Saturday, June 22, 2013

Home Security - Top Seven Uses For A Hidden Spy Camera


A lot of people are under the mistaken impression that they don't need a hidden camera. I would beg to differ with them and make the point that they probably do need one. They just haven't thought about it. In general, hidden cameras are used to catch people doing things that they shouldn't be doing. Those things are usually illegal, immoral or a combination.

A hidden spy camera is a board camera placed inside an object that is used on a day-to-day basis-an object that is so common nobody thinks twice about seeing it. That's what makes it so effective. It is the old expression "hidden in plain sight." The camera sees images through the lens but to record you need a DVR. Most hidden spy cameras these days have a DVR included in them. That makes recording a snap.

All hidden cameras have video ability. Some of the newer, smaller ones, the so-called "body worn" hidden cameras, also have audio capabilities. Always look for hidden cameras that have a DVR included in them. They are actually cheaper in the long run and easier to use than hidden cameras without a DVR.

Some examples of hidden cameras are an alarm clock, a wall clock, a radio, a desk lamp, an air purifier, ball point pen, wristwatch and many more.

Here are the top seven uses for hidden spy camera. There may be others but these are the most popular ones.

1. For home security-place a hidden spy camera near your front door that can catch people coming and going when they shouldn't be. Your Home security will be better.

2. For business security-place an overhead smoke detector spy camera over your cash register at your business to catch an employee with sticky fingers. Your business security will improve with more money to the bottom line.

3. To catch infidelity in the act. The number one reason people hire private investigators is to catch an unfaithful spouse. You can do it yourself with a hidden spy camera.

4. As a nanny camera-to keep an eye on your children and/or your nanny while you're away from the home.

5. As an employee development tool-place an Alarm Clock Camera in a room where someone is practicing a sales presentation. It will allow you to see their facial expressions and their hand gestures so you can suggest corrections that will make the presentation more effective.

6. Elder abuse detection and prevention-with a growing number of seniors in long-term care facilities, nursing homes and home healthcare, elder abuse has become a huge issue. This is one of the easiest ways to catch it.

7. Human resources issues-with sexual abuse charges, bullying and other human resource issues so big in the news these days, A hidden camera can make these difficult situations easier to document.

Those are the top seven uses for hidden spy cameras. You sure you don't need one?

Facts And Myths About Online Nursing Degrees


Do you want to be licensed nurse? Are you looking for the best nursing program that will allow you to learn online? Online education is the trend today. As it permits the students to carry on with their present commitments while simultaneously have the time to work out a degree. Before, breadwinners who have families to feed didn't have the time to go to traditional schools to study. Now that we are living in a fast-paced world, people easily can accomplish most of the things online. Moreover, people can now choose to study with their preferred courses online and at an accelerated pace. Then again, there are people who think that online nursing degrees are fraud because of the different rumors going around which are halfway true and halfway false. As a result, applicants and students are torn whether to study in conventional schools or go for online nursing degrees. If you are undecided whether where to enrol, following are the facts and myths about online nursing degrees that you should know.

Myth: Online Nursing Degrees Are Low Quality Education.
Fact: Many people are afraid to enrol online because they think that all online degrees are fraud. Perhaps, they have previously become victims of online fraud. However, without generalizing, several institutions today are hiring professors with Master's Degree and quality instructors to ensure that they are providing quality education to their students. They guarantee that their curriculums are timely and evidence-based.

Myth: Online Nursing Degrees Are Not Accredited.
Fact: Again, people should not be generalizing. Yes, there are online nursing degrees that are not accredited, but others are accredited. Certainly, it is more challenging to check if the online degrees are of quality and that the nursing instructors have the necessary credentials. However, there are accreditation systems that are encouraging nursing schools and nursing institutions to submit their nursing programs for evaluation. The Department of Education is in charge for overseeing the accreditation process. The DOE is working side by side with the National League for Nursing Accrediting Commission or NLNAC. They are responsible for determining which schools are to be accredited. Other accrediting agencies include the Accrediting Bureau of Health Education Schools and Council on Occupational Education.

Myth: The Level Of Difficulty Is Different From Studying In A Conventional School And That Of An Online Degree.
Fact: Don't enrol in any online degree if your reason is it is easier to graduate or you do not need to study hard. Before you enrol in any programs, check the curriculum because they are almost the same as that of the campus nursing degree program. However, since it is more of an independent study, it makes studying more difficult. Then again, there are still instructors that will be assigned to help you in case you will have a hard time on a subject matter.

Myth: You Won't Get A Job If You Will Study In An Online Degree.
Fact: This is definitely false especially if you will enrol in a qualified and accredited institution where you will receive proper training. These days, most employers know the significance of technology in education. They are open to individuals who did graduate from an online degree. Moreover, if you are a Bachelor's graduate in Nursing, you will still need to pass the NCLEX exam if you wish to apply for a job in the United States. The purpose of the NCLEX exam is to ensure that the public is protected and that the nurse is capable of what he or she is doing.

Today, thousands of online nursing degrees are available that you can choose from. Be careful when choosing the curriculum and consider the tips above. Protect yourself by being informed.

Being Observed - Tips For First Time Teachers


There's no job quite like being a teacher. Not even considering the expectations that are set so high, the wages that are set so low, and the hours upon hours spent dealing with papers that need to be graded, no other job demands more dedication more consistently. You throw yourself into your work by spending lots of time preparing your lesson plans, making your classes entertaining, nurturing relationships with your students, and even making yourself available after school in case anyone is looking for some emotional support. Teaching is a lifestyle choice, not just a job. You are required to give 110% every day as a basic rule. This is why first time teachers seem to go to pieces when they have to deal with being observed and rated.

And you will have to deal with them. Especially during your first year, it will seem like you are being watched every day, by everyone you could possibly imagine would have a vested interest in observing your teaching. You'll see everyone from your principal, vice principals, the administrator for your department, district superintendents, and even the lunch lady taking a look at how you teach your class. They will all do the same thing: they will choose one of the student desks and they will write a bunch of notes.

Rest assured you will get used to having someone observe you. The fight or flight response you felt the first few times will subside. There is no flight, so you have to fight it out and eventually your body and your physiologic system will get used to having someone watch you teach. After a month or two you may even be able to act a little normal. If tenure is your goal you will want to try to shorten the period of time that it takes you to feel OK being observed. You want a nice string of evaluations in your teaching record right from your first year.

Before you freak out too much about these observations, calm down a bit and realize that nearly every teacher gets tenure. It's very rare to have the case of a teacher being denied tenure by an ugly score on an observation. Finding good teachers is not an easy task, and if you're genuinely trying your best (which by searching for information and reading this article, you must be) then you will not be judged solely by your performance during an observation. Just keep in mind that your administration is there to help you, not to fire you. Let them do their job and try to make their job as easy as possible by not stressing too much in class. Make them feel welcome in your class and let your students shine as much as you will.

Senior Home Care


Once if you're getting aged or your parents, or any of your family members get elder it needs to care for them. These people always need a hand to do their day to day activities too. Some elder people they cant even walk one step without the help of someone. More over many adults prefer to stay at home as they are getting aged. Senior home caring is about caring elder people and so as to maintain their health good. It is a great idea for helping our old aged parents and other people to maintain as much control of life as possible. There are many products available now a day in order to improve the health of elder people and thus to improve their quality of life. One such product to care the elder people is the adapted equipment. Adapted equipment used for senior home care that it helps to achieve the goal of caring your beloved aged peoples. Also when caring elder people there should need to understand their needs and how come make practical the senior caring.

There are many books, videos, pamphlets etc available in the market which includes a verity of steps and precautions to carry while caring the old, aged people. Some websites also provides help to customers to learn the lessons of caring for senior people at their home or at the old age homes. For handicapped or such disabled people there should always need a person to take care of them at each and every intervals of time. In these cases the adapted machine helps you improve the quality of elder people life. Adapted equipments are considered to be a great help for senior home caring. This equipment usually includes some common place products such as elder safe step ladder, wheel chair, grocery store scooters, large-handled eating utensils, bottle openers etc. These tools can make home caring for seniors a little bit easily and quickly. This equipment sometimes costs more to buy or hire. So it is an important to consider both the cost and quality of equipments used for senior home caring. Along with determining the cost and quality of adapted machines it is a good option to buy appropriate caring machine based on an individual's situation.

Retirement care home also means caring for adults after they get retired form their job or business. As many seniors they seek the home retirement to live either at their home, at a nursing home, or at a retirement home after they retire from their job and responsibilities. A nursing home, retirement residence etc could be a choice for retirement caring for adults that they will get the all mode of caring and health care at resident care homes. But many families are trying to set up the facilities and home caring to adults with in their home. Retirement care home is a choice to provide residence and home care to both elder people and younger adults who they have any of physical or mental disabilities.

The Top 10 Benefits of Getting Old, Including Elderly Care Facilities


Sure death is closer as you age, but once you deal with the reality of that you can start having fun. These 10 benefits make me look forward to my golden years.

1. Elderly Care Facilities: Senior assisted living is a great way to manage when getting older starts to take its toll on your body. Having someone provide your meals and manage your medicines takes the tedium out of aging.

2. Confidence: Ah, youth. It can be exciting for all of the uncertainty, but it can also be jarring and worrisome. Forget about being unconfident and self-conscious -- with age comes a self-righteousness well worth the wait.

