Saturday, January 25, 2014

Improve Your Assisted Living Marketing Plan by Adding Integration


Don't Think Piecemeal

Even a growing market (like assisted living) is effected by the down economy. In this type of environment, those with a more effective marketing plan will attract a larger share of the available move-ins. Those with weak plans will suffer. So its critical to hone and strengthen your plan. One way to do this is to weave integration into the strategy.

What do I mean by integration? The commonly designed marketing plan is designed to be piecemeal...elements of the plan are treated independently and executed separately. For example, a marketing director will visit professionals in the community and hand out their brochure to "earn?" referrals. When the visit is over, they may send a thank you card and set their calendar for the next visit. (After all, it is the visiting part of their plan.) But they will seldom think about interviewing the professional while they are there and including that professional's expertise in an advertisement for their facility or on their website.

If they would, they would acquire valuable content (along with its credibility) for their ad and/or website. At the same time, they would also be building a stronger relationship that can turn a professional into an ally, and even a key referral source. And the new information on their website would help them to serve their community. This one effort would inject continuity and synergy into their plan, making it more dynamic and effective. The end result, more people take notice, are attracted and are referred. That leads to move-ins.

Flow From One Element To Another

There are seven key elements to any assisted living marketing plan are:


  1. Referral Source Development

  2. Advertising

  3. Community Outreach & Inreach

  4. Public Relations

  5. Visits & Tours

  6. Inquiry and Family Member "Keep In Touch"

  7. Website & Internet

When executed well, each element can lead to move-ins. However, when organized as a team, each one can become more powerful and increase their results. For example, what is shown on a tour of the facility will be remembered and trusted more if it has already been seen on the company website. When a variation is also seen on a community bulletin board or in a follow-up mailing, the trust level increases even more. (FYI - Trust is critical to the assisted living selling process.)

Place The Website In The Center Of The Plan

The website is commonly thought of as an extended brochure and an independent element. Big mistake! It should be the hub of all marketing. Most (if not all) strategies should either start on the website or lead back to the website. Some should do both. The dynamics of the added continuity and synergy, as well as the use of technology the market has come to expect, result in a more effective plan. In addition, the staff can save a lot of time on the creative process and may even lower the expenses of execution. Here is an example of what I mean.


  • Visit and interview a local professional who serves seniors and/or caregivers...

  • That leads to adding their information and a sample of their expertise to the "Support Services" page on your website...

  • That leads to including that sample of their expertise in an advertisement in the local newspaper for your community outreach event...

  • That leads to the community outreach event that involves the same referral source...

  • That leads to a news story released to the local media outlets...

  • The event is also added as an "Activity Scrapbook" entry on your website...

  • The Scrapbook entry is easily converted into a new, quick, printed in-house handout...

  • That leads to follow-up mailings and e-mails to event attendees, family members and referral sources...

  • And the new handout is also added to community bulletin boards you have set up.

This one strategy blends together six of the seven key marketing plan elements - referral source development, advertising, community outreach or inreach, public relations, inquiry "keep in touch" and the website. It can also share copy, design elements and photos which saves time and money. Note: Of course, to do this effectively and efficiently, their must be systems in place that take advantage of technology.

Put Me In Coach

Adding integration is similar to managing a team sport. You have to recognize and understand the individual players at your disposal (marketing elements and people), then blend them into a cohesive unit that performs better as a team than as individuals. When designing a plan, you should look at your list of key elements, then weave (at least) some of them into each campaign. They could work together or they lead to one another. The goals of this integrated team include:


  • Creating added credibility.

  • Building trust faster with the help of continuity and synergy.

  • Providing tools to those would like to promote you.

  • Saving time and/or saving money.

  • Attracting more inquiries.

  • Providing more incentive to offer referrals to your facility.

  • Improving inquiry/tour/move-in ratios.

This concept of integration is not new, but it is underutilized. A big reason why is that it demands an organized leader who sees things differently, has the ability to blend the positive attributes of people and marketing elements, and works within a company culture that allows change to what has been done in the past. Is it worth the effort and the change? I believe it provides a marketing advantage that should not be overlooked or underestimated. An assisted living company that utilizes integration properly will come out of this down economy with added market share and will be well positioned for growth in better times.

Become a CNA - Certified Nurse Assistant Job Description


Do you have compassion and a desire to help people? Would you love to have a rewarding career in the healthcare industry? If you answered yes to these questions, then becoming a Certified Nurse Assistant may be just the job for you. With a shortage of caregivers and a growing elderly population, nurse aides have never been in more demand than they are right now. Though this is certainty not an easy job, and it is definitely not for everyone, there will always be a need for qualified nursing assistants.

Certified Nurse Assistants (CNA) are the nurses that provide direct patient care, both medical and non-medical, in places such as hospitals, outpatient facilities, long-term care facilities, nursing homes, and through home care. They are responsible for a wide range of daily patient care duties and work directly under the supervision of a Registered Nurse (RN), Licensed Practical Nurse (LPN), or other licensed medical professional. They may assist patients while getting dressed or undressed, with general hygiene tasks (such as bathing or brushing their teeth), or when eating, among many other job duties. The CNA may also be responsible for collecting simple body fluid specimens or taking a patient's vital signs (blood pressure, heart rate, temperature) but does not make any decisions based on this data. They can help physicians or nursing staff members with patient procedures as needed. And they are typically responsible for documenting a patient's activities throughout the day.

The following list is a general CNA job description and are some of the duties you could expect to perform as a certified nurse assistant:

- Moving the patient from a bed to a wheelchair (and vice versa)
- Moving the patient from a bed to stretcher (and vice versa)
- Moving the patient with a mechanical lift
- Moving the patient up in bed (to the side of the bed, raising head and shoulders, or onto his or her side)
- Making an occupied or unoccupied bed
- Measuring temperature (oral, rectal, and auxiliary)
- Taking radial or apical pulse
- Counting the patient's respirations
- Measuring blood pressure
- Measuring height & weight
- Brushing & flossing the patient's teeth or providing oral care for dentures
- Providing perineal care
- Assisting with a tub bath or a partial bath in bed
- Assisting the patient with hand and foot care
- Assisting the patient with dressing or undressing
- Shampooing or combing the patient's hair
- Shaving the patient's face
- Assisting with feeding
- Assisting with a bedpan (or male with using a urinal)
- Collecting a urine or stool specimen
- Providing catheter care / emptying a urine drainage bag
- Assisting the nurse with a wound dressing change

If you want to become a valuable member of a healthcare team who makes a huge difference in the lives of patients and their families every single day, then becoming a certified nurse assistant is a great place for you to break into the medical field.

Retirement Living in Victoria BC


Although Victoria BC has shed its somewhat ill-mannered reputation as a home to "the newly-wed and the nearly dead" it remains a popular retirement destination for people from across Canada and further. Retirement living in Victoria offers much to today's active seniors, this vibrant city and the surrounding communities are home to a population diverse in ethnicity and demographics.

The temperate climate enjoyed in the Greater Victoria region is one major reason that people who are retired from the regular workforce relocate here. Compared with the rest of the country, Victoria offers more opportunity for people who have time to spare to get out and enjoy outdoor sports and activities.

Because Victoria BC has traditionally been a haven for retirees, the city has much in the way of services geared to mature people. There are a plethora of social clubs intended for this demographic and senior centers offering seniors activities and opportunities to meet your peers, which is conducive to aging happily.

There are many different types of retirement communities, including:

繚 Over 55 affordable housing;

繚 Over 50 gated neighborhoods;

繚 Over 55 luxury apartments, condos and townhomes, and

繚 Retirement communities offering various levels of assisted living, from

- Long term care homes;
- Assisted living, and
- Independent living;

For those who don't relish the idea of moving from the home they love or surrendering their privacy to live in a community of seniors there is the option of hiring a home-care service. These can provide a wide range of services to support seniors who prefer to remain in the family home.

Nowadays retired people and seniors are more active and healthier than ever before, because of advances in knowledge and geriatric care. We understand more about how diet and exercise can help us stay healthy throughout our lives, but for those who are facing challenges to their health, there are excellent treatment and rehabilitation services available in Victoria. Due to the number of retirees living in Victoria, there are more geriatric specialists and therapists practicing in the area that you'll find in most Canadian cities.

Seniors and younger retirees who are trying to figure out where to spend their golden years find that living in Victoria is very attractive. Where else in Canada can you find a large community of your peers, diverse options for housing at different levels of care, access to first-rate medical care, treatment and rehabilitation, and of course the temperate climate and beautiful surroundings that's offered to seniors who choose retirement living in Victoria BC?

Helping a Senior Clean Out Their Home Before Entering an Assisted Living Facility


Due to a major family crisis, my brother and I needed to move our dad into a nursing home. This meant we had to empty out his house and get it ready for sale. The equity in the house was going to be the funds for the cost of his new home. Even though my mom and dad were pretty organized, even a full week was hardly enough time to sort through the "stuff" my parents had collected and housed over the 55 years of marriage they had.

You can start the process now and save yourself, your family, and your elderly loved one the stress, hassle, and any regrets over any lost family heirlooms! Things get thrown away, given away and sold. Sometimes in the rush things can disappear.

You may be wondering... OK, so how and where do I begin to start this endeavor and overwhelming task? Start with what is called a "preliminary sort"

  1. You must all agree everything will be put into 5 "lists" - donate, sell, give (to friends or family that needs or wants), toss and keep.

  2. The owner - and only the owner should be the ultimate decision maker or where each and everything goes. Even though this may make it more difficult for you, allowing the owner control of their possessions (if they are able) is the main key to success.

