Saturday, May 18, 2013

Wearing the Medical Uniform of a Registered Nurse or Nurse Practitioner


Have you considered becoming a nurse, but are still unsure of the area in which you want to specialize? Or, are you a nursing professional who is interested in many fields, and doesn't want to be tied to one specialty? Then you should consider putting on the medical uniform of a registered nurse (RN). As an RN you will manage patients' medical care, perform direct patient care, and oversee the work of licensed practical nurses and certified nurse assistants. RN's have a great impact upon the lives of their patients, as well as the work flow of other medical staffers in hospitals, nursing homes, and other health care institutions. To become a registered nurse you must complete an associate degree program or a bachelor's degree program at a trade / vocational school, community college, or university. Some hospitals provide RN training to students who already have bachelor's degrees in related fields. Usually states offer higher levels of licensure to students who possess bachelor's degrees rather than associate degrees.

The next level up after RN is Nurse Practitioner (NP), which requires a master's degree. Nurse Practitioners in medical uniforms diagnose common ailments and perform routine tests, as well as prescribe medication. They work closely with their patients to monitor and meet their health needs. NP's sometimes have their own practices, or else they work in hospitals or outpatient or assisted living facilities. NP's provide much the same care as physicians, and often they are the patients' primary health care providers. Nurse practitioners provide comprehensive healthcare for patients of all ages; and their focus is on individualized care. They not only diagnose and treat patients' illnesses and conditions, but also work with the families on wellness, prevention, and on coping with the effects of illness on their daily lives. Many NP's are active in research and patient advocacy. NP's require good communications skills, empathy, and the ability to work in tandem with other members of the health professional team.

The particular duties of NP's in Cherokee medical scrubs vary depending upon the state in which they work, and also according to their specialty. Nursing Practitioner specialties include neonatal, pediatrics, geriatrics, occupational health, anesthesia, and acute care. Where many other health care professions are regulated nationally, the Nursing Practitioner profession is regulated independently by each state. All Nursing Practitioners are required to fulfill the certification and licensing criteria for their state. Many also opt for voluntary national licensing offered by the American Academy of Nurse Practitioners. Certification as a nurse practitioner can be earned in two year programs of classes and clinical experience; however, candidates should have first earned their bachelor's degrees. Most Nurse Practitioners begin as registered nurses, and then enter a BS to MSN program which focuses on a specialty such as family medicine, internal medicine, surgery, or women's health.

Protect Your Parents' Golden Years With Help From Elder Law Lawyers


Americans are living longer than ever which is putting more and more adult children in the position of having to care for or make decisions on behalf of their aging parents. This is where attorneys who specialize in elder law become invaluable. These attorneys assist seniors and their families manage and protect their homes and assets during their golden years.

Areas Of Focus

Elder law is an area of legal practice that encompasses issues affecting aging adults and seniors. It has become a fast-growing specialty as Baby Boomers have reached retirement age, and as medical advances keep us alive longer than ever. There are three major areas of this specialty.

1. Estate Planning and Administration

2. Medicaid, Disability and Long-term Care Issues

3. Guardianship, Conservatorship and Fiduciary Administration

This is a wide-ranging field. Legal issues that fall under the umbrella of these categories include: wills; trusts; protection against elder abuse, neglect, and fraud; end-of-life planning; all levels of disability and medical care; retirement planning; Social Security benefits; Medicare and Medicaid coverage; Medicaid planning; consumer protection; nursing homes and in-home care; physicians' or medical care directives, declarations and powers of attorney; landlord/tenant needs; real estate and mortgage assistance; various levels of advice, counseling and advocacy of rights; tax issues; and discrimination.

Elder law lawyers may practice in all of these areas or specialize in just one or two. An elder law firm will likely have a staff of attorneys who cover all of these areas among them.

Getting Help From Elder Law Lawyers

These attorneys can help seniors plan for their future with or without the assistance of their children or heirs. Seniors may want to have their wills reviewed, create an estate plan or get assistance making a Social Security or Medicare claim. Qualified attorneys can help pre-retirement age individuals address issues such as retirement planning, and benefits and age discrimination in employment. For seniors of minor or adult children with special needs, they can help create a guardianship and estate plan to take care of their child after they die.

For children of seniors, elder law lawyers can help make sense of government regulations relating to Medicare and Medicaid, assist them in managing their parent's finances, taxes or real estate, obtaining power of attorney and determining their parents insurance needs.

In addition to these longer-term issues, these specialists can help in day-to-day matters in issues affecting senior care such as assisted living and nursing home rights and care. Because of their specialization, elder law attorneys are well-equipped to understand the needs of seniors and the challenges they face. They are also very well-versed on current laws affecting seniors, particularly government entitlement programs. These lawyers can help locate nursing homes, assisted living or long-term care facilities and advocate for their clients' rights.

For anyone faced with making decisions for aging or infirm parents, attorneys who specialize in these issues can be a dependable resource. They offer services far beyond wills and estate planning and can help you make informed decisions that will work best for your particular situation.

Assisted Living on Long Island - 7 Reasons Long Island is the Greatest Place to Retire!


Long Island is a beautiful, fun filled place to spend your retired years: With miles of beaches, hundreds of places to go shopping and enough good food to go around! The following are a number of reasons that make Long Island the greatest place to retire!

1. With lots of ocean front and lake edge real estate, Long Island has very fresh and clean air. Away from the noise, stress, and busy streets of New York City, you can enjoy calm lazy days uninterrupted. Go for a walk along the water's edge, enjoy a book on your patio, and invite a few friends over for a game of cards. The weather is beautiful and your days will be equally gorgeous.

2. There are a large number of retired seniors living on Long Island: Meaning you won't be alone! There will be lots of people your age who share your interests. There are also a lot of places that hold senior activities like bingo, cards, dance classes, craft groups, senior citizen trips, and senior aerobics. You may be retired, but you'll never be bored!

3. Living on Long Island means you're close to just about everything you could possibly want or need. For example, retiring at an Assisted Living Facility in beautiful Lake Ronkonkoma, you are only an hour and a half away from the stunning Montauk Point! Montauk is a great place for a day trip: Pack a picnic lunch, bring your walking shoes, and enjoy the view! It's also only an hour and twenty minutes from Orient Point, where you can catch a ferry over to Connecticut for a weekend vacation. Dropping you off in New London, you are minutes from Mystic, a great little town filled with nice affordable accommodations, lots of shopping, and great food. You can also head over to Mohegan Sun for more shopping, a little gambling, and amazing shows and concerts! And even closer than all that is New York City, which is about an hour away (depending where you are on L.I). And with a train station near by, the trip is a breeze! I don't think I need to tell you about the plethora of places to go, things to see, and stuff to do in the city!

4. Long Island is home to some of the most beautiful beaches around! With miles of sandy shoreline, rolling waves, and clean warm air what's not to love? Plus, the sunsets are beautiful too! Long Island also gives you the choice of two shore lines. The South Shore, which is your typical sandy bottom kind of beach, and the North Shore, which is covered in rocks, stones, and even larger boulders. (Honestly, it's a rock collectors dream come true!) Not to mention, some of Long Island's beaches are placed on the top 10 list of best beaches in America!

5. There are lots of great places to eat scattered all over the island. Plus, Long Island is home to some of the best pizza and bagels in the country! With plenty of fast food establishments, delis, cafes, diners and fine restaurants, there is always something to satisfy your taste buds!

6. Long Island is also home to lots of great wildlife. With places like the protected Pine Barrens and wildlife refuges like the one located in Quogue. There are miles of trails to hike and animals to spy! A great place for bird watcher enthusiasts, photographers, and wildlife lovers of all types!

7. Still not convinced? Look at it this way... many people choose Long Island as their vacation destination, and extremely wealthy celebrities own homes in the Hamptons. If it's worth vacationing to, it's definitely worth living! You can make other people's vacations your life!

The Importance of Home Health Care Agencies


If your senior parents require your full-time assistance and help, you should consider hiring home health care agencies to care for them whenever you can't be around for them. Although we want to be there for our ageing or sick parents, this may not be possible because of our demanding job schedules and other daily duties such as taking care of our own family, doing household chores, among many others. Asking the help of a home health care agency may be the best option for you and your parents who don't need to be placed in a nursing home or other facilities. Providing senior home care for them will allow them to enjoy their remaining days with their family in a familiar and comfortable environment.

With home health care agencies, you can receive many benefits allowing you to live a much easier and stress-free life. With someone providing care for your senior parents when you are not around, you have nothing to worry about. This will ensure that you have more time to relax and care for your own needs, which is almost impossible if you're the only one in-charge of caring for your parents. When you are overburdened with the responsibility of caring for your parents and for your own family, you might become unhappy and irritated and this could lead to more tensions and worries in your family. Home healthcare agencies can help by sending professionals who are trained and suited to provide all kinds of help to your senior folks, ranging from personal care services to medical services. Because they know and understand the real needs of your elderly parents, they can help in maintaining a perfect balance in your home.

There are cases wherein seniors are weakened by their feelings of solitude and loneliness due to their minimal interaction with other people. These feelings become more intense when they become sick or are bedridden. Unfortunately, when this situation is not properly addressed it might lead to severe depression and thereby lessen your parents' quality of life. Home health care agencies are aware of all these and they can send professionals who are equipped not only with proper training but also with enough experience to effectively handle the situation. By providing constant support and company to your parents, home health care professionals can help them live a better life.