3. Wisdom: As if being self assured isn't enough, you also get the benefits of having lived and seen a variety of things young whippersnappers haven't. That makes your experience all the more valuable. Pass it on whenever you get a chance, but because kids have little patience, it may be better to write it down as a memoir, so the future generations can have your stories too.

4. Discounts: From museums to early bird specials, seniors get tons of reduced fares. Take your pick and start enjoying.

5. Free Time: Without working you can easily begin a new hobby and focus on yourself. Try golf -- it's great exercise and it's nice to immerse yourself in nature.

6. Solitude: And speaking of nature, now that you've been around the block, chances are you can finally appreciate what it means to be alone. The quiet and relaxation of listening to birds chirp or streams burble; kids just want to see what's next.

7. Grandkids: The best aspects of having children without the worry of discipline and raising them properly. And with gray hair it's hard to be thought of as foolish, so you can act as silly as you want around kids (or anyone else, for that matter).

8. Mental Strength: As we age, the brain grows stronger, having absorbed more. Philosophizing becomes easier and we don't take knowledge for granted the way young people often do.

9. Freedom: No one can really tell you what to do. You have age on your side, which goes a lot farther than any reasoning or "power."

10. Relaxation: With time to spare we don't have to rush or worry. That means you can breathe deeply and relax. Take a nap or a stroll, do whatever you want! You're retired!

Getting older is natural. Enjoy it as it occurs and you will be able to reflect on your youth without regret.

Nursing Home Care - An Overview of Nursing Homes in America


Nursing home centers (also known as skilled nursing facilities) have come a long way over the past few decades. Although they're still not perfect by any means, nursing homes today are much improved over their predecessors. In the 1950's and 1960's, nursing homes (or old folks homes as they were often referred to as) were scary places for senior citizens. Today that trend is changing. Although nursing homes can still be scary, today there is significantly more federal and state oversight of nursing homes. All nursing homes must meet certain requirements, such as having a nurse on staff 24-hours a day, seven days per week in order to keep their doors open and have to meet all sorts of requirements in order to qualify for Medicaid, Medicare and other government funding programs.

Nursing homes are generally for two categories of individuals. The first class are the individuals who need assistance in their daily living activities. This means they can not care for themselves on their own day-in and day-out. They need help with one or more activities like preparing meals, bathing, going to the bathroom, getting dressed and so on. Although a large percentage of this group is made up of older people, there are also many younger people who have physical or mental disabilities and cannot care for themselves. The second category of individuals that normally reside in nursing homes are those individuals who need short term care. These individuals include people who are recovering from injuries, surgeries and other situations where they just need a little help to get back on their feet. These people tend to live in the rehab wings of nursing homes.

Nursing homes are not cheap. Depending on the part of the country, nursing home costs can range anywhere from $1,000 per month to as high as $10,000 per month and higher. These high costs force many people to look for payment and funding alternatives. Government programs such as Medicare and Medicaid help with nursing home fees. Other private options like long term care insurance programs can help as well.

If you are faced with placing a friend, family member or loved one into the care of a nursing home you should research carefully to determine the best place. Talk to people at church, a family physician or other people you respect. Chances are, someone you know has had to research nursing homes and may know of a good one to refer you to. If you do not get good referrals from people you know, a simple Google search can provide a lot of data. Carefully research each option and make sure you tour the facility before you make a final decision.

Friday, June 21, 2013

Elder Abuse - Role of Old Age Homes, NGOs and Senior Citizens Associations


Role of Old Age Homes & Nursing Homes

Old Age Homes need to have staff that is sensitized about the problem of EA. They need to be aware of the consequences of negligence. In nursing homes, Residents who apprehend EA may be accommodated in dormitories than single rooms. Even Old persons need to be taught as how to avoid or report abuse.

Generally a black mailing sort of a situation prevails in cases of EA. For instance a senior citizen being abused can send an SMS to his relatives and delete the message. He need not talk arousing suspicion leading to further harassment. In nursing homes a general practice coming under abuse is to keep the victim sedated unnecessarily so that he does not give trouble. Such unsocial practices can be curbed with proper supervision.

NGOs and SCAs

They can organize centers to accept older persons dumped or deserted by their children. Thereafter find a suitable OAH to re-locate them. This is a great service. During festival seasons where very large numbers of devotees gather, granny dumping is a worry some practice. Senior Citizens Associations can conduct lectures to bring about awareness on: how to recognize EA, how to complain and how to manage the problem.

They should tell old people that it is OK to complain instead of silently suffer endlessly. SCAs may liaise with local leaders, village elders, politicians, police and others to help victims seek remedies. They may take up cases to the tribunal set up under MWPSCA.

Average Nursing Home Costs


The average cost of nursing homes varies to such an extreme that it is necessary to break the issue down into subsections. There are nursing homes, residential homes, dual registered homes and specialist Dementia care homes. The four different types cater for different needs and consequently will have different average costs.

Nursing Homes

Nursing homes will have facilities for personal care, but with an added dimension of medical care too. These homes will have their own qualified nurses, which obviously pushes the price up. Studies have been conducted to suggest what the average costs are for nursing homes. For a standard nursing home privately it would cost around $36,000 dollars annually. For partially private, it would be a little less, but still significantly pricey. There are nursing homes available which are at least partially state funded, but they are available only to those who truly cannot afford to pay for their own assisted living costs.

Residential Homes

Residential homes are a type of nursing home where personal care is provided, but without the need for expensive medical treatments. In these homes the costs are slightly less, but as they provide round the clock care, they are still expensive. Dependent on the area you live and the type of home you choose, the costs can be up to $75,000 per year. This is a significant impact on even well established retirement funds. Medicare or Medicaid will only be able to offer you so much assistance, and you must therefore assume that you will be paying the majority of these costs yourself.

Dual Registered Homes

Dual registered homes are designed for elderly couples who want to stay together, but have different levels of medical needs. These establishments will often have a set number of beds which are marked as 'residential' and a set number for 'nursing'. These are more complex to run, and must provide two levels of care, which does impact on price. However, it is difficult to get an 'average' for these kinds of establishments, as the costs will vary depending on the needs of the couple in question. Again, the costs will also vary depending on whether you are in private or partially private care.

Dementia Care Homes

The final type of nursing home I will cover is the dementia specific care home. These homes specialize in the care of people who have mental rather than physical impairment. This can include dementia, Alzheimer's and a variety of other mental conditions. These establishments are quite expensive to run due to the level of care needed to ensure that the patients are monitored at all times. Due to the nature of these conditions, it is more likely that you can get state help. They should be able to perform an assessment on your relative to see if you are entitled to help in the costs of their care. The average costs of this care vary, but in the UK the average is around £25,000. In the US the figures are similar at around $50,000.

How to Successfully Defend Your Car Accident Claim


Car accidents can be devastating for victims who are often subjected to immense suffering even for no fault of theirs. They stand to lose their vehicle, their job, and financial resources. A legal representative can provide them with assistance when they wish to make a car accident claim.

Common Injuries

One of the most common injuries resulting from a car accident is whiplash. It can occur as a result of low or high impact collisions. If your neck has been jolted backwards, forwards or sideways, and if you experience pain in the neck which extends to your back after a car accident, you are probably suffering from whiplash. Many cannot move their neck; chronic whiplash can last for more than 6 months.

In case you are involved in a car accident, you must seek medical advice immediately. The doctors will assess your injuries and provide you with assistance so that you can recover as quickly as possible. In case you wish to make a car injury claim, you need the medical records as they are vital evidence that show the cause of your injury.

Compensation you can expect

If the car accident was not caused by you and you were innocently caught in the proceedings, you can make your claim provided you have all the necessary evidence to support your claim. The amount you can expect as compensation depends on the reasons for the accident taking place and the nature and extent of injuries. Damages to the car and medical expenses at the hospital are included in the compensation package.

Choose Professional Services of Lawyer

Personal injury lawyers with specialization in Whiplash Accident Claims are a very good choice when you wish to seek advice. The lawyer will want to see your health care provider to understand the degree of your injuries and then build your case for compensation claims.

It is difficult to prove that whiplash injury leads to lifelong complications but with an expert lawyer on your side, you can expect the best advice and most favorable compensation. You have no liability while staking a claim because the solicitors will often provide you with 100% free consultation and even provide you with no win, no fee services.

It is very common to see compensation damages ranging from 750 pounds to as much as 13000 pounds and these figures don't include reimbursement for vehicle fixes, relief medication therapy, lost sources of income etc.

Many people acquire their compensation for a Car Accident Claim within a year. Insurance companies commonly offer a good deal if you have adequate legal representation and if you are not satisfied with their offer, your lawyer can present your case in a court of law.

It is best to opt for the services of expert and professional lawyers if you want your claim to be successful.

False Accusations of Abuse in the Military: Who Is the Victim Here?


Forensic consultant and author Dean Tong states, "Approximately 270,000 fathers are victimized each year across America by unfounded and false child sex abuse reports." Family courts and child protective services have become plagued with false accusations used in an attempt to sever the relationship between a parent and child. As bad as it is to be falsely accused in the civilian sector, it is far worse in the military. In the military, the soldier has little say after accusations are made and must follow orders from a chain of command concerned more about how the accusation may affect their own careers, not the soldier's.

