How to Become a Hospice Worker (with Pictures) #seattle #motels

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How to Become a Hospice Worker

Hospice workers care for patients who are terminally ill and typically have less than six months to live. Each patient is seen by several professionals who make up the hospice team, including nurses, aides, physicians, social workers and chaplains. All hospice careers require employees to be licensed, certified or otherwise recognized as experienced in their occupation. New hires receive special training on topics such as handling patient loneliness and dealing with patient or family fears.

Hospice jobs usually don’t require candidates to have volunteer or internship experience in a hospice, but having it provides a foundation of knowledge and may impress future employers. The National Hospice and Palliative Care Organization notes that volunteers are considered employees and receive training on general hospice topics, such as goals, services and philosophies. According to the Hospice Foundation of America, some hospices have minimum age requirements for volunteers, but they all try to find a spot for those interested. Volunteers may help in areas like child care assistance, family support or administration.

Hospice nurses are certified by the National Board for Certification of Hospice and Palliative Nurses, which issues credentials in several specialties, including pediatrics and perinatal loss care. The basic certification — Certified Hospice and Palliative Nurse — requires candidates to hold an unrestricted and current registered nurse license. The NBCHPN also offers the Certified Hospice and Palliative Nursing Assistant credential to aides who have finished a minimum of 2,000 practice hours supervised by a registered nurse within the past two years.

After completing medical school and residency requirements, and passing the U.S. Medical Licensing Examination, physicians must obtain licenses where they want to practice. According to the Center to Advance Palliative Care, physicians gain certification to work in hospices by undergoing a yearlong fellowship and passing an exam administered by the American Board of Medical Specialties.

According to the National Association of Social Workers, social workers can obtain hospice certification with a minimum of a bachelor’s degree and social worker license, and after completing a minimum of three years working under supervision in hospice and palliative care. The Center to Advance Palliative Care notes that social workers with a bachelor’s degree can apply to be Certified Hospice and Palliative Social Workers, while those with a master’s can apply to be Advanced Certified Hospice and Palliative Social Workers.

The General Council of the Assemblies of God’s Chaplaincy Department notes that there aren’t any universal qualifications for hospice chaplains it approves, but that chaplains must meet individual employers’ requirements. It says that desired prerequisites may include a minimum of a bachelor’s degree, a credential from the Assemblies of God, ministry experience and completion of a Clinical Pastoral Education course. Chaplains can also obtain certification through the Board of Chaplaincy Certification Inc. upon meeting certain requirements, such as a minimum of three years of experience working in hospice and palliative care.





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

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wiseGEEK: What does a Palliative Care Nurse do?

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

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

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

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

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

Article Discussion

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

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

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

Any comments or suggestions for me would be welcome.

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

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

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

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

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

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

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





Celebrity Plastic Surgery Disasters? Photo 1 – Pictures – CBS News #,pictures,


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Celebrity Plastic Surgery Disasters?

Plastic surgery doesn’t always turn out the way people want it to – and that’s true for celebrities as well as the rest of us.

Just take a look at these 14 A-listers – and what plastic surgeon Dr. Anthony Youn, who writes the popular Celeb Cosmetic Surgery blog. has to say about each.

Credit: Getty Images

Kenny Rogers

“Kenny Rogers gambled with plastic surgery – and lost!” says Dr. Youn.

“I’m not happy about it,” the country crooner told People magazine in 2006 of a botched eyelid lift. “It drives me crazy.”

With his tight eyelids, he no longer looks like the scruffy, masculine man we knew in the 70’s, says Dr. Youn.

Credit: Getty Images

Joan Rivers

Joan Rivers admits to having had lots of plastic surgery, including a facelift, neck lift, and eyelid surgery – and she makes no apologies. Some might say her “work” has been overdone, but who cares?

“She’s A Piece of Work (in a good way),” Dr. Youn says.

Credit: Getty Images

Donatella Versace

The first thing one notices about Donatella Versace is her overly plump upper lip. Natural lower lips tend to be about 50 percent larger than the upper lip. But in Versace’s case, the proportions are reversed, yielding what Dr. Youn calls a “trout pout.”

In addition, the designer’s skin looks waxy, possibly the result of multiple laser treatments.

Credit: Getty Images

Michael Jackson

A whittled-down nose, lightened skin, an unnatural cleft in the chin, a chin implant, lip augmentation, and God knows what else – Michael Jackson was a classic case of body dysmorphic disorder (BDD), Dr. Youn says.

