Karnofsky Performance Status Scale #banff #springs #hotel

#palliative performance scale


The Karnofsky Performance Scale Index allows patients to be classified as to their functional impairment. This can be used to compare effectiveness of different therapies and to assess the prognosis in individual patients. The lower the Karnofsky score, the worse the survival for most serious illnesses.


Able to carry on normal activity and to work; no special care needed.

Normal no complaints; no evidence of disease.

Able to carry on normal activity; minor signs or symptoms of disease.

Normal activity with effort; some signs or symptoms of disease.

Unable to work; able to live at home and care for most personal needs; varying amount of assistance needed.

Cares for self; unable to carry on normal activity or to do active work.

Requires occasional assistance, but is able to care for most of his personal needs.

Requires considerable assistance and frequent medical care.

Unable to care for self; requires equivalent of institutional or hospital care; disease may be progressing rapidly.

Disabled; requires special care and assistance.

Severely disabled; hospital admission is indicated although death not imminent.

Very sick; hospital admission necessary; active supportive treatment necessary.

Moribund; fatal processes progressing rapidly.

Crooks, V, Waller S, et al. The use of the Karnofsky Performance Scale in determining outcomes and risk in geriatric outpatients. J Gerontol. 1991; 46: M139-M144.
de Haan R, Aaronson A, et al. Measuring quality of life in stroke. Stroke. 1993; 24:320- 327.
Hollen PJ, Gralla RJ, et al. Measurement of quality of life in patients with lung cancer in multicenter trials of new therapies. Cancer. 1994; 73: 2087-2098.
O’Toole DM, Golden AM. Evaluating cancer patients for rehabilitation potential. West J Med. 1991; 155:384-387.
Oxford Textbook of Palliative Medicine, Oxford University Press. 1993;109.
Schag CC, Heinrich RL, Ganz PA. Karnofsky performance status revisited: Reliability, validity, and guidelines. J Clin Oncology. 1984; 2:187-193.

Florida Board of Nursing – Education and Training Programs – Licensing, Renewals


The Florida Board of Nursing (Board) approves new pre-licensure nursing education programs that meet the application requirements specified in Section 464.019, Florida Statutes. This Section of Florida law also defines the Board s regulatory authority over established nursing education programs.

Nursing education programs in Florida that hold specialized nursing accreditation by the Accreditation Commission for Education in Nursing (ACEN) or by the Collegiate Commission on Nursing Education (CCNE) are not regulated by the Florida Board of Nursing. Consumers are advised that the Board is not authorized to conduct site visits, and oversight of approved nursing education program quality measures is limited by Florida law.

All concerns or complaints pertaining to approved nursing education programs in Florida should be directed to the Consumer Services Unit of the Department of Health s Division of Medical Quality Assurance.

Facebook Post Ideas for Insurance Agents #insurance, #social #media, #post, #status, #share,


Daily Facebook Post Ideas for Insurance Agents

CyberScoopOnly half of US firms have cyber insurance, fewer than in UK, CanadaCyberScoopAbout half of U.S. businesses say they don’t have cyber risk insurance, compared to fewer than a third in the U.K. and Canada, and the health.

Budget Committee Heads Want Insurance Reserves AuditU.S. News & World ReportThe memo notes the state’s actuary recommended not spending the reserves in 2016 and 2017 to help cushion a move to self-insurance. Under that system the state covers.

BloombergAetna Says It May Move Out of Hartford, US’s Insurance CapitalBloombergAetna Inc. whose founding more than 150 years ago helped turn Hartford, Connecticut, into the insurance capital of the U.S. is thinking about leaving. The health insurer is.

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Insurance JournalWhy 27% of US Firms Have No Plans to Buy Cyber InsuranceInsurance JournalA full 50 percent of U.S. firms do not have cyber risk insurance and 27 percent of U.S. executives say their firms have no plans.

Los Angeles Business JournalInsurance Firm Signs US Bank Tower LeaseLos Angeles Business JournalCushman & Wakefield and OUE Ltd. announced that global insurance firm Marsh & McLennan Cos. has signed a 15-year lease at downtown’s U.S. Bank Tower. The.

VentureBeatHow AI knocks down roadblocks for the auto insurance marketVentureBeatIn a survey from accounting firm EY, global consumers said they trust the insurance industry less than banking, supermarkets, car manufacturing, and online shopping. Much of this distrust stems.

