Saturday, April 27, 2013

Teacher Negligence


Parents entrust the safety of their children with teachers and the schools they are enrolled in. School districts recognize this fact, and they, along with county and state governments, have made appropriate laws to ensure the children's safety and guidelines to follow in different situations. However, due to negligence, inexperience of the teachers, or inadequate care and inattentiveness, teachers may fail to effectively supervise students and maintain a safe learning environment.

If your child has been injured due to the negligence or apathy of a teacher, you have the right to seek compensatory damages for your child's suffering and pain. For a further analysis into your legal options, please contact an experienced teacher negligence lawyer.

Dangers at school

The following list provides a few of the risks that should not, but do exist in schools:

  • Fights on sports fields that are not stopped by coaches or trainers

  • Presence of dangerous chemicals in labs are especially risky when the teacher leaves them lying around

  • Wood shop injuries caused by inadequate supervision and training

  • Bullying and emotional abuse by other students

Children will always be children. They spend most of their time during the day in school, and our system of education will not change any time soon. So it is imperative that teachers are properly trained to break fights, control students, and provide proper care for all their students. When they fail to do this, innocent children may face devastating consequences. It is important that negligent and careless educators are held accountable for their inexcusable behavior.

Choosing a Care Home


Today, there are residential care homes available for people of all ages and for a range of disabilities but in this article, we'll be looking at elderly care homes. Choosing the most suitable home for you or for somone that you're looking after can be quite a complicated decision.

If you're a carer, the first thing you'll want to do in most cases is to get an assessment from social services for the person that you look after. This will settle whether or not they should need residential care and can suggest other available options. Social services can give you and the person you look after information about care homes and might even be able to assist you in finding a suitable one.

It's still worth getting in contact with social services, even if the person you are looking after is unlikely to be eligible for any financial help with care or nursing home fees. The assessment they give you can be really helpful when it comes to making decisions about care, plus it can be a valuable source for further information.

There are individual factors you should take into account when choosing a care home. Everyone has different needs, so consider what you or the person that you're caring for will require:


  • Where is the home located? Is it close to family and friends? Are there local shops and things to do? This will vary from person to person, but being close to family and having a stimulating local environment are always good things to have.

  • Is the retirement home you're looking at focused on individual needs, providing them as needed or will residents be expected to adapt to a particular regime?

  • What arrangements are there for visitors? Can residents come and go as they please? Depending on your personal circumstances, this could be a very big factor.

  • What is the support within the home like? How will you be able to communicate with staff and are there any support groups or regular meetings?

There are of course many more issues to consider but these give an outline of where to start. Another thing to consider is inspection reports - if there is a particular home you have been considering, check the most recent inspection report to see how well the home is performing and if there is anything of concern. All care homes for adults are regulated by the Care Quality Commission (CQC).

Along with the information you can get from social services, there are various other ways to find out about care homes and residential nursing that would be suitable for you or the person you look after.

You can contact a voluntary organisation, like Counsel and Care or Age UK. There are other organisations you can contact if you or the person you're caring for has a specific need, such as Mencap for people with a learning disability or Mind who specialise in mental health.

Veteran's Aid and Attendance Pension


The Veteran's Aid and Attendance pension is available to a Veteran, his spouse, or surviving spouse if at the age of 65 and are in need of care. It is not for everyone.

How do you qualify? 5 areas are looked at.
1. The Veteran needed to serve 90 days active duty and one day during a period of war. We will need to see the Veterans DD-214 military separation papers to determine this.
2. There has to be a need for care. We will look at their health related issues to determine whether they will qualify backed up by a Physicians statement.
3. An expense for care. They will need to be paying out of pocket for their health care expenses.
4. Income is looked at which usually is Social Security, retirement, pension, rental income, Long Term Care Insurance etc. If for a married couple it is combined income.
5. Assets which include cash in the bank, CD's, stocks, bonds, mutual funds, whole life, IRA/401K, a second home, property, a family trust etc. The home you live in or your automobile does not count.

If I am living at home, how do I qualify?
If your spouse is caring for you, you are not able to count this as an expense for care. If you have a child coming in to care for you and you are paying that child for care, you may qualify. If you are paying out of pocket for a caregiver to come in you may qualify.

What is a caregiver's contract?
A caregiver's contract is a contract written up between the person being cared for and the family member who is the caregiver. The contract explains all the duties being performed by the caregiver for the loved one with an hourly amount and a price is attached to the hours. We usually base the hourly amount at $20 an hour which is what a home care agency would charge on an average. The contract is signed by the caregiver and the loved one.

What is an Irrevocable Health Care Trust?
This is a trust that is better served for those who are at the end of their rope. Irrevocable meaning you are not able to change the trust. This trust is there to protect your aging loved one.

Become a Certified Nursing Assistant (CNA) If You Have a Great Desire To Help Others


You may want to consider a medical career if you are great with people and like to help others. One of shortest medical training programs is that of a certified nursing assistant (CNA). CNA training classes usually last on average from 4 to 6 weeks and although this can vary from one state to another or training program, the amount of training time required will still be short before you can start working and helping others in addition to earning a much needed income.

CNAs are always in demand as they usually take care of the basic needs of patients in a hospital or hospital setting or residents in a nursing home such as feeding, bathing, lifting, grooming, taking vitals, etc. In addition to CNA training classes showing how to perform the tasks required in a hospital or nursing home, many obtain the certified nursing assistant designation in order to work with clients who need help but live at home. Becoming a home health aide is definitely a great way to be in control of your work schedule and clients.

While being a CNA is generally considered an entry level position with the pay ranging from the low to mid twenty thousands, it is a very necessary position in the healthcare position and you can always be assured of a job in any economic climate. This job will also allow you to gain experience in the medical field that you can use if you decide to use this as a stepping stone to other careers in the healthcare field, such as nursing, becoming a doctor or going into the administrative side of the healthcare industry.

If you decide that you do not like the healthcare field after completing CNA training classes, passing the CNA certification exam and working in the medical field, you would only have wasted a few weeks on the training as opposed to the years of training that would be required for other fields in the healthcare field. The cost associated with a CNA training class is also low compared to that associated with the training for other medical careers.

CNA Training Classes

As mentioned previously, CNA training classes are important because they will teach you how to perform various tasks properly and safely. CNA training classes comprise of textbook work and practice sessions as well as clinicals which involve practicing the skills learned in class in a real work setting such as a hospital or nursing home with real patients or residents while being supervised by someone on the medical staff such as a registered nurse.

The hours required to complete CNA training classes also varies from one state to another and from one program to another. On average and especially if you intend to work for an employer that receives Medicare/Medicaid benefits, at least 75 hours of training are required.

CNA training classes are offered at some nursing homes, community colleges, some high schools, technical training facilities, Red Cross chapters, etc. Students that went through a Red Cross CNA training class are probably the most coveted by employers so if you are considering training to become a CNA, you may want to determine whether the Red Cross chapter in your area offers these training programs.

CNA Certification Exam

After completing the CNA training classes, you should be adequately prepared to take the certified nursing assistant exam. If you begin employment before taking and passing this exam, your employer will usually require that you take and pass the exam within about 90 days from your employment start date.

There is a written portion of the exam as well as the clinical portion were you will be required to perform certain tasks on a dummy or an individual for a state examiner who will rate you on how you perform tasks being tested. Although you may experience exam stress or performance anxiety, if you select the right CNA training classes, you will be more than prepared for both parts of the exam.

Both sections of the exam require a minimum score that is set by the state. This means that you can not perform terribly on one portion of the exam, hoping that the second portion will help you make up the difference. Once you pass the exam, you will become certified in the state in which you took the exam and you will be placed on the state registry for nursing assistants. The test can be retaken if failed and you will need to become well versed in the state requirements for retaking the exam.

Financing CNA Training Classes

If you do not have the money to pay for the CNA training classes, you may be able to get scholarships or grants that you do not have to pay back. Many organizations offer various financial assistance programs so check at your local library for this information. Other community organizations such as Human Services may also be able to assist you with financing your training. Another alternative is to obtain a bank loan that must be paid back starting a few months after completing the training program.

In addition, if you are already working as a nursing assistant and want to become certified in order to have more opportunities, your employer may be able to offer financial assistance. Employers often look favorably and are willing to assist employees that wish to improve their skills through educational training programs.

Assisted Living Communities Are An Excellent Option For Seniors


Life has a way of coming around full circle. Take the relationship with your parents. When you were small, they took care of all of your needs and helped you become an independent, responsible adult. Inevitably, you have all aged, and you may now be finding yourself in the role of caregiver for parents who can no longer take complete care of themselves. Thousands of Americans are struggling with working, caring for young families, and trying to help their parents at the same time. Deciding on the best way to handle the situation for all involved can be a frustrating dilemma.

Assisted living has emerged as one of the most viable options in elder care, and it's no wonder. It combines the best of two worlds for seniors, allowing them freedom to live as they please while offering them meals and other care as it becomes necessary. For those who want to continue living the unrestricted life they have always known, it comes as a blessed alternative to nursing home care. Living in their own apartments among others of their same age group, participating in center-planned activities, and being able to come and go when they want to are pluses of this type of living.