  3. Decide and agree on an allotted time per room. Ideally no more than 60 minutes per room.

  4. A rule that should be agreed upon is: An item can only be touched once before deciding which list it belongs on. If a decision can't be made at that moment, put it on the keep list. If they only get rid of one item in the beginning, at least it's a start somewhere.

  5. Be sure to begin with a fairly "simple" room - one where it's not as cluttered such a "junk room"

  6. Also make sure you all understand that even if you start early, the entire home can't be finished in a day. Even by being allowed up to an hour per room will not allow completion of this project in one day.

For a majority of people, this is an overwhelming job. Even as grueling as it is for your parent(s), it at times may be a lot more difficult for you! It can be very frustrating to be there and not have much say in what is kept, sold or given away. But please remember that their sense of control over this process is the key element to success. Having said that, you just being there for to cheer them on and for moral support, will keep them focused, on track and motivated.

Incidentally, it is said that "one's trash is another's treasure", you'll likely desire to be there just in case there is something they put in the donate, toss or sell piles that you've always wanted.

Home Nursing - Caring For Older People


When you hear about an older person or a sick person who needs home nursing, do not automatically decide that they're going into a nursing home. This term now refers to the kind of nursing one gets as a patient within the environment of one's own home.

There are nursing professionals who will come right to your door to deliver good care. In the beginning, there were public health nurses who used to come in as an extension of hospital care to check on their patients and do whatever was needed.

Now, with patients being discharged from the hospital even quicker than ever before, the need is even greater. And most people would rather get back to their own familiar territory as long as they'll be checked by competent professionals who know what they're doing with regard to treatments and medications. There are many nursing programs available.

And there are lots of academic nursing programs available that will help the student focus on the area of home nursing. So check around and find one of these programs that suits your needs so that, upon graduation, it can point you in the direction of a suitable home nursing agency that will send you out to the people in their homes who need you.

These people will need you, for instance, if they're getting old and infirm, if they have an injury or disability, or if they are chronically or terminally ill. You, and/or the agency that's sending you out, will have to know how to process third party payments such as through Medicaid and Medicare so that you get paid in a timely manner and the patient gets continuous care.

A home health nurse may or may not have extensive medical training, but he or she will have to be more knowledgeable than hospital nurses because they're the ones who have to be able to provide support and treatment under a variety of circumstances with no doctor or other nurse around to ask for advice. They'll also be their patients' educators and tell them the best ways to care for their conditions. They serve a multitude of helpful functions.

That's why such nurses have to have a basic nursing degree, it's true, but they also have to have other qualities that make them good home health nurses. They must be flexible enough to do their job in any setting that they're sent to. That means they have to be tolerant and have good communication skills. They're going into someone's home so they must be able to talk to patients and family members.

They're on the front lines of the changing medical field, and they'll be called on to be the mediators between their patients and the doctors and hospitals that will serve them or have served them.

Informal Vs Formal Care and 2 Recommendations to Transition Between the Two


Many questions arise once you or perhaps your loved ones start to get older and require extra care as compared with earlier. One significant one is should we facilitate formal proper care or even informal care? Informal proper care may be thought of as proper care that is not being offered from a paid for caregiver, or charity organization. This form of care is nearly always provided through a spouse or family member at the same time they attempt to accommodate a full-time position, a spouse and children, in addition to several other activities. Formal care is at any time care is granted by means of a paid caregiver or facility such as a nursing home or even assisted living home.

The benefits of informal care is which care is typically provided free or perhaps at a affordable fee, and the care is given by means of a loved one so the individual feels further comfortable. Even so, with the busy agendas people have nowadays, plus additional duties, full time informal proper care is quite often not doable. What will often arise is a part time formal caregiver will have to be hired to pick up the slack. But as the individual begins to need to have additional care, a formal option is required.

As soon as informal care no longer is attainable, a transition to formal care ought to take area. This might be assisted living, a nursing home, or even retirement community.

We have two guidelines for making this transition as smooth as possible:

1. It is no secret that care facilities can be quite highly-priced. Whether proper care is delivered in an assisted living facility, adult family home, or nursing home, financial plans need to be made a head of time to assure the individual will receive the proper care required along with the family will continue to be supported. There have been experiences where because the charge of proper care was so high, the wife or husband of the patient ended up in a position where they important food stamps and also subsidized housing to get by. So our advice is to begin planning early. Get a financial adviser to look at the figures with you. Draw out a 10-20 year program so there are no surprises along the way.

2. Transitioning to a new environment might be a shock for countless patients. It is crucial to provide them with confidence early on which they are getting the most beneficial care possible. For this, it is crucial which various other members of the family are present and also providing support. Ensure that the belongs of the patient are moved to their new room, so the individual feels right at home. A few jokes as well as laughs along the way don't help either.

Fellow these two recommendations, as well as your transition from informal to formal proper care will be a good deal smoother.

Friday, January 24, 2014

When Do I Need a Geriatric Consultant?


Most people do not even know what a Geriatric Care Consultant does let alone whether they need one. Geriatric Care Consultants can be very important under many different circumstances.

1. For many children who do not live in the same city or have extremely demanding schedules with little extra time, they may need an experienced Geriatric Consultant to help navigate their parents' needs. Some of those needs may be medical in nature such as: escorting them and being there for important doctor consultations; hiring caregivers or other supportive staff; supervising caregivers and directing them; determining medical needs and finding the appropriate doctors, physical therapists, occupational therapists, dentists etc. A Geriatric Consultant can provide accurate reports of vital information so that the children can make informed decisions with regards to their parents. Geriatric consultants can also give advice with regards to financial matters. They can direct children to lawyers and accountants who have the right expertise for each circumstance. If a nursing home or retirement home is necessary, a Geriatric Consultant can direct you to the right ones. If staying at home is the preferred option, a Geriatric Consultant can help with retrofitting the home to meet the physical challenges that have to be faced.

2. There are instances when an individual is asked or needs to be a Power of Attorney (POA) or guardian for a senior or disabled family or non family member. A Geriatric Consultant can direct them to the right professionals who can make sure that every aspect is executed properly.

3. Conflict resolution. Many times there are conflicts among family members as to the direction of care for their loved one. Other times there is resistance on the part of the person who needs care to accept care. An experienced Geriatric Care Consultant can help negotiate, arbitrate, and bring resolution and clarity to these dilemmas.

4. Advocacy. There are times when a loved one is in a facility such as a hospital or nursing home and needs someone to advocate for them and make sure that their need are being addressed especially if there are no family members or none in the same city. Dealing with insurance companies or other financial obligations may be difficult especially when a strong position has to be taken. A Geriatric Care Consultant can advocate effectively for the senior hopefully to a just conclusion.

5. General support and fellowship. Sometimes it is just comforting to have someone who is experienced and knowledgeable to talk to when making care decisions when it comes to a loved one.

Many care decisions are precipitated by a crisis or sudden change in the health of a loved one. That can be stressful enough. It is always a good thing to have a level headed, experienced professional working alongside you to advise, assist, co-ordinate and reassure you at those times.

7 Most Common Misconceptions About Assisted Living


A challenging part of life is the fear of the unknown. This worry surely is true for making a choice to move oneself or a spouse into an assisted living community. Lots of people don't really understand what life in an assisted living community is like. Instead they depend on pre-conceived suggestions (more like stigmas) that have developed over time. Becoming comfortable with a community, the staff, and its occupants may help seniors adjust to their new way of living. Nervousness is often times overcome as the occupant assimilates into his / her new everyday living routine. Once within their new home, residents can find joy that surpasses what they have experienced in years.

Below are a few of the most common misunderstandings connected with assisted living.

1. I will lose my freedom! In fact, most residents who reside within assisted living communities realize that they're experiencing much more freedom than when they were residing in their homes. Upon relocating into an assisted living community, day-to-day tasks are a thing of the past. You can forget house-work, doing the bills, or even cooking. In cases where one was housebound or at the mercy of a friend or loved one to go anywhere, one can now go where and when they desire utilizing the provided transportation. Numerous residents still drive and therefore are welcome to come and go as they wish. Finally, if they have been taking care of another elderly individual at home such as a spouse, sister, or relative, that care is now taken over by the personnel inside the community.

2. I don't want to stay with a bunch of sick people. The most common assisted living resident is usually a senior citizen that has suffered a mild decline in their overall health. This can be brought on by a personal injury, an ailment, or simply just due to aging. They might encounter challenges to do certain everyday functions such as bathing or dressing, or they are not as sharp mentally as they used to be. However, the majority of occupants are not sick or bedridden.

3. I will lose my privacy. Many aging adults have concerns about their personal privacy within a communal living environment filled with unrelated people. Assisted living communities are created to provide utmost privacy for occupants while also promoting a warm and friendly social atmosphere. Most assisted living communities have large dining rooms, and great rooms for meeting new people and for activities. However, occupants who're in search of solitude can simply find it within the privacy of their own suite or apartment. Several communities accommodate 2 residents to an apartment, while some offer only private rooms.

4. I don't do activities. Activities are always voluntary and no one is forced to do anything they do not want to do. Many people find that even when they do not want to do an activity, they do like the companionship of other people.

5. It will cost too much. Assisted Living Communities are available in many price ranges and can vary from $2,500 to $6,000 a month or more, depending on your geographical area and also the care you need. What a lot of potential residents fail to recognize is that in today's world, it literally costs thousands of dollars to keep up a personal home. If you think of merely the primary expenses related to living in a private home: property taxes, repair, groceries, along with the utilities, one can easily quickly recognize that an assisted living community may actually cost less than remaining in one's home.

