Respite Care for Elderly Individuals – A Must for Caregivers

Life can change in an instant, and often that means people are affected by injuries or illness that make them unable to live life as they once did. Often though, it's just the natural aging process that makes life more challenging. Caregivers are frequently called upon to help individuals have full and satisfying ways of life. Respect care for elderly individuals is a smart solution for anyone who is tasked with helping an aged person with the responsibilities of daily living, but is feeling a bit burned out.

Help Avoid Dangerous Mistakes

When a caregiver is in need of a break, he or she may be more at risk for making harmful errors that put people at risk. For example, a caregiver may be so preoccupied that he or she forgives to give a client a dose of a critical medication. If the person who needs that medication is not able to remember a corresponding dosing schedule, a missed dose may be truly life threatening.

Respect care for older people can allow caregivers to stay in tune with their own needs and more easily recognize if it's time to take a break. Whether that change of pace happens for just a day, or perhaps a much longer length of time, it could be extremely valuable in helping keep caregivers and their clients safer.

Allowed a Caregiver to Relax Without Feeling Guilty

Another great advantage of respect care for elderly individuals is that it enables a caregiver to truly feel in a position to focus on personal needs during a break. Otherwise, a caregiver may understandably be concerned that a person in need will be able to access the things he or she requires most, or even do basic things like cook meals and bathe.

If a caregiver is worried that a client or loved one might be in need of assistance during a break, it will not be a truly relaxing time. Professional reply care for older people removes that uncertainty. Rather than making a person temporarily go without assistance, it simply gives another individual the short-term responsibility of taking over.

Giving a Loved One a Change of Pace

In some cases, a person is cared for by a member of the family, and rarely, if ever, gets to socialize with others. That can end up being very stifling for everyone involved, and can even lead to unnecessarily flared tempers or frustrations. A short-term caregiver can be a refreshing change for the person who is receiving assistance. That individual can also offer a very therapeutic presence if someone is going through a challenging time and does not feel comfortable discussing the struggles with a usual caregiver.

You've now learned about several of the reasons why please care for older men and women is such an integral part of responsibly providing care. It does not mean a person is showing weakness or sacrificing duties. It's simply a sensible way for hard-working people to get much-deserved breaks from their usual responsibilities, without having to worry that the health and safety of a loved one or client is being compromised.

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More Than Survival – The Future of Neonatal Care

I'm about to confirm something that you, as a neonatal therapist, know all too well.

While survival rates for premature infants have increased tremendously in the past decades, there is much work to be done to improve long-term neurodevelopmental outcomes. This is why we do what we do. We're wired (and educated) to use every interaction as a foundation for future development.

We witness the infant in the NICU – sensory systems bombarded by noise, repetitive and 'unannounced' procedural touch, abrupt changes in position, pain, temperature changes, and gravity and wonder how it will stand in the middle of the recess line at age 7. Will the slightest bump or touch by a classmate make him shut down or lash out? And will he want to eat at lunchtime or will he view food as noxious or simply uninteresting? Will he be able to listen in class while blocking out the noise of the floor buffer in the hallway? Does he have the postural support to hold himself up in order to pay attention in class?

You get this. This is our perspective, the lens through which neonatal therapists see. Yet it's sometimes difficult to make a case for the importance of prevention, early therapeutic intervention, and 'softer' quality of life opportunities which can be harder to quantify with data and yet vitally important to parents and children (and our healthcare dollars).

I want to tell you about a resource that provides much of what we've been searching for as we attempt to infuse our neurodevelopmental perspective and practice into an intensive care environment.

Transformative Nursing in the NICU: Trauma-Informed Age Appropriate Care is a book written by Mary Coughlin, RN, MS, NNP. She was our keynote speaker at the NANT Conference this year and presented this topic to us with such passion that a standing ovation was inevitable.

Below are a few excerpts from Ms. Coughlin's book:

“Developmental trauma is a traumatic event that occurs during a sensitive or critical period of growth and maturation for the neonate. Hospitalization in the NICU is an example of a very complex developmental trauma to the infant as well as the parents and the family as a whole . ”

“Having knowledge of this embryological reality informs the NICU clinician to understand the heightened vulnerability of these regions (ie perioral area) to procedural touch and manage these experiences compassionately and consistently.”

“Pathophysiologic sequelae associated with various medical conditions warranting NICU hospitalization can confound the individual's ability to self-regulate and establish a secure base with an attachment figure.”

“Traumatic experiences occurring during sensitive and vulnerable periods of development have been specifically linked with immune reactivity and altered HPA axis performance.”

And this quote by Dr. Bruce Perry: “Experience can become biology.”

The above quotes are just a taste of what you'll find in the pages of this book which is part of my neuro-geek summer reading list. Both trauma-informed care and age- appropriate care support what we assess, provide, facilitate and educate about in the NICU.

I do not know of another resource quite like it.

And to our patients I say this (an excerpt from a poem I wrote long ago):

We are proficient at helping survival but you are more than survival, more than yes or no.

YOU are the nuances, almost indefinable in your uniqueness.

In many ways you are unexplored.

We promise to follow your lead knowing at last we have listened, responded, and acted in synch with the privileged space you so open share.
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Compassion Versus Co-Dependency in Detection and Reporting of Impaired Nurses

In the healthcare industry, there is a very special trait held by many of these professionals and their co-workers. They are compassionate. This compassion is what drives them to the field of health care in the first place. They want to help heal others. Health care workers in general have big hearts, and feel for not only their patients, but their co-workers, too. In fact, if they are not compassionate, they will not last long in this field of work.

