What Is Respite Care? #hospice #treatment

#respite care


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What Is Respite Care? A Break for the Caregiver

Taking care of an older or ill family member can be enormously rewarding — but it can be physically and emotionally draining as well. That’s why it’s important for caregivers to seek occasional respite from their responsibilities. Whether it’s for a few hours a week to run errands or a few weeks a year to take a much-needed vacation, respite care offers you the chance reduce stress, restore energy and keep your life in balance.

Some things to remember when deciding on respite care:

1. Involve your loved one. When planning for time off from your caregiving duties, make sure to keep your loved one in the loop. Get their input in deciding how much time you will be away — and who will fill in for you when you’re gone. Make sure to tell them that they will benefit from you being more relaxed and refreshed. And assure them that they will also reap rewards from socializing with other people.


  • Develop a Respite Plan. Read
  • How to Prepare a Home Care Agreement with a Family Member. Read
  • Your Caregiving Questions — Answered. Read

2. Assess your needs. Make a list of what care will be needed in your absence. Also decide if the respite care provider will need any special skills or training to be able to stay with your parent. If so, understand that your options for respite caregivers may be more limited.

3. Stay organized. Use a calendar to assist you with helpers or check out online tools such as Lotsa Helping Hands or CarePages to keep track of appointments and send requests to friends and family. Don’t forget to include time for yourself and note it on the calendar.

Is Palliative or Hospice Nursing For You? #golden #chain #motels #nsw

#how to become a hospice nurse


Is Palliative or Hospice Nursing For You?

“It must be so depressing,” is often the first comment. It’s followed by, “Oh, you must be special because it has to be really hard.” The first time I heard those comments, I was actually taken aback. But these are often the first things you hear when you tell someone that you work as a palliative or hospice nurse.

I don’t work in palliative care anymore. But I had the privilege of doing so, part-time, for almost five years. It wasn’t depressing and it wasn’t “really hard.” In fact, it was the most rewarding nursing job I’ve ever done.

In nursing school, we’re taught how to help people as they recover from their illnesses, injuries, or surgeries. Death is discussed, most often in terms of us trying to avoid it. However, there are some lessons on how to deal with dying patients and their family members.

More schools are introducing a palliative care and hospice component to their nursing programs . But it is only recently that palliative and hospice care is coming into its own as a specialty that nurses want to work in.

Often, the question asked is “why?” Why would someone want to work in palliative or hospice care? To me, it’s very simple. It’s a completely different type of nursing career than what we’re used to in the hospitals. We know that these people are dying and that they will die, sooner than later. Our goal isn’t to prolong their life, but to help them live their life as comfortably as is possible in their remaining time.

It used to be that people just waited to die. But with modern medicine and know-how, we can help make those final days comfortable enough for many for them to enjoy them. They can visit with family members and friends. They can tie up loose ends. They can laugh and cry. They can take the time to say good-bye to those they love.

When I was a nursing student —and later working on the floors—I came across many situations where dying patients weren’t told they were dying. In fact, often the patients would ask outright; only to be told, “No, you’re not dying” by their family members. They had decided it was best for the patient not to know.

Even back when I was 20 and not all that experienced, I knew that was wrong. It was wrong to rob someone of the opportunity to end their life in a way that they could finish what they could finish.

I would often say, “How lonely must it be to be dying,” and know that the people around you are lying to you and won’t talk about it. I say that because in my heart, I truly believe that the vast majority of dying people know that they are dying, even if they are told that it isn’t so. I can’t imagine what it must be like to be denied that honesty right up to the end.

Palliative care and hospice nursing allow for that honesty. It allows us, as nurses, to help the patients do what it is they need to do. We provide to them the most intimate of care possible. What is more intimate than being there to listen to them, to talk to them, to care for them, in their final days?

The reward from palliative care comes out throughout the time we have with our patients. When they can move from one stage to another, when they can ask for help and get it, when they can talk openly about what they want and what they can do.

In the end, we know we have our job when we know that the passing has been as pain-free as is possible, when the families have had a chance to say good-bye, and when we can turn around and give the same care to the next patient who needs us.

Have you ever considered working as a palliative or hospice nurse? What are your thoughts?

Submitted by trudyarmstrong on Sat, 05/24/2014 – 20:33

I have been a hospice nurse 7 years and can say this is the most rewarding and humbling experience of my life. We are allowed into a patients and their families lives in the most personal time of their lives. We care for the families, not just the patient. Itis continuous education for the families by the nurse walking them through their grief as well as the grief experienced by the patient. I have taken part in making finsl wishes come true.We have prepared a luau for one patient, a wedding for another, a baptism for another. Oh and the patient who wanted to see the sun rise once more. We bundled her in blankets, placed her in a gerichair and rolled up and down a snow filled driveway for the perfect view of the sunrise. Her expression was priceless. But then she requested watching the sun set. No problem, our routine was mastered by that point, and oh what a view it was that wjnter evening. So, you see, hospice nursing is so much more about symptom mgmt with medication. Its caring for the spiritual, emotionsl, and social sides of the patient and the family all while respecting final wishes and treating others ss you want to be treated ehe your time comes.


Submitted by kate-carpentier on Mon, 05/26/2014 – 04:52

I have had the honor of working in a faith based, not-for-profit Hospice for 10+ years and feel truly blessed to be able to do the work we do there. This is the reason I went to nursing school! Hospice and palliative care is CARE. care to listen, touch, clean, teach, pray, share, and do all you can within your knowledge and skill to help this patient, family and friends walk this journey with peace, dignity and comfort. And yes, it is very rewarding- you get more than you give often time. You learn something with each patient. That helps you take even better care of the next one.


Submitted by chardison50-at-. on Mon, 05/26/2014 – 15:07

Hospice nursing means doing all the things you wanted to do when you were in nursing school. Comfort, care, touch, teach, laugh and cry with patients and their families. It is not depressing to me, but it is not for a nurse who gets seriously attached to every pt and can’t accept death as part of life. I have met the most amazing patients who have chosen to take control of the life they have left. It is a privilege to walk the journey with these pts and their families. It is the most rewarding nursing I have ever done.


Submitted by connielynnsmith13.cs on Tue, 11/18/2014 – 16:29

My choice out of nursing school was oncology. I worked there for 8 yrs. Loved it and loved my patients. Nursing staff worked together and we had our patients from diagnosis to death. We were fortunate enough to have support from our doctors and administration. We also had a psychologist who came to our floor weekly. This was for patients but more for staff. On any given day we could check obits and usually there was someone we knew. Some of our docs were not good at explaining DNR status. I explained hundreds of times to patients and families. Most people do not understand what goes on during a code. I explained. Or to encourage families to adhere to the requests made by their family member. And to think of the patient and not make selfish decisions. Palliative care should be in every hospital. Our floor was very upbeat and we did everything to make sure it was never a depressing place.
We are all going to die at some point. My job was to ease the patient and family into the inevitable. Keep the patient comfortable. Know that sometimes you are medicating the family. If family thought the patient was hurting because they groaned or grimaced, they asked for meds to be given. As a nurse, it’s not up to u to judge whatever decision is made. Talk to the family and encourage them to keep talking to the patient. Let them know u are there and that u will be ok. Give them the peace they need to slip away


What is palliative care: MedlinePlus Medical Encyclopedia #hospice #careers

#palliative treatment


What is palliative care?

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The goal of palliative care is to help people with serious illnesses feel better. It prevents or treats symptoms and side effects of disease and treatment. Palliative care also treats emotional, social, practical, and spiritual problems that illnesses can bring up. When the person feels better in these areas, they have an improved quality of life.

Palliative care can be given at the same time as treatments meant to cure or treat the disease. Palliative care may be given when the illness is diagnosed, throughout treatment, during follow-up, and at the end of life.

Palliative care may be offered for people with illnesses, such as:

  • Cancer
  • Heart disease
  • Lung diseases
  • Kidney failure
  • Dementia
  • ALS (amyotrophic lateral sclerosis)

While receiving palliative care, people can remain under the care of their regular doctor and still receive treatment for their disease.

Who Gives Palliative Care?

Any health care provider can give palliative care. But some providers specialize in it. Palliative care may be given by:

  • A team of doctors
  • Nurses
  • Registered dietitians
  • Social workers
  • Psychologists
  • Massage therapists
  • Chaplains

Palliative care may be offered by hospitals, home care agencies, cancer centers, and long-term care facilities. Your provider or hospital can give you the names of palliative care specialists near you.

The Difference Between Palliative Care and Hospice

Both palliative care and hospice care provide comfort. But palliative care can begin at diagnosis, and at the same time as treatment. Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness.

Hospice care is usually offered only when the person is expected to live 6 months or less.

What Does Palliative Care Include?

A serious illness affects more than just the body. It touches all areas of a person’s life, as well as lives of that person’s family members. Palliative care can address these effects of a person’s illness.

Physical problems. Symptoms or side effects include:

Treatments may include:

  • Medicine
  • Nutritional guidance
  • Physical therapy
  • Occupational therapy
  • Integrative therapies

Emotional, social, and coping problems. Patients and their families face stress during illness that can lead to fear, anxiety, hopelessness, or depression. Family members may take on care giving, even if they also have jobs and other duties.

Treatments may include:

  • Counseling
  • Support groups
  • Family meetings
  • Referrals to mental health providers

Practical problems. Some of the problems brought on by illness are practical, such as money- or job-related problems, insurance questions, and legal issues. A palliative care team may:

  • Explain complex medical forms or help families understand treatment choices
  • Provide or refer families to financial counseling
  • Help connect you to resources for transportation or housing

Spiritual issues. When people are challenged by illness, they may look for meaning or question their faith. A palliative care team may help patients and families explore their beliefs and values so they can move toward acceptance and peace.

Learning More

Tell your provider what bothers and concerns you most, and what issues are most important to you. Give your provider a copy of your living will or health care proxy.

Ask your provider what palliative care services are available to you. Palliative care is almost always covered by health insurance, including Medicare or Medicaid. If you do not have health insurance, talk to a social worker or the hospital’s financial counselor.

Alternative Names

A.D.A.M. Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC’s accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.’s editorial policy. editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. Copyright 1997-2016, A.D.A.M. Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.

Page last updated: 23 August 2016

When is the right time to call hospice care? Hospice-Care #cheap #luxury

#when to call hospice


When is the right time to call hospice care?

Hospice care can help ease the end-of-life transition for your loved one. Many people wait to call hospice until the final days, but that might not be the best option.

Calling Hospice Care: When is the Right Time?

Making the decision to call hospice care for your loved one can be heartbreaking. But in giving your loved one the best end-of-life care possible, hospice is a very good choice. How do you know when it’s time?

What is Hospice Care?

Hospice care is designed to provide medical care, comfort, and compassion during a person’s last days. When all potential treatments have been exhausted and a person decides it is time to let nature take its course, hospice care provides pain management and emotional support. It also offers bereavement counseling for those who are left behind.

Why Hospice Care Matters

Hospice care vows to neither prolong nor hasten death. Hospice workers strive to provide the utmost dignity for a person while allowing death to occur naturally. Hospice support can ease the physical end-of-life transition, but it can also provide the immense relief that peace of mind can bring.

Hospice patients can know that their loved ones are not alone in their struggle to accept death and grieve the loss. That simple yet vital knowledge can make their last days much easier.

Is it Time to Call for Hospice Care?

Each person’s final months and days are unique to that individual. Therefore, setting a certain time frame on how long hospice care will be needed can be a difficult decision. The best way to clarify the situation is to sit down with a hospice professional as soon as a terminal illness or serious medical situation is diagnosed, and discuss what to expect in the near future.

When a patient has decided to forgo any medical treatment or search for a cure, they are probably ready for hospice care. It is important to contact hospice before pain management becomes an issue. Most insurance companies pay for hospice care during the last six months of life. Some might find hospice useful for that entire period of time, while others might prefer to wait until they are closer to the end of their life.

Hospice is Not Just for Patients

Though hospice care focuses on making the last weeks and days comfortable for patients, it is also a great relief to their loved ones. End-of-life decisions are always hard, but hospice workers are trained to help family and friends let go in a peaceful, loving atmosphere.

Hospice support continues for surviving family members after a patient’s death. Hospice care can include supportive discussions, visits, phone calls, and even provide help with funeral arrangements.

When It’s Time.

Choosing hospice is a very personal decision. Keep the lines of communication open with your loved one, and when they mention it might be time to consider hospice, take them at their word and make the call–and then trust the highly trained and compassionate hospice workers to help you with whatever comes next.

Related Articles

Click on the links below to see helpful articles and checklists on various elder care topics.

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Marian College School of Nursing Faculty, Los Angeles & Van Nuys California


Our Faculty

Marian College Faculty:

Lourdes E. Antay, BSN, RN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• BSN from Saint Paul University, Iloilo City, Philippines

Angeline Arrieta, BSN, RN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• BSN from San Pablo Colleges, Laguna, Philippines

Jessica L. Bringas, BSN, LVN (part-time, LA & Van Nuys Campuses)
LVN license from the California BVNPT
• BSN from Butuan Doctors’ College, Philippines
• Graduate Nurse from Chong Hua School of Nursing, Cebu, Philippines

George L. Chua, MSN, APN, FNP-C, CLS, ASCP, RNC, CSN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• MSN and Master of Public Health from Grand Canyon University, Phoenix, Arizona
• MSN in Family Nurse Practitioner from Charles Drew University of Medicine and Science/UCLA Mervyn M. Dymally School of Nursing, Los Angeles, California
• Credential in School Nursing from California State University, Long Beach, California
• MD from University of Fatima, Philippines
• BSN from Olivarez College of Nursing, Philippines
• BS Medical Technology from University of Santo Tomas, Philippines

PatriciaL.Francis,BSMed,LVN (part-time,LA Director of Nursing, Van Nuys Campus; part-time faculty, LA & Van Nuys Campuses)
RN license from the California BRN
• BSN from University of Phoenix, Arizona
• ASN from Los Angeles Valley College, North Hollywood, California
• VN Diploma from Concorde Career Institute, North Hollywood, California

Rosauro Don E. Parco, BSHCA, LVN (full-time, LA & Van Nuys Campuses)
LVN license from the California BVNPT
• BSHCA from West Coast University, Los Angeles, California
• VN Diploma from Marian College, Marian Health Careers Center

Oliver C. Perez, BSB, LVN (part-time, LA & Van Nuys Campuses)
LVN license from the California BVNPT
• BS in Business from the University of Phoenix, Arizona
• VN Diploma from Marian College, Marian Health Careers Center

Nenuca T. Ramirez, BSN, RN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• BSN from the University of the East, Philippines

Leny J. Ramos, BSN, RN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• BSN from Riverside College, Bacolod City, Philippines

Tuesday Ann B. Siao, BSN, MSN, RN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• BS Biology from Immaculate Concepcion College, Davao City, Philippines
• Doctor of Medicine from Davao Medical School Foundation, Inc. Davao City, Philippines
• BSN from North Valley College Foundation, Inc. Kidapawan City, Philippines

Flordeliza Sortigosa, BSC, LVN (part-time, LA & Van Nuys Campuses)
LVN license from the California BVNPT
• BS in Commerce from University of Iloilo, Iloilo City, Philippines
• VN Diploma from Casa Loma College, Los Angeles, California

Kimberley A. Stotmore, LVN (part-time, LA & Van Nuys Campuses)
LVN license from the California BVNPT
• VN Diploma from North Orange County Regional Occupational Program, Anaheim, California

Yee Juan (Jennifer) Yong, ASN, BA-Psych, RN (part-time, LA & Van Nuys Campuses)
RN license from the California BRN
• BA Psychology from California State University, Los Angeles, California
• AA from East Los Angeles College, California
• ASN from Pasadena City College, Pasadena, California
• VN Diploma from Marian College, Marian Health Careers Center

Missouri Workers – Compensation – What is Workers – Compensation? #what #is


Missouri Workers Compensation

Filing a workers compensation claim can be a complicated process with unexpected pitfalls that can potentially prevent you from getting the benefits you need.

Details are important at every stage, and if you don’t understand exactly what the bureaucracies are looking for you could be missing out on compensation or treatment options.

We hope that you find the information contained in our practice center useful in answering your workers compensation questions and familiarizing yourself with the work comp process.

Missouri Workers Compensation Claims

US employers and their employees rely on our dependable workers compensation system to resolve disputes about vocational injuries and disease and to provide for related worker needs. Workers compensation benefits are commonly awarded for work-related injury, illness and death, helping to meet the needs of injured workers and their families even when faced with overwhelming situations. (read more)

Have you been injured in an accident?
Call (314) 361-4300.
Free Missouri Workers Compensation Consultation !