Family Advocacy is the army's equivalent of child protective services. It is its responsibility to investigate accusations of abuse. However, unlike child protective services, family advocacy has an additional resource - the soldier's chain of command. Upon receiving allegations of abuse, family advocacy notifies the proper authorities (e.g., military police) as well as the solder's commander or first sergeant. Once the soldier is notified of the allegation, the soldier should be read his/her rights under article 31 of the uniform code of military justice. The soldier is then "counseled" in writing that he/she is not to return home or have any contact with the spouse or children other than that instructed by family advocacy. This is formally known as a No Contact Order or Military Protective Order (Restraint Order). Failure to follow the order is subject to punishment under the Uniform Code of Military Justice.

After informing the soldier of his/her rights and issuing the Military Protective Order, the commander, or most likely the First Sergeant, will order the soldier to move out of housing and into the barracks. (Some units keep a room open specifically for this purpose since it occurs so often). The soldier is escorted home by a military police officer while he/she picks up uniforms and personal hygiene products. In many cases, when the soldier is allowed to return home, the spouse has moved out and the soldier is left to an empty housing unit, or apartment. Often, all personal belongings will be gone, other than what the spouse did not want.

Two options are available to report abuse to Family Advocacy. They are Restricted Reporting and Unrestricted Reporting. A Restricted Report does not initiate the investigative process and no investigative agencies or the soldier's chain of command will be notified. With Unrestricted Reports, investigative agencies, including the soldier's chain of command, are notified. Both have benefits and limitations. For instance, in Restricted Reporting, the soldier will not be placed under a Military Protective Order. However, if it is a true case of abuse, the victim will not have the available protection that the Unrestricted Reporting provides - the Military Protective Order. If an allegation is made to a third party who reports it to family advocacy, it automatically becomes an Unrestricted Report. Certain professions, such as nurses, teachers, and social workers, are classified as Mandatory Reports. By law, they must report any suspicion of abuse. The angry spouse can simply make a comment to a mandatory reporter, who will file a report of abuse with family advocacy.

The Lautenberg Amendment is a supplement to the Gun Control Act of 1968. It "makes it a felony for anyone convicted of a misdemeanor crime of domestic violence to ship, transport, possess, or receive firearms or ammunition." An angry and vindictive spouse, determined to end the career of a soldier, will push buttons. A simple slap can result in a conviction of domestic violence and will immediately end a military career. A soldier who cannot carry a firearm is useless to the military.

If the spouse is moving to another state, the investigation will be transferred to the nearest installation; however, it is not unusual for an investigation to be closed because of the spouse's failure to participate. The spouse achieved what she/he set out to do: place the service member under great stress, leave with all the possessions, take the children, wreak havoc on the service member's career, and most likely destroy all the military service member's personal mementos in one last attempt to "get even." However, the Military Protective Orders will continue to remain in place.

False accusations are made to family advocacy for the same reason they are so common in the civilian sector. They are a fast and easy method to sever a relationship between the individual and his/her children. With an accusation, an "angry and vindictive" spouse will have the military member under house arrest while he/she is loading the couple's belongings and leaving the installation. As in the civilian sector, if the accusations are proven false, the accuser will go unpunished. And, as in the civilian sector, an overwhelming percentage of accusations are found unsubstantiated. Since spouses who make false accusations are not held accountable, again, there is no deterrent to making an accusation.

Little can be done about manipulating the military system; however, there is a need to begin prosecuting false allegations made to family court and child protective services simply because of the overwhelming number of accusations made each year. Each false accusation to child protective services takes away resources needed to investigate allegations of the true cases of child abuse. There is no reason any child should be subjected to either physical or psychological abuse. It is our responsibility as a society to protect our children and allowing false accusations of abuse to overwhelm an already understaffed, under-trained, and underfunded investigative agency, as well as an overburdened court system, makes us all responsible for those cases of abuse that slipped through the system.

Assisted Living and Retirement Communities: Great Food Equals Happy Residents


Meal times are bar none the most important activity of the day for seniors living in retirement and assisted living communities. Eating is an immensely enjoyable activity when you're young (as evidenced by our 60% overweight population) and for the elderly, and is often the only enjoyable activity of the day. And while fattening home cooked dishes will always be on menus - just watch the uprising if they took away chicken fried steak from anywhere south of the Mason-Dixon line - communities should still be striving for quality and freshness.


  1. Our seniors spent their whole lives deciding when and what they wanted to eat. Isn't it only fair that they get to do that now? While many communities have limited meal times - and this is not necessarily bad, it's certainly better to have an all day dining program in place. When is the last time someone told you that lunch was served at 11AM sharp? Our seniors aren't children and they're paying a lot of coin to live in these places. Communities should attempt to be as flexible as possible in their scheduling to be respectful of the decision-making ability of these folks, even if they come in at the same time. Every. Single. Day.

  2. It's just as important to give seniors the choice of where to sit. Senior communities can be like high school with folks moving in and out of social circles. Wouldn't you get sick of sitting next to the same person every day? What if you didn't like them? Assigned seating should be reserved only for residents with very high care needs who need extra attention.

  3. Knowledgeable Food & Beverage Director. All the better if the chef is a nutritionist (and in some states it's the law). Even if no need exists now, he or she should be able to tell you what they can and can not do in the event diets change for health reasons. Diabetes, chewing problems and diverticulitis, among many others - are fairly common ailments among an aging population and something to think about when considering a move.

  4. Quality and Quantity. Look to see how extensive the menu is. Residents should be given at least three options at every meal, one hearty, one healthy, and one light. Even home style dishes should be made with fresh ingredients and a minimum of salt, and served with fruits and vegetables that will be pleasing to any palate.

  5. Cleanliness and Atmosphere. Keeping the kitchen and dining room clean are incredibly important to help prevent the spread of illness within a more frail population prone to picking up every little bug. Check food safety inspections and be sure to walk all the way into the dining room (and in the kitchen if they allow it) to make sure staff looks clean and crisp, salt and pepper shakers free of any visible debris, table surfaces sanitized, and glasses and silverware spotless.

  6. Don't forget to try the food. While every community claims to have the best around, make sure you ask to try it for yourself. Your taste buds don't lie and it will give you a much better idea of what the community is really like as a whole.

When Parent Child Roles Reverse


So often I hear frustrated clients tell me, "Help, my elderly parents are so stubborn and they are driving me crazy!" I completely understand this frustration as I have been there too. My elderly mother became more and more forgetful as she got older. She would forget to eat and drink. She was too frail to drive and her life consisted of playing solitaire, watching TV and waiting and hoping that someone might stop by for a visit or give her a call. Trouble was, she never had anything to talk about because she had become so isolated from the world. She refused to move to a senior community and expected me to be available at a moments notice - even though I lived hours away and had a family and full time job. I was so worried about her and frustrated too. So, I get it. I really do. I understand what it's like to be a parent to a parent. I got through it. I help my clients get through it and you can get through it too. Here are some thoughts that might make you, as a parent to your parent, feel a little better.

First of all, it is important to understand that the Senior in your life is experiencing a lot of loss- sometimes on a daily basis. It doesn't matter if they do or do not believe in the necessity of moving to a safer place. It still hurts and our patience is required. They are most likely losing more of their independence on a daily basis. They have already suffered some physical and mental loss and are feeling sad, confused and probably a little angry too. They may have lost their beloved life partner. Seniors will often say "no" just because they can as it is the last bastion of their independence. If they move, they are leaving memories, familiar surroundings, neighbors and friends behind. They don't remember how to make friends and aren't particularly eager to make the effort to do so again.

If you are the adult child of a Senior, you are feeling a lot of loss too! Your role has been reversed and it feels uncomfortable and overwhelming. You remember when they were young. You hate seeing them lose their independence. If they have to move, you will miss the old family home too! You also wish things could stay the same. You feel guilty that you can't keep them in their home. You feel guilty that they can't live with you. You feel guilty that you have to take so much time away from your own family and career. You feel guilty that you feel angry when they make demands on you. You feel guilty for feeling guilty!

Wow, that's a lot of anger, sadness and guilt all around!

Relax, trust and know that as the adult "parent to your parents", that regardless of what you are feeling, you are bringing the love, nurturing, patience and care that you received as a child, back full circle to them. What a privilege. What a gift. Even if they don't appreciate it, you are helping them move forward and live safer and happier lives. Be content with knowing that. Living alone is not fun. Living alone is boring. Living alone when you are a Senior can be dangerous.

Sometimes your aging parents will absolutely refuse to move under any circumstances. In that case, offer them solutions. You can't be with them all the time. They can't be left alone. So ask them what the solution might be? Just being faced with having to solve the problem will encourage them to let go and let you decide for them. If they are worried about what to do with 40 years of accumulated possessions, help them choose what to take, get them out of their house and into their new senior community first. Then you can clear the house of their excess stuff. You can't do it when they are still living in their new home. It's too traumatic for everyone concerned. If you can't take care of the move yourself, hire someone through NAPO National Association of Professional Organizers, or NASMM National Association of Senior Move Managers to do it for you. You can find a professional near you through their national website.

On the day of the big move, pack a suitcase and/or a banker's box for your senior in preparation for the move. Mark it carefully and be responsible for it. It should contain all critical papers, medications, valuable jewelry and any other important documents you can think of. Moving is very unsettling and the fear for Seniors of losing important things is great. Seniors can fall into a state of panic if they cannot find certain items. Help them feel safe about these things. Take them out of their home before the movers arrive and don't deliver them to their new home until it has been unpacked and completely set up. I like to tell my clients that their parents will feel like they've been "beamed like Star Trek" into their new home and, it will feel like home - beds made, food in the frig, everything put away, cable TV installed, pictures on the wall, mementos on display.