For the children of seniors in assisted living facilities, it's a relief knowing that parents are being cared for while still being able to live happy, fulfilling lives. After all, old age is just a part of life, not an affliction that needs to be dealt with as such.

It is estimated that more than 20,000 assisted living facilities are operating in the United States, and more than a million people live in them. The trend continues to grow, especially as the population is aging. In many cases, assisted living can even accommodate those with Alzheimer's and dementia allowing them to live with dignity. Different levels of care make assisted living a pleasant choice for everyone, because they aren't forced to fit into a mold of life that nursing homes demand. They are only given those services which they require and then left to live their lives the way they choose.

You shouldn't get the idea that assisted living is the best option for every senior. Many prefer to remain in their own homes with the aid of a caregiver. A lady I know tried assisted living but decided it wasn't for her, because costs for such things as meals she didn't eat kept escalating. She still wanted to cook for herself and keep her own home, so she rented an apartment and, at 89, is still living there comfortably while employing a lady who comes in every two weeks to help her with housework and shopping.

Retirement Homes in Canada - Offering Quality Care in Sunset Years


Ageing, it is said, makes for yet another trip to childhood. The concept of retirement homes in Canada has stemmed solely from this idea. However, if you don't wish to run the chance of missing out on enjoying this revisit, it must be ensured that you have just the right kind of assistance that makes this phase of life a thoroughly enjoyable one for you. At times when the daily life of an average human being is defined by a highly demanding schedule that leaves no room for anything that's slow. Therefore, taking care of the ageing populace has become a matter of growing concern.

Canada, according to a survey conducted by the Canadian General Social Survey (GSS), is leading the countries with the highest population of aged individuals. Along with this, the findings of this survey had also pin-pointed at the fact that the assistance required by the graying population was not completely fulfilled by the family and friends owing to other pressing aspects. This is why retirement homes in Canada have come into the play. These are the perfect care homes for one to enjoy the years of senility. Some of these care homes offer the most advanced treatment and support facilities that ensure a holistic well being of the aged occupants.

Along with the physical well being, the retirement homes in Canada also offer another enticing aspect to the aged as it is here that they can find new friends among the other occupants. Besides, these care homes also offer them a space to pursue their preferred activities for recreation. They have the choice to read, to get involved in a multitude of other activities such as dance lessons, fitness sessions or simply to sit and enjoy. Added to these, the retirement homes in Canada also make use of the most revolutionary findings to design programs that ensure a happy and satisfying life even after you are past your prime.

Suffering seniors are another part of the senile rehabilitation in Canada. A survey conducted by the Canadian Community Health Survey (CCHS) also shows that more than half of the total aged populace have been reportedly been noticed to be suffering from chronic health conditions such as arthritis, eye-sight problems, diabetes, thyroid and incontinence, to name a few. The leading retirement homes in Canada are equipped with the latest and the most advanced medical treatment and care giving services that take care of these issues completely.

Therefore, old age is no more a matter of living a life in solitude. With top retirement homes in Canada, the aged can discover the joys of living once again.

Friday, April 26, 2013

Urinary Incontinence in Senior Citizens and Its Effects


Stress, urge, overflow and functional incontinence name the various types of incontinence experienced by seniors. Many seniors start to experience problems with urinary incontinence after they go through menopause for women or when males have prostate surgery or prostate problems. What is urinary incontinence and why is it such a problem for seniors? Urinary incontinence is when you have an involuntary loss of urine. Urinary incontinence can be very embarrassing as you have to deal with wet underwear and clothing along with smell and possibly staining your clothing. For many people urinary incontinence can also increase the risk of depression as people are embarrassed by their condition and they stop participating in social events because of the fear that they may have involuntary urine loss.

While exercise and diet will be able to help you manage urinary incontinence you may continue to have problems with it based on which type of incontinence you suffer from. This is why it is so important to purchase products that help to make your life easier if you are living with urinary incontinence. Wearing adult diapers or pads will be able to prevent you from feeling embarrassed as they will soak up the excess urine that may leak from your bladder at unexpected times.

Many senior citizens that deal with urinary incontinence are still able to live at home and can take care of themselves. However there is an increased risk of falls if a person is experiencing urinary incontinence, which may cause them to consider moving in with a loved one or moving to an assisted living facility. If a loved one is planning to move in with you, it is important that you understand the emotional and physical role you will be taking on. You must meet with your loved ones physician to understand what their condition is and to make sure you are modifying your home in a way to accompany their physical limitations.

With over 20 million people suffering from urinary incontinence it is easy to see why this is such a growing industry and why there are so many different products and options available for seniors. It is important to seek treatment for urinary incontinence and to use products that can assist in managing it or it may lead to painful bed sores and urinary tract infections.

Talking to a doctor is the first step to see which type of incontinence you have or a loved one has and to make sure you do not need surgery or another option to treat it. Most doctors will ask for a daily record in order to understand how many accidents are happening along with foods that are eaten and so forth. This information will make it easier for the doctor to figure out a treatment plan for the senior suffering from incontinence.

Modify the bathroom to make it accessible for the senior citizen. It is important to remove rugs and other things that they may trip over as they are rushing to get to the restroom. Motion lights at night time will make it easier to find the restroom for the senior. It is also a good idea to install railings or bars in the bathroom that will help them sit down and stand up easily. A raised toilet seat is another investment to make that will make it much easier for the senior to use the restroom and give their bladder relief. Purchase adult diapers or pads to absorb the urine that leaks throughout the day as this will make it easier to live with incontinence.

Care Options For Elderly Loved Ones


With elderly loved ones, health and stamina might not be as strong as with a younger person. For that reason, an older person may need a little more care and attention. For that reason, a number of options exist to help those not only recovering or are frail, but simply need more assistance with mobility. Some of those options are covered in this article.

In Home Care
When a relative suffers an illness or medical emergency, they of course go to the doctor or hospital. Even after his or her release, your family member will need someone to monitor his or her recovery. If you work or live in another city or state, which is sometimes easier said than done. For that reason in home care is worth considering. With this option, a licensed caregiver goes to the patient's house every day or throughout the week. That caregiver does anything from monitor levels, to give medicine or shots, and even bathe and feed the patient. There are other activities a caregiver can help with as well, but senior companion services also exist to help patients. With the help of an agency, finding a licensed caregiver is a simple task that can give you peace of mind.

Senior Companion Services
With senior companion services, your family member gets more than just medical care. They can also make a new friend while you are away. Companions usually volunteer about 20 hours a week - give or take - helping with running errands such as doctor's appointments or trips to the store, household tasks and chores, and even social activities like arts and crafts, exercise, or watching television. In many cases, elderly people just enjoy simple conversation, which the companions provide. Most programs require the volunteer to be at least 55 years of age, and have proper transportation.

Nursing Home or Convalescent Center
In the case of severe illnesses, or that requiring long-term recovery, consider a nursing home or convalescent center. Similar to a hospital, these facilities have a full staff of nurses who help with the same tasks required with in home care. However, if your loved one needs more than in home care, this may be the route to go, especially with a crew on hand round the clock. Nursing homes actually provide a mix of caregiving as well as companion services, as many centers provide weekly or monthly activities or even "field trips" for residents, keeping them active and social.

9 Unusual Truths About Nursing Homes


Let me give you a dose of reality when it comes to nursing homes. You may be shocked by whats revealed here. Few people really understand much about how they work. You will have a much better understanding about how their internal workings and the experience to expect after your loved one is admitted.

Truth #1: Some nursing homes provide better care than others.

While all convalescent centers offer the same basic services like nursing care, food service, activities, laundry and round the clock care some facilities will emphasize one type of care over another.

For example, some facilities cater to Alzheimer's patients. Some offer on-site dialysis services. Others focus on rehabilitating stoke victims. If your loved one has special needs, find a facility that meets those needs. You get the most effective care that way.

Truth #2: Some people get better in a nursing home. Some cannot.

If your mom is in their rehabilitating from a broken hip, you can realistically expect her to return home once the hip mends. But if she also has Alzheimer's disease, that same expectation may be unreal.

Alzheimer's sufferers have a difficult time understanding a therapist's instructions. If they can't duplicate instructions they can't participate in their rehab.

If they can't participate in rehab, the hip will not heal enough for her to regain its use. If she unable to regain her ability to walk, it's not because a shortcoming of the nursing home.

Truth #3: Mistakes happen.

Nursing homes are like every other business. Mistakes will happen. Don't expect perfection. You'll be disappointed. Even in the best-run nursing homes, errors are a fact of life.

Some will be minor like clothing getting lost or an aide being rude. Some can be serious like medication errors or inadequate hydration.

The key is how management responds. Management wants to do a good job. The good ones
take full responsibility for the errors and take steps immediately to correct it so it doesn't happen again.

Good managers wants care to go smoothly. When it does you are happier with the care, the home is more profitable and the facility stays full.

Truth #4: They are expensive.

The average cost of nursing home care across the USA is $55,000 per year. Some areas cost more, some less. Like any other service business, nursing homes expect to get paid.

The average stay is 29 months. Few families have an extra $132,917 hanging around (the average cost of care over 29 months. Paying such high costs produces a major stress for spouses both spouses and their adult children.

