Saturday, October 12, 2013

Caring For Aging Parents - Grief, Relief and Comfort


Whether you're still caring for an aging parent or your dependent parents have already passed away, it's important to recognize what grief looks like and how to incorporate strategies to help you through the process.

Although there are different grief models, many experts say the grieving process generally has 5 stages.

1. Denial - This is the muscle that gets a person through the initial loss. If you've been struggling with elder care solutions as you've been caring for an aging parent or have just lost dependent parents, you might find yourself saying things like, "This makes no sense!" or "This can't be my life!" During denial, it's common for caregivers to go numb. In fact, other family and friends might view the children of aging parents as being cold or detached.

2. Anger - This stage, a necessary part of the grieving process, is the surfacing of deep emotions, including feelings of desertion and abandonment. Caregivers might be angry that they couldn't do more to help the ailing parent or they could be angry at a sibling who wasn't around. As a caregiver for the elderly, you might feel anger that the last 5 years of your life were consumed with caring for aging parents. This is especially true if you had a difficult time finding the right elder care solutions. These feelings are normal, and nothing to be ashamed of.

3. Bargaining - After a loved one has passed away, those caring for an aging parent might find themselves bargaining with a higher power. Those who've just spent years struggling through elder care solutions may find themselves saying, "If I get my act together, will you bring Dad back?"

4. Depression - During this stage, those who'd been charged with elder care solutions might still feel sadness or anger, but the emotions become buried under a feeling of numbness. This stage is not a symptom of mental illness; rather it's a symptom of the realization that an elderly parent isn't getting any better or has already passed away.

5. Acceptance - Although this is the final stage of the grieving process, it is not the "everything is hunky-dory" stage. Rather it's a time to accept the new reality. Those who have been caring for an aging parent might still have sadness or anger, but the emotions might not be as raw as they were.

While these stages are well-known, caregivers might also experience another emotion: relief. Whether it's the peace of knowing Dad is no longer suffering or the relief that a certain level of freedom is coming back into your life, recognize that it is a completely natural emotion if you've been caring for an aging parent and struggled with elder care solutions over a long period.

As you and other family members move through the grieving process, there are things you can do that-while they won't take away the pain of the loss-can bring a measure of comfort and joy.

1. Create a tribute to your parent. If your family has been caring for an aging parent, make this a family project. For example, assemble Mom's yummiest recipes into a book to give to family and friends during the holidays. Ask kids in the family to create artwork to surround the recipes. Tech-savvy members can scan photos to add to the pages. Your local copy shop or online printers can produce the book at reasonable prices.

2. If family and friends span the country, create an online tribute. Family members can collaborate to create a free blog or a low-cost website, where you can upload photos, videos, and journal entries. You might be surprised at how easy it is to maintain a blog or website, but don't hesitate to ask for help if you think it's over your head.

3. Find support from others who were charged with elder care solutions. Local hospitals or hospice centers may host support groups for grieving caregivers or other family members. Support groups can be especially helpful as your pass milestones, such as Mom's birthday or the first anniversary of her passing.

4. Turn grief into action. If you were caring for aging parents who had a houseful of furry friends, volunteer at an animal shelter once a month; raise money to research the disease Dad lived with; use part of an inheritance to set up a scholarship in Mom's hometown. Not sure how to help? Brainstorm with the family to find a fun and purposeful activity you can all participate in.

For children of aging parents, the grieving process is inevitable, regardless of whether it starts when Mom moved in with you or in the days after her death. Allow yourself to move through the stages of grief as well as find activities that bring you and your family the comfort and joy you deserve.

CNA Certification in California for a Prosperous Health Care Career


In the state of California, CNAs are also called by different names, such as Nurse Aides, Caregivers, Hospital Attendants, Orderlies, Geriatric Aides, Nurse Assistants and Patient Care Technicians. The Title of a CNA, "Certified Nurse Aide" is granted to nurse aides who are 16 years old and meet pre-enrollment requirements.

In addition, the applicants must also complete the CA Aide and Technician Certification Section (CA ATCS) - approved Nurse Aide Training Program, or the Department of Education's - adult education program. They must also successfully pass the competency evaluation test administered by an ATCS and the California Community Colleges System (COCCC) contracted vendor Pearson VUE to earn CNA Certification in California.

CA CNA Work Places

CNAs provide different types of nursing related tasks to patients, under the supervision of a RN, LPN or a Physician. They work in private and public clinics, hospitals, acute care centers, nursing homes, mental health care centers, hospice, adult care homes or intermediate health care facilities. In CA, orderlies who are not certified can also perform health care-related tasks in acute care hospitals. Few caregivers also work as a travel nurse aide, private duty CNA or home health aide.

CA CNA Job Duties

The job duties executed by a nurse assistant varies and depend on experience, education and training, and types of health care facility. The basic responsibilities performed include, turn and reposition bedridden patients, count and measure vitals, collect specimen for lab testing, feed patients, answer patient's call lights, administer water, glucose and injection, assist patient's movements, observe patient's conditions, help patients feed, dress, wash and bath, change bed linen, prepare patient for treatment and surgery, clean patients room, monitor patients condition and report any changes to RN.

CA CNA Skills and Qualities

Nurse Assistants in CA must possess the skills and qualities of compassionate nature, static strength, excellent communication and interpersonal skills, active listening, sensitivity, counseling and instructing and time management. These skills are very helpful in patient care related tasks, such assessment of patient's needs, offering health-related services, and providing customer and client satisfaction.

CA Caregiver Salary

In the state of California, median hourly wage of a CNA is $13.4, and median annual salary is $27,898 in 2012, according to the California Employment Development Department - Labor Market Information (EDD-LMI) - Occupational Employment Statistics Survey, 2012.

CA CNA Job Outlook

The state of California tops the chart of ten top states providing highest number of employment to nurse assistants annually. The state provides 3,900 new jobs opening per year to orderlies and it is estimated that the job of nurse assistants will increase by 22,700 or 21% between 2008 to 2018, according to the CA EDD/LMI Occupational Employment Statistics Survey 2012.

If you are a resident of CA and seeking immediate employment opportunity, job stability and income that can sustain your living costs, you can earn CNA Certification in California and apply for the entry level nursing related jobs.

The Scroll of Revelation, 2 - Sent By an Angel


Revelation 1:1-3.

1. The things which John saw.

Address of origin.(1: 1-2) John receives this document from an angel. Even when Jesus appears to be speaking, the angel is delivering the message. Knowing just this one fact will make much of the reading in the beginning and especially at the very end of the Book, much smoother. For example, in 22:6-8, John falls down to worship an angel. And why not? The angel has been saying things like, "I am coming quickly!" Only Jesus should say that! But the mystery is abated in 22:6 where the angel himself explains, "The Lord God of the holy prophets sent His angel..." That means the Lord God is not the angel himself.

The cultists love going to these passages to "prove" that Jesus is nothing more or less than an angel, and definitely not Divine, since he refuses worship from John. But here in the very first verses of Revelation is the solution to that heresy. As in chapter 22, the statement is made that Jesus sent and signified it by His angel.

Many want to take the "angel of the Lord" passages of the Old Testament and make them work here, believing firmly that that Old Covenant appearance of this angel was indeed Jesus. Since we are never told who that angel is, and since he does indeed seem to say some things that are very Divine-sounding, it makes some sense to "go there" for the interpretation. My personal feeling is that such diversions may be dangerous, and that we should not mix the two concepts, viz the eternal Son, and the doctrine of angels.

A cursory study of the appearances of "the angel of the Lord" leads people to the same conclusion that John was brought to, but erroneously, namely, This must be Jesus! In Genesis 16:7-14, Hagar sees him and believes so much that he is God that she names a well, "One Who lives and sees me". But in a later confrontation of these two, Genesis 21:17, it is clear that God and the Angel are separate. Abraham's hearing of the Angel is that of one receiving a simple message from God, the role indeed of messengers. But with Jacob, one would think that God Himself is speaking when the Angel reportedly says, "I am God." (Genesis 31:11). In Genesis 48:16 Jacob seems to be referring to God as "the Angel who redeemed me."

In Exodus (3:2) Moses has a similar experience to Jacob, where the angel seems to be introducing himself as God. In Numbers God's anger against Balaam is manifested through the same Angel of the Lord. (22:22 ff) In Judges 2:1 the Angel again calls himself God. But later in that book (6:20) we are told that Gideon saw the Angel, and the point is made that he did not die. Before Christ was born of a virgin, could anyone look upon God and live? Judges 13:3: With Samson's family the clear distinction between God and the Angel of God is made.

When David saw the angel, he spoke to the Lord, II Samuel 24:16. Daniel was aware likewise of the difference when he said, "God has sent His angel." (6:22) And the prophet Zechariah is admonished by an angel, who begins, "Thus saith the Lord."

Now, this phrase is missing in most of the Angel's appearances, but in my opinion, it is implied in all.

In the New Testament, the definite article of the KJV has been changed to the indefinite, underscoring the fact that the translators are convinced that angelic appearances are to be kept separate from Divinity. Only in Acts 12:11 is it clear that a particular angel is being referenced, and in this case it is equally clear that he is not God.

