Disease Management

Our Disease Management Programs include the following: 


Diabetic Management

Our diabetic management program includes the following:

  • A comprehensive evaluation and care of diabetic patients
  • Uses clinical pathways/DSM protocols
  • Includes extensive patient education and follow up
  • Involves collaboration with multiple disciplines 
  • Is implemented in collaboration with the physician
  • Is managed by an RN case manager

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Wound Care / Wound Management

Wound care has become one of the most expensive areas of home health services and one of the highest users of home visits. It is important that home health clinicians have a good understanding of wound care, the healing process, products and product usage, as well as appropriate care and treatment modalities. At Continuity Providers Healthcare, our wound care program provides a multidisciplinary approach that combines the skills of RN/ ET nurses, physical therapists, and dieticians as needed. Our specialty RNs have experience with comprehensive wound assessments and wound care using the latest wound care techniques such as Wound V.A.C. therapy and Anodyne therapy. The V.A.C technique was developed by Kinetic Concepts Inc (KCI). 

The Wound V.A.C.® (Vacuum Assisted Closure™) therapy technique assists in wound closure by applying localized negative (sub-atmospheric) pressure to help promote wound healing. Vacuum pressure is applied to a special dressing positioned in the wound cavity or over a flap or graft. This pressure-distributing wound packing helps remove fluids from the wound and promote the normal healing process.

The V.A.C.® Therapy Helps to:

  • Promote granulation tissue formation through the promotion of wound healing.
  • Uniformly draw wounds closed by applying controlled, localized negative pressure.
  • Remove interstitial fluid allowing tissue decompression.
  • Remove infectious materials.
  • Provide a closed, moist wound healing environment.

This V.A.C. technique is indicated especially for patients with:

  • Chronic open wounds (diabetic ulcers and stage 3 & 4 pressure ulcers)
  • Acute and traumatic wounds
  • Flaps and grafts
  • Sub-acute wounds
  • Dehisced wounds
  • Partial thickness burns

In general our wound care management program includes the following:

  • Specialized care to patients with skin and wound problems
  • Care is provided/managed by wound care certified RNs
  • The program utilizes clinical pathways/DSM protocols as necessary
  • Care is comprehensive and individualized

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Pain Management

Pain is a complex, subjective, and unpleasant sensation that is very common with the elderly.  Chronic pain can lead to social isolation, depression, polypharmacy, decreased functional status, and deconditioning.

As such, pain management is a critical aspect of geriatric care.  The elderly are generally at increased risk of adverse effects from drug interactions due to the use of analgesics and other pain killing medications. As a result non-drug treatments that reduce pain are of particular importance.  Patient and caregiver education and active patient/caregiver involvement can help reduce pain and improve quality of life of the patient.

Our pain management program includes the use of specialty equipment/techniques such as Ultra Sound Techniques, Digital Massaging, TENS units, and Anodyne Therapy.  The anodyne therapy technique was developed by Anodyne Therapy, LLC.  This technique is used for pain relief, muscle spasm, stiffness, and to improve circulation to impaired tissues and nerves.

Anodyne Therapy is helpful for patients with:

  • Diabetic Neuropathy
  • Wounds
  • Arthritis
  • Stroke Patients
  • Circulatory Problems
  • Pain
  • Poor Gait and Balance
  • Loss of Sensation

Ultrasound 

Ultrasound therapy is a technique of stimulating tissue beneath the skin´s surface using sound waves. It is a very high frequency massage that can penetrate up to 5" below the surface of your skin. Ultrasound is a deep heating modality that has also been used effectively in pain management. It has been shown to be very effective in heating tissues of deep joints. 

The Ultrasound equipment generates high frequency sound waves that are transferred to a specific part of the body using an ultrasound probe. The sound waves travel deep into the area of interest (e.g. injured muscles, deep joints, injured ligaments and injured tendons) and create a vibration effect that generates heat.

The heating and massaging effects of ultrasound therapy affect pain in the following ways:

  • Ultrasound therapy increases blood flow in the treated area thereby accelerating the healing process.
  • Ultrasound therapy reduces swelling and edema which are the main sources of pain.
  • The ultrasound waves gently massage the muscles, tendons and/or ligaments in the treated area, thereby enhancing the recovery rate of damaged tissue without adding strain, and soften any scar tissue that is usually present in an injured area.
  • Ultrasound therapy can also be used to administer medication to the affected/inflamed areas.

Digital Massaging

Digital Massage Therapy uses specially designed pads to deliver effective, yet safe and painless electrical impulses to vital nerves and muscles. Each specially designed massage function provides a long-lasting sensation that can be used any time, for as long as the patient desires.

TENS units

T.E.N.S (Transcutaneous Electrical Nerve Stimulation) is a non-invasive, non-addictive and cost-effective technique used for managing pain. Whether chronic (long-term) or acute (short-term, often from surgery or trauma), pain can be relieved through a variety of methods including drugs, topical ointments, surgery, and electrical stimulation. T.E.N.S. devices deliver mild electrical pulses through the skin to stimulate specific surface and subsurface nerves thereby disrupting the pain signals so that the pain is no longer felt. The mild electrical current generates heat that serves to relieve stiffness, improve mobility, and relieve pain. The treatment is also believed to stimulate the body's production of endorphins or natural pain killers.

