What does a Palliative Care Nurse do? (with pictures) – mobile wiseGEEK

#palliative nurse

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wiseGEEK: What does a Palliative Care Nurse do?

A palliative care nurse is a health care professional who provides treatment and counsel to patients who are dying of incurable illnesses. Nurses work with physicians and other medical professionals to diagnose, treat, and care for individuals with progressive terminal conditions. They help patients and their family members cope with very difficult circumstances by providing information, counseling, and support. An experienced palliative care nurse may also conduct research about terminal diseases and advanced care practices, develop new policies regarding patient care, advocate public awareness, and teach nursing courses at hospitals and colleges.

Patients who are diagnosed with incurable diseases often struggle to find the strength and hope to enjoy their last moments. It is the duty of a palliative care nurse to ensure that such patients receive the best possible treatments to relieve their pain and symptoms. Professionals often become close companions with their patients, providing counsel, empathy, and friendship when they need it the most. The nature of the job can be very physically and emotionally demanding, and nurses must be capable of dealing with loss and tragedy on a regular basis.

Besides administering direct care to patients, palliative care nurses frequently meet with friends and family members to help them cope with the situation and discuss the options for end-of-life treatment. Many nurses engage in research to develop new public policies and determine the best methods for administering palliative care. Professionals often take part in hospital or community discussions to present their findings and suggest ways to improve procedures.

A prospective palliative care nurse is usually required to complete a four-year bachelor’s degree program in nursing as well as a two-year master’s program to gain nurse practitioner credentials. Most new nurses intern for at least one year in an emergency room or hospital setting to gain practical experience and prepare for their eventual careers in palliative care. Individuals are usually required to pass extensive written examinations administered by a nationally recognized organization to become certified palliative care nurses. In the United States, certification is available through the Hospice and Palliative Nurses Association (HPNA). Most other countries rely on organizations similar to the HPNA to ensure that individuals are sufficiently prepared for the job.

Most palliative care nurses work about 40 hours a week, though their schedules are rarely regular. The times and days a palliative care nurse works depends on the condition of his or her patients. A nurse may be required to work weekend, overnight, or double shifts when a patient nears the end of life in order to provide constant care. Many nurses continue to meet with family members after the passing of a loved one in order to provide encouragement and emotional support.

Article Discussion

4) I’m thinking of studying to be a palliative care nurse. I have been researching a lot about what the job involves and I’m not sure if it may be too emotional?

I’m a senior care assistant at present and have to deal with supporting individuals and families with death so I have a slight understanding of what the job would involve.

My only worry is be that I have a young child and am thinking about having another one. I know the training takes years to complete but if the job is going to effect my children then perhaps the job isn’t for me.

Any comments or suggestions for me would be welcome.

3) My grandmother lived with a terminal illness for many years, and I bless the nurse who provided this service for her. I don’t know what exactly is written in a nurses job description, but she went above and beyond, and made my gran truly live her last years to the fullest.

The job is not easy, but it’s mostly more emotionally draining than depressing. It isn’t something that you really want to come home and talk about though. This is partly out of respect for your patient, partly to shield your partner from endless tales of lives ending.

Part of my nurse education in this field covered the need for a neutral person to be sought out and be there for you to offload onto. I know I will have this structured into my week, but the person who provides this outlet is a counselor.

It sounds as if your girlfriend may not have this option, or may not be using it. She could also be burning out, and need to take a break. You could try talking to her about her feelings, and suggest she needs someone to talk to. Hope it works out for you.

1) I’ve recently started dating a wonderful woman who is a palliative care nurse practitioner. Even though it’s early days in our relationship I can see it becoming more serious. The problem is that I don’t know how best to support her.

There’s no issue for me if she has to work long hours or cancel dates because of work. I know a job in nursing isn’t ever going to be about working social hours. I guess I’m struggling with the emotional side of it.

She seems unwilling to talk about work and let her feelings out, so more and more we’re spending time in silence. I have no idea what to say and her mind seems to be elsewhere. Should I push her to speak to me?





What We Do #24 #hour #hospice #care

#what do hospices do

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What We Do

Hospice is a vital part of the continuum of care that is available to seriously ill patients and their families. Neither hastening nor postponing dying, Hospice strives to bring quality of life and comfort to patients. Just as doctors and midwives lend support and expertise during childbirth, Hospice provides care and knowledge during the dying process.

Hospice Community Care provides comprehensive management of physical, emotional, social and spiritual needs of patients. The goal of care is to achieve the best possible quality of life through relief of suffering, control of symptoms and restoration of function capacity.

Our History

Locally, hospice care began in 1985 due to the efforts of community leaders in response to one woman’s struggle with cancer and her desire to remain at home until her death. Hospice Community Care has seen similar stories played out over our 20 year history having served thousands of patients and their families. Today, Hospice Community Care serves residents of a six county area including York, Chester, Lancaster Cherokee, Fairfield and Union counties in South Carolina. Governed by a volunteer Board of Directors, Hospice Community Care currently utilizes a vast team of professional staff and over 250 community volunteers to compassionately care for more than 100 patients each day. In 2008 Hospice Community Care moved on the Hospice Community Care campus in Rock Hill which houses the Community Building and the Wayne T. Patrick Hospice House.

Mission, Vision, Values

Through an interdisciplinary, medically directed team of professionals and volunteers physical, social, emotional and spiritual support is provided to patients and their families. The care is expressly tailored to each patient’s needs and wishes and is focused on treating the person, not the disease. Teams include a physician, registered nurses, social workers, certified nursing assistants, grief counselors, clergy and volunteers. Hospice Community Care also provides a broad range of programs, educational seminars and counseling opportunities to help hospice families and the community cope with grief and loss.

Mission

The mission of Hospice Community Care is to give hope, comfort and compassion to our community when needed most.

Vision

Our vision for the future is to remain the area’s first and best choice in the services that we provide.

Values

Our shared values of integrity, stewardship, compassion, quality, teamwork and innovation guide our organization and form the foundation of who we are and what we believe.

Our Leadership

Hospice Community Care is led by a volunteer board of directors, representative of our community and those we serve. We recognize the trust you have placed in us and pledge to uphold the mission of Hospice Community Care and to be faithful stewards of the resources so generously shared with us.

Jane Armstrong, RN MN Executive Director

Meet our Executive Director

Jane Armstrong has been the Executive Director of Hospice Community Care since 1998. Under her leadership, Hospice Community Care has grown from a small group of volunteers and staff into the leading not-for-profit community-based hospice in the area. Hospice Community Care employs more than 90 people and cares for hundreds of patients and families each year in our community. Under Jane’s leadership Hospice Community Care has become known for its innovation and dedication to moving forward the mission of the organization. At the end of 2007 Hospice Community Care moved onto its new $12 million campus which houses the Wayne T. Patrick Hospice House. The move represented the completion of 10 years of planning and fundraising by Jane, Hospice staff and the Hospice Community Care Board of Directors.

Board of Directors

Kathy Patrick Wilson – President

Kyle Curtis- Vice President

Anne Weeks – Secretary

Harvey Heise – Treasurer





All you need to know about home-schooling #what #do #you #need #to


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All you need to know about home-schooling

From overcrowded classrooms to ruthless bullies, some children fare better when their education takes place at home. We tell you more about home-schooling and some SuperMoms who have chosen it.

Don’t take the decision to home-school lightly

Mari-Lynn Kent, who started home-schooling her daughter Emma (11) this year, wrestled with the decision to home-school for about a year. “It’s a big decision and if you make the wrong choice, your child suffers.”

A number of factors motivated Mari-Lynn to home-school her daughter. Emma has a very busy extramural schedule, but trouble with bullies at school and the sexual conversations between 11-year-olds on the playground were also motivating factors. “I felt the care wasn’t there, especially when it came to the bullying,” says Mari-Lynn. “The child sitting next to Emma was hitting her. I had to speak to the teacher three times before she was moved.”

Discipline is key

Home-schooling allows Emma to focus on her passion – dance. “We try to work ahead, keeping Fridays open for her extramural activities such as ballet, piano, drama and choir,” says Mari-Lynn.

Mari-Lynn, a mother of two, has a very structured approach to home-schooling. A distance education company supplies her with a curriculum and tells her what textbooks she needs. “I wanted everything under one umbrella. The company also uses teachers to set up exams and the curriculum,” she explains. “They advise you on how much work you should do each week so you don’t fall behind.”

What about exams?

The company requires students to write exams in June and December. “She can write them at home, but there needs to be a moderator. I’m not allowed to moderate, but can ask someone else, who’ll have to sign an affidavit, swearing that Emma wrote in an exam environment.”

If Emma then ever goes back to a traditional school, she will have the certificates to prove that her education is up to standard and she won’t have to write an entry level exam. Mari-Lynn plans on home-schooling her daughter until high school. “Emma wants to go to a traditional high school and if she still feels that way later, then I’ll send her to one.”

A more informal approach

Other parents prefer an informal approach to home-schooling, says Bouwe van der Eems from the Association for Homeschooling. “Some parents prefer to be guided by the child’s interests, focusing on the subjects their children are interested in. You don’t have to follow a one size fits all curriculum like a slave. Parents can pick and choose from a variety of curriculums.”

How do home-schooled children matriculate?

From Grade 10 onwards, you need to follow the national curriculum if you want your child to finish school with a South African matric qualification. A home-schooled pupil must submit projects and write exams just like those in traditional schools. Parents can do this through home-school curriculum providers.

Many people prefer the international matric qualifications, like the British Cambridge or US GED diploma, over a South African matric. “These qualifications are recognised by universities. Unlike a South African matric qualification, you don’t need to complete and hand in projects. You just prepare and write the exams,” van der Eems says.

Benefits of home-schooling

  • A child can work at her own pace, says Anel Annandale, a Cape Town child psychologist. “Often children who are home-schooled learn to take greater responsibility for their own learning and development.”
  • It gives you and your child greater flexibility when it comes to time, says Annandale. “It allows a child with a specific gift for a generally time-consuming interest, such as a gifted gymnast or horse rider, to schedule schoolwork around her practice and training schedule,” she adds.
  • “Peer pressure, bullying and high levels of competitiveness are less often a factor for home-schooled children,” Annandale says.
  • Home-schooling can lead to closer family relationships, says Raquel Ferreira, a Johannesburg educational psychologist. “Extended periods of time together strengthen family relationships, not only between the child and his parents, but also with his siblings. As they get to know each other, the family members form bonds that last a lifetime,” she says.
  • One-on-one tutoring means that there is more time available to actually learn and teach, says Annandale. “Teachers in traditional schooling systems often waste a lot of time on discipline issues which arise purely because of the large number of students in a class,” she says.
  • “Home-schooling is often better suited to children with learning difficulties because parents can focus more in-depth on specific subject areas that their children struggle with,” Annandale says. “Many of the behaviour issues that are often associated with learning difficulties, such as the hyperactivity and impulsivity that children with ADHD (Attention deficit hyperactivity disorder) often exhibit are tolerated more easily in a home-schooling environment than it may be in a traditional classroom.”
  • If a child can’t cope in traditional or remedial school, then home-schooling might be your best option, says Megan Robinson, an educational psychologist from Johannesburg. “Home-schooling can work well for the unique child who’s tried all other options and hasn’t coped. Similarly, a child who’s suffering from an illness or physical difficulty may have no other option. A child with a severe emotional or social disorder will also cope well in a home-school environment.”