6. The food will be poor. There can be a large difference in food services from community to community. It is very important to be an informed customer in order to find the appropriate fit for you or your loved ones appetite and diet plan. Prior to making a final choice with regards to location, you should visit at meal times, test their food, and take notice of the quality of the mealtime experience.

7. I'll never see my children or friends again. This is certainly a stigma from the past. Nearly all assisted living communities have an open door policy that allows guest visitation anytime unlike their nursing home predecessors. An assisted living community is "home" for the resident and ought to be treated as such. Friends may visit any time and can usually stay for as long as they desire. In fact, family and friends will often be encouraged to participate in the activities that are offered. A number of communities even enable residents to arrange for transport to visit their friends and families.

We hope that you will look past some of these fallacies of the past and view assisted living with an open mind. We are confident that you will be happy that you did.

Baby Boomers - Where Will They Live?


January 2012 officially started the beginning of retirement for the baby boomers. Based on statistics from the US Census Bureau, 10,000 baby boomers every day will reach age 65. A person can still receive minor benefits by certain companies even at the age of 55. One of the largest considerations of this population is where they will live.

As adults grow into the senior stage, concerns for living arrangements are at the top of the list as something to plan for and transition into. Many options are available. Among them are independent living and assisted living, as most do not have a need to be in a nursing home at such an early age. There are benefits of both assisted living and independent living. Many know of the traditional options available when it comes to senior housing, but many have never heard of another option within this independent living population. It is the development of retirement villages, which have increased over the past decade.

Retirement villages have a lot to offer. There are two main differences between these and traditional senior housing. The price point makes it a cost effective option to retirement communities. Most retirement communities charge a hefty entrance fee, plus a monthly fee on top of it. Retirement villages typically charge an annual fee which can be afforded by most.

Another difference is that the senior remains in their same home longer than in a traditional retirement community. This is possible because the services that a senior would need at the various stages of retirement are brought to the community, rather than the senior leaving their community to join a new one.

As with the other senior living options, a very active and leisure life are available. The same type of planning for community events goes into living within a village.

The only downside to remember is that seniors are still responsible for caring for the home as they are still managing the responsibility of owning a home. However, as with anything, help can be hired.

With the level of comfort that these villages offer, it is becoming the preferred choice by seniors everywhere. In the past, many seniors who were low-income or without a retirement fund had no options that provided any real luxuries. With entrance fees being upward of $100K-200K, it was not even on the list of something to shoot for. These villages now make the playing ground a lot more even for those wanting to live an active and happy retirement.

It really comes down to personal lifestyle and choice. Information is key. Once a senior has the full knowledge of all that is available to them, it will be easier to make the best decision on living arrangements. With the many a la carte options available today, seniors are being afforded the retirement that they really want and deserve.

The Dangers of Premature Labor and Delivery


Any time a baby is born with neurological trauma or a visible handicap, the young child might have experienced a birth injury while in labor or childbirth. The knowledge brought to you below is designed to raise knowledge of possible perils in labor and childbirth. It is not an alternative to an expert health practitioner's help and advice, yet that may help you know what to ask your doctor as your baby's arrival comes closer.

Avoiding Premature Delivery

Carrying your child to nine months is obviously the plan, unless intercession is required because of fetal problems or life-threatening conditions impact the mother. Untimely delivery significantly heightens the risk of brain damage and other health conditions for the newborn. In the event you have gone or will go into premature labor, were you provided with the suitable remedies to forestall it? Did a doctor perform exams to identify all immediate problems? If perhaps premature delivery was imminent, what did they do in order to assist the undeveloped lungs and organs recover after birth?

Labor and Induction

During labor, the nursing staff must remain heedful of all indicators of fetal problems. Heart rate, the mother's blood pressure as well as other health factors should be consistently watched. Errors can happen when labor is induced, like overuse of Pitocin and untimely birth. If delivery had to take place early, was there a competent OB/GYN or surgeon readily available to handle any unexpected crises? Was the length and girth of the baby properly determined by means of natal ultrasound? In the event the primary specialist was a midwife, was she entitled to make choices concerning the advisability of a vaginal birth?

Birth Injury

There are several instances of birth complications, oftentimes resulting in brain injury, nerve deterioration, and the baby's or mother's death. These can be caused by anesthesia misuse, an improper epidural, and incorrect use of forceps or vacuum pressure extractors. Many other prevalent causes can include improper delivery process, undiscovered rupture of the uterus, and injury from the umbilical cord.

Further fairly typical causes of birth injury are:

Failure to foresee or identify shoulder dystocia;
Inability to carry out a well-timed C-section;
Potentially hazardous natural birth after previous caesarean;
Oxygen lack leading to stillbirth or post-birth brain damage;
Failure to administer medications for any disorders or microbial infection;
Birth errors ultimately causing cerebral hemorrhage, loss of brain functions or death of the mother;
and failing to speak to a specialist when necessary

Nursing Homes Prison 101 - Part Four in a Serious Series About Rehab & Care Centers & Nursing Homes


One day, while visiting in a bad rehab and care center, I saw a woman in a wheelchair. She was complaining to someone (Staff) that she was missing clothing. As usual, staff said that she had to wait (because they were busy), and then they would have to go downstairs to see where her clothing was.

The man waited, in fact, the woman stated that her clothing had been missing for more than one week, so figure that must be enough waiting, correct? Anyway, time passed and passed and the woman again came back to staff and complained about her clothing but bottom line is that no one went downstairs to find her clothing. And my guess was that even if someone went downstairs, they probably would not find the clothing anyway. After all, isn't this the place where all the residents are wearing everyone else's clothing? How can you find clothing in a basement, when the clothing is on someone else's body on the fifth floor?

The point that I am trying to make is this--that clothing is a very important issue when it comes to living in or to temporarily staying in a nursing home and a rehabilitation and care center. Practically none of these residents want to live here or stay here. Out of everyone that I saw there, from the ones that were able to express their opinion, NONE of them liked it there, none of them enjoyed their stay and none of them wanted to stay there, yet they are forced to be there because no one is helping them get out of there. And even those who have family members who are there to get them out of there, are met with red tape, long waiting periods, and total non-attention. Everything works against those who want to leave the place. Why? The reason is that most times the only way a resident gets to leave there is if they are fortunate enough to be brought to a hospital emergency room.

Under ordinary circumstances, residents of any other place in the world, would not want to be sent to the emergency room. However there is a rehab and care center in Staten Island, that is so bad, so uncomfortable and so horrible that residents would probably jump for joy if they had to go to the emergency room. Why? Because in this case, in this horrible case, the emergency room is their only ticket out of the place --while they are still alive. Emergency rooms--for these prisoner residents of this rehab and care center --are seen as a blessing, as a God-send, to those individuals who were previously destined to stay there in that place forever.

Can you even imagine hoping that you had to go to the emergency room? Probably not. Most normal individuals would not want to be in a position of going to the emergency room. However, in a certain rehab and care center in Staten Island, NY, many residents hope and wait for that day that they get their dishcharge from this place--even, yes even if it is to go to the emergency room. Practically any place other than this place is considered a blessing from God.

Please, politicians if you are reading this, please have mercy on those inside of those nursing homes that are abusing their powers and that are neglecting their residents and patients. Please, politicians, please hear this plea, that we need your help to change things for the better inside of these locked nursing homes and rehab and care centers.

Thursday, January 23, 2014

Child Abuse and Neglect Results in Devastating Effects


According to recent statistics from the Child Welfare Protection Services, 80% of child abuse and neglect victims developed at least one psychiatric disorder by the age of 21, including depression, anxiety, eating disorders and post-traumatic stress disorder. Moreover, children who experience abuse and neglect are 59% more likely to be arrested as a juvenile, 28% more likely to be arrested as an adult and 30% more likely to commit violent crimes.

Abused children are also 25% more likely to experience teen pregnancy, 2.5 times more likely to develop alcoholism and 3.8 times more likely to develop drug addictions. One third of these abused children will go on to abuse their own children one day. There are several types of abuse and neglect perpetrated against children. Physical neglect involves the refusal of health care to treat a physical injury, medical condition or impairment, or a delay in health care.

It also involves abandonment, which is the desertion of a child without supervision. Kicking a child out of the house, allowing the child to leave overnight without knowing his or her whereabouts and showing reckless disregard for the child's safety, such as driving while drunk, are all causes of physical neglect. Providing inadequate clothing, food and shelter are common causes as well. With physical abuse, the child is intentionally slapped, kicked, punched, burned or injured in an attempt to control them.

Emotional child abuse and neglect can be one of the most damaging forms because it lurks subtly in the back of the child's mind always and undermines his or her very confidence and lust for life. The Department of Health and Human Services defines emotional abuse as "inadequate nurturing, affection or attention, chronic or extreme spouse abuse, permitted drug or alcohol abuse, permitted delinquency or assault and refusal or delay in psychological care."

Children will carry these scars into adulthood and have problems with their self esteem, relationships, perceptions, motivations and learning abilities. Often, emotional violence leads to physical abuse as well and many abused children are doomed to repeat the cycle of violence passed down by their parents if abuse treatment is not sought.

There are many other devastating effects of child abuse and neglect in both the short and long term. Following a severe beating, kids exhibit bruises, burns, lacerations, broken bones and permanent disabilities. Often, parents avoid seeking medical care for fear of being "found out," which may lead to the child's death. Psychologists speculate that children who are exposed to consistent patterns of household violence develop neurological problems, either strengthened fear response connections along nerve pathways that lead the child to experience the world as hostile and threatening, or inactive regions of the brain that prompt the child to be overly aggressive and insensitive, or withdrawn and antisocial.

