What is Hospice? Crossroads Frequently Asked Questions #avalon #hospice

#hospice questions


Frequently asked questions

There are many questions. and myths. about hospice. Below are answers to some the most common questions asked. They will give you get a better understanding of what hospice care is and how it can benefit your family.

Have more questions about hospice care? Please contact us now.

  • What is hospice care?
  • Is hospice only for people who are dying?
  • Who is best suited for hospice care?
  • Isn t using hospice the same as giving up ?
  • Should we wait for the doctor to suggest hospice?
  • When is the best time to start hospice care?
  • Who pays for hospice care?
  • Once you begin hospice care, you cannot leave the program?
  • Is hospice a place?
  • Does hospice only care for cancer patients?
  • Is hospice only for housebound or bed-ridden people?
  • Hospice “dopes people up” so they become addicted or sleep all the time?
  • What is hospice care?

    Hospice is a philosophy of care. It treats the person rather than the disease and focuses on quality of life. It surrounds the patient and family with a team consisting of professionals who not only address physical distress, but emotional and spiritual issues as well. Hospice care is patient-centered because the needs of the patient and family drive the activities of the hospice team .

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  • Is hospice only for people who are dying?

    Hospice is for people who have a limited life expectancy. (Actually, we all have a limited life expectancy, so it is more specific than that.) Hospice is for patients whose condition is such that a doctor would not be surprised if the patient died within the next six months. This doesn’t mean the patient is going to die in the next six months–it simply means that he or she has a condition that makes dying a realistic possibility.

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  • Who is best suited for hospice care?

    Hospice patients are those with very serious medical conditions. Usually they have diseases that are life threatening and make day-to-day living very uncomfortable—physically, emotionally, or spiritually. Some are in pain. Others experience difficult symptoms such as nausea, extreme fatigue, and shortness of breath. These symptoms may be caused by the disease, or they may have been caused by treatments intended to cure the disease. Often patients turn to hospice because they are anxious or depressed, or they are feeling spiritually distressed because of their medical condition. Hospice specializes in easing pain, discomfort, and distress on all levels. The care provided by hospice is often helpful for conditions such as cancer, heart disease, COPD (emphysema) and advanced dementia. Seriously ill patients who have decided that their priority is to have the best quality of life possible are the people who are best suited for hospice.

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  • Isn t using hospice the same as giving up ?

    Not at all! This is one of the most common questions about hospice but it is actually a misconception. Although your loved one’s condition may have reached a point that a cure is not likely—or not likely enough to be worth the side effects of treatment—that does not mean there is nothing left to do. In fact, an emphasis on quality of life and easing pain and distress often allows the patient to spend his or her last months focusing on the things that are ultimately the most important and meaningful. As one man put it, “I’d rather spend my time with my children and grandchildren than waste my limited time and energy driving to the treatment center and recovering beside the toilet bowl.” With the expert guidance of a nurse and case manager, as well as the assistance of bath aides, social workers, and chaplains, patients and families find they can focus on their relationships, healing old wounds and building wonderful memories together. Far from giving up, hospice helps families truly live well and support each other during a stressful, but, in the end, very natural family life passage.

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  • Should we wait for the doctor to suggest hospice?

    You can, but oddly enough, doctors often wait for families to bring it up. This is part of the reason that people often receive hospice care so late in the process. If you think your loved one and family might benefit from the support of weekly home visits from staff who specialize in pain control and the easing of distress, ask your doctor if hospice might be something to consider now, or in the near future. If, when you are truly honest with yourself, you realize that you would not be surprised if your loved one were to die in the next six to twelve months, ask the doctor if he or she would be surprised. If the answer is anything close to “No, I would not be surprised,” then maybe it’s a good time to begin a discussion about hospice. If you would like more information, please feel free to call us toll-free 1-888-603-MORE (6673). We would be happy to talk with you or to do an informational home visit—no obligation or strings attached.