Drawbacks of home-schooling:

  • “Home-schooling often offers difficulty for university entrance and coping skills,” Robinson says. “Often children who go through home-schooling battle to adjust to the demands placed on them in the tertiary environment or in the working world.
  • Children might miss out on learning opportunities, she adds. “Normal schooling teaches the child about more than just the general curriculum and provides the developing child with vital skills and life lessons. For example, it teaches social interaction, discipline and structure, moral development, leadership skills and other valuable life skills.”
  • Children who are home-schooled often miss out on healthy competition and extracurricular memories, says Ferreira. “Parents need to involve their children in club sports so as to still allow this area of development.”
  • It might be impossible for parents to juggle work with home-schooling. “Often a parent has to stop working so that they have time to home-school, but this then has the associated drawbacks of loss of income for the family,” Annandale says.
  • Annandale warns that home-schooled children sometimes have fewer opportunities to socialise with other children their own age and may become withdrawn and reserved in social settings. “Children who are very sociable or really enjoy or excel at group activities and group sports generally fare better in a traditional schooling system.”
  • Some subjects are best taught by skilled teachers, says Ferreira. “Some home-schooling parents have a hard time with subjects such as algebra or physics. Parents may need to look into the use of private tutors for this reason.”

Beware the challenges

  • Home-schooling is hard work, says van der Eems. “You need to prepare and be willing to make sacrifices, especially when it comes to your time. The home-school never closes. It’s open 24 hours a day, seven days a week.”
  • Home-schooling isn’t the norm, he adds, and not everyone might agree with your choice to home-school your child and you might often need to defend your choice.
  • Schools have more teaching resources than home-schooling parents. “Parents may not have access to the same resources that schools do. For instance, practically demonstrating a chemistry experiment may require a lot more effort and money than it would in a traditional school with a fully-equipped science lab,” Annandale says.

Are you ready for the responsibility?

Home-schooling is a huge responsibility warns van der Eems. “When you take your child’s education into your own hands, you take on a huge responsibility,” he says. “It can weigh on your conscience and you can question if you’re doing the right thing for your child’s education and their future. However, there are many support groups and internet discussion forums where parents can support one another and ask for advice.”


What does a paralegal do compared to a legal assistant or a


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What does a paralegal do compared to a legal assistant or a legal secretary?

Many clients wonder what does a paralegal do for me. The simple answer to that question is a paralegal does whatever tasks assigned to him or her by the supervising attorney to assist the attorney in representing the client. What does a paralegal do :

  • Assist attorneys during trials
  • Organize case files and prepare trial notebooks
  • Perform legal research on current laws and cases
  • Prepare legal briefs
  • Draft correspondence and legal documents
  • Conduct client and witness interviews

In smaller firms, a paralegal may perform secretarial duties while she is completing assignments. For instance, if the attorney gives the paralegal a legal pleading to draft, she may type the document herself rather than dictating the document for a secretary to type. A paralegal may also do her own office filing, copying and mail outs instead of giving these tasks to other staff members. However, some paralegals may spend all of their time performing legal research, interviewing clients or drafting pleadings.

Because there are no national standards or certifications for paralegals, it is up to the legal community as a whole to determine job descriptions. A paralegal’s job description will vary depending on the attorney, the type of law the attorney practices, the size of the law firm and the location of the law firm.

Question: What does a paralegal do?

Answer: Any task assigned to her by the attorney.

What does a paralegal do that a legal assistant cannot do nothing. The National Association of Legal Assistants states that the terms legal assistant and paralegal are interchangeable. Therefore, a legal assistant may perform the same tasks for an attorney that a paralegal performs for him. However, some attorneys consider only assistants who have a degree to be a paralegal. Anyone without a paralegal degree performing similar tasks would then be considered a legal assistant. Smaller firms may use either term to describe the same position but larger firms and corporate legal departments will normally require a paralegal to have a minimum of an Associate’s Degree before they can use the title of paralegal.

What does a legal secretary do?

Now that you know the answer to the question, “What does a paralegal do?” you will be able to distinguish a paralegal from a legal secretary. A legal secretary types documents for the attorney from dictation, prepares correspondence, answers the telephone, greets and assists clients and maintains the attorney’s calendar. In some firms, the duties of a legal secretary may include some of the same tasks that would be assigned to a paralegal or legal assistant in larger firms. The same is true for legal secretaries as it is for paralegals they do whatever is assigned to them to assist the attorney and keep the law office running smoothly.

Job skills required to be a paralegal, legal assistant or legal secretary

To perform the legal tasks assigned to them by an attorney, legal staff members must possess certain skills. Computer skills are required because a growing number of law offices, and courts, are paperless. Good communication skills and strong organizational skills are essential since paralegals work with the public and under multiple deadlines. Attention to detail and the ability to multitask round out the qualities of a good paralegal.

If you want to know how to become a paralegal, the first step you should take is finding an accredited paralegal program through a university or community college. Search for a paralegal school that has been accredited by the American Bar Association. Programs that have been accredited by the ABA have met the educational standards of the ABA’s Standing Committee on Paralegals. Some programs offer a paralegal certificate but those programs are usually very short and overly broad. An Associate’s Degree in paralegal studies offers a two-year degree. These programs are more in depth and provide a better foundation for a career as a paralegal.

For individuals who desire to work in larger law firms, a Bachelor’s Degree is usually required. The advantage of having a Bachelor’s Degree, in addition to a paralegal degree, is that the student receives a more rounded education including courses in English, literature and history, which help develop good communication skills.

How much does a paralegal make?

The answer to this question depends on several factors. The factors that influence paralegal salary primarily are:

  • Education
  • Experience
  • Type of law
  • Location of law firm
  • Size of law firm
  • Attorney’s attitudes and preferences

According to the Bureau of Labor Statistics, the median income for a paralegal is $46,680 per year. However, this does not take into consideration many of the individual factors listed above. Salary.com reports that the median income for a paralegal is $47,377 per year; however, you can narrow this figure by entering the location of the job. The region’s cost of living and the salary trends for that specific location will also affect the average salary of paralegals.

It is important to remember that paralegals holding a Bachelor’s Degree often earn more than paralegals without a degree; however, there are exceptions to this rule experience and the attorney. Some attorneys give more weight to experience over education because no matter how much education a paralegal may have it can never be substituted for real world experience. In order to increase base salary, a paralegal can focus on a specific area of law to obtain more experience.

Is becoming a paralegal a good career choice?

Now that you know the answer to the question, “What does a paralegal do?” you may want to know if being a paralegal is a good career choice for you. The Bureau of Labor Statistics reports that jobs in the paralegal field are expected to increase by 18% between 2010 and 2020. Therefore, paralegal graduates can be optimistic with the outlook for the career.

Furthermore, careers in the legal field will not likely disappear with changes in the economy. Individuals will continue to need the services of an attorney for various life events such as buying a home or preparing a will. In addition, as attorneys seek ways to cut overhead, corporate law firms try to reduce in-house legal costs and clients demand lower legal fees, the role of a paralegal will become increasingly more important since a paralegal can perform many of the same tasks as an attorney but for a much lower rate.

Posts related to What does a paralegal do compared to a legal assistant or a legal secretary?

Dental Assistant Job Description – Duties #dental #assistant #job #description,dental #assistant #duties,what


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Dental Assistant Job Description Duties

A dental assistant job description is unique and varied. It requires many skills, as well as strong personal qualities. Fortunately, the skills needed to perform the key dental assistant duties can be learned through an accredited dental assistant training program. Learning to take on other dental assisting duties and responsibilities can be accomplished with job experience.

This page will outline the basic dental assistant job description, including dental assistant duties, skills, and responsibilities. Mastering the skills needed to perform these duties and responsibilities can help dental assistants earn a higher salary. and may help prepare them for advancement into other fields.

Dental Assistant Duties

Dental assistant duties mostly consist of preparing the patient for the dental examination, assisting the dentist during dental procedures, and doing front-office work. Front-office job duties might include helping patients schedule appointments and working with equipment suppliers to handle deliveries.

Some specific dental assisting job duties may include:

  • Answering patient questions before an appointment
  • Preparing patients for dental procedures by making them comfortable and providing any instructions
  • Sterilizing dental instruments and equipment, and placing for easy access
  • Preparing the dental exam room for use by the dentist by making sure it is stocked and organized
  • Assisting the dentist during procedures, including passing instruments, getting supplies, and using the suction tube to keep the patient’s mouth dry
  • Assisting with dental x-rays
  • Assisting with dental lab work
  • Instructing patients on dental hygiene and proper care of dental fixtures
  • Scheduling follow-up appointments
  • Keeping patient records
  • Assisting with billing and invoicing needs

Additional Dental Assistant Duties

In addition to these general dental assisting duties, a dental assistant job description might also include specialized tasks, depending on which state the dental assistant works in. Some of these tasks include:

  • Applying local dental anesthetic
  • Cleaning teeth
  • Applying dental sealant
  • Applying dental fluoride

General Dental Assistant Duties and Responsibilities

Beyond the job duties described above, dental assistants also have more general responsibilities when it comes to handling patients. Mastering these responsibilities is not taught in dental assisting courses. but can be developed while working as a dental assistant.

Some general dental assisting duties are:

  • Working with people. Dental assistants routinely work with patients who are in pain, are in a hurry, or don’t want to be there. Having good people skills comes in handy.
  • Explaining things. Dental assistants spend a lot of time explaining things such as dental hygiene, proper care of dental fixtures, and proper use of toothbrushes and other dental tools.
  • Staying focused. While the dentist is working on a patient, the dental assistant should be able to pay close attention and anticipate the dentist’s needs. Attention to detail is important.
  • Working with numbers. Since some dental assistant duties involve billing patients and receiving payments, being good with numbers is a good skill to have.
  • Staying organized. Part of a dental assistant’s job description involves managing the front office, so being able to keep an area organized is a responsibility dental assistants usually have.