There is a potential problem with this compassion trait, in that compassionate people are usually very forgiving, and they might overlook a behavior that they should not. Overlooking the behavior of a patient who may be cranky, and needy is one thing, but let's look at our nurse partners or bosses. Is he or she human, and can have a bad day? Of course! More importantly, are mistakes made by this person more common than not? Are Mondays always days to dread being around him or her? Do you see the increased shakiness, lack of confidence, detachment, mistakes, or any other behaviors that would indicate possible impairment due to drug or alcohol abuse?

A compassionate person may be more understanding, and take on extra duties to cover for the “impaired” nurse. A compassionate person would even take the suspected impaired nurse as ask and ask if everything is all right. A compassionate person would also see how the impaired nurse's behavior is affecting everyone else. A compassionate person may be the one who finally reports the impaired nurse as being suspected of abusing drugs or alcohol.

On the other hand, a co-dependent person on the staff would save, fix, rescue and care take the nurse at his or her own expense. The expense would be working extra hours, lying for the impaired nurse, making excuses for the injured nurse, covering up mistakes, denying seeing any wrongdoing, and more. The real expense here is the total values ​​conflict the staff member would have, and not actually deal with, to make things peaceful at work.

A co-dependent person usually makes the best worker, but they are usually big enablers, and we can not count on them to take the initiative to get an impaired need the help he or she needs. That does not negate the co-dependent person as a worker. It just means that there may be more education needed for staff members, so that the co-dependent worker is not going to mask inappropriate behavior committed by other staff.

Working with an impaired nurse is very difficult, as he or she can be very charming and manipulative. There are recent reports that state that one in ten nurses is actively abusing drugs or alcohol. It takes a strong person, who knows himself or herself well, to stand up to this kind of challenge or adversity in the workplace. This person has to have a big heart and a clear head. This healthcare professional is the kind of person who sees what consequences may happen from noticing behaviors out of the norm. This is a problem solver, and a risk taker. This is the person who wants the best for everyone; workers and patients. This is the person who takes notes aboutappropriate behavior and presents his or her concerns to the appropriate manager.

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Is Your Surgical Center Compliant With Medication Storage?

All medication has to be stored in a manner to maintain the medication integrity.

The expiration dating and the temperature are the largest concern of medication integrity.

There are several temperature requirements for drug storage area, refrigerators, freezers and conditions. They are as defined in USP 29-NF 24:

· Refrigerate at 36 to 46F (2 to 8C)

· Freezer 5 F (-15 C) or colder

· Room Temperature 68 to 77 F (20 to 25C)

Failure to follow storage recommendations of pharmaceutical products can end in sub potent products and probably, the therapeutic failure.

In addition, lots of medications are discarded every year as a result of improper storage conditions resulting in millions of dollars lost.

This can be the result of many reasons, with the most common ones being

· Improper shipping

· Failure to refrigerate

· Failure to freeze a product upon receipt or after use

· In the event of a power failure

It's necessary to acknowledge when pharmaceutical merchandise has not been stored in accordance with the manufacturer's specifications and take remedial action.

There are resources available that provides general tips for the room temperature stability of common medicines and vaccines which are stored within the refrigerator or freezer. However, if a pharmaceutical product has not been stored according to the recommended conditions. Do not assume it is no longer usable; you should contact the manufacturer of the product and give the specifics

Depending on the

· Pharmaceutical product,

· Lot number

· Expiration date

· Exposure temperature

· Length of exposure to temperatures outside of the suggested range

Some medications may be deemed suitable for administration where others should be quarantined and destroyed. With this information they will let you know if the product is still usable.

Drug Expiration Date:

The expiration date that is listed on the medication is the final day that the manufacturer guarantees the safety and full potency of a medication.

Drug expiration dates exist on all medication labels, including prescription, over-the-counter (OTC) and dietary (herbal) supplements. It is required by law that all US Manufacturers place expiration dates on prescription products prior to marketing. Because of legal and liability reasons, manufacturers will not make recommendations about the stability of drugs past the original expiration date that is on the label.

In the Surgical Center all expired medication must be declined from stock and quarantined until medication is destroyed or shipped to reverse wholesaler. In the event a medication is expired and it is unavailable in the market place, the medication can be kept in stock, but there must be documentation showing good faith in ordering the replacement medication and its unavailability in the market place.

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Ten Simple Methods for New Nursing Grads to Attract Employment

Nurses, in spite all of the wonderful employment opportunities available for us, still face trouble when it comes to the hiring process- especially new grads. Below are ten awesome tips to get you started out as a nurse that will definitely improve your chances in landing that perfect job!

# 1. Volunteering

This is probably not what you want to hear, but this is one of the best ways to get your foot in the door! A lot of places looking for nurses are only looking for nurses who have experience. The best thing to do would be to volunteer in the field you're planning to make a career out of. For example, Getting a bunch of experience with ventilators, tubes, and other medically intensive areas will help you to get a position in a hospital! If you volunteer at a home for people with Alzheimer's and Dementia, you'll get some good credit towards applying for a memory care position. Try calling local places and asking if they accept volunteers- many of them like having people like you do stuff for free! Just do not expect a top-notch job if the only experience you have is from hospitals and that three month period you spent in the hospital lobby handing out coloring books to children (yes, I did that!).