Maltreatment, STDs, cancers, diseases, depression, eating disorders, substance abuse and impaired immune systems are more common among abused children. Children from abusive households are also 25% more likely to engage in risky behavior, like smoking, teenage pregnancy, delinquency, drug use and skipping school. The dangers are all evident. If you suspect a child has been victimized, then call one of the abuse hotlines today.

Helpful Tips in Finding a Good Nursing Home


Finding a good nursing home is not easy, and often people are under a lot of pressure to react quickly due to a recent relatives hospitalisation or deterioration in a loved ones condition. The more information you can get, the greater chance you will have in finding a suitable nursing home.

Here are some useful tips to help you find a suitable nursing home:

Consider the medical needs you require

Different nursing homes may have more expertise in different areas. Are they experienced in dealing with the areas of care required, such as for Alzheimer's or a stroke? Or short term rehabilitation? for example. Factor in distance. In general, the more closer the home, the easier it is for family and friends to visit. Once you have narrowed down a list of nursing homes you think maybe suitable, it's now time to make a visit. With all nursing homes it is the people that make a good environment, you will have to consider both the staff and current residents. You will also have to make sure that the kind of care you require is being given on a regular basis and appropriately.

Take a look at the staff!

Look at the staff roster. What is the staffing level at different times of the day?
Does the staffing level change on weekdays, weekends or evening?
Do the staff have time to speak to you or the patients or do they feel rushed?
Do you see them interacting warmly with current residents?
Do they show a compassionate nature with current residents?

Residents and their families

Do the residents appear to be happy?
Do they appear to be well dressed?
Do they look well groomed and clean?
Do they smell? If you see a family visiting ask them their impressions. Find out how often social gatherings and activities are arranged.

Cleanliness and Hygiene

Does the Home appear clean?
Does it smell?
Does it smell of over powering deoderisers? Check the toilets are clean and have good hygienic standards.

Activities

All good care homes will have an activities programme. Do the activities involve keeping you fit physically? Do the activities involve keeping you fit mentally? Are the activities fun and enjoyable? Check if outside activities can be arranged.

Referrals

Start by asking your family doctor or specialist if they have any recommendations? Find out from friends or family who have first-hand experience and have used different homes in the past? Search for nursing home listings on reputable websites or directories, these often have write-ups and testimonials etc.

Alzheimer's Whisperer - 5 Keys


The Alzheimer's Whisperer has the unique ability to communicate with, care for, and comfort a person with Alzheimer's while preserving her own well-being.

First there was The Horse Whisperer, then The Dog Whisperer, and The Ghost Whisperer. I wonder when will we see The Cat Whisperer? While waiting, I met a unique individual in the world of dementia-The Alzheimer's Whisperer. S/He provides guilt-free quality care without losing him/herself.

The Alzheimer's Whisperer demonstrates five keys to caregiving:

1. Know How

She learns as much as she can about Alzheimer's from organizations like the Alzheimer's Association, the Alzheimer's Foundation of America, Caring.com's Steps & Stages, and the National Family Caregivers Association. She draws wisdom from others through support groups, educational offerings, and online chats. If she is employed and can't make time for the above, she read books and informational materials in order to know what to expect.

2. Compassion

With knowledge, he is better able to accept the reality his loved one's condition. He exhibits greater compassion while coping with disruptive behaviors and anticipating needs.

5 KEYS to becoming The Alzheimer's Whisperer

1. KNOW HOW

2. COMPASSION

3. COMMITTED

4. EMPATHY

5. UNCONDITIONAL LOVE

The Alzheimer's Whisperer recognizes that caregiving is a temporary, yet life-changing journey taken by very special people.

3. Committed

She is committed to providing quality care, despite her intermittent tears and joys. She takes advantage of the continuum of care--adult day care, in-home care, respite care, assisted living or skilled nursing care--and draws on others to help make her job easier. In the tradition of the great animal whisperers, she weighs the value of a pet to bring joy to her loved one.

4. Empathy

Each day, and sometimes every hour, he visualizes how he would want to be cared for if the roles were reversed. This enables him to enter fully into the world of his loved one while not losing himself.

5. Unconditional Love

Developing the first four keys, she experiences an open heart that elevates her own life purpose and meaning in ways she could never anticipate. Despite the challenges, she feels strength.

What better gift can a caregiver share with one with Alzheimer's or another form of dementia than practicing the five keys of The Alzheimer's Whisperer?

Living on Long Island - Something For Every Senior


Long Island truly is one of the best places in the United States to live, especially for senior citizens. It is far enough outside of New York City to have a nice suburban feel, but close enough to the city to have plenty to do. In fact, there is so much to do on the island that there is something for everyone, no matter what your interests and hobbies are.

For the music lover, there are plenty of local concerts. As the spring and summer months approach many concerts are held outdoors in parks and arboretums. A popular summer concert is the New York Philharmonic at Heckscher State Park. There are also concerts for the different holidays throughout the year, including a traditional Irish concert in celebration of St. Patrick's Day. If musical theatre is where your heart belongs, Long Island has plenty of that too. There are so many local theatres that put on outstanding productions. Long Island also has programs that put an educational spin on theatre.

While spending your days at concerts and the theatre can be exhilarating, it can also be tiring. But don't worry - Long Island is also the home to many senior communities where quieter activities are offered daily. For example, the Wyandanch Senior Nutrition Center offers bridge games each day and there is no cost to play. Out in East Hampton, the Senior/Youth Center hosts an arts and crafts session each Thursday and Friday.

When you have had your fun going to concerts, seeing a show, playing bridge, or expressing your creativity, you can exercise your brain by attending one of the many senior educational programs that can be found on Long Island. Many recreation centers offer mah jong games in order to help seniors keep their minds young and fresh. There are also self-help classes which can be beneficial as well. A senior complex in Smithtown hosts a seminar that helps seniors know how to avoid being trapped in a scam that targets their demographic.

In addition to the many organized activities, you can find plenty of things to do on your own when you live on Long Island. There are beaches and parks all over where you can spend a nice day going for a walk or reading a book. You can visit the different historical sites on the island, the aquarium, or go whale watching off the Montauk shore.

No matter how you like to spend your days, you will be able to find activities on Long Island that interest you. Long Island is a great place to live and a great place to spend your golden years.

Best Place to Buy Hidden Spy Cameras to Expose Elder Abuse


Elder abuse in nursing homes, assisted care facilities and home health care is an ever growing problem today. It has been estimated that as many as one out of 10 patients in nursing homes have some form of abuse.

That could be something like verbal abuse, physical abuse, or even mental abuse. Incidents of theft among Alzheimer's patients for example, are very common. That is why Alzheimer's patients are not allowed they have very many personal possessions.

Seemingly simple things like withholding medications for periods of time can have very serious consequences over time.

The incidences of abuse in a home health care situation are hard to document because many go unreported. Most home health caregivers are dismissed for theft.

Overall the industry is short of qualified personnel, which of course leads to the hiring of unqualified persons. Some with criminal backgrounds.

The best way to prevent this from happening is to get a spy camera. A spy camera is simply a board camera hidden inside common household object like a wall clock, alarm clock, clock radio, etc.

When you need to find out what is going on with the care of your parents hidden spy cameras can be the answer.

All hidden cameras need a DVR or VCR to record images but some new ones have DVR built-in. They use an SDE card to record the images which makes it easy to playback.

Where do you find these hidden cameras? Here are some tips to help.

1. Do a Google Search: for the words "best place to buy hidden spy cameras to expose elder abuse" as a starting point.

2. Track record: look for a distributor who has a great track record.

3. BBB member: look for a business who has the BBB seal.

4. Discounts: look for a business that offers substantial discounts. It is possible to get as much as a 20% discount at some websites.

5. Service: above all look for someone who can answer questions before the sale. That is a good sign they can help you if you have a problem after the sale.

If you follow these tips they will lead you where you want to go to get the best deals.

When are you getting one?

Gaia: The Mother Of All Aliens


The asexual and sexual reproductive biological skills of the ancient Greek Mother Goddess Gaia is impossible as related. Her reproductive skills are akin to a human female giving birth not only to humans but to all sorts of other animals and even numerous monstrosities. No writer of mythology as fiction even back then would make such a fundamental error if he wanted his fiction to be credible. And that's just the point - it wasn't written to be read as fiction. The ancient Greeks didn't interpret Mother Goddess Gaia and her offspring as make-believe. What did they know that we don't today? What's the alternative? Aliens - a misinterpretation of what was actually extraterrestrial activity. The ultimate stories behind Mother Goddess Gaia's reproductive abilities centre around two rival alliances of various extraterrestrial races battling over Planet Earth, or at least their allocated part of it - Italy, Greece and the islands of the Aegean Sea.

In the beginning there was Chaos according to ancient Greek mythology. Chaos was neither a deity nor a personality, just an all encompassing dark void, lifeless matter with no distinguishing features which is as good a view of the cosmos as any by the ancients. Chaos might just as well have been their shorthand for explaining life, the universe and everything; the creation of life, the universe and everything, and probably was.

Chaos gave rise to Planet Earth, among other cosmic attributes, like darkness and energy. Planet Earth was known as Gaia (or Gaea). Gaia as Planet Earth is obviously a physical product, a natural creation of the cosmos. However, Gaia (Terra in the Roman pantheon) was also considered to be the daughter of Chaos, a mother goddess. We need to separate the two concepts (Gaia as Earth (the planet) and Gaia the Mother Goddess). Chaos as a formless void would have to via natural physical processes form independently Planet Earth first before the arrival of the Mother Goddess that would represent Planet Earth, Tellus or Terra, alternative names by which Planet Earth is known.