Because home health care agencies will play a major role not only in the lives of your senior parents but in your whole family as well, you should take some time to consider which agency to hire. What is most important is to assure that you contact an agency that can provide appropriate care services for the care recipients. Knowing the professionals they're hiring is also an important aspect to consider when contacting home health care agencies.

The very first thing you should do is to have a list of accredited and licensed home health care agencies. This will give you the assurance that your parents would be receiving the best and the right type of home health care.

Once you already have this list, your next step is to make a shortlist based on how near they are to your home. This will allow you to personally visit and know more about them. It is important to know the agency's operation history as this will help you determine whether they are qualified to care for your folks or not.

Reference checks are very crucial. You have to make sure that the person providing care for your folks is not only licensed but also has a clean background. Hence it is important that you ask the methods employed by home health care agencies in their hiring of health professionals.

Consider the services that the home health care agency offers. You have to make sure that they offer what your senior parents require as well as whatever the doctor would prescribe to them. The agency should be able to coordinate well with the medical condition of your parents.

After choosing one particular home health care agency, set an appointment with them. This will give you the opportunity to discuss with them all the important things that you want to ask and clarify with them. Make sure the agency allows you to choose the home health care professional who will work with your senior parents.

The Keys Needed to Unlock a Successful Marriage in Your Relationship


Marriages are crumbling in America. There are many reasons why marriages are failing and it would be impossible to name all of those reasons here. Times are changing and people's concept of marriage has changed. Some people are waking up to the fact that they were probably better off single. Some chose an incompatible mate but chose to have a family and stayed with their mates. Many people chose to be married but live separate lives. Whatever the case, marriages are definitely on the rocks.

The family unit is giving into the pressures of society as far as how relationships are. On television, most families are characterized as being schizophrenic, sex crazed or having serious problems with extended family members. This has an effect on American society in which television has distorted what the family should be striving for which is an element of understanding, harmony or peace.

What has really did damage to marriages is the fact that parts of the civilized world has defined marriage as the woman wanting to be secure (home, possessions and security) while the man provides these things. Women are waking up and providing these things for themselves, making decisions for them, which according to patriarchal rules, is a no-no. So most women are choosing to be single and most men are not committing because of various factors. Society is changing as far as marriage, communication, and other aspects is concerned.

Most marriages are breaking up because of not understanding the purpose of the other individual. People want to expand their horizons of self worth within marriage and because of traditional rules that were made up to keep relationships subject able, many people are escaping that mentality of slavery in any kind of relationship.

So if you are married, there are several things that you must do to create an atmosphere of harmony between you and your spouse and here are some of those elements to make your marriage a happy marriage.

1. Create a portal in which your mate can explore her/his real life passion.

This is very important. Even within a marriage, each person is an individual. Though communication and socialization is important for better relationships, we all have our personal desires. You should help your mate accomplish their individual goals.

2. Give your mate plenty of room to grow and experience life.

Just because you are married does not mean that it has to turn into a prison. Let your mate do the things that they need to do to make them happy.

3. Make sure that your mate has significant time to themselves to think about their life purpose.

This is important. Everyone needs a time for reflection so provide your mate with those private times that he/she needs to get their mental and spiritual thoughts together.

Marriage and Family Counseling - Really Important!

Marriage and Family Counseling is important. Marriage and Family counselors help couples work out their problems to develop a system of love, trust and oneness in a relationship. Counselors can dig and see the root cause of the problem through enabling effective communication skills to overcome challenges for the couple or family. Marriage and family counselors are mental health professionals who bring a family perspective to a person, couple or organization. They treat families, mental, emotional and various health and behavior problems.

If you have children, it is great to have them as a part of the program since they are a part of the family. Marriage counseling considers peripheral characters, such as the Mother-in-Law, Father-In-Law, other relatives and the effects that they have on a successful marriage. This is accomplished via personality interviews with extended family members.

Marriage counseling brings out controversial issues. It could be some elements of a spouse's past that are hidden which affect the relationship deeply. Many of these issues can stop a marriage cold, such as incest, rape of a relative and abuse in a previous marriage. When problems like this occur, marriage therapy is truly needed to solve the problem. If your mate agrees, then this is one way to improve your marriage or else, the misery will continue.

Creating Fields of Love with Marriage

Many married couples are always confrontational because they can not forgive and forget. Some couples never recover from the problems in a relationship but choose to stay the course while being totally miserable with the choices that they made. They stop romancing each other and doing the things that allowed the relationship to flourish in the first place.

If you seek the professional help of a marriage counselor, they can provide a battery of tests and evaluate to study, comprehend and obtain new solutions for helping couples in their marriage. Most individuals resign themselves to live under a roof of controversy and loudness. This is detrimental to people who have families. Counseling is great and can heal the wounds of a person, family or extended family. Counseling can focus on brief, solution-focused, family-centered treatment which is center towards the cause of problems in your marriage instead of the symptoms. If you are married, you might want to consider this kind of treatment to resolve your problems.

Recognizing Certain Problems in Marriages

These issues are widely known to cause problems in marriages:

- Families facing severe mental illnesses and emotional disorders, such as schizophrenia and depression.

Many marriages have to take on the extra responsibility of a loved one or parent coming down with an illness. Sometimes, this causes pressure on one or both people in the relationship and can be financially taxing. The trend is to put that person in a nursing home or facility that can treat their disorder but a married couple can turn these kinds of situations into gold if they plan correctly and realize that not all is bad. This could actually enhance and help the marriage if looked at from a proper perspective.

- Substance abuse

A big problem in marriages is when a husband or wife has a drinking problem. Substance abuse can lead to spousal abuse. It can also cause children to become upset and carry memories of abuse for a long time. This issue has been studied for years and now, local governments are implementing free programs for spouses that have a problem with substance abuse to get help.

Overall, marriage can be a good deal if you really work at respecting each other and love each others purpose. This comes through better communication. It takes time to improve your relationships. Enhancing your communication skills is one of the quickest ways to improve your marriage because it is the key to an effective marriage.

Trendsetters in Senior Living, Several Top Executives Reveal Careers in Serving Seniors


Being a top executive in the senior living business takes more than visionary leadership skills, financial expertise, strategic operational know-how, and a gift for organizational management; it takes passion. And, more often than not, it's a passion that's been around for a very long time.

"Very few people just walk into this position," says Joe Mikalajunas, president of Greensboro, North Carolina-based Bell Senior Living. Most senior living executives "start in the same place-in a community, serving seniors-and then work their way up the corporate ladder." But here's the kicker, Mikalajunas adds, "We all have a passion for serving seniors. It's hard to be successful in this industry if you don't have that passion."

Passion is just one of the many characteristics Mikalajunas has in common with the eight other industry leaders-each of whom participated in exclusive interviews with Assisted Living Executive-who have been named Trendsetters in Senior Living for 2009.

Thilo Best
Chairman/CEO
Horizon Bay Retirement Communities
Tampa, FL

Industry debut: Although Best technically entered the industry in 1987, his first experiences (at Prudential Insurance Company of America and Holiday Retirement Corp.) focused on the finance side of the business. The operational side never seemed all that far away, though. "I kept getting pulled in that direction," says Best, who finally took the plunge in 2001 to manage Horizon Bay Retirement Communities.

Top professional accomplishment: "I'm extremely proud of the culture we've built at Horizon Bay," Best says. "It's a caring culture, but it's also a pragmatic culture." It's important to maintain a balance between the two, he adds, because "you can't be so bureaucratic that you forget your day-to-day mission of taking care of your residents, but you also can't be so focused on customer service that you ignore your margins."

Greatest industry challenge on the horizon: "I think our biggest challenge will come from new regulations," Best says. "At both the state and federal level, we seem to be in an era where some people believe more regulation is better than less, and I think they may try to fix the things they believe require more oversight through additional regulation. This could pose a real threat to the industry."

Outside the c-suite: Although Best enjoys playing tennis, traveling, and reading when he's not in the office, he says his favorite off-the-clock activity is "spending time with my two daughters. It gives me a wonderful perspective on things, it keeps me humble, and it helps me work on my main weakness: patience."

Vicki Clark
President
Vintage Senior Living
Newport Beach, CA

Industry debut: Clark has been working in the senior housing space for three decades. In the early '90s she left the apartment side of the sector to join ARV Assisted Living. A few years later, she joined two of her former colleagues at ARV, Eric Davidson and Brian Flornes, who, established Vintage Senior Living in 1998. "I feel like I've always been in the right place at the right time," Clark says of both transitions.

Favorite part of the job: Because all of Vintage's properties are within close proximity of each other, "we're able to bring all of our executive directors together every single month for training and education," Clark says. "Being able to see each of their faces and hear each of their success stories every month is especially great." These meetings are structured around a cultural environment that employees learn best when they share experiences, peer to peer. Their purpose is "to help our EDs work through their challenges and struggles by talking with their peers," she says.

Top professional accomplishment: In 2006, Clark was named the 50+ Housing Council's Person of the Year, a program of the Building Industry of America. "I'll never forget standing on that stage, staring out at about 200 of my peers in the audience," she says. "I do what I do because I love it, but it's nice to be honored for it, too." Clark says she remembers the experience whenever she's feeling overwhelmed. "I look at that award, take a deep breath, and tell myself, 'You know what? We'll get through this!'"