# 2. Make your Resume Look Nice

Okay, so you do not have a lot to put on this resume, but that does not mean you can not spend some time sprucing up what you do have! Do not include things that are not related to the medical field. No one's going to consider your burger-flipping expertise a valuable skill for your potential job! Look for someone to help you format your resume. You could even take a look at some examples to get a feel for how you want your resume to look.

# 3. Good References

Your grandmother is not a good reference! Your clinical teacher, or anyone you met along the way with a good attitude will fit best. Remember that a professional reference hold more ground than a friend.

# 4. In-Person is Best

A lot of places will make you apply on the internet- but that does not mean you can not show up and meet everyone anyway! I have done this many times and it has definitely helped me land a couple of good jobs.

# 5. Be Physically Able

As a nurse, you may have to do some heavy lifting at least every now and then, assuming you do not work in an office all day long. If you're able, try to keep yourself in good physical health.

# 6. Staffing Agencies

Staffing agencies are great resources to get started when looking for a job. They only get paid when you get employed, so they're going to be motivated to look for a job just for you.

# 7. Ask a Nurse

When in doubt, ask someone who has been a nurse for a while for some help. Not only can they give you tips on getting employed, they might even have a couple of leads on jobs. Not to mention that they can recommend you for the position!

# 8. Turn in a Lot of Resumes and Applications

This is a great way to get noticed and to increase your potential for getting a job. There is probably someone or some place out there that really needs a nurse right at this very moment! This goes back to the law of benefits- the more you do something (turning in applications and resumes), the more likely it is for you as a new nurse to get a job.

# 9. Improve your Social Skills

Like I mentioned earlier, the way I got most of my nursing jobs was to go in and talk to people. If you're as substantially socially awkward as I was in my teenage years, you're going to need to change that! There are a lot of groups, probably some near you, that will help you learn how to socialize. A useful site that I utilize for this purpose is meetup.com. Do not worry, it does not cost a thing to join a meetup group.

# 10. Odds and Ends

Make sure you've got CPR training under your belt. A TB test, Hep B vaccine series, or drug screening may be a requirement. The more of this stuff you can get out of the way, the less your employer has to take care of for you.

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Supportive Living: An Affordable Alternative To Nursing Homes

It's no secret that, as we get older, many of us need to consider if our living arrangements will need to change to keep us financially afloat. Unwilling to rely on our children as caretakers, we begin to think about where we can spend our golden years without becoming a hidden of sorts to our loved ones. Usually, for many of us, we begin to think about whether we'll need to sell our homes and move into a community facility specifically designed for older residents.

What Supportive Living Payment Options Can Mean To Residents

If you have begun to think about the possibility of moving into a community facility, chances are you have already started considering which model type makes the most sense for you financially. You may have found yourself wondering if a nursing home facility may offer the best and most affordable option based on your finances. While it's true that a nursing home can prove a low-cost choice for seniors, it's important to remember that it's not the only affordable community housing model. For many prospective residents hoping to carefully maintain their financial stability, one choice proves the most salient: supporting living campuses.

While many prospective residents assume that only nursing homes offer affordable housing circumstances, this simply is not the case. Supportive living facilities offer a wide range of payment options to ensure that as many eligible residents as possible have access to this type of group campus. For guests considering supporting living, payment can come in three important forms for optimal affordability and convenience.

As one possible financing option, residents at supported facilities are given the option to pay for their stay through their savings and private funds if that is their choice. Additionally, many prospective guests can opt to include long-term care insurance or veterans benefits to finance their stay at these facilities. However, for many mature individuals looking to get into living living facilities, there is one option that often offers the ultimate peace of mind: tapping into the Medicaid benefits to help defray the overall financial cost of these community campuses.

Benefit Of Choosing Supportive Living Over Elderly Care Facilities

Once prospective residents understand that they do have affordable care options for their golden years, the choice becomes streamlined and straightforward. Supported community homes offer an extensive range of amenities, features and benefits that elderly care facilities simply can not compete with. This can prove a major deciding factor for individuals looking to enjoy a lifestyle surrounded by professional and peer support, without having to give up their independence and current freedoms. These amenities can include such critical lifestyle features such as carefully prepared nutritious meals, a wide range of onsite social activities, and access to doctors and other specialists as needed.

Most importantly, being able to afford a supported community lifestyle means that you'll enjoy as many freedoms as possible, without having to rely on your children and other family members to take care of you, making this an ideal option for older residents of every financial background and lifestyle need.

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Warning Signs Your Loved One Might Need Housekeeping Services for the Elderly

Getting older can come with a wide variety of challenges that could impact a person's physical, emotional, and mental state. That's often because things that were once easy became difficult or even impossible to manage as a person ages. If someone you know is coping with old age and living independently, he or she might benefit very from housekeeping services for the elderly. Keep reading to learn about some telltale signs that may indicate it's time to give your loved one a helping hand.

The Person Avoids Having You Over to the House

Old age can make someone more likely to struggle with feelings of isolation. If you're doing your part to provide social interaction, but an aged loved one continuously says it would be better to meet in a public place or over at your house, that may mean the person is embarrassed about the state of his or her home, but does not want anyone to notice how bad things have gotten.