The point I believe Scripture makes is this: There is a magnificent Being known as THE messenger of the Lord, perhaps Gabriel, perhaps Michael, perhaps one we have never met by name in the Biblical record. He is God's special envoy sent on the most urgent of Kingdom business. His presence and power are so great as to make everyone from the unlearned Hagar to the beloved Apostle John, wise with years of knowledge of the Lord, think he/she is in the presence of God Himself. But attempt worship, and the rebuke will come swiftly, "Don't do that!" No, in comparison to Divinity, he is merely a servant, like John. A servant of God and a servant of the prophets, and a servant of all obedient to the Word. Worship, says the angel of the Lord, is reserved for God only! (22:9)

Now, lest we get caught up too early in religious controversy, let us meditate awhile on just how incredibly important the Book of Revelation must be to have been thus sent down the "chain of command" to us. The Father passes it to the Son. The Son passes it to the Angel of the Lord, "His Angel". The Angel is then the spokesman throughout the Book, assisted by other angels, and all copied diligently by John. John bears witness to this word, and passes it to us. Those who are His sheep and hear His Voice, because of His Spirit living in us, pass it on and pass it on and... How very MUCH He wants us to have this message!

The blessing. (1:3) The instructions regarding this 66th Book of the Bible cannot be taken lightly. Read! Hear! Keep! We know the Spirit would not tell us to do something that would bear no fruit in our lives or that was impossible to do. Away with the idea that Revelation is "beyond us", that the things of the future will somehow "work out" and need not concern us now. We are commanded to grasp this Book and let it change our lives. For the erstwhile, it will mean much meditation, prayer, re-reading, comparing, investigating. But what a joy, what a dividend is reaped!

A word about method: There are so many Bible-land happenings going on right now, that the common temptation is to grab something from the news that looks "promising" and try to make it apply to Revelation. I strongly counsel against this method. Let the Word speak first. Paint the picture in your mind that God is painting. Then even casual glances at the news will be clearly "in" or "out" of the thinking process. For example, an American or Russian antichrist will suddenly sound "lame" to a person who has discovered who the man of sin really is.

"For the time is near." Words like these have always caused believers a bit of concern. It sounds like Jesus must come in the first century. Indeed, the first believers thought that. Certainly God had not enlightened too many people in those days about the time of His coming. Yet, the words were there. Peter (II Peter 3) said that many will come in the last days scoffing at our long wait. The warnings of Jesus in Mark and Luke mention men going on LONG journeys. The clues were there. It will be a LONG time!

Yet John is told in the same first century that the time was engus, near, or perhaps more truly the meaning of the word, "at hand." Regardless of how we think we understand this book, we must constantly live under the caution that His coming draws near. We do not always see things as He sees them. Our understanding is darkened at times. He is near. Be ready. For some, He will come in death this very day. Be ready. Antichrists abound, and mean that Christ is somewhere at hand. Are you sure He will not come today? Hold on to every word of this Book. But be prepared to wait awhile too!

Distracted Pedestrians at Higher Risk of Injury


Since the rise of the cell phone, distracted driving has been a huge area of concern. Attention is now turning to distracted pedestrians.

Pedestrian fatalities in the U.S. have increased for the first time in four years, focusing attention on the problems of pedestrians distracted by technology, including cell phones and iPods.

A recently published study in the online journal Injury Prevention found that pedestrians are at a higher risk of injury. Researchers found that the injury or death rate of pedestrians wearing headphones who are hit by moving vehicles has tripled in the United States since 2004 and 2005.

Just like drivers who can be distracted, pedestrians wearing headphones can be distracted and are at risk of getting hit by a car, truck, motorcyclist, bus, bicyclist or train.

Combing through data from 2004 through 2011, researchers identified 116 cases in which a pedestrian who was wearing headphones was killed or injured by a moving vehicle. 68% of the victims were male, and 67% were younger than 30. According to the study's lead author, Dr. Richard Lichenstein, the ages of the pedestrians killed mimic the demographic of users of MP3 players and iPods.

A phone app has even been developed to aid distracted pedestrians. Researchers at Dartmouth and the University of Bologna have developed a phone app for use by pedestrians who are talking on their cell phone. The Android app alerts the pedestrian if the system determines that an approaching vehicle is a threat to the pedestrian. Using a smartphone's camera, the app can detect cars moving 30 mph at more than 160 feet away. It alerts the distracted pedestrian via vibrations and auditory alerts.

Many state lawmakers are pushing legislation involving iPods and cell phones and how they affect traffic safety. In New York, a pending bill would ban the use of cell phones, iPods or other electronic devices while crossing streets. In Oregon, pending legislation would restrict bicyclists from using cell phone and music players. In Virginia, pending legislation would ban bicyclists from using a hand-held communication device.

California State Senator Joe Simitian is concerned that efforts to legislate against distraction outside the car could diminish the seriousness of laws designed to curb distracted driving. He believes there is a problem with distracted pedestrians, but the distracted driver poses a much greater hazard to the public, whereas distracted pedestrian poses a risk mainly to him or herself.

Factors To Consider When Choosing A Retirement Community For Your Parents


The task of finding the best retirement community your parents can move in to can be pretty daunting. As if making the final decision of having to move your parents to a retirement facility isn't heartbreaking enough! Fortunately, there are a lot of resources that can help your parents and the entire family cope with this life-changing process.

Knowing that your mom or dad (or both) are given the best care and accommodation by a competent and trustworthy nursing home staff will give you peace of mind. Here is a checklist that you can bring with you when touring various retirement communities to find the one that's best for your parents:

The Ambience

A warm, welcoming, and comfortable atmosphere is crucial in a nursing home. Make the move as easy as possible by choosing a community that, to your parents, will still feel like home away from home.

The ideal nursing home would be located in a safe neighborhood and far away from the city noise. Upon entering the facility, take note of the surroundings, the outward appearance of the apartments, and the actual living quarters of the residents.

More importantly, observe how the staff treats the residents. Are they showing patience, warmth, and friendliness when dealing with the elderlies? If you notice a hint of impatience or hostility in some of the staff members, consider finding another nursing home where you are sure that your parents will be treated with utmost care and respect.

It is important to note how the residents act and behave. If they appear engaged, comfortable, and happy when interacting with the staff and fellow residents, then they must be getting the care and attention they deserve.

Services and Policies

Staff should be available 24/7 to administer medical or personal care to those who need it. Find out their policies on medications, including self-administration, storage, and record-keeping. Ask if they have an individual plan of care for each resident. This is important especially for those with special needs or dementia.

Know their emergency handling policies and if the staff who administer them are qualified professionals. It is very important for a senior retirement community to have a physician who visits the facility regularly and who would be on-call 24/7 to handle medical emergencies anytime they occur.

Costs

If you think you've found a retirement community where you're confident your loved ones will feel most at home at, don't go into a contract just yet. You have to take into account your loved ones' health condition and determine whether the retirement home are able to cater to your parents' needs. Different retirement homes offer different packages at different prices. Residential care facilities offer board, lodging and help for daily activities related to independent living. Senior assisted living facilities offer more services like private rooms, recreation, and personal care, thus charging more than what residential care facilities do.

Ask if there are extra costs that you will be paying aside from the obvious entry and monthly fees. Read the fine print of the contract for an exit clause, just in case you will find the need to break from the contract early.

Finding the perfect retirement community can be a long and arduous process, but this is the life of your parents we are talking about so don't rush and consider your options carefully.

Are Dog Bites Covered Under Homeowners Insurance


If you own a dog, you know there are expenses. You cover the cost of food, veterinary bills, boarding fees when you travel, and other things like toys and grooming accessories. You may also have a pet health insurance policy to help cover the cost of treating serious illness, but it is essential to have a policy that protects you and your dog in the event of a biting incident. Some homeowners insurance policies include liability for dog bites, but you should research your options to make sure you are well covered.

How important is having a policy to cover liability when somebody is bitten and injured? It is estimated that close to five million people in the United States suffer a dog bite each year. Not all of those injured are attacked by strange strays, either - often the victim is a friend or relative of the dog's owner. The degrees of severity will vary, too, and not everybody will file a claim.

USA Today reports that dog bites constitute more than a third of the overall liability claims paid out in 2011. With almost $500 million paid to victims as a result, it comes as no surprise that dog owners may be expected to shell out for higher premiums, and that may deter you from getting the right insurance. This can be risky - you can insist your dog wouldn't hurt a fly, but are you willing to take chances?

Are dog bites covered under homeowners insurance? This largely depends on the following factors:

1) The insurance company. Does the company of your choice include dog bite liability in their plans? If so, for how much money can you insure your pet should he/she strike? Consult with your agent with regards to your options.

2) Your dog. You may be denied certain coverage by virtue of your dog's breed. Pit bulls, German Shepherds, and Rottweilers are among the breeds that some insurers will not cover.

If you encounter obstacles in obtaining insurance because of your dog's breed or the cost of the premium, don't feel discouraged. There are ways you can work toward getting the protection you need.

1) Enroll your dog in a certified obedience training program. Taking the initiative to condition your dog so he/she behaves around others may help your case when you look for insurance. A company may be willing to give you a policy if you can prove your dog has received the proper training.

2) Research umbrella policies. As the name implies, "umbrella" insurance is designed to cover a broader range of liability than offered by other policies. If your homeowners insurance does include dog bites, your umbrella policy takes over.

Depending on the type of dog you own and other factors, you can enroll in home insurance that covers pet attacks, and protect your pet and home. If you do not have insurance in place, consult with agents and find the right plan for your family.

What Is Retirement Anyway?