If you master these dental assistant job duties and responsibilities through training and job experience, you will be able to earn a higher dental assisting salary and take on more responsibilities. Another step you can take is pursuing your dental assisting certification. which will help differentiate you in the job market.


Munsinger Clemens Botanical Society – Munsinger Gardens #munsinger #gardens #and #clemens #gardens,


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Munsinger Gardens

From Sawmill to Flower Garden

The history of St. Cloud’s Munsinger Gardens may be compared to the garden’s well-worn paths; for both have interesting and unexpected turns. During the 1880s the lower east bank of the Mississippi River was the site of a sawmill. But by 1915 the city purchased the area for use as a neighborhood park. Eventually, the site became known as Riverside Park and Munsinger Gardens, the latter section named in honor of a former superintendent of parks, Joseph Munsinger. Munsinger Gardens has experienced many different stages of development. Improvements to the gardens occurred during the Great Depression through the Works Progress Administration. Projects from this period included planting trees and flowerbeds. Other additions included the creation of rock-lined paths, a lily pond, and a fountain. However, most of the work in developing the garden was directed by Joseph Munsinger. The first greenhouse was built in 1938. While the original greenhouse is gone, new ones stand in its place, and garden staff continues the tradition of growing flowers that help beautify this wonderful jewel known as Munsinger Gardens.

The Gardens

Events in the Garden

Photography in the Gardens

2017 Photo Contest More

Music in the Gardens

Art Fair in the Gardens

Artists are welcome to inquire.

Visitor Information

Riverside Drive S. E. St. Cloud, MN 56301

© 2012 Munsinger Clemens Botanical Society. All rights reserved.


Connecting to the Brake Light Switch – Connecting to the Brake Light


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How Brake Light Wiring Works

When you press the brake pedal, remember that you’re triggering the brake light switch, too.

Burazin/Photographer’s Choice RR/Getty Images

­If your brake light switch isn’t working properly, there’s a chance that you could be driving under risky conditions. Your brake lights may not light up when you press on the brake pedal or they may stay lit regardless of whether you’re pressing the pedal or not. Or perhaps, some switch malfunction is causing the lights to operate intermittently. So you can see the problem: If you don’t regularly check your brake lights for proper operation, you may be driving around town with no brake lights at all; brake lights that are continuously on; or brake lights that work only part of the time. Either way, it’s dangerous to you and other drivers around you.

Before you get too anxious about the brake work that you may or may not need, you may want to investigate the problem yourself. Actually, it may be an easier fix than you think, just by investigating your brake light switch. You can see your brake light switch by looking under the dash, near the top of the brake pedal. The brake light switch is usually attached to a small bracket that holds the switch, activated when the pedal is depressed, in position.

Keep Reading Below

Once you’ve located the switch, check to make sure that the brake light switch’s electrical connection is firmly attached and that all of the wires connecting to the brake light switch are in good condition (at least as far as you can see from your position). Then check to make sure that the switch isn’t out of position or stuck in the on or off position. Unless there’s been a failure somewhere within the switch itself — a highly unlikely problem, by the way — it’s relatively simple to decide if the switch is at fault.

If you’re able to determine that it is indeed your brake light switch that’s at fault, replacement is simple. In fact, it’s likely that you won’t even have to get your hands dirty to complete a brake repair of this sort. Remember, there are several different types of brake switches available, including ­hydraulic brake switches, so be sure to get the one that’s right for your specific vehicle. You’ll need to know the make, model and year of your vehicle but really that’s about all. Your local auto parts store should be able to locate the correct part for you.

It may seem elementary, but remember that it’s important to properly diagnose the problem prior to buying any repair parts. It won’t do you any good to buy a new brake light switch if the problem is in the wiring leading up to the switch, in the connector itself or in the wiring that goes from the switch to the brake lights at the rear of the vehicle.

So as you can see, sometimes fixing brakes — or rather, fixing brake light wiring — doesn’t have to be as complicated as it initially sounds. Read the next page to find out about connecting the brake lights themselves.

Print |
a data-track-gtm Byline href http www.howstuffworks.com about-author.htm grabianowski Ed Grabianowski a How Brake Light Wiring Works 18 November 2008. br HowStuffWorks.com. lt http auto.howstuffworks.com auto-parts brakes brake-repair brake-light-wiring.htm gt 11 August 2017″ href=”#”>Citation Date


50 Ideas for Things to Do in Louisiana this summer #louisiana, #travel,


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Fifty Ideas for Summer Fun

It’s the ultimate list of things to do this summer in Louisiana!

How many can you check off the list?

  1. Eat a snoball .
  2. Go crabbing in Cameron Parish .
  3. Float down the Amite River with Tiki Tubing in Denham Springs (open seasonally – call or visit the website.)
  4. Explore Hollywood South with the New Orleans Movie Tour .
  5. Enjoy a 5-cent Coke at The Biedenharn Museum Gardens in Monroe.
  6. Play a round of golf on our Audubon Golf Trail.
  7. Slip, slide and squeal at Blue Bayou Water Park in Baton Rouge.
  8. Sip a mint julep at Oak Alley Plantation in Vacherie.
  9. Pick blueberries at one of Louisiana’s pick-your-own farms.
  10. Head indoors for a cold beer and a tour along the Louisiana Brewery Trail .
  11. Walk the beach at Grand Isle .
  12. Take the kids to Sci-Port: Louisiana’s Science Center in Shreveport.
  13. Try the peach ice cream at the Louisiana Peach Festival in Ruston.
  14. Visit a farmers market and eat a Creole tomato. The Creole Tomato Festival is each June at the French Market in NOLA.
  15. Pay tribute to the legacy of Louis Armstrong during the Satchmo SummerFest in New Orleans.
  16. Camp out or rent cabins at a Louisiana state park.
  17. Stay at the Dansereau House. in Thibodaux, and rock on their veranda.
  18. Shop the antiques shops and boutiques in Ponchatoula.
  19. Bike along a Louisiana trail.
  20. Chow down at the Delcambre Shrimp Festival .
  21. Test your angling skills at a fishing rodeo.
  22. Take in the cocktails, cuisine and culture of the Tales of the Cocktail festival in New Orleans.
  23. Take a tour of the magnificent Old State Capitol in Baton Rouge.
  24. Indulge with a gourmet ice pop at Shreveport’s Geauxsicles.
  25. Hang out with the animals at the Global Wildlife Center in Folsom.
  26. Find out just how much watermelon you can eat at the Beauregard Watermelon Festival.
  27. Paddle down a bayou.
  28. Visit the mounds and go for a hike at Poverty Point World Heritage Site.
  29. Hear the music of New Orleans’ Frenchmen Street .
  30. Drool and drive along our Culinary Trails.
  31. Find shells along the Creole Nature Trail .
  32. Cool off while exploring the exhibits of the Capitol Park Museum in Baton Rouge.
  33. Have Sunday brunch at Houmas House in Darrow.
  34. Watch July Fourth fireworks.
  35. Check into L’Auberge Casino Resort. Lake Charles, and head for the lazy river.
  36. Order a slice of pie from Lea’s Lunchroom in Lecompte.
  37. Make plans for the Mystery Tour at St. Francisville’s Myrtles Plantation. one of the country’s most haunted homes.
  38. Save money and savor meals during New Orleans’ Restaurant Month .
  39. Explore Acadian, Creole and Native American Cultures at Vermilionville Living History Museum in Lafayette.
  40. Soar above the wetlands on a seaplane tour.
  41. Hire a Louisiana charter boat captain for an inshore or offshore fishing adventure.
  42. Celebrate Louisiana’s folk music at the Natchitoches-NSU Folk Festival .
  43. Honor the past, watch the 4-D Beyond All Boundaries and eat at the Soda Shop at The National WWII Museum in New Orleans.
  44. Bird watch in Houma’s rich habitat.
  45. Sit in on a Cajun jam session at Savoy Music Center in Eunice.
  46. See a show at the historic Strand Theatre in Shreveport.
  47. Walk, cycle or gallop along Tammany Trace in St. Tammany Parish.
  48. Hike in Kisatchie National Forest.
  49. Step back in time at the West Baton Rouge Museum .
  50. Chill out at the Audubon Cool Zoo in New Orleans.

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Online Payroll Services, HR Systems, Payroll Software, easy way to do payroll.#Easy


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easy way to do payroll

Easy way to do payroll

Easy way to do payroll

Easy way to do payroll

Easy way to do payroll

Easy way to do payroll

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PSIberWORKS is designed in a way that is logical, intuitive and extremely easy to use.

Although the application is primarily used over the internet the product can also be configured to run in other environments for larger users who prefer to run the product in their own intranet environment with access through the internet, packaged versions of the system as well as its individual modules are also available.

This enables clients to initially start on the hosted version and as their needs change they are then able to move the system and data into an in-house environment and vice versa.

For clients using the hosted version, a world class, sophisticated hosting environment with full online and offline backups, disaster recovery facilities and 24 hours a day, 7 days a week, system monitoring services have been established to safeguard client data.

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What Does a Hospice Nurse Do? #hotel #81 #bencoolen

#hospice nursing

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What Does a Hospice Nurse Do?

Updated August 16, 2016

What does a hospice nurse do? A lot of things, as you ll see. But first.

What Is Hospice Care?

Hospice care may take place in a hospice institution or the patient’s home – frequently both. It’s based on the belief that every person who is terminally ill or injured has the right to die with dignity and without pain, and that the patient’s family also deserves compassionate care and support. Each hospice patient is cared for by a team of professionals who provide medical care, pain management, and emotional and spiritual support tailored to the patient’s wishes.

Hospice nurses are vital members of that team.

Hospice Nurses Varying Roles

Hospice nurses have a number of important responsibilities:

Hospice Nurse — Case Manager. A case manager hospice nurse is responsible for assessing and managing a patient s care. Only one case manager nurse is assigned to each patient, to foster a trusting relationship and allow for continuity of care.

A hospice case manager nurse is a Registered Nurse (RN) who must be comfortable working independently. She is the eyes and ears for the hospice physician and so must possess expert patient-assessment skills. The case manager hospice nurse is a critical thinker.

Hospice nurses have a unique opportunity to share in a patient s last moments, so they must be compassionate and empathetic. The case manager hospice nurse is compassionate and caring.

Hospice Nurse — Intake or Admission Nurse. The hospice intake or admission nurse is often the first hospice staff member to visit a patient.

He or she spends a lot of time with patients and their caregivers, explaining the hospice philosophy and developing a plan of care. Responsible for assessing a patient s need and readiness for hospice. the hospice intake or admission nurse consults with the hospice physician to accept the patient into hospice care .