If you suspect that's the case, do not jump to any conclusions, but think about having a frank discussion about whether your loved one might be having trouble with housecleaning because of his or her age. Housekeeping services for the elderly can offer peace of mind for a resident and his or her family members.

You're Not Allowed Into Certain Rooms

This indicator is trickier to gauge, especially since a person is entitled to privacy. If you come over and it's made clear you should not go into the bedroom, that's a reasonable request. But, if a person tries to keep you out of areas that are usually kept open for guests, such as dining rooms and bathrooms, that could be a sign of trouble.

You Get Negative Feedback When Approving the Subject of Housekeeping Services for the Elderly

Perhaps you've tried talking about getting housekeeping help in the past but ended up not getting very far with the conversation. By nature, many people are very independent and associated to accept it's time to get assistance with things once once they were able to do without problems. It takes a lot of bravery for a person to admit his or her abilities have changed, and it's time to investigate ways to get help.

Even if a person is very insistent it's not necessary to hire someone who provides housekeeping services for the elderly, that does not necessarily mean you should give up on proposing it as a solution. In fact, consistently negative feedback about getting a housekeeper might be a sign a person has realized it would be a good idea to have that kind of help, but simply is not ready to admit it on a personal level, or to others.

Clearly, there are many factors that should define any discussion about housekeeping services for the elderly. Always strive to think about the dignity of your loved one and talk about the subject in a way that makes it clear you're looking out for his or her best best interests and want to do that in a way that promotes safety without compromising independence.

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Paying for Long Term Care and Protecting Your Assets

After the fact that so many people will need long term care, there are a few good options for making this type of care affordable. Medicare does not pay for most forms of nursing care outside of very specific circumstances; the only government program that does is Medicaid. However, qualifying for Medicaid often requires “spending down” to a point where you fall under the maximum income qualification. From a practical standpoint, this means you could lose all your savings and assets.

There are, however, a few ways to protect your assets-at least partly-and pay for your long term care needs. We are not attorneys or financial planners; we strongly recommend that you consult a professional about your specific financial circumstances and available payment options. However, here are a few general options.

Buy long-term care insurance. Private health insurance plans generally do not cover long-term care. That's covered by separate long-term care insurance. However, there are pitfalls in purchasing this type of insurance. In the past, several long-term care insurance companies have gone under, leaving their insurances without coverage despite paying premiums for years; in addition, to face rising medical costs, many insurers have had to hike premiums dramatically. However, under the right circumstances, long-term care insurance can go far in protecting your assets when buying long-term care.

Transfer your home. Most of the time, you do not have to sell your home to qualify for Medicaid. In fact, if you do sell your home for its market value, you may no longer qualify-or you may be required to put all your proceeds towards nursing home costs. If you hang on to your home, you can usually still qualify for Medicaid-but the state of Texas may file a claim against your house after your death. This is called “estate recovery.”

However, if you have a surviving spouse, a surviving child under 21 years old, a child of any age with certain disabilities; or an unmarried adult child living on the property, the state may not file an estate recovery. There are also undue hardship conditions that would exempt your property; click here http://www.dads.state.tx.us/services/estate_recovery/ for more information.

Most of the time, if you transfer ownership of your home to someone else to avoid estate recovery, you will face a penalty and a period of exemption from Medicaid coverage that could basically negate the benefits you would get by transferring the property in the first place . However, under certain conditions, you can transfer your home to certain family members without penalty. This depends strongly on your own personal situation, however, and it is not a decision to make without first consulting an attorney.

Put your assets in an irrevocable trust. A trust allows you to transfer ownership of property or assets from yourself to a beneficiary. If you put your home or other assets into an irrevocable trust, you no longer have ownership of it-and can not get it back without the trustees and beneficiary's approval.

Protecting your property and assets in paying for nursing home care is always an intensely complicated situation, and varies depending on your individual circumstances. Consult an attorney to find out what your best options are-and hopefully you should be able to reserve your assets for future generations.

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Nurse’s Attitude and Patient’s Recovery

I was on my summer clinical in medical surgical ward. That was my first day of the clinical and I was assigned in Semi private ward. It is expected from a staff nurse to do the head to toe assessment of every patient to who she has been assigned. Being a student nurse my initial responsibility is to help out the staff in her routine work and care for the patients as well. I started my work by helping the staff nurse in head to toe assessment of patients. It was going smoothly. We both did assessments of eight patients together and I was now feeling comfortable in doing the assessments.

As we went near to room 5, I smelled some obnoxious odor. We went inside the room. There was no patient on bed no 5-A. The nurse told me to wear gloves, gown and mask as the patient was on airborne and as well as on contact precaution. I obeyed her. When we removed the curtain from bed no 5-B, we were shocked to see a female patient who was bombarded with skin blisters all over her body. There was not any skin on her body and her body was bleeding too. She was lying on a sterile Drape sheet and her body was covered from cradle, then again the drape sheet was covering the cradle.

That nurse and I left the room without any further inspection as that odor was unable to tolerate. Our rejected behavior was certainly inhumane and was not appreciated at all (Be it that patient or the Head nurse). Then we went to our TL and she told us all about that patient. I was surprised to know that she was suffering from a very fatal autoimmune Blistering Disorder- Phemphigus Vulgaris. She explained that out act did not represent a Nurse's role. Then that day TL looked after that patient. For the next few days, TL capt me in the same area. Then slowly with the passage of time I came familiar with that patient, and started taking care of her. After two weeks the patient recovered much better and faster and was shifted to another hospital in Quetta due to some financial reason.