In their new Senior Community, your parents will be watched and cared for around the clock. You will be assured that they are eating and drinking - a lot of seniors "forget" to do this and fall ill. They will make new friends and have new people to tell their old stories to. The can share life experiences with their peers. They will also be intellectually stimulated once again, which might bring back some of their lost cognitive abilities. They will be encouraged to re engage in the world-and most importantly, they will be SAFE.

Once they have moved, you will feel better too! You will be relieved that they are safe and watched over. You will know that they are eating properly and drinking fluids. You will know that their lives are now richer, with new friends and lots of activities to look forward to. You will enjoy your visits with them once again and you will get your own life back in the process.  

Why Don't We Help Each Other Learn?


I recently had the opportunity to speak at a regional conference for long-term care professionals. It was very exciting to be selected to speak and to share what I had learned about employee online and computer based education. Not to mention a little bragging about our new corporate education center.

While I was waiting for my scheduled time to present I couldn't help but notice how many speakers were not practicing administrators or directors of nursing. The session's speakers were mostly consultants, academics or government experts.

The underlining message the speakers were giving was buy my services and I'll give you this information for a fee. Which on its face value is fine if that is the only view you wish to evaluate. We flock to hear these experts pronounce what should be done to solve our problems simply because in most cases it is easy.

It got me wondering why more practitioners aren't sharing their knowledge and experience. After all we are the ones with the hands on experience and practical knowledge that is applied everyday on the job. We constantly solve problems and create new opportunities for success without the help of consultants, academics or government experts. But we don't share our knowledge and experience.

Sharing information, knowledge, experience, or a technique is the best and fastest way to become famous, particularly if your knowledge helps someone solve or prevent a problem. I also believe it is a hallmark of a skilled professional. So why don't we seek out other practitioners, a fellow administrator, director of nursing, department manager or supervisor to learn from, to give presentations with or to write articles with? It is inexpensive, quick, fun and you share similar experiences. It is more practical and does not require any translation from a consultant, academic or government expert who has never done what we do daily to apply the information immediately on the job.

Is it because we are uncomfortable speaking in public, or self-conscious of our writing skills, don't have the time, or don't know where to start? Are we concerned about what others will say about our efforts? No one knows more about the job than those of us who are doing the job. Or are we afraid we will lose a base of power and control that then makes us vulnerable to others taking our positions? Or is it that we are simply more interested in entertainment that learning?

It is time to place that self-consciousness behind you and never look back, creating a legacy for future administrators, director of nurses, department managers and supervisors. It is a gift that will live beyond our tenure in our profession. Don't think about it, do it. Share your knowledge and experience.

Pick up a pen, sit at your keyboard and write an article, a book, a course, give a speech, leave an easier path for the next generation of health care workers. Ask for help from a friend if you're not sure where to start. In fact E-mail me ken@decidingtolead.com and I'll help you get your message out and make you famous!

There is no try, there is only do! And I know you can do it.

Feel free to use this article, in your publications; in its entirety provided you include the following notice: 穢 Copyright 2011, Kenneth E Strong, Jr, Columbus, Ohio.

Thursday, June 20, 2013

Celebrating In An Elder Care Facility


Celebrating the holidays doesn't mean giving up on old family traditions for those living in an elder care facility. Christmas, Easter and even birthdays can still be joyous times for the entire family as long as memories are made. This guide offers suggestions on how to make the most of family celebrations regardless of where they are held.

Celebrating Birthdays

Many elder care facilities typically hold birthday parties once a month for all the residents who were born during that month. They are held in a common area with cake and coffee or tea served. Families can make this day even more special by personally celebrating with the birthday guest. Check the rules of the elder care facility about parties, but some ideas for celebrating a senior's birthday include:


  • Decorating his or her room or apartment with balloons, streamers and birthday signs

  • Holding a private party for family members in the dining room with dinner (brought in by the family), dessert and gifts

  • If possible, taking the resident out to dinner at a nice restaurant or at the home of a family member

  • Celebrating with cake and ice cream in the resident's room or apartment

  • Having fresh flowers delivered

Thanksgiving Celebration

Because Thanksgiving is typically celebrated with a large feast, it is nice to celebrate the day at the elder care facility where you or your loved one lives. Family members can check with the administration ahead of time for cost and availability, but ask about sharing in the holiday meal that the residents eat on Thanksgiving. What a wonderful day to celebrate new traditions! Many of the residents who are alone on this day will also enjoy the company.

Another option on Thanksgiving is to bring in a home-cooked meal to eat in the resident's room, apartment or even the dining room during the off-hours. Arrange this ahead of time. Finally, some restaurants serve full Thanksgiving meals on this holiday. A family dinner at a nice restaurant also is a pleasant way to spend the day.

Festive Christmas

Christmas is a wonderful holiday to spend with family and friends, and even though you or your loved one aren't in a traditional home setting, you can still make many memories together. Here are some ideas to make the holidays a little merrier:


  • Before you or your loved one moves into an elder care facility, make sure a family member saves and packs away some of the more sentimental Christmas ornaments and decorations. These will brighten up room or apartment during the holidays

  • Pipe in some old-time Christmas favorites such as White Christmas or Silent Night via iPod or CD player

  • Decorate the room with a wreath, cinnamon-scented pine cones and a small, artificial tree. Stay away from live trees and Christmas lights because of their fire or safety hazards

  • Make a scrapbook or photo album of earlier Christmas holidays

  • Bring in some family favorite Christmas foods

  • Eat a family dinner at a nice restaurant on Christmas Eve

Points to Remember

Holiday visits to elder care facilities should follow the house rules. Plan to visit around the meal and medication schedules. Call ahead to make arrangements to take the resident out for an afternoon or evening of holiday cheer.

Bounce House Sends Bodies Tumbling


In what is sadly becoming a more and more common event across the country, a family-friendly youth soccer tournament in Oceanside, N.Y., ended in fear and panic as gusty winds sent three bounce houses toppling through the crowds, sending 13 children and adults to a local hospital for treatment. One mother was critically injured when an inflatable crashed into her while she was walking on the jogging track at the school where the tournament was being held.

A symbol of lighthearted fun, inflatables have become symbols of danger to many individuals who have been injured when the structures have collapsed or become airborne. In the U.S., thousands of ?inflatable houses-related injuries occur each year. In just one recent two-month period, more than 40 people nationwide were injured when 10 inflatables collapsed or were swept away by gusty winds. In separate incidents in 2010, a man was killed when an inflatable slide collapsed on him and a child died after falling from the top of an inflatable to the concrete floor below.

"I wish this was a rarity, but it's not. It happens all the time," said Jim Barber, a spokesman for the Fla.-based National Association of Amusement Ride Safety Officials (NAARSO). "These are probably the most dangerous amusement devices they have."

Although he added the structures may be perfectly safe when properly anchored and supervised, currently there are few regulations in place to ensure safe installation and oversight. Unlike "traditional" powered amusement park rides which are subject to stringent state regulations and regular inspections by trained individuals, most states lack similar regulations for inflatables.

In addition to improper anchoring and supervision, inflatables that are overburdened or overcrowded can collapse. Attendants who are not trained in bounce house capacities or other ?limitations may allow too many people to enter the houses, causing the inflatable to topple over anchors to snap. Many bounce house rental companies simply deliver the bounce houses to the renter's location and then leave without providing an operator or attendant, or even proper guidance in installation or use.

Bounce house injuries can have serious consequences and leave victims with substantial hospital bills and prolonged recovery times. Like any injury, identifying who is at fault is the first step in recovering monetary damages that can help mitigate the costs of treatment and recovery, including hospital bills and loss of work. In addition to the manufacturer of the inflatable, supervisor, attendant or operator may also be responsible.

Bounce house participants who are injured, as well as those who are injured when inflatables become airborne, unexpectedly deflate, or otherwise malfunction have unique rights, and hiring an attorney who is experienced in bounce house liability and cost recovery is the best way to ensure all responsible parties are held accountable. For more information about bounce house accidents and an explanation of victim rights, visit http://www.bouncehouseinjuries.com.

Senior Caregiver Job Applicant Questions


Senior caregiving provides fulfilling work for individuals who are compassionate and dependable. Many opportunities exist as seniors often need just part-time care when family members are not able to check in during the week or when recovering from an illness or surgery. Some caregiving positions require certification as a nursing aide or home health aide and other positions simply require a caring personality. Senior home care agencies typically train caregivers for each assignment. Nursing homes and assisted living communities offer positions as activities director and nursing aides.

What questions should you ask to make sure the individual will be trustworthy and caring? Here is a list of suggested questions which are typically used by professional senior home care agencies when interviewing caregivers to join their care team.


  1. What attracted you to entering the profession of senior caregiver?

  2. Please share a story about an interaction you have had with a senior in your life, as a relative, friend, or caregiver.

  3. Please walk me through your employment history and tell me what you liked the most and the least about each job.

  4. What are your short-term and long-term goals for employment?

  5. Based on your experiences with the elderly, what do you like most about spending time with seniors?

  6. What do you think are a seniors greatest fears and concerns?

  7. What do you think are the characteristics of a good caregiver?

  8. Which of those characteristics do you feel you posses?

  9. What skills do you feel you would need to improve upon or develop as a senior caregiver?

  10. Do you have experience in providing personal assistance (bathing, toileting, feeding)?

  11. How would you handle a situation where the senior does not want to cooperate? Example: the senior does not want to take their medications at the scheduled time.