Greatest on-the-job challenge: "Hiring and retaining the right teams," Clark says. The right assessment tool might help her-and her industry cohorts-be more successful at both tasks, she adds, "but right now it seems like we're all using individual tools." In the coming years, Clark says she "would like to see everyone come together to find the right [tool] for our industry-one that would point us toward the best executive directors, because finding the right people for those positions is critical not only to the success of a community but to our industry as a whole."

Outside the c-suite: Like many senior living executives, Clark likes to explore the world when she has the time. "I try to expand my horizons figuratively and literally," she says. Regarding the former, Clark says she often takes time to "see what senior housing looks like in whatever country I'm visiting. It's just a blush look and see, really, but it still gives me some insight into the differences and similarities between our models."

Granger Cobb
President & Co-CEO
Emeritus Senior Living
Seattle, WA

Industry debut: After spending four years early on in his career as the executive director of a board-and-care property in southern California, Cobb convinced his wife that they should sell their home and buy an independent living community a few hours north in the San Francisco Bay area. Thirteen other communities eventually joined the company called Cobbco Inc., which merged with Summerville Senior Living in 1998 (and which, in turn, merged with Emeritus Senior Living in 2007). "I like to say that I've been with the same company for 20 years, but it's had three different names in that time," Cobb says.

Top professional accomplishment: Cobb says he is most proud of "fostering open and collaborative communication across all disciplines." He's also happy that he's been able to make information and systems available to staff that "allow them to make good decisions." Both have been "cornerstones of every company I've been involved with," Cobb says. "I focus on them wherever I am."

Greatest on-the-job challenge: "Managing my time and reassessing my priorities," Cobb answers. "The list of things I have to do on any given day goes on and on, so it can be a challenge to prioritize everything and then find the time to check as many things off that list as possible." He copes by relying on technology-"my laptop and my iPhone synch up with everything in my office, so I'm connected no matter where I am."

Outside the c-suite: Cobb lists golf and skiing among the activities he enjoys when he's not working. "Unfortunately, I haven't been able to spend much time on either activity the past few years," he says. "I have two girls who are now in college, but when they were growing up, we all golfed and skied together-along with my wife. I'd like to get back to those activities with them. In the meantime, I run several times a week with my dog."

Rosemary Esposito
COO
Five Star Senior Living
Newton, MA

Industry debut: "Having provided care to seniors for many years, you could almost say I started working in senior living while I was still working in acute care," says Esposito, who began her career as a medical surgical nurse before moving into hospital administration. Those experiences are a far cry from the ones she's become accustomed to since she joined the assisted living industry a dozen years ago. "Today's seniors have a greater array of health-care and lifestyle alternatives," she says. "The advent of assisted living has contributed to that in a big way."

Top professional accomplishment: When Five Star Senior Living was formed in 2000, the goal of its founders was to turn around communities that had just come out of bankruptcy. "We were a newly formed team, but we had a unified objective and strategy," Esposito recalls. "Not only did we successfully turn those operations around, but we became an independent, publicly traded company by the end of our first year."

Greatest industry challenge on the horizon: Due to uncertainty in the current economy, many companies will have to make difficult decisions about cost-cutting measures in the months and years ahead, Esposito says. "During this time, it will be more important than ever to maintain focus on our customers' needs," while thinking strategically and not acting impulsively. Until the market recovers, we must be able to cope with external pressures by making the most of our expenditures and controlling costs without sacrificing quality or services."

Outside the c-suite: "I like to do anything that involves the sun and beach: swimming, going on long walks, reading a book, photographing a glorious sunset, or simply collecting seashells," Esposito says. "For me, even work would be a relaxing activity if I could set up my office on a sunny beach."

G. Michael Leader
President & CEO
Country Meadows Retirement Communities
Hershey, PA

Industry debut: It isn't a stretch to say that Leader grew up in the senior living industry, given that his parents started a nursing home company in 1962. "It's kind of like growing up on a farm: Everyone has a role, even if it's only to listen to the discussions at the dinner table." Although Leader helped out as a youngster, he didn't join the family business full time until 1973. Ten years ago, Leader replaced his retiring father as CEO and today he works alongside his brother, David, and his brother-in-law, Ted Janeczek.

Top professional accomplishment: "One of the things I'm most proud of is that for three straight years, we've been named one of the best 100 places to work in Pennsylvania," Leader says. "These are hard jobs, so it's encouraging to know that our coworkers-which is what we call our employees-enjoy working here."

Greatest on-the-job challenge: Leader isn't alone when he says he considers dealing with the current economic environment to be his greatest challenge. "We want to continue to provide quality and value to our customers, of course, but quality comes at a price and we have to make sure we price our services so they're affordable to the market we serve," he explains. "It's especially important to remember that when people are both practically and psychologically constrained by the economy."

Greatest industry challenge on the horizon: It's no secret that the senior living industry is going to be flooded with customers in the coming years, but Leader wonders if there will be enough employees to care for all of them. "We have to find the right people to care for all of those customers," he says, "but those people have not been available in abundance in recent years."

Deborah McAneny
COO
Benchmark Assisted Living
Wellesley, MA

Industry debut: Before being enticed by Chairman and CEO Tom Grape to join Benchmark Assisted Living two years ago, McAneny made her living in the investment management industry, making her one of the few executives who are somewhat new to senior living. She didn't sweat transitioning from one sector to another, though. "I'm a firm believer that leadership is consistent across all asset classes," McAneny says. "Regardless of which industry you're in, it's all about attracting and retaining great talent, being courageous as a manager, and creating a shared vision."

Favorite part of the job: "I love the challenge and complexity of running and operating a business like this," McAneny says "A lot of components have to be moving in the same direction for it to work and work well." The former Arthur Andersen auditor doesn't spend all her time contemplating the company's operational present and future from her corner office, though. "I go into the communities whenever possible so I can see the amazing culture we've created here in action," she adds.

Greatest industry challenge on the horizon: "I think there's a lack of a differentiated customer experience in our industry," McAneny answers, adding, "I'm not sure our average customer can tell one assisted living provider from another-or can say what makes one provider better than another." Of course, she says, "that can be both a challenge and an opportunity."

Outside the c-suite: Along with spending time with her family, McAneny says, "I love to ski, I love to bike, and I love to travel. Basically, I find my peace in the mountains in the winter and I find my peace on the bike path or at the ocean in the summer."

Joe Mikalajunas
President
Bell Senior Living
Greensboro, NC

Industry debut: "I've always had a passion for helping people," Mikalajunas says. After a stint as a mental health professional, he transitioned into the senior living business when he joined Sunrise Senior Living's Executive Associate Program in 1996. Later, while working at Harbor Retirement Associates, Mikalajunas met with Steven Bell about an opening at Bell Senior Living. "I wasn't looking. I was happy where I was," Mikalajunas recalls. He eventually agreed to the interview, "expecting nothing more than to add some new friends to my Rolodex. Instead I came away impressed. I knew it was a place I could call home."

Favorite part of the job: "I like seeing the look on someone's face when they do something they thought they couldn't do- that look of serendipitous surprise when they realize, 'Wow, I really did it!'" he says. Mikalajunas laments not being able to get into the communities more these days, but enjoys building the teams that do. "I don't get to spend as much time with the residents as I use to when I was in a community. However, at least I'm still able to do that through my teams. That's what it's all about at this level-building the teams that go out there and make a difference in people's lives."

Greatest on-the-job challenge: "Not allowing complacency to set in," Mikalajunas answers. "I think getting people excited about doing the same thing today that they did yesterday, and to a higher level of excellence, is the most difficult thing you have to do in this position." How does he accomplish that? "I get them to look past the task at hand to look at the bigger picture, which is to care for people and make a difference in their lives," Mikalajunas says.

Outside the c-suite: "I've received more ridicule for this than anything else in my career, but I'm going to fess up to it anyway: I'm an avid online gamer," Mikalajunas says. He started playing games like World of Warcraft years ago as a way to connect with his children while he was on the road for work. "I could sit in a hotel room 1,000 miles from home and still spend time with them," Mikalajunas says. He keeps at it today because "it helps me clear my mind. I can go into a game and not have any responsibilities. I can just have fun."

Mark Ordan
CEO
Sunrise Senior Living
McLean, VA

Industry debut: A tour of Sunrise Senior Living's community in McLean, Virginia, was all it took to convince Mark Ordan to say goodbye to his 25-year career in the retail industry. "It was the first time I'd ever been in an assisted living community, and I was amazed by what I saw," says the former founder and CEO of Fresh Fields Markets Inc., a chain of natural foods stores he eventually sold to Whole Foods. "I saw a level of care and devotion that I had never before seen in a business setting."

Favorite part of the job: "This is the first time in my career that I've been able to lead a company that at its core is all about service to others. I've never been part of something quite like this," Ordan says. "I'm guessing a lot of people who have been in this industry for a long time have almost gotten used to that by now, but I still feel like pinching myself."

Greatest on-the-job challenge: "My biggest challenge is figuring out a way to steer this company through a very difficult economic environment while also finding a way to take us to even greater levels of care and service." The latter can't suffer at the expense of the former, he adds, since "the reason Sunrise exists is to serve seniors. We can't forget that even when we're going through tough times like we are now."