Truth #5: Medicare pays very little toward nursing home expenses.

The maximum Medicare will pay is for 100 days, but that's not guaranteed. Without long term care insurance in place, most families start out liquidating their savings, spending it down until they qualify for Medicaid.

Medicaid is the only public program that pays nursing home costs. To qualify you must meet tight income and asset limits.

Truth #6: Ugly nursing homes can give great care.

Don't judge the quality of care by the decor. We all have a tendency to prejudge a company's quality of service by how new the place looks.

While it's nice to have pretty surroundings, it's not what counts. What matter are the people inside. Find out how conscientious and dedicated the people are inside the facility and you'll know the care quality you can expect.

Truth #7: People working in a nursing home want to do a good job.

Your attitude toward them directly impacts the quality of care. It also regulates your stress and anxiety level. People naturally respond better to those who treat them with respect and kindness. Think negatively towards the staff of the nursing home you select and you'll get negative results.

Truth #8: To get better care, shift your thinking.

One way to improve the overall experience is to make a slight shift in how you view your role. Look at yourself as the individual responsible for selecting and managing a team to provides the care for your loved one.

It's your job to find, interview and hire the best staff to handle the job. By viewing yourself as an involved and caring manager of the care team, you'll feel more at cause over the activities of the staff.

In return they will be more receptive to you. You'll receive daily reports on your loved one's condition and how they have fared through out the day. Because the staff knows you care, they will gladly give you a heads up on health and social issues they see.

You'll be able to head off problems before they become serious. More importantly, you'll be more satisfied with the level of care provided.

Truth #9: To get the best care, visit frequently.

The quality of care rises directly with the amount of family involvement. The more family and friends visit a nursing home and the more involved you are with activities the better you'll understand how the facility functions.

The better you understand how a nursing home works, the easier it is for you to ensure your loved one gets quality care.

My Spouse Has to Go Into a Nursing Home - How Much Can I Keep?


Most people know that in order to qualify for Medicaid coverage of a long-term stay in a nursing home, the nursing home resident cannot own more than $2,000 in cash or other "countable" assets. But if you're married, and one spouse is going into a nursing home and the other is remaining "in the community" (i.e., continuing to reside at home), how much can the so-called "Community Spouse" retain? That amount is determined by a combination of both federal and state Medicaid laws. (Note that for these purposes it doesn't matter whether assets are titled in the sole name of the nursing home spouse, the Community Spouse, or jointly in both names.)

The basic rule is that the Community Spouse can retain 50% of all of the countable assets of both spouses, based on what they own when the other spouse first enters the nursing home for a continuous period of at least 30 days.

Most of the states only permit the at-home spouse to protect one-half of the total amount of the couple's assets, up to $109,560, but with a minimum of $21,912. So if the couple's total assets are under $21,912, the Community Spouse can retain it all; if their total assets are between $21,912 and twice that amount (i.e., $43,824), the Community Spouse retains $21,912; if between $43,824 and $219,120, the Community Spouse retains half; and if over $219,120, the Community Spouse is limited to protecting $109,560.
Here are some additional examples:

Examples:

1. Assume a couple has total assets of $30,000. Half of that is $15,000, which is less than the "floor" amount, so the at-home spouse can protect $21,912; the balance must be "spent down" before the nursing home spouse can qualify for Medicaid.

2. If the couple's assets total $100,000, then the Community Spouse can protect the full 50% amount: $50,000.

3. If the couple's assets total $300,000, the Community Spouse's protected amount is limited to $109,560.

States following the above rule are known as "50% states." However, the most lenient states ("100% states") permit the at-home spouse to retain 100% of the couple's combined assets, but never more than $109,560. So if the couple's total assets are, say $150,000, the Community Spouse can protect not just 50% ($75,000) but $109,560. (The $109,560 figure changes annually, to keep up with inflation; this is the 2009 amount.)

In all states, once the Community Spouse's share is set aside, the nursing home spouse can keep up to $2,000 in cash, but the balance of the couple's assets must be eliminated somehow before the nursing home spouse can qualify for Medicaid.

So what do you do with the "excess" assets over the limits discussed above? The state Medicaid administration department will tell you that you must "spend down" the excess assets, and if it's a small amount, that's certainly the simplest way to qualify.

Another alternative is for the couple to simply give away the excess, but that will cause a period of disqualification from Medicaid eligibility for the nursing home spouse.

The couple could convert some or all of the excess from "countable" to "non-countable," e.g., buying a new car, improving the house, purchasing a Medicaid annuity, etc.

Finally, many of these options are quite technical and require the skills and advice of an experienced elder law attorney. Unless you're an attorney "in the trenches" on a daily basis, it's easy to miss a recent state Regulation or Agency Letter and make a mistake that will wind up costing you $1,000s!

The Response of Communists, Socialists, Conservatives and Liberals to German Fascism Up to 1939


The opposition in Germany to the rise of National Socialism came from almost every section of society, including communists, socialists, conservatives and liberals, and took a number of different forms, ranging from passive resistance to open hostility to the regime. It is clear, however, that this opposition did not have the desired effect as the Nationalsozialistische Deutsche Arbeiter Partei (the Nazi Party) and its dictator Adolf Hitler came to power and created a totalitarian state with little difficulty and disastrous consequences. The failure of the resistance to Nazism can be attributed to a number of factors, such as isolation, inability to withstand Nazi repression and the unwillingness of different sections of the resistance to work together. It was most certainly the weakness of the opposition to National Socialism that ensured its success.

Leon Trotsky relates that in its ninth plenum in February 1928, the Executive Committee of the Third Communist International 'gave the signal for an intensified, extraordinary, irreconcilable struggle against 'social fascism.' The German Communist Party certainly did have the potential to organise such an opposition to National Socialism, however the struggle that eventuated certainly did not fit that description. After the German Communist Party was banned and their deputies expelled from the Reichstag in March of 1933, Communist opposition most often took the form of illegal publications published either within or outside of Germany and distributed widely. Members of the Communist resistance organised themselves into underground networks. Michael Thomsett recounts that 'cells of the underground contained only three people, trained to work together with absolute efficiency, with limited contact outside of the group itself.' This was known as the troika system. J. P. Stern speaks of Communist resistance in the form of 'industrial sabotage... [and] contact with foreign workers or prisoners of war,' and he puts their numbers in 'the ten thousands.'

Peter Hoffman notes that 'the Communist Party had long been in the forefront in preparing and arming for civil war against 'fascism.' Yet when 'fascism' came to power, nothing really significant was done.' There can be identified several reasons for why the only resistance the Communists offered came in the form of illegal publications and the formation of networks. Firstly, and perhaps most importantly, as a member of the Third Communist International, the German Communist Party was controlled and directed by the Central Committee of the Stalinist Communist Party of the Soviet Union. Hoffman relates that it was the Central Committee's assessment that 'the advent of a fascist government should promote Germany's internal self-destruction and prepare the ground for a communist seizure of power.' It was also their analysis that the victory of fascism in Germany would cause the majority of the population to become disillusioned with bourgeois democracy, and thus withdraw their support from the Social Democratic Party of Germany (the occurrence of which the Communists felt was an integral stage in the proletarian revolution.) Hans Rothfels observes that the culmination of these opportunist assessments resulted in 'the phase of the Hitler-Stalin alliance (from August, 1939 to June, 1941) [that] brought the extremes considerably closer together even in internal politics. On instructions from Moscow, many Communist crossed over at that time to the National Socialist side.'

Moreover, the incredible repression the Communists suffered at the hands of the National Socialists made resistance difficult for those members of the Communist Party who refused to accept the Moscow party line. The Reichstag fire of February 28 1933 allowed the Nazi Party 'to take far sterner action against the communists than they had probably planned to do at this early stage of their rule.' Throughout 1933 and 1934, Thomsett reports, 'large numbers of communists were arrested and sentenced to prison in mass trials... for crimes such as listening to foreign radio broadcasts or distributing information described as 'seditious.'' As a result of this ruthless suppression, and the ensuing logistics of operating underground, Communist resisters were forced to deal with incredible isolation that further weakened their ability to oppose the Nazi regime. Gabriel Almond describes this isolation as 'an elementary principal of safety' and that because of it Communists only 'knew in general terms that other Communist groups and cells were operating in their area' and refers to 'the absence of any connection' between them.

A further explanation for the weakness of the opposition to National Socialism offered by the Communists was their unwillingness to work with the Social Democratic Party. Writing in 1933, Trotsky is damning in his criticism of the failure to form a united front against fascism. He proclaims that in the German Communist Party 'everything is wrong: the evaluation of the situation is incorrect, the immediate aim incorrectly posed, the means to achieve it incorrectly chosen.' Nothing other than the two anti-fascist organisations working together could win a victory against the Nazi Party. A victory Trotsky assessed was possible 'not after their coming to power, not after five, ten, or twenty years of their rule, but now.' Trotsky declared that 'it is necessary to show by deeds a complete readiness to make a bloc with the Social Democrats against the fascists in all cases in which they will accept a bloc.'