Once the patient is admitted, it s this hospice nurse who 1) does a complete assessment of the patient, 2) with the direction of the hospice physician, orders the medication and equipment the patient will need, and 3) begins the process of patient and caregiver education.

Hospice Nurse — Visit Nurse. A hospice visit nurse is one who does not have any case management responsibilities but instead supplements the care provided by the hospice nurse case managers. Visit nurses are often licensed nurses (LVNs or LPNs). They typically visit patients who have immediate needs when their case managers cannot visit promptly. Hospice visit nurses may also be responsible for following up on routine care, such as wound care. that the case manager has implemented.

Hospice agencies have visit nurses on-call after hours to visit patients with urgent needs and to attend deaths.

Hospice Nurse — Triage Nurse. The hospice triage nurse takes phone calls from patients or their caregivers who are at home. He or she begins the process of assessment and treatment over the phone.

In addition to giving the patient or caregiver instructions for symptom management or medical treatment, the triage nurse consults with the hospice physician and notifies the case manager or visit nurse if there s a need for a visit.

Because the triage nurse cannot physically see the patient, he or she must have excellent communication skills to get accurate and necessary assessment information from the patient or caregiver. This hospice nurse must be a critical thinker who is able to prioritize efficiently.

“Hospice care.” National Hospice and Palliative Care Organization (2015).





What to Do After a Car Accident #what #to #do #after #a


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What to Do After a Car Accident

Each year, thousands of people are involved in traffic accidents during the Memorial Day Weekend. If you are one of these unfortunate people, will you know what to do in the aftermath of a collision? How you react can prevent further injuries, reduce costs and accelerate the clean-up and repair process.

The Consumer Protection Association of America is increasing public awareness on this subject by designating the week before Memorial Day “National Driver Education Week.” The Association has developed a list of suggestions to help drivers anticipate what they need to know about dealing with an accident.

“These tips can make a big difference in everything from protecting yourself and your passengers to ensuring that you won’t be without a car while yours is in the shop,” said Dr. Ray Bruce, president of the association.

Over 6.3 million police-reported motor vehicle crashes occurred in the United States in 1998. Almost one-third of these accidents resulted in injury. In 2001, nearly 42,000 people died on America’s roadways. Clearly, accidents are a part of life in America.

So, if you are involved in a traffic collision, try to remain calm, and follow these steps:

Action Plan to Deal with Accidents:

1. Keep an Emergency Kit in Your Glove Compartment. Drivers should carry a cell phone, as well as pen and paper for taking notes, a disposable camera to take photos of the vehicles at the scene, and a card with information about medical allergies or conditions that may require special attention if there are serious injuries. Also, keep a list of contact numbers for law enforcement agencies handy. Drivers can keep this free fill-in-the-blanks accident information form in their glove compartment. The DocuDent Auto Accident Kit ($19.95), supported by AAA and insurance companies, offers a comprehensive kit that includes a flashlight, reusable camera and accident documentation instructions. A set of cones, warning triangles or emergency flares should be kept in the trunk.

2. Keep Safety First. Drivers involved in minor accidents with no serious injuries should move cars to the side of the road and out of the way of oncoming traffic. Leaving cars parked in the middle of the road or busy intersection can result in additional accidents and injuries. If a car cannot be moved, drivers and passengers should remain in the cars with seatbelts fastened for everyone’s safety until help arrives. Make sure to turn on hazard lights and set out cones, flares or warning triangles if possible.

3. Exchange Information. After the accident, exchange the following information: name, address, phone number, insurance company, policy number, driver license number and license plate number for the driver and the owner of each vehicle. If the driver’s name is different from the name of the insured, establish what the relationship is and take down the name and address for each individual. Also make a written description of each car, including year, make, model and color and the exact location of the collision and how it happened. Finally, be polite but don’t tell the other drivers or the police that the accident was your fault, even if you think it was.

4. Photograph and Document the Accident. Use your camera to document the damage to all the vehicles. Keep in mind that you want your photos to show the overall context of the accident so that you can make your case to a claims adjuster. If there were witnesses, try to get their contact information; they may be able to help you if the other drivers dispute your version of what happened.

5. File An Accident Report. Although law enforcement officers in many locations may not respond to accidents unless there are injuries, drivers should file a state vehicle accident report, which is available at police stations and often on the Department of Motor Vehicles Web site as a downloadable file. A police report often helps insurance companies speed up the claims process.

6. Know What Your Insurance Covers. The whole insurance process will be easier following your accident if you know the details of your coverage. For example, don’t wait until after an accident to find out that your policy doesn’t automatically cover costs for towing or a replacement rental car. Generally, for only a dollar or two extra each month, you can add coverage for rental car reimbursement, which provides a rental car for little or no money while your car is in the repair shop or if it is stolen. Check your policy for specifics.

The final question in dealing with an accident is usually who will pay for the damages? If the accident was minor, you and the other drivers may decide to handle the damages yourselves without the involvement of an insurance company. But this isn’t always the best idea, for several reasons.

While the other driver may agree to pay for the damage to your car on the day of the accident, he may see the repair bills and decide it’s too high. At this point, time has passed and your insurance company will have more difficulty piecing together the evidence if you file a claim.

Also, keep in mind that you have no way of knowing whether another driver will change his mind and report the accident to his insurance company. He may even claim injuries that weren’t apparent at the scene of the accident. This means that your insurance company may end up paying him a hefty settlement, or worse yet, you could be dragged into a lawsuit. So make sure that your company has your version of what happened and check your policy if the damages paid out by your insurance company are below a certain amount, the accident may not be considered chargeable. And you will avoid the penalty of a premium hike.

Auto accidents take a tremendous toll on everyone involved, both financially and emotionally. If you’re one of the lucky ones who have thus far avoided a serious accident, hopefully the tips on prevention will help keep it that way. The chances are high, though, that at some point you will be involved in a minor accident. Just keep your head and make safety your primary concern. You’ll have plenty of time to deal with the consequences later.

To find a dealership that knows how to treat shoppers right, please visit Edmunds.com’s Dealer Ratings and Reviews .


Things To Do In Key West, Tours, and Activities #koala #tree #motel

#key west motels

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Best On Key West

Key West has an abundance of things to do. and has become a United States top vacation spot because of this. There is an activity for any type of personality, and a tour for any interest. Even though this island is known for its pristine beaches, and mystical underwater playgrounds of coral reefs and marine wildlife to explore for the outdoorsy visitors, it also has tours on land for sightseeing and history buffs. Visitors could come to Key West 100 times, and have a completely different experience each time with all the different things to do.

Key West Fun Activities to do in the Water

There is an endless amount of things to do in the waters surrounding the keys. Of course, the most popular activity is snorkeling! There are all kinds of different tours that involve Key West snorkeling. so it will be easy to pick one that best suits your vacation. The best tour for snorkeling is the snorkeling offered in the Dry Tortugas. This beautiful, historic landmark is the destination for avid snorkelers from all over the world to see, and there are two way of reaching this destination that lies almost 70 miles off the shores of Key West: by the Yankee Freedom Dry Tortugas Ferry or by flying the Dry Tortugas Seaplane Excursion. Both tours offer patrons snorkeling gear.

If you have always wanted to try scuba diving but don’t have the time to get certified, we highly recommend trying this “next-best-thing” activity, Snuba Dive. It’s basically a combination of Snorkeling and Scuba Diving, and is a great way to explore the coral reef of Key West. If you are looking to get Scuba Diving certified, try one of the many tours offered on the Scuba Instructions tour page. Don’t know how to pick just one water activity? You’re in luck, because now there are “Do-It-All” tours. that help you knock out all the fun water sports and activities there are to do in the water, all at once. These all-incluse Key West tour packages are the ideal way to sample a wide variety of watersports and activities.

Things to Do on the Island

We know not everyone wants to be in the water for everything they do in Key West. In the Keys, there are so many things to do, and the best part, you can get to most of everywhere on the island by walking or biking. For the history buffs, see the treasure that has been discovered off the Florida shores, the Mel Fisher Maritime Mueseum. or see the house that once was a getaway home to President Harry S. Truman, and served as a vacation home to other political figures by doing the Little White House tour. If you’re more interested in maritime history, and shipwrecks, then the Shipwreck Historeum Museum is what you’re looking for. With live actors, lasers, and a chance to lookout from a 60-foot lookout tower, make the experience remarkable. Think you have what it takes for a spooky connection with the spirits of the Keys? Try the world renowned Ghost Tour. which has been featured on the Discovery Channel, History Channel, Travel Channel, and BBC for being the best ghost tour in Key West.

Getting Around Key West

Key West has to be the easiest place on the planet to be able to find transportation to get around on your vacation. Whether by airplane, bike, bus, scooter, or boat, there is something for everyone. Lloyd’s Tropical Bike Tour gives visitors a warm welcome while enjoying the relaxed atmosphere. With the bike, it is easier to roam down side streets and hidden lanes, and get to see the quainter side of the keys. Want to sit back, relax, and enjoy sightseeing while having a tour guide point out historic sights, and listen to interesting stories? Try one of the oldest and most famous sightseeing tours, the Conch Tour train. Entertaining visitors since 1958, the tour has given over 10 million guests the glimpse and history of Key West. If you’re looking to get around on your own time, and don’t want to do a tour, or drive your car, you may want to see the options of the different electric car rentals or scooters there are. With the electric car rental. you have a chance to take a whole crew of 6 around. But if you are more of a motorbike type, then check out the different scooter rentals there are, and be amazed be how affordable it is. One of the most exceptional tours offered to give visitors an unforgettable memory are the airplane tours. Get swept off your feet as you fly up and away to get a different perspective on the keys with the Island Biplane tour .

Places to Stay in Key West

Need to find a place to stay in Key West? Best On Key West is known for finding the best deal that is within your budget, and best fits your vacation. The Keys has some of the most charming and top rated Bed and Breakfasts in the Southeast United States. If you’re looking for a beachfront hotel, we can help you find the best deal. Looking for the cheapest deal. Just use our new and improved search, and we guarantee you won’t be disappointed.

Key West Tour Guide

Still having a hard time deciding what to do on your Key West vacation? Check out our Things to Do in Key West page to get a better understanding of all the choices Key West has to offer.