Telegraph.co.ukWhich is the perfect month to buy car insurance?Telegraph.co.ukDrivers should buy insurance in the summer because policies are most expensive in December, data reveals for the first time. Over the past four years the cost of typical car.

Boston.comThese are the most and least expensive zip codes for car insurance in New EnglandBoston.comCarInsurance.com recently compiled data on car insurance rates by zip code. The“independent quote comparison” site lists the most and least expensive zip codes for.

The SunThe surprisingly easy car insurance trick that can slash your premium by £400 a yearThe SunAmanda Stretton, motoring editor at Confused.com, said: “One of the checklist items when insurers are trying to calculate a driver’s car insurance.

WFMY News 2Switching Car Insurance Can Cost YouWFMY News 2Even in car insurance, size matters. It may pay to stick with a big-name insurer rather than go to the smaller, “non-standard” company. For one thing, the big boys.

CNBCPoor credit could boost your car insurance rates by almost $2000CNBCGetting into an accident isn’t the only thing that could cause your car insurance rates to skyrocket. Even something as simple as paying your credit card bill late.

Good HeraldTake Action if Your Florida Home Insurance is CancelledGood HeraldJust when you thought you were safe from Florida home insurance cancellations, new threats to your Florida home insurance coverage are appearing on the horizon. And these cancellations.

Get an Instant Homeowners Insurance Quote OnlineGood HeraldThe list of items that you can purchase from online retailers is quite extensive and includes home insurance. When you visit the sites of home insurance providers you can get an.

WRCB-TVWhitfield County home, business owners to get insurance breakWRCB-TVThat investment by the fire department helped lower the County’s rating with the insurance services office. “I hope they feel ecstatic about it like we do,” said Kittle, “I think.

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TCPalmEverything first-timers need to know about homeowner’s insuranceTCPalmWithout homeowners insurance, a buyer is unlikely to secure a house. Homeowners insurance protects a residence, and the items in a residence against disasters. If your home is destroyed, homeowners insurance.

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Solari Hospice Care Outlines Why Nonprofit Status Does Not Equate to Superior

#solari hospice


Solari Hospice Care Outlines Why Nonprofit Status Does Not Equate to Superior Hospice Care

February 09, 2011 11:20 AM Eastern Standard Time

SCOTTSDALE, Ariz.–( BUSINESS WIRE )–The Journal of the American Medical Association (JAMA) published an article in its February 2 issue titled “Association of Hospice Agency Profit Status, With Patient Diagnosis, Location of Care, and Length of Stay.” Solari Hospice Care wants to emphasize that this article offers no supporting research or evidence that nonprofit hospice programs provide better care to terminally ill patients, are more ethical, or are more compassionate than for-profit hospices.

Solari Hospice Care would like to address the rampant misinformation regarding for-profit hospice care and stress that the fundamental principle of hospice will always be providing people with the greatest quality of life in the time they have left.

With more than one million people in the United States receiving hospice care in 2009 1. it’s apparent that hospices meet a very important need in this country — and to suggest that the primary motivation is financial does a disservice to the devoted hospice staffs caring for their patients facing life-limiting illnesses.

“Having IRS 501(c)(3) nonprofit status does not automatically equate to superior care for terminally ill patients,” said Gary W. Polsky , chief executive officer , Solari Hospice Care. “There is no correlation between the profit status of a hospice program and the quality of care provided.”

So what is similar between nonprofit and for-profit hospices? The regulations are identical. All licensed and certified hospices must comply with state law and the Code of Federal Regulations governing hospice care. In addition, Medicare’s reimbursement rate is fixed regardless of the care needs of individual patients, the services patients receive, or the tax status of the hospice providing the care.

“For those who continue to pit nonprofit hospices against for-profit hospices, it’s my opinion that you are fighting the wrong battle,” Polsky remarked. “What we all should be advocating for is helping people to live with dignity and comfort by providing comprehensive and compassionate hospice care. Hospice practices, including quality of care, depend on an organization’s staff and leadership, not tax status. In any field of business, there are ‘good’ companies and ‘bad’ companies, and hospice is no different.”

According to the National Hospice and Palliative Care Organization’s (NHPCO) recent comprehensive survey, the Family Evaluation of Hospice Care, detailed analysis of data submitted by hospices shows no difference in family caregivers’ evaluation of the quality of care based on a hospice program’s profit status.