The attempts made by the German Communist Party to form a united front were half-hearted and doomed to failure. On July 21 1931 the Communists made a proposal for a united front which included certain restrictive conditions. These conditions were unacceptable to the Social Democratic Party, and as a result the Communists instead 'formed a united front with the fascists against Social Democracy.' In January 1933 another proposal was made which the Social Democratic Party was willing to consider, with the condition of a 'non-aggression pact' between the two organisations. The Communist Party refused. The Social Democratic Party repeated their offer to accept on February 12 1933, and was again refused. Jane Degras relates that Trotsky reacted with disgust to these events, claiming the offer 'should have been welcomed with open arms' and that the German Communist Party's conditions for the formation of a united front 'were for a united front with themselves.'

Further, when the Nazi Party finally rose to indisputable power, the German Communist Party attributed its rise to the Social Democrats, taking no responsibility themselves. Minutes of the Third Communist International explain Hitler's triumph as caused by the fact that 'German Social Democracy, which had the majority of the proletariat behind it in the November 1918 revolution, split the working class and, instead of driving the revolution forward to the proletarian dictatorship... allied itself with the bourgeoisie and the Wilhelmian generals to crush the rising of the revolutionary masses and opened the deep split in the working class.' Trotsky, however, points to the incorrect policy of the German Communist Party and claims 'its leaders had been blind.' He argues vehemently that 'fascism was assisted to power by the united efforts of the leaders of both the workers' parties.'

The response of the Social Democrats to the rise of National Socialism was in some ways similar to that of the Communists. The Social Democratic Party was banned on June 22 1933 and after this time also operated underground. Once again, the resistance that was organised was a shadow of what would have been possible given a different strategic approach, especially given the extensive support that the Social Democratic Party originally had among the working class. Opposition, when it did occur, manifested itself in 'a flood of illegal brochures and pamphlets.' Walter Schmedemann was the leader of the Social Democratic 'Eilbek Comrades' who produced a four-page flyer that at the height of its popularity had a circulation of 5,000. To accomplish a task of this magnitude each week in secret would obviously require extensive underground networks and the participation of many. Thomsett offers an idea of the extent of the opposition organised by the Social Democratic Party through relating the fact that 'by July 1933, German prison camps held 26,789 political prisoners [and] most of those were Social Democrats.' Further, Thomsett maintains that 'in the year 1936, another 11,687 were arrested and charged with working for the Social Democrats.'

Hoffman notes that the relative inactivity of the Social Democrats in opposing the rise of the Nazi Party was equal to that of the German Communist Party, 'but there was nothing new or unusual in their inactivity.' He correctly assesses that since the Social Democratic Party voted in favour of World War I in 1914, the nature of the Party was reformist and not revolutionary, which had a resounding impact on the type of struggle they were able, or willing, to organise. Hoffman points to 'a legalistic attitude of mind [that] was widespread and deep-rooted in the Party.' This is significant as National Socialism came to power in a so-called 'legal' and 'democratic' fashion, and not through a forceful coup d'etat, leaving the Social Democratic Party unable to oppose its legitimacy. Thus the Social Democrats remained passive, despite the urgings of the Reichsbanner (the militant wing of the Social Democrats) and clear signs that sections of the working class were ready and willing to act against National Socialism.

A further reason for the unwillingness of the Social Democratic Party to resist National Socialism in the early months of 1933 was the desire to protect itself. Unsure of the political situation and the support of the working class, and threatened by the prospect of being banned, the Social Democrats concluded that 'inactivity seemed to offer the only chance of survival.' This, in fact, was a response that the Nazi Party depended on. Instead of moving against all its opposition simultaneously, the National Socialist assessed that 'the more [the opposition groups] could be separated from one another, treated in isolation, and if possible, assaulted individually, while leaving the remainder in hope, the more helplessly they would have to surrender themselves to the wielders of power.' It was not until after the Party was banned that the Social Democrats began to organise themselves in opposition, but by this time they had lost a great deal of the confidence of the masses. After the ban, the Social Democratic Party faced severe repression in the same way as did the German Communist Party resulting in similar problems of isolation, the emigration of its leaders, and uncoordinated efforts.

Having witnessed the poor efforts of the Social Democratic Party to oppose National Socialism, many young socialists formed radical new groups and attempted to organise a militant and overt resistance. Rothfels describes one such group, led by a man who used the pen name 'Miles,' which was formed in the autumn of 1933. The group demanded unity among socialists and Communists, and assessed that it was impractical to wait for the fascist regime to collapse on its own. They instead proposed the task of immediately forming 'a secret and firmly cohesive organisation of experienced individuals who would have theoretical and practical schooling and maintain contact with important groups of industrial employees,' in order to overthrow National Socialism as soon as possible.

Resistance to National Socialism from the conservative sections of society was similarly weak, thoroughly individualised, lacked unity, and failed to understand the danger presented by the Nazi Party from the outset, thus waiting too long to organise an opposition. Conservative elements held strong illusions in the parliamentary system, and believed that the government of January 30 1933 could be controlled by the 'checks and balances' of the system. Once it was clear that this was not the case, the Catholic Church, the army, and the civil service did begin to passively or openly resist.

The opposition to Nazism that came from the Catholic Church was entirely passive, but they were, as Hoffman argues, 'the only organizations to produce some form of a popular movement against the Nazi regime.' Fabian von Schlabrendorff testifies to this, recalling that his own reasons for opposing sprung from 'the moral and ethical concepts taught by the Christian faith.' He also assesses that 'opposition to Hitler began, then, not as an organized political movement but as the reactions of individuals with religious and moral convictions.'

The Catholic Church was incited to protest in particular by the first sterilization law that was introduced by the Nazi Party in the summer of 1933. Similar to the Communists and socialists, the Catholic Church's opposition most often took the form of publications. The Catholic Rhatin group was formed in 1933 and produced a newspaper entitled Der Gerade Weg (The Straight Path) which put forward its anti-Nazi perspective and severely criticised the theories of National Socialism. On May 14 1937 the Pope finally spoke out against Nazism, publishing 'Mit brennender Sorge' (With Burning Anxiety). Opposition of the Catholic Church also took on a different dimension, as many of its leaders spoke out publicly against the Nazi regime from their pulpits. The priest Faulhaber was well known for the practice of condemning the Nazis in his sermons, copies of which were distributed in many German Catholic Churches. He also wrote letters to Nazi Party officials in which, among other things, he protested the closure of Catholic schools and the abolition of the Catholic Young Men's and Young Women's Association.

The greatest shortcoming of the Catholic Church was that it did not move past passive resistance, and that it often failed to encourage its followers to resist. Also, while the Catholic Church publicly protested the closure of its schools and organisations, it failed to condemn many other aspects of the Nazi regime. Given its 30 million members in Germany and the fact that even during World War II the Nazi Party still did not feel confident it could 'risk complete destruction of the churches,' it can be assessed that the Catholic Church was surely in a position to be able to resist the Nazi dictatorship to a much greater extent than it did. Clear evidence of this is that in 1936 the Catholic Church successfully used collective action to resist the Nazi decision to replace the crucifix with the swastika in northern Germany. Why was this approach not applied to the implementation of other Nazi policies?

The officers of the German army were overwhelmingly supporters of the Nazi regime until it became known to them that Hitler was planning a war. At this point certain officers, most notably Colonel-General Beck, became opposed to the dictatorship and resolved to overthrow it through a military coup. Rothfels describes the conference that took place on November 5 1937, in which Hitler made it clear he intended 'to settle the question of German 'living-space' by force.' Beck and other officers here raised their objections, and Beck continued to do so after the meeting through several letters to the Commander-in-Chief of the Army, von Brauchitsch. Rothfels indicates that Beck's original plan was to organise 'a unanimous refusal by Army leaders to take part in Hitler's war project.' This was the closest the army officers opposed to Hitler's war came to using collective action as a tactic, or even trying to involve more than a handful of people.

Therein lies the fundamental weakness of the army's resistance to Hitler. They determined to form a conspiracy against Hitler involving only a minority of people and to overthrow him by force, then presumably installing a military dictatorship. Also, it was only the prospect of a European war that the army officers were opposed to, not any of the other aspects of Nazism, leaving them unable to form ties with the other forces opposing the regime at that time. It is only the later assassination plot of July 1944 that attributes to the army officers a notable place in history. In the early stages of resistance, they played a very insignificant role.

Rothfels refers to some 'outstanding individuals who started to resist in the initial stage' in the civil service. Thus, as with the opposition to Nazism of the army, that offered by the civil service was limited to only several notable individuals and did not seek to involve masses of people. Carl Friedrich Goerdeler was a central figure among the resistance of the conservatives. He sought to achieve collaboration between those opposed to National Socialism in and outside Germany, as well as to extend the German opposition networks, in particular among those involved in the civil service and business sectors.

In 1938, once Hitler's plans for war became widely known, conservative opposition leaders including Goerdeler established contact with the governments of European powers, principally Great Britain 'specifically to begin negotiating for recognition of a new government to be installed after Hitler's removal.' Stern estimates that these conservatives were in a similar position to the socialists and Communists, as 'they failed to understand... the nature of the hostility the regime had unloosed in the West as well as in Russia.' He believes it was a mistake to believe that separate negotiations with the West would be successful. It is significant that the political thinking of the conservatives headed by Goerdeler was not in complete opposition to that of the Nazi Party. Stern emphases the fact that 'in one important respect at least their war-aims were identical with those of Hitler's regime.' One can hardly wage an insurmountable struggle against a regime with which one has such significant viewpoints in common.