To some retirement is the end of a journey to others it is the beginning of a new journey. People show up to this journey in all states of health and with all sorts of attitudes. None are right or wrong, they just are what they are. Some can actually change their health, their attitude or both. At various communities offering assisted living in Illinois people will find a plethora of different menus for making retirees comfortable and make this journey a wonderful one. No matter where people go they will find attitude is focused on to help determine how someone looks at their life.

In one Chicagoland assisted living community the focus is on a time for growth. The attitude includes having this time be one for learning, for sharing and giving back to the community and for fun. It is also a time for inspiration whether for those in the retirement community or if the inspiration is for those outside of the community. There is also a time for reflection and putting one's life into perspective. There are many paths to follow to do this. People take up exercise, yoga, meditation, dancing, and activities that get their blood moving and their mind active.

Other activities that some people in their retirement take up include helping others, with the belief that they are helping themselves by doing so. When someone does this they decide what they want to share and by doing so they are actually writing their own book. This book may include those who they surround themselves with. When surrounding themselves they focus on what attitudes the people have and how to best get to the ones they intend to help.

Not everyone in the retirement phase of their life desire to live in assisted living communities. For those that feel that way yet want to live in a community with others their age they can find a community that offers independent retirement living. These communities often focus on the same items such as growth, learning, giving and fun. There are often more active activities such as bike riding, golfing, dancing and much more depending on the community. Some of these communities also offer the opportunity to move from independent to assisted living when necessary.

For those with health conditions that require special support many of the communities offer services for those who need it. One support offered is often for Alzheimer's disease patients. There are services for those who also have other ailments. No matter what your attitude and outlook you can find a community in which to retire. Whether you are in Illinois or need to move there to find what you need and want in a community it is very likely you will find it. Make sure you ask for what you need when you are looking for what you want.

Friday, October 11, 2013

Public Administration Vs Private Administration


Most authors differentiate public administration and private administration by educational institutions (public schools vs. private schools). Although it's a good example to provide a comprehensive analysis between the two sectors, I found it not the quintessence for a comparative analysis. Historically, in our country, public schools have a much higher quality education than private schools, and studying economics and public administration, it is not just the nature of bureaucracies, nor the scope of public administration that the case today was reversed. While some authors identified over a dozen factors that differentiates public to private administration, Denhardt only speaks of the three fundamental differences between the two. In this paper, I would elaborate Denhardt's three points since, together with economist Boadway's Difference between Public and Private Sector, I found these as the most undisputable and concrete comparisons.

The most apparent difference between the two sectors is their organizing principles or goal. (Denhardt) While private administration has a definite mission, which is the pursuit of profit or stability or growth of revenues, public administration, on the other hand, has ambiguous purposes. Furthermore, the dilemma in ambiguity of purposes is exacerbated by too many unnecessary and inoperable agencies, with purposes that overlap and bloated bureaucracies. One might say that the goal of public administration is to enact public policies, but the overlapping and the main ambiguity of most of these policies, and the vagueness of the enactment of these policies make public administration's purpose to be more ambiguous. Nevertheless, the fact that public institutions are not profit driven, should not lead us to believe that public sector employees and managers are not concerned about financial matters. As is the case with private companies, public sector units and organizations fight for funding and influence.

Another factor that makes the public sector different from the private is decision making. (Denhradt) In public administration, the decision must be and should be pluralistic. The founding fathers intentionally created a democratic republic where all key decisions are made in politicized environment. This allows for maximum participation: open debate, multiple veto points - a decision making hierarchy where consensus must be achieved at each level, ideally, an informed decision. While private administration's decision-making is much more simple- it's monopolistic or close to monopolistic. This type of decision-making would avoid any conflicts in interest; hence, the goal is clearly defined.

The visibility of public administrators is another notable difference between public and private sector. While a manager in a private business may work in relative obscurity, the public manager must operate in the public eye. His or her actions are constantly subjected to public scrutiny. (Denhardt) The publicness of the work of the public manager doesn't end in merely carrying out public policy, the public manager has to respond to the demands of the public. Denhardt speaks of the "inevitable tension" between efficiency and responsiveness, the pressure to manage effectively and to be simultaneously responsive to public concerns. This pressure often leaves public organizations in a "no-win" situation, trying to serve a public that demands effective government but balks at paying for it (taxes). The public also demands accountability in government, an assurance that those who formulate, implement and administer public programs will act responsibly.

One quality that makes public sector different from private is in the form of unit analysis. (Boadway) Apart from publicly owned-companies, most public institutions are part of a larger chain of command and control where it is harder to draw a line between the different parts of the system- and where legal frameworks provide little help in this. For instance: public agencies- like research councils or directorates of health- interact closely with ministries as well as subordinate institution and "users". The innovation activities in these institutions are heavily influenced by decisions made above and below the chain of commands. The closest parallel to private sector will be large conglomerates or multinational companies. The complex system of organizations with various (and to some extent conflicting) tasks, is one of the reasons for the inefficiency of public administration. Although, some authors in public administration, such Woodrow Wilson in The Study of Public Administration, where he reiterated that the evolution of public administration together with its complex system and increasing number of bureaucracies is to complement the population growth, but a population with sufficient number of agencies to manage them and with high marginal productivity for each public employee, is better than a bloated bureaucracy with little or zero marginal productivity, and worse, unnecessary and redundant purpose.

Lastly, although political aspect is both apparent in public and private sector, political aspect is more important in the public than in the private sector. Policy decisions normally affect companies directly and indirectly, through laws, regulations and financial support. The public sector is at least formally controlled by elected politicians. The intimate link between this governance dimension and funding of current expenses of the activities implies a very strong link between ownership and control on the one hand and the growth strategies of the subsidiary organizations.

Elder Abuse In Nursing Homes - A Growing Problem


You have probably already seen the statistics about how many seniors reach retirement age every day. The numbers are really quite frightening. Nearly 80,000 seniors reach retirement age every day. That puts enormous strain on places like retirement homes, nursing homes and long-term care facilities and the people who are required to run them and support them. Therein lies at least part of the problem.

There aren't enough qualified people to go around. There's a terrible shortage of nurses and healthcare workers. There's even an ad running locally that you can be trained to be a nurse in 11 days. Oh my gosh! Keep me away from that place.

A study was done by the government not long ago showing that nearly 60% of all nursing homes had employees with some kind of criminal record. That is where a lot of the abuse comes from.

With more seniors going into nursing homes and long-term care facilities those facilities are scrambling to hire people-anyone-regardless of credentials.

And elder abuse is not just limited to the United States it is a worldwide problem. In Australia a study showed that 60% of elderly abusers were family members. It just gets worse.

In 2004 alone more than 500,000 cases of elder abuse were reported. One of the problems is that so many cases of elder abuse don't get reported because their victims have Alzheimer's or dementia and are unable to verbalize what they're going through.

Two years ago the well-known actor Mickey Rooney testified before Congress on his own personal experience of being exploited by a member of his family. Rooney is now in his 90's.

Rooney is now featured in a Hollywood documentary about financial abuse of the elderly. The film is called "Last Will And Embezzlement." The producers of the film are hoping that it will highlight and draw attention to the plight of so many elderly.

Rooney mentioned that if it can happen to him, it can happen to anyone.

Financial abuse of our seniors is just one type of abuse that seniors are subjected to in nursing homes. The more common types are verbal and physical abuse. If you suspect that your loved ones are victims of verbal or physical abuse, one of the best ways to catch them is with a hidden camera.

The iPod Dock Camera is one of the best hidden cameras with a DVR included for catching elder abuse. It records to an SD card for easy retrieval and playback.

Many states now have agreed that using a hidden camera in the rooms in a nursing home is legal. You can protect your loved ones with a hidden camera.

San Jose Assisted Living Info


San Jose is the largest city in Northern California, and a major city in the San Francisco Bay Area. It is also the unofficial "Capital of Silicon Valley" and has become the center of booming local technology.

Its size and name aren't the only attractions which have drawn residents over the last three decades, for within the city there are numerous areas of interest that will surely entertain even the most active senior living resident.

With almost year-round sunshine, the city is perfect for touring the many parks and museums that have been inspired by the diverse culture. The annual San Jose International Auto Show and family-fun Presidents' Day Volleyball Tournament, not to mention the many cultural feasts and festivals, will certainly make this city an ideal choice for any senior.

Recreation

Senior living residents will especially enjoy shopping at the famous San Jose Flea Market on Fridays from early May until December at the Downtown Farmers Market in San Pedro Square. For family outings or picnics, residents may visit Emma Prusch Farm Park, San José Municipal Rose Garden and Kelley Park. The city is also the home of Winchester Mystery House and Lick Observatory.

Activities

Those who reside in senior living communities can participate in many exciting cultural exchanges at the Vietnamese, Chinese, Japanese, Mexican and Indian festivals, which occur frequently throughout the year.

The Plaza de César Chávez holds outdoor concerts and a Christmas in the Park display, and every year there is the San Jose Jazz Festival downtown.

For the geeky residents of assisted living facilities, SeniorNet offers membership in a community of computer-users, with venues at the Almaden Community Center, Cypress Senior Center and Willows Senior Center.