Medical Assistant Frequently Asked Questions #medical #assistant #faqs, #medical #assistant #program, #frequently


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FAQs About Medical Assistants

Here are several of the most frequently asked questions about Medical Assistant career training at Everest:

Q. How do I prepare for the Certified Medical Assistant test?

A. A variety of national and regional certified medical assistant (CMA)/ Registered Medical Assistant (RMA) test organizations exist, and many require the school to be accredited. At Everest, all of our schools are institutionally accredited while many of our Medical Assistant programs are programmatically accredited by either CAAHEP or ABHES approved. If a graduate wishes to become a CMA or a Registered Medical Assistant (RMA), such as through the American Association of Medical Assistants (AAMA) with CAAHEP or ABHES or American Medical Technologists (AMT), the program must be CAAHEP or ABHES approved accredited in order for the graduate to take the test. Check with your local campus Admission Representative for more information as to which test your school’s program accreditation allows.

Q. How long does the medical assistant program take to complete?

A. The medical assistant program can be completed in under a year. Programs may vary by campus.

Q. What type of career can I expect?

A. Outpatient care centers and doctors’ offices are just a few of the venues where you can pursue entry-level employment. Your own hard work, attitude and experience will also play an important role in future employment opportunities.

Q. How comprehensive is the school’s support system?

A. Very. Everest is there every step of the way in helping students make the adjustment in pursuing a higher education.

Q. Will the school I choose help me find employment?

A. Everest is dedicated to helping you find employment in your field of choice. While employment is never guaranteed, Everest is committed in helping you make the best presentation possible with respect to your interviewing skills and cover letter and resume effectiveness.

Q. Is the school I wish to attend respected by the Industry?

A. Everest is accredited. This means programs and teaching facilities have been approved by the industry professionals who set the rules.

Q. What can I do with a diploma in medical assisting?

A. An Everest medical assistant diploma means you’ve met the training standards that qualify you to pursue entry-level employment in your field.

Q. What is a medical assistant and what exactly does one do?

A. Medical assistants help health care professionals by attending patients and providing front or back end office support. Contact a school representative to find out about additional career possibilities.

Q. How much do medical assistants make?

A. Medical assistant salaries or wages may vary depending on location, experience and work ethic. An Everest representative can be of help in providing more information.

We know you may have a lot more questions, please contact us by calling or filling out our contact form. We will occasionally update this page with more questions and answers as we get more of your questions!

2017 Zenith Education Group, Inc.

For more information about our graduation rates, the median debt of students who completed the program, and other important information, please visit our website at http://www.everest.edu/disclosures .


The Workers Compensation Claim Process #do #i #need #a #workers #compensation #lawyer,


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The Workers’ Compensation Claim Process

Most employers are required to carry workers’ compensation. or workers’ comp, insurance to cover employees who are injured on the job. Employees do not have to prove fault in order to recover, but benefits are not automatic. Specifics of the workers’ compensation claims process vary by state, but injured employees generally must notify their employer and the workers’ comp carrier. Regardless of state laws, however, injured employees are always encouraged to obtain any necessary medical treatment first.

Assuming you’ve already received medical attention, the workers’ compensation claim process involves several important steps. You must notify your employer in writing; fill out an official claim form (which should be provided by your employer); and keep detailed records about your treatment.

The workers comp claim process is discussed in greater detail below.

Get Immediate Medical Attention

Before filing a workers’ comp claim, make sure you get the necessary medical treatment. Some workers’ comp policies require injured employees to see a specified doctor, so you may want to ask your supervisor. But many state laws allow you to get a second opinion if you are not satisfied with the first one. Even if you don’t feel the need to get medical attention, it may be a requirement for the workers’ compensation claim process.

Keep in mind that a medical report will serve as an official record of your injuries and the basis for any workers’ comp reimbursement.

Notify Your Employer

Make sure you notify your employer about the injury within the statutory deadline, preferably soon after the injury occurs. In New York, for example, an employee has 30 days in which to notify their employer about a job-related injury. It’s a good idea to report all workplace accidents even if you don’t suspect an injury, just in case an injury is discovered after the deadline expires.

As with any legal process, make sure you notify your supervisor in writing. Even if you give verbal notification first, a written follow-up notification will provide an official record. The sooner you do this, the more details you will be able to recall.

Your employer probably will give you an official claim form as part of the workers’ compensation claim process. But if not, you should request one from the workers’ compensation board of your state. Generally, you will need to provide the following information on your workers comp claim form:

  1. Type of injury and affected areas of the body;
  2. Date, time, and location of injury;
  3. Parties involved in the accident;
  4. How the accident occurred; and
  5. Any medical treatment you have received

Workers’ Comp Claim Process: Employers’ Responsibilities

Employers that are required by law to provide workers’ comp coverage face the prospect of fines, criminal charges, and lawsuits if they fail to do so. Also, employers may not retaliate against a worker who claims workers’ comp. Therefore, employers have strong incentives to comply with the law and complete all valid claims.

Usually, your employer will file your claim with its insurer and the state workers’ comp board office. After your claim is evaluated by the insurer, an administrator will notify you about whether your claim has been accepted and the amount of benefits to which you are entitled.

After the Claim

Most of your involvement with the workers’ compensation claim process is complete after filling out the necessary paperwork. But you still want to follow up on your claim and make sure you keep detailed records. For instance, you may want to keep a journal of how the injury affects your work and day-to-day activities. Also, be sure to keep receipts for out-of-pocket expenses and proof of any other hardships caused by the injury.

If your claim is rejected, you will have the opportunity to appeal in most cases.

Need Help with Your Claim? Get Free Legal Assistance Today

Dealing with complicated legal matters can be very stressful for non-lawyers, especially after sustaining a work-related injury. The workers’ compensation claim process is often uneventful, but sometimes can require the delicate touch of an experienced legal professional. Have a workers’ comp attorney evaluate your claim today. at absolutely no charge.

See FindLaw’s Workers’ Compensation Basics section for more articles.


Stetson University (DeLand, FL): Top Tips Before You Go #stetson #university, #deland,


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Stetson University, DeLand: Address, Phone Number, Educational site Reviews

Stetson University

What is available for visitors to do here? I have always heard wonderful things about this massive college that it s an attraction of Deland on it s own! I want to visit the University and see what s here, but I am not a student on the campus. What is available for visitors/community to visit here? Any recommendations or advice?

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Response from Mary H | Reviewed this property |

The college is probably the only attraction there. I was just next to it this Friday. The town is in existence because of the college and Daytona nearby. It would be an overflow area for Daytona, but not as nice as. More

The college is probably the only attraction there. I was just next to it this Friday. The town is in existence because of the college and Daytona nearby. It would be an overflow area for Daytona, but not as nice as Daytona. The only nice hotel is not real nice. There is a strip of about 4 blocks of small antique, restaurant and other shops. It only took me about one hour to go thru it. I m a thrift shop person so I don t like to pay antique store prices. There is a Good will and a Bealls Outlet but not much selection. I would recommend living in the town as it is genuinely a USA town of friendly people. They had the High School parade through the town last year when I visited. Quite a big deal compared to what my town offers a school. The town has beautiful oak trees. The campus is OLD and smells musty in the older buildings. The campus has a great feel and student attitude, but it is expensive. I spoke to a native there and he said the college was very small until they added the athletic program, then more dorms were built etc. To get an idea of how nice the town is. We went to several fast food places and they all had polite young people working there and they were fast and efficient. I ve never seen that consistency in a town with Mc D s Arbys, Wendy s etc. But bottom line is you can visit the college and town in a day and drive somewhere else to spend the night, unless there is a bread and breakfast in the town. That I don t know about.

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After a Car Accident: First Steps #what #to #do #in #an #auto


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After a Car Accident: First Steps

What should you do if you’re in a car accident? When it happens, injuries may be severe and emotions high. However, there are important things to do at the scene of the accident and soon afterward. Below is a list of things to do after an accident, if possible. Keep this information handy by printing this helpful pamphlet on first steps after an auto accident and storing it in your car.

Stay at the Scene

Never leave the accident scene until it’s appropriate to do so. If you leave, particularly where someone has sustained injuries or was killed, you can face serious criminal penalties for being a hit-and-run driver.

Check on All Drivers and Passengers

Before assessing property damage, make sure everyone involved in the accident is okay. Get medical attention for anyone who needs it. If a person is unconscious or has neck or back pain, don’t move them until qualified medical help arrives, unless a hazard requires moving the person.

Call the Police

If there’s significant property damage, physical injury, or death, you need to call the police. Ask that a police report be filed in situations where cops do arrive at the scene, and obtain the name and badge numbers of the responding officers.

Get the names, numbers, addresses, drivers’ license numbers, license plate numbers, and basic insurance information from all drivers involved. If there are passengers, also obtain their names, numbers, and addresses. In talking to other drivers, try to be cordial and cooperative.

However, you shouldn’t apologize for anything at the scene. For example, if you say, I’m so sorry I ran that red light! Is everyone okay? you may be admitting legal liability for what happened. Immediately after an accident, it might not be clear who was at fault or more at fault. Moreover, in many states, fault isn’t determinative of which insurer will pay for any loss. Therefore, try not to admit guilt unintentionally or unnecessarily.

Talk to Witnesses

Ask every witness what he or she saw. Get their names, numbers, or addresses, if possible. Ask locals if they’ve ever witnessed other accidents in the same place.

Inform Your Insurance Company

Promptly tell your insurance company you’ve been in an accident. Cooperate with them and tell them the truth about what happened and the extent of your injuries. Explain the facts clearly. If the insurance company finds out that you’ve lied to them about anything, you can get into serious trouble, including possible denial of coverage for the accident. Obtain and review any police report filed, so you can point out who broke what traffic laws or who was at fault.

Keep Track of Your Medical Treatment

Note any doctors, physical therapists, chiropractors, or other medical professionals that you receive treatment from, and each medical provider that referred you to other caregivers. Keep a detailed account of the treatments or medications you receive. Also, request copies of all medical reports and bills as these help you prove your medical expenses later.

Medical expenses are relatively easy to document, but pain and suffering is trickier to prove. Keep a record of how your injuries have impacted your daily life. Include any missed workdays, list any routine activities you can’t undertake, and describe how the injuries have affected your family life.

Take photographs of any damage to your vehicle as soon as possible after the accident. Photos helps your insurance adjuster determine how much you should be compensated for the damage to your car and can help in court. Pictures of your car before the accident can offer a great compare and contrast to show the true extent of the damage sustained in the accident.

Get a Property Damage Valuation

Obtain your insurance company’s damage valuation. If you aren’t satisfied with how your insurance company has valued your vehicle, don’t give up. Get two independent repair estimates or replacement quotes. Assertively inform the adjuster of your concerns. If you can’t agree on your car’s value, consider mediation or consult an attorney.

Use Caution in Discussing the Incident

Don’t talk to anyone about the accident other than your lawyer, your insurance company, and the police. Don’t talk to a representative of another insurance company, without the knowledge of your attorney or insurer. If called by the other insurance company, be polite, but ask them to call your attorney or insurer to arrange an interview. Also, tell your lawyer or insurer about the call.