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  • When is the best time to start hospice care?

    Most patients and families who receive hospice care say they wish they had known about it earlier, that they needed the help much sooner than they received it. Research has shown that hospice can increase both the quality of life and how long a patient lives. Families who receive hospice near the very end–just a few days to a week–have been shown to have a harder time adjusting during the bereavement period than do those whose loved one receives hospice care for weeks and months before passing on. If you even think that your family and the person you care for could benefit from pain or symptom management, assistance with bathing and grooming, emotional and spiritual support, and telephone access to caregiving advice, ask your physician if hospice might be a service to consider. Experts agree that at least two to three months of care is optimal. It is better to ask sooner rather than later so you do not regret having missed the support that hospice has to offer.

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  • Who pays for hospice care?

    Patients have several options when it comes to paying for the cost of hospice care. If the patient has Medicare and meets hospice eligibility requirements, then the government will pay as much as 100% of the cost. In such a case, there is no deductible and no copayment. Not only are the services of the hospice staff entirely covered, but medical supplies and prescriptions relating to pain and comfort management are also covered. Individuals who do not have Medicare coverage but have coverage from private insurance should talk with their insurance company to find out about eligibility and what deductibles and copayments may apply. Medicaid provides coverage, but it varies by state.

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  • Once you begin hospice care, you cannot leave the program?

    A person may sign out of the hospice program for a variety of reasons, such as resuming aggressive curative treatment or pursuing experimental measures. Or, if a patient shows signs of recovery and no longer meets the 6 month guideline, he or she can be discharged from hospice care and return to the program when the illness has progressed at a later time.

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  • Is hospice a place?

    Hospice is not just a place – it’s a service. Hospice brings physical, emotional, and spiritual care and support to wherever our patients call home.

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  • Does hospice only care for cancer patients?

    Hospice is not just for cancer patients. Crossroads Hospice cares for patients with any life-limiting illness. Among the illnesses our patients have had are cardiac and respiratory diseases, renal disease, and neurological illness including Alzheimer’s disease, Lou Gehrig’s disease, AIDS, Cirrhosis, and others.

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  • Is hospice only for housebound or bed-ridden people?

    Hospice is not only for those who are housebound or bedridden; most are living their day-to-day lives. Care is given where ever the patient lives; in their home, long-term care facilities, assisted living or retirement communities, rest homes and hospitals.

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  • Hospice “dopes people up” so they become addicted or sleep all the time?

    When patients have a legitimate need for pain medication, they do not become addicted to it. Crossroads Hospice has the expertise to manage pain so that patients are comfortable yet alert and are able to enjoy each day to the fullest extent possible, given their medical condition.

FAQ: What might I expect to happen when someone I – m

#hospice dying process


This is a difficult topic for many people to think about, and especially to bring up in a public forum, but people still want and need to know what they might expect as they or someone they care for are declining. It is understandable to fear the unknown, and to fear suffering. I would say that there are a few leading points here:

1) Most patients don t suffer much as their cancer progresses and as they transition through the dying process.

2) This process is quite variable from one person to another, but we typically have a good idea of what a patient s leading problems will be weeks to months before a person is experiencing a more rapid decline.

3) Engaging hospice services/palliative care can help guide expectations and generally manage many of the problems effectively by anticipating them, rather than waiting until very late to accept palliative care.