BDD is a psychiatric condition that makes it impossible to see oneself as others do. This unrealistic view causes BDD sufferers to undergo multiple plastic surgeries in a misguided attempt to correct a defect – one that wasn’t there to begin with, according to Dr. Youn.

Credit: Getty Images

Jocelyn Wildenstein

“Jocelyn Wildenstein is a poster child for plastic surgery gone wrong,” says Dr. Young.

The “Lion Woman of New York” reportedly underwent dozens of plastic surgeries – all in a misguided attempt to win back her husband.

Dr. Youn thinks she might have undergone a brow lift, facelift, lip plumping injections, chin augmentation, fat grafting and/or cheek implants, upper and lower eyelid surgery, and canthopexy, a procedure that elevates the eyes to give them a catlike appearance.

Credit: Getty Images

Heidi Montag

What more can be said about Heidi Montag?

“She underwent 10 cosmetic surgeries in one day. and now she looks less like a person and more like a Barbie doll,” says Dr. Youn.

“In my opinion, none of these ten plastic surgeries have benefited her except in giving her more publicity and more reasons to do more surgery,” says Youn.

The reality star admitted to having a mini brow lift, botox in her forehead, a nose job revision, fat injections in her cheeks, a chin reduction, neck liposuction, ears pinned back, second breast augmentation, liposuction on waist, hips and inner thighs, and a buttock augmentation.

“This troubled fame addict needs a shrink, not a plastic surgeon!” says Youn.

Montag herself has since called the surgeries a mistake.

“People have fewer scars from car accidents than I have on my body,” she told Life Style Weekly.

Credit: Getty Images

Jennifer Grey

“Jennifer Grey is a good example of how a nose job (rhinoplasty) can dramatically alter one’s appearance,” says Dr. Youn. “The removal of the bump (dorsal hump) on Grey’s nose made her look very different from the ‘Baby’ character she played in ‘Dirty Dancing.'”

That nose was one of Grey’s defining features (like Julia Roberts’s lips, Cindy Crawford’s mole, and David Letterman’s gapped teeth).

While her altered appearance didn’t stop Grey from winning “Dancing with The Stars,” it might have gotten in the way of movie roles.

“I personally think she looks better since it’s just a tad smaller,” says Dr. Youn. “But the problem is that she doesn’t look like she used to.”

Credit: Getty Images

Mickey Rourke

Mickey Rourke appears to have undergone a facelift and upper eyelid lift, as well as hair transplants, according to Dr. Youn.

A badly done facelift can cost a man his sideburns, and Dr. Youn says this seems to have happened with Rourke.

“The unnatural curve between his ear and cheek and his now-attached earlobe are also telltale signs of a facelift,” he says.

Credit: Getty Images

Carrot Top

These days, “Carrot Top is looking more and more like a muscle-bound cartoon character,” says Dr. Youn.

He seems to have undergone quite a few changes over the years, Dr. Youn says, yielding an excessively arched brow and a smooth face, possibly the result of laser treatments or chemical peels.

“At least it appears he’s left his eyelids alone,” Youn says, “although maybe they’re next.”

Credit: Getty Images

Priscilla Presley

What if Elvis could see Priscilla now? Dr. Youn says he might be “All Shook Up.”

A few years ago, says Dr. Youn, Priscilla Presley revealed that she got silicone injections in her cheeks – by a phony doctor. That may explain her puffy face – but not her face’s waxy look. Dr. Youn says the latter might have been caused by a combination of repeated laser treatments and Botox.

Credit: Getty Images


Electronic Health Records #electronic #medical #records #pictures


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Electronic Health Records

The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician’s workflow. The EHR has the ability to generate a complete record of a clinical patient encounter – as well as supporting other care-related activities directly or indirectly via interface – including evidence-based decision support, quality management, and outcomes reporting.

In this section you will find many resources that contribute to the ability for healthcare organizations to realize a longitudinal electronic record that spans across the continuum of healthcare.

Meaninful Use Fact Finder

This section of the Health IT Value Suite illustrates how the components of Meaningful Use lay the technical foundation for organizations that seek high levels of realized value which benefits patient and organizational stakeholders. Visit the Meaningful Use Fact Finder

Intelligent Health™ Pavillion at HIMSS17

Experience technology and solutions in context as you watch multiple technologies seamlessly interoperate with real-world examples. Learn more


Top 4 Best Auto Insurance Companies #car #pictures http #auto #insurance #pictures


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What Does Herpes Look Like? See Graphic Images of Herpes At Different


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What Does Herpes Look Like?