Initially, I was so related to deal with her because I never came across such a thing in my life, but then I got this situation a second thought being a nurse so I felt ashamed and then I started feeling with her.

Dr. IIeen Craven of Honor Society of Nursing states that all nurses, no matter how they practice, are there to ensure safe, effective, and empathetic patient care. They place the patients in the center of care and work with other healthcare professionals to ensure the outcomes of care which will be best for every patient.

O'Baugh et al conversed a study in a clinic in Sydney, Australia in 2003. The objective of this study was to determine how patients and nurses view 'being positive' and identify the different factors that influence this state of being. From this study it was stated that the overall attitude of the health care providers affects a patient's general attitude and desire or will power

Let's understand it with an interesting analogy between a nurse's attitude and the environment by taking an example of going shopping. If you go into a shop to buy something and someone is there and they have a sad look on their face and you do not get a word (out of them) so they are so negative in their attitude, it has a terrible effect on you. You do not go back to the shop. Same is the scene with the patients and the healthcare professionals. Now when I look back, I realize that how childish I was in my behavior. If I were in her place I would have certainly felt so embarrassed because of a nurse (a caretaker) no one can expect such things.

A negative behavior is always the reason to mistrust of patients not only towards nurses and medical staff, but towards all the health care providers'. Being positive is very essential when dealing with patients. It not only helps in better recovery, but also establish a trusting attitude towards all health care providers.

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Making the Transition From Student Nurse to Working RN

Have you ever heard the saying “Nurses Eat Their Young”? Unfortunately, it is all too true in many instances. New Grads or New RN's are often given into the hands of those who seem to want to spend their time torturing instead of teaching. Why is this so? Power corrupts the ego of some of us. Because some of us have suffered unjustices at the hands of others, we feel free to “pay it forward” in order to elevate our ego's station. The thinking is “I was once on the low rung, now that I have chastised you and put you in your place, you are on a lower rung than I am, and I have elevated myself.” It turns out not to be true, and is more personally and spiritually damaging than we can know, but at the time it looks so.

This dysfunction is prevalent in many professions, not just nursing. It is all about the ego and the supposed teacher's self-esteem. The beginner or student is seen as the lowest form of life in the context of the working environment. This dysfunction just stands out more in a profession that is generally perceived as caring and compassionate because that compassion and empathy are not extended to the new nurse in many cases. There is also a deeper psychology. There are those who perceive themselves deep down as poor examples of what the profession of nursing requires of them. These are the “wing clippers.” They clip wings because they themselves can not fly and want to bring others down to their level so that their inadequacies are assuaged. The new nurse or student is the most vulnerable to the attack and give the greatest boost to the ego of those who need it because there is seldom consequence for this behavior.

There is also a third reason. Some experienced nurses who have worked hard to earn their knowledge and status, especially in the specialty areas like ICU, Surgery, OB, are less prone to be magnanimous toward a new nurse who is not qualified to work in that area. Accordingly, they do not feel you should be there unless you are exceptional and you must prove that or face isolation. These days, new nurses without adequate experience are being thrown into specialty areas that it literally takes years to learn by desperate management. In these critical areas there is usually no time to teach unless there is a specific Preceptorship program to keep you from killing someone while you are learning. It is imperative to know your own limits and comfort level. Insure that you progress at a pace that is in your comfort zone. You'll get where you want to be and you'll know when it's time to move up to more challenging care levels.

How to Survive the First Year
The first step in survival when you are assigned to someone to orient you or “teach you the routes” is to determine if that person has your interests at heart. If they love to teach, see it as a privilege and not drudgery, and are kind and patient with you and your mistakes, then you have found a treasure beyond price. If they are short with you, destructively critical, impatient, demeaning, or simply avoiding you, then you need a change of teacher. Go to your director and explain in professional terms, and without whining, that you do not feel your orientation is going as planned, and that there might be a personality conflict and you would like to have the opportunity to orient with someone else to gain a different perspective. Be honest. In short, find someone to teach you that you can respect and who respects you as a new nurse. This person will have empathy, maturity, and knowledge. You will recognize them immediately because they always stand out. If this person does not exist in your new environment, consider developing your armor and interpersonal skills. However, it is much more simple to just find a place to work where you are appreciated and respected. Do not hang on in quiet desperation, thinking it will get better when deep down, you know it will not. Whining, crying, and banging your head on the wall will not accomplish anything except increasing your anxiety and giving you a head injury. Follow your heart and your gut. Your place in the circle will come when you create it for yourself.

Following are some things to think about and incorporate into your new nursing work life.