Be Wary of Early Settlement Offers

Be careful if you’re offered a settlement from an insurance company. Confirm all your physical injuries have been treated. Some injuries don’t show up or reach their greatest level of discomfort until many days, weeks, or months later. Don’t settle a claim until you know you’ll be compensated for all your injuries, and consult an attorney before signing any settlement documents.

Consider Hiring an Attorney

If anyone was injured in the accident, it’s best to consult an experienced attorney. An attorney can help you maximize your recovery if you’re injured or better defend yourself if you’re at fault. Many accident attorneys work on a contingency fee basis. That means that your lawyer only receives a fee if you’re awarded damages or receive a settlement. Contact an experienced attorney now for a free claim review .


Simple Ways to Avoid Credit Card Fraud #what #to #do #about #credit


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Simple Ways to Avoid Credit Card Fraud

Avoid giving out your credit card information.

Only give out your credit card number or other sensitive information on calls you initiate to customer service using the number on the back of your credit card. Don t return calls to a phone number left on your answering machine or sent to you in an email.

Don t give your credit card number to anyone who calls you requesting the number. Credit card thieves have been known to pose as credit card issuers and other businesses to trick you into giving out your credit card number.

Be safe with your credit card online.

Don t click on email links from anyone pretending to be your bank, credit card company, or other business who uses your personal information, even if the email looks legitimate. These links are often phishing scams and the scammers want to trick you into entering your login information on their fake website.

Make sure you re cautious when you re using your credit card online. Only enter your credit card number on secure websites that you can be 100% sure are legitimate. To be sure a website is secure, look for https:// in the address bar and lock in the lower right corner of your internet browser. Taking these extra steps will help you avoid credit card fraud.

Report lost or stolen credit cards immediately.

The sooner you report a missing credit card the sooner your credit card issuer can cancel your credit card and prevent fraudulent charges. Reporting your lost or stolen credit card as soon as possible lowers the likelihood that you ll have to pay for any fraudulent charges made on your credit card. Write down your credit card companies customer service number now so you ll have it if your credit card is ever missing.

Review your billing statements each month.

Unauthorized charges on your credit card are the first indicator of credit card fraud. If you notice a charge you didn t make, no matter how small, report the charge to your credit card issuer immediately. Your credit card issuer will tell you whether you should close your account to avoid credit card fraud.

Make strong passwords and keep them safe.

Your credit card number may be stored in a number of places online. For example, you may save your credit card on Amazon so you can make one-click purchases. Make sure you use strong passwords – a combination of upper- and lower-case characters and numbers – and avoid writing or sharing your password.

Check gas stations and ATMs for credit card skimmers.

Credit card thieves sometimes place credit card skimming devices onto the credit card readers at gas pumps or ATMs. These skimmers capture and store your credit card information and credit card thieves come back later to get the device. Skimmers are placed over the regular credit card swipe, so if anything looks off about the place you re swiping your credit card, go to another gas station or ATM.

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7 Ways to Get Healthcare Administration Experience #what #can #i #do #with


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7 Ways to Get Healthcare Administration Experience

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Any healthcare student knows that experience is hard to get, but it is necessary in developing a successful career. During the course of his education, a budding healthcare professional will take on internships and work at as many jobs as possible just to get the experience he needs to move ahead in his career. It is more than just having something to put on his resume. It is also the need to learn the business with practical, hands-on experience that can allow him to expand his skill set.

When you make the decision to take on a career in the healthcare industry, the next step is to lay the educational foundation and gain the experience you will need to succeed. But the big question is how do you get that experience at the earliest points in your career? You need to be prepared to work for free and you also need to be creative. As you pursue your dream of a job in the field of healthcare administration, you need to find ways to get healthcare experience that can be valuable later on in your career.

#1 Become Familiar With Your Chosen Healthcare Discipline

When you say that you want to get into the field of healthcare administration, you still have a significant amount of narrowing down to do. There are many different ways you can go and many different kinds of curriculums you can choose to study in your pursuit of a healthcare career. The best place to start is to research the top healthcare schools online and study their curriculums to see what kind of education appeals to you. Some of the best educational facilities to look into include:

  • University of North Carolina School of Public Health
  • Tufts University
  • Harvard School of Public Health
  • Johns Hopkins Bloomberg School of Public Health

All of these universities have comprehensive curriculums that you can investigate online and used to make your decision. You will also find that many of these schools offer 101 level classes in healthcare free online. Take a couple of these courses to see if the coursework is for you.

#2 See What Kinds Of Jobs Are Available

The fields of healthcare administration and healthcare management are full of a variety of positions. A sampling of the types of organizations that hire healthcare administrators includes:

  • Health Networks
  • Long-Term Care Facilities
  • Public Health Advocate Groups
  • Hospitals
  • Research Facilities

An Internet search of the various online job hunting websites will give you a good idea as to what kinds of jobs are available and what kind of experience that you need. The more comprehensive online employment websites will outline the exact kind of educational background and experience you will need to be considered for certain positions. You can use that information as your guide to developing your career.

#3 Get As Many Internships As You Can

When you are studying in the healthcare field, you will qualify for a variety of internships that will become invaluable to developing your career. Some of the more prominent national internships are offered by organizations such as:

  • U.S. Department of Health and Human Services
  • Mayo Clinic
  • World Health Organization
  • Children’s Hospital Network

If you cannot get an internship, the contact your local healthcare organization and offer to work for free during the summer or any time you have off from classes. The more time that you spend gaining exposure to actual job activities within your profession, the better it looks on your resume. As was mentioned, you will have to put in a lot of time working for free when you are establishing your career. But the end result will be a series of valuable pieces of work experience that you can add to your resume.

#4 Investigate Free Online Courses And Seminars

There is a long list of free online healthcare courses and seminars available that will help you to gain a detailed understanding of what the healthcare industry is and what will be expected of you. The major universities offer many online free courses as well as the websites that specialize in online training. You will also find that there are plenty of online free course and seminar offerings from groups such as the World Health Organization and the American Medical Association.

In most cases, these online courses and seminars will consist of class notes, slides and recorded lectures. Many of these courses also offer self-assessment tests that you can use to gauge your understanding after reviewing the material. These free courses and seminars are great ways to get a better understanding of the healthcare industry and get a head start on your education.

#5 Ask For Experience

Some of the largest healthcare organizations in the world are non-profit organizations who are always looking for ways to groom the next generation of healthcare professionals. You can contact these organizations and ask them if they offer any way of gaining experience in the healthcare industry. Some may suggest that you visit a local office and talk to some of the professionals who work there, while others may point you towards their website and suggest that you look at their news section or other parts of the website.

The most prominent international health organizations to contact include:

  • The World Health Organization
  • American Red Cross
  • PATH
  • Doctors Without Borders
  • Peace Corps
  • U.S. Department of Health and Human Services

#6 Try As Many Fields As You Can

As was mentioned, the healthcare industry is filled with a variety of organizations. When you start choosing the places that you would like to volunteer for or take an internship with, try to investigate as many options as you can. For example, you may find that you are not as attracted to the idea of getting involved in international health policy as you are with helping doctors to cure diseases. That means that you would be more interested in an internship with a place like the Mayo Clinic, which does a significant amount of medical research, as opposed to an organization such as PATH, which gets involved in global health policies.

Getting involved in an advocate group is much different than getting involved with a heath network. The best way to discover the field that appeals to you is to try and discuss options with as many different kinds of organizations as possible and then choose your calling carefully.

#7 Build Your Way Up

If your goal is to become a registered nurse, then you should first try to gain a nursing assistant’s certificate before trying for the RN designation. The same goes for people who want to get into a healthcare administration or management position. There are stepping stones you can take which will help you to achieve your goals and build on your experience. Rather than trying to make the leap from the beginner level to a level of relatively significant experience, you should take the time to work your way up through the ranks first.

The benefit to working your way up is that you will significantly improve your educational and experience foundation. You will also have a lot more to put on your resume and that can help you as you reach for your true healthcare career goals.


Nevada Division of Insurance #auto #insurance #companies #that #do #not #use #credit


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Understanding Auto Insurance

What is auto insurance?

Auto insurance is a product that provides financial protection for cars, trucks, motorcycles, and other road vehicles from loss, physical damage and/or bodily injury liability resulting from traffic collision, theft or other losses.

By law, all drivers in Nevada must purchase auto insurance.

How much auto insurance am I required to have in Nevada?

Nevada drivers are required to have protection levels of at least $15,000 per person for bodily injury, $30,000 per accident for bodily injury, and $10,000 per accident for property damage. This minimum level of coverage is often referred to as 15/30/10. It is possible to purchase more coverage protection than the minimum level of coverage required.
Liability insurance coverage protects you only if you are liable for an accident and pays for the injuries to others or damages to their property. It does not provide coverage for you, your passengers who are your resident relatives, or your property. Property Damage coverage is also available but is a separate coverage and is not required by law.

What other types of coverage can I buy?

Drivers who want to protect their vehicles against physical damage can need to purchase:

  • Collision – This coverage is for damage to your vehicle resulting from a collision, regardless of who is at fault. It provides for repair of the damage to your vehicle or a monetary payment to compensate you for your loss.
  • Comprehensive – This coverage insures you against theft or other damage to your vehicle resulting from causes other than collision. Other causes may include damage from wind, falling objects, fire, flood or vandalism.

None of the above insurance coverages will pay for your injuries or your passengers’ injuries in the case of an accident.

The following two coverages help ensure that everyone in your vehicle has the protection needed to pay for medical treatment costs.

  • Uninsured / Underinsured Motorist (UM/UIM) – If you or your passengers are injured in an accident in which the other driver is at fault and either does not have insurance (uninsured) or does not have enough insurance (underinsured) to pay all of your loss, this coverage pays for the medical costs of you and your passengers.
  • Medical Payments (Medpay) – This pays for treating injuries to you and your passengers without regard to fault. It also pays for treating injuries resulting from being struck as a pedestrian by a motor vehicle.

What is a deductible?

Your auto insurance deductible is the amount of money you must pay out-of-pocket before your insurance compensates you. A deductible only applies to Collision and Comprehensive coverages.

For example: You have a Subaru Outback that has Collision Coverage with a $1,000 deductible. You rear end another driver, and your Subaru is damaged. You take it to the body shop and the total cost to repair all the damage is $6,500. In this scenario, you would pay the body shop $1,000. This is your deductible. Once you have met your $1,000 deductible the insurance company will pay the remaining $5,500.

How does my deductible affect the cost of my insurance?