  12. How would you handle or behave in an emergency situation?

  13. How would you begin to develop a friendly relationship with a new client on your first day?

  14. Please let me know what medical conditions you have personal or professional experience in working with: Alzheimer's Disease/Memory Loss, Parkinson's disease, hip replacement, stroke, diabetes, cancer, M.S., others?

These questions have been developed by human resource professionals with years of experience and will achieve the goal of finding out the caregiver applicant's interest in performing care as an employee and their skills and dependability.

It is also important to perform background checks on potential caregivers.

Beware of any background check service that is offered for free or in tandem with a subscription service as a good background check will cost at least $15.00 for a one-time purchase by an individual.

This is because courts do require an entry fee, similar to how a nightclub charges, and it is important to also have computer records verified by a person in counties that do not keep their criminal databases updated daily.

Most background checks that are given for "free" are simply a name and social security number match. When hiring a caregiver, you may want to learn about the background check laws in your state. The best way to make sure you have all the necessary insurance protections and active management for a caregiver is to hire a professional senior home care agency which will provide worker's compensation insurance, professional liability insurance and a training and performance reviews for the caregiver.

Alzheimer Care in Orange County


With Orange County's population hovering around 40 million people, it's no surprise that the need for Alzheimer care in Orange County is on the rise. The good news is that services ranging from adult day care specializing in Alzheimer's care to assisted living and skilled nursing care options are available.

Adult Day Care

Alzheimer's Family Services Center (AFSC) is a one-of-a-kind facility in the county. It provides adult day care specifically designed to meet the needs of individuals suffering from dementia related diseases. Along with day care services, they offer support for caregivers to help equip and encourage them meet the challenges they face. AFSC is licensed by the California Department of Public Health. For more information call 714-593-9630.

Residential Alzheimer Care in Orange County

Residential Alzheimer care is available in Orange County. Homes such as the Cottage at Artesia Gardens which offers a unique residential environment that provides the assistance and security needed to care for those with Alzheimer's. Other larger facilities include choices such as:


  • ACE, Advanced Care for the Elderly (Anaheim, CA): This residential care facility provides personal care in a home environment. The licensee is a Registered Nurse with experience in Dementia, Alzheimer's, stroke, Parkinson's and more.

  • Carline's Guest Home (Santa Ana, CA): Warm, family environment provided to residents.

  • Hollybrook Senior Living at Orange(Santa Ana, CA): Each memory care resident is assigned a designated caregiver. This caregiver reports even subtle changes in the resident's behavior or condition and works as the point of contact for family members.

  • Sunrise of Tustin (Santa Ana, CA): Provides a monthly visit by a registered wellness nurse as well as other services. Amenities include secured landscaped walking paths so residents can get fresh air.

Skilled Care Facilities


  • Silverado Senior Living Tustin-Hacienda (Tustin CA): This facility provides expert clinical care in a warm, loving environment. Staff includes a full-time Registered Nurse who oversees a team of licensed nurses and caregivers. This is a pet-friendly facility.

  • Walnut Village (Anaheim, CA): Walnut Villages Summer House is a memory care facility that offers a secure location in a "protected memory support neighborhood within the village."

  • Emeritus at San Juan Capistrano (San Juan Capistrano, CA): The Emeritus dementia care program, was established with a focus on the residents with an understanding of memory loss.

Financial Factors to Consider

As you investigate the different options available for Alzheimer care in Orange County, there are financial factors to take into consideration. After determining a facility provides the quality and type of care you're looking for, it is important to ask about payment methods. Do they accept Medicaid or your long-term care insurance? Are you eligible for Long Term Care Medi-Cal?

No matter which type of Alzheimer's care facility you choose, most of the time costs are all-inclusive. However, it is important to ask whether or not additional charges will be incurred for supplies like incontinence products. Also be sure to check on prices for private versus semi-private rooms because this can make a difference. As you make this decision it is important to realize that privacy becomes less of an issue as Alzheimer's disease progresses. In fact, companionship of a roommate may actually be beneficial.

Paranormal Experiences


Major studies show that one third of Americans polled believe in ghosts, haunted houses, and the paranormal. Many of those surveyed have had a personal paranormal experience, at some point in their life.

What is a paranormal experience, exactly? That is a difficult question. It can be any unexplainable occurrence; as individual as the person experiencing it. It may involve an uneasy sense of being watched, or bizarre electrical malfunctions; lights, and other appliances randomly turning themselves off and on. It can manifest as extreme variations in temperature, frigid bursts of air appearing on a hot summer day with no explanation.

Experiences with the paranormal may be as profound as hearing disembodied voices or seeing full bodied apparitions that suddenly vanish into thin air. Others are subtle and can easily be written off as a passing coincidence.

But, most agree that unexplainable incidents exist in the world today, and have since the beginning of recorded history. How people react to them depends upon many factors, including religious beliefs, cultural norms, superstitions, and personality traits.

Many people have never given the concept of the paranormal much thought one way or another until something happens that turns their attention in that direction. The first response, in general, is the age old; "fight or flight" stress response. The body reacts, and we either instinctively run from the stimuli we can't understand, or we stop to face it head on. That's how God made us!

Those of a more rational, scientific mindset tend to look at the world in a set of black and white facts and figures. Everything is compartmentalized neatly into its place and there are no gray areas allowed. They believe only in what they can see, touch and prove, giving no credence to the things they can't. True skeptics lack the capacity to recognize a spiritual event, even when right in the middle of one, and, therefore, will never experience a paranormal event. They rationalize it away, and go on with their day.

On the other end of the spectrum are the new age, mystical believers. They are open to all things, and enjoy a spiritual side of life without question. They love the whimsical and the fantastic. There are religious groups from Wiccans and spiritualists to born again Christians who spend time daily in prayer and communion to the spirits they believe in.

In the middle, are the everyday people that have experienced the paranormal; astounded and unprepared for the sudden interruption into their lives. Some are from a conservative background with fundamental religious beliefs; others may be liberals with no preconceived notions of an afterlife.

Those who react to the paranormal with fear and dread can suddenly be thrust into a whole new level of unknown territory. With it brings new fears of mental illness. Visual and auditory hallucinations are definite signs of mental problems and people must consider that possibility when they suddenly start hearing voices or seeing things that aren't there. Physical illnesses such as Dementia, brain tumors, hormonal imbalances also come to mind. Those particular worries can be more terrifying than the prospect of dealing with the paranormal.

But, not everyone is afraid of the unknown. Some embrace it, and view it with awe and curiosity. They have the ability to accept the things not easily explained and yearn to learn more about it. In many instances, staff of haunted hotels, or families living in haunted houses, learn to live in harmony with what they perceive as restless energy or spirits of past inhabitants. They have found that spiritual energy is not always scary. It can be warm and comforting, too.

I want to believe in the paranormal, and for the most part, I do. Life after death is something I believe in with all my heart and soul. Still, I have some skepticism about whether or not spirits of the deceased can communicate with the living.

But, I remain open to the possibility.

I'm not afraid of the spiritual side of the world. I'm a seeker, and I welcome any experiences that come my way. I do believe I've had a brush or two with the paranormal over the years, and they were extraordinary but not frightening. I hope to have many more, and when I do, I will remember the motto, My God is greater than my fear.

Or, in the words of my three year old grandson, "God is bigger than the boogie man!" He is always with us and we have nothing to fear!

Building Self Esteem in Elderly Nursing Home Patients


Building self esteem in elderly nursing home patients can benefit all that are involved with the aged person, from the Nursing Staff to the Kitchen Staff to even the cleaning Staff. Then there are also the Elderly family, if the aged person is happy with the Nursing Home then the Patient will show signs of being satisfied. Then the family will be reassured by their loved one's voice that they have chosen the best place for their loved one to reside in. It is like a snow ball effect...one is happy and then all are happy.

Building Self Esteem

The Elderly are very vulnerable when they are at the mercy of a Nursing Home. If the Elderly are used to living at the Home and have a strong personality then they will feel reassured about speaking out and having self-esteem. But if they are new to the Nursing Home, or have a change in their care plan needs because of their own health then it is most likely that their Self Esteem will need to be reassessed.

To take away their independence and to take over their care takes time for the aged to adjust to their new way of life. It is a lot sometimes for the aged person to get used to. Most times the Elderly person was very independent at home and moving around freely but then end up needing care because their health changes, their eyesight changes or they have a fall and break bones. Once they feel like they are no longer able to take care of their daily living then their self-esteem is soon affected. It will become obvious that they have low self-esteem, and it will become very important for the aged well-being to have their Self Esteem Built back up.

Five Easy Steps To Build Self Esteem

  1. Ask the Elderly to help make decisions about their day-to-day living as much as possible. So instead of making choices for them, ask how the aged how they would like to be assisted.

  2. Give them a small tasks that they are able to complete. Even something as basic as folding the face washers or the towels make the Elder feel important.

  3. Ask the aged person what they used to like doing. Did they like gardening? Or painting? Or maybe sewing. Set up activities that the person is able to take part in and enjoy. You will soon see their Self Esteem boosted.

  4. Show the person you care about their thoughts, opinions and their history. Get involved in their earlier life and share their memories. If they have photos of their life then ask if you can sit and look through the photos together.