What does herpes look like is a common question from people who suspect they have genital herpes symptoms. A lot of people confuse it with other skin conditions such as a rash or pimples.

Many times people describe herpes blisters as an insect bite, razor burn, cut from shaving, an ingrown hair or simply think it’s a yeast infection.

Let’s take a closer look at each and compare them to a typical herpes blister.

1. An insect Bite: Certainly an insect bite can resemble a herpes blister but it really depends on the particular insect that does the biting. Insect bites tend to have a lot of swelling, itching and pain in the localized area of the bite. Additionally, if you look close enough you can actually see the bite marks on your skin. Of all the insect bites that I have had over the years, a fire ant bites and perhaps a flea bite most closely looks like a herpes blister but the differences are still major. Both bites begin looking like herpes sores but soon develops into a more “pimple-like” appearance. See the pictures of various insect bites below and compare them to the pictures of a typical herpes blister.

What Does Herpes Look Like?

Picture of a Herpes Outbreak

What Does Herpes Look Like?

Above Picture of an Ant Bite

Above Picture of a Fire Ant Bite

Above Picture of Bed Bug Bites

Above Picture of a Black Widow Spider Bite

What Does Herpes Look Like

Above Picture of a Mosquito Bite on a Hand

Above Picture of another Mosquito Bite on Arm

2. What Does Herpes Look like compared ti Razor Burn Rash and Cut from Shaving: According to WebMD.com. a razor burn or razor bumps, also called pseudofolliculitis barbae, are small, irritated bumps on the skin. They develop after shaving, when strands of hair curl back on themselves and grow into the skin. Razor bumps cause irritation and pimples. They also may cause scarring. Please see the pictures below and compare to the pictures of typical herpes sore. See the images below and compare.

Above Picture of Razor Burn in The Pubic Area

Above Picture of Razor Burn on Neck

Above Picture of Cuts From Shaving

3. What does herpes look like compared to Ingrown Hairs: Sometimes an ingrown hair can look like herpes especially when a herpes outbreak is at its early stages. But as time passes the differences becomes quite apparent. First, an ingrown hair is when the sharp part of a hair curls back and grows sideways and into the skin. It begins with a tender feeling in the area and has a red appearance. As it becomes more infected the follicle fills with pus. They often occur in body locations with more course hair can be found. In women this is often the bikini areas near the pubic region. Similarly they can occur on men in the same area as well as in the beard area of the face. The primary differences are that a hair can be seen and when removed almost instant relief from the pain.

In contrast a herpes blister is often accompanied by more than one blister. They can range from one to many in the same area and often seemed connected. Although a herpes blister can encompass a hair follicle, pus rarely can be seen and when the hair is removed the pain will continue to linger. See the images below and compare.

Above Two Pictures Showing an Ingrown Hair

4. What Does Herpes Look Like Compared to Yeast Infections: The Mayo Clinic defines a vagina yeast infection as an inflammation of the vagina that is characterized by vaginal irritation, intense itchiness and vaginal discharge. A vaginal yeast infection affects your vagina and the tissues at the opening to your vagina. A vaginal yeast infection isn’t considered a sexually transmitted infection, although the fungus that causes the condition can be spread through oral-genital contact.

Now let’s compare yeast infections with a herpes outbreak. Although both can cause vaginal irritation and intense itching there is very little vagina discharge when having a herpes outbreak. Additionally, a yeast infection will continue to itch as long as the fungus remains untreated. The intensity of the itching usually subsides greatly once blisters form during a herpes outbreak. I’m going to spare showing you pictures of a vaginal yeast infection as most pictures that I found are pretty gross (I’m glad I have genital herpes instead of a yeast infection).

In some people Genital Herpes starts with an itch and a rash. The person’s skin can become red and tender. Swelling may develop until small blisters appear. Sometimes they gather in a larger blister. The blisters can be transparent, white, or yellow and filled with a clear fluid.

Genital herpes are generally more sensitive during a person’s first outbreak. After about a week or more genital herpes blisters usually begin to scab over and turn back into normal healthy skin again. Sometimes the new skin may have a different color for a period of time before returning to normal. Reoccurring outbreaks are generally milder and recovery time is commonly reduced over time.