  1. Be Patient – with others and especially with yourself. It is not possible to understand the complexities of nursing in a short period. Do not chastise yourself if you do not think you know everything. That is OK, life is for learning, and you are not invited to know everything at first. Learn to say “I do not know” and know how to correct your lack of knowledge. You will not be disappointed if you try to pretend you know something when it is obvious to all involved that you do not. You will be repointed for saying “I do not know” and then actively seeking out the knowledge and demonstrating what you learned and apply it.
  2. It Takes a Year – any complex job takes a minimum of a year to learn. However, we are given that much time. In nursing, you should be reasonably confident after this time and be at a place where you understand that you will be learning something new every day that you practice nursing for the rest of your career.
  3. If You Do Not Know, Ask – The quickest way to fail is unfortunately to assum. There is an old saying: To ass / u / me makes an ass of you and me. Well, it does more than make an ass of you if someone dies because of a mistake that could have been avoided if you had simply asked.
  4. Learn Where Things Are – tour your unit with someone knowledgeable. Do it with more than one person. Find everything and remember where it is, even if you have to keep notes for yourself. It will save you so much valuable time in the future you will not believe it. Volunteer to do the outdates on the Crash Cart – know it inside out. Straighten the med room and supply room in your “spare” time. Do anything that will help you remember where to get things and find things. This will foster your independence and make you feel much less of a “newb.”
  5. Get Organized – How many times will you run down the hall without tape or scissors in your pocket? How much time (that you already do not have) will you waste in chasing your tail for supplies? Ask any experienced nurse what they carry in their pockets, they will tell you and even show you. It is very individualized and some literally carry everything they might need. Do not buy scrubs that do not have big pockets just to look fashionable, you will regret it if you are really there to provide quality patient care. You will probably not regret being fashionable if you are only there to marry a doctor and quit nursing. Find work clothes that meet both needs if you are dumb enough to want to marry a doctor but still want to be a decent nurse.
  6. Take Care of Your Feet – they are the only ones you have and they take a beating every shift. Buy the most comfortable shoes you can find, regardless of cost. Take a survey of your fellow nurses and find out what works and what does not.
  7. Buy a Good Stethoscope – It is your primary assessment tool. A cheapie will not do anything but confuse you with all the artifact they produce. It is your job, and professional responsibility, to accurately assess heart and lung and bowel sounds. You will use your stethoscope a dozen times a shift if you are assessing your patients correctly. Beware: stethoscopes are accidentally (and sometimes on purpose) stolen. Especially a really nice one. The doctor borrows it, usually because they never have one, and then you do not see them again for weeks. Amazingly, when you do see them again, they somehow do not remember what they did with it. It is in their office, guaranteed. Put your name on it so that it can not be removed. Have it engraved on the bell. Get a radical color. There are new electronic ones out there now that are simply awesome. It is an investment you will not be sorry you made and it is an investment because they are not cheap.
  8. Trust Your Instincts – If your gut is telling you something is wrong, it probably is. Develope and practice this skill every day. It is equally true if something is right. Consult your gut and your heart, they will not steer you wrong. Without of course, you have some kind of psychological pathology, but then you will not know anyway because the truly crazy do not know that they are.
  9. Knowledge breeds Confidence – If you are unsure of something … look it up or ask. Meds, procedures, anything of which you are unsure. Before you go to the patient's room.

Then understand that you need to be adaptable because the book usually does not cover every situation. Apply your knowledge to the situation and think outside the box or if needed, rather on a mentor. Ask them to show you how to do something or walk you through it or simply be there for moral support. See one, do one, teach one. Remember, common sense is not all that common, but it can be learned and improved to some extent. Then, learn how to think critically.

  1. Learn to Chart – If you did not chart it, it was not done. Simple as that. Learn to get rid of the useless verbiage and chart just the essential points. Avoid generalities, they have little meaning and they can be your downfall legally. Chart as if you were being sued ten years from now. Because that is usually when it happens. You will not remember details ten years from now, you think you will, but you will not. There will be too many similar situations and patients. Accurate, succinct, thorough charting will save you repeatedly. Take the time to sit down and read the charting of a nurse who really knows what is important. ICU nurses are generally very good examples because of their experience and skill level. Have one of them that you respect review your charting and give you tips on how to convey the most information with the few words.
  2. Have Confidence – ESPecially in front of your patients. Be able to say, “I do not know, but I can find out” and still conduct yourself with confidence. And remember, almost everyone can tell if you are blowing smoke. Practice self-confidence by expanding your knowledge base, every day. Do not go into a patient's room to give meds without knowing what you are giving, why you are giving it, what it does, and what it means to the patient. It is the same with any procedures as well, no matter how routine. Why, you ask? Because they will ask YOU! That is what you are there for.
  3. Become a Good Teammate – Get good enough at what you do to be able to have time to help others or be a resource for them. If you are always behind, then you are always relying on others to help you. That is fine at times, we all need help sometimes, but it should be the exception rather than the rule. Do not be afraid to ask for help when you need it. Just make it your goal to create time by being more organized and efficient and not always be running. When you have this time, offer to assist your fellow nurses when they are behind. Then, because you are good at what you do, usually caught up and able to offer assistance to others you will be creating massive respect for yourself and your abilities, whether you actively seek recognition or not. Nursing is a team sport, some are just better at it than others. Be one of the better ones.

These are just a few suggestions to consider out of the hundreds you will come to know but these basics will stand you in good stead in getting started and finding your directions in the first year. Most of what you learn will come through osmosis and experience, but do not forget the books just because you graduated and never want to see them again. Learning is a career long and lifelong process. There is always more to know and nursing and medicine both change consistently.

Remember, when the student is ready, the teacher will appear. When the teacher appears, take respectful advantage of her or him. The situation will not be difficult to recognize, because it is meant for you and you will just know.