Outside the c-suite: When he's not working, Ordan trades his land legs for his sea legs. "I love boating," he says. "I guess you could say being on the water takes me away." He doesn't get to feel the wind in his hair as often as he'd like these days, but that's OK. "I'm so grateful to be where I am," Ordan says. "After 25 years of running a wide range of businesses, it's nice to find myself at one with such an amazing core sense of purpose."

Bill Sheriff
CEO
Brookdale Senior Living
Brentwood, TN

Industry debut: Although founders Thomas Frist Sr. and Jack Massey convinced him to join American Retirement Corp. (which merged into Brookdale Senior Living in 2006) back in 1984, "I'll never know exactly why they thought [the senior living industry] would be a good fit for me," says Sheriff, who previously worked for Ryder System Inc. "I'm glad they did, though. I've thoroughly enjoyed the last 25 years."

Favorite part of the job: "I love the people- serving-people aspect of the senior living industry," Sheriff says. "That's what drew me to it in the first place and that's what I've enjoyed about it ever since." Another positive: "In this business, it's not hard to feel like you're making a difference in people's lives every day, because that's exactly what you're doing. That's incredibly rewarding."

Greatest industry challenge on the horizon: Sheriff believes a challenge that has long been an issue for the senior living business will continue to be a challenge well into the future. "We have to continue to refresh our product," he says. "We have to continue to take an older asset and make it consistent with the evolving expectations of our customer-and we have to do it while also continuing to introduce innovation into our market."

Greatest on-the-job challenge: "We're facing unprecedented times and conditions," Sheriff says of the world's economic woes. "It is now and will continue to be extremely challenging for people in this and every other industry to deal with what's going on, but I think if we can stay focused on our mission like we are now, we will do well in the long run. The opportunities that come out on the other side will be significant."

Friday, May 17, 2013

Types Of Nurses


Nurses are individuals who are associated with the medical industry and are responsible for the care, safety, and recovery of those who are sick or injured. Being a part of medical and nursing research and performing non-clinical functions are also part of the nursing profession. Nurses are categorized into different groups depending on the type of their job and workplace, such as hospitals, homes, or private places.

The largest group of nurses falls under the category of hospital nurses, who are associated with established hospitals. They provide nursing care and carry out medical supervision as prescribed by the doctors. Other licensed nurses work under them and get a practical training about nursing. Hospital nurses are distinguished according to the various departments that they work in such as maternity, surgical, ICU, oncology or emergency ward nurses to name a few. However, they can also change their duty areas based on job rotations.

Office nurses take care of those patients who visit the physicians' clinics, offices and other emergency medical centers. They assist the physician in administering injections, dressing wounds, maintaining records, performing routine laboratory work and examining the patients.

Nurses working in nursing homes provide care to the residents of the nursing home. They develop treatment plans, supervise other nurses, perform invasive procedures, and make specific decisions depending on the severity of the situation, such as opting for intravenous fluids. Long-term rehabilitation units with seriously injured and ill patients and special care departments also fall under the working area of nursing home nurses.

One of the other categories includes Public Health nurses working in private agencies and Government sectors. These sectors may include clinics, schools, and retirement communities. They focus on general issues such as health screening and programs of immunizations are some of their responsibilities. They also conduct blood test campaigns, nutrition programs, and childcare programs, and concentrate on improving the overall health of the specific community.

Two other categories include registered nurses, who promote health and prevent diseases; and home health nurses, who provide special care to specific patients and attend them at home. Industrial or occupational nurses are involved with ill employees or customers at worksites at the same time providing health counseling. Head nurses or supervisors guide and assign duties to other nurses working under them.

History of Educational Technology


There is no written evidence which can tell us exactly who has coined the phrase educational technology. Different educationists, scientists and philosophers at different time intervals have put forwarded different definitions of Educational Technology. Educational technology is a multifaceted and integrated process involving people, procedure, ideas, devices, and organization, where technology from different fields of science is borrowed as per the need and requirement of education for implementing, evaluating, and managing solutions to those problems involved in all aspects of human learning.

Educational technology, broadly speaking, has passed through five stages.

The first stage of educational technology is coupled with the use of aids like charts, maps, symbols, models, specimens and concrete materials. The term educational technology was used as synonyms to audio-visual aids.

The second stage of educational technology is associated with the 'electronic revolution' with the introduction and establishment of sophisticated hardware and software. Use of various audio-visual aids like projector, magic lanterns, tape-recorder, radio and television brought a revolutionary change in the educational scenario. Accordingly, educational technology concept was taken in terms of these sophisticated instruments and equipments for effective presentation of instructional materials.

The third stage of educational technology is linked with the development of mass media which in turn led to 'communication revolution' for instructional purposes. Computer-assisted Instruction (CAI) used for education since 1950s also became popular during this era.

The fourth stage of educational technology is discernible by the individualized process of instruction. The invention of programmed learning and programmed instruction provided a new dimension to educational technology. A system of self-learning based on self-instructional materials and teaching machines emerged.

The latest concept of educational technology is influenced by the concept of system engineering or system approach which focuses on language laboratories, teaching machines, programmed instruction, multimedia technologies and the use of the computer in instruction. According to it, educational technology is a systematic way of designing, carrying out and evaluating the total process of teaching and learning in terms of specific objectives based on research.

Educational technology during the Stone Age, the Bronze Age, and the Iron Age
Educational technology, despite the uncertainty of the origin of the term, can be traced back to the time of the three-age system periodization of human prehistory; namely the Stone Age, the Bronze Age, and the Iron Age.

Duringthe Stone Age, ignition of fire by rubbing stones, manufacture of various handmade weapon and utensils from stones and clothing practice were some of the simple technological developments of utmost importance. A fraction of Stone Age people developed ocean-worthy outrigger canoe ship technology to migrate from one place to another across the Ocean, by which they developed their first informal education of knowledge of the ocean currents, weather conditions, sailing practice, astronavigation, and star maps. During the later Stone Age period (Neolithic period),for agricultural practice, polished stone tools were made from a variety of hard rocks largely by digging underground tunnels, which can be considered as the first steps in mining technology. The polished axes were so effective that even after appearance of bronze and iron; people used it for clearing forest and the establishment of crop farming.

Although Stone Age cultures left no written records, but archaeological evidences proved their shift from nomadic life to agricultural settlement. Ancient tools conserved in different museums, cave paintings like Altamira Cave in Spain, and other prehistoric art, such as the Venus of Willendorf, Mother Goddess from Laussel, France etc. are some of the evidences in favour of their cultures.

Neolithic Revolution of Stone Age resulted into the appearance of Bronze Age with development of agriculture, animal domestication, and the adoption of permanent settlements. For these practices Bronze Age people further developed metal smelting, with copper and later bronze, an alloy of tin and copper, being the materials of their choice.

The Iron Age people replaced bronze and developed the knowledge of iron smelting technology to lower the cost of living since iron utensils were stronger and cheaper than bronze equivalents. In many Eurasian cultures, the Iron Age was the last period before the development of written scripts.

Educational technology during the period of Ancient civilizations
According to Paul Saettler, 2004, Educational technology can be traced back to the time when tribal priests systematized bodies of knowledge and ancient cultures invented pictographs or sign writing to record and transmit information. In every stage of human civilization, one can find an instructional technique or set of procedures intended to implement a particular culture which were also supported by number of investigations and evidences. The more advanced the culture, the more complex became the technology of instruction designed to reflect particular ways of individual and social behaviour intended to run an educated society. Over centuries, each significant shift in educational values, goals or objectives led to diverse technologies of instruction.

The greatest advances in technology and engineering came with the rise of the ancient civilizations. These advances stimulated and educated other societies in the world to adopt new ways of living and governance.

The Indus Valley Civilization was an early Bronze Age civilization which was located in the northwestern region of the Indian Subcontinent. The civilization was primarily flourished around the Indus River basin of the Indus and the Punjab region, extending upto the Ghaggar-Hakra River valley and the Ganges-Yamuna Doab, (most of the part is under today's Pakistan and the western states of modern-day India as well as some part of the civilization extending upto southeastern Afghanistan, and the easternmost part of Balochistan, Iran).

There is a long term controversy to be sure about the language that the Harappan people spoke. It is assumed that their writing was at least seems to be or a pictographic script. The script appears to have had about 400 basic signs, with lots of variations. People write their script with the direction generally from right to left. Most of the writing was found on seals and sealings which were probably used in trade and official & administrative work.

Harappan people had the knowledge of the measuring tools of length, mass, and time. They were the first in the world to develop a system of uniform weights and measures.

In a study carried out by P. N. Rao et al. in 2009, published in Science, computer scientists found that the Indus script's pattern is closer to that of spoken words, which supported the proposed hypothesis that it codes for an as-yet-unknown language.

According to the Chinese Civilization, some of the major techno-offerings from China include paper, early seismological detectors, toilet paper, matches, iron plough, the multi-tube seed drill, the suspension bridge, the wheelbarrow, the parachute, natural gas as fuel, the magnetic compass, the raised-relief map, the blast furnace, the propeller, the crossbow, the South Pointing Chariot, and gun powder. With the invent of paper they have given their first step towards developments of educational technology by further culturing different handmade products of paper as means of visual aids.

Ancient Egyptian language was at one point one of the longest surviving and used languages in the world. Their script was made up of pictures of the real things like birds, animals, different tools, etc. These pictures are popularly called hieroglyph. Their language was made up of above 500 hieroglyphs which are known as hieroglyphics. On the stone monuments or tombs which were discovered and rescued latter on provides the evidence of existence of many forms of artistic hieroglyphics in ancient Egypt.