On the biological as opposed to the planetary side of things, Mother Goddess Gaia (representing the Earth, or of the Earth) had siblings called Nyx (which represented night), and Erebos (representing underground darkness). Later on down the track Chaos formed other siblings in the form of Eros (representing desire/energy) and Tartarus (the underworld).

Asexually, Mother Goddess Gaia gave rise to her two sons Uranus (Ouranos) and Pontus and the ten Ourea (Aitna, Athos, Helikon, Kithairon, Nysos, Olympus 1, Olympus 2, Oreios, Parnes, and Tmolus). Asexual reproduction is reproduction without benefit of a partner, usually termed parthenogenesis.

Mother Goddess Gaia does however ultimately take a husband and sexually mate - with her son Uranus (representing the sky or of the sky). From that union comes:

*The three elder and original Cyclopes: giants with one eye: Brontes, Steropes, and Arges.

*The original first generation six male Titans (Oceanus, Coeus, Crius, Hyperion, Iapetus, and Cronus) and the original first generation six female Titanesses (Theia, Rhea, Themis, Mnemosyne, Phoebe, and Tethys): all human looking. [Now the original Titans then did their 'be fruitful and multiply thing' and produce the second generation of Titans, making Mother Goddess Gaia a grandmother. These second generation Titans included Atlas and Prometheus - in case you were wondering if I had forgotten these important figures.]

*The three Hecatonchires: giants with 100 arms and hands and fifty heads apiece: Cottus, Briareus and Gyges.

Mother Goddess Gaia's son and hubby, Uranus, then met an uncomfortable fate at the hands of his son Cronus when the latter castrated the former!

Mother Goddess Gaia then, via a not-so-immaculate conception, being splattered with blood from the severed genitales of her son/husband Uranus, conceived:

*The three Furies (Erinyes): Alecto, Megaera, and Tisiphone though their actual number maybe however indefinite. The Furies were winged hags with snakes intertwined in their hair.

*The Gigantes: a race of giants born in full armour with spears.

*The Meliae: the ash tree nymphs. Nymphs tend to be beautiful eternally youthful amorous maidens (sounds like my kind of aliens) who attend to the needs of more senior deities. Nymphs are a sort of yeoman figure.

Mother Goddess Gaia mates sexually with her other son Pontus (representing the sea or of the sea). From that union came Nereus, Thaumas, Phorcys, Ceto and Eurybia, all relatively minor sea gods and goddesses. They appear pretty human looking.

However, later generation descendents of Mother Goddess Gaia's and Pontus's minor sea god and goddess were not quite so humanoid appearing. They include:

*The Harpies, predatory monsters; a woman's head on top of a vulture's body, wings and claws.

*The Graeae, a trio of swan-like women with grey hair who shared one eye and one tooth between them.

*The 50 Nereids who at least retain their maritime heritage being nymphs of the sea.

*The Gorgons, who on the other hand, were monstrous sisters with wings, claws and serpent hair, the most famous being the Medusa.

*The Muses, nine human-looking goddesses of the arts.

*Chiron - a centaur.

Mother Goddess Gaia also mates with Tartarus to produce the mother of all monsters, the Typhon (which Zeus later defeated in battle).

Mother Goddess Gaia mates with her first generation Titan offspring Oceanus. That union gave rise to Reousa/Creusa (a naiad or type of water nymph) and Triptolemus (a primordial man who flew across the land in a winged chariot and educated the whole of Greece in the agricultural sciences after being instructed himself by the goddess Demeter or Ceres if you're Roman).

Mother Goddess Gaia mates with Zeus (her grandson). Their offspring became Manes, the first king of Maeonia otherwise known as Lydia in western Asia Minor. The odd bit here is that two deities apparently have produced a mortal and not another deity!

Mother Goddess Gaia also mates with Poseidon (also her grandson). That produces offspring we know as Antaeus (a half-giant) and Charybdis (a sea monster).

The Python, that earth-dragon of Delphi is alleged to have a genetic type relationship with Mother Goddess Gaia - mother being the operative word. The daddy is unknown; perhaps this is another example of parthenogenesis in action. Python, as you'd guess from the name, is a serpent. The Greek Olympian deity Apollo did Python a mischief in mortal combat. Alas, Python is no longer among the living! Neither were the original Cyclopes as Apollo bumped them off which didn't please Zeus one little bit as the Cyclopes assisted him and his fellow Olympians in their war against the Titans, providing the high-tech necessary for victory (see below).

While that's not the absolute end of Mother Goddess Gaia's bedroom romps (actual or suspected), the above covers the basics and shows that Heinz has no monopoly on varieties, 57 or otherwise. Now Mother Goddess Gaia is not the be-all-and-end-all of the varieties of presumably extraterrestrial species that are part and parcel of Greek mythology, but I think it's safe to now at least conclude this segment on Mother Goddess Gaia remarkable reproductive prowess!

So how can there exist a whole multitude of species of deities, from those appearing human or humanoid, to the hideously monstrous, and yet are all genetically related to Mother Goddess Gaia?

Now I maintain that if you (or any other animal) produce offspring, while they would not of necessity all be identical, they will be fairly similar in appearance and conform to your own basic body plan. You're not going to produce one kid that will grow up to be ten feet tall while another attains only four feet. One kid won't have two eyes, the next three. The odds that your first born will have one head and two arms, but that your second born will have ten heads and twenty arms, is unlikely in the extreme. As this like-begets-like reproductive rule of thumb applies to you, I strongly suggest it should have applied to Mother Goddess Gaia.

IMHO, the ancient Greek Hesiod, who wrote up the origins of the Greek deities including Mother Goddess Gaia, and the world in his tome "Theogony" ["the birth of the gods"], should have and would have known better that to invent such outlandish sexual tales producing such an outlandish diversity of offspring. Presumably the people who read all of this also knew better - they knew that like-begets-like - just like the Norse hero Siegfried knew the dwarf Mime was lying to him about being his father because they didn't look anything remotely alike. Siegfried knew from observations of animals and their babies in the forest that like-begets-like. Mime got his comeuppances!

I conclude from all of this that Hesiod and whoever else came up with all this mythological reproductive nonsense was warped in the extreme; really puffing on the good stuff. Or perhaps, as in all mythology, there's a true kernel of corn in the mythological haystack waiting to be uncovered. Perhaps both Hesiod and his readers couldn't think of any other interpretation of reality but that Mother Goddess Gaia really did mate and produce offspring as wildly divergent as nymphs, 50 headed giants and the Cyclopes. Perhaps they had no concept of the extraterrestrial!

All of these collections of beings (Titans, Cyclopes, Meliae, etc.) are so different that each is unlikely in the extreme to be related to each other. Each is probably an alien race in its own right - alien as in various extraterrestrial intelligences.

So here's my alternative scenario. Chaos (the void, the cosmos) ultimately formed our Sun and solar system including 'Gaia' as Terra/Tellus, the Planet Earth. Eons ago that other but biological flesh-and-blood Mother Goddess Gaia and her sons (Uranus and Pontus) along with a host of her species (probably the Titans) arrived on Planet Earth as part and parcel of their boldly going, exploring the Milky Way Galaxy exercise. Liking what they found, they settled down, perhaps thinking of Planet Earth as an R&R spot, perhaps as a colony planet. Things then proceed pretty much according to Hesiod's mythology, except for one incorrect translation. There were no real acts of Mother Goddess Gaia reproducing which resulted in the creation of a high and unlikely diversity of other biological species. There were only those like-with-like sexual reproductions as in the original Titans creating the next generation of Titans (Atlas, Prometheus, etc.). Mother Goddess Gaia wasn't so much a mother of extreme biological diversity as a hostess (with the mostest) to that rather wide diversity of extraterrestrial species.

Mother Goddess Gaia threw out the welcome mat for other alien species that came to visit, or were invited to visit, just like parents might play host to a much broader diversity of humans than their offspring would typify. Their dinner party might include guests short and tall, old and young, black and white, normal and handicapped, as well as other species - cats, dogs and aquarium fish - for the sake of wide-ranging diversity, etc. In the case of Mother Goddess Gaia however, things got a bit more serious as Mother Goddess Gaia and the various extraterrestrial races she's associated with IMHO formed a block of allies against another block of allies - the Olympians (offspring of the original Titans and thus related to [Grand] Mother Goddess Gaia. The 'War of the Titans' was on the horizon and inevitable in a power struggle of epic proportions.

The extraterrestrial Cyclopes and that alien race, the Hecatonchires, which were once allied with Mother Goddess Gaia and the Titans, changed sides and supported the Olympians led by Zeus in their war against the Titans (the Titanomachy). Some Titans like Prometheus also switched sides and supported Zeus. In fact only about five of the original dozen Titans took up arms against Zeus and company. The Titans were actually led mainly by second generation Atlas (as first generation Cronus, Zeus's daddy, proved not to be so invincible when Zeus freed his swallowed brothers and sisters, and therefore wasn't really available for a leadership position). Zeus, as leader of the winners, however reserved a special punishment for Atlas as we all know. Atlas ended up with the weight of the world on his shoulders. As an aside, the 'War of the Titans' apparently happened in that region of Greece known as Thessaly.