Medical Facilities

Assisted living residents have access to a wide range of medical services. The San Jose Medical Group has been caring for the locals around the South, Central and East San Jose for over fifty years, and John Muir Health, although relatively new, is actually two merged institutions that have offered first-class and extensive aid to seniors for decades. Stanford Hospital and Clinics is currently recognized as one of "America's Best Hospitals" and specializes in the treatment of rare and complex disorders, most notably cardiac care.

Transportation

Residents of senior living facilities will find the city to be a friendly place for them. Santa Clara Valley Transportation Authority (VTA) operates many bus routes in San Jose and the surrounding communities, as well as the local light-rail system connecting downtown to Mountain View, Milpitas, Campbell and Almaden Valley. But most importantly, VTA offers paratransit services for seniors with limited mobility or bus access. Occasionally, historic streetcars from History Park run on the light rail lines in the downtown area.

With all the entertainment and convenience the city can bring, a San Jose assisted living community is sure to bring new excitement into your loved one's life. Find more information on our San Jose Assisted Living page.

How to Save Your Parents Home If They Go to a Nursing Home


Q. My eighty-four-year old mother is selling her house and moving in with me. Can she purchase a life estate in my home in order to preserve her money in case she enters a nursing home?
A. Yes, under the Deficit Reduction Act of 2005 (DRA), a person who purchases a life estate interest in another's home for full consideration and lives there for at least one continuous year does not face an ineligibility period for Medicaid nursing home benefits. If your mother expects to live in your home for at least a year, she could purchase a life estate in your current home or in a new home, which gives her certain rights to your property, including the right to live there. This provision does not apply to a transfer of property which your mother previously owned.

An attorney can assist you in determining the amount for which the life estate should be purchased, based on your mother's age and the value of the home. The life estate has no value for purposes of determining an individual's eligibility for Medicaid. As the life tenant, your mother has the legal right to live in the property for life or for a specified period without paying rent. Upon her death, the life estate is extinguished.

If you sell your home during your mother's lifetime, your mother would have to sign the deed and a portion of the sale proceeds would be payable to her as the life tenant. Those proceeds would count as her resources for Medicaid purposes.
Q. What if my mother does not sell her house? Can she transfer it to anyone without being penalized?
A. Yes. Transferring the house to the following people would not affect her eligibility for Medicaid:


  1. spouse

  2. child under the age of twenty-one or a child who is certified blind or certified disabled at any age

  3. a sibling with an equity interest in the home who has resided in the home at least one year immediately prior to the date the patient became institutionalized and continues to lawfully reside in the home

  4. a caretaker child who has resided in the home for at least two years immediately prior to the date the patient became institutionalized and who provided care.


Q. What if my mother enters a nursing home before she sells her home?
A. If her equity interest in the home is $750,000 or less and she intends on returning home, it will not be considered as a resource in determining her eligibility for Medicaid. The equity value is derived by subtracting encumbrances such as liens and mortgages from the fair market value.

Reverse mortgages and home equity loans can be used to reduce the equity interest. Medicaid law is constantly changing and is subject to various interpretations. Because the DRA is so new, there are many ambiguities and uncertainties. Do not take any action without first consulting an attorney who thoroughly understands the Medicaid rules.

The Problem With Acquiring Assisted Living Leads and the Solution You Need


You are about to learn more about the problem with acquiring assisted living leads and how you can go about solving that problem. When purchasing assisted living leads you are lining yourself up to work with prospects who may have been treated with a lack of emotional concern during the prospect gathering process. Marketers who gather generic leads for a large variety of industries lack the attention to detail needed to generate quality interest in your assisted living business. In many cases the assisted living leads you are purchasing are being provided to over 6 of your competitors. Who is going to call the prospect first? Tag, you are it!

As a marketer or owner of an Assisted Living business you understand that the majority of your prospective clients are shopping for your services in an emotional state. This is a tough decision. They need to be treated delicately and with care to their needs. In order to best align yourself as the authority in their area of need you should be presented as an experienced provider of care. A 3rd party cannot do that for you as their focus is on lead volume and profit.

Knowledge is key. Any company whose focus is to generate and sell as many leads as many times as possible will simply not be providing a quality product. Your time is much better served creating content on the web that points to you and you alone. The longer you remain loyal to a source of prospective assisted living leads the more likely you are to experience stagnation in the pool of leads you are using.

When placing an ad in the newspaper, industry publications, radio, print or other main stream markets you do so with the understanding that your competition is right there with you following the same steps and exposing themselves to the same market. You pay less for this kind of marketing as a result. However, when purchasing assisted living leads an expectation of exclusivity is rarely if ever met even though that is one of the primary reasons for going this way.

Take hold of the reigns of assisted living leads generation and develop your very own strategies. If you go to work and really learn to understand your prospects search patterns and then cater to them, not only will you save money in your marketing but you will increase volume and quality of service. Learn how to do keyword research, article marketing and use videos for your marketing. If you don't have time to do this our simply don't wish to, find someone to operate this for you. You will have a much more focused marketing campaign as a result but best of all, clients will come to you knowing what to expect: Quality.

Medical Alert Systems Allow Seniors To Preserve Their Sense Of Independence


Sadly, approximately 2 million seniors living in the United States have been diagnosed with one or multiple depressive disorders. One of the leading causes of this depression has been linked to a lack of independence. In fact, approximately half of seniors who are living in an assisted living or nursing home facility have exhibited major signs of depression. Although not all nursing homes or assisted living facilities are bad institutions, it is a well known fact that with government cut backs and the rising cost of health care, patients in many nursing homes are not given the proper care to help them flourish and try to move forward with the rest of their life. For the most part, the aim is to keep them quiet, comfortable and alive. This means that they receive nothing more, nothing less than just the required care. Outside recreation, trips to places around town and regular time to themselves are necessary activities to keep a senior feeling happy and independent, but they are typically not part of the regular package of nursing home endeavors. Not being able to go about their days with a certain level of autonomy is a definite way to lead them into a depressed state.

One way to help seniors to regain their independence is to allow them to live at home. However, with the high cost of home health care, and the rarity of being able to have a family member stay at the home full-time, sometimes leaving a senior alone in their home is just not an option. They may have limited mobility, or other health issues that require someone to look in on them regularly. However, their health issues could strike at any time, and if they are alone when this happens, it could have much more dire or even deadly consequences. This will often lead to family members reluctantly placing their loved one in a nursing home or assisted living care facility, not always realizing that there are actually some less expensive options that will allow seniors to remain at home with limited home health care and supervision.

An option to help add more peace of mind to the situation is to invest in a medical alert system. A medical alert system will allow the senior to move about their home and go about their everyday activities with a sense of pride and a lack of fear. If an accident does occur, they will be wearing a medical alert bracelet, necklace or pendant that will allow them to call for help immediately if something were to happen. By having a medical alert system in the home to help seniors regain their autonomy, they will be able to see a rise in their self-esteem and a preserved sense of independence. This is a completely priceless feeling for a senior who may have previously been depressed, stuck in a nursing home, just hoping to make it through the day.

Common Symptoms of Depression in Seniors

Identifying that a senior is depressed is the first step to find out why they are feeling that way. Although a lack of independence is one of the top reasons why seniors suffer from depression, other factors may be involved, so it is important to be aware of the signs and symptoms seniors may face, so that it may become easier to diagnose the root of their issue. Here are some of the most common signs of depression in seniors:

- An inability to sleep for a normal period of time during the night
- Constant sad mood where little-to-no change in mood ever occurs
- Complaining about their physical health constantly
- Contemplation of suicide
- Lack of appetite
- Feeling guilty over the past
- Increased forgetfulness
- Bitterness, Irritability
- Lack of energy
- Crying or tearing up without reason
- Inability to concentrate for more than a few moments at a time

Knowing the common symptoms will make it simpler to identify if a senior is in a depressed state or suffering from extreme depression and then work out that best way to help them move past it.

Lack of Independence As a Leading Cause of Senior Depression

Indeed, a lack of independence is one of the leading cause of depression in seniors. For 75% of those never returned to an independent lifestyle, end-of-life depression sets in which is not at all common in seniors, unless they are actually experiencing a terminal condition. This is a type of depression that sets in for many people when they find out they have a terminal illness and there is not much time left for them. For seniors that are not terminally ill, end-of-life depression has been linked to seniors that are living in nursing homes or assisted living facilities with little-to-no independent activities available to them.

In these cases, it is vital that the senior is moved to another location or brought home. When this is not possible, and the senior has to continue living in a place that takes so much autonomy away from them they might exhibit signs of depression, this is not a good situation. Often, end-of-life depression can lead to the end of someone's life.

The Role of a Medical Alert System in Providing Independence, Reducing Depression

A medical alert system can reduce depression by providing independence to those who use it. If a senior is experiencing depression while in a nursing home or assisted living facility, moving home and regaining their independence is a great way to combat that and help them begin to cope and possibly beat their depression. Sometimes hiring a home health nurse is out of reach financially, so a medical alert system to help provide peace of mind and a regained level of independence is a great alternative.

Thursday, October 10, 2013

Domestic Abuse - It's Not Your Fault


Domestic abuse is more widespread than many people would like to admit. Have you noticed how your neighbor had her face covered after last night's row? But, before going further I would like to correct a popular misconception. Men are also victims of the violence. Sadly men inflict more physical injuries on their partners than there women but a majority of the violence is give-and-take. Intimate partner violence and spousal abuse are commonly used to describe situations involving domestic abuse. Also the abuse can be non-physical through acts of mental and emotional torture, intimidation and control.