Employees can suffer all kinds of injuries while working. In Mr. Hoffmann s 20 plus years of practicing workers compensation law, he has represented clients who have suffered all types of work-related injuries, from head, back and neck injuries to foot injuries. (read more)

The workplace is one of the most common places that people are injured and Missouri has rules in place that are supposed to help people who have suffered an on-the-job injury. We have assisted all types of injured workers through the claim process to obtain workers comp benefits. Unfortunately, it is sometimes difficult to get the benefits you deserve. (read more)

You do not have to be involved in a terrible accident to claim workers compensation benefits. Your injury could be a severe back strain from lifting a heavy object, a cumulative injury from repetitive tasks or an illness related to chemical exposure. (read more)

Our St. Louis legal team can provide you with answers to frequently asked questions regarding Missouri workers compensation. (read more)

Attorney Fees

The Law Office of James M. Hoffmann advances all costs and expenses associated with our clients cases and does NOT charge a fee until there has been monetary recovery. This arrangement is called a contingency fee agreement . We pay all of the expenses (medical records, expert fees, depositions, etc.) along the way. (read more)

Workers Compensation Laws

The Missouri Workers Compensation Laws were substantially changed effective August 28, 2005. This is a brief summary of the new workers compensation laws. Please do not hesitate to contact attorney James M. Hoffmann for any questions regarding the workers compensation laws. (read more)

Free Workers Compensation Consultations

Our legal team has a strong history of helping injured workers get the medical attention and financial compensation that they need. Based in St. Louis, and handling workers compensation cases throughout the State of Missouri, our law firm will ensure that your rights are protected. Please call (314) 361-4300 or toll free at (888) 872-6795. You can also complete our online contact contact form. All communications are returned promptly.

Missouri Workers Compensation

DuctPro Duct Cleaning in Toledo, Maumee, Perrysburg, Sylvania, Rossford, Northwood, Bowling Green,


Request An In-Home Estimate!
Call us at 419-897-6641 or Click Here

Breathe Pure Air!

If you are asking yourself, Should I have my ducts cleaned? Or if you have you ever wondered what’s hiding in your duct work, you’ve come to the right place.

Duct Pro provides duct cleaning services for Toledo Ohio and surrounding area including, Maumee, Perrysburg, Sylvania, Rossford, Northwood, Swanton, Oak Harbor, Bowling Green, Findlay, Napoleon, Fremont and other cities in Northwest Ohio, as well as Southeast Michigan, including Bedford, Temperance, Lambertville, Ottawa Lake, Monroe, Dundee and Adrian.

One of a Kind Services

Duct Cleaning Service

While many companies use just air, DuctPro uses 18 Cobra brushes to scrub your ducts, resulting in the cleanest duct cleaning possible.

Read this Better Business Bureau article for more information about poor quality duct cleaning services and what to do about them. We are members of the BBB (view record )

Learn more about our duct cleaning process.

Dryer Vent Cleaning Service

DuctPro also has a Dryer Vent Cleaning and Repair Service to get that lint, dust and trapped gunk out of your dryer vents in order to avoid a fire and help bring your dryer venting up to code.

If you have a dryer, this could happen to you. Avoid a dryer vent fire by having your dryer vents cleaned, and brought up to code today!

Learn more about our dryer vent cleaning service.

Duct Pro cleans the mostNEGLECTED. UNSANITARYpart of your home:
Your Air Ducts!

Does anyone in your home suffer from allergies, asthma, headaches, eye irritations, respiratory or sinus problems? If so the cause may be in the air that you are breathing right inside your home.

More than 70% of all indoor air quality problems involve the HVAC (heating, ventilation air conditioning) system as dirty ducts are an ideal breeding ground. Over the years, dirt, dust (and mites), pet hair and dander, pollen, mold, mildew and other contaminants build up and can be trapped inside the ductwork of your home. This isn’t just a nuisance, it’s unhealthy!

We have all told our kids cover your mouth whenever they sneeze because it makes sense to keep germs from flying through the air, but many times a day our heating and cooling systems blow around germs in the same way and we don’t give that a thought!

Common indoor air contaminants include:

  • fibers and chemicals from carpeting and fabric
  • formaldehyde and other chemicals from furniture
  • vapors from cleaning products
  • germs, bacteria and viruses
  • hair, skin and pet dander

The combined health effects of these pollutants can be significant, especially on those suffering from allergies, asthma or other respiratory aliments.

Think about this:

Your home’s air duct network acts as a respiratory system. It collects viruses, mold, pollen, bacteria, dirt, dust, debris, and microbial growth that are hidden from view. This debris congests the system and makes it difficult for the house to breathe properly and function efficiently. The heating and cooling industry has stated that over seventy-five percent of repair work needed on furnace systems is a result of dirty mechanical components. Reduced air supply can be the cause of premature failure of expensive heating, ventilation air conditioning components.

New Home Construction

If you have recently built a new home, most likely there was quite a lapse of time between the installation of the duct work and the completion of your home. There was plenty of opportunity for dust and dirt to have gotten in, along with foreign objects such as rocks, sticks and other objects that children may have dropped down the register openings while the house was being built. Building materials such as drywall dust and hardwood floor dust are the worst. Most filters are not dense enough to keep this type of dust from finding its way into your duct system. Some clean up crews even use your register openings as a garbage shoot. We have also found some workmen’s unfinished lunches in the ducts.

If you just purchased your first home or are moving into a different home DuctPro has heard horror stories about how filthy some homes are when they were purchased. Yet this did not stop you from purchasing the home. First you will embark in a whole lot of cleaning. Next you will paint the walls and then you will have the carpets and drapes cleaned or replaced. As you sit back and look at all your hard work, you can’t believe it is the same house. But if the visual areas were dirty, what do you think was left behind in the duct system? If you never see the dirt in your duct system, do you care if it’s dirty? DuctPro says you should as this is the air you will be breathing!

Finding a Qualified Duct Cleaning Company:

Our customers have told us that finding an indoor air quality specialist or an air duct cleaner you can count on is not easy. That’s why Duct Pro cautions you to get the facts and compare before you choose a duct cleaning service!

  • There are many service companies that offer duct cleaning such as: carpet cleaners, chimney sweepers, heating and cooling companies; but ask yourself what is their primary business?
  • Multi-service companies clean carpet, clean chimneys, and install and maintain furnace and air conditioning equipment in addition to duct cleaning.
  • Do they have the proper duct cleaning equipment to do the job properly?

It always makes sense to compare prices but not all duct cleaning companies offer the same method of cleaning as DuctPro.

Remember the old saying, if something is to good to be true. Avoid advertisements that offer $49 – $99 whole house specials and other sales gimmicks (see this BBB Article )

To narrow down your local contractors you might ask them the following questions:

  1. Do you SPECIALIZE in Air Duct Cleaning?
  2. Will you COME TO MY HOUSE to quote the job?
  4. Do you provide a WRITTEN QUOTE prior to the start of the job?
  5. Are your workers FULL TIME EMPLOYEES of YOUR company?
  6. Are the workers you send out FULL TIME Duct Cleaners?
  7. Do your technicians bring PHOTO IDENTIFICATION ?
  8. Do your workers PROTECT MY FLOORS ?
  9. Will my REGISTERS RETURN COVERS be REMOVED and cleaned?
  10. Do you use 18 BRUSHES in the Main Ducts (SUPPLY RETURN)?
  11. Will you provide proof of LIABILITY INSURANCE ?
  12. How LONG has the company been in business?
  13. Is the company in good standing with our local Better Business Bureau ?
  14. May I make a VISUAL INSPECTION after the system has been cleaned?
  15. Do you SUB-CONTRACT your Duct Cleaning work?

Don’t just get a price: You must compare apples to apples and that goes for Duct cleaning companies too.

If you would like to learn more about indoor air quality and its importance to your family please contact us .

Duct Pro is committed to offering our customers not only the most thorough cleaning possible, but the knowledge of how the duct cleaning is done, along with honesty in the way we price out services.

Compare High Speed Internet Providers In Your Area, is cable internet better


Compare High Speed Internet Providers Special Offers: Cable, Dialup, Satellite DSL Providers

Is cable internet better than dsl

If you are considering switching or upgrading high speed internet providers you have come to the right place. In the event you already know what type of service you want, review the special offers page where you can compare the latest online-only offers from the top cable, satellite, dialup and DSL providers.

Which High Speed Internet Provider Is Right For You?

There are many choices to consider to avoid making a costly mistake that could tie you down with lengthy contracts. So selecting the right service is of paramount importance. Our unique approach helps you compare and find which high speed internet providers’ plan is right for you what level of service fits your lifestyle in a simple 2 step process. To get started proceed to: Step 1 – Matching High Speed To Your Needs Lifestyle.

We believe you should only pay for what you need not a penny more by:

  1. making a highly educated decision
  2. taking advantage of special internet only offers that cable DSL providers have tucked away.

We search for weekly changes to rates, online-only offers plans to keep the most current information on our site. You will also have the option of taking advantage of an abundance of special offers and deals from many of the most popular high speed internet services. The following are in order of popularity chosen by our visitors:

AT T DSL: With it’s vast network and proven infrastructure, AT T has made getting connected to the internet easy nationwide. AT T DSL is one of the most affordable and competitive services available today, and was the top selection on this website last year.

Verizon Internet Service: With several great speeds and packages to choose from, along with Verizon’s tested and trusted name behind the service, Verizon Internet Service is a great pick for high speed broadband. Verizon’s considerable network covers 13 states.

XFINITY: The name XFINITY is synonymous with reliable cable broadband. With great introductory packages available, XFINITY is a terrific choice for high speed internet.

Charter Internet: Counted among one of the top cable providers for internet service, Charter offers some amazing speeds between 5 Mbps to 16 Mbps now that’s highly respectable velocity in this industry.

CenturyLink DSL: With programs and speeds available to match your online activities, CenturyLink offers a selection of great packages and bundles. Free Wi-Fi included along with back-up protection and competitive speeds up to 20 Mbps.

By researching the best internet providers and their respective offers on an ongoing basis, we keep a beat on the industry thereby helping our visitors save money.

So Lets Get Started

DSL Providers Overview

Cable Providers Explained

  • Cable internet providers offer shared bandwidth so the more people online in your area will slow down your connection speed
  • Average speeds range are around 5-6 Mbps
  • Relatively more expensive than DSL
  • No need for an additional phone line

Compare High speed Internet providers In My Area

If you are curious to know what internet providers are available in your area, the process is quite simple. After comparing price plans, you simply click on any of the links on the offers and promotions page and enter your address. You will then see if that ISP is available in your area. Comparing internet service is always the best way to ensure you make a wise choice.

Featured Article

Is cable internet better than dsl4 Ways to Slash Your Telecom Costs

U-verse is dropping their triple play pricing to unprecedented levels. Find out what you need to know to get the best deal, as well as understand how to manage your overall telecommunications and entertainment costs without sacrificing service. We have tips on managing your usage caps and mobile broadband consumption.

Industry News – Read more about any of these news articles

Investment Into Barnes & Noble Gets Microsoft Equity Stake, Bundle Deal – April 30, 2012

Microsoft and Barnes & Noble, two companies with a combative history have signed a deal which will see Microsoft obtaining 17.6% equity stake in the company, as well as Nook digital bookstore software bundled with its latest version of Windows 8, scheduled to launch later this year.

Facebook Boasts New Record For Users – April 25, 2012

Active Facebook users, which are those who use the site at least once per month, now number over nine hundred million, according to information found in its regulatory filing.

New Google Cloud Storage Rumours Persist – April 17, 2012

A new addition to cloud storage options could soon be coming from Google. Called Google Drive or GDrive, the solution is rumoured to be officially announced next week, although a Google spokesman has said that the company does not comment on rumor or speculation.

Stolen Cell Phones Will Be Unsellable On Black Market – April 11, 2012

The Federal Communications Commission and major wireless carriers have united to ensure that far fewer stolen phones can be resold by thieves.

Facebook App Allows Tracking And Comparison Of Energy Use – April 03, 2012

A new Facebook app released today by Opower promises to help lower energy use across the nation. The app allows Facebook users to compare their energy use with friends, compete to improve efficiency, and share tips on how to reduce energy use.

Day Care Centers Enter Digital Age – March 27, 2012

A new app is revolutionizing the operation of day care centers, offering parents up-to-the-second reports on everything from diaper changes to tummy time.

Apple Not Only Company Benefiting From New iPad Sales – March 19, 2012

Apple saw many records being broken with the sale of its new iPad on Friday. But telecoms are also benefiting from the excitement, one of which recorded the most activations in one day.

Rackspace and Dell EMC Partner to Make Private Cloud Easier to Use


Rackspace and Dell EMC Partner to Make Private Cloud Easier to Use

Rackspace is working with Dell EMC to offer a private cloud-as-a-service solution, according to an announcement on Monday at the OpenStack Summit in Boston. Rackspace said that it is the first step in an expanded relationship with Dell EMC where the partners will work to help make it easier to set up private clouds.

Customers will be able to combine Rackspace OpenStack Private Cloud with Dell EMC compute and storage solutions, according to the companies. Support for VMAX Hybrid, VMAX All Flash and Dell Servers will be provided initially, with support for Dell EMC ScaleIO forthcoming.

Even as some industry experts and researchers note that private cloud is losing steam as enterprises opt for workloads in the public cloud, the offering with Dell EMC will allow Rackspace to provide more options to its enterprise customers looking for a multi-cloud approach and tap demand for OpenStack.

Dell EMC is committed to providing customers with best in class solutions to simplify their OpenStack deployments while taking advantage of new innovations, Jay Snyder, SVP, Global Alliances, Industries and Service Providers at Dell EMC said in a statement. One example of this commitment to OpenStack is our latest offering with Rackspace, one of a handful of our global Titanium partners which has unmatched experience in operating OpenStack clouds at scale. The ability to consume Rackspace OpenStack Private Cloud as-a-Service coupled with Dell EMC compute and storage solutions brings enhanced best-in-class capabilities for customers looking to take advantage of the opportunities offered by private cloud.

The news comes as Rackspace has announced that its CEO, Taylor Rhodes, will be leaving and Rackspace president Jeff Cotten will be stepping in as interim CEO. Last month, Rackspace launched Global Solutions and Services (GSS) to provide enterprises and mid-market firms with professional services.​

According to the announcement, the partners intend to lower the barrier to entry for private cloud, and provide the same elasticity of public cloud with security and performance benefits.

Rackspace s private cloud can be deployed in a Rackspace data center, customer data center or third-party location.

Rackspace has a unique track record of enabling customer success with private clouds by delivering OpenStack as-a-service and leveraging our operational expertise gained from more than one billion server hours managing OpenStack, Scott Crenshaw, SVP and GM of OpenStack Private Cloud at Rackspace said. This is why 451 Research has said that Rackspace is the world s leading OpenStack service provider.

As a co-founder of OpenStack, Rackspace is committed to innovating OpenStack in a way that makes it easier for customers to consume and benefit from, Crenshaw continued. Our collaboration with Dell EMC will do just this, combining the best of Rackspace expertise and Dell EMC technologies to allow customers to consume an OpenStack private cloud in a way that is more flexible and removes barriers to entry. Our organizations look forward to sharing more updates later this year.

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Processor – The Cloud Company #what #is #a #cloud #company





Infraestrutura como serviço

Conservação e restauração de dados

Depósito de longo prazo para dados

Portais e sites de alta performance

Desktops e aplicações

Continuidade para ativos tecnológicos

Soluções como BPO

Software como BPO



LiveCloud disponibiliza de forma inovadora serviços e soluções de tecnologia gerenciados e operados pela Processor para que organizações de qualquer tamanho acelerem seu processo de transformação digital.


Serviço Processor. que disponibiliza uma série de soluções integradas, incluindo capacidade computacional, armazenamento, dados, networking, backup, aplicativos, software, entre outros serviços, que permitem fazer negócios de maneira rápida, flexível e altamente competitivos.

Como evoluir para a nuvem

Benefícios Livecloud

Gestão profissional dos seus recursos na nuvem.
Implementação ágil, simplificada e escalável, com migração total ou parcial do seu ambiente, mantendo a integração de forma transparente.
Monitoramento constante do ambiente por nossa equipe, permitindo que você foque no que realmente interessa: seus negócios.
Permite a criação de novas áreas ou projetos de negócios com agilidade e baixo investimento.
Redução nos custos com tecnologia.
Redução nos prazos de entrega e execução.
Confidencialidade, integridade de dados e informações garantidos por robustos processos de segurança.

Metodologia LIVECLOUD

A Metodologia de Gestão de Serviços Processor foi desenvolvida a partir da experiência e know-how adquiridos pela empresa ao longo dos anos, aliados à utilização das melhores práticas segundo padrões internacionais.

A Metodologia inclui gestão a vista, processos com PDCA contínuo, operação, monitoramento, governança e gestão de desempenho.

de Valor

O que é

Como evoluir
para nuvem


Totalmente em Nuvem ou Híbrido?

Os dois – Flexibilidade para escolher a plataforma dinâmica e flexível do LiveCloud permite adotar a arquitetura mais adequada e consistente para os negócios de sua empresa.