An Ordinary Rash or Genital Herpes?

The most common way to distinguish an ordinary rash from a herpes rash is the location where it can appear in the body. Common genital herpes symptoms tend to be the same no matter where they’re located on the body. The main differences lie in the severity of the symptoms. It may cover a larger area and be more sensitive if it is a first outbreak.

Images of Herpes

If you want to get a better understanding of what does herpes look like, the best thing to do is to look at genital herpes pictures. Although looking at documented cases of genital herpes pictures online is the best way of seeing what the herpes blisters look like, many of pictures are scary and nearly always represent the most severe herpes outbreak symptoms.

View a small collection of images of herpes. Click Here for images of herpes

WARNING: The genital herpes pictures on these pages are graphic and contain images of male and female genitalia.

What’s Next?

After viewing the images of herpes, you should be able to have a a good idea on what herpes looks like. If you suspect that you may be experiencing genital herpes symptoms it is critical that you visit your doctor as soon as possible. Preferably while the blisters are still visible and before they begin to scab over.

Your doctor can obtain a culture from the open herpes blister sores and send it to a lab for testing.

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Learn More About What Does Herpes Looks Like

Does Herpes Look Like A Pimple
Surprisingly, there are still a lot of people mistake genital herpes to be pimples. There should be no doubt that at some point genital herpes blisters do resemble pimples but more often than not it is very hard to make that mistake.

Genital Herpes Pictures – Genitals Graphic
View graphic but common genital herpes pictures to gain a clear understanding of a typical initial genital herpes outbreak, signs and symptoms. Initial genital herpes outbreaks are generally more severe than reoccurring outbreaks.

Return to Home Page from What Does Herpes Look Like

Copyright 2010 to 2014 LivingWithGenitalHerpes.org Livingwithgenitalherpes.org content is for informational purposes only. Always consult a qualified doctor for professional health care advice.


How to Become a Hospice Worker (with Pictures) #edison #hotel

#hospice workers

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How to Become a Hospice Worker

Hospice workers care for patients who are terminally ill and typically have less than six months to live. Each patient is seen by several professionals who make up the hospice team, including nurses, aides, physicians, social workers and chaplains. All hospice careers require employees to be licensed, certified or otherwise recognized as experienced in their occupation. New hires receive special training on topics such as handling patient loneliness and dealing with patient or family fears.

Hospice jobs usually don’t require candidates to have volunteer or internship experience in a hospice, but having it provides a foundation of knowledge and may impress future employers. The National Hospice and Palliative Care Organization notes that volunteers are considered employees and receive training on general hospice topics, such as goals, services and philosophies. According to the Hospice Foundation of America, some hospices have minimum age requirements for volunteers, but they all try to find a spot for those interested. Volunteers may help in areas like child care assistance, family support or administration.

Hospice nurses are certified by the National Board for Certification of Hospice and Palliative Nurses, which issues credentials in several specialties, including pediatrics and perinatal loss care. The basic certification — Certified Hospice and Palliative Nurse — requires candidates to hold an unrestricted and current registered nurse license. The NBCHPN also offers the Certified Hospice and Palliative Nursing Assistant credential to aides who have finished a minimum of 2,000 practice hours supervised by a registered nurse within the past two years.

After completing medical school and residency requirements, and passing the U.S. Medical Licensing Examination, physicians must obtain licenses where they want to practice. According to the Center to Advance Palliative Care, physicians gain certification to work in hospices by undergoing a yearlong fellowship and passing an exam administered by the American Board of Medical Specialties.

According to the National Association of Social Workers, social workers can obtain hospice certification with a minimum of a bachelor’s degree and social worker license, and after completing a minimum of three years working under supervision in hospice and palliative care. The Center to Advance Palliative Care notes that social workers with a bachelor’s degree can apply to be Certified Hospice and Palliative Social Workers, while those with a master’s can apply to be Advanced Certified Hospice and Palliative Social Workers.

The General Council of the Assemblies of God’s Chaplaincy Department notes that there aren’t any universal qualifications for hospice chaplains it approves, but that chaplains must meet individual employers’ requirements. It says that desired prerequisites may include a minimum of a bachelor’s degree, a credential from the Assemblies of God, ministry experience and completion of a Clinical Pastoral Education course. Chaplains can also obtain certification through the Board of Chaplaincy Certification Inc. upon meeting certain requirements, such as a minimum of three years of experience working in hospice and palliative care.