Educational technology during Medieval and Modern Period
Paper and the pulp papermaking process which was developed in China during the early 2nd century AD, was carried to the Middle East and was spread to Mediterranean by the Muslim conquests. Evidences support that a paper mill was also established in Sicily in the 12th century. The discovery of spinning wheel increased the productivity of thread making process to a great extent and when Lynn White added the spinning wheel with increasing supply of rags, this led to the production of cheap paper, which was a prime factor in the development of printing technology.

The invention of the printing press was taken place in approximately 1450 AD, by Johannes Gutenburg, a German inventor. The invention of printing press was a prime developmental factor in the history of educational technology to convey the instruction as per the need of the complex and advanced-technology cultured society.

In the pre-industrial phases, while industry was simply the handwork at artisan level, the instructional processes were relied heavily upon simple things like the slate, the horn book, the blackboard, and chalk. It was limited to a single text book with a few illustrations. Educational technology was considered synonymous to simple aids like charts and pictures.

The year 1873 may be considered a landmark in the early history of technology of education or audio-visual education. An exhibition was held in Vienna at international level in which an American school won the admiration of the educators for the exhibition of maps, charts, textbooks and other equipments.

Maria Montessori (1870-1952), internationally renowned child educator and the originator of Montessori Method exerted a dynamic impact on educational technology through her development of graded materials designed to provide for the proper sequencing of subject matter for each individual learner. Modern educational technology suggests many extension of Montessori's idea of prepared child centered environment.

In1833, Charles Babbage's design of a general purpose computing device laid the foundation of the modern computer and in 1943, the first computing machine as per hi design was constructed by International Business Machines Corporation in USA. The Computer Assisted instruction (CAI) in which the computer functions essentially as a tutor as well as the Talking Type writer was developed by O.K. Moore in 1966. Since 1974, computers are interestingly used in education in schools, colleges and universities.

In the beginning of the 19th century, there were noteworthy changes in the field of education. British Broadcasting Corporation (BBC), right from its start of school broadcasts in 1920 had maintained rapid pace in making sound contribution to formal education. In the USA, by 1952, 20 states had the provision for educational broadcasting. Parallel to this time about 98% of the schools in United Kingdom were equipped with radios and there were regular daily programmes.

Sidney L. Pressey, a psychologist of Ohio state university developed a self-teaching machine called 'Drum Tutor' in 1920. Professor Skinner, however, in his famous article 'Science of Learning and art of Teaching' published in 1945 pleaded for the application of the knowledge derived from behavioral psychology to classroom procedures and suggested automated teaching devices as means of doing so.

Although the first practical use of Regular television broadcasts was in Germany in 1929 and in 1936 the Olympic Games in Berlin were broadcasted through television stations in Berlin, Open circuit television began to be used primarily for broadcasting programmes for entertainment in 1950. Since 1960, television is used for educational purposes.

In 1950, Brynmor, in England, used educational technological steps for the first time. It is to be cared that in 1960, as a result of industrial revolution in America and Russia, other countries also started progressing in the filed of educational technology. In this way, the beginning of educational technology took place in 1960 from America and Russia and now it has reached England, Europe and India.

During the time of around 1950s, new technocracy was turning it attraction to educations when there was a steep shortage of teachers in America and therefore an urgent need of educational technology was felt. Dr. Alvin C. Eurich and a little later his associate, Dr. Alexander J. Stoddard introduced mass production technology in America.

Team teaching had its origin in America in the mid of 1950's and was first started in the year 1955 at Harvard University as a part of internship plan.

In the year 1956, Benjamin Bloom from USA introduced the taxonomy of educational objectives through his publication, "The Taxonomy of Educational Objectives, The Classification of Educational Goals, Handbook I: Cognitive Domain".

In 1961, Micro teaching technique was first adopted by Dwight W. Allen and his co-workers at Stanford University in USA.

Electronics is the main technology being developed in the beginning of 21st century. Broadband Internet access became popular and occupied almost all the important offices and educational places and even in common places in developed countries with the advantage of connecting home computers with music libraries and mobile phones.

Today's classroom is more likely to be a technology lab, a room with rows of students using internet connected or Wi-Fi enabled laptops, palmtops, notepad, or perhaps students are attending a video conferencing or virtual classroom or may have been listening to a podcast or taking in a video lecture. Rapid technological changes in the field of educational have created new ways to teach and to learn. Technological changes also motivated the teachers to access a variety of information on a global scale via the Internet, to enhance their lessons as well as to make them competent professional in their area of concern. At the same time, students can utilize vast resources of the Internet to enrich their learning experience to cope up with changing trend of the society. Now a days students as well teachers are attending seminars, conferences, workshops at national and international level by using the multimedia techno-resources like PowerPoint and even they pursue a variety of important courses of their choice in distance mode via online learning ways. Online learning facility has opened infinite number of doors of opportunities for today's learner to make their life happier than ever before.

Affordable Care Act - What Does it Mean For Medicare Fraud Whistleblowers?


Love it or hate it, the Patient Protection and Affordable Care Act, H.R. 3590, was passed on March 21 by the 111th Congress and signed by President Obama yesterday to thunderous applause. The President called it "a new season for America." Opponents quickly began a campaign in opposition, and at least thirteen states, acting primarily through conservative attorneys general, joined in a lawsuit to block the new law.

Grandstanding might aptly describe such hyperbole on both sides of the debate. But amidst all the noise about healthcare reform, few are discussing or even aware of the details of the actual bill. As far as healthcare whistleblowers are concerned, these key changes among others written into the new law warrant mentioning:

For Healthcare Whistleblowers
Under Section 1558, workers who report healthcare violations to an employer, Federal Government, or a state Attorney General are protected from retaliation, including reporting violations of the new laws prohibiting denial of coverage based upon preexisting conditions. Such whistleblowers will receive remedies similar to those found in the federal False Claims Act, including among other things: reinstatement, back pay, special damages, and attorneys' fees.

Whistleblower Requirements for Long-Term Care Facilities
Officers, employees, managers, and contractors of long term-care facilities that receive more than $10,000 in federal funding annually are required to report reasonable suspicion of a crime to law enforcement and can be fined up to $200,000 for failure to do so. Retaliation against whistleblowers in such facilities is subject to a fine of up to $200,000 and exclusion from federal funds for up to two years.

Whistleblower Requirements for Nursing Homes
Under Section 6105, nursing homes are required to implement standardized complaint forms and each state is required to develop a complaint resolution process to track and investigate nursing home complaints and protect against whistleblower retaliation.

Whistleblowers Remain Most Powerful Tool in Fighting Medicare Fraud
While the debate rages on about the viability of healthcare reform, two things are certain: (1) Medicare and Medicaid have been and will continue to be fertile grounds for fraud; and (2) whistleblower suits are the most effective tools for ferreting out false claims and healthcare fraud.

Since 2009, nearly $6 billion has been recovered in state and federal false claims act cases (including criminal penalties). Under the federal and False Claims Act, whistleblowers may file actions on behalf of the federal government to recoup Medicare false claims. Likewise, many states have false claims act that permit whistleblower suits for Medicaid false claims.

With a few minor differences most state false claims acts operate like the federal False Claims Act, requiring that treble damages be paid for fraudulent billing and up to $11,000 per false bill be levied as a penalty. Actions brought by whistleblowers are known as qui tam lawsuits and by statute result in a whistleblower award of between 15-25% of any recovery based on credible, first-hand knowledge by the whistleblower. In cases where the whistleblower is permitted to proceed alone, he or she may receive up to 30% of the recovery based upon her efforts and involvement in the suit.

While the Affordable Care Act provides many new criminal and civil penalties and new tools for fighting healthcare fraud, it is the whistleblower protection provisions that are likely to be the most used - and most litigated. As word of enhanced whistleblower protection spreads, more and more individuals with knowledge of healthcare fraud are likely to come forward. No matter what you think about healthcare reform, that's a good thing.

穢 2010 James F. Barger, Jr.

Long Term Care Options Using Hybrid Policies


Presently 60% of those over 65 will need long term care at some point. Nursing home care averages $200/day or $73,000/year. Assisted living averages $35,000/year. And unskilled home care generally starts at $15/hour.

Long term care insurance is designed to bridge the gap where Medicare or private insurance ends. But it can be expensive and it is difficult to estimate how much you will need. Or whether you will use it at all.

Enter the Hybrid

Blended or hybrid insurance products are now on the market from reliable companies. These offer life insurance and annuities combined with long term care benefits. So if you need the LTC benefits they are available, but if not the annuity or life benefits can be tapped or passed to heirs.

Some Considerations

Look carefully at the details of these hybrid policies as compared with traditional LTC policies. They will likely have larger up-front costs which should be balanced against simply purchasing a smaller LTC policy along with a separate annuity product that will give you guaranteed payouts starting at age 65.

Also look at whether a policy offers inflation protection. If you are in your 50s now, the $200/day coverage you buy now may be worth much less unless the policy adjusts benefits annually for inflation.

Under new U.S. federal rules, benefits paid out under annuity or life policies are tax free if you use them to purchase LTC insurance. This is a recent change, and will save you the 25% or more tax you would have otherwise paid. Federal tax law also allows you to deduct the cost of LTC premiums paid so long as you otherwise itemize deductions.

