably heard the
expression – "Do the 5!" And you may know that it’s about
preventing or reducing complications of hemophilia. But do you
know about the important role each of the "5" plays in helping
you stay healthy?
"Do the 5!" – the theme of the
National Prevention Program (NPP) - is a simple, helpful way to
remember some of the most important things you can do to take
care of yourself.
"Do the 5!" is a collaborative
effort by the National Hemophilia Foundation (NHF), the Centers
for Disease Control and Prevention (CDC), Hemophilia Treatment
Centers (HTCs) and members of the bleeding disorders community.
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- Get an annual comprehensive checkup at an HTC
- At an HTC, you will have access to a team of healthcare
professionals specializing in hemophilia, including
hematologists, orthopedists, nurses, social workers, and
physical therapists, all working together to help you live
well with hemophilia.
- Get vaccinated - Hepatitis A and B are
preventable
- Hepatitis A and B are viral infections of the liver which
can have serious complications for patients with hemophilia.
Fortunately, hepatitis A and B can be prevented through
vaccination. The CDC and the Medical and Scientific Advisory
Council (MASAC) of NHF recommend vaccination for hepatitis A
for all children with hemophilia 2 years of age and older,
and vaccination for hepatitis B for any patient with
hemophilia.
- Treat bleeds early and adequately
- There are several ways to be prepared for treating bleeds.
First, learn to recognize the early signs of a bleed, and
learn to recognize which bleeds may be serious (see
Bleeds). Second, be prepared by having factor
readily available at all times. Whether you infuse it
yourself or take it with you to the Emergency Room, you can
save valuable time.
- Exercise and maintain a healthy weight to
protect your joints
- Exercise strengthens bones and muscles, and strong muscles
protect joints. Talk to your physician or HTC about the type
of exercise program which would be right for you or your
child. And be sure to follow these
nutrition guidelines to maintain a healthy
weight.
- Get tested regularly for blood-borne infections
- While blood products are safer than ever, it’s still
important to be tested regularly for blood-borne infections.
Regular testing not only protects you but also could help
the medical community identify and address any issues that
may occur. Free testing is now available through the CDC’s
Universal Data Collection (UDC) program, offered through
your HTC.
As you read about "Do the 5!" you
probably noticed references to two resources – Hemophilia
Treatment Centers and the Universal Data Collection program.
Both of these resources can make doing the "5" easier.
- Hemophilia Treatment Centers (HTC) –
For over 25 years, HTCs have been helping patients and
families with every aspect of living with hemophilia. HTCs
are staffed by physicians, nurses, and other healthcare
professionals who specialize in helping hemophilia patients
and families. Learn more about HTCs or
locate the HTC nearest you.
- Universal Data Collection (UDC) – UDC
is a voluntary program conducted by HTCs that improve the
health of people with bleeding disorders by monitoring and
developing prevention strategies for two major health
complications of bleeding disorders - bloodborne diseases
and joint disease.
During annual visits to your HTC, you will be asked to
provide a blood sample, have joint measurements taken, and
provide basic information about your health. The sample and
information will be sent to CDC without your name or other
identifying information. Through your HTC, you will receive
results of tests conducted on the blood sample. To learn
more about UDC, visit the
CDC
website or talk to your HTC.
Only you can "Do the 5!" for yourself or
your child. Tapping into the many available medical,
educational, and support resources can help you get started.
Doing the "5" takes some work, but there are great benefits for
you, your family and the entire hemophilia community.
To learn more about the NHF National
Prevention Program, visit the NHF website at
http://www.hemophilia.org.
Tab 2
Questions to ask, when selecting a
Home Care Provider
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Is your company a preferred provider for my
insurance company?
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How much will my insurance cover?
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How do I handle co-pays and deductibles?
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Do you have a reimbursement specialist to assist
with insurance problems?
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Do you carry all brands of products?
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How much will I pay for my product? (Compare
prices to other providers.)
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Is there a podiatric/adult nurse available 24
hours a day?
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What type of experience do your nurses have with
hemophilia, von Willebrand's disease/other bleeding disorders?
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Do you supply ancillary supplies such as sharps
containers, needles, syringes, and other related infusion supplies, and
what is the cost?
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Do you supply oral medications?
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How are products delivered to my house?
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How late can I order a product and have it
delivered the next day?
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What is the turn around time after I place an
order?
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What are your hours of service?
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Is there a pharmacist available 24 hours a day?
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How do you dispose of sharps containers?