While I would never want to romanticize or minimize the challenges of the dying process, I find that the majority of my patients experience a controlled decline in which they really don t suffer. The most common pattern I see is that someone with a progressing cancer will slow down, eat less, begin to lose weight more steadily, and just gradually become less and less active. They no longer go out on walks, then leave the house less often, then spend more time alternating between sleeping and getting up in a chair, then eventually get to a point where they are sleeping most of the time and are pretty much bed-bound. They have less interest in eating, which is sometimes frustrating to the patient but often more so to the family and supporters of the person, who may pressure the patient to force down food that they have little or no appetite for (the danger is that some patients describe distress from the unyielding pressure from well-intentioned but nagging loved ones). Soon, they are sleeping more and more, to the point that they eventually sleep all of the time and are no longer communicative; this is followed by irregular breathing, more prolonged pauses between breaths (called agonal breathing, though it isn t uncomfortable for the person, just a reflex the last phase of the dying process), and then they stop breathing. It s important to remember that this common pathway of progression isn t a lack of will on the part of the person with progressing cancer: they would eat and be more active if they could, but the cancer pours out toxic proteins that mediate this inexorable process.

It s true that some patients have pain, or a terrible cough, or shortness of breath, agitation, and other problems, but I would say that most of the time, we have signals that these are going to be issues for a long while before the later stages, and it s advisable to deal with them as aggressively as possible before these symptoms become a crisis. Secondly, I most commonly see problems emerge when people (patients and/or their doctors) are very resistant to enlisting hospice support, which typically does a very good job of addressing symptoms proactively, before they become a crisis, and also being able to provide the comfort of helping patients and families/caregivers to understand what to expect in the near future. Just as on a plane, turbulence is much easier to understand if you know to expect it, what it represents, and how you ll get through it.

About 20 years ago, I spent some time in medical school doing home visits with the very compassionate and thoughtful Medical Director of a Boston hospice. I asked him about his feelings on euthanasia, and he told me that he didn t actually feel that it was a pressing need in almost any cases. Specifically, he noted that it was most common for people to fear two things about dying: being alone in being in pain. Though being a primary caregiver is a very hard job, it is a great blessing to have someone there to help as a caregiver to a terminally ill patient something that even attentive medical care can t substitute for. That care and the ability to ensure that people aren t alone is incredibly helpful. But a medical team today can usually do a good job to minimize the physical suffering of the process to relieve pain and other symptoms. And most of the time, what we see is a patient gradually withdrawing and eventually passing comfortably.

Related Posts:

Hospice care and palliative care: What – s the difference? #benefits #of

#palliative care versus hospice


Hospice care and palliative care: What s the difference?

I’ve talked to hundreds of people about the health care options and decisions they face at the end of life. It’s a challenging time and understandably many have little knowledge, while others have misconceptions, and some have bitter disagreements.

Here’s a basic primer for two common approaches: hospice and palliative care.

Two myths about hospice care are prevalent. First, many people believe hospice is provided in a place like a hospital. While it’s true many hospices have residential facilities, hospice care is usually given at home.

Second, people often believe that with hospice, there is no treatment but pain control. That’s not the case at all. Medical care will continue as before, except that further attempts to cure the major disease will stop. If a person gets a bladder infection, or pneumonia, for example, regular treatment will be available. If the person chooses to not go to a hospital for treatment of something like pneumonia, treatment at home will be offered. And if a breakthrough cure of the primary disease occurs, it will not be denied to the hospice patient.

Often I am the first one to bring up hospice care with the patient or their family. As geriatricians, my colleagues and I see many people with incurable and late stage disease. (It’s important to know that hospice care is available for all ages, though.) For patients and families, electing hospice care means extra help for the family, and occasionally the provision of helpful equipment. We bring up hospice care when we believe the patient or family will benefit from these extra services.

Sometimes it’s a touchy subject. I’ve been angrily yelled at by family who want the patient to keep trying for cure, to keep taking chemotherapy, to try more radiation, to go for more surgery or to some other country for some unproven therapy. We frequently think these family members are either uninformed or in denial. We sometimes wish they could feel their loved one’s nausea, weakness and confusion from hopeless chemotherapy, or their desperate struggle for air in advanced lung disease.

Sometimes the cost of hospice is a concern. Medicare and most insurance companies cover hospice care. Hospice is covered under Medicare Part A. There is no deductible, and copayments are very low. The restriction is that care must be coordinated by the hospice team.