  5. Use the Elderly person name every time you speak with them in a conversation. Try to remember that person name so that they can feel important and loved.

Building Self Esteem in Elderly Nursing Home Patients takes time and team work. From the top of the management team to the AIN, EEN, RN, kitchen staff, laundry staff and also the cleaning staff. If the same view-point comes from the top of the staff to the bottom of the staff then it will shine through to all at the Nursing Home. The Patients will feel safe, will feel the love among the staff and will have their Self Esteem in tact.

There was a study carried out to see the effects of Self Esteem on Nursing Home Residents which you can read by going to this page Geratic Nursing

Keeping Self Esteem High

Once you have the Self Esteem back on track for the Elderly then it is just as important to keep the Self Esteem High. If one of the members of the staff start to speak in a voice that has no respect for the Elderly then all the staff need to pull together to turn the situation around and address the Elderly in a way that shows the person feels loved and cared about. It is important for our aged generation to feel love, to feel peace and to know that they were once an important person in society.

For more topics about Aged Care Nursing in Australia go to Nursing Issues - where one Nurse talks about lots of topics covered within Nursing Homes and the Nursing staff.

Wednesday, June 19, 2013

Nursing Home Jobs: A Booming Industry


Why Choose Nursing Home Careers or Assisted Living Facility Jobs?

With over 4 million baby boomers turning fifty, the number of senior citizens is soon to be double its current size. Along with the influx of elderly patients comes a need for people to care for them in retirement homes and skilled nursing facilities. Choosing the right retirement home position allows you to make money while helping a vulnerable population. You may also receive health and wellness benefits, retirement, tuition reimbursement and the ability to choose from three different work shifts. Some facilities even pay for non-medical staff to go to school to become qualified or therapists with a guarantee of retirement home employment following graduation.

What Type of Nursing Home Jobs Are Available?

A retirement home requires a large staff to run efficiently. Daily patient care falls upon the registered nurses, licensed practical caregivers and certified nursing assistants. Physical, occupational and speech therapists, as well as their assistants often perform specialized rehabilitative services. Many retirement communities have on-site pharmacies needing a pharmacist and pharmacy tech to staff them. Physician's assistants, qualified practitioners and physicians often make rounds and some maintain permanent nursing home careers as full-time staff. There are also many non-clinical retirement home positions such as receptionists, accounting, managerial, food service and maintenance.

What Qualifications Do You Need for Nursing Home Employment?

Qualifications for these positions range from a high school diploma or GED to a medical degree. Most medical Assisted living and retirement home employment opportunities require a college level education in order to obtain a license. Registered nurses require a minimum of an associate's degree and licensed practical caregivers require a specialized certificate, as do certified nursing assistants. Therapists of all specialties commonly hold a minimum of a master's degree with assistants holding an associate's degree or bachelor's degree. Pharmacists, physician's assistant's, and nurse practitioner's all hold a master's degree or higher. Physician's must be a medical doctor or doctor of osteopathy and hold a state medical license. Receptionists, secretaries, personal assistants and some managerial positions may require a high school diploma, college or job related training.

Where to Look for Assisted Living Facility or Nursing Home Careers?

When looking for retirement home careers, many people choose to start with the internet. Many internet sites allow you to search specifically for retirement community jobs and some sites cater to finding only these jobs. Newspapers commonly have assisted living and assisted living jobs under office work, professional and medical categories. Employment agencies can also help you find assisted living and assisted living careers in your area. Another possible venue for assisted living facility or retirement home employment is the actual facilities themselves. Often, introducing yourself to the human resources director can humanize your qualifications and give you a leg up against the competition.

Losing Weight in Assisted Living


When you need to lose weight, going at it on your own can be downright difficult. It is really tough to make the sacrifices that will lead to a healthier you. Even though you know that it's important to not be obese, you still may find that losing the pounds and keeping them off for good is extremely difficult. This is one of the many reasons why assisted living is such a great resource. You can find all the support that you want when you live in an assisted living facility. Whether it is the caring and compassionate staff that helps prepare your meals and takes care of you, or if it's simply the support of your fellow residents, assisted living presents a unique and controlled setting for you to effectively reach your weight loss goals.

Counting calories is tough. You need to be dedicated and you need to be thorough. It's true that if you want to lose weight, you need to burn more calories than you take in. This can be tough to measure, but luckily, most assisted living facilities can accommodate you in this respect. Figuring out your rough caloric needs is actually pretty easy to do. Once you do this, all you need to do is incorporate some light exercise, and you will start burning those calories even faster. This is a tried and true method of losing weight.

With so many health problems linked to obesity, it is a wonder that more people don't take full control of their lives and shed the pounds that might cause them ill effects. The bottom line is this: if it were easy to do, more people would do it. Losing weight can be very difficult for some people, and it's for this reason that having a support system in place will help you to reach your goals more easily. Losing weight is tough, so take it one day at a time and rely on the structure that you have in place. Everyone wants to see you succeed, and your assisted living staff members and caregivers can be your cheerleaders.

Ultimately, it comes down to you. It's your responsibility to care for yourself. If you want to lost weight, that's your responsibility too. No one can take credit for this other than you, so you need to own both your failures and your successes. If you have a setback, it's not a big deal. Learn from it and move on. When you reach your goals, don't forget to thank those who have helped you, but really, you need to be proud of yourself, too. Losing weight is a big accomplishment and if you can do it, you deserve to take some credit.

RN Jobs in the Geriatric Setting


Long term care facilities and nursing homes are continually seeking qualified registered nurses to staff their shifts. Skilled nursing facilities require the expertise of the registered nurse because the acuity of some skilled nursing home residents is very high.

The registered nurse working in the geriatric setting must be competent in many different levels of skills. Many people have the idea that nurses that work in the geriatric or nursing home setting do not require the same skill level as the registered nurse that works in a hospital setting. This is usually not the case because registered nurses who work in a skilled nursing facility must be proficient in clinical skills because many of the residents who are admitted to these facilities requires feeding tubes, IV's and tracheostomies. Some long term care facilities even have ventilator dependent patients.

The geriatric setting can offer the registered nurse a very flexible work opportunity. Working in a nursing home, or a long term care facility can be a great career choice for the new graduate or the older nurse who is returning to the field after years away from it. The long term care setting can offer valuable training and experience to the nurse who hasn't attained their clinical skills because of inexperience or because of not using them for an extended time period.

Geriatric nursing includes the staffing of certified nursing assistants, who assist the registered nurse in bathing, dressing, grooming and feeding of the nursing home resident. The nurse's main focus is not to perform routine care to the resident, but to administer medications and treatments. This work environment is often less stressful for the RN, as many times the acuity level of the resident is much lower than many hospital patients.

Many nurses may find that certain long term care facilities, especially ones that are not skilled nursing facilities may be a preferred career choice for them. Many registered nurses enjoy patient contact, and bedside nursing, however they might not feel confident in their clinical skills. For these nurses, who are no longer interested in attaining a high level of clinical skills, but still want to interact and help their patients, might find a long term care or geriatric facility right up their alley.

Nursing homes and long term care facilities also offer non clinical job opportunities for the registered nurse such as careplan coordinators. Careplan coordinators determine a resident's plan of care based on a variety of different needs. The careplan coordinator nurse confers with other departments such as Dietary, Social Service, Rehab and Activities to create a plan of care that addresses not only the resident's physical needs, but their psychological needs as well. This position offers flexible hours and can eliminate the requirement of working weekends.

RN jobs in the geriatric setting are an alternative to hospital nursing, and the registered nurse may even find that this job opportunity might even become a permanent career choice for them.

Special Education Art Project - Making Dream Catchers


Hemi is a 175# Great Pyrenees who works with 8th graders at a Middle School in Knoxville, TN. Hemi is a H.A.B.I.T. dog who works in the Ruff Reader Program.

H.A.B.I.T. (Human-Animal Bond in Tennessee) is a program run by the University of TN College of Veterinary Medicine. The organization sponsors programs which foster pet visitation to nursing homes, assisted-living residences, retirement centers, mental health centers, residences for children with special needs, rehabilitation facilities, hospital settings, and schools. H.A.B.I.T., which was established in 1986, medically and behaviorally screens animals and trains their volunteer owners regarding pet visitations.

Every Friday, Hemi patiently sits and listens to 8th graders practice their reading. The students also take turns lovingly brushing his long white fur. The fur was collected and sent out to be spun into yarn. I worked with the students for 1 week to create dream catchers, using the fur yarn. Students each created a small dream catcher for themselves and worked together to create a large one to be auctioned off to help support H.A.B.I.T. programs.

Since this was a literacy-based program, I started each day by reading a different dream catcher legend and discussing it. On the first day, students wrapped yarn around a 7" metal ring, completely covering it. On the second day, students were provided with a pattern and taught the half hitch knot to create the web. Students who mastered to technique were paired up with classmates who needed further instruction. Teaching others helped reinforce the learned skill. On the third day, students created dog themed beads with polymer clay. They used molds, cookie cutters, and clay extruders. On the fourth day, students added fringe to their dream catchers. Very little instruction was given and the students were encouraged to create their own design. Some of the kids initially did not like the lack of structure and started copying their classmates, but, by the end of the class, each was happily going his own way. It was fun to watch them decide how much fringe, length of fringe, and location of fringe. On the last day, students added the beads they had made on day three. They used a hand drill to add holes to the beads as needed. Beads were strung onto the yarn fringe using a dental floss threader and secured in place with an overhand knot.