Robin McGraw Plastic Surgery Speculations #robin #mcgraw #plastic #surgery,dr #phil #wife,celebrity #plastic


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Robin McGraw is an American author, speaker and actress, but best known for being wife of Dr. Phil McGraw . popular author and television talk show host. She was born on December 28, 1953 in Irving, Texas. She spends her time running and working for a non-profit charitable organization with the task of helping disadvantaged families and their children. Robin wrote and published two books – Inside My Heart and What’s Age Got To Do With It? Both of them reached number one on New York Times best-selling book chart.

As an actress she appeared in an episode of soap opera The Bold and the Beautiful. She also made appearances in Dr.Phil, Entertainment Tonight, Christmas in Washington, Larry King Live and many others.

Robin McGraw stated that she has never undergone plastic surgery procedures and that she takes care of her body in a natural way. She says that the most important thing is to stay hydrated and to drink a lots of water. She always uses hydrating hand creme because she is convinced that the hands are the first place you can see a woman aging. She also claims she has found some natural ways to make your face look like you had a facelift. Also, her recipe for aging well includes a proper amount of physical activity, so she takes Pilates lessons.

In spite of all that Robin claims, some critics and fans don t agree. They say they can hardly recognize her recently. Rumors are she has done some brow lift and porcelain veneers procedure to make her teeth look more natural. People also speculate about her regular use of Botox and other fillers, as about having a nose job done.









Do you think Robin McGraw is familiar with plastic surgery?

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East Cheshire Hospice – News, views, gossip, pictures, video – MacclesField Express

#east cheshire hospice

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East Cheshire Hospice Appeal

Got a story in your area?

Is there something happening in your area you would like us to report on? You can contact the Macclesfield Express newsdesk via the following details. Wilmslow Express contact details can be found here.

Advertising Department

M.E.N. Media is one of the north west’s largest media providers and reaches 7 out of 10 people in Greater Manchester every week.

Online our editorial websites welcome 2.4million unique users who experience 12.4million page views every month.

Our 20 local weekly newspapers include the Stockport Express, Rochdale Observer, Salford Advertiser, Oldham Advertisers and Wilmslow Express.

Plus, we have the flagship Manchester Evening News – Britain’s largest circulating regional daily with up to 130,485 copies and the free morning newspaper, The Metro, published every weekday which delivers more than 200,000 readers in Greater Manchester.

Greater Manchester Business Week is the region’s number one provider of business news and features, targeting a bespoke business audience with 12,687 copies every Thursday.

Every month, M.E.N. Media’s print products reach 2.2 million adults, spanning from Accrington in the north to Macclesfield in the south.

The Editor

Gareth Tidman

Editor, Macclesfield Express

Gareth Tidman has been the editor of the Macclesfield Express and the Wilmslow Express since the beginning of 2013.

He has 15 years experience as a journalist in a career that has spanned Lancashire, Cheshire and Yorkshire, and he has been nominated for a number of press awards as an editor.

Journalists

Stuart Greer Crime reporter Karen Britton Wilmslow and Alderley Edge reporter





Finance Your Bariatric Surgery – Online Application #finance #surgery,patient #financing,finance #gastric #bypass,finance


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Patient Financing for Gastric Bypass Surgery

Our patient financing offers you a full range of payment plans. Our 3, 6, 12, 18 month No Interest* payment plans feature monthly payments as low as 3% of the balance and let you pay within the specified time without incurring interest charges. Simply make your minimum monthly payment and pay off your entire balance during the agreed upon time period, and you’ll pay no interest.

For patients/clients with higher treatment fees who would prefer more time to pay with lower monthly payments, our 24, 36, 48, 60 month extended payment plans* offer a low, fixed 11.9% interest rate and an extended term.

We offer a variety of affordable financing programs through your doctors office with flexible payment options and low monthly payments. With available loan amounts from $1000 to $25,000 we have a loan program for every budget, even for those with less then perfect credit.

Key benefits of our patient financing programs:

  • Fixed rates starting as low as 5.9%
  • Interest Rebate programs for up to 12 months
  • Fixed low monthly payments
  • Terms from 12 months to 84 months
  • No prepayment penalty
  • Bad credit financing available with a Co-Applicant
  • Easy application form with quick approval decisions

Please enter your height and weight


  • What does it cost?