Hospice care is defined fairly clearly by Medicare and other insurers. “Palliative care” seems more ambiguous – there is no standard definition – and is often less understood than hospice care. Palliative care is focused on making patients as comfortable as possible with an emphasis on maximizing the quality of daily life. It is provided in different ways. In our Palliative Care Consult Service, we provide suggestions to the regular treating physician and to the family, usually about pain and other symptoms. Our consult service often includes a social worker and a faith community representative.

Bitter disagreements about end of life care come not only from family members but also from providers. About 15 years ago, when I was with the National Institute on Aging, I had a discussion with an oncologist who represented a professional society. He argued that there should be no limit on chemotherapy, up to the point of death. We discussed a new therapy that would add one month of life expectancy to a geriatric patient. His position was that regardless of the intense side effects it caused, it should be prescribed and encouraged. My position was it should be discussed with the patient, and if it is declined, that decision should be respected. Now years later, that controversy persists, not just among oncologists. Terminal care is also provided by pulmonologists, cardiologists, and generalists, for example, some of whom advocate intensive care to the end, while others respect the patient’s request for limited care.

This basic primer is like a map. “There is North America, and there is Europe.” They are separated by an ocean, yet they have much in common. North America is like hospice, with clear boundaries. Palliative care may be more like Europe, which merges into Asia (which may be like “usual care”). Where one stops and the other begins is mostly a political decision, just like the separation of palliative vs. usual care.

End of life care can be challenging, and the options may seem murky. In order to find their way, patients, family members and physicians might benefit from “GPS” systems, including helpful road side assistance to help them navigate these complex health care decisions. Definitions and primers are just the start of customizing this final journey.

James Cooper is Clinical Professor of Medicine, Division of Geriatrics and Palliative Care, George Washington University. He blogs on the Prepared Patient Forum .

I apologize, but I m still a bit confused about the difference. Are the two types of care mutually exclusive? Or would hospices provide palliative care in addition to other services? If the latter, what additional services would a hospice provide?

Or, if palliative care is just focused on alleviating symptoms, is it appropriate for people not facing the end of their lives?

There are differences in the benefits you get with hospice vs palliative care. With hospice, the patient can receive help with home care (shopping, cleaning, laundry, etc.) without a skilled nursing need. With palliative care, that s not available unless there s a skilled nursing need (wound care, dressing changes, osteomy care, PT, OT, etc.) With hospice a physician must certify that in his/her opinion the life expectancy likely won t exceed 6 months (though there can be extensions). So, yes, hospice care does provide palliative care in addition to other services. The hospice approach is holistic and team based (as is palliative care). And home hospice refers to all of these services provided in the patient s home.

Do you think that hospice care has resulted from the futility of certain medical treatments? do you believe that hospice care offers a non- medicalized dying process? Under what conditions would hospice care merge with paliative care? Do you think that the crucial factor would be the state of disease of the patient? What if the person is merely physically disabled?

After almost 40 years as a respiratory therapist it has been my experience and those of many of my coworkers that the vast majority of family members are acting because of their own needs-frequently guilt or money. They think about how they feel, not how the patient feels. Even what the patient has specifically filled out a DNR order their family overrides it and the patient is subjected to days, weeks and sometimes even months of painful procedures that does not prolong life, it only prolongs death. Whoever wrote Americans think death is optional was so right

Leslie, I believe fear is the biggest factor as many people want to do something to help and change the situation or turn the clock back. The hospice team can help to manage the difficulties that families have. While many make decisions that are in line with what they want, we can t fault them for the suffering that they are enduring while witnessing the decline and loss of someone in their lives. The navigating of the dynamics that help the loved ones are the true skills of the hospice team in addition to the relief of suffering through good pain and symptom management.