Desde um modelo totalmente baseado em nuvem pública até um modelo híbrido, com cada serviço rodando em nuvem privada ou pública, conforme fizer mais sentido.

Padrões abertos e flexibilidade de escolha

O LiveCloud suporta uma vasta gama de sistemas operacionais, linguagens e ambientes de desenvolvimento, permitindo a criação de aplicações, serviços e ambientes que endereçam todas as necessidades de negócios.

Elasticidade e Praticidade

A elasticidade de uso, combinada com a capacidade de pagar somente pelos recursos utilizados permite uma economia sem precedentes na utilização da tecnologia, bem como a capacidade de responder rapidamente a demandas inesperadas ou sazonais, sem prazos de espera e sem pagar por recursos ociosos no ambiente.

Em todo o mundo e no Brasil também

O LiveCloud é mantido por uma estrutura de datacenters que se estendem pelas principais regiões do Globo, garantindo alcance mundial, com presença no Brasil.

Nuvem ou


Online MBA Accounting Concentration #what #is #mba #in #accounting, #online #mba #accounting


Accounting Concentration

Gain the professional skills and experiences to become a successful business leader with the School of Business’ online M.B.A. with a concentration in accounting.

The curriculum provides an understanding of business fundamentals and accounting concepts in today’s fast-changing business environment.

Accounting concentration courses explore:

-Fund accounting for government, not-for-profit and health care organizations

-Cost accounting with emphasis on cost analysis, capital budgeting and activity-based costing

-Business law for the accountant

-Financial statement analysis using accounting principles, measurement and reporting practices

You will also achieve a broad background in business through general M.B.A. courses including those that address:

  • Core business management functions
  • Oral and written business communication
  • Effective team membership and leadership in work partnerships and cross-functional collaborative efforts
  • Ethical, economically responsible business decisions in the context of a diverse set of stakeholders
  • Business implications of the new economy and applying widely used technologies to management issues

In addition to the analytical tools and technologies necessary to solve complex management problems, our M.B.A. program emphasizes leadership skills within Saint Leo University’s core values and traditions.

Our online M.B.A. is accredited by the Accreditation Council for Business Schools Programs (ACBSP) and the International Assembly for Collegiate Business Education (IACBE), professional accreditors for business programs in student-centered colleges and universities throughout the world.

Degree Requirements

M.B.A. students take up to two courses per eight-week term. Students can complete the 36 credits required for graduation in as little as one year, or may extend their studies for as long as five years. You may start the Saint Leo M.B.A. program at any of the six terms each year, and—with director approval—can pursue up to two M.B.A. concentrations concurrently. Students may be able to waive the prerequisite courses if the courses were taken as part of their undergraduate degree programs, or as post-baccalaureate students. Prerequisite courses are ACC 201: Principles of Accounting I, ACC 202: Principles of Accounting II, ACC 301: Intermediate Accounting I, ACC 302: Intermediate Accounting II, ACC 331: Cost Accounting, and GBA 231: Business Law I. Students with non-business undergraduate degrees may be required to take additional undergraduate courses to satisfy the requirements for the MBA.ACC and the CPA examination.

Business Core (18 credits)

MBA 525 Professional Development 3

This course is designed to give MBA students a tangible head start in acquiring and honing numerous core skills essential for success in the MBA program and the business world. The emphasis will be on the development of professional skills and perspectives, such as business writing, coaching and counseling, conflict resolution, effective business protocol, interviewing, intercultural awareness and sensitivity, negotiating agreement, and public speaking.

MBA 533 Human Resource Management 3

This course is designed to focus on an in-depth analysis of the major functions of a manager dealing with human resource issues. Issues to be covered include, but are not specifically limited to, staffing, employee training and development, compensation and benefits, legal issues, union versus non-union issues, safety and health issues, and cross-cultural and expatriate issues.

Prerequisites: MBA 525

MBA 540 Managerial Economics 3

This course explores the concepts of economic optimization, the estimation of demand, and cost and pricing analysis. An introduction to economic forecasting and decision making under conditions of risk and uncertainty is also included.

Prerequisites: Undergraduate course in microeconomics strongly recommended.

MBA 575 Global Business Management 3

The student will develop an understanding of international/multinational management by examining the challenges and opportunities of operating globally. Emphasis will be on developing an understanding of the complexities of dealing with diverse social, cultural, economic, and legal systems. The role of business in this dynamic world environment will be analyzed.

Prerequisites: MBA 525

MBA 599 Strategic Management 3

This capstone course integrates knowledge gained in previous graduate business courses. It centers on the theme that organizations achieve sustained success when their managers have astute, timely strategic game plans and they implement these plans with proficiency. Strategic management theory is used in the analysis of case studies of companies operating in the domestic and global marketplace. This course is to be taken in the student’s last term, unless otherwise approved by the Director of the MBA Program.

Prerequisites: MBA 525, MBA 533, MBA 540, MBA 560 or ACC 504, MBA 565, MBA 570, MBA 575

MBA 565 Marketing 3

This course considers the operational and strategic planning issues confronting managers in marketing. Topics include buyer behavior, market segmentation, product selection and development, pricing, distribution, promotion, market research, and international and multicultural marketing. Additional fee applies for marketing computer simulation.

Prerequisites: MBA 525

Accounting Concentration (18 credits)

ACC 504 Fund Accounting for Governmental and Not-for-Profit Accounting 3

A study of financial and management accounting principles as they apply to governments and not for-profit organizations, and health care organizations. Also, an overview of the characteristics of generally accepted government auditing standards and the single audit.

Prerequisites: Undergraduate courses in Principles of Accounting 1 and 2

ACC 505 Fraud Examination 3

Students will learn how and why occupational fraud is committed, how fraudulent conduct can be deterred, and how allegations of fraud should be investigated and resolved. Emphasis will be on fraudulent financial reporting, litigation support, and investigative auditing. Students will work through cases, developing investigative strategies and seeking to prove how fraud was committed.

Prerequisites: Undergraduate courses in Principles of Accounting 1 and 2

ACC 532 Advanced Cost Accounting 3

Emphasis is placed on measurements for decision making and strategic planning, including cost analysis, capital budgeting, activity-based costing, and other advanced cost accounting and managerial decision topics.

Prerequisites: ACC 331 or equivalent

ACC 538 Business Law and the Accountant 3

The purpose of the course is to provide the accountant and aspiring accountant a general understanding of U.S. jurisprudence and the application of U.S. law to the business sector. The course content was developed in consultation with members of the accounting profession, and it focuses on matters pertinent to the practitioner. It takes as a “given” the fact that most accountants will spend their professional time working with or for various types of business organizations, most often corporations.

Prerequisites: Undergraduate course in business law

ACC 549 Using Financial Accounting Information 3

A study of financial statement analysis using accounting principles, measurement, and reporting practices. Also included are insights into income determination and methods for evaluating the firm through the balance sheet, income statement, statement of cash flows, and statement of changes in stockholders’ equity.

Prerequisites: ACC 301, ACC 302

ACC 540 Accounting Theory 3

This course addresses the development of accounting theory, the conceptual framework, and international accounting. It also addresses topics in financial accounting theory including, but not limited to, the concept of income, the income statement, the balance sheet and the statement of cash flows, equity, and financial reporting disclosure requirements.

Prerequisites: ACC 301, ACC 302


MBA 625 Internship 3

This is an elective credit course (added on top of the basic MBA courses). MBA students, along with their designated faculty members, arrange for full- or part-time jobs in fields related to their MBA curriculum. Under the guidance of a designated faculty member, students work to enrich their University experience through a paid internship in order to practice Master’s level business skills. Specific competency requirements (and the associated activities) are outlined by the designated faculty member and agreed upon with the internship site representative. The internship must last the entire term for which the student is registered (specific work hours to be agreed upon with the employer and faculty member). At least two site contacts will be completed by the faculty member to ensure that the outlined competency requirements are completed.

Prerequisites: MBA 525, MBA 550

Manhattan Motel – Cavalhada – Porto Alegre – RS – Guia de

#motel manhattan


  • Pernoites:
  • dom a 5 a partir das 20h – R$ 295,00
  • 6 , sab, v spera e feriados a partir da 0h – R$ 395,00
  • Essa suíte tem:
  • 2 condicionadores de ar split,
  • churrasqueira,
  • decora o diferenciada,
  • ducha dupla,
  • hidro dupla,
  • piscina aquecida,
  • pista de dan a c/ ilumina o especial,
  • sof cama,
  • som com entrada para iPod,
  • su te para festas,
  • TV LCD 50 ,
  • Informações importantes
  • Sextas, S bados, V speras e Feriados, entre 20h e 8h, os per odos s o de 2h com pre o na tabela de 3h.

* Recomendamos confirmar preços e períodos diretamente com o motel. As informações aqui exibidas podem ser alteradas sem aviso prévio.

O Motel

O Manhattan Motel uma tima op o da zona sul de POA. Com f cil acesso pela perimetral, a 3 minutos do Shopping Barra Sul e 10 minutos do Centro de POA.

O Manhatan Motel possui su tes sofisticadas, com TV a cabo Net em todos os aposentos (60 canais), e garagens amplas e privativas. Seguran a 24 horas proporcionando uma atmosfera tranquila ao nosso h spede. S o 7 categorias com hidromassagem.

Destaque para a su te Manhattan que comporta at 50 pessoas e possui piscina aquecida, churrasqueira, pista de dan a com ilumina o especial e muito mais. Confira!

Este motel aceita:

Banricompras, Hipercard, Maestro, Mastercard, Visa, Visa Electron

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How Long Is School For Medical Billing And Coding – The Medical


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What is Human Resource Development? #human #resource #degrees, #what #is #human #resource


What Is Human Resource Development?

Find out about the field of human resource development (HRD). Learn about jobs, education requirements and degree programs, as well as the career outlook for HRD professionals. Schools offering Accounting & Human Resources degrees can also be found in these popular choices.

Essential Information

Human resource development (HRD), or employee development, is the process of training and mentoring employees to increase their knowledge, skills and abilities. HRD professionals typically work in human resource offices and plan and administer HRD programs. HRD often includes technology, language and leadership training classes. Some companies also encourage their employees to complete degrees by supplying funding and incentives through their HRD program.

Important Facts About Human Resource Development

Instructional, interpersonal, analytical, listening, and speaking skills

Typically working with people and giving presentations full-time during regular business hours, sometimes traveling

Offered through the American Society for Training and Development and the International Society for Performance Improvement

Instructional Coordinator, School/Career Counselor, Labor Relations Specialist

Jobs in Human Resource Development

Jobs in HRD include both trainers and managers. Training and development specialists assess the needs of businesses and organizations, determine what training programs are needed and conduct the training. These workers typically need a bachelor’s degree and some experience in teaching or training. Training and development managers oversee HRD specialists and programs. They determine the HRD budget and sometimes instruct specialists in training techniques. Managers in this field need a bachelor’s degree, but many have master’s degrees, and all need experience in the field. Many managers begin their career as training specialists.

Education Programs

Many colleges and universities offer degrees in human resource development. The majority offer master’s degrees. Some master’s degree programs focus on preparing graduates to teach human resource development. Others focus on preparing graduates to apply what they’ve learned in organizational settings. Many of these programs are directed towards working professionals and offer part-time and online options.

Career Information

According to the U.S. Bureau of Labor Statistics (BLS), jobs for training and development specialists are expected to grow at a slightly faster-than-average rate of 15% from 2012 to 2022. Employment of training and development managers is expected to grow at an about-average rate of 11% during the same period. In 2014, the BLS reported that specialists earned a median annual salary of $57,340, while managers earned a median of $101,930.

To continue researching, browse degree options below for course curriculum, prerequisites and financial aid information. Or, learn more about the subject by reading the related articles below:

What is Equine Therapy? #equine #therapy,what #is,assisted #therapy, #horse #therapy, #programs, #psychotherapy,


Equine Psychotherapy

What is Equine Therapy?

Equine therapy is the discipline of using horses as a means to provide metaphoric experiences in order to promote emotional growth. The horses provide an excellent way for troubled youth to react when they are otherwise therapy resistant. Equine therapists will usually teach many lessons on ways in which horses learn, react, and follow instructions to the lives of youth themselves.

One example that is used often is when students are just beginning a horse therapy program, the instructor will have the horse stand in the middle of the arena. The youth are supposed to get the horse to move outside of a large circle without touching the horse at all. Many of the students often clap, whistle, yell all to no avail. Lessons are taught that when others, be it parents, friends, counselors or associates try and get us to do something the best way is probably not yelling, clapping, or forcing.

Students will also learn how to lead a horse. Most often they begin by trying to pull on a lead rope, standing in front of the horse. They learn that the best way to lead a horse is not in front or behind the horse, but by its side. A list of equine therapy programs can be found with information on their individual websites on their specific program details

Equine therapy should always be performed by a certified Equine-Assisted therapist. Many associations exists in order to provide certification or training in equine therapy. It has shown to be very effective with patients who manifest depression, attention-deficit, conduct disorders, dissociative disorders, anxiety, dementia, autism, and many other related disorders.

Why use equine therapy?

Equine therapy has shown to have many positive benefits when correctly taught by certified therapists. Some of them include:

  • Confidence
  • Self-Efficacy
  • Self-Concept
  • Communication
  • Trust
  • Perspective
  • Decreased Isolation
  • Self-Acceptance
  • Impulse Control
  • Social Skills
  • Boundaries
  • Spiritual Connection

Equine Therapy usually includes instruction in horse care, grooming procedures, saddlery, and basic equitation. Safety is the number one priority for all participants in equine therapy. Participants often wear helmets and other protective gear should they fall from a horse during a therapeutic session.

Request Information

The Facts About Bisphenol A, BPA #bpa, #bisphenol #a, #bpa-free, #bpa #risks,


The Facts About Bisphenol A

In 2008, the possible health risks of Bisphenol A (BPA) — a common chemical in plastic — made headlines. Parents were alarmed, pediatricians flooded with questions, and stores quickly sold-out of BPA-free bottles and sippy cups.

Where do things stand now? Have plastic manufacturers changed their practices? How careful does a parent need to be when it comes to plastics and BPA? Here’s the latest information we have about possible BPA risks.

BPA Basics

BPA is a chemical that has been used to harden plastics for more than 40 years. It’s everywhere. It’s in medical devices, compact discs, dental sealants, water bottles, the lining of canned foods and drinks, and many other products.

More than 90% of us have BPA in our bodies right now. We get most of it by eating foods that have been in containers made with BPA. It’s also possible to pick up BPA through air, dust, and water.

BPA was common in baby bottles. sippy cups, baby formula cans, and other products for babies and young children. Controversy changed that. Now, the six major companies that make baby bottles and cups for infants have stopped using BPA in the products they sell in the U.S. Many manufacturers of infant formula have stopped using BPA in their cans, as well.

According to the U.S. Department of Health, toys generally don’t contain BPA. While the hard outer shields of some pacifiers do have BPA, the nipple that the baby sucks on does not.

BPA Risks

What does BPA do to us? We still don’t really know, since we don’t have definitive studies of its effects in people yet. The U.S. Food and Drug Administration used to say that BPA was safe. But in 2010 the agency altered its position. The FDA maintains that studies using standardized toxicity tests have shown BPA to be safe at the current low levels of human exposure. But based on other evidence — largely from animal studies — the FDA expressed “some concern” about the potential effects of BPA on the brain. behavior, and prostate glands in fetuses, infants, and young children.


How could BPA affect the body? Here are some areas of concern.

  • Hormone levels. Some experts believe that BPA could theoretically act like a hormone in the body, disrupting normal hormone levels and development in fetuses, babies, and children. Animal studies have had mixed results.
  • Brain and behavior problems. After a review of the evidence, the National Toxicology Program at the FDA expressed concern about BPA’s possible effects on the brain and behavior of infants and young children.
  • Cancer . Some animal studies have shown a possible link between BPA exposure and a later increased risk of cancer .
  • Heart problems. Two studies have found that adults with the highest levels of BPA in their bodies seem to have a higher incidence of heart problems. However, the higher incidence could be unrelated to BPA.
  • Other conditions. Some experts have looked into a connection between BPA exposure and many conditions — obesity. diabetes. ADHD. and others. The evidence isn’t strong enough to show a link.
  • Increased risk to children. Some studies suggest that possible effects from BPA could be most pronounced in infants and young children. Their bodies are still developing and they are less efficient at eliminating substances from their systems.

Although this list of possible BPA risks is frightening, keep in mind that nothing has been established. The concern about BPA risks stems primarily from studies in animals.

A few studies in people have found a correlation between BPA and a higher incidence of certain health problems, but no direct evidence that BPA caused the problem. Other studies contradict some of these results. Some experts doubt that BPA poses a health risk at the doses most people are exposed to.

BPA: Governmental Action

The federal government is now funding new research into BPA risks. We don’t know the results of these studies yet. Recommendations about BPA could change in the next few years.

