March - April 2004

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Basic Driving Tips and Rules

From the Desk of ACT’s Human Resources Director

The highest risk of accidental death that workers encounter every day is the one that they face if they drive on the job or to and from work:  a fatal traffic accident.  Traffic accidents also are a major cause of employee injuries.  No one can be completely protected from being in a crash and none of us can predict what other drivers will do.  What each of us can do is to be accountable for our own actions and to do every thing possible to ensure a safe trip each time we get behind the wheel.

The North Carolina Department of Motor Vehicle provides to the public a wealth of information on safe driving tips, basic driving skills and rules.   Here are just a few that you should review whether you are driving your own car or an ACT automobile. 

 Safe Driving Tips:

  • Plan ahead.
  • Allow time for frequent rest stops.
  • Stop, get out of the car and move around at least once every 100 miles.
  • When you feel sleepy, stop and rest or have something to eat.
  • Constantly scan the road ahead, however, do not look at any one object for more than a few seconds at a time and never stare into the distance.
  • Use the rear view and side mirrors frequently to reduce the chance of your vehicle being hit from the rear.
  • Slow your speed any time you see a situation that might be dangerous.
  • Do not impair your view through the windshield or windows.
  • Load your vehicle so that driver's view of the road will not be blocked.
  • Do not eat, drink or smoke while driving.
  • Except to make a hand signal, no driver or passenger should ever place an arm, head, and foot outside a moving vehicle.
  • Your vehicle must be equipped with items such as lights, seatbelts, etc and should be in good working order.

 Rules to Follow When Driving: 

  • Give yourself plenty of space to make decisions – leave a "margin of safety" around your vehicle.
  • Communicate your intended movements to other drivers.  Signal at least 100 feet before turning or stopping.  The faster you are driving, the further ahead you should signal.
  • Watch the road far enough ahead of you to detect possibly dangerous situations earlier and to take proper defensive action.
  • Avoid driving side-by-side, especially in another driver's blind spot – if you cannot see the inside rear view mirror of the car ahead, you are probably in the driver's blind spot.
  • Never "weave" in and out of traffic – stay in one lane if you can and plan lane changes ahead of time.
  • Be prepared to apply the brakes.
  • Watch for parked care that might be pulling out and pedestrians who might dart onto the street from between parked cars.  Parked cars can also block your view of intersecting traffic.
  • On a one-way street, use the center lane(s) for through-travel and the outside lanes for turning.
  • DO NOT TAILGATE.

 

Tires:

 Although all equipment on automobiles should be in good condition, one item that seems to be the last to be replaced is the car's tires.

 Every vehicle operated on the streets and highways of North Carolina must be equipped with tires that are safe for the operation of the vehicle and do not expose the public to needless hazards.  Tires are considered unsafe if they are cut, cracked or worn so as to expose the tire cord, or when they have visible tread separation, chunking or less then two thirty-seconds inch tread depth.

 Tires are important for stopping your vehicle.  Never drive on smooth tires or tires that have fabric showing.  Tires without enough air wear out more quickly.  Also tires without enough air increase the likelihood of a blowout.  Over-inflated tires reduce traction and wear heavily on the middle of the tread. 

The air pressure of tires must be checked at least once every week.  For safe driving and fuel economy, tires should have the right amount of air.  Following the manufacture's recommendation.  The best time to check air pressure is when the tires are cool.  If you do not have an air pressure gauge, you can take your car to a nearby service station or auto center to have it checked. 

ACT recommends to all drivers of an ACT company car to have the tires rotated and balanced every 6000 miles.

 Seat Belts

All drivers should but ACT drivers of company cars are expected to follow all the laws and regulations established by the NCDMV.  This includes the wearing of a seat belt.  In NC each front seat occupant who is 16 years of age or older and each driver of a passenger motor vehicle manufactured with seat belts shall have a seat belt properly fastened about his or her body at all times when the vehicle is in forward motion on a street or highway.

 There may be some exceptions to the rule.  If you are exempt from wearing a seat belt, you must provide proof of exemption from this rule before driving or riding in an ACT owned vehicle. 

Drivers of ACT company cars should not be using the vehicle for personal use, and; therefore, the only passengers should be other ACT employees.  Special permission is necessary if your passenger is not an ACT employee.