I agree that people don t want this situation. I also agree that hospice people are wonderful and incredibly strong to do the stressful work that they do every day. I had hospice for my mother. I think that the physicians need to be more proactive in suggesting hospice. I think they need to eliminate the ideas that keeping a patient a full code will change the outcome. I m not saying that it is not difficult. I m saying that frequently it is difficult for the wrong reasons.

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

#palliative nurse


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?

QAPI – What does QAPI stand for? The Free Dictionary #hatta #fort

#qapi hospice


References in periodicals archive ?

The facility was recently awarded with QAPI Accreditation which requires the facility to be successful in three of these four categories: Comprehensive, Continuous, Coverage and Corrective QAPI .

Clear, complete and accurate nursing documentation communicates important information to others, allows for continuity of quality care, facilitates QAPI initiatives, and bolsters risk management.

Getting to the root of the problem is an essential part of QAPI .

The Centers for Medicare Medicaid Services (CMS) is responsible for both promulgating the QAPI regulation and providing technical assistance to NHs.

At the end of its section on QAPI. CMS states: “We believe these requirements are the single most important provision in this proposed rule to fulfill the congressional mandate for process performance measures based on empirical evidence of organ donor potential and other related factors in OPO service areas.

We believe that QAPI is regarded by the health care community as the most efficient and effective method for improving quality and performance of health care providers,” CMS stated.

QAPI at a Glance is the Centers for Medicare Medicaid Services’ implementation guidebook.

Engage the QAPI or Quality Assurance committee and compliance committee (both committees, being required, should be in place).

Quality Assessment Performance Improvement – IFMC will complete seven QAPI projects each year.

This analogy spotlights the fifth step of the 12 Quality Assurance Performance Improvement ( QAPI ) implementation steps–Develop Your QAPI Plan.

The third of the 12 QAPI implementation steps is “Take your QAPI ‘Pulse’ with a Self-Assessment.

QAPI is a comprehensive approach to ensuring high-quality, proactive, patient-centered care using evidence-based practices to increase knowledge for planning, implementing and sustaining measurable improvement.

What Is Terminal Illness? #motel #santa #cruz

#what is a terminal illness


What is Terminal Illness?

What is terminal illness; what do the words actually mean? It is a topic frequently brought up in the media, but what is the definition?

Simply put, a terminal illness is an infection or an illness which will result in death. Terminal illnesses or infections are considered incurable when there are no conservative therapies available which will eliminate it from the body. This medical phrase is usually used when there is a life expectancy of six months or less and complimentary and alternative medicine (CAM) options are not included when referring to “treatments.”

It is possible to be diagnosed with a “terminal illness” and outlive the six-month life expectancy. Examples of illnesses and infections which could have relatively long life-spans are: Acquired Immunodeficiency Syndrome (AIDS) and neurological illness such as Alzheimer’s, and Parkinson’s.

Now, knowing what is terminal illness, you may be wondering “are there any treatment options”?

Return to Terminal Illness

HOME from What Is Terminal Illness

Continue to Treatment Options

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What does palliative mean? definition, meaning and pronunciation (Free English Language Dictionary)

#what does palliative care mean



Dictionary entry overview: What does palliative mean?

The noun PALLIATIVE has 1 sense:

1. remedy that alleviates pain without curing

Familiarity information: PALLIATIVE used as a noun is very rare.

PALLIATIVE (adjective)
The adjective PALLIATIVE has 1 sense:

1. moderating pain or sorrow by making it easier to bear

Familiarity information: PALLIATIVE used as an adjective is very rare.

Dictionary entry details


palliative [BACK TO TOP]

Remedy that alleviates pain without curing

Nouns denoting man-made objects

Hypernyms ( palliative is a kind of. ):

PALLIATIVE (adjective)

palliative [BACK TO TOP]

Moderating pain or sorrow by making it easier to bear

moderating (lessening in intensity or strength)

Learn English with. Proverbs of the week

Beer before liquor, you’ll never be sicker, but liquor before beer and you’re in the clear. (English proverb)

Complete idiot who can keep silent, to a wise man is similar (Breton proverb)

The arrogant army will lose the battle for sure. (Chinese proverb)

Where there’s a will, there is a way. (Dutch proverb)

PALLIATIVE: related words searches

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What is Private Duty Home Care? #hospice #atlanta #center

#private duty nursing


What is Private Duty Home Care?