For now, there are no restrictions on the use of BPA in products. The Food and Drug Administration does recommend taking “reasonable steps” to reduce human exposure to BPA in the food supply. The FDA has also expressed support for manufacturers who have stopped using BPA in products for babies and for companies working to develop alternatives to the BPA in canned foods.

A number of states have taken action. Connecticut, Maryland, Minnesota, Washington, Wisconsin, and Vermont have laws restricting or banning the sale of certain products containing BPA, like bottles and sippy cups. So have cities like Chicago and Albany, as well as a few counties in New York. Similar laws are likely to pass in New York and California, and state legislatures are considering restrictions in many other states.


BPA Risks: What Can Parents Do?

Although the evidence is not certain, the FDA does recommend taking precautions against BPA exposure.

Trying to eliminate BPA from your child’s life is probably impossible. But limiting your child’s exposure — and your own — is possible. It doesn’t even have to be hard. Here are some tips on how to do it.

  • Find products that are BPA-free. It isn’t as hard as it once was. Many brands of bottles, sippy cups, and other tableware prominently advertise that they are BPA-free.
  • Look for infant formula that is BPA-free. Many brands no longer contain BPA in the can. If a brand does have BPA in the lining, some experts recommend powdered formula over liquid. Liquid is more likely to absorb BPA from the lining.
  • Choose non-plastic containers for food. Containers made of glass, porcelain, or stainless steel do not contain BPA.
  • Do not heat plastic that could contain BPA. Never use plastic in the microwave, since heat can cause BPA to leach out. For the same reason, never pour boiling water into a plastic bottle when making formula. Hand-wash plastic bottles, cups, and plates.
  • Throw out any plastic products — like bottles or sippy cups — that are chipped or cracked. They can harbor germs. If they also have BPA, it’s more likely to leach into food.
  • Use fewer canned foods and more fresh or frozen. Many canned foods still contain BPA in their linings.
  • Avoid plastics with a 3 or a 7 recycle code on the bottom. These plastics might contain BPA. Other types of numbered plastic are much less likely to have BPA in them.

WebMD Medical Reference Reviewed by Dan Brennan, MD on December 22, 2015


Harvey Karp, MD, pediatrician, author of The Happiest Baby on the Block and The Happiest Toddler on the Block; assistant professor of pediatrics, UCLA School of Medicine.

American Nurses Association.

Centers for Disease Control and Prevention.

Environmental Working Group.

Food and Drug Administration.

George Mason University’s Statistical Assessment Service (STATS.)

Healthy Child Healthy World.

National Institute of Environmental Health Sciences.

Ryan, B. Toxicological Sciences. March 2010.

Sharpe, R. Toxicological Sciences. March 2010.

U.S. Department of Health and Human Services.

© 2015 WebMD, LLC. All rights reserved.

Renewable Energy #what #is #a #renewable #energy #certificate



Renewable Energy

Please note: the Renewable Energy certificate is not currently being offered.


The Graduate Certificate program in Renewable Energy recognizes post-bachelor preparation for the engineering and design of modern renewable energy systems such as solar thermal, concentrated solar thermal (CSP), photovoltaic, etc. and grid integration of renewable energy. The goal is to provide a broad background in renewable energy technology that enables a certificate holder to understand the fundamental components of various renewable energy systems. At the same time, greater depth of learning is gained in a focus area for professional preparation and/or further study for an advanced degree.

Course location/delivery

The Certificate is offered at the Tampa campus and fully online.

Admission requirements

Applicants must hold a bachelor’s degree from a regionally accredited university and should have a “B” (3.0) average for the course of undergraduate study.

Application process

To learn about the application process, and to access the application, please review our application process.


EGN 3373 – Introduction to Electrical Systems I or equivalent (3)


12 credit hours. There are 9 credit hours of required coursework.
ECH 5931 – Solar Energy Applications (3)
ECH 6931 – Solar Power Plant Design (3)
EEL 5935 – Renewable Energy Delivery Systems (3)


Choose 3 additional elective hours from the following list:
EEL 6936 – Electrical Energy Distribution Systems (3)
EEL 6936 – Sustainable Energy (3)

Credit toward graduate degree

Up to 12 hours of certificate course credits may be applied to a graduate degree with departmental approval.

Standardized tests

International students must submit a TOEFL score when English is not the native language. A minimum score of 550 on the paper-based test or 79 on the web-based test is required.

Time limit


Graduate Certificates
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This website is maintained by Graduate Certificates.
About This Site • Contact USF • Visit USF

General Studies Major #general #studies #degree, #what #is #general #studies, #genearl #studies


Guide for General Studies Majors

What Does it Mean to Study General Studies ?

An Arts Humanities degree in general studies, also commonly referred to as a “generalist degree,” covers the basics of a university education. It’s a broadly based degree program that demonstrates to employers and peers alike that you have the self-discipline and intelligence to work through a university-level program in a variety of subject areas. Some see it as proof that you’re trainable.

Your general studies degree can serve as a prerequisite for a professional career or as a stepping stone to a college degree in another discipline. In either case, a general studies degree can be the most personally rewarding degree available, precisely because it is so broad. You’ll develop a basic knowledge of classical studies and study a selection of electives in the liberal arts, humanities, and sciences. So you can take a course in sociology along with 17th-century art, or introductory biology with your required English or math courses. In some ways, the relatively new general studies degree has replaced the English degree in terms of providing a sampling of ideas, history, and disciplines. You can even take online college courses in general studies, and get a broad college education from the comfort of your living room.

Career Education in General Studies

Many students pick a general studies degree as a way to earn credits while they decide on possible career paths. If there are particular areas that you find interesting, take as many of them as you can fit into your degree program. For example, if you think you may want to specialize in museum curatorial work, you can take the fine arts courses you’ll need if you decide to go that route. But you’re not limited to a fine arts curriculum if you later discover that anthropology is your true love.

A general studies degree gives you the credentials to enter the work force at a professional level. General studies graduates also find it easier and faster to upgrade their skills by taking online college classes while employed. If your organization needs more people with a particular skill set, you have the prerequisites to be the first one to sign up for the course.

Online Associate Degrees in General Studies

Because it’s considered a gateway degree, general studies is not offered as a master’s or doctorate degree. In two years or less, an associate degree in general studies lays the foundation for future career and educational advancement. You may already be employed or seeking employment in adult education, business, or human services. The general studies curriculum will allow you to explore a sampling of several disciplines such as humanities, psychology, sociology, philosophy, history, and mathematics. You’ll learn how to research and analyze vital information, as well as how to examine the underlying rules and reasons why countries, cultures and companies follow specific patterns. General studies and interdisciplinary studies degrees at the associate level offer a solid general-education foundation that allows you to plan your degree according to your future goals.

Browse associate degree programs in general studies.

Online Bachelor’s Degrees in General Studies

An online Bachelor of Science in General Studies–often used as a degree completion program–also allows you to choose a concentration that meets your professional and personal goals. It’s designed to allow you to finish at your own pace, so you can accelerate your program to finish sooner, or take your time and graduate when it is convenient for you.

Browse bachelor’s degree programs in general studies.

What Can You Do With a College Degree in General Studies ?

A general studies degree is a good introduction into the business world. It’s appreciated by employers for positions in which specific skills are not required–just good judgment, critical thinking and analytical skills, and communication skills. Entry-level positions in administrative support, project management, and materials processing are open to a generalist graduate, and many more opportunities exist depending on your chosen electives and previous experience. By remaining adaptable and ready to learn new areas of expertise, you can keep your career options wide open.

Working adults wishing to advance their careers often find that a general studies degree puts them in line for management consideration or helps them to move into more challenging positions. If you want to get your general studies degree without taking time off from work, consider taking your college courses online and studying when it’s convenient for you.

Results for your search Refine

Britannia Hotels is the worst chain in UK, satisfaction survey finds #lowest

#brittania hotels


Britannia Hotels is the worst chain in UK , satisfaction survey finds

John Cleese as Basil Fawlty, whose hotel is a byword for poor service BBC

With “rundown” hotels that are “well past their best-by-dates”, Britannia Hotels’ accommodation is said to be more Fawlty Towers than first class.

Now, the hotel group, used by the Home Office to house asylum seekers, has been rated the worst hotel chain in the UK for the second year in a row by the consumers’ association magazine Which?

Ranked last out of 29 chains, Britannia Hotels was awarded just one star – the lowest possible rating – for categories including bedrooms, cleanliness and whether the description of the hotel matched reality.

The Which UK hotel satisfaction survey, based on 5,888 member-experiences, ranked each chain according to an overall customer score based on categories such as customer service, food and value for money. Britannia Hotels, which fared poorly in all categories, achieved 33 per cent for its overall score – 3 per cent lower than in 2013, when it was also bottom of the poll.

The Britannia group, owned by businessman Alex Langsam, has previously acknowledged its problems and plans to “improve the standard” of its hotels, which include the Adelphi Hotel in Liverpool, Bosworth Hall Hotel in Warwickshire, The Grand in Scarborough, the Royal Albion Hotel in Brighton and the Russ Hill Hotel in Surrey.

The Roundhouse Hotel and Heathlands Hotel in Bournemouth and The Grand Burstin Hotel in Kent have been used by the Home Office to temporarily house more than 280 asylum seekers this year due to “overcrowding” at London’s detention centres. The group was unavailable for comment yesterday.

Premier Inn and Travelodge are the most used chains according to the survey, together accounting for more than half of all hotel stays. Premier Inn, visited by 668 members, gained four stars across the board, and an 81 per cent customer satisfaction score. The UK’s largest hotel brand came second only to Sofitel, which was awarded five stars in nearly every category and an 83 per cent customer rating.

Travelodge achieved a 60 per cent overall customer score, improving by 10 per cent since last year. The chain was placed in the bottom three in both 2012 and 2013, but has since invested £57m.

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


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 .

9 cloud development platforms on the rise #what #is #cloud #platform


9 cloud development platforms on the rise

Cloud development platforms on the rise

Thanks to a growing group of PaaS (platform as a service) providers, cloud computing is becoming more prominent as a mechanism for developers to seamlessly deploy applications. Whereas IaaS providers offer bare compute cycles and SaaS providers offer access to such apps as CRM online, PaaS offerings provide turnkey services for developers to get their apps up and running quickly, no infrastructure concerns needed.

Offered as a service, PaaS runs the gamut from development tools to middleware to database software to any “application platform” functionality that developers might require to construct applications. Developers looking to cash in on this trend would do well to experiment with the following nine PaaS offerings.

Microsoft Windows Azure

Windows Azure lets developers deploy applications across a global network of Microsoft-managed data centers, offering a 99.5 percent uptime SLA. Applications can be developed via technologies like ASP.net, PHP, and Node.js. Developers can also host Apache Tomcat servers and JVMs via worker roles, while an Azure SDK for Java enables Java development. Microsoft recently added a video delivery service, Windows Azure Media Services, to its Azure arsenal. Azure also features SQL Azure database services, as well as services for storage, business analytics, caching, identity secure messaging, and content delivery. The Windows Azure HPC Scheduler eases development of compute-intensive parallel applications. Also, developers can list Windows Azure applications on the Windows Azure Marketplace.

Google App Engine

Google App Engine enables developers to run Web apps on Google’s infrastructure. It features dynamic Web serving; persistent storage with queries, sorting, and transactions; and automatic scaling and load balancing. It supports Java and languages using a JVM-based interpreter or compiler, as well as Python and Google’s Go. The dev environment enables developers to simulate App Engine on local machines. Applications run in a secure sandbox with limited access to the underlying OS, and Web requests can be distributed across multiple servers. For storing data, App Engine Datastore offers a NoSQL schema-less object datastore, the Google Cloud SQL relational SQL database service, and Google Cloud Storage, for storing objects and files up to terabytes in size. App Engine features APIs for authenticating users.

VMware Cloud Foundry

EMC VMware has positioned its open source Cloud Foundry as Linux for the cloud, providing a level of application portability across clouds. According to VMware, Cloud Foundry does not lock developers into a single framework, a single set of application services, or a single cloud. Cloud Foundry is available via public instances and private distributions. It features CloudFoundry.com, a hosted environment; CloudFoundry.org, for collaborating and contributing to the project; and Micro Cloud Foundry, a VM version of Cloud Foundry to run on a Mac or PC. CloudFoundry.com supports development in Spring Java, Ruby on Rails, Node.js, and other JVM languages. Also supported via partners on CloudFoundry.org are PHP, Python. Net, and others.

Force.com from Salesforce.com is billed as a platform for social enterprise applications. Developers can build applications with social and mobile functionality, business processes, reporting, and search. Data is backed up automatically, and applications run in Salesforce.com’s data center. A technology stack is provided covering database, security, workflow, and UI. Force.com supports the Apex programming language, with developers able to write database triggers and program controllers in the UI layer. Apex syntax will be familiar to Java and C# developers, with features like classes, constants, and annotations, Salesforce.com says.

Acquired by Salesforce in late 2010, Heroku supports Ruby, Node.js, Clojure, Java, Python, and Scala development. Heroku leverages “dynos” — processes of any type running on the platform, such as Web or worker processes. Dynos are isolated in their own container for security and resource guarantees; they also feature elasticity, routing, and process management. Dyno distribution is done via a dyno manifold execution environment. Heroku Web scaling offers instant spin-up, infinite capacity, and scaling for each component of an app, according to Heroku documentation. Git is the primary means for deploying apps to Heroku, and apps can use relational database services, including Heroku’s Postgres offering and MySQL from Amazon Web Services.

Amazon Elastic Beanstalk

Elastic Beanstalk provides a way to deploy and manage applications on the Amazon Web Services cloud. AWS services, such as Amazon Simple Storage Service, Amazon Simple Notification Service, and Auto Scaling, are used as infrastructure, and PHP and Java programming are supported. The platform is built with such software stacks as Apache HTTP Server for PHP and Apache Tomcat for Java. Developers retain control over AWS resources and can deploy new application versions to running environments or roll back to a previous version. CloudWatch provides monitoring metrics, such as CPU utilization, request count, and average latency. To deploy apps to AWS via Elastic Beanstalk, developers can use the AWS management console, Git, or an IDE like Eclipse.

Engine Yard Cloud

Engine Yard features a Ruby on Rails technology stack, including Web, application, and database servers. Also featured is a Rails-optimized Linux distribution. Components are monitored for security vulnerabilities, and apps range from small-scale Web applications to large enterprise applications that run on high-availability clusters. Developers can import applications from Git and are provided with a dedicated environment that can be customized. Capacity management is featured along with self-service provisioning. Resource use is tracked, and developers are alerted when additional capacity is needed. The Engine Yard dashboard enables developers to configure environment, application deployment, and monitoring.

Engine Yard Orchestra

Built on Amazon Web Services, Engine Yard Orchestra is for deploying PHP apps to the cloud. Developers can build applications with popular PHP frameworks and deploy from Git or Subversion. Applications can also be deployed with built-in content management systems, such as Joomla, Drupal, and WordPress. The core platform is built on PHP 5.3 and the Nginx Web server. Applications automatically scale with traffic and resource usage. A load balancer distributes loads across available instances, and an HTTP caching-mesh capability enables faster loading and response time. The platform is good for running APIs, Web services, and mobile and Facebook apps alike, according to Engine Yard.

CumuLogic is geared toward Java developers. It features a platform for running apps and migrating them to the cloud. Enterprises can build private PaaS clouds within their data centers, or they can use CumuLogic to build public cloud offerings. A virtualized environment or IaaS can be transformed into an application platform with monitoring, self-healing, and management capabilities. Developers can deploy mobile, HTML5, Web, or enterprise applications, and they can use IDEs like Eclipse or NetBeans, while CumuLogic provides a management layer for deployment and management of applications. CumuLogic is designed to enable devops personnel to better collaborate.

Access Shared Network Folder – Stack Overflow #the #network #folder #specified #is


I need to access via VBA a folder hosted on a Network File Server. The folder is accessible in writing only via a Service Account (different from normal user accounts) for which I do have username and password.

Via the UI I can see that folder and map it as a local drive but in order to access it in writing I need to log off from Windows and logon via the Service Account.

Is there any way to access the network folder during a normal user session but hardcoding username and pwd in the VBA code?

I did try mapping the folder as local drive with:

but did not work (“S” drive was not mapped). If instead I do the same but without providing Username and password:

it works perfectly.

Wondering now if what I am trying to do is actually possible? If not, is there any alternative?

asked Dec 2 ’14 at 11:24

1 Answer

You might find this answer of value in your testing.

Essentially, I would check a couple things.

Make sure you are not already connected to this resource using the current logged in user. If you are, you might get an error message like the following:

Make sure you are using the domain\username syntax in your username.

Otherwise I think you are the right track. I put together some sample code based on the link above, and was able to successfully connect to a network share under a different user name and iterate through a list of files.

(Note the tip that you don’t actually have to map a drive to establish a connection.)