Domestic abuse is a serious issue that there are government-funded programs that aim, to assist the victims and the perpetrators. There are support groups, call lines, social programs that are there to help. These allow both parties to come to terms with what has happened and give them the support as they embark on rebuilding their lives. So recognize that you need help and contact someone. These people are professional and will always maintain the details you supplied with confidentiality.

Domestic abuse also has a history of being cyclic. The couple will reconcile, and then over a period the tension will build before it is allowed out in an act of abuse. Also there are many explanations as to why people are driven to abuse their partner. Stress, childhood experience, the need to be in control and mental illness have been attributed among the reasons for the abuse.

People need to first come to terms with the fact that abuse is occurring. Many times the victim is in denial and try to explain away the physical signs - "I fell and hit my hand".
Many signs exist that can point to an abusive relationship. A fear of the partner is the most obvious one. If you are inclined to tread very carefully around him/her and you are constantly careful about what you say and do to prevent an explosion you should admit that you are in a relationship that is unhealthy and abusive. A partner that belittles you and tries to organize every aspect of your life also point to signs of danger. Some of these things may seem harmless but domestic abuse is known to spiral up from simple verbal intimidation and yelling to physical assault.

Also one of the most common and misguided conceptions among the victims is that "I am at fault. He\she was only trying to show me my mistake". No. No action on your part justifies the abuse. It may true as told about the violence being reciprocal, but refrain from accepting you are to blame. It is the other party that is doing the abusing, so it is clearly their fault.

Once you recognize you need help - please contact the above organizations. On rare occasions both partners are known to visit such a program for help together, though sadly it was precipitated by a serious event, causing both parties to recognize that they need help to keep the good things going.

Remember domestic abuse is something that can and should be overcome.

Reasons Why Nursing Homes Are So Important


Nursing Homes are so important to the elderly once their safety, health care, nutritional care and day-to-day living needs are being neglected. There are many Reasons Why Nursing Homes are so important, yet (sometimes) to the elderly person the Nursing Homes are not the places they want to be in.

Nursing Homes Are Important

When an elder person safety needs start to be affected by their own behaviour due to dementia or ailing health then another solution is needed. Be it from home help, family help or even Nursing Homes. Once there are no other options available to keep the elderly person at home then a decision needs to be made to where the best place is for that aged care person.

Safety Of Aged Care People

The safety aspect of an aged care person is important.There are many reasons why staying at home by themselves is no longer an option. Here are five reasons why staying at home is no longer safe.


  1. Doors and Windows are no longer being locked giving easy access to the people and contents of the house from the general public

  2. The aged care person can no longer recognize when it is safe to answer the door and will let in people who could take advantage of them

  3. Other people are able to convince the aged care person to hand over important information such as bank details, or even give access to their money.

  4. Valuable items are noticed missing from the house, and when questioned by family members the aged person can not remember where those items are.

  5. The layout of their house has rugs/mats and furniture that are placed about the house - in positions that could potentially cause slipping accidents. Or even cause a fall that could result in broken bones.
Nutritional Care

When an elderly person forgets to feed themselves or skip meals then the nutritional needs of that person is not being met. That is one Reason Why Nursing Home Are So Important, because there are three meals provided every day plus morning tea and afternoon tea. Food is important for the older person to keep the weight on, and to prevent illnesses. Once they start to skip meals, or make poor food choices then Nutrition is lacking and will affect their skin, their general health and give to weight loss.

Nursing Homes Provide Health Care

Most (if not all) Nursing Homes provide vital Health Care Services. From Doctors who visit daily, to outside visits to dental care, eye specialist, chiropractor care, specialists and many other Health Care providers. The cost of these services are normally covered with a Medicare Card or under the aged care pension card /veterans affairs card. Yet when an elderly person is living at home by themselves these vital services are forgotten. A good reason Nursing Homes are so important...they have staff that organise these services for the residents.

Day to Day Living Needs

The Day to Day Living Needs are important to an aged care person, from waking up and having a shower, to dressing, having breakfast, cleaning the kitchen, watching TV, washing the clothes, shopping for food, cleaning the house, mowing the yard, driving the car, to visiting friends and even having friends/family over. When those day-to-day living needs can no longer be met then a Nursing Home is able to give help to their Residents. The Lifestyle Co-ordinator is there to arrange such needs as cleaning, feeding, washing of clothes, ringing for taxis, organising outings and assisting with Day to Day living.

There are many reasons Why Nursing Homes Are So Important. It depends on the residents reasons of why they need a Nursing Home, their acceptance of the help that they need and their level of understanding. Once a person reaches a stage where they are no longer able to live safely by themselves, and forget their basic needs then assistance of either home help or nursing care, or a nursing facility is very important.

To read any other Nursing Issues within Nursing Homes visit Nursing Issues.

Fire Sprinkler FAQs


How much do you know about your fire sprinkler system? Fire sprinklers are extremely important for keeping your building safe from fires, and having a solid working knowledge of the details of your fire sprinkler system can help you even more!

Do they really work?

One of the most common questions people have about indoor sprinkler systems is whether they're actually as effective as everyone says. Well chew on this: according to the NFPA, property damages per fire are cut by an average of 50 - 60% when the building has a working fire sprinkler system!

The NFPA also details death rates in sprinklered buildings, broken down by industry. Their studies show some surprising facts. Well maintained and tested sprinklers but the risk of dying in a fire:


  • 91% for hotels

  • 75% for assisted living facilities

  • 74% for retail shops and office buildings

  • 60% for manufacturing facilities

More surprising, there have been no multi-casualty fires in homes with sprinkler systems installed. That's pretty impressive.

What does a system cost?

As essential as they are to keeping you safe, it's a good thing that sprinkler systems are so inexpensive! The average sprinkler system (pump NOT included) will run you anywhere between $1 - 2 for a new building. If you're retrofitting an old building, expect to pay upwards of $2.50 per square foot - not bad, all things considered!

And that's not even counting insurance discounts and benefits!

How do fire sprinkler systems work?

Fire sprinkler heads use a small vial of colored liquid that acts as a one way valve, preventing water from escaping from the sprinkler when it is not in use. Heat from a fire causes the liquid to expand, eventually breaking and letting the water from behind it flow out. The different colors correspond with different activation temperatures, which are as follows:


  • Orange - 135 F

  • Red - 155 F

  • Yellow - 174 F

  • Green - 200 F

  • Blue - 286 F

  • Purple - 360 F

  • Black - 440 F

What type of fire sprinkler system is best?

There are numerous types of fire sprinklers:

Wet pipe - the most common type of sprinkler, wet pipe holds water in the pipes behind the sprinkler head. Useful for most common buildings.

Dry pipe - pipes hold pressurized gas and water is held out of the pipes until the heads open. This type of sprinkler is useful in cold environments where water in the sprinkler pipes would freeze if left alone.

Deluge - water is stored in pipes like in a wet pipe sprinkler, but the heads are kept open at all times. Once activated by a fire alarm, deluge fire sprinkler systems won't turn off until they are manually closed. Commonly found near high rise windows, warehouse bay entryways and anywhere else where a fire could spread and escape rapidly.

Pre-action - combination wet pipe and dry pipe. Water is not stored in the sprinkler system pipes until a fire is detected, at which point it quickly rushes to fill them before the sprinkler heads open. Useful in areas where accidental fire sprinkler operation (through tampering, etc) could lead to severe water damage.

Having as much information about your Houston fire sprinkler will keep you even better protected in the event of a fire!

LPN (Licensed Practical Nurse) Job Description - They Perform a Much Needed Service


If it weren't for licensed practical nurses (LPNs), an already overworked staff of registered nurses and nurse practitioners, would find their days even more stressful. LPNs, called LVNs (licensed vocational nurses) in Texas and California can be thought of as those who provide a very personal level of care to the patient.

While they normally work under the supervision of physicians and RNs, their responsibilities increase as they become more proficient. You'll find LPNs taking vitals, monitoring in and out volumes, turning patients to prevent bedsores, treating and/or dressing wounds, providing enemas and much more.

You'll also see LPNs recording vitals, taking measurements of height, weight, temperature, blood pressure, pulse and respiration, giving alcohol rubs, helping patients deal with personal hygiene and providing a friendly face and caring heart as each patient journeys toward recovery.

In the old-time war movies, you'd see wounded soldiers speak of an angel of mercy (meaning a nurse), and while LPNs did not exist in those days; today's LPNs are the ones helping patients on a day-to-day basis, providing the personal care a registered nurse or nurse practitioner might be too busy to provide.

Because state laws vary, you'll find some LPNs administering prescribed medicines, starting IVs, while in other states this may not be part of their job description. Because many patients will finish their convalescence at home, it's often necessary for LPNs to spend time with family members, instructing them in the intricacies of home care for a loved one, providing instructions to family who otherwise might seem overwhelmed.

LPNs and Babies: Because policies often vary from state to state, or in a particular hospital, it's difficult to provide a definitive answer LPN's job description, some LPNs would be involved with assisting in the delivery, care and feeding of a newborn.

While most LPNs will find they are generalists, meaning their work is in various areas of medicine and healthcare, certain LPNs will spend their time in nursing homes, a doctor's office, or home health care. Certainly LPNs have a place in assisted living facilities or nursing homes where they will assist in the evaluating of residents, develop plans of care, and of supervise nurses' aides.