Generally, the lower your deductible, the higher the cost of your insurance will be. The higher your deductible is, the lower the cost of your insurance will be. This is because the insurance company is assuming more or less liability for repair costs.

How do I buy auto insurance?

When buying insurance, the Division of Insurance recommends that you seek the advice of a qualified insurance professional. There are three types of professionals that typically sell insurance:

Independent agents: can sell insurance from multiple unaffiliated insurers.

Exclusive agents: can only sell insurance from the company or group of companies with which they are affiliated.

Direct writers: are insurers that do not always use agents as intermediaries; instead, some of their employees are licensed as agents in Nevada and are authorized to sell insurance.

Regardless of what type of professional you choose to use, it is important to confirm that they are licensed to conduct business in the State of Nevada. You can check the license of an insurance professional or company here.

Remember – Always verify that an insurance company or agent are licensed before giving them personal information or payment.

How much should I expect auto insurance to cost?

Insurance companies look at a number of different factors when determining the cost of your insurance. These factors include, but are not limited to:

  • Driving record
  • Claims history
  • Where you live
  • Gender and age
  • Marital Status
  • Make and model of your vehicle
  • Credit

Nevada has one of the most competitive and healthy auto insurance markets in the country. Shopping for insurance may allow you to achieve competitive pricing.

To learn more about how insurance companies determine the cost of your auto insurance, you can read our Consumer’s Guide to Auto Insurance Rates .

To learn about the use of your credit information by insurance companies read our Frequently Asked Questions About Credit-Based Insurance Scores .


What does a Palliative Care Nurse do? (with pictures) – mobile wiseGEEK

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wiseGEEK: What does a Palliative Care Nurse do?

A palliative care nurse is a health care professional who provides treatment and counsel to patients who are dying of incurable illnesses. Nurses work with physicians and other medical professionals to diagnose, treat, and care for individuals with progressive terminal conditions. They help patients and their family members cope with very difficult circumstances by providing information, counseling, and support. An experienced palliative care nurse may also conduct research about terminal diseases and advanced care practices, develop new policies regarding patient care, advocate public awareness, and teach nursing courses at hospitals and colleges.

Patients who are diagnosed with incurable diseases often struggle to find the strength and hope to enjoy their last moments. It is the duty of a palliative care nurse to ensure that such patients receive the best possible treatments to relieve their pain and symptoms. Professionals often become close companions with their patients, providing counsel, empathy, and friendship when they need it the most. The nature of the job can be very physically and emotionally demanding, and nurses must be capable of dealing with loss and tragedy on a regular basis.

Besides administering direct care to patients, palliative care nurses frequently meet with friends and family members to help them cope with the situation and discuss the options for end-of-life treatment. Many nurses engage in research to develop new public policies and determine the best methods for administering palliative care. Professionals often take part in hospital or community discussions to present their findings and suggest ways to improve procedures.

A prospective palliative care nurse is usually required to complete a four-year bachelor’s degree program in nursing as well as a two-year master’s program to gain nurse practitioner credentials. Most new nurses intern for at least one year in an emergency room or hospital setting to gain practical experience and prepare for their eventual careers in palliative care. Individuals are usually required to pass extensive written examinations administered by a nationally recognized organization to become certified palliative care nurses. In the United States, certification is available through the Hospice and Palliative Nurses Association (HPNA). Most other countries rely on organizations similar to the HPNA to ensure that individuals are sufficiently prepared for the job.

Most palliative care nurses work about 40 hours a week, though their schedules are rarely regular. The times and days a palliative care nurse works depends on the condition of his or her patients. A nurse may be required to work weekend, overnight, or double shifts when a patient nears the end of life in order to provide constant care. Many nurses continue to meet with family members after the passing of a loved one in order to provide encouragement and emotional support.

Article Discussion

4) I’m thinking of studying to be a palliative care nurse. I have been researching a lot about what the job involves and I’m not sure if it may be too emotional?

I’m a senior care assistant at present and have to deal with supporting individuals and families with death so I have a slight understanding of what the job would involve.

My only worry is be that I have a young child and am thinking about having another one. I know the training takes years to complete but if the job is going to effect my children then perhaps the job isn’t for me.

Any comments or suggestions for me would be welcome.

3) My grandmother lived with a terminal illness for many years, and I bless the nurse who provided this service for her. I don’t know what exactly is written in a nurses job description, but she went above and beyond, and made my gran truly live her last years to the fullest.

The job is not easy, but it’s mostly more emotionally draining than depressing. It isn’t something that you really want to come home and talk about though. This is partly out of respect for your patient, partly to shield your partner from endless tales of lives ending.

Part of my nurse education in this field covered the need for a neutral person to be sought out and be there for you to offload onto. I know I will have this structured into my week, but the person who provides this outlet is a counselor.

It sounds as if your girlfriend may not have this option, or may not be using it. She could also be burning out, and need to take a break. You could try talking to her about her feelings, and suggest she needs someone to talk to. Hope it works out for you.

1) I’ve recently started dating a wonderful woman who is a palliative care nurse practitioner. Even though it’s early days in our relationship I can see it becoming more serious. The problem is that I don’t know how best to support her.

There’s no issue for me if she has to work long hours or cancel dates because of work. I know a job in nursing isn’t ever going to be about working social hours. I guess I’m struggling with the emotional side of it.

She seems unwilling to talk about work and let her feelings out, so more and more we’re spending time in silence. I have no idea what to say and her mind seems to be elsewhere. Should I push her to speak to me?





Do You Have – The Little Blue Book – in Your House?

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Do You Have ‘The Little Blue Book’ in Your House?

If you are wondering what I’m talking about, it is for you that I am writing this blog! Here’s the bottom line: We were all born one moment of one day, and each of us is going to die one moment of another day — we just don’t get to know when that will be. For some of us, that is a major source of anxiety. Furthermore, we live in a society that has kept us in the dark about what to expect when we, or someone we love, dies. This absence of knowledge not only makes us ill-prepared to face death, but it feeds our fear of death, which in turn diminishes our enjoyment of life.

It is perfectly normal to have some anxiety or fear about death, and in fact, most death-related anxiety is actually about the process of dying rather than about being dead. That’s where the little blue book comes in — this little 14-page blue booklet gently, kindly, and in a matter-of-fact manner explains the dying experience in such a way that it brings its readers great comfort. So why not reach for that comfort sooner rather than later? Why live with death anxiety on autopilot in the background of your mind? Why wait and find yourself called to the bedside of a dying loved one unprepared for what you will encounter and not knowing what to do?

Most people working in the field of dying, death, and grieving know about “the little blue book,” as it has come to be known. Many hospice and palliative care organizations around the country give this book to their dying patients and their loved ones to ease them through the dying experience. It is entitled Gone From My Sight: The Dying Experience and is written by Barbara Karnes, RN, who was one of the pioneers of the hospice movement in this country in the early 1970s. To learn more about Barbara and her work, visit her website at https://www.bkbooks.com. Barbara’s other three titles are: The Eleventh Hour: A Caring Guideline For The Hours To Minutes Before Death (my personal favorite), My Friend, I Care: The Grief Experience. and A Time to Live: Living with a Life-Threatening Illness. All are available on her website.

This blog is not meant to be an advertisement for Barbara and her work, but rather I am shouting from the rooftops to spread the word that each and every one of us has the opportunity to prevent the needless suffering that our fundamental ignorance about the dying process brings. Not knowing what is normal and what the signs of the end of life are, we often cling desperately to life, relying on physicians to come up with a pill or procedure that will prolong our lives. Sometimes this is reasonable, but often the dying and their loved ones simply lack the understanding of the dying process that would enable them to consider the relative wisdom of further medical interventions or the timing of opening the door to palliative care.

Those of us who work in the field of dying, death, and grieving have satchels of stories about the ways people suffer unnecessarily through their own death or at the bedside of a loved one. Not knowing what to expect, what is normal, and how to support and comfort a loved one who is dying makes us ill at ease which detracts from a tranquil environment for the dying.

As someone who writes often about dying, death, and grieving, I am quite passionate about the need for a basic education of the general public about this topic. That’s why I would go so far as to say that if I were queen of the world, I would make Barbara’s books required reading for everyone and as important as a fire extinguisher to have in your home!

The vast majority of us will die of old age and/or prolonged illness. Having Barbara’s books on hand when you or a loved one begins the end of life’s journey empowers you all to do your very best to provide a loving, comforting, and supportive sendoff. Rather than worrying about what you should or shouldn’t do, what’s normal and what isn’t, and how to be the greatest comfort to your loved one, empower yourself with some basic education and serve as an example to others. Sitting at your dying mother’s bedside, when you know that what you are observing is normal, you can encourage her and let her know she is doing a great job of dying. In this case, a little knowledge is a very powerful, wise, and comforting thing.

Please feel free to leave a comment below.

To learn more about Judith Johnson, visit website .





What We Do #ayrshire #hospice

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What We Do

Hospice is a vital part of the continuum of care that is available to seriously ill patients and their families. Neither hastening nor postponing dying, Hospice strives to bring quality of life and comfort to patients. Just as doctors and midwives lend support and expertise during childbirth, Hospice provides care and knowledge during the dying process.

Hospice Community Care provides comprehensive management of physical, emotional, social and spiritual needs of patients. The goal of care is to achieve the best possible quality of life through relief of suffering, control of symptoms and restoration of function capacity.

Our History

Locally, hospice care began in 1985 due to the efforts of community leaders in response to one woman’s struggle with cancer and her desire to remain at home until her death. Hospice Community Care has seen similar stories played out over our 20 year history having served thousands of patients and their families. Today, Hospice Community Care serves residents of a six county area including York, Chester, Lancaster Cherokee, Fairfield and Union counties in South Carolina. Governed by a volunteer Board of Directors, Hospice Community Care currently utilizes a vast team of professional staff and over 250 community volunteers to compassionately care for more than 100 patients each day. In 2008 Hospice Community Care moved on the Hospice Community Care campus in Rock Hill which houses the Community Building and the Wayne T. Patrick Hospice House.

Mission, Vision, Values

Through an interdisciplinary, medically directed team of professionals and volunteers physical, social, emotional and spiritual support is provided to patients and their families. The care is expressly tailored to each patient’s needs and wishes and is focused on treating the person, not the disease. Teams include a physician, registered nurses, social workers, certified nursing assistants, grief counselors, clergy and volunteers. Hospice Community Care also provides a broad range of programs, educational seminars and counseling opportunities to help hospice families and the community cope with grief and loss.

Mission

The mission of Hospice Community Care is to give hope, comfort and compassion to our community when needed most.

Vision

Our vision for the future is to remain the area’s first and best choice in the services that we provide.