The following code is a really quick (working) VBA implementation of the sample listed at Access network share from within VBScript eg FileSystemObject

Great stuff, thanks! As I am currently working from home I could only try your code via VPN and did not work (returned a wrong username or password error).Tried with and without domain in the username. I was also able to reproduce your error above (multiple connections) by opening the target folder in via Explorer. I need now to test when back in office but this sounds overall good to me and must work. If you believe there is something else I can try just let me know otherwise let s talk on Monday! cfugge Dec 17 ’14 at 17:30

This worked perfectly for me. Many thanks for a so clean piece of coding. cfugge Dec 22 ’14 at 13:37

Your Answer

2017 Stack Exchange, Inc

Imperial Whitetail Fusion – Food Plot Seeds – Deer Food Plots –


Fusion (Perennial)

Showing reviews 1-5 of 26 | Next


Posted by Walter-TN on 18th Apr 2017

Planted Fusion last spring and went through our best hunting season ever this past fall. The plot developed well and we wish we had planted more. We all filled our tags and three of the four were killed in the Fusion field. 144 , 151 and a 166 monster. Thanks and we ve converted two more plots to Fusion this spring.

Fusion madness!

Posted by Unknown on 16th Apr 2017

Planted how recommended by Whitetail institute coming in nicely. Let you know later how its doing. Thanks!


Posted by Taylor-TN on 7th Mar 2017

I planted your Fusion last spring. Sorry for the delay in putting together my comments. The plot did great and made it through a couple dry periods last summer. Great hunting season. My father and I killed 2 nice bucks standing in the Fusion plot. Thanks for your efforts to make our property more attractive to the deer. Our sightings have doubled since we started using Whitetail Institute products.


Posted by Sawyer B.-MO on 18th Feb 2017

Best food plots I ve ever had stared with soil tests and Whitetail Institute seed.

Giant Maine Buck 236 lb full dress

Posted by Kevin on 3rd Feb 2017

I can t believe what happened opening day of 2016 Maine deer season. I had 5 different bucks feeding since early August. 2 giants ( in Maine it s a 200 lb+ we all want) a wide 8 and a tall ten. 1.5 hours hunting and I take the 10 point 40 yards from my small fusion plot (1/4 ac) I had two small plots planted with fusion. I m now going to go all out and get much more in plots planted. I ran out of food. Looking to take the wide 8 point as my first bow kill. He will be a 250lb deer in 2017. We don t see lots of deer in Maine. I had them like no one else! Fusion magic. Plant it and they will come.

Showing reviews 1-5 of 26 | Next

Usb flash drive write protected cannot format #usb #drive #is #write #protected


Usb flash drive write protected cannot format

Only solution that worked for me is :

CMD – Attrib -h -r -s /s /d G:/*.* (use your drive letter instead of G)

I have HP-16 GB Flash Drive and for last 3 days trying different methods to Format it like:
1. Regedit — HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Control\StorageDevicePolicies. Change the value for the key “WriteProtect” to 0
2. Through MS DOS in the Computer Startup.
3. Through Disk Management.
4. HP USB Drive Format Tool.
5. and now the solution you posted. but still got no luck .

every time it gives the same error “The Disk is Write Protected”

Thanks in advance.

i had the same problem and i downloaded hirens boot cd 10.2,boot up with the cd with the usb plugged in, selected partition tool, smart fdisk the deleted the partition,pressed enter to save the changes,then took out the usb put it in a pc then right clicked computer went to manage then disk management then created a new simple partition:)

hope that helps

I have this same problem and I have tried all the solutions that you had listed so I downloaded the utilities that you had said if the others didn’t work. The problem is i cant get the program (AlcorMP_AU698x_RT_v1.0.0.14_L0117) to recognize my usb drive. I’m not sure how to use the program. Can you help guide me onto how to use it.
Here is what the Chip Genius program listed on my USB drive:
Description: [E:]USB Mass Storage Device(Kingston DataTraveler 2.0)
Device Type: Mass Storage Device

Protocal Version: USB 2.00
Current Speed: High Speed
Max Current: 200mA

USB Device ID: VID = 0930 PID = 6545
Serial Number: 001CC0EC3450ED3167140119

Device Vendor: Kingston
Device Name: DataTraveler 2.0
Device Revision: 0100

Manufacturer: Kingston
Product Model: DataTraveler 2.0
Product Revision: PMAP

Chip Vendor: Phison
Chip Part-Number: PS2251-61(PS2261) – F/W 05.09.53 [2011-11-02]
Flash ID Code: 983A9992 – Toshiba [TLC]

I appreciate the help


Yeah thats my problem, I cannot get the write protection off the usb drive. I have tried all the steps outlined by user “Samy Youssef” and he had mentioned after completing all steps and if your usb drive is still write protected he said to re-flash it with manufactures flash utility. I have downloaded it but I’m not for sure how to use it.

i appreciate any help at all I hate to lose this usb drive, i think its still good if i can get the write protection removed


When I searched my flash drive’s (flash drive is pqi) PID and VID, it didn’t have anything under the UTILS column so I searched the chip part number instead (that seemed to be the most unique among all the info provided by Chip Genius). Found a utility by the chip vendor, had to run it a couple of times, but it got the job done! Thanks Samy!

I am also having the same problem and tried the solution you said but i could not find the software to repair my flash derive.Please help

Hello guys
I have a problem with Flash Memory Type Transend a write-

protect incurable have you remove the data from the chip

Geniua did not show where the chip Number Unknown. When

using the Alcor program this error appears (get

chip number fail) Please help and thank you

with windows 7 I get this from time to time I just stick the pen drive in my Linux rig and format it to fat32 and they work fine back in the windows 7

I did see guys say that can work with xp as well I think these a bug in 7 [maybe 8 -8.1??] that causes this but formatting them in Linux seems to fix that issue for me.

PLEASE pay attention. This works. Open your start menu, in the search bar type disk mana (and it should autofill to the right one) which is to create / format etc. Once here, it lists all your drives. Find your USB drive, you’ll note on the left it says ‘READ ONLY’. Right click it. Tell it to go offline. Wait for that to process. Right click it again, bring the drive back online. And it’s fixed. Thank me, by replying and letting others know that this is the correct and only fix you need.

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5 Big Data Technology Predictions for 2015 #what #is #big #data #technology


5 Big Data Technology Predictions for 2015

In just a few short years, big data technologies have gone from the realm of hype to one of the core disruptors of the new digital age. 2014 saw big data initiatives inside the enterprise increasingly move from test to production. In 2015, big data will push further into the enterprise with even more use cases — specifically real-time use cases — says John Schroeder, CEO and co-founder of Hadoop distribution specialist MapR .

“This is the year that organizations move big data deployments beyond initial batch implementations and into real time,” Schroeder says. “This will be driven by the realization of the huge strides that existing industry leaders and soon-to-be new leaders have already made by incorporating new big data platforms into their analytics with “in-flight” data to impact business as it happens.”

Schroeder says five major developments will dominate 2015.

1. Data Agility Emerges as a Top Focus

Data agility has been one of the big drivers behind the development of big data technologies, as the processes around legacy databases and data warehouses have proven too slow and inflexible for many business needs. In 2015, Schroeder says data agility will become even more central as organization shift their focus from simply capturing and managing data to actively using it.

“Legacy databases and date warehouses are so expensive that DBA resources are required to flatten summarize and fully structure the data,” he says. “Upfront DBA costs delay access to new data sources and the rigid structure is very difficult to alter over time. The net result is that legacy databases are not agile enough to meet the needs of most organizations today.”

“Initial big data projects focused on the storage of target data sources,” he adds. “Rather than focus on how much data is being managed, organizations will move their focus to measuring data agility. How does the ability to process and analyze data impact operations? How quickly can they adjust and respond to changes in customer preferences, market conditions, competitive actions and the status of operations? These questions will direct the investment and scope of big data projects in 2015.”

Orange County Employees Rights Attorneys #call #(877) #529-4545, #employment #law #team #is



Why Should You Choose The Employment Law Team ?

Issues related to labor laws and rights of employees and duties of employers have been front page news in California and other states for the past few years. The internet is inundated with articles about large judgments against major corporations due to not following up state and/or federal laws that pertain to employees. A major reason for these large verdicts is the fact that federal and state laws that deal with many aspects of employer-employer relations are less than clear. Another reason is the sensitive and emotional nature of terminating an employee’s tenure which can in many situations turn into a heated battle. The Orange County employees’ rights attorneys at the Employment Law Team have dealt with many employment law matters and our expertise ranges from drafting and negotiating employment contracts, to advising employers on their statutory and common law obligations such as issues related to age discrimination, violation of FEHA, assisting employers conduct pre-litigation investigation and representing employees who have been denied their rights or mistreated by their employers. Representing both sides of the aisle our Orange County employment attorneys bring a wealth of experience to our clients and have been able to turn that experience and knowledge in judgments and settlements which have kept our clients happy for many years.

The following are some of the areas of employment and labor law that we can assist our clients in:

Drafting and negotiating employment agreements.

Non-Solidification and non-disclosure agreements.

Advising our clients on overtime laws (i.e. exempt non-exempt issues) under both California and Federal laws (i.e. FLSA, Labor Code, etc.)

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What is Alcohol Abuse? Alcoholism #what #is #alcohol #abuse, #alcohol #abuse #definition,

What is Alcohol Abuse?

Just as with any drug, people ask, “what is alcohol abuse?” It can be difficult to tell the difference between social drinking, moderate drinking and alcohol abuse, but the alcohol abuse definition comes down to one key point: is drinking causing problems in the person’s life?

When people start drinking, alcohol abuse is generally the furthest thing from their minds. Drinking is started recreationally, with friends and is associated with having a good time. This positive view of alcohol can be why it is so easy to slip into alcohol abuse. Often the thoughts of alcohol being a “good time” drug stop people from seeing the signs and symptoms of alcohol abuse.

What is Alcohol Abuse? – Alcohol Abuse Definition

The alcohol abuse definition is similar to alcoholism in that in both cases alcohol is causing harm to the drinker’s life and those around them. The difference is that those who abuse alcohol, but are not yet alcoholics, typically can put some limitations on their drinking and they have not yet become physically addicted to alcohol. The key to the alcohol abuse definition is not in the amount of alcohol consumed but on how it affects an individual. (See effects of alcohol )

What is Alcohol Abuse? – Signs of Alcohol Abuse

Because the alcohol abuse definition is general, the signs are unique for each person. Some of the signs will be similar to alcoholism but often to a lesser degree. Alcohol abuse is though, by definition, problem drinking. Signs that fit within the alcohol abuse definition include: iii

  • Repeatedly neglecting responsibilities due to drinking or hangover affects
  • Using alcohol in ways that are dangerous, for example, drinking and driving
  • Having repeated legal or financial trouble as a result of drinking
  • Continuing to drink in spite of its negative effects on relationships, work or other priorities
  • Drinking as a way to relax or de-stress
  • Drinking as a way to feel good, or simply not feel bad

What is Alcohol Abuse? – Effects of Alcohol Abuse

Long-term alcohol abuse can affect everything in a person’s life from their family, job and finances as well as almost every organ in the body. The most important part in understanding the alcohol abuse definition is determining whether it applies in your life so help for alcohol abuse can be sought as soon as possible.

It is important to understand that while not everyone who abuses alcohol goes on to become an alcoholic, alcohol abuse is one of the biggest risk factors to becoming an alcoholic.

More on Alcohol Abuse

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The Energy Story – Chapter 3: Resistance and Static Electricity #renewable #energy


Chapter 3: Resistance and Static Electricity

As we have learned, some kinds of atoms contain loosely attached electrons. Electrons can be made to move easily from one atom to another. When those electrons move among the atoms of matter, a current of electricity is created.

Take a piece of wire. The electrons are passed from atom to atom, creating an electrical current from one end to the other. Electrons are very, very small. A single copper penny contains more than 10,000,000,000,000,000,000,000 (1×1022) electrons.

Electricity “flows” or moves through some things better than others do. The measurement of how well something conducts electricity is called its resistance.

Resistance in wire depends on how thick and how long it is, and what it’s made of. The thickness of wire is called its gauge. The smaller the gauge, the bigger the wire. Some of the largest thicknesses of regular wire is gauge 1.

Different types of metal are used in making wire. You can have copper wire, aluminum wire, even steel wire. Each of these metals has a different resistance; how well the metal conducts electricity. The lower the resistance of a wire, the better it conducts electricity.

Copper is used in many wires because it has a lower resistance than many other metals. The wires in your walls, inside your lamps and elsewhere are usually copper.

A piece of metal can be made to act like a heater. When an electrical current occurs, the resistance causes friction and the friction causes heat. The higher the resistance, the hotter it can get. So, a coiled wire high in resistance, like the wire in a hair dryer, can be very hot.

Some things conduct electricity very poorly. These are called insulators. Rubber is a good insulator, and that’s why rubber is used to cover wires in an electric cord. Glass is another good insulator. If you look at the end of a power line, you’ll see that it is attached to some bumpy looking things. These are glass insulators. They keep the metal of the wires from touching the metal of the towers.

Another type of electrical energy is static electricity. Unlike current electricity that moves, static electricity stays in one place.

Try this experiment.

Rub a balloon filled with air on a wool sweater or on your hair. Then hold it up to a wall. The balloon will stay there by itself.

Tie strings to the ends of two balloons. Now rub the two balloons together, hold them by strings at the end and put them next to each other. They’ll move apart.

Rubbing the balloons gives them static electricity. When you rub the balloon it picks up extra electrons from the sweater or your hair and becomes slightly negatively charged.

The negative charges in the single balloon are attracted to the positive charges in the wall.

The two balloons hanging by strings both have negative charges. Negative charges always repel negative charges and positive always repels positive charges. So, the two balloons’ negative charges “push” each other apart.

Static electricity can also give you a shock. If you walk across a carpet, shuffling your feet and touching something made of metal, a spark can jump between you and the metal object. Shuffling your feet picks up additional electrons spread over your body. When you touch a metal doorknob or something with a positive charge the electricity jumps across the small gap from your fingers just before you touch the metal knob. If you walk across a carpet and touch a computer case, you can damage the computer.

One other type of static electricity is very spectacular. It’s the lightning in a thunder and lightning storm. Clouds become negatively charged as ice crystals inside the clouds rub up against each other. Meanwhile, on the ground, the positive charge increases. The clouds get so highly charged that the electrons jump from the ground to the cloud, or from one cloud to another cloud. This causes a huge spark of static electricity in the sky that we call lightning.

You can find out more about lightning at Web Weather for Kids – www.ucar.edu/40th/webweather/

You’ll remember from Chapter 2 that the word “electricity” came from the Greek words “elektor,” for “beaming sun” and “elektron,” both words describing amber. Amber is fossilized tree sap millions of years old and has hardened as hard as a stone.

Around 600 BCE (Before the Common Era) Greeks noticed a strange effect: When rubbing “elektron” against a piece of fur, the amber would start attracting particles of dust, feathers and straw. No one paid much attention to this “strange effect” until about 1600 when Dr. William Gilbert investigated the reactions of magnets and amber and discovered other objects can be made “electric.”

Gilbert said that amber acquired what he called “resinous electricity” when rubbed with fur. Glass, however, when rubbed with silk, acquired what he termed “vitreous electricity.”

He thought that electricity repelled the same kind and attracts the opposite kind of electricity. Gilbert and other scientists of that time thought that the friction actually created the electricity (their word for the electrical charge).

In 1747, Benjamin Franklin in America and William Watson in England both reached the same conclusion. They said all materials possess a single kind of electrical “fluid.” They didn’t really know anything about atoms and electrons, so they called how it behaved a “fluid.”

They thought that this fluid can penetrate matter freely and couldn’t be created or destroyed. The two men thought that the action of rubbing (like rubbing amber with fur) moves this unseen fluid from one thing to another, electrifying both.

Franklin defined the fluid as positive and the lack of fluid as negative. Therefore, according to Franklin, the direction of flow was from positive to negative. Today, we know that the opposite is true. Electricity flows from negative to positive. Others took the idea even further saying this that two fluids are involved. They said items with the same fluid attract each other. And opposite types of fluid in objects will make them repel each other.

All of this was only partially right. This is how scientific theories develop. Someone thinks of why something occurs and then proposes an explanation. It can take centuries sometime to find the real truth. Instead of electricity being a fluid, it is the movement of the charged particles between the objects. the two objects are really exchanging electrons.

Learn about Electrical Circuits and electrons in Chapter 4.

HR Magazines #human #resources, #hr #community, #hr #best #practices, #hr #articles, #hr


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  • Having read all of the issues in these 17 long years, I can confidentially declare that HC today is a world class HR journal, with its positioning that is strong and erudite. Articles by your correspondents are sharp, researched extremely well, global in its outlook and contemporary. Proud to be associated with Human Capital. Dr. Ganesh Shermon, Partner – Platform Solutions, North America, TCS Canada Inc.
  • I like the breadth of topics which are covered in the different functional domains of HR. It gives me an opportunity to meet many thought leaders from a wide spectrum of organizations. Also periodical views from business leaders on HR as well as a section for new age professionals are something that I look forward to. Hemalakshmi Raju, Head L sexual or ot.