Copyright 2014 – All Rights Reserved

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Why Home Health Care Is Important

Home health care is becoming very common nowdays. People are looking towards it with increased interest because of the various benefits that it offers. The most important benefit of home care is that it saves hospital expenses, especially when treatment is needed for long periods of time, or when a patient is recovering from a specific surgery or illness. Many patients prefer staying in their own homes as opposed to staying in the hospital.

There are many reasons that make it an ideal situation for many families. Here are just a few.

Privacy and Comfort

Home care providers equip patients with a familiar, home surrounding in which they are comfortable. They are surrounded by their family and loved ones, and it gives them the flexibility to do whatever they want whenever they want. With such security and added benefits, home care is definitely a preferred choice of treatment and recovery.

Shorter Recovery Time

Studies have indicated that patients who can recover and rest at home are more likely to heal faster than those who are hospitalized. This is an important indication of how beneficial in home care can be.

Lower Cost

Home health care is much cheaper than the care you receive at the hospital. Therefore, if a patient has to receive long term care or go through a supervised recovery period, then it is best to seek home health care services.

Decreased Hospitals

With home recoveries, there is less of a need for regular, continual visits to the hospital or the emergency room. The nurses and therapists available use top medical machinery and devices used for routine hospital visits.

Plan of Care

Home health care providers usually work with licensed physicians to make sure that they are able to provide the highest quality of services. They also make proper reports of the patient's recovery and treatment.

Therefore, there is a fixed protocol that is followed, which ensures the provision of positive and great treatment.

Needed therapies and assistance

With in home care, the desired and needed therapies and assistance with everyday household activities is provided to ensure that there is no added pressure on the patient.

The reason why home health care is so important is that it provides patients with the luxury of staying at home while seeking treatment. With proper care at home, patients have a chance of recovering better than ever, and much faster, as opposed to hospital care. Patients are also much more comfortable as they are allowed the chance get to spend more time with family and friends.

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The Importance Of Nursing Shoes

Out of health community nursing shoes are considered a joke due to their colorless construction and thick soles. Their soles are thick enough to add one or even two inches to the feet of anyone who wears them. However, the importance of those shoes in health community can not be overlooked. For nurses they're very important because they provide comfort and safety to their feet during their full-day long shifts.

Whether you're still studying in a nursing school or are working as a full-time nurse in any hospital, you are already aware of the effect that being a nurse leaves on your body. During the 8 – 12 hours long shifts of work most of the time that you spend is spent in walking, running or standing. In fact, this is a job in which you do not get enough time to lay down. That's why proper footwear is insanely important for you. Given below are some points that elaborate why nursing shoes are more important than anything for nurses:

  1. They help in avoiding serious issues with your feet: Nursing shoes are designed specifically for providing rest to your feet during the working working hours, so they help in avoiding strain, pain or other issues with your feet. Other traditional shoes lack this quality so they may not provide the required rest to your feet for long hours, which may possibly result in pain or strain in your feet.
  2. They keep you active: How can a nurse do her job actively if she has problems with her feet? For staying active during your shift it's important to have your feet prepared for those shifts in advance. Nursing shoes do the same for you. They help in keeping you active during the day by providing proper rest to various parts of your feet.
  3. They provide safety: The job of nurse often requires you to work in an environment that's filled with harmful bacteria. Moreover, sometimes you may also encounter blood or other things that drop on your feet. In those circumstances nursing shoes save your feet from the direct contact of bacteria. The material used for building them does not allow the liquid like blood or anything else to pass through the shoe.
  4. They're required by hospitals: Finally, they're an essential requirement for the job of nurse in most hospitals. Most hospitals around the globe will not allow you to work as a nurse until you get your nursing dress complete – including the nursing shoes.

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Personal Care Services Questions And Considerations

When it comes time to looking into personal care services, you need to find the right home care provider. To accomplish this, it is important to ask the right questions. Whatever you are looking for care for yourself

Initial Questions

If you decide you need someone to come into your home or the home of a friend or loved one, it is important you know what exactly you want. You need to ask yourself what you want the caregiver to provide.

  • Do you want personal care services such as dressing, bathing and other forms of personal attention?
  • Do you think the preparation of meals, is the major focus?
  • Is the inability to maintain the residence a concern? Do you want the personal care worker to do chores around the house such as dusting, laundry and related duties?
  • Is it simply a matter of someone visiting on a regular basis to engage in conversation while making sure the person is okay?
  • Are there concerns about the taking of medication?
  • What specific times are being considered? Will service be wanted once every day, twice a day, once a week or repeatedly through the week? Be sure you know when you want a service to come.
  • How length should each visit be? Be clear on this as it will help determine frequency, tasking and, of course, coverage by any insurance and economic cost.

Once you decide what is required, get in touch with an agency. Talk to them and learn more about it. Be certain you know about the laws and regulations governing personal care services in your region.

Questions to Ask the Personal Care Services Workers

Prepare a list of questions or issues you want to know before you interview your choice of provider. This is applicable for both individual personal care services providers and agencies. Be sure to ask them the following:

  1. Do you (as an individual or agency) have the proper qualifications? This should also cover any medical training such as CPR.
  2. Has all the staff undergone the requisite training to undertake this type of employment?
  3. How long has the agency been in existence? Egypt
  4. How long have you been employed in this type of work? Both questions and answers speak to experience.
  5. Do you have references? This is true for both a company and an individual. You should be able to obtain them without issue and, in certain cases, read reviews on the company online or get in contact with the employers.
  6. What about insurance?
  7. What specific services does the agency supply?
  8. Scheduling? Does their concept of scheduling match the perceived needs? Is it flexible? Is the agency and / or individual willing and prepared to discuss any changes to the schedule with the affected individual and / or the concerned family or friends?