It should be noted, in support of the extraterrestrial hypothesis, that the Titanomachy was a high-tech war, at least high-tech relative to what the ancient Greeks had. It was not a war fought with bows and arrows, slingshots, spears and swords, even though it did last an entire decade plus. Zeus had his thunderbolts - lightning, or perhaps in today's terminology, lasers or particle-beam weaponry. Hades had a 'magic' helmet providing invisibility - the ultimate form of stealth technology and camouflage. Poseidon had his 'magic' trident which he could use to produce storms (weather modification), earthquakes, tidal waves/tsunamis, floods and all manner of 'natural' disasters - and he was noted for having a very bad temper with a very short fuse attached.

The Titanomachy was also noted for the hurling of massive boulders (missiles?); the rumbling earth which became scorched with flame and the vast forests that were levelled. The oceans and rivers, probably courtesy of Poseidon, swelled and steamed and boiled. And of course the heavens shook as well. If extraterrestrial, I'm sure the Titanomachy was as much a 'star wars' as a terrestrial one.

Now all of this probably happened in Planet Earth's pre-human era. That's because 'humans' back then probably weren't the Homo sapiens we know today. Our modern species was created out of clay (as the ancient Greeks had no concept nor phrase for 'genetically engineered') by Prometheus (of gift of fire fame), a second generation Titan, and that 'clay' event probably happened way after the original extraterrestrial 'gods' (like Uranus) and 'goddesses' (like Gaia) arrived to set up shop. Thus, we probably have no actual eyewitnesses to what actually happened regarding the Titanomachy, as well as no real first hand accounts of Mother Goddess Gaia's reproductive prowess, only what happened can not be taken literally as it violates fundamental principles of reproductive biology. The tales were probably all handed down way after-the-fact to the ancient Greeks by the Olympians - the winners - with a lot of understandable mistranslation and misunderstanding in the nitty-gritty details eventuating.

But that's not quite the end of the story. Mother Goddess Gaia had another go at dethroning Zeus and his Olympians, the location allegedly shifting to Italy and the Phlegraean Fields. This time she threw the Gigantes (Giants) against them (the Gigantomachy). So, round two - it was Mother Goddess Gaia and the Gigantes versus Zeus and the Olympians, but with a little help from the demigod Hercules, the Fates and even Helius (the sun-god), Selene (the moon-goddess) and Eos (the goddess of the dawn, known to the Romans as Aurora). Now since Hercules was the offspring of a deity (Zeus) and a mortal, humans had to have been around to witness round two. What was the upshot of Mother Goddess Gaia's second attempt to grab power? All of the Gigantes became the late Gigantes, and nothing was ever heard from Mother Goddess Gaia ever again! In my version of the tale, Mother Goddess Gaia and those Gaia supporters who survived the Titanomachy and the Gigantomachy tucked tail (if they had one) and headed back to whatever planet(s) they originally came from. Eventually, for reasons unrecorded and unknown, Zeus and company ultimately did the same, or at least boldly went elsewhere.

One other observation is required. Normally, sexual relations between mother and son; mother and grandson; mother and just about anyone and anything else without benefit of a wedding ring, is considered taboo. That's of course according to human morals and ethics. However, if my premise is correct, and all and sundry belonged to various species of extraterrestrials, then we can't hold them to, or impose on them, our standards.

Wednesday, January 22, 2014

Background Check For Health Care Workers


More and more individuals are placing their parents into retirement or nursing home facilities. The problem is that if you listen to the evening news you have more than likely heard about the abuse residents endure in the hands of their caretakers. This is why background checks for all health care workers are so important.

Employers that use background checks have less incidents of abuse, negligence, and other issues centered around their residents. Doing a background check on a person before hiring them will give your residents and their families the peace of mind they deserve.

Instead of paying all kinds of money for a company to do the background check, employers can now use a background website to learn all there is to know about potential employees. Using a search form on the website, you will be able to search their database and find information such as birth records, death records, marriage information, divorce information, county public records, and criminal background records. With just one search, you will be able to learn if a person has a criminal record or not. The data will be very informative and will ensure you know if the person should be your next employee.

Not only will you be able to learn if a person has a criminal record but you will learn why they were arrested and if they served time for the offense. This will truly help you protect the residents in your care. Along with this information, you can also learn if the person has other household members, current and previous residences, and court records such as including county courts, district offices, criminal records, death records, marriage filings, and divorce filings.

To perform a fast and reliable background check use Public Records Pro.

Claiming Negligence After a Car Accident


Although car accidents in a few states can still be considered "no fault," in many other states, the authorities and insurance companies specifically require that the blame for any accident be placed somewhere - usually on the party determined to have been negligent.

If, after a car accident in an at-fault state like Colorado, you are determined to have been negligent, your car insurance company will likely end up paying the bill and employing any attorneys necessary, while you stand a good chance of seeing your rates go up. If, on the other hand, the other driver's negligence caused the wreck, you may find yourself in need of a good car accident attorney to help you collect the damages you are owed from the responsible insurance company.

What constitutes negligence in car accident claims

There are a few different ways to show a driver was legally negligent, and proof of these behaviors can help bolster your claim should you have difficulty collecting from the other driver's car insurance company. What you are essentially trying to show is that while you were exercising due care on the roadways, the other driver was not.

Driving distractions, for example, often cause drivers to act in ways that would be considered negligent. Talking on a cell phone while driving or even taking a sip of coffee can take a driver's attention away from the road and endanger other drivers. Driving under the influence also constitutes negligence, because it shows that the driver was not living up to the legal "duty of reasonable care", we all commit to when accepting our drivers' licenses.

Negligence itself does not guarantee a successful outcome

Not only must you prove that the other driver was negligent in his or her duty to pay attention and keep the roads safe, you must also prove that this negligence has resulted in financial loss for which you are owed restitution.

The first element of this is tricky because unless there was a witness to the negligence, admittance by the driver, or some physical proof of the negligence, the other driver - or rather the other driver's insurance company - will do everything possible to deny that negligence caused the car accident.

Assuming you have proof, though, you still need to prove your own loss in order to show the court that you deserve reimbursement. With physical damage to an automobile this is usually not an issue. In cases of injury, especially an injury which requires long-term treatment, you will likely require the assistance of a skilled car accident attorney to help show the extent of your current and future medical bills.

Do all car accidents require attorneys?

No, every car accident does not require the assistance of an attorney, but the number is probably higher than most people realize. Car insurance companies don't happily pay claims in most cases. If they see any opportunity to avoid paying, they will fight the claim with all of the resources they have available - and that's a lot of resources.

If you are preparing to go up against an insurance company to try to collect your claim from their army of lawyers, you'll be better suited to handle what's to come with the help of a car accident attorney of your own.

Differences Between a LPN and a RN


The performance and expectations are much greater for an RN (registered nurse) than they are considered to be for an LPN (licensed practical nurse). On the floor, an LPN and RN may have very similar duties, but the RN has many more medical responsibilities. If you want to know the legal differences specifically, you will have to refer to your nurse's "Practice Act" for the state you live in.

Bedside care is considered the primary practice for the LPN. These nurses tend to be task oriented, while the RNs have to see the bigger picture. RNs have to analyze deeper issuers and consider many underlying conditions, plus how those issues relate to the patient's status.

There are some tasks performed by Registered Nurses that LPN's cannot do and those are: pushing IV's, hanging blood, hanging chemo and titrate drugs. All of these tasks, however, will vary according to the state you practice in. Another similarity between the two is the fact that they both wear the same clothing; Medical scrubs clothing is something that separates the staff from the physicians.

Education Requirements

The main difference you will see in education between an RN and an LPN is that an RN will undergo a lot more training in school than an LPN would. In fact, an RN will go to school for an additional 2-3 years more than an LPN. A Licensed Practical Nurse can usually complete training in about a year and sometimes less. Most Registered Nurses pursue the Associate's Degree or even the Bachelor's in Nursing. The Associate's takes about two years to complete while the Bachelor's takes about four.

Work Settings

Work settings for RN's versus LPN's are technically no different from one another. Since they usually work together, medical facilities usually employ both of them. The majority of RN's, in fact almost 50%, are usually employed in typical physician offices. Industries that will employ large numbers of RNs are home health services, nursing home facilities, hospitals and employment services. The largest employers, to date, of Licensed Practical Nurses are nursing home facilities.

Salary

Entry level Registered Nurses earn nearly twice what an entry level LPN. The annual salary for LPN's usually run around $40,000, while the annual salary for RN's is $57,280. Also keep in mind that there is more room for advancement, in the terms of salary compensation, for a registered nurse. They are able to move into managerial positions and they can even become professors at major or minor universities. These positions can pay $75,000 to $100,000 annually.

Internal Burns


The majority of people are aware of burns to the external portions of a person's body. We all know that they are measured in degrees (usually 1-3 but also 1-6 for more severe burns) and can leave painful scarring. Many people also know that it is possible to receive chemical burns, electrical burns, sunburns, and scalding burns. What many people don't realize is that it is also possible to receive internal burns.

Just like the skin, a variety of internal organs can be burned due to exposure to extreme heat, electricity, or chemicals. These burns are typically very serious as they affect organs that are even less equipped to deal with damage than the skin is. Commonly injured internal organs include the esophagus and lungs. It is possible to burn other organs as well.

When smoke or some other hot air substance is inhaled, it is capable of burning the entire respiratory system. This can be because someone inhaled steam, was caught in a burning building, or just got a little too close to something burning. When this happens, the lungs are damaged and the individual is faced with a very painful recovery process.

Chemical burns can do the same thing. The difference being that the chemical is capable of eroding the organ, rather than just hurting it. For this reason, a lot of household products have very serious labels on them with instructions concerning what to do if the cleaner is swallowed. Acids, like those found in drain opener, can eliminate not just a person's esophagus but also the stomach and intestines.