    While joint families and easy availability of dome.


    Zillow, SoFi and LinkedIn have been in the forefro.

Uncertainties in the business environment, augment.

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  • Sakshi Sood

    Sakshi Sood is a Graduate in Electronics Engineer.

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    Sakshi Sood is an electronics engineering graduat.

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  • Medical Coding Certificate FAQ – School of Informatics and Computing: IUPUI #how


    Medical Coding Certificate FAQ


    For whom is the program intended?
    The program works well for those who would like to work in a healthcare setting, but not in direct contact with patients. The program can be a great fit for any student looking for flexibility in a profession with a strong attention to detail and organization.

    What is a Medical Coder?
    A medical coder is an individual who reads information in the patient health record, extract pertinent diagnoses and procedures, and assigns medical codes to each medical diagnosis and procedure. Once fully coded, the medical coder sends the record to the medical biller for reimbursement purposes.

    What are the admission requirements?
    Prospective students must first be admitted to IUPUI as an undergraduate student. Upon acceptance to IUPUI, students must complete prerequisite courses including anatomy, physiology and database design. Students must earn a minimum grade of a C in each class with a cumulative grade point average (GPA) of 2.5 in order to take the coding core classes.

    Do I need to take the ACT or SAT?
    The Medical Coding Certificate program follows University policy when the student is admitted to the University/School of Informatics and Computing. For more information visit: Office of Undergraduate Admissions

    Who are the faculty for the program?
    Courses in the Medical Coding program are taught with rigor by our top Health Information Management (HIM) Medical Coding experts. The HIM faculty will be your guide for completing course assignments, meeting course objectives and participating in eLearning activities.

    What courses are required?
    Required courses include medical terminology, pathophysiology, pharmacology, coding, medical reimbursement and basic concepts of health information. The Medical Coding Certificate courses are designed to better prepare students to sit for industry standard certifications.

    How long does it take to complete a Medical Coding Certificate?
    It will depend on how many courses you take each semester. If you take a full credit course load, it would be possible to complete the certificate program in as little as nine months. Courses are offered every semester.

    How long do I have to earn my degree?
    The Medical Coding Certificate program follows state and federal requirements regarding program completion deadline. For more detailed information visit: Office of Student Financial Services

    Will I be able to get professional experience in my classes?
    There is a coding practicum course that is a requirement of the Medical Coding Certificate which provides students with hands-on industry experience.

    Is Financial Aid or scholarships available?
    Students are encouraged to visit the IUPUI Financial Aid Office at Office of Student Financial Services as well as SOIC Undergrad Financial Aid Scholarships for more information.

    What jobs opportunities are there once I graduate?
    A Certificate in Medical Coding can be the foundation for a variety of positions, including:

    Are employers hiring in this profession?
    According to the Bureau of Labor Statistics, employment of health information managers which includes medical coding, is expected to grow 22 percent from 2012 to 2022, much faster than the average for all occupations. The demand for health services is on the rise as the healthcare system goes digital, the ICD-10 coding system is implemented, and the population ages. There are approximately 12,000 to 50,000 new jobs anticipated by 2017.


    Is the Medical Coding Certificate program at IUPUI accredited?
    CAHIIM accredits Health Information Management (HIM) Associate, Bachelor, and Master degree programs along with administering credential certification exams for Health Information Management (RHIA) and Medical Coding (CCA) programs. Upon completing our Medical Coding Certificate, students are able to sit for CAHIIM’s Certified Coding Associate certification exam.

    Certified Coding Associate (CCA) Examination
    Medical Coding Certificate graduates are eligible to seek the Certified Coding Associate (CCA) credential offered by the American Health Information Management Association (AHIMA) .

    Enrollment, Credits and Transferability

    When is enrollment open?
    Students may enroll during open enrollment each spring and fall. For more information visit: Office of the Registrar

    How many credits are required for the program?
    The Medical Coding Certificate is a 26-credit-hour program. All courses must be completed with a grade of C or higher to count towards degree completion. The core courses are available online with some offering an on campus option. Credit earned for the certificate may be applied toward the Bachelor of Science degree in Health Information Management (application and acceptance into the Health Information Management (HIM) program required).

    How do I know whether my credits will transfer?
    Transcripts are reviewed by the IUPUI admissions advising professionals for transfer credit.

    Do you have an option for advanced placement or testing out of classes?
    Credit for applicable work experience or completion of college level classes may be available according to University policy. For more information visit: University College Orientation Services or Office of Undergraduate Admissions


    Is this an online program?
    Coursework may be a combination of on campus and online classes.

    Are online courses right for me?
    Online classes offer flexibility to study while still having time to work and accommodate other life commitments. Those taking online courses use technology to communicate with classmates and instructors. In order to be successful in online classes, students should be self-motivated and able to handle their time wisely. Online courses have little to no face-to-face interaction with instructors and other students, but there is a classroom and instructor (theoretically) available 24 hours a day.

    Can I complete the certificate if I live out of state?
    Out of state students may complete the online classes. For the classes that are offered on campus, academic advisors work with students to ensure equivalent courses are being taken at local universities.

    Will I need special equipment to take online classes?
    Learning and completing your coursework requires access to a desktop or laptop computer and Internet access. IUPUI provides 24 hour technical support if you need technical support while doing coursework.

    Coding Practicum Information

    What is a professional practicum?
    The practicum provides professional experience in an approved clinical site under the direction of an HIM faculty member and an onsite clinical instructor. Students also receive didactic and practicum experience in the classroom with emphasis on medical coding and reimbursement systems. Certificate students take the practicum during the last semester of the program.

    What is the required length of time I will spend at my practicum site?
    A minimum of 8 contact hours is required per semester at the site.

    Am I responsible for finding my practicum site or does the Medical Coding Certificate program staff find the site for me?
    The instructor works to find clinical sites for all students. Some students have site preferences or community contacts that they would prefer to use. Students are free to find their own site if they choose, otherwise a site will be assigned.

    What documentation is required before I go to my practicum site?
    Requirements vary by site. Some sites may require a physical exam, immunizations, and/or background checks before beginning any phase of the practicum experience. You may also be required to purchase and furnish a professional liability insurance policy.

    Am I permitted to do my practicum experience at my current place of employment?
    Yes, students may complete their practicum at their place of employment. However, the student would need to be assigned to a different work area or perform a project other than their normal duties for the practicum.

    If I am employed in healthcare as a Coder, do I still have to complete the practicum?
    Potentially the practicum could be waived as credit for applicable work experience according to University policy. For more information visit: Office of Undergraduate Admissions

    Fulfilling the Promise

    Gentiva: When is Hospice Appropriate? #daytona #beach #motels

    #when is hospice appropriate


    When Is Hospice Appropriate?

    Signs that you or a loved one may need to consider hospice care can be subtle, but they may include:

    • Multiple trips to the emergency room in a short period of time
    • Shortness of breath while resting
    • Several falls over a six-month period
    • Increasing issues with pain
    • Weight loss with a noticeable difference in the way clothes fit
    • Spending most of the day in a chair or bed

    These signs don’t necessarily mean you need hospice immediately. But they are indications that now is a good time to find out about hospice care and that you should ask your doctor about it. Learning how hospice can provide the care, compassion, and support you and your family needs can be a comfort to everyone.

    Patients Caregivers

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    Click on the arrow for our video on “Hospice and Your Loved One.”

    2016 Kindred at Home. All rights reserved.


    What is home hospice #how #does #hospice #care #work

    #what is home hospice


    Welcome to Community Home Care

    Community Home Care is an affiliate of Curo Health Services and offers compassionate Hospice Care, with clinical experience, to thousands of special patients and families in locations listed on our website.

    Our goal is to enrich the quality of life as life s journey nears its completion. Through supportive, loving, comfort care we offer patients and their families comfort for body, mind and spirit.

    Our Mission

    The mission of Curo Health Services, and its hospice affiliates, is to honor life and offer compassion to individuals, and their families, when facing a life-limiting illness.

    Our Core Values

    • Choose the right attitude, message and priority.
    • Be accountable for all thoughts, words, and actions.
    • Embrace and drive change. Pursue growth and learning.
    • Demonstrate humility and servant leadership.
    • Select great people, treat them with respect, help them, and communicate effectively.
    • Celebrate small successes on our journey to greater success.
    • We are here for our patients and each other. Be passionate about what we do. Be innovative and efficient in everything we do.

    Find a Location Near You

    Wenn: IS NURSING SCHOOL WORTH IT? #is #nursing #school #worth #it


    Snap Chat: ashleylh24

    Important Pieces of Online Registered Nurse Programs

    You have an interest in becoming a nurse. Practical nurses are a considerable part numerous health care teams. It is required for the graduate nurse to utilize each of the tools available to ensure success at passing. Consequently, in situation you are looking for out whether you have exactly what is had to end up being a registered nurse, you should understand that there are a great deal of things that you have to think about. Many bedside nurses start at rather near to the precise same wage, irrespective of education.

    Work wellness nursing ensures a wide variety of chances as well as you might decide to create your living for a clinician, teacher, business director or specialist. Nurses are the biggest group of workers within the NHS as well as a considerable part of the health and wellness care market. In a little method you may be the only nurse in the region, whilst if it s a bigger surgical treatment you re likely to share responsibilities with other method nurses.

    Important Pieces of Online Registered Nurse Programs

    With the healthcare market seeing an elevated requirement for nurses on account of the nation s aging population, the demand for nursing trainers likewise has higher. For people who choose to put in the occupation of useful nursing there are a few demands which have to be satisfied. From that point, legal doctor might delight in an incredibly healthy independent way of life. The professionals likewise reported this upward relocation isn t expected to continue in the forseeable future.

    New Questions Regarding Online Registered Nurse Programs

    The perfect area to get a preoccupied residential or commercial property is ForeclosureDataBank.com. Therefore, you will have to understand where you wish to apply. Then you re by yourself. In the u.s.a, there has never been an enhanced demand for high quality trained as well as informed nurses as well as RN experts as well as with a small luck as well as some difficult work as well as by complying with a number of the important guidance you will see you can increase your possibility of discovering the nursing scholarship you need as well as need for your upcoming profession in nursing. The chances in nursing are broad as well as varied so it s crucial to research different capabilities as well as certifications you should obtain if you have an interest in a specific expert field. It s likewise a good idea to have the capability to get all the useful experience which you have to prepare you enough for the work ahead of you. There are loads of tasks which are offered for a skilled nurse specialist.

    It s true that you will produce more cash for a nurse specialist than you would as a RN, however you re going to do the task extremely difficult for that cash. You should select if you ll have sufficient cash to complete either program. Particular advantages of breast milk include offering all the power as well as nutrients required for the first months of living. There are numerous advantages to becoming a nurse legal assistant, however there are a couple disadvantages as well.

    As for anyone who s freelance, starting your personal personal method implies you will have to have a deal with over the business matters of your operations together with the health care procedures. There are a number of training as well as academic options for those seeking to go after professions as medical assistants. Picture, then, that you re a new trainer as well as you ve just signed on.

    As a new instructor, you are going to discover ways to efficiently supply the trainee with comments. As an example, the trainee may have found a new ways to navigate a search for a specific term in web small company administration degrees. By choosing this college, Michigan trainees can spend less as well as introduce a brand-new profession in only a year. Each trainee is anticipated to take part in class discussion. Furthermore, a number of on the internet trainees utilize monitored internships so regarding discover the hands-on training they want.

    College is such place where you can begin your right profession. Normally, the neighborhood college utilizes a mixed method to education. Without college preparation it isn t possible to find across outstanding colleges. Clearly, saving $32,238.00 is an essential decision point, however before you instantly choose the neighborhood technical college, you should ask yourself the previous concern. Some institutions now need physical chemistry. Medical assistant institutions should be certified by the most appropriate bodies or organizations.

    You might likewise choose to go after master s degree for a Nurse. You will have to show that you hold no less than a master s degree within the field to which you re applying. Adopting a web nursing degree might be outstanding experience if you examine routinely, since then it is possible to finish your program in less time when compared with the typical level. You are able to get a program average as well as a break down of exactly what you ve made every week.

    About Me

    Wenn Tousignant

    I am Wenn W. Tousignant, Patient Care Director of Allyn Hospital with passion in cooking, nursing, health care, nursing school, and music. I believe that the need to keep ourselves healthy is the key to every success. As a director of patient health care services are responsible for maintaining an environment that ensures that patients are cared-for properly and provided with the highest quality health care services. Overall, it is expected that I keep patient care running smoothly while staying within budget. View my complete profile


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    Hospice care is not about – giving up hope – Prayers for

    #hospice prayers


    Hospice care is not about giving up hope

    When I tell folks I am a hospice chaplain, I often get puzzled looks. Most people do not understand what hospice is about. Just as often, I am told “That must be hard,” or “You must be a special person.” What they mean by that is, they can t imagine a job such as mine could be anything but depressing. The truth is, many people are afraid to talk about hospice.

    The specialized health care program known as “hospice” today was introduced by a British physician, Cicely Saunders, in 1967. But even before Dr. Saunders organized this program, the work of hospice was done as a community initiative. It came out of people s loving support for their neighbors and friends as they faced life-threatening illness. The term “hospice” was used in Medieval times to denote a place of rest or shelter for folks who were ill or weary from a long journey.

    Thanks to Dr. Saunders and other pioneers, hospice is now available in this country to anyone who has been diagnosed with an illness for which there is no medical cure. Hospice patients come from a variety of backgrounds, ranging from different ages, social classes, and illnesses. Today, hospice care involves the work of health care professionals who are trained to deliver symptom management and to provide guidance, emotional and spiritual support related to end of life issues. However, the movement and philosophy of hospice continues to depend on community: local volunteers are an integral part of the hospice team, and cards and visits from friends mean a lot to those who are ill and/or unable to leave their homes.

    For many people, the word “hospice” has come to be associated with “death” and “giving up hope.” When a loved one is diagnosed with a terminal or life-limiting illness, it is common to feel as though the world is crumbling and life can never feel good or normal or light again. But even when medical treatments cannot offer us hope for a cure, there can still be hope – for meaning, for connections, for quality of life, for meaningful time.

    People are surprised sometimes to find that life can still be beautiful and enriching in the midst of illness. Hospice families (or any families struggling with illnesses) have many difficult moments marked by sadness, anger, or exhaustion. But they also have wonderful moments that are full of life. I see families doing that everyday saying things they might not have thought to say, reminiscing and reaffirming, celebrating birthdays, holding each other.

    A life-threatening diagnosis changes one s priorities. When our bodies are failing, we have to become more selective about how to spend our energy. When time is an issue, we are more aware about how we want to spend it. The truth is none of us knows how much time we really have. Life is a gift, and it is meant to be lived – fully and richly, to its very last drop.

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    IRS Provides Guidance on Supplemental Life Insurance #what #is #supplemental #term #life


    Client Alerts

    Life insurance is a common benefit that employers provide to their employees. Naturally, the provision of this benefit has tax consequences, and a recent private letter ruling from the Internal Revenue Service ( IRS ) reminds employers that they must carefully structure their insurance arrangements to avoid some unexpected tax consequences when their employees purchase supplemental insurance.

    Basic Life Insurance

    Employers often provide group term life insurance to their employees at no cost to the employee, usually with a benefit equal to a percentage of base salary. Internal Revenue Code ( Code ) Section 79 governs the taxation of this employer-provided life insurance. An employee can receive up to $50,000 worth of coverage tax-free. The cost of any insurance above $50,000, less any amount paid for the insurance by the employee, is taxable income to the employee. For example, if the employer provides basic coverage of $80,000 at no cost to the employee, the employee is taxed on the cost of $30,000 of insurance. The cost of the insurance is determined under tables published by the IRS in regulations under Code Section 79. The employer is required to report the cost of insurance coverage amounts over $50,000 as taxable imputed income on the employee s Form W-2. Since this amount is treated as wages, it is also subject to Social Security and Medicare taxation (which involves a tax on both the employer and employee).

    Supplemental Life Insurance

    In addition to providing basic life insurance, employers may give employees the opportunity to separately purchase supplemental group term life insurance (and even insurance on their spouses and dependents), but entirely at the employee s expense. Giving employees the ability to purchase additional insurance, even with after-tax money, could impact the tax consequences for both the employee and the employer because all employer plan life insurance coverage (basic and supplemental) generally must be aggregated in determining how the employee is taxed. The rate that the employee pays for the supplemental insurance may be less than the cost determined in the tables under Code Section 79. Even though supplemental insurance, and any insurance on spouses and dependents, is typically paid entirely by the employee, without a clear separation of the basic and supplemental policies, the IRS views the difference between the amount paid by the employee and the Code Section 79 cost as taxable compensation because the lesser cost of the insurance (compared to the Code Section 79 rates) arises in the context of the employment relationship. However, an employer can avoid this problem by electing to treat the policies as separate if the policies are structured so that premiums can be properly allocated among the policies. By doing this, the supplemental insurance can be taken out of Code Section 79 and the employee will not be subject to tax, regardless of whether the cost is below the Code Section 79 rate.