You might find an LPN in a doctor's office or clinic, being responsible for appointments, scheduling flu shots, filing medical charts, etc. LPNs are vital to the smooth flow of the health care profession and without them; RN and NP would certainly find their jobs more difficult. While we've sought to give a general feeling of an LPN's job description, the particulars may be unique to their place of employment.

Remember this as you consider your career as an LPN. Doctors and administrators may be at the top of the ladder, but nurses and LPNs are the heart and soul of the healthcare industry.

Early Moving Worries: Are They Normal or Relocation Stress Syndrome?


In five years or so, my husband and I plan to move to a group living high-rise with assisted living and nursing care services. We paid our entry fee and it is earning interest. Many of our friends live in the high-rise and really like it. Though our move is years away, I find myself thinking about it and worrying about it.

What will we bring? What will we sell? What will we donate?

I had just written an article about Relocation Stress Syndrome, anxiety about moving to assisted living or long-term care. The symptoms of RSS include a reluctance to move, anxiety, confusion, helplessness, loneliness, withdrawl and pessimism. Thankfully, when I read the list of symptoms I realized I had only one -- occasional anxiety.

When I examined the source of this anxiety, I realized it came from a personality that always plans ahead. My mind was already working on sorting and moving. Still, I realized there were things I could do now to ease the transition. My proactive steps may help you.

1. Sell some large pieces of furniture. We had an antique roll-top desk and matching chair. As much as we loved this furniture, we knew it was too large for our next place. One of our friends is an antique dealer and he has a huge sale each year. Our lot, the roll-top desk and chair, china cupboard, music cabinet, child's desk and chair, were added to the sale and we made hundreds of dollars.

2. Check the condition of furniture on hand. Our family room couch was so worn the fabric was starting to fray. Though we could have purchased a slip cover for the couch, we decided to buy a new one. Choosing the fabric was easy, thanks to a computer program that shows fabric choices on the furniture.

3. Start a "Coming with Me" plan. Put this plan in writing. Right now, we plan to bring our existing bedroom furniture, a round kitchen table with four chairs, the new couch, two end tables, a china cupboard, a church pew, all existing lamps, and our computer desk. These plans may change after we get a floor plan of our new place.

4. Fix anything that needs fixing. I love the wing-back chairs we bought years go. While I have searched for new chairs, I haven't found any that are as pleasing as the ones we have. Newer chairs don't seem to be as sturdy, either. So I'm going to have the chairs re-upholstered in a neutral fabric.

5. Learn about space-saving products. In this sagging economy many Americans are downsizing to cut their monthly expenses. Manufacturers have picked up on this trend and developed space-saving furniture and storage items. I keep a running list of products that might be useful in the future.

Finally, it doesn't hurt to adjust your attitude. Small spaces can be attractive, too, and reveal your personality and interests. When we finally move, I'm going to make our new apartment as attractive as possible -- a little gem.

Copyright 2012 by Harriet Hodgson

Independent Living Vs Dependent Living


There's a big difference between independent living and living independently. Independent living is usually defined as a residential setting for elderly or senior adults that may or may not provide hospitality or supportive services. Residents lead an independent lifestyle that requires minimal or no extra assistance. It may also refer to seniors who are able to continue living at home but need some help. It offers independence at home, but can be costly depending on level of care needed. The next step is usually assisted living.

Living independently means you are healthy enough to enjoy your retirement. Retirement is a wonderful, life-changing time in your life...and one of those changes may include moving to a new home or apartment, or moving to a retirement community. Unless of course, you don't like change...then you can remain in your old home and keep doing what you're doing.

Are you looking forward to retirement or are you dreading it? Are you surrounded by friends and family? Are you active in your community and house of worship? Does your local weather curtail your movements? Can you afford to remain where you are? Do you think that moving would be out of the question? If you're happy and you know it, clap your hands.

If, however, you would consider moving to a more hospitable climate like Florida, have you thought about where you would live? For example, would you pack up and move to Palm Beach County on the advice of a real estate agent who is trying to convince you to buy a home there? Unless it's in a wonderful active adult or retirement community, you may end up isolated to fend for yourself.

Choosing where to retire is an important decision, and the right retirement community can lead to years of contentment, pleasure and enjoyment. Retirement shouldn't be boring. Living in a master-planned community can be stimulating if you socialize and get involved with community activities. Being active is one of the most important things you can do for your health. Activity feels good, gives you more energy, and makes you feel better about yourself. Some of the favorite activities for Florida's 55+ adults are: bowling, tennis, golf, fishing, biking and hiking.

Being active will also give you opportunities to meet people, make new friends, try new things, learn new skills, and have more fun. Being physically active doesn't have to be a chore or very active for that matter. Bridge, chess, bingo, quilting, or billiards can be just as stimulating as tennis or golf, at least mentally. Most people who dance, swim, play tennis, do arts & crafts, play cards or join hobby clubs do it because they like it! And it's much easier to stay active when family and friends are active with you. Decide which activities you enjoy doing with others, because then you are more likely to stick with those pursuits. Don't isolate yourself. Become part of an active adult community and enjoy life.

Many active adult communities are gated and are operated by on-staff personnel so you can take comfort in knowing that only residents or approved visitors will be able to enter your community. With so many perks and amenities associated with living in an active adult community, and the least not being a beautiful new home with modern features and luxurious, it is easy to understand why so many retirees are deciding that this type of lifestyle is the best choice for them. To enjoy living independently, don't be disconnected. Move to an active adult community and become part of the clubhouse scene. Hint: make sure it has a Social/Lifestyle Director. You'll love it.

Wednesday, October 9, 2013

Crafting A Stellar Career Summary For Your Resume


Are you a career changer? Or, are you satisfied with your stable career but interested in updating your resume? Are you a professional who has tried different things but are still searching for the kind of work that best suits you? Whatever your career situation, what your resume most needs is a stellar career summary.

What difference can a career summary make for you? Here are 4 reasons why you need one in your resume:

1.) A career summary communicates more about you and does so more powerfully than an objective statement.

2.) Employers love career summaries and use them to preview your resume. If they like your summary, they're more likely to read your whole resume.

3.) A summary does a superlative job of masking weaknesses in your work history (too much experience, too little, too many different kinds of jobs, gaps in employment, ineffectual titles, and everything else you can think of)

4.) A career summary tells the employer what you most want them to know, up front. It therefore sells you well and sets you up to be asked the kinds of interview questions you really want to be asked.

All right, so a career summary is a good thing. What does it look like? A summary can be a short paragraph of 2-4 sentences or a brief phrase or sentence introducing a series of 4-8 bullets, depending on the communications style you prefer. It can be preceded by a job title or list of specialty areas that you wish to highlight. The summary always goes at the top of the resume immediately following your name and contact information.

Generally a good career summary will profile some mixture of the following kinds of critical details:


  • A brief overview of the breadth and scope of your experience

  • Academic credentials, if relevant

  • 3-5 skillsets that set you apart from the competition

  • 3-5 personality characteristics that describe the workplace you

  • Hints about your most important work-related values.

Okay, so all that sounds good, but what does a career summary look like? Here are two different versions of a summary that you can play with and make your own:

Career and Workforce Development Administrator

Coaching ... Training & Development ... Program Design

Seasoned, articulate and visionary professional with over 19 years' experience in all facets of career and workforce development in both corporate and social service settings. Possess outstanding verbal, written and interpersonal communications skills and an inherent ability to build effective and cohesive teams. Deeply value creativity and lifelong learning.

Seasoned, articulate and visionary professional with over 19 years' proven experience in:


  • Career Development

  • Workforce Development

  • Corporate Consulting

  • Social Service Delivery

  • Team Building

  • Program Design

  • Lifelong Learning

  • Communications

The key is to begin by brainstorming solid content. Choose your descriptive language carefully. Make every word count. Create content first; write a draft second. Then share your draft with others you trust before finalizing it for your resume.

The Top Ten Reasons Why People Need Long Term Care Insurance


10. The government isn't going to pay for long-term care at home, in a nursing home, or in an assisted living center. Medicare pays 100% of long-term care for 20 days and all but $95.00 per day for the next 80 days--after that nothing. However Medicare only pays for skilled care and most long term care is not skilled care.

9. The national average cost for nursing homes is approximately $105.00 per day. Assisted living ranges anywhere from $50 - $90 per day. If you live on the Eastern Seaboard you can easily spend $50,000 to $80,000 for a year's stay in a nursing home. These costs are perfectly capable of wiping out a lifetime of savings-not to mention the emotional effect long-term care has on a family.

8. A Harvard University study showed that 69% of single people and 34% of married couples would exhaust their assets after 13 weeks in a nursing home. 13 Weeks = 91 days!.

7. At age 65, a woman has a one out of two chance of spending some time in a nursing home. A man has a one out of three chance. In the case of men, mortality catches up with morbidity.

6. Medicaid kicks in only after a person's assets and dignity are gone. In many states the eligibility threshold for single people is $1,500 in assets. After all Medicaid is WELFARE.

5. Children would like to help, but children often have children of their own. They certainly can't quit their jobs to care for their parents.

4. Health rarely improves with age.

3. People can't buy long-term care coverage at crisis time or when they are ready to use it.

2. American's have access to the best health care in the world, if they can pay for it.

1. Most People want to choose where they go instead of having to go where they are taken, and if independence is important to them, they will need to have either a big estate or adequate insurance.