Neatness was encouraged throughout the project. Students were taught design terms like variegated, balance, scale, symmetry and asymmetry. They also learned various knots and Native American folklore. IEP goals like listening, patience, following directions, problem solving, attention span and attempting a novel task were addressed. While working on the group project, students were required to state their design ideas and respectfully critique the ideas presented by others. The students stated they enjoyed to experience of making the dream catchers.

For more information on H.A.B.I.T., please contact them at:

H.A.B.I.T., Department of Comparative Medicine, 2407 River Drive, Knoxville, TN 37996

Tel: (865)974-5633

(I wrote this article for first publication in ADVANCE for Occupational Therapy Practitioners.)

Choose Personal Care With a Difference


When it comes to home health care, choosing the right specialists can be somewhat of a struggle. Requiring a lot of time, dedication, expert knowledge and plenty of patience, home care specialists who absolutely love their work are sometimes hard to find - but looking online can really open up new possibilities for people searching for the highest quality and the most affordable prices. Starting prices comparison websites can be a good idea. And here are the factors you need to be looking at.

Dependability and trustworthiness are the first two factors you should be considering when looking for personal care experts. You should always stay on the safe side and look for certificates, diplomas, references and other documentation that proves the eligibility of the specialists in question to do the job as best they can. It is not too much to ask for those documents as the health of people is to be cared for, so you should not feel out of line for doing so.

Expert knowledge and experience are also important factors to consider. Visiting nurses have to be experienced in a particular field that is of interest to you so you have to make sure you check those skills from recommendations or simply by setting the test period and observing the patient-nurse relationship for a time. Whatever it is - recovering from an illness, a chronic condition, or the need for constant assistance - the specialist in question should have enough experience to do their daily duties with ease.

Compatibility of patients and assistance has been known to enhance any relationship but when there is a lack of understanding, problems may arise. To see if this or that person is perfect for the job in terms of how the two people get on with each other the only thing to do is to have them come in for a test period of time and gauge the situation. When you have a case of an irritable patient that has a temper and is negative in disposition, you surely can benefit from someone with a lot of patience and plenty of love to give. Sometimes people simply don not mix well, and this will be apparent early on, because usually compatible people click right away.

Great equipment and technical support can also be important when it comes to choosing the right as sited living facility or staff for your home. With special conditions or recuperating from serious disease you have to make sure you can rely on the best technologies out there that can help your loved ones overcome this difficult period in their lives.

These tips are designed to help you get the best care possible within the budget you are working with. We hope they are helpful and wish you luck.

Truck Driver Responsibilities


The trucking industry in general plays a very important role in all of our daily lives. From the groceries we buy to the products we purchase at the local mall, they were all most likely shipped to these facilities by large commercial trucks. The chances of you driving beside a commercial truck on a daily basis are very high. As long as passenger cars and semi-trucks share the road, there are bound to be some type of accidents that will occur. But where does the responsibility fall when it comes to auto accidents that involve a passenger car and a commercial truck?

The majority of auto accidents on the road that involve a semi-truck are a result from negligence on the truck driver's part. This, coupled with recklessness, is a deadly combination for those driving passenger cars. Drivers, regardless of what type of vehicle they are driving, make mistakes on the road every day. However those driving large commercial trucks can't afford to make even the simplest mistakes. A commercial truck can weight in the neighborhood of 80,000 pounds, while a common passenger car can weigh approximately 3,000 pounds. This weight discrepancy can mean the difference in life and death. When a truck driver makes a mistake while driving a semi-truck, the results can be catastrophic. Below are a number of reasons semi-truck drivers make mistakes while driving.

Fatigue

Truck drivers work long hours and are expected to arrive at their destination on-time. There are guidelines in place for truck drivers indicating how many hours they are allowed to drive and how many hours they are supposed to sleep during the day, but not all follow these rules. When these rules are broken, fatigue can set in which can result in deadly auto crashes.

Alcohol and Drug Abuse

All drivers can become impaired due to the drugs and alcohol put into their bodies. When this occurs, a driver's judgment is impaired often leaving them making decisions that can become fatal. Drunk driving coupled with heavy commercial trucks results in an alarming number of fatalities each year.

Lack of Experience

Although truck drivers are required to attend "Driving School" in order to obtain the necessary amount of training from qualified teachers, it doesn't necessarily mean they will always avoid costly mistakes. Nothing can ever take the place of experience, especially when operating heavy equipment like a semi-truck. Inexperienced drivers, no matter how much training they have under their belts, can make deadly mistakes on the roadway.

Truck drivers have an enormous responsibility not only to themselves and their family, but to everyone else they share the road with. If you have been involved in an auto accident that involves a semi-truck, talk to a reputable injury lawyer about protecting your rights.

Tuesday, June 18, 2013

For CNAs - Ten Tips For Supporting Patient Rights


As you know, there are three basic goals for every health care bill of rights: to help patients be treated as individuals by health care workers and insurance companies; to encourage a strong relationship between patients and their health care workers; and to show patients that they play a huge role in their own health. If a surveyor asked your nursing assistants questions about patient rights, would they be able to come up with the right answers? To make sure, here is some basic information (and ten tips) about patient rights to share with the CNAs at your workplace.

Health Care Rights

Rights are very important to Americans. Our country was founded on the belief that every individual is entitled to certain rights-like life, liberty and the pursuit of happiness. And, we don't lose our rights just because we get sick, need home care or move into a nursing home or assisted living facility. Wherever we go, our rights go with us!

However, when people become patients, it's common for them to feel like they are powerless over what happens to them. That's why it's so important for your patients to learn about their health care rights. This helps them to:

  • Know they will be treated as individuals.

  • Understand that they can make their own medical decisions.

  • Realize that they do have power because of the important role they play in their own health.

While there are a few differences between the rights of a hospital patient, a nursing home or assisted living resident and a home care client, you'll find that the basic list of health care rights is the same for everyone.

Patient Right #1: The Right to Information

All patients have the right to:

  • Receive current information about their diagnosis, treatment and prognosis. This includes learning about any risks involved in a particular treatment and what the alternatives might be. They must also be told how long a treatment will take and if a certain treatment is experimental. (They have the right to refuse the treatment if they don't want it.)

  • Know the identity of health care workers involved in their care. (They also have the right to be told if any of their caregivers are students or trainees.)

  • Know how much a particular treatment or service will cost-and how much of this cost will come out of their pocket.

Patient Right #2: The Right to Respect

All patients have the right to:

  • Expect their health care workers to be considerate and respectful.

  • Receive care without discrimination because of their race, culture, religion, age, gender or physical disability.

  • Expect their health care workers to be honest and ethical.

  • Remain free from any abuse or neglect.

  • Be allowed to live a high quality of life, free from unnecessary physical or chemical restraints.

  • Be able to keep and use their personal belongings...and have those belongings treated carefully and respectfully.

Patient Right #3: The Right to Participate

All patients have the right to:

  • Make decisions about their own care.

  • Change their minds about health care treatments and services.

  • Refuse care (after being told what might happen if they do refuse).

  • Have an advance directive if they want one...including a living will or a health care power of attorney.

Patient Right #4: The Right to Privacy

All patients have the right to:

  • Expect confidentiality from every health care worker who provides care.

  • Review their own health care records if they want to. If they read something in their record that they don't understand, they have the right to have it explained to them.

  • Expect privacy during their care.

  • Be allowed to visit privately with friends or family members.

  • Have private telephone conversations.

  • Receive personal mail.

Patient Right #5: The Right to Quality Care

All patients have the right to:

  • Expect that the same health care workers will care for them every day-as much as possible.

  • Be treated like an individual.

  • Expect that their health care workers will keep them safe from harm or injury.

  • Get regular exercise (as tolerated).

  • Receive the same quality of care-regardless of their ability to pay their health care bills.

Patient Right #6: The Right to Make a Complaint

All patients have the right to:

  • Make suggestions or complaints about their care-without being afraid of the consequences. For example, patients can't be discharged simply because they're grumpy or they make frequent complaints.

  • Switch to a different health care facility or agency if they want to.

  • Know the health care organization's policies for handling a complaint.

  • Have a prompt and fair response to any complaint.

  • Take their complaint to the state if they are not satisfied with how an organization handles it.

Ten Tips for Supporting Patient Rights

  1. Listen to your patients when they tell you what they need. Remember that each patient is different-even if they have the same health problems. Make an effort to treat every patient as an individual.

  2. Remember that the patient's family may want to be involved in making health care decisions. This is okay if the patient wants family members to participate, but keep in mind that the patient has the right to privacy, too.

  3. Make it a habit to explain what you are going to do with a patient-before you do it! Your patients will be better prepared and more able to cooperate if they know what's going on. For example, explain to Mr. Wilson that you're going to help him change position in bed-before you pull down his blanket and sheet!

  4. Remember that it's possible for strangers to use illegal electronic devices to listen in on cell phone conversations. If you are talking to your supervisor about a patient over a cell phone, don't use the patient's last name.

  5. If you travel from patient to patient during your work day, be careful to keep your patient documentation private. Don't let your next patient see what you wrote about your previous patient.