    New Private Letter Ruling

    Private Letter Ruling 201350032 describes a typical situation and approved the steps that the employer took for the premiums to be considered as properly allocated among policies and avoid aggregation of the policies. It involves a common scenario in which:

    • Employees were provided with basic life insurance at no cost to them by the employer.
    • Employees could separately purchase supplemental life insurance for themselves (and in some cases, their spouses and dependents) through the voluntary employees beneficiary association (VEBA) that the employer uses to fund certain welfare benefits for active employees and retirees. The employees were responsible for paying the entire cost of the supplemental coverage, and payments for this coverage were taken through after-tax payroll deductions.
    • The employer added sections in its employee benefit handbooks describing the availability of the supplemental insurance and provided administrative services to the VEBA as an independent contractor, but did not perform other functions for the supplemental life insurance.
    • Even though basic and supplemental insurance coverage was obtained from the same insurance company, the insurance premiums for the basic coverage were calculated separately from the premiums for the supplemental coverage offered through the VEBA.
    • The employer is not a party to the supplemental insurance contracts, and the supplemental policies are self-supporting in that the premiums for the basic insurance do not subsidize the supplemental coverage.
    • Experience factors for each policy are developed independently, reserves are not shifted between the policies, and dividend and rate credits attributable to each policy are determined separately. Neither the basic coverage nor the supplemental coverage were considered to be permanent benefits.

    The IRS ruled that under the arrangement, the employer could treat the basic coverage and the supplemental coverage separately for purposes of applying the Code Section 79 rules. Therefore, the employees who purchased supplemental coverage would not be taxed on that coverage. The employees still were subject to tax on the cost of the basic coverage to the extent it exceeds $50,000, since that coverage was paid by the employer. In addition, employees (and the employer) would only be subject to Social Security and Medicare taxes on the amount by which the basic coverage exceeds $50,000. While a private letter ruling only applies to the taxpayer that requested it, the ruling is helpful to other employers because it describes a situation in which the IRS views the separation between the basic and supplemental policies as adequate to avoid aggregation under Code Section 79.

    Employers would not expect that employees purchasing supplemental life insurance with their own after-tax dollars could see an income tax impact from this purchase. Therefore, employers who provide both basic and supplemental insurance to their employees should review the structure in this ruling to determine if they should revise the administration of their policies in order to avoid having employee taxation on the purchase of supplemental insurance.

    Files And Links

    The Average Homeowner s Deductible #how #much #is #average #home #insurance


    The Average Homeowner s Deductible

    Hopefully, you won t ever need your homeowner s insurance policy. If you do, chances are you ll be responsible for paying a portion of the damage. The portion that you pay is called the deductible, and deductibles range from $50 to $2,500 and up. The higher your deductible, the lower the premium for the same policy. How much deductible should you have? That depends on your wallet.

    Protect your home from fire damage and natural disasters.

    The Average — or Standard — Deductible

    There isn t an average deductible, but there are standard deductibles that insurers use as guidelines for average policies. Homeowners and auto insurance, the most common varieties, usually have a $500 deductible. Although some policies may have no or very small deductibles, the premiums are usually very high. They also can be difficult to find. Many consumers elect to have a $1,000 deductible because the premium is lower; they re gambling that they won t have an accident, or that they ll be able to afford repairs totaling less than $1,000.

    Hurricanes, Earthquakes, Windstorms and Floods

    Special weather events or other natural disasters usually have a separate provision due to their destructive natures. Coastal areas in particular present a high risk of storm damage, and insurers have begun issuing percentage deductibles in the event a storm or natural disaster occurs. Rates range from 1 to 5 percent of the home s insured value.

    Percentage deductibles are simple to calculate. If your home is insured for $100,000 and you have a 2 percent hurricane deductible, you are responsible for the first $2,000 worth of damage. You may also have a $500 deductible for events such as fire or theft. However, each insurer s policy is different, and some companies may permit the homeowner to pay a higher premium to get a dollar deductible. Some make percentage deductibles mandatory.

    Figuring Your Deductible

    The common rule of thumb is to have your deductible match the highest amount you can afford to pay on your own. In other words, if you can t afford more than $250 in repairs to your home, your deductible should equal $250. Consider how much cash and credit you have on hand, and the amount of disposable income you earn on a monthly basis; the more comfortable you are, the higher your deductible can be. However, you should also consider how much risk you re willing to take. If you re risk-averse, your deductible should be lower.

    Insurance Savings Tips

    Don t be afraid to shop your policy; the same policy may differ by hundreds of dollars. Also, remember that you re insuring the home and its contents, not the land; rebuilding costs less than purchasing the house plus the land. If possible, buy multiple policies from the same insurer, as you ll get a premium discount, and once you ve purchased it, stay with the same insurer. Adding security, safety and updated heating, plumbing and electrical systems reduces your premium as well. Ask for other discounts, like professional or retiree plans. Finally, keep your credit in good shape, as many insurers use this score to predict your risk.

    What is palliative treatment #motels #in #gold #coast

    #what is palliative treatment


    WHO Definition of Palliative Care

    Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Palliative care:

    • provides relief from pain and other distressing symptoms;
    • affirms life and regards dying as a normal process;
    • intends neither to hasten or postpone death;
    • integrates the psychological and spiritual aspects of patient care;
    • offers a support system to help patients live as actively as possible until death;
    • offers a support system to help the family cope during the patients illness and in their own bereavement;
    • uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated;
    • will enhance quality of life, and may also positively influence the course of illness;
    • is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.

    WHO Definition of Palliative Care for Children

    Palliative care for children represents a special, albeit closely related field to adult palliative care. WHO s definition of palliative care appropriate for children and their families is as follows; the principles apply to other paediatric chronic disorders (WHO; 1998a):

    • Palliative care for children is the active total care of the child’s body, mind and spirit, and also involves giving support to the family.
    • It begins when illness is diagnosed, and continues regardless of whether or not a child receives treatment directed at the disease.
    • Health providers must evaluate and alleviate a child’s physical, psychological, and social distress.
    • Effective palliative care requires a broad multidisciplinary approach that includes the family and makes use of available community resources; it can be successfully implemented even if resources are limited.
    • It can be provided in tertiary care facilities, in community health centres and even in children’s homes.

    What is palliative care? Palliative care facts #cheap #hotel #room

    #palliative care fast facts


    All About Opioids and Opioid-Induced Constipation (OIC)

    Facts about Palliative Care

    What is palliative care?

    According to the World Health Organization, palliative care can be defined as:

    An approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual . 1

    One goal of palliative care is for the patients and families to accept dying as a normal process. It seeks to provide relief from pain and uncomfortable symptoms while integrating psychological and spiritual features of patient care. Palliative care strives to offer a support system to help patients live their remaining time as actively as they can and to help families bereave and deal with the illness of a loved one. 2

    Since pain is the most visible sign of distress among patients receiving palliative care, affecting about 70% of cancer patients and 65% of patients dying from non-malignant diseases, opioids are a very common treatment option 3. These medicines form part of well-established treatment plans for managing pain as well as several other symptoms that patients encounter. Often, opioids are chosen during palliative care in spite of the side effects such as drowsiness, nausea, vomiting, and constipation.

    Some type of palliative care is given to 45,000 new patients each year in England, Wales, and Northern Ireland. About 90% of these patients have cancer, while the remaining patients have heart disease, stroke, motor neuron disease, or multiple sclerosis. The providers of the palliative care include in-patient care, hospital support services, community care, day care and outpatient care. 4

    1. Sepulveda C, Marlin A, Yoshida T, Ullrich A. Palliative Care: The World Health Organization’s Global Perspective. J Pain Sym Man. 2002; 24: 91-6
    2. The National Council for Palliative Care. Palliative Care Explained (Accessed 30 April 2008) Available at http://www.ncpc.org.uk/palliative_care.html
    3. Colvin L, Forbes K, Fallon M; Difficult pain. BMJ. 2006; 332 (7549):1081-3.
    4. The National Council for Palliative Care, National Survey of Patient Activity Data for Specialist Palliative Care Service, MDS Full Report for the year 2005 – 2006

    Next Page: Glossary of Terms

    This Opioid-Induced Constipation (OIC) information section was written by Peter Crosta (MA) for Medical News Today, and may not be re-produced in any way without the permission of Medical News Today .

    Additional materials provided by Wyeth.

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    Please note that although you may feel free to cite and quote this article, it may not be re-produced in full without the permission of Medical News Today. For further details, please view our full terms of use

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    Hospice Care: What it is and how to find it #book #hotel

    #find a hospice


    Palliative Care Center

    What Is Hospice?

    During the course of your illness, you may come to realize that treatments meant to cure or slow your disease are no longer working. Although it’s a difficult decision, you’ve concluded that the burdens of aggressive treatment outweigh any benefits, and you’re unwilling to endure any more discomfort or risk of harm.

    Instead, you’d rather spend your remaining time with family and friends. Maybe you yearn to reflect on your life and create a legacy for your loved ones, such as a journal or a videotaped message. Perhaps you need to put your financial affairs in order, or seek spiritual guidance as death nears.

    Despite your illness, the quality of each day still matters to you. You want relief from pain, from shortness of breath, and from other symptoms so that you can focus on the matters dearest to you, including saying good-bye to your loved ones.

    That’s when hospice. or end-of-life care, may help.

    Hospice is a type of palliative care. but differs in important ways. Palliative care serves anyone who is seriously ill, not just those who are dying. Palliative care itself doesn’t seek to cure, but provides pain relief and symptom management, and addresses the emotional and spiritual needs of patients and families. Many patients receive palliative care while they’re still pursuing a cure.

    Hospice also provides wide-ranging care and support to patients and families. However, hospice patients stop curative treatments, although they still receive medications to manage pain and other symptoms. Hospice serves people with a life-expectancy of six months or less because of cancer. dementia. heart disease. lung disease. and other illnesses.

    Hospice emphasizes quality of life and patient involvement in decision making. A hospice team typically includes a doctor, nurse, social worker, counselor, chaplain, home health aide, and trained volunteers. They work together to meet a patient’s physical, emotional, and spiritual needs.

    Hospice is for family members, too. It can provide respite care, bereavement counseling, and help with practical matters such as transportation and household duties.

    Eligibility for Hospice

    You’re eligible to enter hospice care if your doctor states that you have a terminal illness and that death can be expected in six months or less if your illness follows its normal course. However, you may stay in hospice beyond six months if your doctor and the hospice team certify that you still have only a short time to live.

    Bear in mind that hospice isn’t always a permanent choice. For example, some elderly patients with failing kidneys choose hospice rather than undergo dialysis. But they can still change their minds, leave hospice, and pursue dialysis after all. Or if a patient’s illness improves, he or she can leave hospice and return later.

    What is a medical home? Why is it important? #hotels #in #san

    #home medical care


    What is a medical home? Why is it important?

    The medical home is a concept first introduced by the American Academy of Pediatrics (AAP) in 1967. In its initial version, the AAP defined the medical home as the center of a child’s medical records. At the time, the care of children with special health care needs was the primary focus of the medical home concept. Over time, however, the definition of the medical home has evolved to reflect changing needs and perspectives in health care.

    The modern medical home expands upon its original foundation, becoming a home base for any child’s medical and non-medical care. Today’s medical home is a cultivated partnership between the patient, family, and primary provider in cooperation with specialists and support from the community. The patient/family is the focal point of this model, and the medical home is built around this center. Another key factor is that the focus of the medical home has shifted to include all children and adults, not just children with special health care needs. In the 2002 revision (PDF – 45KB) of its 1992 statement (PDF – 32KB) on the medical home, the AAP reiterated and enhanced its explanation of the medical home’s crucial characteristics. These guidelines stress that care under the medical home model must be accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. In 2007, the AAP joined with the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA) to form the Joint Principles of the Patient Centered Medical Home . Under this collaborative effort, the characteristics of the medical home have been defined within these 7 principles:

    1. Personal physician:

    • Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.

    2. Physician directed medical practice:

    • The personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

    3. Whole person orientation:

    • The personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life; acute care; chronic care; preventive services; and end of life care.

    4. Care is coordinated and/or integrated:

    • Across all elements of the complex health care system (e.g. subspecialty care, hospitals, home health agencies, nursing homes) and the patient’s community (e.g. family, public and private community-based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.

    5. Quality and safety are hallmarks of the medical home:

    • Practices advocate for their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family.
    • Evidence-based medicine and clinical decision-support tools guide decision making.
    • Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
    • Patients actively participate in decision-making, and feedback is sought to ensure patients’ expectations are being met.
    • Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication.
    • Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model.
    • Patients and families participate in quality improvement activities at the practice level.

    6. Enhanced access to care:

    • Is available through systems such as open scheduling, expanded hours and new options for communication between patients, their personal physician, and practice staff.
    • Appropriately recognizes the added value provided to patients who have a patient-centered medical home. The payment structure should be based on the following framework:
    • It should reflect the value of physician and non-physician staff patient-centered care management work that falls outside of the face-to-face visit.
    • It should pay for services associated with coordination of care both within a given practice and between consultants, ancillary providers, and community resources.
    • It should support adoption and use of health information technology for quality improvement;
    • It should support provision of enhanced communication access such as secure e-mail and telephone consultation;
    • It should recognize the value of physician work associated with remote monitoring of clinical data using technology.
    • It should allow for separate fee-for-service payments for face-to-face visits. (Payments for care management services that fall outside of the face-to-face visit, as described above, should not result in a reduction in the payments for face-to-face visits.)
    • It should recognize case mix differences in the patient population being treated within the practice.
    • It should allow physicians to share in savings from reduced hospitalizations associated with physician-guided care management in the office setting.
    • It should allow for additional payments for achieving measurable and continuous quality improvements.

    The Maternal and Child Health Bureau (MCHB) at the Health Resources and Services Administration (HRSA) has identified specific criteria to establish whether a child’s health care meets the definition of a medical home. This criteria include:

    • Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care;
    • Whether the child has no problems gaining referrals to specialty care and access to therapies or other services or equipment;
    • Whether the family is very satisfied with the level of communication among their child’s doctors and other programs;
    • Whether the family usually or always gets sufficient help coordinating care when needed and receives effective care coordination;
    • Whether the child’s doctors usually or always spend enough time with the family, listen carefully to their concerns, are sensitive to their values and customs, provide any information they need, and make the family feel like a partner in their child’s care;
    • Whether an interpreter is usually or always available when needed.

    A medical home is an important mechanism for uniting the many segments of a child’s care, including behavioral and oral health, to accomplish these goals. Furthermore, Drs. David Kibbe of the American Academy of Family Physicians and Joseph Kvedar of the Center for Connected Health at Partners HealthCare believe that the medical home model of care works synergistically with participatory medicine (PDF – 455KB) models in which the active role of the patient is emphasized.

    Developed by the Health Resources and Services Administration as a resource for health centers and other safety net and ambulatory care providers who are seeking to implement health IT.

    What is Hospice & Palliative Care #hotel #uk

    #canadian hospice palliative care association


    What is hospice and palliative care?

    According to the Canadian Hospice Palliative Care Association, palliative care is defined as:

    “the combination of active compassionate therapies intended to comfort support individuals and their friends and families who are living with, or dying from, a progressive life threatening illness, or are bereaved.”

    The terms palliative care and hospice care are often used synonymously.

    The notion of hospice initially began as a place of comfort and refuge for weary travellers in Europe during the Middle Ages. Today, the modern hospice is more a philosophy than an actual place. A hospice program provides compassionate care to dying persons in their home or in a home-like setting. The modern day founder of the hospice movement is Cicely Saunders. In 1967, Dr. Saunders established St. Christopher s Hospice in London, England to assist dying persons during their final days. Through the pioneering work at St. Christopher s the basic philosophies of the hospice movement were developed.

    There are three main goals of hospice palliative care:

    First, hospice/palliative care assists in controlling pain and symptoms of the illness. Most terminally ill people fear pain more than death itself. In providing good pain control, hospice/palliative care can alleviate much of the dying person s fears and anxieties.

    The second goal of hospice/palliative care is to ensure death is a natural process. As a result, medical interventions such as respirators and tube feeding are not used to keep people alive. The goal of care is not to prolong life, but to provide the best quality of life during the final days before death.

    Finally, hospice/palliative care programs strive to provide compassionate care. Professionals, non-professionals and volunteers function as a team and have a special interest in working in the field of palliative care. As a result, helpers are sensitive to the needs of the dying person and his/her family. The right to die with dignity is strongly upheld.