 Your Driving

 Good driving skills should be developed and practiced at all times.  You should also know your physical and mental limitations and not drive a vehicle when you are too tired, sleepy or stressed.  Your ability to safely operate a motor vehicle may save your life as well as the life of others.

 

Depression in the Elderly

From the Desk of ACT’s Clinical Services Director

 More than 2 million of the 34 million Americans age 65 and older suffer from some form of depression (NIH, 2000).  Individuals age 65 and older account for 20% of all suicide deaths, with white males aged 85 and older being at the highest risk for suicide.  Depression is not, however, a normal part of aging and can significantly interfere with the individual’s ability to function and place the individual at increased risk for medical disease.

 Depression often accompanies, is triggered by, or worsened by serious medical illness. Depression can increase impairment or impede improvement from the medical disorder.    Symptoms of depression may include changes in appetite or sleep, difficulty with memory and concentration, persistent sad or irritable mood, feelings of hopelessness and helplessness, lethargy and decreased energy, and loss of interest in pleasurable activities.  Depression is highly treatable, with a high rate of success; more than 80% of people with depression improve when they receive appropriate treatment with medication, psychotherapy, or the combination and has been found to reduce recurrence of depression among older adults (NIH Publication No. 99-4593, 2000).

 Available literature (cf Ames, 1991) suggests that significant depressive symptoms (minor depression) are present in 30 - 50% of nursing home residents.  Twenty-four percent of cognitively intact and 10% of cognitively impaired nursing home residents exhibit major depression (Parmalee, et al 1989). Thus, the highest risk for depression is in cognitively intact nursing home residents who have the greatest physical disability and medical illness (Kim & Rovner, 1995).  Many of the medical conditions that result in nursing facility placement increase risk for depression, including Parkinson’s disease, CVA, cancer, dementia, and heart disease.  Presence of depression is strongly related to the outcome of physical illness (see ACT Newsletter archive August/September 2000). 

Caregivers can help patients to cope

 · Discuss your concerns with the patient’s attending physician

 · Remember that depression is not just a passing mood

 · Remind the patient that strength of character and previous accomplishments do not prevent depression and anxiety and that depression and anxiety are not signs of weakness that can just be “willed away”

 · Encourage the patient to stick with treatment, even if treatment doesn’t immediately help.  Encourage patient not to give up.  Active family members may want to explore the appropriateness of their direct involvement in sessions with the patient and clinician.

 · Offer emotional support, reassurance, and affection.  Be encouraging.  Listen with understanding and let the patient know you believe the treatment will help him/her feel better soon.

 · Encourage participation in activities and continue to arrange social visitations, even if this does not seem immediately appreciated.

 · If the patient talks about death or suicide, take these remarks seriously and let the nursing staff or physician know right away.

 ·         If the patient is irritable or negative, try not to take this personally and recognize that it is the depressive illness causing this behavior.

 

vEmployee Birthdays! v

v          Karen Fulwood          March 3rd

v          Larry Gerstenhaber     March 7th

v          Gretchen Belovicz       March 9th

v          Chris Norris               March 11th

v          Reagan Bell                March 18th

v          Barry Moore              March 21st

v          Jeff Crawford             March 22nd         

v          Chris Bullard              March 24th

v          Allen Greenway         March 28th

v          Tamara Starr             April 9th

v          Cathi Fithian             April 21st

v          Judy Lefaive            April 29th

 

 

vEmployee Anniversaries!v

v          Bryan Patterson:     6 years as of March 1st  

v          Erinn Moore:     6 years as of March 1st

v          Michael Lefaive:     2 years as of March 4th

v          Jeff Crawford:     4 years as of April 10th

v          Craig Iversen:     4 years as of April 13th

v          David Cook:     2 years as of April 15th

v          Ronny Wright:     2 years as of April 29th

 

 

vWelcome on Board!! v

 

v          Judy Lefaive     February 16 as Central NC Business Development Representative

v          Tamara Starr     February 16 as Winston-Salem area NP

v          Karen Talbert     February 16 as Asheville area PA and Geriatric Specialty Team Member

v          Bryan Connell     February 23 as Charlotte area psychologist

 

 

 

 

 

 








ACT Medical Group, PA
Corporate Office
311-4E Judges Rd.
Wilmington, NC  28405

Phone:
910-791-6767
Toll-Free:
888-311-1254
Fax:
910-791-6890
Email:
Administration

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