Polsky added, “As a member of the NHPCO, I am proud to say that Solari Hospice Care exceeds NHPCO’s Standards of Practice for Hospice Programs and fully complies with all hospice regulations.”

“I am focused on and passionate about providing the highest quality of care to patients facing complex end-of-life issues,” Polsky commented. “My education in health care administration and my experience in the health care field over the years have given me the opportunity to work with some of the most skilled doctors, nurses, specialists, counselors and caring staff members. When I founded Solari Hospice Care in 2002, I knew that I wanted and expected the same level of passion and dedication from my staff in Las Vegas and Houston. Hospice patients deserve nothing less than excellent care specific to their unique needs.”

Polsky concluded, “Ultimately, the most important measure of a hospice should be the quality of care provided to patients — not its tax status.”

With this insight, you and your loved ones will be better informed how hospice care can address symptoms and pain management, ease suffering and grief, as well as provide emotional and spiritual support during the final phase of life. To learn more about the issues, opportunities and trends impacting the hospice industry, please read the new CEO Viewpoint blog from Solari Hospice Care’s Gary Polsky at http://bit.ly/f6evtE.

1 “Hospice Care in America,” National Hospice and Palliative Care Organization, October 2010

About Solari Hospice Care


How to check if your car insurance is valid #check #car #insurance


How can I check if my car insurance is valid?

Save money on your car insurance

You only need to insure a car or van if you drive it on the road, right?

Wrong. Motor insurance laws have changed, and even an unused vehicle that is sitting in your garage gathering dust must now be covered by insurance – unless you have registered it as officially “off the road” with the DVLA.

This isn’t something to take lightly. You could face a fine of up to £1,000 or, worse still, have your vehicle destroyed if you fail to comply with the Continuous Insurance Enforcement (CIE) rules.

These were introduced in 2011 in a bid to stop the growing problem of uninsured drivers – and they have actually caught out quite a few innocent motorists in the process.

How it works

Here’s a way to get hot under the collar.

Think about the fact that, every time you fork out for your car insurance, you’re paying around £30 more than you need to precisely because of the cost of funding the damage caused by uninsured drivers.

Accidents involving uninsured drivers cost the car industry a massive £500 million a year – and ordinary law-abiding motorists like you and me are the ones who end up paying the bill via higher car insurance premiums.

The aim of CIE is to make it harder for uninsured drivers to get away with it by clamping down on stationary vehicles without insurance – as well as those caught on the roads.

The Motor Insurance Database (the UK’s central record of motor insurance) and the DVLA are working together to achieve this, comparing their records to identify offending vehicles.

So the only way to avoid being charged if you do not actually want to take a car or van on the road is to register it officially as “off the road” by sending a Statutory Off Road Notification (SORN) to the DVLA.

If SORN is not for you, it’s worth taking a few moments to make sure your vehicle is properly insured.

Otherwise, you could end up paying an immediate fine of £100 as well as facing court proceedings and further penalties.

How to check your car is insured

The good news is that it’s easy to check if your car is insured or not.

All you need to do is go to the Motor Insurance Database website – askMID.com – and enter your vehicle registration number.

The database, which is the same one used by the police to identify uninsured vehicles, will then throw up the relevant information.

So if all is as it should be on this site, you’ve got nothing to worry about.

How to register your car as SORN

To avoid having to insure a vehicle that you do not plan to drive on the road, you must return your tax disc to the DVLA with a V14 form and declare it as SORN at the same time.

How to avoid a CIE penalty

As explained above, owners of uninsured cars now face a fixed penalty notice of £100 and the possibility of their vehicle being clamped, seized and disposed of along with a court prosecution and a fine of up to £1,000.

However, anyone caught in this position will first be sent an Insurance Advisory letter from the Motor Insurers’ Bureau.

This letter will include a warning that a fine will ensue. However, you may still to be able to escape a penalty by acting fast.

Ways to do this include either insuring your vehicle immediately, notifying the DVLA that you are no longer the registered keeper, or registering it as SORN as soon as you can.

How to find cheaper car insurance

The high cost of insuring a car or other vehicle can be off-putting.

It’s no excuse for being uninsured, but it’s undoubtedly a problem in a lot of cases.

The smart move is therefore to get the cover you need at the lowest possible cost.

And MoneySupermarket is the perfect place to shop around to make sure you’re getting the best deal.

We have over 100 insurers competing for your business, and it only takes a few minutes to run a quote – and you could save upwards of £350 a year, or even more.

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