Published: Feb 25, 2014

What is Private Duty Home Care?

In-home care is one of the greatest long-term needs for seniors with chronic illness or for those who are unable to attend to themselves. Private duty home care is one option that may fit your loved one’s needs. This type of home care can come from an agency or you may hire a private caregiver. The question is: What is private duty home care?

Private duty home care is just a sub-set of general home care. Caregivers can provide a broad range of services. from medical and nursing care to bill paying and transportation services. Their goal is to provide whatever the senior and their family needs in order for them to remain independent in their own homes. Some services provided by private duty home caregivers are:

  • Personal care – bathing / dressing, hygiene, transfers, and ambulation
  • Homemakers / companions
  • Meal preparation
  • Medication reminders
  • Caregivers trained for clients with specialized conditions such as Alzheimer’s Disease, hospice, end of life or other needs
  • Transportation for shopping, doctor’s visits or other needs

Private duty home care may differ from traditional home care because of the payment method. Also known as insurance-paid in-home services, there are usually two types of approaches for payment:

  1. Full coverage medical insurance where the insurance company pays the claims for their customers
  2. Medicare supplemental insurance where a medical insurance policy either supplements the customer’s Medicare insurance or takes the place of Medicare insurance

With private duty paid in-home services, some patients pay for in-home services out of their own pocket, or from a long term care insurance policy. Additionally, there are a number of hybrid forms of payment methods including various combinations of the commonly used insurance, Medicare, Medicaid and private duty. Private duty home care is a great way for your loved one to stay independent and receive professional care. Being looked after by a professional also inserts a new companion in your loved one’s life.

So now when someone asks, “What is private duty home care?” you can confidently provide an answer. For more information on what private duty home care includes, visit the Private Duty Home Care Association website, or contact a Comfort Keepers representative to help you find a location offering these services near you.

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    Aloha The Payroll Company

    Aloha, I’m Tom Rathjen. I’ve been providing payroll services to my CPA clients for more than 10 years. Together with my wife, Nicole, we started Aloha Payroll to expand our payroll offering and provide outstanding service. We are located in Texas but Nicole is from Hawaii, which explains our name!

    We’ve seen a lot of changes in HR and payroll over the last decade alone. The Internet, electronic devices and software advances created opportunities for time savings, making our lives easier and more productive. But payroll became more complex and technology was slow to catch up.

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    What is Human Resource Development? #human #resource #master #degree, #what #is #human


    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 We Do #24 #hour #hospice #care

    #what do hospices do


    What We Do

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

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

    Our History

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

    Mission, Vision, Values

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


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


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


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

    Our Leadership

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

    Jane Armstrong, RN MN Executive Director

    Meet our Executive Director

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

    Board of Directors

    Kathy Patrick Wilson – President

    Kyle Curtis- Vice President

    Anne Weeks – Secretary

    Harvey Heise – Treasurer

    What is Perinatal Hospice? #last #minute #room #deals

    #perinatal hospice


    Focus on the Family

    What is Perinatal Hospice?

    Perinatal hospice is designed for parents who have received a devastating prenatal diagnosis and elect to continue the pregnancy despite the likelihood that their baby will die before or after birth. Simply stated, the perinatal hospice team comes alongside the family as they make meaningful plans to honor and celebrate the life of their baby, compassionately providing the clear and relevant information they need, such as:

    Practical Guidance

    • Assist with the creation of a personalized birth plan that speaks to parents’ wishes for the labor and delivery experience and care of their baby at birth.
    • Provide coordination of services between different caregivers.
    • Assist the family with the collection and preservation of keepsakes.
    • Help the family plan a memorial service.