Once you make the decision, make sure everything about the service is put into writing. You need a copy of the contract, any special agreements, – anything that pertains to the arrangement for personal care services.

Yet, before you actually sign pen to paper, have the worker or workers visit. It now becomes an issue of compatibility? Will the worker or workers get along with the affected individual? How do they work with him or her? Is he or she companionable, getting along without any trouble with the senior?

Talk to the senior after the initial meeting. His or her opinion matters. If he or she she is acceptable and everything else clicks into place, go ahead. You can now hire someone to help a senior continue to live with dignity and a sense of autonomy in his or her own place.

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5 Tips For Purchasing The Right Pair Of Nursing Shoes

A nurse's feet are one of the most important assets for her. Due to long working hours in which most of the time they're either walking on hard surfaces or standing with patients and doctors, proper footwear becomes not only helpful but essential for them. Without a proper pair of nursing shoes they may not only feel tired but also may get injured sometimes. So it's important to know the art of purchasing the right footwear if you're a nurse. Yes, it's also an art. A good pair of shoes should provide proper arch support and should also fit the width of your feet easily. It should provide some ample support as well. In essence, it should perfectly suit the shape of your feet.

Given below are 5 important tips that'll help you in purchasing the right nursing shoes:

  1. Purchase your pair from a specialty store: Instead of going to just any shoe store, it'll be better if you purchase your shoes from a store that specializes in selling nursing or athletic shoes. These stores hire trained associates for helping you out in choosing the right type of shoes according to your feet's measurements and your type of job.
  2. Follow the guidelines of your hospital: Most hospitals have a set of guidelines for nursing shoes. For example, some may require you to wear white shoes and some may even require you to purchase the shoes of a particular company. So before you go out to a store for purchasing your shoes, take a look on the requirements of your hospital.
  3. Avoid shoes with openings: Nurses should always avoid the shoes that have holes, cuts and openings for making them look stylish. Since work of nurses sometimes involves dealing with bodily fluids of patients, these cuts may expose their feet to those fluids. So as a nurse you should always choose properly enclosed shoes.
  4. Consider arch support: Test each pair of shoes for arch support. Your shoes should have a strong but flexible sole for providing proper comfort to arch. Sometimes nurses purchase additional inserts with shoes for extra comfort. If you're planning to do the same, try your shoes with inserts for ensuring that they provide sufficient comfort to your feet.
  5. Do not purchase shoes in the morning. I hope you know this already – our feet are a little bit swollen in the morning when we wake up from sleep. So avoid purchasing your nursing shoes in the morning. Instead, purchase them either in noon or in evening.

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RN Vs BSN – A Quick Comparison of the Options Under Nursing Careers

If you are among the people who are having trouble distinguishing the differences of the two terms in nursing, this article will provide you a quick reference that will let you understand their nature.

The Definition of RN and BSN

Before we get to the specifics, let us define the two terms first. Basically, RN stands for “registered nurse” while BSN is “Bachelor of Science in Nursing” . In an overall perspective, the former is a job title and the latter is a degree.

The Job of RNs and Nurses with BSNs

The work of RN involves recording patient status on medical charts, handling medical equipments, explaining the nature of the patient's illness and working as a part of a medical team. For short, the duties of RNs are very general and they are typically what the general media ports them to be-as people who care for the sick.

On the other hand, nursing careers which are coupled with BSN degrees can also work on the same type of job that RNs handle. However, their career options are much wider in scope because of the additional technical expertise that they received from their degree. Thus, nursing careers with BSN have the choice to enter the realm of public health or function as nurse educators in schools.

How Much Money Can RN and BSN Make

On the average, RN nursing care can make $ 66,620 a year while nursing care workers with BSN can earn a mean of $ 75,484 according to the statistics published by Rasmussen College. Essentially, the reason behind the rates is due to the fact that those who are in RN nursing careers have only limited expertise as compared to those who have obtained BSN degrees.

The Demand for RN and BSN

There is a high demand for RN but there is a higher demand for those with BSN. Many schools are offering online BSN programs . The reason behind that claim is that nurses with BSN degrees can apply to jobs which only require RNs plus they can get to other work opportunities that typical registered nurses can not go to.

Again citing the statistics of Rasmussen College, RNs are qualified to enter 51 percent of the overall available jobs for nurses. The figures are absolutely very encouraging to those who are looking to be registered nurses someday. But if a person decides to pursue a Bachelor of Nursing degree, that individual will have 88 percent access to all open nursing jobs which already include the jobs that RNs can apply to.

RN vs. BSN – Wrapping Things Up

From the things discussed above, having a BSN degree will certainly provide a lot of advantages such as having greater working opportunities and better chances of receiving a higher pay grade compared to being just an RN.

But for people with nursing careers who are already comfortable working under hospital settings, then, simply being RN is an ideal option for them.

Last, a career within the LPN field is another option. LPN programs are among the best. Take some time and do some research in-order to find the best school.

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