Information quoted directly from:

* A Shopper's Guide to Long-Term Care Insurance , National Association of Insurance Commissioners.

* Long Term Care Companion Consumer Guide, Transamerica Occidental Life.

Why Do Wandering Management Systems in Nursing Homes Fail?


Most senior living facilities have wandering management systems to help ensure the safety of residents afflicted with Dementia or Alzheimer's symptoms. Symptoms that may lead to wandering and Elopement.

The leading causes of death or injury in these situations are:

Exposure to heat or cold
Drowning
Traffic related injuries

Problems that occur and lead to deaths are:

Staff
In my opinion, the most important part of any wander management program is the staff. Different facilities shape their staff's response to an alarm differently. Some facilities only rely on some of their personnel to respond to alarms, while others take an all hands on deck approach. In either case, the responders must be engaged and vigilant. Staff engagement begins with assessments, is maintained with vigilance and ends with responsiveness. Problems occur when this breaks down. These systems can be affected by radio or electrical interference. In extreme cases staff have been known to turn off the system because it annoys them. I have heard of cases where an employee unplugs the system from an outlet to plug in a vacuum cleaner and forgets to plug it back in.

Ask the facility some basic questions. How often do they run drills? How often and how in depth does the facility test the door systems, transmitters and staff? How old is the system?

Then find out about these elements of the system,

Coverage Area
Sometimes facilities simply do not cover all exits at risk. Why? Maybe the facility has never had an elopement, except for that one time. Maybe it's a financial concern. It could be they think the wanderers always go out the front door. In my experience wanderers have a lot of time on their hands, they spend most of it trying to get out unless they have activities to do. If they have that one moment of clarity while they are trying to get out, they will. They may think that a resident would not think to go out the kitchen, storage, chapel or laundry door. Inevitably over time, these are the doors the residents elope from.

System Age
It is a fact some nursing homes still have some doors covered with wander systems from the early nineties. These systems may function but the newer systems work so much better. The newer system have anti-tailgating features, better antennas, more elaborate bypasses. Older systems usually have a two button bypass that have the bypass code keys worn off or are simple enough that the wanderers watch staff or visitors and learn the code. Keep in mind a recently renovated building doesn't mean an updated wandering system. They can be moved from door to door.

Design and Functionality
Is the facility using a system they implemented ten years ago? If the system was put in ten years ago does the design still relate to their staffing levels or foot traffic flow. Do they give bypass codes to visitors or delivery drivers.

These are just a few of the top concerns you may want to investigate when putting your at-risk family member in a home. Not all wandering prevention systems or plans are created equal.

Drunk Driving Statistics for Drunk Driving Accidents During the Holidays


According to the National Highway Traffic Safety Administration (NHTSA), fatalities from impaired or drunk driving accidents are higher over the Christmas and New Year's holidays when compared to the fatalities occurring on the other days in December.

Drunk driving statistics include any vehicle operator with a blood alcohol content (BAC) of .01 and up. In 2009, 32% of total traffic fatalities for the year involved drivers with a BAC of .08 and higher. It is important to understand that just because a person may in fact be well below the.08 legal limit, their judgment and reflexes are impaired enough to cause drunk driving accidents and fatal crashes. In fact, drivers with a BAC level of .01-.07 cause an average of over 1,900 fatal crashes nationally. They are given the term 'alcohol-impaired' to more accurately reflect their condition.

The winter holidays are an especially dangerous time. Combine drinking at holiday celebrations with, for many, unforgiving winter road conditions, and you've got a deadly recipe. As drunk driving statistics show, it doesn't take much alcohol to create an alcohol-impaired driver. Alcohol-impaired drivers cause an average of 54 fatal drunk driving accidents per day over the New Year's holiday period alone. That's 66% higher than the daily number for the rest of the year. Over the Christmas holiday, they cause 45 fatalities per day. A BAC of 1.7 was the most common recorded BAC level in drunk driving accidents resulting in fatality.

Many parents don't think twice about driving the family home from a holiday celebration after having a couple of drinks. However, in 2009, a total of 181 children age 14 and younger were killed in alcohol-impaired-driving crashes. Out of those 181 deaths, 92 (51%) were occupants of a vehicle with a driver who had a BAC level of .08 or higher.

U.S. Transportation Secretary Ray LaHood kicked off the annual "Drunk Driving. Over The Limit. Under Arrest" winter holiday crackdown involving thousands of law enforcement agencies across the nation. Secretary LaHood also highlighted the new " No Refusal strategy that a number of states are employing to put a stop to drunk driving.

One goal behind the policy is to improve deterrence, meaning less drunk drivers on the road, and minimize repeat offenders. According to the NHTSA drunk driving statistics, 8% of drivers with a BAC level of .08 or above had prior DWI convictions.

Through the "No Refusal" strategy, law enforcement officers are able to quickly obtain warrants from "on call" judges in order to take blood samples from suspected drunk drivers who refuse a breathalyzer test. According to NHTSA, a large number of people refuse the breathalyzer test. After adopting the "No Refusal" programs, many states have reported more guilty pleas, fewer trials, and more drunk driving convictions.

In a press event in Washington DC on Dec. 13, 2010, Administrator David Strickland told the audience that it's important to note that the No Refusals policy "guarantees a suspect's due process rights. Test specimens are preserved for independent verification."

Strickland also added, "If you are going to partake of some Holiday cheer with friends and family this season and you don't want to end up in jail, plan ahead and designate a sober driver."

Prolonging Senior Independent Living Adds to Quality of Life


Remaining living independently in one's home for as long as possible is very important in maintaining a high quality of life and keeping healthcare cost to the minimum. Prolonging senior independent living can be accomplished through a series of coordinated objectives. Each facet of one's living arrangement must be considered to identify areas of risk and improve the overall efficiency and quality at which one maintains their independence. Matters such as financial considerations and legal decisions must be addressed in order for of your loved one to have the foundation necessary to make decisions which are appropriate for their independent living arrangements.

Concerns such as safety around the house are important to consider because high-risk areas which are prone to cause accidents need to be removed from the living environment. A perfect example of this is slip and fall areas such as wet tile floors in bathrooms and patios and area run rugs which can be easily cause trips and falls. These things are common in many homes and can be overlooked as dangerous if not considered with the perspective of creating a safe environment for which a senior can live independently without common risks of falling.

Many seniors today live alone without close relatives nearby staying in communication and having the ability to monitor your loved one's well-being makes the situation more tolerable for the senior and for the person who loves them. Regular feedback and status monitoring can be accomplished through a variety of different solutions available on the market today such as weekly senior care services, in-home monitoring systems, and companion living or visiting arrangements. Recently in the bad economy there has been an increase of seniors sharing housing together which provides the comfort and safety needed to prolong senior independent living for both who were previously living alone.

There are many options to consider when devising a plan for prolonging senior independent living. A good plan makes for more consistent action. Seniors and their loved ones should factor in as many risk considerations as possible and mitigate risks with as much attention as possible. It is recommended the family consult with a professional familiar with elder care issues to identify areas where attention is needed. Areas to consider include budgeting, safety around the home, sufficient planned activities, and capability to perform routine household chores. Aging is a process we all will have to encounter, understanding how to maintain independence as we age is knowledge we all can benefit from.

Tuesday, October 8, 2013

Aging Population Driving Physical Therapy Jobs


In San Benito, California a developer is currently poised to spend millions of dollars to purchase a fan abandoned hospital and completely renovate the building into a new medical facility geared toward the aging population in that area. In Rochester New York, two hospitals have constructed assisted living facilities specifically for the elderly within the last several years; a couple of more are in the works as well. It is a story that is being played out in both large and small cities around the country as our population continues to age.

With the aging population and industry adaptations designed to accommodate it, physical-therapist jobs are becoming more and more plentiful. While the aging population certainly needs all types of medical professionals, physical therapists are a vital part in helping our seniors live as normal and productive a life as possible. The result is a long list of nursing homes, assisted living centers, and even private practices searching to fill vacant physiotherapy jobs.

Physical Therapy Makes a Better Life

There is plenty of anecdotal evidence suggesting that physical therapy makes a better life for those who need it. One example is a St. Louis area mail carrier who suffered two strokes in a very short amount of time. After receiving the proper medical care, this dynamic middle-aged mother was sent to a nursing facility in order to begin her physical therapy. After what seemed like an eternity to her, she walked out of that facility and back to her mail route.

There are other stories, too. Stories of car accident victims who underwent physiotherapy to regain use of damaged limbs. Others who needed help recovering from surgery or a debilitating illness. Still others who were born with physical deformities that could only be overcome with the help of physical-therapies. The point is that although an aging population is certainly contributing to an increased need for physical therapists, the need still exists among all ages and demographic groups.

A Bright Future

Statistics regarding the medical field, and physiotherapist jobs specifically, show a bright future for those who are employed in this field. Among all medical workers, physical therapists routinely report some of the highest levels of job satisfaction and career fulfillment. More than just the financial rewards, physical therapists note a real and tangible method of their own success by how well their patients respond to treatment. At the end of the day having helped someone make a better life through physical therapy is the greatest reward the job can offer.

Statistics also indicate that physical-therapy-jobs will be plentiful at least for the next several years. And with a population that continues to live longer with each passing year, it doesn't appear as though the demand will be slowing down anytime soon. Jobs will be available in hospitals, public clinics, nursing homes, assisted living communities, schools, private practices, and so on. And they will be available in major cities and rural areas - and everywhere in between.