    Educational Support

    • Provide parents with specific information about their baby’s diagnosis.
    • Help parents as well as other family members know what to expect throughout the grieving process.
    • Offer private childbirth education classes and hospital tours.

    Emotional Support

    • Provide grief support beginning at time of diagnosis.
    • Offer referrals for pastoral care as requested.
    • Attend delivery at the family’s request to serve as an advocate and to provide additional emotional support.
    • Provide follow-up support throughout the bereavement period.
    • Refer parents to a local perinatal bereavement support group.

    Copyright © 2010 Focus on the Family. All rights reserved.

    Renter’s Insurance 101 #renter #insurance, #tenant #insurance, #tenant #insurance #ontario, #how #much


    Home Insurance

    Renter’s Insurance 101

    According to Statistics Canada, less than half of renters in Canada have renter’s insurance 1 (also known as tenant or contents insurance).

    We often think of home insurance as protecting the big stuff—like pipes, appliances, and the physical structure of the home or building. If you are renting, your landlord may have his or her own insurance policy to cover these kinds of items. But their insurance will not cover your personal belongings, such as furniture, jewellery, or entertainment equipment. Your landlord’s insurance will also not protect you if someone is injured on your property.

    That’s where renter’s insurance comes in. Renter’s insurance will help you replace these possessions in the event of a loss or damage due to a covered risk. Speak to an Advisor to see how we can tailor your insurance to fit your needs.

    Let’s start by understanding the importance of liability insurance.

    Accidents happen and sometimes those accidents can be quite costly.

    For example, a candle in your apartment could cause a fire. If that candle affects other units, you may be deemed responsible to pay for damages to your rental unit.

    Or, if someone trips and falls in your apartment, you could be held financially responsible for the cost of medical expenses and lost wages.

    Liability insurance could protect you in the event of a lawsuit, and help you cover the cost of any damages.

    Next you need to understand a few basic terms:

    • All-Risk insures your building and contents for losses due to the widest range of perils (or risks), unless specifically excluded from your policy like intentional damage
    • Personal Liability insurance protects you for unintentionally injuring someone or damaging their property and have to pay damages (example: someone has a slip and fall on your walkway, breaks his/her leg and now cannot work for a period of time)
    • Contents Insurance covers your belongings (including when you travel) for losses resulting from the most common types of perils (or risks) up to a specified amount
    • Replacement Cost Coverage means that the contents of your home are insured for the amount it costs to replace them without depreciation
    • Additional Living Expenses Coverage will help you pay for reasonable and necessary expenses (like hotel and food costs) in the situation you are forced to leave your home following an insured peril (or risk) for a period of time

    Find the home insurance coverage that best fits your needs

    1 Most renters skip home insurance. (2010, January 19). CBC News. Retrieved January 20, 2016, from http://www.cbc.ca/news/canada/ottawa/most-renters-skip-home-insurance-1.911039

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


    All you need to know about home-schooling

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

    Don’t take the decision to home-school lightly

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

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

    Discipline is key

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

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

    What about exams?

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

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

    A more informal approach

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

    How do home-schooled children matriculate?

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

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

    Benefits of home-schooling

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

    Drawbacks of home-schooling:

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

    Beware the challenges

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

    Are you ready for the responsibility?

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

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


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

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

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

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

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

    Question: What does a paralegal do?

    Answer: Any task assigned to her by the attorney.

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

    What does a legal secretary do?

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

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

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

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

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

    How much does a paralegal make?

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

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

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

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

    Is becoming a paralegal a good career choice?