Deferred Annuity Hybrid Deferred Annuity Hybrid

Since this is an annuity product, you should first determine that an annuity fits with your retirement planning. Typically one invests over many years, and earnings accumulate tax deferred. There is protection against loss with a guaranteed income beginning on a certain date.

If your long term care needs exceed what you have planned for, or you see tax benefits to using the annuity payouts for such care, the hybrid policies are useful.

Examine what triggers LTC coverage, what exactly is covered (home care, nursing care, assisted living, etc.), how much is paid per day, how long the LTC benefits last, and what early withdrawal penalties may be.

Choose a waiting period-the time before benefits start--with which you are comfortable. This will depend on how much other insurance or cash you have to tide you over until benefits begin.

You can also create your own hybrid if you presently have an annuity by using payouts tax-free to purchase the LTC insurance.

Life Insurance Hybrid

These policies aim to provide your beneficiary with life insurance death benefits regardless whether you use the LTC benefit. Some even compensate a family member for parental care. The prices are generally locked for your life so inflation protection is not an issue. And most policies do not require traditional life insurance medical exams.

If you find yourself in a financial pinch you may be able to retrieve all of your principal without a surrender charge or penalty.

The challenge can be that to get the most from such policies, you may have to make a large one-time purchase. Some plans allow this to be spread over a few years. But you or your beneficiaries are very likely to get it all back at some point-and then some.

Look at how long the LTC "rider" allows LTC to be paid and compare that to average nursing home stays-presently 2 to 2.5 years.

Generally the greatest benefit to these hybrids comes in the form of LTC protection. For example, a one time $100,000 premium hybrid policy from John Hancock provides 6 years of LTC at $84,192 for a total benefit of $505,152. This would of course diminish life insurance payouts accordingly, but not below a minimum $5,000 "burial expense" payout.

If the universal life policy options described above are simply too expensive, consider purchasing a LTC policy and also a small term or universal life policy of $50,000 or so to compensate your estate for the LTC insurance premiums you would pay over a 20-25 year period. That way if you never need the LTC insurance your estate will break even--provided you calculate the life insurance premiums into how much coverage you carry.

Setting Up Arrangements to Put a Parent in a Nursing Home


We all know how important it is to look for a nursing home for our loved ones. As much as we want to take care of them, there will always be a point in time when we will not be able to take care of them all the time. There will be times when your willingness will not win over the fact that you are living a busy life. Most of the time, when we start to live a very busy life, we tend to neglect the fact that we should be taking care of the elderly. We often come to the decision that maybe it is time to send them to a nursing home.

This is the best place where we can send out loved ones because this serves as a second home for them. These are able to provide a place to sleep, stay, talk with other people too. The most important thing about a nursing home is the fact that they are supervised all the time. They are checked if their needs are addressed to. These will include meals, rooms, medical services and rehabilitation for the residents. You might actually wonder why a nursing home may not look like a hospital, because even if they are taken care of in a nursing home, the patients will still be able to enjoy their independence as individuals.

Things To Look For In A Nursing Home

When you look for a nursing home, you might find it that there are a lot of choices for you. It is recommended that you choose a nursing home based on personal recommendation of your friends and family. They might have an idea on which nursing homes will be best for your loved ones. If they have sent their loved ones in a nursing home too, then you might ask the level of satisfaction that their relatives have had while staying there. You can get first hand experiences from them which can really be helpful.

When you have selected one which you think is perfect for your relative, it will be a good idea to visit the facility. This is the perfect opportunity for you to go around the place and evaluate the kind of care that they are offering. You can check the facility for overall hygiene and cleanliness. You can observe how the patients are doing as well as the kind of job which the nurses are giving them. This will give you the perfect opportunity to evaluate if this is really the right day care to choose.

It is very important that you identify the needs of your loved ones. This includes the special mental conditions as well as physical complications that your loved one is experiencing. You need to check these out and create a list before sending your loved ones. Give this list to the nursing home so that they can still give the right medication for your loved ones even if you are not taking care of them.

Making The Choice

There are certain factors which you need to consider when choosing the perfect facility. Of course, you need to make sure that you choose one which is strategically located. This means that it should be in a place which is in the middle of your house and office so that you can drop by and visit anytime that you want to. Trust me, this is a very helpful tip that you should follow. Especially if you are still not used to the idea of this, you can really use a visit or two per week in the nursing home.

When you have finally decided on one, it is your responsibility to check the constitution of the nursing home. There are rules and rights which are set by the health care facility for their residents. This will cover privacy, visiting hours, medical benefits as well as check-ups. You may need to review these things so that you will lessen any conflict which you might encounter in the future. What also comes with this is that it also your responsibility if there any special diets that your relative needs. So you always need to inform your nursing home for any of these things.

There will be a contract that will be provided for you. What you should expect to find in here are the rates for admission, discharge and transfer reasons, payment modes as well as the cover charge for bringing home the patient temporarily. Read thoroughly the contract and take down your questions before signing because this can lead to conflicts if you sign without clearing out any doubtful statements in the contract.

Emotional Stress

Although we think that sending out loved ones in a nursing home is the best decision that we can make, this can always lead to a little emotional stress on the part of our loved ones. This may create an impact in their lives leading them to think that they are already old and we do not need them in our lives. This is why as part of our nursing home responsibility, we should be able to explain to our loved ones the reason why we have to send them there. You need to clear it out that they are not excess baggage in our lives. You need to tell them that this is the best decision that you have when it comes to wanting the best care for them. It is very important that you are able to assure them that you will come and visit them. Never promise them anything which you cannot do. This will lessen the false hopes that you might bring to them.

It is not so hard to deal about sending your loved ones to a nursing home. Especially when the point in time comes that you have to. It is all about looking for the best day care for them. When you have found the right one, everything else will follow. So make sure to keep these things in mind if you want to make sure that everything will go smoothly as you send them in a nursing home.

Elder Abuse - Nursing Home Neglect


Everyone gets older - that's just a fact of life. And while we can't avoid aging, we can take steps to ensure that our loved ones are properly cared for when they become elderly and can no longer take care of themselves. It's a sad fact that abuse of the elderly in nursing homes and medical facilities is an ongoing concern. Not in every facility of course, but it does happen. And unfortunately, the victims frequently suffer in silence.

This abuse can be in the form of physical and mental mistreatment, but it is also common to find verbal cruelty and even financial exploitation of the elderly. Many estates have been depleted by unscrupulous nursing home employees. To ensure that your loved ones are being treated properly, you should visit them often and look for signs of poor diet, bruises, and bedsores. Also check for cleanliness and the overall safety of the areas where they sleep, eat and socialize.

Keep a close eye on their bank balances and credit card statements to ensure that their money isn't being misappropriated. And what if you do see signs of elder abuse? You should contact an elder abuse lawyer at once. Here's why:

First, it needs to be reported so that it can be investigated. If one person you know in a particular facility is being abused, the odds are that others are enduring the same kind of treatment. Secondly, a qualified elder abuse lawyer can help you take the necessary steps to stop the abuse and protect your loved one. If you see signs of anything suspicious, don't take chances. Free case evaluations are available and you might not only be helping the person you know, but others who live in that facility as well.

Thursday, May 16, 2013

Avail Senior Living Facilities For an Assisted Life After Retirement


Providing security to one's old age has become really an essential matter in the recent social arena. For the advance stage, when the individuals are left alone and feel helpless, several schemes and services have been introduced for their safety. Senior living facilities fall under this category that provides the senior citizens a proper living arrangement so that they might not feel lonely. After one gets retired and released from all social responsibilities, it becomes essential for them to decide what to do further. These services and facilities help them make their decision easier. As far as their financial needs are concerned, rehabilitation or rehab loans are also available to help the retirees lead an easy and secure life.

Undoubtedly, the old aged people desire to live with their children and grand children. But due to certain circumstances, they have to look for other accommodations. Firstly, in most of the cases, their children have to move to some other city or country for their work purpose and they would never ever desire their children to miss big opportunities just because of themselves. Thus, they support their children in making an appropriate decision and act as their strength rather than being their weakness. Secondly, when the children grow up, they settle in their life and get busy with their professional life. Due to their lack of time, the old individuals decide to stay somewhere else and leave them free to carry out their tasks comfortably. Senior living facilities enable them to fulfill their desire of not hurdling their children's way to a successful career. Many financial institutions exist that offer rehab loans to help the senior citizen deal with numerous financial issues.

Rehab loans are mainly used for renovation purposes. Among so many schemes and facilities that are available for the retirees, one is the equity release. The lenders, in this case, allow them to live in the home owned by them and thereby get a significant earning in lieu of it. The amount the lenders offer them depends upon the value of their property. This value is examined based on their property maintenance level. Utilizing the rehabilitation loans, the retirees can renovate their property to enjoy a good amount of money as their income after retirement. This earning is completely tax-free but with feasible terms of repayment. Senior living facilities help the senior citizens in the utmost possible ways to make their life comfy in all respect.

The senior living facilities try to cover everything that an old individual requires while leading his life. The most essential facility for the old age is proper medication service. The housing complexes that are built for the retirees take extreme care of these facilities so that they might not have to face any problems regarding this. The staffs are present all around to help the old aged people conduct their daily activities such as dressing, eating, walking, etc. This can also be referred as assisted living amenities utilizing the scheme of which could help the senior citizens in all the possible aspects of living during the advance stage of their life.