Values

Our shared values of integrity, stewardship, compassion, quality, teamwork and innovation guide our organization and form the foundation of who we are and what we believe.

Our Leadership

Hospice Community Care is led by a volunteer board of directors, representative of our community and those we serve. We recognize the trust you have placed in us and pledge to uphold the mission of Hospice Community Care and to be faithful stewards of the resources so generously shared with us.

Jane Armstrong, RN MN Executive Director

Meet our Executive Director

Jane Armstrong has been the Executive Director of Hospice Community Care since 1998. Under her leadership, Hospice Community Care has grown from a small group of volunteers and staff into the leading not-for-profit community-based hospice in the area. Hospice Community Care employs more than 90 people and cares for hundreds of patients and families each year in our community. Under Jane’s leadership Hospice Community Care has become known for its innovation and dedication to moving forward the mission of the organization. At the end of 2007 Hospice Community Care moved onto its new $12 million campus which houses the Wayne T. Patrick Hospice House. The move represented the completion of 10 years of planning and fundraising by Jane, Hospice staff and the Hospice Community Care Board of Directors.

Board of Directors

Kathy Patrick Wilson – President

Kyle Curtis- Vice President

Anne Weeks – Secretary

Harvey Heise – Treasurer





What Does a Hospice Nurse Do? #bargain #hotels

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What Does a Hospice Nurse Do?

Updated August 16, 2016

What does a hospice nurse do? A lot of things, as you ll see. But first.

What Is Hospice Care?

Hospice care may take place in a hospice institution or the patient’s home – frequently both. It’s based on the belief that every person who is terminally ill or injured has the right to die with dignity and without pain, and that the patient’s family also deserves compassionate care and support. Each hospice patient is cared for by a team of professionals who provide medical care, pain management, and emotional and spiritual support tailored to the patient’s wishes.

Hospice nurses are vital members of that team.

Hospice Nurses Varying Roles

Hospice nurses have a number of important responsibilities:

Hospice Nurse — Case Manager. A case manager hospice nurse is responsible for assessing and managing a patient s care. Only one case manager nurse is assigned to each patient, to foster a trusting relationship and allow for continuity of care.

A hospice case manager nurse is a Registered Nurse (RN) who must be comfortable working independently. She is the eyes and ears for the hospice physician and so must possess expert patient-assessment skills. The case manager hospice nurse is a critical thinker.

Hospice nurses have a unique opportunity to share in a patient s last moments, so they must be compassionate and empathetic. The case manager hospice nurse is compassionate and caring.

Hospice Nurse — Intake or Admission Nurse. The hospice intake or admission nurse is often the first hospice staff member to visit a patient.

He or she spends a lot of time with patients and their caregivers, explaining the hospice philosophy and developing a plan of care. Responsible for assessing a patient s need and readiness for hospice. the hospice intake or admission nurse consults with the hospice physician to accept the patient into hospice care .

Once the patient is admitted, it s this hospice nurse who 1) does a complete assessment of the patient, 2) with the direction of the hospice physician, orders the medication and equipment the patient will need, and 3) begins the process of patient and caregiver education.

Hospice Nurse — Visit Nurse. A hospice visit nurse is one who does not have any case management responsibilities but instead supplements the care provided by the hospice nurse case managers. Visit nurses are often licensed nurses (LVNs or LPNs). They typically visit patients who have immediate needs when their case managers cannot visit promptly. Hospice visit nurses may also be responsible for following up on routine care, such as wound care. that the case manager has implemented.

Hospice agencies have visit nurses on-call after hours to visit patients with urgent needs and to attend deaths.

Hospice Nurse — Triage Nurse. The hospice triage nurse takes phone calls from patients or their caregivers who are at home. He or she begins the process of assessment and treatment over the phone.

In addition to giving the patient or caregiver instructions for symptom management or medical treatment, the triage nurse consults with the hospice physician and notifies the case manager or visit nurse if there s a need for a visit.

Because the triage nurse cannot physically see the patient, he or she must have excellent communication skills to get accurate and necessary assessment information from the patient or caregiver. This hospice nurse must be a critical thinker who is able to prioritize efficiently.

“Hospice care.” National Hospice and Palliative Care Organization (2015).





Things To Do In Key West, Tours, and Activities #cheap #motels #in

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Best On Key West

Key West has an abundance of things to do. and has become a United States top vacation spot because of this. There is an activity for any type of personality, and a tour for any interest. Even though this island is known for its pristine beaches, and mystical underwater playgrounds of coral reefs and marine wildlife to explore for the outdoorsy visitors, it also has tours on land for sightseeing and history buffs. Visitors could come to Key West 100 times, and have a completely different experience each time with all the different things to do.

Key West Fun Activities to do in the Water

There is an endless amount of things to do in the waters surrounding the keys. Of course, the most popular activity is snorkeling! There are all kinds of different tours that involve Key West snorkeling. so it will be easy to pick one that best suits your vacation. The best tour for snorkeling is the snorkeling offered in the Dry Tortugas. This beautiful, historic landmark is the destination for avid snorkelers from all over the world to see, and there are two way of reaching this destination that lies almost 70 miles off the shores of Key West: by the Yankee Freedom Dry Tortugas Ferry or by flying the Dry Tortugas Seaplane Excursion. Both tours offer patrons snorkeling gear.

If you have always wanted to try scuba diving but don’t have the time to get certified, we highly recommend trying this “next-best-thing” activity, Snuba Dive. It’s basically a combination of Snorkeling and Scuba Diving, and is a great way to explore the coral reef of Key West. If you are looking to get Scuba Diving certified, try one of the many tours offered on the Scuba Instructions tour page. Don’t know how to pick just one water activity? You’re in luck, because now there are “Do-It-All” tours. that help you knock out all the fun water sports and activities there are to do in the water, all at once. These all-incluse Key West tour packages are the ideal way to sample a wide variety of watersports and activities.

Things to Do on the Island

We know not everyone wants to be in the water for everything they do in Key West. In the Keys, there are so many things to do, and the best part, you can get to most of everywhere on the island by walking or biking. For the history buffs, see the treasure that has been discovered off the Florida shores, the Mel Fisher Maritime Mueseum. or see the house that once was a getaway home to President Harry S. Truman, and served as a vacation home to other political figures by doing the Little White House tour. If you’re more interested in maritime history, and shipwrecks, then the Shipwreck Historeum Museum is what you’re looking for. With live actors, lasers, and a chance to lookout from a 60-foot lookout tower, make the experience remarkable. Think you have what it takes for a spooky connection with the spirits of the Keys? Try the world renowned Ghost Tour. which has been featured on the Discovery Channel, History Channel, Travel Channel, and BBC for being the best ghost tour in Key West.

Getting Around Key West

Key West has to be the easiest place on the planet to be able to find transportation to get around on your vacation. Whether by airplane, bike, bus, scooter, or boat, there is something for everyone. Lloyd’s Tropical Bike Tour gives visitors a warm welcome while enjoying the relaxed atmosphere. With the bike, it is easier to roam down side streets and hidden lanes, and get to see the quainter side of the keys. Want to sit back, relax, and enjoy sightseeing while having a tour guide point out historic sights, and listen to interesting stories? Try one of the oldest and most famous sightseeing tours, the Conch Tour train. Entertaining visitors since 1958, the tour has given over 10 million guests the glimpse and history of Key West. If you’re looking to get around on your own time, and don’t want to do a tour, or drive your car, you may want to see the options of the different electric car rentals or scooters there are. With the electric car rental. you have a chance to take a whole crew of 6 around. But if you are more of a motorbike type, then check out the different scooter rentals there are, and be amazed be how affordable it is. One of the most exceptional tours offered to give visitors an unforgettable memory are the airplane tours. Get swept off your feet as you fly up and away to get a different perspective on the keys with the Island Biplane tour .

Places to Stay in Key West

Need to find a place to stay in Key West? Best On Key West is known for finding the best deal that is within your budget, and best fits your vacation. The Keys has some of the most charming and top rated Bed and Breakfasts in the Southeast United States. If you’re looking for a beachfront hotel, we can help you find the best deal. Looking for the cheapest deal. Just use our new and improved search, and we guarantee you won’t be disappointed.

Key West Tour Guide

Still having a hard time deciding what to do on your Key West vacation? Check out our Things to Do in Key West page to get a better understanding of all the choices Key West has to offer.





What do hospices do #last #minute #hotels

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The hospice concept and movement has grown out of the commitment and vision of thousands of volunteers. From the beginning, and still today, volunteers are at the heart of hospice.

Traditionally, volunteers have been the backbone of the hospice movement and are still an indispensable part of any hospice program. Even the federal government recognizes the importance of volunteers in the delivery of hospice care by requiring that Medicare-approved hospices utilize volunteers from their community. Nationally, about 100,000 people serve as hospice volunteers and give millions of hours of their time to serve terminally ill patients and their families.

Volunteers serve as a member of the hospice team by sharing skills and interests in a manner that provides comfort and enriches the quality of life for those served. Volunteers serve on a regularly scheduled basis and provide the following:

  • Support services – companionship, friendly visiting, active listening, bedside sitting, letter writing.
  • Sharing hobbies and special interests — reading, gardening, listening to music, sports, travel, crafts, etc.
  • Assisting with errands – grocery shopping, picking up prescriptions and supplies, banking.
  • Transport patient/family – appointments, shopping, social outings.
  • Homemaking tasks – light housekeeping, dishes, laundry, meal preparation, child care.

No task is too big or too small for a hospice volunteer, but often the most important thing you can do is just be there for patients to reassure them they are not alone, to hold a hand, to offer a smile, or to just listen. It is not easy work, but the personal rewards are enormous. The strength and courage of patients provide a constant source of inspiration, and volunteers usually feel they gain more than they have been able to give.

Other volunteer opportunities include providing help with special projects, mailings, reception, clerical support or working with special events such as memorial services and fund raising events. Trained volunteers can assist with community education and public speaking.

Some volunteers choose to share their professional expertise by serving in advisory capacities, as a member of the hospice’s board of directors or on other board committees.

Hospice volunteers often express their work with patients and families as a blessing. The inner knowledge and satisfaction a volunteer receives from knowing they’ve made a real difference in the life of a patient or family is what makes being a hospice volunteer special. To be invited into the last months, weeks, and days of a person’s life is an honor and a privilege.

You can find nearby hospices in the yellow pages or by going to Google Maps. and enter ‘Your city’ ‘Your state’ hospice without the quotation marks in the upper left-hand corner of the page. Click on Search Maps and you will see the locations of community hospices. Some of the facilities listed may be home health care or other services but all of the area hospices will be somewhere in the list with contact numbers.