The liberal sections of society offered a resistance to the rise of the Nazi Party that was barely visible. Hoffman speaks of individuals who 'offered resistance simply by refusing to fly the swastika flag on the prescribed days, by suddenly turning into ardent church-goers, or by studiously failing to hear the of the cry 'Heil Hitler.' The only form into which the liberals organised themselves was the German Freedom Party that was founded over the years of 1937-1938. Rothfels notes that 'their first pamphlet stressed 'the dignity human personality' as the rallying point of all opponents of the Nazi regime. Liberalism itself engenders reformism and individualism, and in this way the problems of the liberal resistance have a great deal in common with the weaknesses of the opposition provided by the Social Democratic Party as well as the conservatives.

Only an ongoing movement involving massive numbers of the working class and demanding, without compromise, the complete destruction of National Socialism could have stopped the Nazi Party from coming to power in Germany. Clearly neither the German Communist Party, the Social Democratic Party, the Catholic Church, the army, the conservative opponents in the civil service nor the liberal elements of society were able to organise and maintain such a movement. The failure of these sections of society to successfully oppose Nazism can be attributed to their lack of understanding of the danger that National Socialism posed, their focus on the role of individuals instead of the masses of people, their inability to withstand Nazi repression, and their unwillingness, or inability, to work together.

Types of Atlanta Senior Housing


For seniors, Atlanta is a great place to live in. It has almost everything that a person can hope to have around when he or she grows old. This is one of the reasons why there are so many Atlanta senior housing facilities in the city.

Another reason is the large number of people above 55 years of age in the city. 17.1 percent population of Atlanta is 55 years old or older, according to the "Profile of General Demographic Characteristics: 2000" released by the U.S. Census Bureau. Of which, 9.7% people are 65 years old or older, and 3.3% people falls in age bracket of 60 to 64. In absolute terms 40,535 people are 65 or above in Atlanta.

This has led to opening of all kinds of Atlanta senior housing facilities in the neighborhood. If classified according to the level of care given or needed, the senior housing can be classified into three categories: (1) Independent living, (2) assisted living, and (3) nursing.

Independent living

An independent senior housing provides a good alternative to the person who wants to and can live independently without any external support. You will be given all the privacy you need, all the activities you want to participate in, and all the things you want to and can eat.

Independent senior housing is best-suited for those who do not want to take the burden of maintaining their houses, but want to live independently among like-minded peers. In this kind of setting, personal care is not provided, but meals, transportation, housekeeping, and planned activities are offered to the residents.

The cultural richness of Atlanta makes the city a nearly perfect place for this kind of living. To keep yourself entertained, you can visit any place you like, but

  • If you are a live music lover then you can ask the management to take you and your friends to Fox Theater, the EARL, The Masquerade, The Star Community Bar, the Variety Playhouse, and the Tabernacle.

  • If classical music is your choice then places like Metropolitan Symphony Orchestra, Georgia Boy Choir, Atlanta Ballet, New Trinity Baroque, Atlanta Opera, and Atlanta Symphony Orchestra are waiting to welcome you.

  • And for the people with a taste for high art, Georgia Museum of Contemporary Art, Atlanta Institute for the Arts, High Museum of Art, and the Center for Puppetry Arts present a great opportunity to explore.

Assisted living

Atlanta assisted living arrangement is good for the person who can function properly, but wants a little bit of help in doing the activities of daily living (ADL)like cooking, driving, taking bath, and medication, etc. People opting for assisted living need a certain level of personal care every day, and they also require immediate medical attention from time to time. The facility needs to have well-trained and qualified support staff to help elderly live their life comfortably and peacefully.

Nursing

It is full-care Atlanta senior housing facility. People who needs round the clock care by trained and qualified medical staff should move to this kind of setting. In this kind of senior housing a proper monitoring of each resident is done, and it also has qualified staffs to fulfill all the medical and non-medical requirements of the residents. Nursing staffs assist a resident until he gets well and starts functioning properly on his own. In total, Atlanta has around 60 nursing homes.

One Atlanta senior housing is different from the other two in the level of personal care each one of them provides. You should assess your parent's need before going for any of the three. Do not decide in haste.

Thursday, April 25, 2013

Medical Alert System For Senior


A medical alert system is a personal emergency response system providing fast response to patients who face life threatening events. It is a small, lightweight, water-proof device activated simply by pressing a button. This portable device is usually worn around the neck or on a wristband.

A medical alert system is a simple health monitoring device ideal for seniors who live alone, or are suffering from heart-related ailments and chronic diseases such as arthritis, diabetes, and osteoporosis. It utilizes the latest information technology and provides care in assisted living facilities. Some of the features of a medical alert system are automatic voice to voice communication, remote call answering, adjustable volume controls, and monthly test call reminders.

A typical alert device includes an amplified speaker, extra sensitive microphone, a large button, and wristband. It is designed to work from anywhere in or around the subscriber's home. The powerful speaker system and sensitive microphone work simultaneously for the subscriber to communicate with the monitoring center. When the alert button is pushed, it sends signals over the telephone line to the 24-hour medical alert monitoring center. Then, it opens a voice to voice channel between the subscriber and a highly trained person, ready to provide quick assistance. The centre dispatches local medical personnel, ambulance, police, fire or other services as needed.

A fall sensor, available with any medical alert machine, is specially designed to recognize falling or other similar accidents. Whenever a fall occurs, it automatically informs the alert machine and the monitoring center. The alert machine is also equipped with a power back-up facility, and automatically notifies the medical center if the battery needs replacement. A built-in rechargeable battery operates up to 24 hours during power failure. Medical alert devices are available for use outdoors and while traveling.

Personal Care Contracts: How It Makes Sense to Pay Your Kids to Take Care of You


Amazingly, more than 1-out-of-4 American adults provide uncompensated care for their aging or infirm loved ones, including parents, relatives, and friends. This percentage is expected to increase as people live longer because of advances in medical technology.

Family members usually make the best caregivers, often assisting with personal care that the elderly or disabled may not feel comfortable receiving from strangers, such as bathing, dressing, and toileting. Of course, the responsibility of being a caregiver can become quite difficult, when you consider how hard it can be to balance caregiving responsibilities with job and family responsibilities. After all, family caregivers provide more than 20 hours of care per week across approximately 4.3 years, on average. Some caregivers are forced to reduced their work schedules or even quit their jobs entirely in order to provide the necessary care for a family member.

The personal care contract as a planning tool

The personal care contract (also known as a personal service agreement) is a Medicaid and estate planning tool that can accomplish quite a bit under the right circumstances. First of all, it creates a mechanism for money to go from the care-recipient to the caregiver in a way that avoids having the transfer be deemed a gift or uncompensated transfer. It does so by giving recognition to the value of the care being given -- after all, paying a third party to give the same care would be very costly. By treating the payment to the caregiver as compensation for the specific services provided, this protects the money that passes as a lump sum from the care-recipient to the caregiver in the following way: Without the use of a care contract, if the loved one were to need nursing home care, all of his or her money would be considered an available asset that could be used to pay for care, making the care-recipient ineligible for Medicaid until all of the assets have been depleted, and any amounts transferred to the caregiver would be deemed gifts, which Medicaid would penalize by imposing a period of ineligibility. However, with a care contract in place, the payments to the caregiver will not be considered gifts, and will reduce the care-recipient's assets and count towards the care-recipient's "Medicaid spend down" when the care-recipient applies for benefits.

This is why more and more families use such formal caregiver contracts in which adult children or other relatives are hired to provide certain services to the loved one for a specified amount of compensation. Services may include such tasks as cooking, cleaning, outdoor maintenance, running errands, transportation, and are often classified as bookkeeping, nursing assistance, and care management. While many people may already be aware that Medicaid allows care contracts for caring for loved ones living at home, they may not be aware that payments made via personal care contracts for providing care services for nursing home residents are also an allowable spend down.

The basic requirements for a care contract

There are three requirements for these types of contracts: (1) the agreement must be in writing, (2) the payment must be prospective -- in other words, for care to be provided in the future, not already provided in the past -- and (3) the compensation for the care must be reasonable, which means it has to be what would be paid to a third party to provide the same care. Local home-care agencies or geriatric care managers can assist in determining the fair market value of those services in a given area.

A personal care agreement should include the following information: It should specify the start date and the duration of the contract; it should detail the services to be provided by the caregiver; it should contain a formula setting forth the average number of hours per week for each service and the expected duration during which the caregiver will provide the care; the compensation to be paid to the caregiver; and that the agreement can only be modified by a written agreement of the parties.

Let's consider an example

Daughter agrees to provide certain services for Mother, including cooking, cleaning, laundry, errands, bookkeeping, nursing assistant-home health aide services, geriatric management, transportation, and interfacing with health care providers. Daughter enters into a written agreement with Mother to provide such services to Mother for her mother's lifetime, in exchange for a lump sum of $75,000. The duration of the contract is determined by looking up Mother's life expectancy using actuarial tables. The $75,000 is paid by Mother to Daughter at the inception of the agreement, when the contract is signed.