There are investor rehab loans that are also helpful for the retirees to buy the properties and avail these senior living facilities for an easy and comfortable old age livelihood.

Assisted Living Homes and State Laws


At a later stage in life seniors are unable to carry out the functions that they have taken for granted for decades. They require assistance for the completion of daily activities. Diseased, paralyzed, and elderly come under this category. Assisted living homes help in achieving basic activities of daily living. These communities have obviously fall under various state and federal laws which govern the assisted living industry.

The residents of assisted living homes are protected under many state laws, which safeguard their rights regarding various aspects like security, abuse, discrimination etc. The laws and regulations are different for different states. It is important that every resident is aware of the laws and utilizes the facilities accordingly. There are also certain state laws that restrict the admission of a person into an assisted living home. These laws are made taking into consideration the health status and the ability of person and at the same time maintaining the safety of other residents.

In place of nursing home or assisted living, elderly seniors are usually prone to abuse either by the staff, fellow residents or visitors. It may be sexual, physical or mental. Not maintaining proper cleanliness, providing overdose of the medicine in order to free from the patient, not providing food and other amenities etc, are the kind of abuses that generally occur in such environments. The family members need to be vigilant with the conditions of their loved ones. If any suspicion, contact the government officials and maintain a record of the people you approached. Take the assistance of an attorney in order to evaluate the legal remedies available for you.

People seeking an assisted living home for themselves or for the loved ones, need to check with some predefined states to be eligible for the admission. The centers look for certain criteria before a person is admitted in the assisted living home. Factors like the persons suffering from infectious diseases, the quality of medical facilities required and the kind of services that a resident would be requiring etc, are necessary for the joining resident to observe.

The state laws define regulations on trainings of the care takers and the eligible qualifications of staff. The state laws also define the kind of services that are offered by each of the assisted living centers. The Assisted Living Consumer Alliance (ALCA) is a group formed to frame the policies of the assisted living homes.

Boost Your Salary With a Master's Degree in Education


What do I need to know when considering a degree in Masters in Education?

A Master's in Education is the obvious choice for someone with a bachelor's degree looking into furthering their teaching career and increasing their job satisfaction. Receiving this degree also offers amplified salary rates, gratifying job prospects and the prospect of career expansion. There are also many specific areas teachers can direct their focus toward such as teaching, adult education, curriculum and instruction, and many other fields.

Earning your Master's in Education online is a great way to continue in employment while expanding your education. The degree program usually take two years on average to complete but that is dependent on your own schedule. The huge advantage of a distance education master's degree is the flexibility and convenience that are offered to you. You can work and study part-time or full time; it is your choice. There are a myriad of online schools available so you can find the best program suited to your needs career goals.

While earning your Master's in Education, you can expect to receive comprehensive research methodology, significant discussions on readings and applied practical classroom learning. Differing from a bachelor's degree in education, a master's goes well beyond basic skills and covers extensive reading material and classroom management skills for a more thorough understanding of the program and students.

Study and discussions look at the history and theory of curriculum. This will make it possible for you, as a teacher, to fully comprehend the learning concepts and teaching modules of your grade field. Also, you will learn much about early childhood education theory and classroom management skills. A Master's in Education also analyzes the principles of supervision, diversity aspects of the classroom and the range of trends and teaching techniques.

The skills obtained from undertaking the master's level program will provide you with a greater understanding of your craft. You will be able to relate effectively to your students, receive their respect and manage the classroom with ease. Furthermore, you will greatly develop their level of learning and comprehension. With a Master degree in Education, you will have an all-encompassing view of every aspect of teaching which can only benefit both you and your students.

According to The Bureau of Labor Statistics, a teacher with a master's degree can make an average $200 per week more than a teacher with only a bachelor's degree. This adds up to over $10,000 per year, boosting a starting teacher's salary from $31,000 to $48,000 per year.

Having a Master's in Education means that teachers can continue their careers as elementary, middle or high school teachers if they wish but at a higher level of pay, and they also gain the extra qualifications to further their careers if they choose. Those with an M.Ed can progress to educating students at post-secondary colleges or universities. There are also lots of opportunities in administration positions for qualified teachers with an M.Ed, including assistant principal, principal and other supervisory positions.

Post-secondary teachers will benefit from flexible schedules, intellectually stimulating environments and rewarding financial remuneration. The Administration roles gained by completing a a master's degree are also on the rise, and there is the potential to make over $140,000 per year as an education administrator with a Master's in Education.

A Master's of Education is not only beneficial to you, but it will also be of great advantage to your students. The more skills and experience you attain, the better prospects students will have to learn and understand the subject matter.

The Department of Education is working towards hiring highly qualified teachers. According to the Office of Elementary and Secondary Education, the United States intend to undergo statewide Higher Teacher Quality (HTQ) improvement programs intended to enlist and retain highly qualified teachers and principals. Attaining a Master's in Education is the best thing you can do to ensure that you earn the highly qualified teacher status and benefit from the incentives which are offered. These incentives include higher salaries, competitive career assignment and additional job security.

A Master's in Education is a logical and attainable next-step to a stimulating, financially rewarding and gratifying career.

Should I Let My Friend Borrow My Car?


"Negligent entrustment" is a legal theory where the owner of a motor vehicle may be liable for property damage, wrongful death or personal injuries resulting from a car accident caused by someone to whom the owner entrusts their vehicle. The most common scenario is when the owner lends their car to a friend and the friend gets into an accident. Contrary to popular belief, the owner of the car is not automatically liable. Several things must be proven before liability attaches to the vehicle owner under the theory of negligent entrustment.

First, the owner must "entrust" the vehicle to the driver. If the car is stolen or the driver takes the vehicle without the owner's permission, then the owner is not liable for negligent entrustment. Permission may be express or implied. If you lend your vehicle to a friend to run some errands, then the owner has given "express" permission. Another example may include a situation where the owner's child routinely uses the vehicle to go to work or school without having to ask for permission each and every time. Under this situation, the owner may be deemed to have given "implied" permission for the child to use the vehicle.

Second, the owner must entrust the vehicle to someone who they knew (or should have known) is an incompetent or unlicensed driver. For example, if the owner lends their vehicle out to someone who appears to be intoxicated, then the owner may held liable for a resulting car accident. Additionally, if the driver has had many car accidents or traffic tickets in the recent past, then the driver may be considered incompetent. If the driver of the vehicle does not have a valid driver's license, then the owner may also be liable for lending the vehicle to the unlicensed driver.

Third, the driver must be at fault in the car accident. That is, driver of the vehicle must have caused the accident before the owner may be held liable. If the driver is not at fault in the accident, then the owner would not be liable for negligent entrustment. If the driver is unlicensed, then the owner may also be liable even if the owner had no reason to believe that the driver was incompetent. However, the unlicensed driver would still have to be at-fault in the accident.

Just remember this simple rule: If you lend your vehicle to someone, and that person causes an accident, you may be held liable if it can be shown that you knew (or should have known) that the driver was incompetent or unlicensed.

An Overview on LPN to BSN Program


If you are working as a licensed practical nurse (LPN) or licensed vocational nurse (LVN), it is a very natural progression to move from LPN or LVN to registered nurse (RN). Today if we carefully look at the present scenario, turning from LPN to RN is considered as the next and major step in nursing career. No doubt, licensed practical nurse is an excellent starting point for you in the nursing profession, but on the other hand, advancement and income prospects significantly gets enhanced by becoming a registered nurse, which actually requires a bachelor's degree. Attaining a BSN degree can offer numerous nursing opportunities for you such as Nurse Practitioner, CRNA, Nurse Administrator, and many more. So, whether your aim is to boost your salary, increase your role and responsibilities as a nurse, or both, getting a BSN degree can help you achieve these goals.

Today there are many leading nursing schools in the United States offering special online LPN to BSN programs. (cont) The best advantage of this degree program is that it can help you as a student to learn more about nursing professional foundations and other important elements of nursing like nursing competency coursework, nursing research coursework with informatics, nursing situation analysis, leadership and resource management courses as well as additional study. This degree program is the next step to earn a new level of competency. It offers quick completion of BSN along with RN training in short duration.

Apart from all this, the key benefits of selecting LPN to BSN program is this degree program typically takes 2-3 years to finish in contrast to the four years of a usual bachelor's degree in a nursing program. Adding to this, once you complete the program, you also become entitled to appear for the (NCLEX-RN) National Council Licensure Examination. It prepares you for licensure exams and requirements that are specific to the state that they generally practice. Moreover, as you are already LPN, you get the benefit of course credit for your LPN training, which in turn help you complete the program more easily. You may do not require taking same nursing courses, which might cover material that you already know.

In terms of curriculum, generally the LPN to BSN program includes topics in direct patient care, legal and ethical issues in treating patients, subjects in relation to record keeping and data collection in health care settings, clinical and patient management. Apart from this, the course even lets you earn specializations in different fields such as surgical, clinical and organizational administration, inventory management of medicines along with different topics related to hospital and health care structure and organization. This can be very beneficial for you as a nurse to learn about the latest in technology used in hospitals and health care facilities. Today it is one of the few programs that introduce you to the practical and theoretical facets of nursing and prepare you in making effective decisions usually required in the registered nursing.