Pain treatment using T.E.N.S. devices are administered by the physical therapists and require a doctor’s order/prescription.  The technique can also be used in combination with other pain relieving physical therapy modalities. Unlike drugs or topical ointments, the T.E.N.S. technique does not have any known side effects.

Our pain management program also includes regular physical therapy interventions such as stretching and strengthening exercises, dynamic and static balance exercises, massage, and the use sensory integrative techniques.

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Post Surgical Care

At Continuity Providers Healthcare, the primary goal of our therapists is to enhance the adaptability of patients to their home environment and to help them achieve the highest lifestyle functionality given the limitations of their medical or physical conditions. As part of our post-surgical care program, both physical and occupational therapists design, provide, and educate the patient in self-care, mobility, safety, range of motion, strengthening, pain management, and other activities as approved by your physician.

Our post surgical program involves:

  • An individualized plan of care based on the patient's needs
  • Plan of care is directed by the patient's physician
  • Improvement in mobility after surgery, injury, illness, etc
  • Pain management in acute and/or chronic situations
  • Improvement in strength and endurance.
  • Improvement in wound healing, neuropathy, etc

We are typically assisting patients with:

  • Joint Replacement (knee, hip, etc)
  • Osteoporosis
  • Arthritis
  • Neurological Diseases such as Stroke.
  • Post Spinal and Cardiac Surgery
  • Back Pain, etc

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 Orthopedic and Rehab Care

 This program includes the following:

  • Pre-surgical home assessment
  • Patient/caregiver education (pre and post operation)
  • Coordinates all home medical equipment needs
  • Involves a comprehensive and individualized rehab treatment
  • Managed by a physical therapist
  • Uses clinical pathways as necessary

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 Medication Teaching and Management

As dedicated healthcare providers, part of our goal at Continuity Providers Healthcare is to provide the patient and family with sufficient resources to enable them to understand their disease processes.  Consequently, we develop a comprehensive and individually tailored teaching plan for each patient.  The benefits of the teaching plan include:

  • Increase in medication understanding and compliance
  • Improvement in patient's level of understanding and hence improved health
  • Improvement in the quality of care
  • Increased independence
  • Helps the patient to achieve optimum wellness
  • Provides education that can enhance knowledge, skills, behaviors
  • Increases compliance, etc

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IV Infusion Therapy

Continuity Providers Healthcare partners with reputable infusion companies and pharmacies in various locations to provide patients with prescribed IV medications. The infusion company or pharmacy provides the medications and supplies, while Continuity Providers Healthcare provides the skilled nursing care/support and coordinates the IV activities with the pharmacy, the physician, and the patient’s family to ensure a positive outcome for the patient. We offer therapies such as antibiotics, TPN, Enteral (Tube Feedings) and hydration therapies. These therapies can be provided as stand alone or in conjunction with other skilled services.

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Cardiac Care

Involves a comprehensive and systematic assessment

  • Uses clinical pathways/DSM protocols
  • Evaluates medication interactions
  • Monitors medication compliance
  • Includes extensive patient and/or family education
  • In collaboration with physicians
  • Managed by cardiac care RN case managers

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Colostomy/Ostomy Care

A colostomy is an opening in the belly (abdominal wall) that is made during surgery. The end of the colon is brought through this opening to form a stoma. Where the stoma will be on the abdomen depends on which part of the colon is used to make it. The enterostomal therapy nurse (ET nurse) or the surgeon will figure out the best location for your stoma.

Colostomy surgery is done for many different diseases and problems. Some colostomies are done because of malignancy (cancer), others are not. Sometimes a colostomy is only needed for a short time, sometimes it is life-long. Some colostomies are large, some small; some are on the left side of the abdomen, some are on the right side, others may be in the middle.

A colostomy is not a disease, but a change in the way your body works. It surgically changes normal body function to allow stool to pass after a disease or injury. Although a colostomy is a big change for the patient, the operation itself is rather simple. The body's chemistry and digestive function are not changed by having a colostomy.

Medical advances and new technology are making colostomy care easier and more convenient than ever before. An ostomy procedure like a colostomy will usually require a major adjustment to your activities of daily living.  Whether for a short time or the rest of your life, you can cope with your daily routines with help, support, and education from your friends at Continuity Providers Healthcare.  You can count on the experienced staff at Continuity Providers Healthcare to provide with the care and education you need to live as independently as possible despite the inconveniences. 

If you need care please contact us at (310) 307-3280.

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Aven Home Health Services
14044 Ventura Blvd. Suite 305
Sherman Oaks, California 91423

Phone:      (818) 380-0853
Fax:          (818) 380-0143
Toll:          (877) 348-2836
TDD/TTY:  (866) 735-2929