Other potential benefits

Personal care agreements help reduce the size of an individual's estate. They can also be used as an alternative to leaving uneven bequests in a Will by rewarding caregivers for the significant time, effort, and money they spend in providing care for an elderly or disabled relative. In doing so, they may prevent conflicts between siblings and other family members, but to be effective in that regard, it may be wise to discuss the arrangement with other siblings or relatives ahead of time.

Consult with a knowledgeable Elder Law Attorney

Families looking to enter into a personal service contract need to be aware that some states require caregivers to be state-certified home care aides. Also, each locale has its own rules and safe-harbors when it comes to these arrangements. An attorney who is familiar with Elder Law issues should be consulted to discuss whether this type of agreement is appropriate under the circumstances, and assist with the preparation of the contract. While a personal care contract may not be appropriate in every situation, anyone caring for a loved one at home or in a nursing home should consider consulting a knowledgeable Elder Law Attorney to discuss this and other Medicaid and estate planning issues.

Monitoring My Elderly Parents


If you don't live with your elderly parents you probably want to know what they're doing since you aren't with them. Calling on the telephone is fine, but it only goes so far. You may consider that the time has come where additional monitoring is needed.

When should you determine that your mother and father require more monitoring? Some common indicators include how well your mother and father take care of themselves.

You should look at your parent's personal grooming.

Can your elderly parents bathe and comb hair? Do they need help getting dressed including buttoning buttons, zipping zippers and tying shoes? Are your elderly parents capable of keeping their house clean? Can they dust, mop, run the vacuum, do the dishes? Can your mother and father cook? Are they able to walk around their home? Can they sit down and get up from chairs by themselves? What about getting in and out of bed? Can they bend over and get something off the floor?

What about doing things outside the home? Can they go to the grocery store? Run errands? Can they get in and out of an automobile? Do they get around where they live without getting lost?

How about finances? Can your mother and father handle their monthly budget? Balance their checkbook? Pay bills?

These are the kind of inquires you need to make. A little trouble in a few areas may indicate some problems in the future, but your parents are still able to function OK. However if you see problems in a lot of areas that could indicate it's time to closely watch your mother and father. The more situations where your parents have trouble doing things and the more severe those problems, the more they indicate somebody should keep a closer eye on your mother and father.

Your parents want to remain independent. This is a big deal to anybody, but it gets even more important to elderly parents. That is because independence is so vital. On some level your parents know that if they lose their independence they may never get it back. You want to help your parents stay independent. Therefore if you can help it, you don't want them to have to go to an assisted living setting or nursing home if less restrictive alternatives are available.

Nowadays, more than ever, different technologies exist that can help you keep an eye on Mom and Dad regardless of how far away you live. Mom and Dad may feel like monitoring systems in their home are an invasion of privacy. That may be true. But you want to only use least restrictive alternatives to keep your parents safe.

Several options of monitoring exist from an occasional phone call to having your elderly parent's entire home wired so you know precisely where they are and what they are doing 24/7. You can consider different options between the extremes.

One of these alternatives may be a much better solution for your parents than having to leave their home.

For example, some companies will charge thousands of dollars to completely wire your parents' entire home thus allowing you and others to keep track of your parents. A less costly alternative would be a computer and security cameras set up in a couple locations around the home. Many options like this come prepackaged as software and hardware. You may need an a computer guy to come in and set it up, but after that the price is just an internet connection.

You may consider a Help button. That is a device worn around the neck so it is always within reach. If your mother and father press the button, which is always in reach as long as they are wearing the device, a monitoring company calls and determines whether help is needed. If the monitoring company decides help is needed one person from the monitoring company remains on the phone with your mother and father until help shows up, and a second person calls for help.

The bottom line is your mother and father need to stay safe. On that point everyone will agree. What you may need to determine with your parents is the amount of monitoring that is needed to keep them safe while maintaining their independence. Assure your parents that you respect their desire to live in their own home and you want to make sure they get to do that. But sometimes they have to give up a little privacy, even if they don't want to, so they can stay in their home.

Copyright 2011 Jeffrey B Kent

You have permission to reuse this article if you credit the author and place a link to the author's website in a prominent place.

Creating an Accessible Home - Assisted Modifications For the Elderly, Disabled, Or Handicapped


As promised, this is a second of a series of articles discussing ways to make a home more accessible. My first article talked about general construction of a barrier free home. The related articles will address specific tweaks to make it easier to overcome environmental problems.

What I have observed is that people without physical limitations often do not appreciate how difficult simple everyday tasks can be to someone who is physically compromised. Many times a small modification can remove an obstacle. By presenting these examples of problems and solutions, I hope to raise awareness of problems and inspire people to look for answers.

Problems/Solutions:

Doorways openings are too small/Offset Door Hinges - The obvious answer is through construction - widen doorways. There is a cheaper, less disruptive approach. Offset door hinges will give you an extra 2 inches with very little effort and cost.

Turning round doorknobs/Levered Doorknobs - Round doorknobs can be difficult for people with limited grasp. With a lever, all you need to do to open a door is to push down on the lever. You can replace all the doorknobs in the house with levered ones but this means changing locks and that can get expensive. An alternative approach would be to put conversion lever attachments over existing round knobs. Locks would not need to be changed and the cost would be less with this problem solver.

Standing from a seated position/Furniture Risers or a Lift Chair - Standing from a low level can create problems for someone with limited leg strength. By raising the seat to a higher level, it takes less effort to stand, possibly making the task achievable. Furniture Riser can raise the whole chair from 2" to 5". Another option would be a Lift Chair. These chairs automatically lift the chair seat with the push of a button. Chairs online begin at about $600 and go up. My online purchase saved me about $300; I paid $600 when the suggested retail was $900. Shipping was free. An additional feature in many of these electronically operated chairs is that they also can recline with the push of a button.

Turning Faucets/Automatic Faucets - Normal aging, a stroke, arthritis, or some other medical problem may cause the simple, everyday activity of turning a faucet to be frustrating. An automatic faucet can be mounted to your existing faucet. Simply run an object under the faucet and your water comes on automatically. It will then stay on until you move from under the sensor. Online prices start at around $50.

Grasping and turning a small switch/Touch Lamps - Limited grasp caused by arthritis or other health problems can make the activity of holding a small object like a light switch and turning it difficult. A touch lamp can be operated by coming in contact with a metal surface on the lamp. You can buy new touch lamps or just put a Touch Lamp Converter into your existing lamps.

Opening widow coverings/Motorized Window Blinds - Do you, a friend or relative have a dark house because the blinds were never opened? Sunlight can work wonders on a person's psyche making this an important problem to fix. The inability to reach the controls to operate window coverings is a very common problem. It is not unusual for furniture to block access. With motorized blinds, you use a remote to point and click to open or close blinds. A cheaper fix for those who can reach controls but find it difficult to turn wand controllers is to buy blinds where pulling a cord opens or closes the blinds.

Getting over thresholds when using a wheelchair/Wheelchair friendly threshold - Your normal door threshold has a small hump so there is not a gap between the bottom of the door and the floor. Unfortunately, a wheelchair user must be very careful that both wheels hit the hump at the same time or the chair will rock, threatening a collision with the door frame. You can replace the raised threshold plate with a flat one but then must put a weather proofing strip on the bottom of the door to close the gap. This item is available at most hardware stores.

Getting out of bed/Bed Handle - For people with the problem of getting out of bed independently, a bed handle may be the solution. This bedrail gives a person something to pull up with, helps them turn in bed, or can provide support when standing. It is only about 1 1/2 feet long which is shorter than a normal bedrail. This short rail is not effective for keeping someone in bed, however, it provides something to grasp while being short enough to allow someone to swing their legs over the side to stand.

Many times only minor changes are necessary to bring an obstacle down to size. The first step to problem solving is to recognize the actual stumbling block. Once identified, consider whether an alternative approaches would help you reach the goal.

CNA Certification in Michigan Eligibility Requirements


In 1987, federal legislation Omnibus Budget Reconciliation Act of 1987 (OBRA-87) was passed by Congress to improve the nursing and nursing-related cares in nursing homes. The legislation requires nursing homes to employ nurse aides who are trained and evaluated through state Nurse Aide training and Evaluation Program (NATCEP). The federal requirements included 75 hours training program which contains classroom instruction, lab training and16 hour's clinical hands-on experience in an approved facility, and a Written/Oral Test and Skill Test. The training program also requires inclusion of minimum OBRA required education requirements. Nurse Aides meeting federal requisites are awarded a CNA Certification and registered with the state Nurse Aide Registry.

In the state of Michigan, the State Department of Community Health has been entrusted the responsibility to develop a state CNA program that includes minimum OBRA requirements and accordingly, Michigan Nurse Aide Training Curriculum, 1989, was designed to train nurse assistants in direct patient cares. The complete duration of state approved NATP is federal legislation required 75 hours, divided between 34 hours class/16.5 hours lab and 24.5 hours clinical training. The administration of the state training program is the responsibility of the Department of Licensing and Regulatory Affairs, Bureau of Health Professions.