Electricity can also burn the inside of a person's body if a high enough voltage is administered. Lightning is a cause of this in many instances. If the voltage is high enough, electricity can burn not only the external skin on a person but also the organs on the inside. In addition, electricity can permanently damage organs that are necessary for life. This includes creating arrhythmias in the heart as well as messing up the nervous system. The nervous system can be damaged by electricity because it works on tiny impulses going from nerve to nerve. A large volt of electricity through the body, basically, overloads the system.

As a general rule, it is much more difficult to treat internal burns. While the exterior of a person's body may look ok, the internal damage can be much greater.

Home Owners Insurance Claims For Accident Injury


Reporting Injury to Home Owners Insurance

The first things to do if someone is injured on a homeowner's property are to get proper medical help. The next step is to contact the property owner's homeowners' insurance agent and report the accident. For minor injuries, they may handle the claim over the phone in a series of calls, learning the needs and providing adequate coverage. For more serious injuries, they will probably send an insurance adjuster to take charge.

Claims Process

Once a claims adjuster begins managing a homeowners' insurance personal injury or premises liability claim, the homeowner can generally leave the process in their hands. However, some of the elements to expect include:

1. Obtaining a clear report of the accident from both the homeowner and the victim
2. Calling in expert witnesses if necessary
3. Obtaining testimony from other witnesses
4. Gathering any evidence from the accident site
5. Obtaining medical records from the injured party's physician or physicians
6. Keeping the case open until it is clear that the injuries are healed or that they will be permanent or ongoing
7. Settling the Claim

Problems that May Arise

In the best case scenario, the claim will be a simple process of determining the extent of the victim's injury, the cause of the injury, and putting in a final claim for coverage.

However, not all injuries occur according to plan. There can be a number of problems that arise in the process of settling such claims. Those problems may include:

• Disputes over who is at fault
• Disputes over the extent of the injuries
• Disputes over whether the homeowner in some way intended to injure the victim
• The extent of the homeowner's liability coverage

Any one of these problems and more could lead to a legal battle.

Compensation for Injured Party

If it is proven that the homeowner was liable for the victim's injuries, their insurance company may generally be required to pay compensation in one or more of these areas:

• Medical expenses
• Lost income
• Pain and suffering
• Wrongful death (if necessary)
• Permanent disability
• Punitive damages if the negligence was willful

If the compensation award is greater than the insured's coverage, they will be required to pay the remainder themselves.

When is an Attorney Necessary?

When complications arise and an injury settlement proves impossible, both parties generally require the services of a personal injury attorney to protect their interests. The homeowners insurance company provides legal counsel to defend both their interests. In some cases, that may mean proving that the victim is exaggerating their injury for profit. The insurance company's lawyer has probably often handled such cases and can detect such deception and provide a defense against it, protecting their client and their insurance funds from being taken advantage of.

For more information visit Allegiance Law San Francisco Personal Injury Attorneys.

The Benefits of Choosing an Excellent Nursing Home for Your Aged Parent


The thought of being not able to take care of your aging parents may sometimes lead to stressful scenarios. Most people have their own families to care and work for. It is not easy to leave from work to take care of senile parents. If you can relate to this situation, you must realize this early, the importance of assistance from a nursing home. Whether you like it or not, time will come that you would need to consider this option.

We are lucky today because there are facilities providing care and attention to adults. We call these nursing homes adult day care centers. These facilities can be the solution for people who cannot manage to provide full-time assistance to their elderly parents. Through this type of nursing home, you can have the peace of mind that your loved ones are getting the proper care and attention from professionals.

There are several types of day care centers today. Most basic services include assistance in therapies, medications, and meals. With the guidance and monitoring of professionals, you are assured your parent is safe. In addition, you can let him/her have a productive and socially active living through educational and social activities. Some homes offer classes on music, art, gardening, and computer. These activities help the elders utilize their time meaningfully while socializing with fellow seniors.

Moreover, you can drop your elderly parent on the day care center as you drive to work and then pick him/her on your way home. You can also find some day care centers providing transportation services if you cannot attend to it.

Most of these facilities have specialized services for different conditions that senior people suffer from. They provide health and therapeutic services for those with serious health conditions. Some even have partnerships with other assisted living centers, health care agencies, and even educational institutions. You may also choose facilities that feature on-site services of optometrists, dentists, podiatrists, as well as physical and occupational therapists. There are even some homes with spa and salon services.

Looking for a nursing home for your elderly parent may be difficult but necessary. With this in mind, you need to be patient in searching for the facility that can provide utmost care and attention for your aging loved one. Your priority is the safety and wellness of your senior parent; you must look for an excellent facility. The best way to do this is to take some time visiting facilities. Check if the place is clean and comfortable. Make sure they have trained and caring nurses, dieticians, and instructors, all under the supervision of healthcare professionals. You can also get a clue of the type of the service they offer when you observe the seniors living in the place. If they look happy and healthy, then it is a good sign. It is also wise to look for a nursing center with rehabilitation programs if your loved one has recently gone through an injury, surgery, or other illnesses.

Start your search for a good nursing home as early as you can. Make sure your loved one will have a happier, healthier, and more productive lifestyle on the facility.

Tuesday, January 21, 2014

Sudan and One Tourist - Me.


In 1985 the Sudan was in considerable trouble. Sudan had been in trouble before but this time the country was almost on its knees. I had been invited to visit relatives of a dear friend of mine, a Sudanese girl I shared an apartment with, and I was hoping to be met by her cousin Zuba.

I arrived in Khartoum at the exact moment the Sudanese decided to sack their incumbent President, Gaafar Muhammad Nimeri. From the first moment of my arrival I could sense the tension; it was an almost tangible thing, raw and exciting. I arrived late at night, tiptoeing over the sleeping bundles of rags propped against scant furniture in the weirdly utility building rumored to be the arrivals hall. At least I was assured it was the arrivals hall.

There were piles of unclaimed baggage strewn in every direction, with locks hanging loosely; obviously having been tampered with by a series of looters. In my innocence and inexperience of life in Khartoum, I had worn a rather smart white dress and jacket for my journey, rather like selecting a wedding gown to explore a coal pit really, although I was unaware of my idiocy at the time.

I was sitting in what can only described as ultimate chaos. The aircraft I had just alighted from had disgorged over two hundred shell shocked passengers into a room only slightly larger and considerably dustier than a scout hut. Floating sand was everywhere, in the air, on the seats, settled into drifts along the counters and over the Perspex barriers which separated the passengers from barely visible immigration officials. Children were crying, some strange Arabian anthem was crackling across a loudspeaker, and outside the building cars and taxis were honking their horns.

As I sat, fine yellowish brown sand floated down onto the shoulders and lapels of my crisp, white dress and coat and onto the black leather of my dressing case and handbag which I carried, terrified to lose sight of my personal belongings in this bedlam.

A cluster of ragged bodies seemed to be pawing at a pile of baggage just in front of me. On closer inspection I managed to read the back of the tee shirt nearest me. ‘Baggage Handling’ it said. The wearer had on only a pair of worn out Speedo shorts, and flip flops. He was puffing away on an evil smelling clove cigarette and he and his friends had already opened a suitcase further along the line.

They had also opened a bird cage for some reason, and the occupant, an African parrot, had flown out in search of refuge. The parrot was now perched on one of the slowly turning blades of the most enormous ceiling fan I had ever seen, and was hurling selections from his considerable repertoire of phrases at everyone who went near him. Each sentence was couched in the most obscene terms and he had collected a group of admirers who were throwing him peanuts to coax him from his perch. I gathered from one of his young admirers that his name was Maxwell.

The collection of rags was now searching through one of my suitcases so I decided the time had come to assert ownership. Just as I arose from my seat, Zuba arrived. I should explain at this point that Zuba, as we affectionately called her, was 36 years old and, as yet, unmarried. In the Sudan, to be this great age and not yet betrothed or married was an unforgivable sin. She was not unattractive in a strange, Zuba sort of way. By that I mean she was of medium height, huge brown eyes with heavy fringes of lashes, smooth skin of a coffee complexion, and dainty hands and feet. Her voice, however, would cut through steel. Most of her remarks were quickly followed by raucous laughter, usually mistaken for male origin.

Zuba was ungainly in the extreme; she walked as a farmer might, when striding through a pig pen, with feet well apart, taking large strides and swinging her arms as she went. Zuba adored Bob Marley, Peter Sellers and going to parties. She had joined the army upon leaving school and had risen through the ranks, training as a medical officer and then as a Psychologist, until by 1985 she had reached the rank of Colonel.

Wherever Zuba went, so her entourage followed. There were two uniformed private soldiers she informed me were her bodyguards, both of whom were of considerably slighter build than she and terrified of her. A further four soldiers just seemed to trail behind the first two and try to look interested in everything Zuba said, or did. The seventh member of her little band was her driver, whom she pummeled with her handbag whenever he misbehaved.

She came toward me through the arrivals hall at Khartoum airport, dressed in her khaki uniform, pips and eagles adorning each shoulder, a gold lanyard swinging from her tunic, looking extremely official and parting the crowds of people by waving her service revolver at everybody who dared to get in her way. She threw her arms around me and lifted me off my feet, kissing me on both cheeks several times over. By the time she had finished planting kisses all over my face her emotions had overcome her and she began to actually cry. Her driver handed her a handkerchief and she blew her nose noisily before shouting to one of her troop to grab my suitcases.

Zuba led us through immigration in a flurry of handshakes and toothy smiles, introducing me to everyone and explaining that I was a VIP from diplomatic circles. I actually was a lowly administrator from Leeds so nothing could be further from the truth and it was very obvious none of them believed her, but they seemed not to care and we were soon outside the terminal doors.