Types of Car Accidents


Car accidents occur every day, with millions occurring each year. Many are reported to police and insurance companies, while some may be handled by the parties involved themselves. When they do occur, the results can be devastating. There are a number of types of accidents, each able to cause substantial harm to the victims. A single vehicle accident occurs when only one car is involved. This can be a driver that loses control and crashes into a telephone pole. When weather conditions make the roads slick, the chances for single vehicle accidents can greatly increase.

When two or more cars are involved, the accident is known as a multi-vehicle accident. Both of the parties may have made an error that led to the incident or one of the drivers may have been neglecting to take road way precautions and as a result, crashed into the other vehicle. T-bone accidents can cause great damage. The blow to the car can come in from the side; making a T shape between the two cars. The sides of the driver or passenger doors can be hit, meaning there is not the same amount of protection from the car as when the front or back are hit. This can often be seen at an intersection when one car runs a red light as another car with the right of way is driving through the intersection. Rear end accidents are when one car is struck from behind. When a driver misjudges the amount of time it will take to properly stop, or they do not notice that the driver in front of them has put on their brakes, the car may end up crashing into the back portion of the car in front. If there is another car in front of the car hit, such as when they are sitting at a stop light, the car may be propelled into the car in front of them leading to further damage.

A head on collision is when the main blow of the accident occurs to the front end of the car. When two cars are driving on opposite sides of the street, an obstacle such as an animal in the road may throw on of the other drivers into the opposite lane, causing both cars to strike each other at the front end. These types of accidents can cause great injuries and fatalities since the force is greater when both cars are coming towards each other. With all types of accidents the increase in speed will only add to the amount of damage that is caused. Due to the large forces involved in car accidents, personal injuries that are suffered by those involved can be extensive. When injured by another driver's mistake on the road, seeking compensation to pay for medical bills and damages is important. An attorney can help you obtain the funds you need.

15 Important Questions to Ask When Choosing a Nursing Home


Making a choice to live in a nursing home is not easy. It can be an overwhelming emotional decision.

A nursing home can provide care that an individual cannot provide on their own, so whether you are making this decision for yourself or others, it is not a decision to be made lightly.

You need to do careful research, so that you can make an informed decision. Making a decision as big as this one is simply best not done in haste.

If you find one that you like, there is no guarantee that you can get in immediately. Waiting lists do exist for many of the better facilities.

The first step in choosing a good nursing home is to ask your doctor and a hospital social worker. They may be able to provide you with a list of homes.

The next step is to ask your friends, family, former co-workers, and church members (any other persons in your social network). They may be able to provide you with personal experiences that may not be available in any written report.

The third step is to visit homes that seem suitable and are located conveniently. On your initial visit to the home, take with you a written list of questions you want answered (if the questions are in written form, you won't tend to forget to ask questions that are important to you). Don't be afraid to ask these questions of the staff, the nursing home administrative staff, and the residents.

The questions should include:

1. Is the staff friendly? Do they appear to get along with each other?

2. Do the staff and residents interact well?

3. Do the residents appear clean? Is their hair neatly combed (brushed)? Are they clean - shaven?

4. Do the residents appear to interact with each other and take part in the activities?

5. Does the home appear to be clean? Are there any unusual smells? Is there an odor of heavy disinfectant? (perhaps to mask less pleasant odors)

6. Is the neighborhood safe? Would I feel safe taking a walk around the outside?

7. Are there any fresh plants or flowers?

8. Is the furniture comfortable and in good repair?

9. Are the calendars and clocks up to date and in working order?

10. Are the hallways well lit? And do they appear to be wide enough for wheelchairs and people to pass each other comfortably?

11. Are there activities and crafts that I would enjoy?

12. Is there a minister (rabbi or other religious leader) who visits the home and is he/she available to pray (or talk) with?

13. Is the dining room arranged to allow easy access to residents with wheelchairs?

14. Is the bathroom clean? Does the bathroom have handicap available items such as grab bars and handrails?

15. Is the shower/bath area clean? Are there nonskid mats available?

Hidden Camera Catches Elder Abuse in Nursing Home


The mere mention of a hidden camera can invoke thoughts of less than honorable people using hidden cameras in less than honorable ways. But despite the news reports of the misuse of them, one recent story of elder abuse in Haverford, Pennsylvania in April of 2012 lets us know with certainty that a hidden camera can be an invaluable tool for concerned family members.

So how can you tell if your elder family member is being abused? What can you do to help? What resources are out there? And if you're pondering whether or not you need to buy a hidden camera to protect a loved one consider the following.

According to the American Psychological Association more than two million older Americans are victims of elder abuse every year. Research suggests that elder abuse is significantly under reported and under identified. In fact, as few as 1 in 6 cases of elder abuse come to the attention of authorities, according to the National Center on Elder Abuse.

Elder Abuse is defined as intentional or negligent acts by a caregiver or trusted individual that causes, or can cause, harm to a vulnerable elder. Sharon Merriman-Nai, the co-manager of the National Center on Elder Abuse has stated that "Unfortunately from what statistical information we do have, most victimized people are abused by people they know and trust". Elder abuse can come in many forms; it's not just physical abuse, neglect, abandonment, psychological or emotional abuse, financial abuse and exploitation and even sexual abuse fall under the definition.

Many victims are reluctant to report abuse and the greatest difficulty is overcoming their resistance and fear of identifying the problem, so it's very important that you watch for signs of elder abuse. Often the best help that you can give is to ask questions, of your elder family member, their caregivers and even yourself.

A change in general behavior is a universal warning sign, if you notice that your elder loved one becomes withdrawn or now gets upset or agitated easily, it might very well indicate that it's time to start asking questions. And one important thing to remember is that if your loved one says something happened, take them seriously, Ms. Merriman-Nai also said "Sometimes, when older people suffer from dementia or some sort of cognitive problem, they may not be believed".

If you notice any untreated injuries, or an injury that seems inconsistent with the explanation given for its cause, it may be a sign of physical abuse. Also try to determine if your older family member is afraid of anyone, whether at home or in a facility, or whether they have actually been hit or slapped.

Greed is a contributing factor in many cases of financial abuse; the elderly may be susceptible to exploitation. Be observant, look for signs of missing personal belongings or credit cards, unusual bank account activity or checks made out to cash. Has your loved one redrawn their will at a time when they seemed unable to write one?

Emotional abuse can range from name calling to intimidation and threats. Ask them what happens when he or she and the caregiver have a disagreement. Are they being treated like a child, humiliated or threatened with punishment? Reluctance to talk about their relationship with a staff member, or demonstrating fear, anxiety or withdrawal when asked may be signs of emotional abuse.

In regards to the Pennsylvania caught on hidden camera incident, Delaware County District Attorney Michael Green said "The video depicts criminal activity directed at a senior victim in our county, it's abusive and it's the humiliation which is most difficult to watch on the video. No senior resident of a facility should be subjected to that kind of behavior, particularly from a health care provider".

There are many styles of hidden cameras available that can be discretely placed to blend in with the normal decor of a room, but be aware that although a hidden camera is a great tool for discovering the truth about the alleged abuse, it's not the only solution. With or without video evidence, if you have any reason to believe that an elder loved one is being abused or neglected, there are other resources to help. You can visit the National Center on Elder Abuse website at http://www.ncea.aoa.gov, for more ways to help your loved ones.

And if you believe that an elder is in a life threatening situation, call 911 or contact your local police department immediately.

The Nursing Profession


Nursing is a discipline of the medicine sector. It focuses on assisting individuals, families, and communities in attaining, re-attaining, and maintaining their optimal health. Nursing is a science or art that focuses on offering quality healthcare to persons and their families throughout their lives.

There are many options available in nursing for those who want to pursue nursing as a profession. Nursing is a very diverse field and offers many different sectors to work in, such as, people can work with hands-on patients or they may work in a lab or a research facility, or they may go into the teaching field to guide and educate students. This field is very vast and people can opt for any option as per their interests.

Nursing has many applications in modern day medicine. Nurses can do their specialization as Registered Nurses (RNs), nurse practitioners, head nurses or nurse supervisors, Licensed Practical Nurses (LPNs), home nurses, home health nurses, hospital nurses, office nursing, or nursing aides. Each specific type of nurse has a different set of responsibilities to perform.

The Nursing profession requires a great deal of patience, as well as the ability to provide comfort and care to their patients. They have to perform several duties such as provide appropriate health care services to patients including clinical assessments, treatment, diagnosing medical conditions, assessing emergencies, ordering diagnostic studies, prescribing medications, leading cardiac arrest codes and documenting medical care.

There are many nursing schools, which provide nursing education. Nursing schools provide considerable clinical experience under supervision, which is typically provided in various departments of a hospital such as maternity, pediatrics, psychiatry, and surgery. Some nursing schools also offer clinical experience in nursing homes, public health departments, home health agencies, and ambulatory clinics.

There are various job opportunities for nurses in many different departments. Mostly nursing jobs can be obtained in hospitals, while clinics, home healthcare agencies, nursing homes, nursing schools, temporary help agencies, and government agencies too provide various openings.

Nursing jobs are in high demand nationwide and earn a high range of salary. Salary range varies as per the specialization and field of work. A nursing career also offers other benefits including a flexible work schedule, a short workweek, and tuition reimbursement as well.