The Department has assigned a nationally recognized test agency Prometric to develop, manage and administer state competency evaluation test (CEP) and maintain MI Nurse Aide Registry to list certified nurse assistants holding CNA Certification in Michigan.

Once the students have successfully completed nurse CNA Training program, they must appear and pass Witten Test and Clinical Test. The successful candidates are awarded a CNA Certification in Michigan by Prometric and listed with the state Nurse Aide Registry which also allows them to perform health-related tasks in Medicare and Medicaid approved facilities and long term care facilities.

The testing process requires completing a Michigan Competency Evaluation Registration Form and submitting it to Prometric with a copy of CNA program completion certificate. The applicant applying for a CEP must submit the documents within one year of completing his/her training program.

If the submitted documents meet the testing contractor's own requirements, the applicant is sent an Authorization to Test (ATT) and a list of MI testing sites. On receiving the ATT and testing site list, the candidate can call the testing center where he/she wants the test to be scheduled and fix an appointment to test. The ATT is applicable for one year and the candidate must pass the CEP during that period for a CNA Certification in Michigan. The examinees are offered three chances to pass the test and if they fail to pass in three attempts they will have to recomplete the training program once again.

The successful candidate is awarded a CNA Certification in Michigan, which is valid for two years and must be renewed before it expires.

Senior Care Jobs - Some Information


Many old age homes, retirement communities and nursing homes are coming up. Many senior citizens are becoming members at these nursing accommodations, hence the need of nursing assistants, support staff, care staff, field staff have increased on a large scale. Senior care jobs have increased tremendously in the past decade.

The main qualities required to be present in nursing assistants are love, care and hospitality. The basic needs and requirements of the senior citizens are taken care of by nursing assistants. Usually the senior home care agencies require the caregivers to be certified as Personal Care Assistants or as Nursing Aides. There are various courses available for this kind of job; you can acquire a degree according to the requirement and start rendering quality services to the members of senior care home centre. Every health care centre would hire nurses with a certified degree. Training is provided to the caregivers through the senior care agency and the only criteria required for the job are compassion towards the senior citizens and their interaction with them. The best way to acquire experience is to opt for volunteering at an old age home. Free training is given to volunteers.

The basic job duty of a caregiver is to provide company to the senior citizen, to plan their daily routine which will include personal care, exercise, emotional interaction and bathing, cooking meals, maintaining a clean and healthy environment. Along with these light housekeeping is sometimes required. In short catering to the basic care needs of a senior citizen is what a caregiver does. The senior care job varies from every individual. The work schedules of a caregiver can be made flexible. A full time companion care may be required for a senior who is bed ridden or is recovering from some major illness or who requires extra personal assistance. Dependability and trust worthiness are the qualities which a caregiver must possess. Senior citizens who require assistance at night can also appoint live-in caregivers to stay with them in their house.

The job satisfaction achieved in a senior care industry is much higher compared to any other industry. If a person is of caring nature then this is the correct type of job for him. There is tremendous scope of growth in various positions that a senior care job has to offer. The best reward you receive in your entire life is CARING FOR SENIORS.

Wednesday, April 24, 2013

The Role and Responsibilities of Nurse Managers


Managing a staff of nurses is a challenging career that requires nursing and managerial skills. A nursing management career starts with being a licensed practical nurse and working your way up through years of clinical practice and advanced education. They also participate in management training that addresses specific issues that deals with employees, behavioral standards, and handling of legal issues that is associated with the supervision of the people working in the hospital environment. Nurse Managers or what used to be called as head nurses handle specific departments such as the intensive care unit or pediatrics.

Duties of a nurse manager

  • Nurse Managers are responsible for planning, organizing, and directing health services in their department to ensure that the goals and objectives are performed consistently and that the services provided to the patients is of the highest quality and standard.


  • They select, mentor, motivate, and direct the development and evaluation of the staff nurses. They are responsible for establishing and keeping track of quality improvement indicators and other information that concerns the patient care and services. They ensure that resources are available in order to provide high quality service and the on-time performance that is consistent with the facility's standards. At times, they devise educational programs that are health related for the facility's non-professional and professional staff.


  • They participate, consult and collaborate with other units and healthcare providers in developing long term plans for health care programs. They interpret and communicate policies and procedures that the agency or facility puts in place to establish areas of responsibility and assignments among departments and staff.


  • They are also responsible for developing budget estimates and handle other information pertaining to financial concerns and requirements. They approve and monitor expenditures and purchases to ensure that the budget guidelines are complied to.


  • They are responsible in the staff maintenance. They assign nurses to particular cases and oversee the patient care to ensure that it remains at a high standard. They are also involved in creating treatment plans for patients and to coordinate the efforts of the medical team. This is to keep everyone up to date of the progress in the medical care and condition of the patient.

Key challenges in nursing management


  • Increasing nursing staff satisfaction and retention. One of the most challenging aspects of being a nurse manager is how to effectively address or reduce the effects of the continuing shortage of nurses especially in their respective facility or department.


  • Planning and managing the unit's finances and resources. This requires proper planning and management on a shift to shift basis and in between shifts.


  • Handling of labor and union issues. Labor unions are becoming more demanding in their efforts to affect the hospital's management decisions. Nurse Managers need to have the sophistication, skill and diplomacy in order to effectively address such concerns and issues.


  • Creating a positive and performance oriented culture. A nurse manager has a great influence in establishing a positive and performance oriented culture by building an open communication with the staff and establish the standards of care, build an alliance with her staff and other members of the multi-disciplinary team and assure that each one feels valued and committed to organizational goals.

A Warning About Blackmailing Mediums


The internet is an amazing tool for breaking down artificial boundaries such as time and space. Instant communication with a person on the other side of the world is a marvel that has brought home to us how small the world really is and how irrelevant time is in the greater scheme of things. Internet communication has also assisted in breaking down the boundaries of space, because on the web there are no space limitations.

What has this got to do with mediumship?

People who have had a glimpse of eternity understand that time and space are man-made concepts. These concepts apply on earth so that we can make sense of our environment. Once we understand this, it becomes clear how mediums and psychics can tap into the quantum soup of the unconscious and use email to convey the results to their paying clients.

Unfortunately, as with any technological development, there are always people that exploit for their own benefit.

There is nothing wrong with asking for and obtaining a psychic reading over the internet. A true psychic will (always with the permission of the client) find a link to the information that needs to be channelled to the client. Once the link has been established, the information can be conveyed via email. True, this is a one-sided conversation. The advantage is that the psychic does not have the comfort zone of asking numerous questions. They either have the link or they do not, and it is much more difficult to fake the link when you are not in a position to interpret the body language and facial expressions of the client.

I would, however, get concerned if the psychic reading is returned to me immediately (obviously machine-generated and aimed at a mass market rather than at me personally) or when I cannot associate at all with the contents of the reading.

I have had clients that would not accept any of the information I channelled to them. In those circumstances I initially doubted the information I received, but I realised over time that there are people that simply deny everything around them. This is not a justification. I have had one client (over a period of more than 15 years) for whom I was unable to give any reading at all. I told her the truth and gave her money back. I have had a few clients that rejected everything I said to them, but their comments and responses then clearly indicated that I was far too close to the truth for their comfort.

However, the kind of nonsense reading that I refer to is the generic bluff one that shows no understanding whatsoever of your situation or your questions. I once had such a reading from a person who told me that my love life would improve if I stop wearing navy blue. At the time I had not a single piece of navy blue clothing or even accessories in my wardrobe, and my love life was the least of my concerns. This person had all the paraphernalia, including the head scarf, gypsy earrings and crystal ball, on display and made buckets of money from gullible and vulnerable clients.

Another big concern with a reading obtained via the internet is where the reading is done for free or for a very low price, and then the reading is followed up with a series of emails demanding a ransom for your salvation. I have seen some of these emails that would scare the living daylight out of any innocent person, because they indicate that doomsday is getting closer by the minute if the recipient does not respond to any of the series of emails.

Of course the response of the recipient must be in the form of buying an expensive trinket that will bring immediate relief, or buying a "more in-depth" reading that will chase the hovering devils away at a price that is comfortable for the medium.

No earthly object can bring relief to a hurting soul. In fact, people who fall for this kind of blackmail will hurt even more, because they will part with their money under pressure and feel even worse about the space that they are in when there is no relief.

Maybe it is just the way I think, but I would rather provide a paid-for reading than provide a free reading as bait for another reading. For me, this is not only a matter of integrity i.e. giving the client what they paid for in the first place. It is also a matter of self-protection. There are thousands of people that would want a free reading, and every time you give a free reading, you also give energy away to a person that does not appreciate your gift.

I would rather do a single paid-for and comprehensive reading for a person than allow them to suck out my energy in exchange for the promise of only then giving them "the real stuff".

And I know that it is not good internet marketing, but I believe that the quality of my readings rather than the sale of trinkets will let clients return to me.

Make a Living in Music by Gigging in Retirement Homes Etc


In a world where the population is staying healthier and living longer there continues to be massive growth in the area of caring for the elderly. New Retirement Homes and Retirement Villages as well as Nursing and Care Homes are being built and re-developed all over the UK and across Europe, USA and the Rest of the World. For instance did you know that there are over 5000 Nursing Homes across Spain, half of which have been built since 2002? The well-being of this section of our communities has never been so much in the limelight and their daily care and activities is of paramount importance.