    Thank you for inquiring about this surgery

    In many cases your insurance will cover all/most of the cost of this surgery.

    If you want to pay cash, the cost can be as low as $10,000
    **cost varies region to region

    Another good reason to have surgery is that our patients have told us that weight loss surgery can reduce your monthly food bill as much as 50% or more

    What is your average monthly food bill?


  • What is the GASTRIC SLEEVE? Information on cost, benefits of vertical sleeve?


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    GastricSleeve (Vertical Sleeve Gastrectomy)

    The gastric sleeve is the lastest weight loss procedure that shows promising results. By restricting food absorbtion and reducing hunger the gastric sleeve might be your best option. Please consult with our surgeon or staff to find out if this is the best procedure for you. Advantages of gastric sleeve include lower cost, less dumping, fewer complications and does not require adjustments after the initial surgery.

    The vertical sleeve gastrectomy is a restrictive form of weight loss surgery in which approximately 85% of the stomach is removed leaving a cylindrical or sleeve shaped stomach with a capacity ranging from about 60 to 150 cc, depending upon the surgeon performing the procedure. Unlike many other forms of bariatric surgery, the outlet valve and the nerves to the stomach remain intact and, while the stomach is drastically reduced in size, its function is preserved. Again, unlike other forms of surgery such as the Roux en Y gastric bypass, the sleeve gastrectomy is not reversible.

    Because the new stomach continues to function normally there are far fewer restrictions on the foods which patients can consume after surgery, albeit that the quantity of food eaten will be considerably reduced. This is seen by many patients as being one of the great advantages of the sleeve gastrectomy, as is the fact that the removal of the majority of the stomach also results in the virtual elimination of hormones produced within the stomach which stimulate hunger.

    Perhaps the greatest advantage of the gastric sleeve lies in the fact that it does not involve any bypass of the intestinal tract and patients do not therefore suffer the complications of intestinal bypass such as intestinal obstruction, anemia, osteoporosis, vitamin deficiency and protein deficiency. It also makes it a suitable form of surgery for patients who are already suffering from anemia, Crohn’s disease and a variety of other conditions that would place them at high risk for surgery involving intestinal bypass.

    Facts about the gastric sleeve or sleeve gastrectomy:

    Alternative names: vertical sleeve gastrectomy, sleeve gastrectomy, greater curvature gastrectomy, parietal gastrectomy, gastric reduction and vertical gastroplasty.

    Surgery for high BMI patients. For patients with a particularly high body mass index (typically 50+) many forms of weight loss surgery are either difficult to perform or present increased risk. As a result, a vertical sleeve gastrectomy (or increasingly a laparoscopic sleeve gastrectomy) is sometimes performed as the first of a two-part weight loss solution to provide an initial drop in weight which then makes other bariatric follow up possible at a reduced level of risk.

    Surgery for low BMI patients. For obese patients with a relatively low body mass index the vertical sleeve gastrectomy can also prove a good choice, especially where existing conditions (such as anemia or Crohn’s disease) prevent them from having other forms of bariatric surgery. In addition, patients may choose this form of surgery if they are concerned about the long-term affects of bypass surgery or object to having a ‘foreign’ body implanted into their body, as is the case with lap band surgery.

    Laparoscopic Sleeve Gastrectomy Surgery

    During sleeve gastrectomy, the surgeon will remove the larger, rounded part of the stomach.