Home Health Care: For Your Convenience


If you have ever heard of home health care, you probably realized that it could potentially be the best and most convenient option for you when it is time to take care of a parent or other adult who can no longer completely take care of himself or herself. This is something that happens to all of us at some point.

Home health care goes by many other names as well. These include domiciliary care, social care, in-home care, and formal care. These are all essentially the same things, and in the following it a few paragraphs we look through what all of that specifically means when it comes to services.

Home health care specifically deals with licensed professionals. These are licensed health care specialists who have gone through all of the regulated training sessions in order to be put on a list of people that can practice medicine. This is an important distinction because there are other types of care that do not require this license.

Included in this short list of licensed healthcare professionals who can provide home health care are licensed nurses, social workers who have medical experience, physical therapists who have been through regulated courses, and dietitians. These people all have medical experience thus fit in this specific category that you are concerned with right now.

This is in direct opposition to non-medical or custodial care. These are the type of people who come in and take care of the elderly more or for a social reason than a medical one. They are not licensed to do things with medication or specific medical devices, and so they have fee different function they perform at your home should you choose to hire them.

There is the matter of why you would choose home health care in the first place. Mostly because, there is going to be a time when you have to either send someone to a nursing home or hospital. If this is not something you are interested in quite yet, home healthcare is a responsible alternative where everyone gets what they need.

The cost of home health care is quite variable. Sometimes it could be quite a bit more expensive than the hospital or nursing home visit, while on the other hand, the money that you save from sending someone in your home may be to your financial advantage in the end.

Home health care is definitely something you should consider for your family or loved ones, or something that they should consider for you if you are getting on in years. It will probably become more popular in the coming years as people are more interested in keeping their family around, rather than sending them away.

Wednesday, May 15, 2013

How to Get Children Involved in Community Service Work


Children learn a variety of skills while engaging in local service projects. Community service is an important part of local community building. Volunteer work develops children's moral character. Skills are enhanced and new interests and talents are discovered. Through service work, children gain an improved sense of self love. They learn to be giving, considerate and compassionate towards people and animals. Listed below are some basic ideas of how parents can begin to get their children involved in the community.

Hospitals
Many hospitals have a wealth of needs for volunteers. Call your local hospital's volunteer coordinator. Children typically will need to be accompanied by a parent or guardian. Some examples of meaningful volunteering tasks are helping to deliver flowers, reading to bed bound patients, or drawing people uplifting pictures for their hospital room walls. Some hospitals have cancer wards where children may need to stay for extended time periods. These longer term patients would surely love to have another child to provide them with companionship and friendship.

Nursing Homes
Nursing homes and assisted living communities welcome young volunteers. There are many activities at these types of facilities. Programs such as crafts, bingo, and social events typically take place at both nursing homes and assisted living facilities. Many volunteer coordinators have a need for room visits to bed bound patients. Some elderly residents may have family living out of state and would greatly appreciate a young volunteer visiting. Children may also read aloud to residents and make cards for them.

Humane Society
The local humane society opens its doors to volunteers of all ages. Dogs need to be walked and interacted with. Cats, kittens and puppies need companionship. You and your child could have a pet food and pet bed collection at church or at your child's school. Contact your local animal shelter to see what child friendly service project needs there are.

Soup Kitchens
Many soup kitchens have numerous needs and welcome volunteers of all ages. Children and parents can serve meals to those less fortunate. In some cases, canned goods need to be stocked and sorted. If the soup kitchen is part of a homeless shelter there may be other children living there. Teaching your child to share what they have and to donate a few of their toys is a great character builder!

When researching local volunteering project ideas, try to think of the interests your children may have. For example, if they adore animals, the animal shelter may be a good match. If your children are fond of cooking projects at home, the soup kitchens should be a great match. When volunteering, be sure to praise your children for their efforts. Encourage them and remind them of what an exceptional job they are doing while helping others.

The Medical House Assisted Living Model Can Rewrite Long-Term Care As America Knows It


The "Medical House" Assisted Living Model Can Rewrite Long-Term Care as America Knows It - It Deserves Public Funding

Angela did not really realize what she was in for when she set out to house people with certain medical issues in her Midwest assisted living residence. As a nurse she focused on the non-behavioral populations who were managing issues with pulmonary concerns, diabetes, obesity and hypertension, including survivors of stroke.

She disdained the atmosphere surrounding funds that reimbursed homes which served the mentally ill, labeling the systems that oversees these funds as laced with improper politics and the kind of constant budget cuts that made quality care impossible. Without knowing it, Angela was onto something big, and she spent $30,000.00 on television advertisement to tell the world about it. She had developed the small-scale "Medical House", an assisted living revolution still in short supply in comparison to what is really needed throughout America.

Charging from $3,000.00 to $6,000.00 per month depending upon the needs of the prospective resident after a thorough assessment, Angela's Medical House still costs much less than the average monthly fee in a nursing home for the same patient which ranges $8000.00 to $10,000.00 per month. The routine in the home is an impressive one.

Each resident receives what is called the "morning quarter", which is 15 minutes per morning devoted to nothing but observation of a resident's mood and behavior in comparison to the day before or multiple previous days which helps staff to better plan a routine for the day. Often a specific 3 questions are asked of each resident.

The "morning quarter" is then used to help plan a more person-centered and meaningful regimen that considers energy levels, response to new medications, mood swings, sorrows, sleeplessness, new personal events, appetite changes and much more.

Support staff who may work partial shifts during the day then utilize the notes made by the early morning staffer allowing all to come together until bedtime to enhance the assisted living experience on each and every day. During this process an on-line case management system is updated and messages sent to applicable nurses, pharmacists, physicians including psychiatrists, guardians and other interested parties who can receive this information without privacy violations in real-time. There are two, (2) staff on duty during the morning quarters so that one can focus on observation, documentation and reporting while the other tends to morning personal care, medications and housekeeping.

The result? Even people with special needs which includes the medically fragile elderly and those with catastrophic injuries can live in their own communities in more dignified, non-institutional settings and avoid the stigma and depersonalization which can often come with the nursing home environment.

These 6-bed environments require the right staffing, ownership that is open-minded to change and innovation, professional relationships with a competent, experienced nurse and the regular involvement of a visiting physician whose practice is aimed at the population being served including a physical medicine and rehabilitation and wound care focused doctor.

The "Medical House" would typically be licensed based upon the requirements of your state of operation. They serve a valuable purpose and provide a meaningful, effective alternative to nursing home care for many and can spare lots of pain from Medicaid budgets once bureaucrats accept with action the need to develop a national standard and provide a fee for service system for this clinically competent assisted living model.

Such a reimbursement model must be a direct bill type system without the requirements associated with contracting with an agent of Medicaid waivers. Accreditation bodies must be involved and while these businesses cannot be skilled settings along the lines of a nursing home, they can be a close cousin in terms of quality medical oversight with lots more personal attention.

How urgent that America come together so thousands more neighborhoods develop and take pride in a real family booster, ""The Medical House" for those who need someone else to be their keeper.

Thanks for allowing us to share.

Norovirus Breakout in RI Nursing Homes


We recently have learned that a norovirus is in 9 to 11 nursing homes in Rhode Island. We are sure the outbreaks are more widespread than they are being reported. This virus has essentially shut down all visitors and new admissions to all the homes that are affected by it.

The norovirus is not spread through the air but through touch. It can survive on a piece of equipment, a piece of clothing and any surface at all for up to 2 weeks. There have been many reports of the norovirus on cruise ships through the years whereas the cruise ships needs to be completely de-contaminated for 2 weeks and cannot go into service until a month afterward with approval of the FDA.

The norovirus symptoms are vomiting, diarrhea, dehydration and pose a serious health threat to the patients, employees and anyone who tries to visit a loved one in a nursing home. Nursing homes are scrambling to sanitize all surfaces with any disinfectant that they individually choose. Bleach seems to be the disinfectant of choice and is rumored to have dried out the skin of numerous health care workers.

The norovirus usually lasts for 2 or 3 days but can be reacquired by a resident for a second or third or even fourth time if the surfaces are not properly sanitized. This translates into more safety conditions inside of health care facilities. The vast majority of health care operations have gloves available all over their floors. Gloves are used throughout all health care facilities today along with alcohol foams and gels at virtually every nursing station and also throughout the corridors.

There is technology today that can protect someone more than wearing gloves and/or using a sanitizing agent to protect one from bodily fluids and repel this awful virus. These medical uniforms today contain a nano-acrylic copolymer dispersion that makes garments naturally self-cleaning. Fluids literally bead up and fall off the garments.

Last year we lost our mother in a nursing home. Not because of this virus but she was terminal with leukemia. But we cannot imagine her having been on a lock down situation where she could not have seen visitors because someone else brought in the norovirus.

Our connections indicate to us that the norovirus in question could have come from a single person coming out of the hospital and then CNA's, who have multiple jobs in this industry, may have spread it between themselves and the numerous nursing homes in question.

In our personal opinion the health care industry needs to be protecting its patients and themselves at a much higher level. They can't utilize the cheapest medical uniforms, nursing scrubs or lab coats that they can purchase. They need to step up and buy protective uniforms for their loving professional staff.

This also would eliminate lost time of employees being out sick. You don't have to call in sick or take a vacation day in order to take care of your friends and patients, because we know personally that you do become the friends of patients.