Music has been noted as one of the most important and beneficial activities in the care of the elderly and there are great opportunities for musicians, singers, and entertainers of all types to play a major role at this stage in a person's life. Gone are the days when Residential Homes and Nursing Homes in particular would rely on the talents of volunteers to supply them with their weekly sing-a-long. In this day and age nearly every establishment has an "Activities Coordinator" who's job it is to make sure that the residents are kept occupied throughout the day and that regular entertainment is provided. Unlike a few short years ago, companies and individual owners are now expected to have a budget for entertainment and other general activities because it has been recognised throughout the whole Care Industry that "Music" especially, has an amazingly positive influence on the life of the elderly and those that are un-well, disabled or infirm.

So, not only is there a great benefit to the well-being of others but it is now also possible to seriously consider this type of establishment as a regular booking in your gigging schedule.

Here are the simple facts: There are almost 20,000 Retirement Homes and Sheltered Schemes in the UK and over 12,400 Nursing Homes and Residential Care Homes. That's over 32,000 potential places that you could contact regarding entertainment. If only 1% of those gave you a booking you would have a gig everyday of the year. That's how big this market really is. This figure doesn't even include the many hundreds of Day Centres and Active Retirement Clubs and Associations there are out there, or even any of the Birthdays and Anniversary Parties that will come your way once you get going and people like what you have to offer.

I am sharing this information with you because I believe that there are many of you out there who have a great talent and are just not aware of the opportunities available in this massive market area of Retirement Homes, Residential Homes and Nursing Homes etc. I certainly wasn't, and it has been a real blessing for me to be able to experience the warmth and appreciation that you get from the people living in these places as well as getting paid for the privilege.

If you are someone who is just starting out on your musical career and want to experience playing in front of an audience then this niche area of the entertainment industry is definitely something to consider. Or if you are already an established musician or entertainer and would like to add one or two bookings per week to your diary then this is a very serious option for you. However you might be like me and find that once you come across an idea that works you want to put all of your energy in to it. Well the good news is there is enough work to be had to make a very good living from gigging in these establishments.

Providing entertainment in Retirement Homes and Nursing Homes is very rewarding. They are usually great fun and the residents are extremely friendly and accommodating. Whatever umbrella your style of music falls under, there is a place for you in this enormous niche market. If you are a musician or entertainer who has free time on their hands, especially during the daytime and all you can think about to earn more money is to go and get a part-time job somewhere then why not consider this option.

Could it be that a brand new future awaits you?

Previewing Assisted Living Facilities Before You Need One


Often there are many stages to transitioning from an independent living arrangement to an assisted living arrangement. Let's examine what to pay attention to when visiting assisted living facilities. Going to a facility can be done well in advance of the real move and it can help make the physical and mental adjustments easier.

If assisted living communities need to be licensed, have someone from the facility show you where it is displayed. Look to see if it is current and that the correct address of the facility is listed on the license itself. Ask about other state regulations regarding the organization and its staff. Have them provide you with their latest compliance reports.

Find out about institutional procedures. Knowing about the admission requirements will help you in filtering out the facilities where your parent cannot be qualified. Inquire about how a change to a resident's medical needs affects their care, their living arrangements and their cost of living. If a person takes a vacation or has an extended stay in the hospital, ask if their living area is held open and for how long. Question if there are additional fees for transportation, haircuts, or personal items.

The caregiving staff is, perhaps, the most important asset in a care home. Observe how well the staff interacts with the residents. Look for warm back and forth communications. One measure of quality of care is the staff to resident ratio, examine how many people are working a common or living area and how many people they are expected to care for. The ratio may be state regulated, if so, that information should be available to you.

Indirect care can be assessed by surveying the community as a whole. Walk around the community to see how well maintained the grounds are. Take some time to look into some of the living areas and the common building areas, inspect the overall condition of the walls, carpet, and lighting. While examining the grounds, also pay attention to the residents, are people appropriately clothed for the season. Note the levels of the resident's alertness are they interacting with others or are many of them confused and left alone.

Personal independence is a major benefit in these care institutions. Many provide a sliding scale of assistance. As the resident gets older and needs more help they are moved to more advanced care areas. However, there are some broad areas that help a person feel as if they have control in their environment regardless of the amount of help needed. Socialization rights are important to know. Rules about visitation allowances and independent access to locations outside of the community should be understood.

Independence issues also include having control of time and space. Will the resident have the ability to eat and sleep on their own schedule or will they have to maintain the facility's schedule. Will the resident be able to decorate their living space or will the room be standard institutional furnishings. Will the establishment allow for any pets or are they forbidden. All of these can create just the amount of personal independence to make this a comfortable home.

Often a community of this type will provide meals in a cafeteria-style room or they may deliver to the living quarters. Find out if both are available. If you can, ask to see a menu schedule and eat a meal at the facility. Pay attention to the variety of food, or lack of it, and the quality of the food itself. Strike up a conversation with a staff member or a resident and see if any time limit is imposed on meals.

These suggestions are by no means a complete assessment tool. But regardless of if you are in Arizona or Vermont, these ideas should be of help. Begin an online search to start locating assisted living facilities in your area.

Emergency Room Errors


Emergency Rooms, or ER's, at hospitals all over the country are the most stressful worksites in the healthcare profession. The standard of care in United States hospitals is high quality. Doctors, nurses, surgeons, and all other healthcare professionals take pride in this. However, the fact remains that malpractice occurs in the medical profession and today's hospitals need to improve the care provided in their Emergency Departments.

Errors in hospital Emergency Rooms are a common occurrence infrequently talked about and rarely reported to the media. That is why you don't hear about these types of cases on the news. Understaffed hospitals, ill-equipped emergency rooms, and poorly trained staff may lead to fatal errors when dealing with patients requiring emergency treatment. Let's face it - when you arrive at your local hospital ER you know absolutely nothing about who will be taking care of you and there is no time to research the competency and track record of the ER staff.

There are many ways that errors or malpractice may occur in Emergency Rooms. The following is a partial list of some of the Emergency Room medical negligence cases we have handled:


  • Medication Errors

  • Prescription Errors

  • Failing to diagnose impending heart attacks and strokes

  • Diagnosis Errors

  • Errors in interpreting x-rays, CT scans, and MRI studies

  • Discharging patients who are critically ill

Over 225,000 people die from medical malpractice related injuries in a single year and nearly half of these deaths are from emergency room errors.

The following is a partial list of the more common medical errors which arise in the Emergency Department:

Failing to administer prophylactic antibiotics in patients with open fractures. An open fracture is one in which the bone has broken through the skin, and as such, these fractures present an increased likelihood of infection. The best outcome for these patients is dependent upon prevention of infection and obtaining a quick union of the fracture. Prophylactic antibiotics reduce the risk of infection and should be given as soon as possible.

Failing to diagnose compartment syndrome in patients with tibial fractures. The tibia is the larger of the two bones of the lower leg and is the weight-bearing bone of the shin. A compartment syndrome is a serious complication which occurs when the pressure in a closed fascial compartment rises sufficiently high to cause nerve and tissue injuries. Without timely diagnosis and treatment, compartment syndrome can cause permanent loss of use or function in the involved extremity (legs or arms). The clinical signs of compartment syndrome include pain out of proportion to the injury, pain on passive range of motion, and loss of distal pulses. Immediate consultation with a surgeon is the preferred course of treatment.

Failing to treat a perirectal abscess in a diabetic patient as an emergency. Patients who are diabetic present many unique challenges to their health care providers. A perirectal or perianal abscess is a pool of pus that forms next to the anus, often causing considerable tenderness and swelling in that area and pain on sitting down and on defecating. These abscesses or infections have a tendency to rapidly progress to deeper, more serious infections in diabetic patients. The abscess can develop into Fournier's gangrene, a life-threatening infections with a reported mortality rate of 9% - 43%. Again, prompt consultation with a surgeon is the preferred course of action.

Failing to provide the proper airway for patients with facial or skull fractures. Establishing and securing an airway is one of the first steps addressed by all Emergency Departments. There are several ways to accomplish this goal but the main techniques are tracheal intubation (either oral or nasal), bag and mask, or a surgical procedure known as a cricothyroidotomy. Emergency physicians should almost never attempt a nasal tracheal intubation in patients with facial or skull fractures due to the possibility of passing the tube into the cranial vault and thereby cause even more serious injuries.

Failing to admit unstable patients or patients with unclear diagnoses to the hospital. Remember, the Emergency Room doctor's first responsibility is to stabilize the patient and then make appropriate decisions about the patient's continuing care needs. Most ER doctors do not have admitting privileges at the hospital - they must contact the patient's regular doctor or the hospital admitting doctor for permission to admit the patient directly from the ER into the hospital. Almost everyone has a story about a friend or family member who was discharged from the Emergency Room returned to their home and within hours or a couple of days suffered a disastrous outcome. Make sure your friend or family member is stable, and with a plan of treatment, before discharge from the ER.

If you or anyone you know has experienced an emergency room error, or any other kind of medical malpractice, please contact us. We are here to help.