    • The remaining stomach looks like a sleeve (or hose or tube) and holds about 15 percent as much food as the original stomach.
    • The surgeon will remove the larger, rounded part of the stomach from the body. (This is the only gastric surgery in which part of the stomach is taken out of the body.)
    • Unlike gastric bypass, which changes stomach openings, sleeve gastrectomy leaves the openings intact.
    • It may be a safer and more effective option than gastric bypass for patients with very high BMI, those with medical problems like anemia, Crohn�s disease, osteoporosis, extensive prior surgeries and other complex medical conditions.
    • Sleeve gastrectomy may be safer than gastric bypass for patients who have a number of health risks.
    • It lowers the risk of ulcers compared to gastric bypass.
    • The surgery cuts away the part of the stomach that produces grehlin, a stomach hormone that stimulates hunger.
    • Though the stomach is smaller, the openings are left intact, so digestion can go on as normal.
    • The body is free of foreign objects like the LAP-BAND� or Realize Band.
    • May be converted to gastric bypass or duodenal switch if necessary for additional weight loss
    • Expected excess weight loss for stand-alone procedure is 60 to 70% at two years
    • Sleeve gastrectomy is more common in Europe, but most American health insurance carriers still consider it an investigational procedure and do not cover the cost. But that is rapidly changing so please consult our office to see if your insurance will cover the gastric sleeve.
    • Anytime you have anesthesia or surgery, there is a risk of blood clots, other complications or death.
    • Do not smoke. Smoking would put you at high risk for infection, blood clots, slow healing and other life-threatening complications.
    • Complications can occur with the stapling, such as leaks or bleeding.
    • You may need malabsorptive surgery � intestinal bypass or duodenal switch � in addition to your sleeve gastrectomy in order to lose all the weight you need and want to lose.
    • The smaller portion of the stomach may stretch.
    • Foods that you eat now may cause discomfort, nausea or vomiting after your surgery.
    • Gastric surgery puts you at higher than normal risk of developing gallstones and gallbladder disease.
    • You will not lose weight or maintain your weight loss unless you eat a healthy diet and exercise regularly. This is the reason we stress long-term follow-up with our center and your doctor.


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

    #palliative nurse

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    wiseGEEK: What does a Palliative Care Nurse do?

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

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

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

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

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

    Article Discussion

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

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

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

    Any comments or suggestions for me would be welcome.

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

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

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

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

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

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

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





    Signs of the End of Life in the Elderly (with Pictures) #holiday

    #end of life stages

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    Signs of the End of Life in the Elderly

    It can be difficult to assess when your elderly parent is nearing death, and you may feel unprepared. Before your elderly parent passes, his body will develop phases of dying. Some signs of the end of life can include increased agitation, withdrawal from family and your parent discussing that he’s dying — which will alert you that death is approaching. While this may not provide you with any comfort, you can at least give palliative care to make the transition as peaceful as possible.

    Your loved one may decrease food intake. This may trouble you to witness, as you may feel that eating can somehow renew your loved one’s strength. However, as one becomes closer to death, the body no longer needs nourishment. Repeatedly encouraging someone to eat, or even forcing food can cause nausea and abdominal pain, according to Rhode Island Hospital. However, you can provide comfort by applying lip balm or moistening the lips of your loved one with ice chips, recommends the Mayo Clinic.

    The elderly can experience disorientation as they near death. Between 28 to 83 percent of individuals will experience some form of delirium as they come closer to death, as stated by Charlotte A. Paolini, DO for the Journal of the American Osteopathic Association. Symptoms can include hallucinations, memory loss, talking to previously passed away loved ones and confusion. You can confer with your loved one’s physician to provide a non-stressful environment if an increase in agitation becomes noticed.

    Circulation of blood will begin to relocate to the organs, making the extremities cold to the touch. The body can fluctuate between cold and hot, and you may notice your loved one perspiring or feeling clammy to the touch.The color of skin can also change, becoming bluish or a blotchy purple. You can provide your loved one with a blanket to keep her warm. Yet, don’t feel hurt if she decides that she doesn’t want a blanket. Your loved one may not even feel cold.

    Your loved one can spend copious amounts of time sleeping. During this phase, he may awaken, but be incapable of communicating to you. In other moments, it may be difficult to rouse your love one from his slumber. Don’t be afraid to talk with him during this time. Although he is unresponsive, he can still hear you. William Lamers, M.D. former consultant for the Hospice Foundation of America, asserts that hearing is the last sense lost prior to death.

    Breathing patterns change upon nearing death. Breathing can become rapid, followed by a duration of stopped breathing in a process known as Cheyne-Stokes, notes William Lamers, M.D. The breathing will resume and become more labored as death advances. Congestion and coughing can accompany Cheyne-Stokes breathing. You may also notice a rattling sound within your loved one’s lungs. You can provide your loved one with a vaporizer in his room to help alleviate fluid accumulation in his lungs.

    Northern Arizona Healthcare reports that prior to dying, a person may develop a new vigor. You may notice your loved one making requests or statements. This is your loved one’s way of saying goodbye and giving you the opportunity to say your farewells. While during this moment, you may become overwrought with grief, giving your loved one a kiss or saying, I love you can help her realize that you have come to terms with her letting go.





    House of Pictures – What, When, Where #motels #in #wildwood

    #hospic

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