Our transport was an open army jeep complete with flags and hooters. We raced through the hot, dusty trails, you could certainly not call them roads, and after what seemed like hours, we arrived at Zuba’s family home on the outskirts of Omdurman. Tired, caked with dust and filth, I entered the ruined splendor of Zuba’s home.

It was easy to see how in the old days her family had considerable wealth and influence. Now, the marble floors beneath my feet were gritty from sand, brown at the edges where the floors met the walls, bare light bulbs hanging from light fittings, threadbare rugs scattered everywhere. Zuba brought two young girls forward and introduced them as servants. ‘It’s okay Jan, you don’t have to kiss them, they are very black!’ she said! Shocked, I started to scold her about talking of the girls in that manner but she laughed loudly and began dragging me upstairs to unpack.

Zuba’s bedroom had not been decorated since she was nine years old and still had pink painted furniture and posters of pop stars of the sixties adorning the walls. A very young Donny Osmond grinned down at me from above a bed I assumed to be Zubas; cotton throws in bright colors were draped over the chairs to hide the childish Disney transfers of Snow White pasted to the backs. Zuba explained that her bedroom had been left in this state by her mother as a punishment for not getting married at a respectable age. I murmured something sympathetic and she continued to show me around her private quarters.

There was a heavy metal door at one end of the room which turned out to be the door to the flat roof. I stepped through the door, looking forward to seeing a roof garden with perhaps a dining area. Instead I was greeted by a collection of discarded cardboard boxes, some of which still had the smelly remains of fruit adhering to the sides. Beyond the boxes was another door, this time to a bathroom, containing a tap high up on the wall which was the only means of showering, and a toilet, the smell from which was beginning to make me gag. Everything up here was coated in brown dust. The rest of the roof was just an open space with a low wall.

A drunken washing line was strung between the bathroom wall and a hook on the parapet, and obviously it would be impossible to peg washing from it except at its highest point. At the far end of the roof was a plastic chair and table with a suspicious looking object trailing a wire through the wall.‘Here, Jan you can ring your family and tell them you are in Zuba’s wonderful house,’ she said, pointing to the object which I now recognized as a telephone without is plastic cover.

Zuba discreetly retired to the ground floor, leaving me to phone home. It was then I realized there was no dial on the object either, therefore there were no numbers to choose from. I sat on the plastic chair and laughed.

I stayed with Zuba and her family for six wonderful months. I was 31 and had been working as a secretary in the service branch of an engineering company for the past two years. I had been suffering from boredom for so long I was now beginning to accustom myself to the perpetual ennui of my set routine and I was terrified of waking up one morning on the wrong side of fifty and wondering where my life had gone. Sudan was exactly the kind of adventure I needed and I launched myself into the business of living on a knife edge with passionate abandon. I found a job as a temporary secretary with a local oil company and agreed to attend every single function I was invited to for the next three months.

Khartoum was overrun by American pilots who were there to train the local air force. They invited me to their parties and barbecues and treated me like royalty. I joined the Sudan Club, the last relic of British occupation and still inhabited by one or two live-in residents left over from the fifties when the Sudan still had roads and pavements.

At first I was content to stay with Zuba and learn about the way Sudanese families lived. After a few weeks though, I began to understand that I must be a drain on the family resources, in a city where food shortages were becoming more and more worrying each day.

Bread was queued for, sometimes for hours. The two servant girls were sent to wait for hours in the sun outside the bread shop, the grocery shop, and the worst of all, the gas depot, where gas bottles were rationed to those residents who had enough money to bribe the depot officials, thus enabling them to cook and to light their houses. The gas depot was a long walk away, no shelter from the sun when you got there, and no guarantee of coming home with gas.

One of Zuba’s cousins, Ozzy, was a regular visitor to the house. He would arrive late morning and greet Zuba politely, then retire to the front patio with her brothers, to smoke and drink ‘Sid’ – a disgusting concoction of ninety proof alcohol which passed for cocktails in these difficult times. The entire family was devout Moslem I must point out and therefore strictly forbidden to consume alcohol. As in all things, the consumption of alcohol was overlooked and deemed a necessary evil to help overcome the daily tiresomeness of living in reduced circumstances.

One evening about a week after my arrival, Ozzy invited me to visit his mother. I was delighted to be invited as Ozzy’s mother was reputed to be a great beauty of her generation and a highly sophisticated woman. We set out just before dinner and I was fascinated at how Ozzy could find his way around the sandy wasteland of Khartoum. There were no street signs, no signposts, and no stop signs. The sands of time had covered a once beautiful city. Ozzy informed me that long ago, when the British were in residence, the city had fire hydrants, post boxes, beautifully paved sidewalks, shops and taxi ranks and post offices. Now there were just tired, dusty houses facing other tired, dusty houses with a desert wasteland between. You had to use a compass to get around.

We stopped suddenly outside a house with a locked metal gate. There was a Mercedes parked outside the house and Ozzy got out of the car, opened the trunk and took out a plastic canister and a hose pipe. To my horror and disbelief, he began the process of siphoning petrol out of the parked Mercedes into our car! I objected strenuously to this blatant theft but Ozzy just smiled, ignored me and continued to his destination.

My visit to Ozzy’s mother, Una, was the first of a series of visits, each one more enjoyable than the last, and we became close friends. She helped me to find an apartment in Khartoum and I managed to furnish it with donated furniture from a collection of concerned friends.

I felt more comfortable now that I was not draining Zuba’s family’s limited supplies and in fact I was now able to supply them with a few luxuries such as shampoo and toothpaste which I bought at the American commissary, a perk of working for an American oil company. Some days were good and some were unspeakably bad.

One morning I woke to find my apartment flooded. There had been no water for three days and I stupidly left the taps turned to the on position. The water supply had been restored in the middle of the night and overflowed everywhere. On arriving in the street I found my driver, Khamis, busy under the bonnet of the company car allocated to me. After recruiting the assistance of a series of passersby it was concluded there was no petrol in the car.

It was stifling hot in the back seat and I demanded to know why I could not open the windows. Khamis informed me solemnly that he had super glued the windows shut to deter thieves. The front windows were not glued, I pointed out. No, he said, that was because he found it too hot with them shut.

Arriving at my office it would be quite normal to find the telephones did not work, the electricity had been cut off, the water was off, or the caretakers had not shown up to open the building, resulting in a mass adjournment to the cafes for endless cups of coffee until lunchtime. The Sudan Club supplied food most days. It would not do to be too fussy, you had to eat whatever was on the menu for the day. My lunch on some days consisted of a curious collection of pickles and a slice of bread, at other times there would be a veritable feast due to the arrival of a consignment of food which was then distributed by the resourceful characters in charge of imported goods through the ports.

Zuba was a regular visitor to my apartment and she made herself at home, arranging herself on the sofa with her feet on the coffee table and viewing my collection of library videos which I borrowed weekly from the American commissary shop. She would tuck into a large bowl of cereal, her latest fad, glue herself to the television and refuse to talk until she had come to the end of her movie.

I was amazed one morning to spy Zuba alighting from her staff car outside my apartment, in full dress uniform complete with white gloves and sunglasses, looking like a female version of Idi Amin, accompanied by her feckless driver who failed to catch her when she stepped off the sill of her jeep and she stumbled into a hole in the road, slapping him over the head with her handbag and screaming abuse at him top volume. She had been to the hairdresser, and her shoulder length hair had been braided into hundreds of tiny plaits, and secured at the end with multi colored beads; very attractive for party wear, but hardly suitable to accessorize an army uniform. Over the top of her uniform cap she had jammed a set of headphones, and she proceeded to dance up the stairs of the building to the tune of Bob Marley.

Zuba casually asked me what I did at work, and when I told her I typed, processed papers, made coffee, etc, she froze in shock. What did I mean by ‘make coffee?’ I explained that in the modern world secretaries make coffee for their bosses, it was no big deal. The next day she showed up at my office complete with entourage and service revolver, which she waved at my boss and warned him darkly that he was not to ask her friend to make his coffee again if he wanted to survive his term of service in the Sudan. I assured him after she had gone that he did not have to worry, I was quite happy to make his coffee. Nonetheless he never asked me to again.

During my time in Khartoum I explored the seam where the blue and the white Niles meet, helped in a crocodile hunt, survived the onslaught of numerous haboobs (sand storms) and flew into the wilderness near El Obaid, courtesy of the World Bank to meet the field Geologists studying desert life in isolated camps with their families; two years in the desert without any contact with the outside world made them very pleased to see us.

I experienced the discomfort of tear gas during the coup and had to bath in bottled soda water when water supplies completely dried up, and I watched with delight when Nimeri was finally ousted from power, joining the dancing and celebrations in the streets which went on for days. I visited the camps where my friend Marguerita was in charge of vaccines, nursing the children with so many famine connected diseases, and eventually nursed Marguerita while she died of cholera in my little apartment. She was so brave and strong, it seemed unthinkable she should end her days in such horrible circumstances.

My stay in Sudan came to an end when I had the opportunity to visit Dubai over a year later. I found modern desert life fascinating and a new platform for adventure. The Sudan and Dubai were at opposite ends of the spectrum of civilization. Whereas Sudan was poor, underprivileged and shabby, Dubai was sleek, rich and super efficient. I needed the change and went into my new life in the modern Emirates with the same rush of enthusiasm I had felt when I first stepped off the plane in Khartoum. I will always remember them; the Sudan, Khartoum, Marguerita, and Zuba.