    Philosophy of Care

    • Hospice care is the active, compassionate care of the terminally ill and is provided with the purpose of assisting individuals with a life threatening illness to live full, active and independent lives for as long as possible.
    • Hospice care should be equitable to all individuals living with a terminal illness.Hospice clients along with their families and loved ones should be encouraged to understand the options available to them and is an important component in developing a plan of care.
    • Hospice care should be delivered by a multidisciplinary team that provides sensitive and skilled care to meet the physical, social, emotional and spiritual needs of both the individual and the family.
    • Hospice care should be individualized; provide services that are adaptable and responsive to the special needs of the individual and their loved ones; and must not be disease specific.
    • Hospice care services must be available to individuals living with a terminal illness wherever they reside; including Long Term Care Facilities, Hospitals and the individual s own home.
    • Hospice care education of service providers is essential to maximize the quality of care delivered to individual s living with a terminal illness and their loved ones.
    • Hospice care service providers and agencies must maintain confidentiality of the individual and family.
    • Hospice care should be timely and available when it is needed to be effective in providing quality Hospice care.

    Bristol Hospice and Home Healthcare is formed #when #to #call #hospice

    #bristol hospice


    Bristol Hospice and Home Healthcare is formed

    VANCOUVER, Wash. Aug. 30, 2012—Prestige Care, Inc. a leader in exceptional senior living and skilled nursing care, announces that it has joined with nationally recognized hospice provider Bristol Hospice, LLC, a subsidiary of Avalon Health Care, Inc. to form Bristol Hospice and Homecare Northwest, LLC which will offer comprehensive home health and hospice care to Portland-area residents and their families. Together they will offer an expanding continuum of care that focuses on a family-centered approach to providing specialized clinical care to hospice and home-care patients by compassionate caregivers and interdisciplinary professionals. The joint venture will operate as Bristol Hospice and Homecare Northwest and will utilize Bristol’s proven care and management model, which is successfully replicated in several regions across the United States.

    “At Prestige, it is our privilege and commitment to personally touch the lives of all of those who are members of our family of care communities,” said Prestige Care President and CEO Harold Delamarter. “In Bristol and its parent organization, Avalon, we’ve found care providers whose care philosophy so closely aligns with our core values that together we’ll provide the highest level of compassion, respect and quality care to residents entering life’s final stages.”

    Prestige’s care philosophy is rooted in a set of shared core values that deliver on a promise to provide exceptional care, guided by a compassionate heart. Across the company, Prestige team members are guided by the four pillars of the company’s core values: respect, integrity, commitment, and trust, and they strive to personally touch lives every day.

    “Our mission to embrace a reverence for life and build a continuum of care that serves the entire community fits seamlessly with Prestige’s values-driven approach to providing quality care,” said Christie Franklin, president of Bristol Hospice and Homecare-Northwest, LLC. “We look forward to growing our relationship in Oregon and beyond in the years to come.”

    The first hospice and home-care programs will be based in Oregon’s Clackamas County. The programs will voluntarily seek Community Health Accreditation Program (CHAP) status—a process which includes access to and adherence with a set of quality and performance standards geared to drive performance above the minimum standard.

    Bristol Hospice programs provide hospice services to meet the physical, psychosocial, and spiritual needs of patients and their families and caregivers. An interdisciplinary group of professionals and volunteers develops an individualized plan of care which includes, as appropriate, the following services: nursing, physician, home health aide, counseling, spiritual support, therapy, dietary, counseling, volunteers, durable medical equipment, supplies and bereavement services.

    Bristol Homecare programs are focused on the care continuum model. The Homecare Programs are designed to provide the following services: skilled nursing, therapy (speech, physical and occupational), home health aide and medical social worker assistance. “Bristol’s forward-thinking and well-respected approach to home health and hospice care are integral to offering a more complete continuum of care for our residents,” Delamarter said.

    The new company will expand Prestige’s ability to provide comprehensive hospice and home health care to residents within its family of Portland-area senior living, rehabilitation, and skilled nursing centers. Bristol Hospice and Homecare-Northwest services will also be available to residents outside of the Prestige Care network. Learn more at www.prestigecare.com and www.bristolhospice.com.

    What Is A Nursing Care Plan and Why is it Needed? #biltmore

    #hospice nursing care plans


    What Is A Nursing Care Plan and Why is it Needed?

    In nursing school, there is probably no more hated class assignment than the nursing care plan. They re assigned for every type of class, for intensive care patients, in mental health, and even for community care. Nursing students stay up all night preparing patient-specific care plans for the next day s clinical, but why is this agony inducing tool still used so universally?

    • Care plans provide direction for individualized care of the client. A care plan flows from each patient s unique list of diagnoses and should be organized by the individual s specific needs.
    • Continuity of care. The care plan is a means of communicating and organizing the actions of a constantly changing nursing staff. As the patient s needs are attended to, the updated plan is passed on to the nursing staff at shift change and during nursing rounds.
    • Care plans help teach documentation. The care plan should specifically outline which observations to make, what nursing actions to carry out, and what instructions the client or family members require.
    • They serve as a guide for assigning staff to care for the client. There may be aspects of the patient s care that need to be assigned to team members with specific skills.
    • Care plans serve as a guide for reimbursement. Medicare and Medicaid originally set the plan in action, and other third-party insurers followed suit. The medical record is used by the insurance companies to determine what they will pay in relation to the hospital care received by the client. If nursing care is not documented precisely in the care plan, there is no proof the care was provided. Insurers will not pay for what is not documented.

    The purpose of students creating care plans is to assist them in pulling information from many different scientific disciplines as they learn to think critically and use the nursing process to problem solve. As a nursing student writes more plans, the skills for thinking and processing information like a professional nurse become more effectively ingrained in their practice.

    The exact format for a nursing care plan varies slightly from place to place. They are generally organized by four categories: nursing diagnoses or problem list; goals and outcome criteria; nursing orders; and evaluation.

    As defined by the the North American Nursing Diagnosis Organization-International (NANDA-I). nursing diagnoses are clinical judgments about actual or potential individual, family or community experiences or responses to health problems or life processes. A nursing diagnosis is used to define the right plan of care for the client and drives interventions and patient outcomes.

    Nursing diagnoses also provide a standard nomenclature for use in the Electronic Medical Record (EMR), allowing for clear communication among care team members and the collection of data for continuous improvement in patient care.

    Nursing diagnoses differ from medical diagnoses. A medical diagnosis — which refers to a disease process — is made by a physician and will be a condition that only a doctor can treat. In contrast, a nursing diagnosis describes a client s physical, sociocultural, psychologic and spiritual response to an illness or potential health problem. For as long as a disease is present, the medical diagnosis never changes, but a nursing diagnosis evolves as the client s responses change.

    The goal as established in a nursing care plan — in terms of observable client responses — is what the nurse hopes to achieve by implementing nursing orders. It is a desired outcome or change in the client s condition. The terms goal and outcome are often used interchangeably, but in some nursing literature, a goal is thought of as a more general statement while the outcome is more specific. For example, a goal might be that a patient s nutritional status will improve overall, while the outcome would be that the patient will gain five pounds by a certain date.

    Nursing orders are instructions for the specific activities that will perform to help the patient achieve the health care goal. How detailed the order is depends on the health personnel who will carry out the order. Nursing orders will all contain:

    • The date
    • An action verb like monitor, instruct, palpate, or something equally descriptive
    • A content area that is the where and the what of the order, for example, placing a spiral bandage on the left leg from ankle to just below the knee
    • A time element will define how long or how often the nursing action will occur
    • The signature of the prescribing nurse, since orders are legal documents.

    Finally, in the evaluation. the client s health care professionals will determine the progress towards the goal achievement and the effectiveness of the nursing care plan. The evaluation is extremely important because it determines if the nursing interventions should be terminated, continued or changed.

    To help students learn and apply their knowledge, educators often add one more category to care plans. The rationale is the scientific reason for selecting a specific nursing action. Students may be required to cite supporting literature for their plan and rationale.

    Care plans teach nursing students how to think critically, how to care for patients on a more personal level, not as a disease or diagnosis. They help teach how to prioritize care and interventions. They are a necessary evil of nursing school, tried and true for teaching future nurses not to care, but how to provide care that will improve the client s health status.

    Sample Careplans

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    Skilled Nursing Care: What Is It? #cape #may #motels

    #nursing home care


    Skilled Nursing Care: What Is It?

    Truth be told, most people don t think about skilled nursing care until an aging parent, spouse or other family member needs more help than a caregiver can provide.

    Skilled nursing care facilities, commonly referred to as nursing homes. are licensed healthcare facilities that are inspected and regulated by a state s Department of Health Services.

    They offer long- and short-term care for individuals who need rehabilitation services or who suffer from serious or persistent health issues, such as Alzheimer s disease, that are too complicated to be tended to at home or at an assisted living facility .

    What to Expect from Skilled Nursing Care

    Nursing homes provide custodial and skilled nursing care 24/7. Skilled nursing care involves trained professionals performing services that are needed temporarily due to an injury or illness, including:

    • a nurse attending to a post-operative wound or dispensing and monitoring intravenous medications
    • a physical therapist working with a resident to rectify strength and balance issues
    • a speech therapist assisting a resident in reclaiming their ability to communicate following a stroke
    • an occupational therapist helping a resident to become independent again, particularly when it comes to dressing, personal hygiene and eating

    A skilled nursing care facility also provides:

    • pharmaceutical, laboratory and radiology services
    • social and educational activities
    • laundry services
    • limited transportation
    • end-of-life or hospice care
    • respite care

    Some facilities are specially designed to accommodate seniors suffering from Alzheimer s or Parkinson s disease, dementia or respiratory ailments. Staff also provide custodial or personal care that focuses on helping residents with activities of daily living. such as:

    • bathing
    • dressing
    • personal hygiene
    • eating
    • maneuvering in and out of bed and/or walking
    • incontinence

    Not all nursing homes offer these services. Families should visit several facilities to find the one best suited to their loved one s needs.

    Skilled Nursing Care vs. Assisted Living

    Choosing between skilled nursing care and assisted living can be difficult. A skilled nursing care facility may be needed if your family member requires:

    • round-the-clock nursing care, particularly if the senior might stray if left unsupervised
    • assistance with meals, personal hygiene, medications and portability
    • more help than the family or present caregiver can provide or the senior can no longer live alone

    Assisted living communities are recommended when the senior does not require much medical care but they do need more assistance than can be provided in their home. Assisted living facilites:

    • allow residents to live independently in their own apartment
    • provide meals, housekeeping and transportation services whether it be to the store, hairdresser/barber or a medical appointment
    • have a scheduled calendar of events for residents and their families that includes arts and crafts, current events and field trips
    • assist with dressing, personal hygiene and medications
    • have a resident doctor and/or registered nurse on staff

    Resources for Skilled Nursing Care

    For more information on skilled nursing care, visit these websites:

    Find Skilled Nursing Care

    If you are trying to find skilled nursing care for a loved one, we can help. Our directory lists thousands of nursing homes nationwide to help you find skilled nursing care near you.

    Install Intermediate Certificate #what #is #intermediate #certificate


    Customer Support Install Root Certificate

    AlphaSSL Certificates are trusted by all browsers and mobile devices. AlphaSSL also adopts a high security model which means that you need to install a single Intermediate Certificate on your web server. Your customers do not need to install anything as AlphaSSL is issued from a highly trusted and widely distributed trusted Root CA certificate. Please select your Webserver from the list below and follow the instructions.

    Download the Root Certificates here (Right Click Save-as):

    Root CA
    crt DER Format | .pem Format | .txt Format – this root CA certificate does not need need to be installed on your webserver

    AlphaSSL Intermediate CA
    Copy and Paste ALL characters from the appropriate box below into a text editor and Save to your server as per your Server installation instructions.

    Be sure to include the —–BEGIN CERTIFICATE—– and —–END CERTIFICATE—– lines.

    SHA-256 – Orders March 31, 2014 and After

    AlphaSSL SHA-256 R1 Intermediate Certificates
    AlphaSSL CA – SHA256 – G2
    SHA256 – RSA – 2048
    Valid until: 20 February 2024
    Serial #: 04 00 00 00 00 01 44 4e f0 36 31
    Thumbprint: 4c 27 43 17 17 56 5a 3a 07 f3 e6 d0 03 2c 42 58 94 9c f9 ec

    SHA-256 Orders Prior to March 31, 2014

    AlphaSSL SHA-256 R3 Intermediate Certificates
    AlphaSSL CA – SHA256 – G2
    SHA256 – RSA – 2048M
    Valid until: 02 August 2022
    Serial #: 04:00:00:00:00:01:31:89:c6:39:dc
    Thumbprint: ae:bf:32:c3:c8:32:c7:d7:bc:55:99:b1:aa:05:fb:6c:f4:d9:29:4c

    SHA-1 – For Installation On or After June 26 2011

    Valid until: 11 April 2017
    Serial #: 04:00:00:00:00:01:1e:44:a5:f3:65
    Thumbprint: b4:a0:38:53:e0:1c:73:53:4f:bb:bc:b4:4b:3a:e8:9a:79:84:13:27

    SHA-1 – For Installation Prior to June 26 2011

    Valid until: 11 April 2017
    Serial #: 04:00:00:00:00:01:1e:44:a5:f3:65
    Thumbprint: b4:a0:38:53:e0:1c:73:53:4f:bb:bc:b4:4b:3a:e8:9a:79:84:13:27

    What are Intermediate CA certificates?
    All customers installing an AlphaSSL Certificate will need to install the Alpha CA Intermediate CA onto their web servers. The installation needs to only be conducted once. Once installed, all browsers, applications and mobiles will trust AlphaSSL Certificates transparently. The Intermediate CA certificate needs only be installed on the web server and does NOT need to be installed by visitors to your web site.

    Why does AlphaSSL use an Intermediate CA certificate?
    AlphaSSL has always adopted a high security model when issuing digital certificates. We use a trust chain that ensures that the primary root CA used to create the Alpha CA Intermediate CA (i.e. the GlobalSign Root CA certificate that is pre-installed with all browsers, applications and mobiles) is offline and kept in a highly secure environment with stringently limited access. This means the root CA is not used to directly sign end entity SSL Certificates, as such AlphaSSL employs a best practices approach for it Public Key Infrastructure therefore protecting against the major effects of a key compromise . For example, a key compromise of the primary Root CA would render the root and all certificates issued by the root untrustworthy, and because we keep our root offline this (somewhat unlikely event) is significantly less likely to happen.

    The use of Intermediate CAs is utilized by all major Certification Authorities because of the extra security level they provide.

    Copyright AlphaSSL. All RIghts Reserved.

    What is a terminal illness #hospice #information

    #what is a terminal illness



    Full Definition of terminal

    1a. of or relating to an end, extremity, boundary, or terminus a terminal pillar b. growing at the end of a branch or stem a terminal bud

    2a. of, relating to, or occurring in a term or each term terminal payments b(1). leading ultimately to death. fatal terminal cancer (2). approaching or close to death. being in the final stages of a fatal disease a terminal patient (3). of or relating to patients with a terminal illness terminal care c. extremely or hopelessly severe terminal boredom

    3a. occurring at or constituting the end of a period or series. concluding the terminal moments of life b. not intended as preparation for further academic work a terminal curriculum


    See terminal defined for English-language learners

    See terminal defined for kids

    Examples of terminal in a sentence

    She was diagnosed with terminal cancer.

    I was suffering from terminal boredom.

    another person with terminal stupidity

    branches that end in a terminal bud

    Origin and Etymology of terminal

    Latin terminalis, from terminus

    First Known Use: 1744

    Related to terminal

    Related Words
    Near Antonyms

    Synonym Discussion of terminal

    last. final. terminal. ultimate mean following all others (as in time, order, or importance). last applies to something that comes at the end of a series but does not always imply that the series is completed or stopped last page of a book last news we had of him . final applies to that which definitely closes a series, process, or progress final day of school . terminal may indicate a limit of extension, growth, or development terminal phase of a disease . ultimate implies the last degree or stage of a long process beyond which further progress or change is impossible the ultimate collapse of the system .


    Simple Definition of terminal

    a building where buses or trains regularly stop so that passengers can get on and off

    a building at an airport where people get on and off airplanes

    a computer or a combination of a keyboard and a video display that is connected to a system and used for entering or receiving data

    Source: Merriam-Webster’s Learner’s Dictionary

    Full Definition of terminal

    3. a device attached to the end of a wire or cable or to an electrical apparatus for convenience in making connections

    4a. either end of a carrier line having facilities for the handling of freight and passengers b. a freight or passenger station that is central to a considerable area or serves as a junction at any point with other lines c. a town or city at the end of a carrier line. terminus

    5. a combination of a keyboard and output device (as a video display unit) by which data can be entered into or output from a computer or electronic communications system

    See terminal defined for English-language learners

    Examples of terminal in a sentence

    I will meet you outside the bus terminal .

    Flight 1584 is now departing from Gate 6 in Terminal A.

    You are not allowed in the terminal without a ticket.

    Ten terminals are connected to this server.

    You will need to clean the corrosion off the battery terminals .