  6. Don't gossip about your patients with anyone-even other members of the health care team. It's not necessary to share personal information about a patient unless it makes a difference to the patient's health. For example, let's say your patient, Mrs. Parker, told you a secret...that many years ago, she had an affair. This information has no impact on her current health and is no one else's business.

  7. Be honest with your patients and their family members at all times. If they ask you a question that you can't answer, try saying: "I don't know, but I'll check with my supervisor." (But, be sure you follow through by discussing the issue with your supervisor.)

  8. Put your own needs aside during the work day. Your job is to put your patients' needs first. By doing this, you'll be protecting their health care rights-and showing your patients that you are truly concerned about them.

  9. Encourage your patients to tell you or your supervisor about a complaint first-so that you have a chance to make things better. (But, remember, all patients have the right to take their complaint to the state if they are unhappy with how your workplace handles the situation.)

  10. Balance your loyalty to your coworkers with the safety and well-being of your patients. Report any violations of patient rights that you witness.

Bulk Cable TV: Cable Television Perfect for Older Persons


A move to a nursing home doesn't have to mean a move away from the luxuries of a normal home. Take cable TV, for example; if an older adult is a big fan of daytime soaps, the evening news or prime-time dramas, they don't have to lose access to their favorite programming simply because they're moving into an assisted living facility. There are bulk cable TV providers available that can make it easy and cost-effective for you to provide your nursing home residents with the cable TV programming they've been watching for years, so that they can keep a bit of consistency as they make their big move.

What is bulk cable TV, you ask? It's television channels available for purchase at wholesale prices. You can pick out the channels you want to provide your residents, and pay a flat-fee for each unit that receives programming. Some companies group channels into categories, and allow you to pick as few or as many channels you want out of a category for one low, flat rate per unit. For instance, if you run a small nursing home where 30 units will receive programming, you could pick as many channels as you'd like out of a particular category, and pay a flat fee per month for each unit.

When controlling bulk cable television service for an assisted living facility, you can also be granted the power to upgrade individual nursing home residents with certain upgrades and channels. Some companies utilize DirecTV for their bulk cable TV service, so it is called the "DirecTV Upgrade System" with those providers. With this feature, if a certain resident wants access to a channel that is not offered by your nursing home by default, you can upgrade them and add that channel to their lineup.

Another feature that some bulk cable TV providers offer to such facilities is built-in access to the Internet, with a way for residents to contact a nurse or resident assistant if necessary. This is a great way to cut down on the number of companies you're paying; by combining multiple services into one through your TV service.

If you're looking to provide your nursing home residents with the cable TV experience they've grown accustomed to, you can help them adjust by giving them a bit of consistency during one of the biggest moves of their lives. A bulk cable TV service can help you accomplish this in the most cost-effective way possible.

Aging Veterans Unaware of VA Pension Benefits - Millions of Veterans and Widows Loose Out


For aging veterans, one of their most important benefit programs is the Veterans Non-Service Connected Improved Pension Benefit Program. Established to assist qualified veterans, and/or their surviving spouses and family, the Veterans NSC Improved Pension Benefit Program provides financial support that enables veterans to live independently while receiving the quality of care they deserve. In particular, funds are available for aging veterans who need assistance with medical and non-medical care both in the home and in qualified facilities.

In many cases, veterans, along with their spouses and family, are unaware that this program exists. According to VA analysis, only 27 percent of veterans and 14 percent of widow(er)s who are likely eligible, actually receive any money from the program.

Types of Care Eligible

The availability of this program is something all veterans and their widow(er)s should know. Seniors in our country are now living longer. With higher living costs and the continued rise in healthcare expenditures, many seniors are at risk of quickly depleting their savings. Programs like the Veterans NSC Improved Pension Benefit Program can fund services like in-home care, assisted living facility expenses and other medical costs that many seniors face.

I see many clients that are faced with the difficult task of covering their healthcare expenses. If they qualify for these funds, it takes a huge burden off of veterans and their families. This money can be used to ensure they are given access to the care they need.

Qualifications

To qualify for the Veterans NSC Improved Pension Benefit Programs, a veteran must have 90 days or more of active duty with at least one of those days served during a US-declared war. The benefits are designed for those who meet specific financial criteria and demonstrate a physical need for healthcare.

The Department of Veterans Affairs determines active duty as full-time service, other than active duty for training, as a member of the Army, Navy, Air Force, Marine Corps, Coast Guard, or as a commissioned officer of the Public Health Service, Environmental Science Services Administration or National Oceanic and Atmospheric Administration, or its predecessor, the Coast and Geodetic Survey.

Other qualifications and considerations:

o Discharge for any reason other than dishonorable conditions

o Over the age of 65 or disabled

o Total financial assets

o Physical condition

o Current marital status (if you are the surviving spouse of a veteran)

o Total gross income versus medical deduction

Costly Misunderstanding

There are several reasons why veterans are unaware or misunderstand these benefits. First is the very name of the benefit itself - improved pension benefit. Pension benefits usually come after years of service, not after only 90 days of service.

In addition, many veterans often assume the available benefits are for those who have a service-related disability not just because they turned 65. As the name implies, this program is a non-service connected benefit.

Finally, it is uncommon for a benefit to be available in part just by virtue of age. However, the Veteran NSC Improved Pension Benefit does not require a qualified veteran to have any disability provided that they are over the age of 65.

Important Documents

Applicants who plan to seek VA benefits for the first time must submit the Service Discharge Form (DD-214, DD-215, or for WWII veterans, a WD form). This form will determine their service dates and reason for discharge, full name and military service number.

Applicants seeking VA benefits related to a veteran's death must submit the following:

o Veteran's birth certificate

o Veteran's marriage certificate

o Children's birth certificates or adoption papers

o Veteran's death certificate

Next Steps

There are several places to find additional information regarding the application process.

o Department of Veteran Affairs - The entire program is explained throughout their website. For additional questions please contact VA Benefits at: 1-800-827-1000 or visit http://www.vba.va.gov.

o State Veterans Service Officers can assist veterans in filing claims for benefits. Their locations and phone numbers can be found through the phone book under "State Government, Veterans Service Officer".

o VONAPP - Veterans Online Applications allow an individual to fill out the required forms regarding VA compensation, pension, education and vocational rehabilitation benefits. For more information or to get the correct forms, visit http://vabenefits.vba.va.gov/vonapp/faqs.asp.

These resources can assist in the application process. Other assistance can be provided through various national, county, or local service organizations. In addition, in-home care providers like Comfort Keepers in Clearwater and senior care facilities can assist in accessing the information necessary to evaluate a person's eligibility for the Veterans Improved Pension Benefit Program.

Comfort Keepers can provide professional guidance while the applicant is completing the necessary paperwork and being assessed for eligibility for the Veterans Improved Pension Benefit Program. Once approved, Comfort Keepers can be the solution for quality in-home care.

About Comfort Keepers

Carol S. Howland is the owner of the franchised business Comfort Keepers in Pinellas County Florida. This office provides Home Care to seniors in Clearwater, Oldsmar, Dunedin, Palm Harbor, Tarpon Springs and parts of Tampa.

Visit www.comfortkeepers.com/caregivers/115 for more information about the services provided to seniors at Comfort Keepers and a Free offer at Carol Howland' s location.

Finding Personal Injury Lawyers When You Have Been Injured Abroad


If you have been injured in an accident whilst out of the country you need to fully understand what your rights are. You also need to be able to explain all of the details of your case when you are searching through personal injury lawyers to represent you.

It can seem like a very troublesome situation and distressing experience when you get injured abroad.

There are a variety of problems that occur as a result of this sort of injury; it can be the cause of a lot of stress.

Attempting to make a claim for an accident that occurred in another country can sometimes be very difficult, especially if you do not have the right lawyer to represent your case.

There are plenty of personal injury lawyers out there who specialise in this type of ordeal; they'll be able to work out all of the confusing details of the case. It is highly recommended that you find lawyers who have some kind of previous experience in dealing with cases of this nature.

Personal Injury Lawyers and Foreign Personal Injury Cases

If you have been injured in an accident in a foreign country and it was another individual's fault you are fully entitled to make a claim. These issues can usually be very confusing and it is best to get in contact with the right type of lawyers - as they will fully understand the complicated nuances usually involved in this type of case.

If you become injured while you are staying in another country on holiday then you may have already taken out some sort of insurance that will cover any accidents that may suffer along the way. If you do have an accident and have taken out insurance then the personal injury lawyers that you hire will be able to deal with all of the specific personal injury claims that are related to this specific type of case.

They will be able to assist you with various types of issues, including travel hire or any unsatisfactory living conditions as well.

Personal Injury Lawyers that can assist you with a Foreign Personal Injury Case

Accidents can happen at any time and it is a good idea to be fully prepared before you leave out on a trip. You may even want to familiarise yourself with the lawyers in your area who specialise with personal injury cases - in which you have been injured abroad before you leave out on your holiday.

There are many things that can contribute to an accident occurring whilst on a trip, such as any underlying health problems, unsanitary conditions, car accidents, dangerous sporting activities and any injuries that are due to poorly maintained or unsafe hotel facilities.

If you are trying to make an injury claim due to a car accident that occurred abroad, your personal injury lawyers will need to understand a variety of different legal issues that may not be relevant to those of us who live in the UK.

It is possible that the accident may only be settled if both parties involved in the accident are UK nationals and were both on holiday at the time of the incident. If this is not the case then in order to bring forth your case, you will need to go through the local foreign legal system in order to get your case settled.