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

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

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

    16-13-2 – Conditional discharge for possession of controlled substances as first offense


    2010 Georgia Code
    § 16-13-2 – Conditional discharge for possession of controlled substances as first offense and certain nonviolent property crimes; dismissal of charges; restitution to victims

    O.C.G.A. 16-13-2 (2010)
    16-13-2. Conditional discharge for possession of controlled substances as first offense and certain nonviolent property crimes; dismissal of charges; restitution to victims

    (a) Whenever any person who has not previously been convicted of any offense under Article 2 or Article 3 of this chapter or of any statute of the United States or of any state relating to narcotic drugs, marijuana, or stimulant, depressant, or hallucinogenic drugs, pleads guilty to or is found guilty of possession of a narcotic drug, marijuana, or stimulant, depressant, or hallucinogenic drug, the court may without entering a judgment of guilt and with the consent of such person defer further proceedings and place him on probation upon such reasonable terms and conditions as the court may require, preferably terms which require the person to undergo a comprehensive rehabilitation program, including, if necessary, medical treatment, not to exceed three years, designed to acquaint him with the ill effects of drug abuse and to provide him with knowledge of the gains and benefits which can be achieved by being a good member of society. Upon violation of a term or condition, the court may enter an adjudication of guilt and proceed accordingly. Upon fulfillment of the terms and conditions, the court shall discharge the person and dismiss the proceedings against him. Discharge and dismissal under this Code section shall be without court adjudication of guilt and shall not be deemed a conviction for purposes of this Code section or for purposes of disqualifications or disabilities imposed by law upon conviction of a crime. Discharge and dismissal under this Code section may occur only once with respect to any person.

    (b) Notwithstanding any law to the contrary, any person who is charged with possession of marijuana, which possession is of one ounce or less, shall be guilty of a misdemeanor and punished by imprisonment for a period not to exceed 12 months or a fine not to exceed 1,000.00, or both, or public works not to exceed 12 months.

    (c) Persons charged with an offense enumerated in subsection (a) of this Code section and persons charged for the first time with nonviolent property crimes which, in the judgment of the court exercising jurisdiction over such offenses, were related to the accused’s addiction to a controlled substance or alcohol who are eligible for any court approved drug treatment program may, in the discretion of the court and with the consent of the accused, be sentenced in accordance with subsection (a) of this Code section. The probated sentence imposed may be for a period of up to five years. No discharge and dismissal without court adjudication of guilt shall be entered under this subsection until the accused has made full restitution to all victims of the charged offenses. Discharge and dismissal under this Code section shall be without court adjudication of guilt and shall not be deemed a conviction for purposes of this Code section or for purposes of disqualifications or disabilities imposed by law upon conviction of a crime. Discharge and dismissal under this Code section may not be used to disqualify a person in any application for employment or appointment to office in either the public or private sector.

    Disclaimer: These codes may not be the most recent version. Georgia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

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


    Dental Assistant Job Description Duties

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

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

    Dental Assistant Duties

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

    Some specific dental assisting job duties may include:

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

    Additional Dental Assistant Duties

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

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

    General Dental Assistant Duties and Responsibilities

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

    Some general dental assisting duties are:

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

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

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


    How Brake Light Wiring Works

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

    Burazin/Photographer’s Choice RR/Getty Images

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

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

    Keep Reading Below

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

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

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

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

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

    What happens in the final days of life #las #vegas #hotels #on

    #end of life symptoms


    What happens in the final days of life

    The body begins its natural process of slowing down all its functions. How long this takes varies from person to person and may take hours or days. The dying person will feel weak and sleep a lot. When death is very near the dying person may have

    • Sleepiness and difficulty waking (semi conscious)
    • Difficulty swallowing or not wanting to eat or drink at all
    • Loss of control of bladder and bowel control
    • Restless movements (as though they are in pain)
    • Changes in breathing
    • Noisy breathing
    • Cold feet, hands, legs and arms
    • Confusion and disorientation
    • Complete loss of consciousness

    You can read about all these changes below.

    It can be emotionally very difficult to watch someone go through these physical changes. But they are part of a natural dying process and don’t mean that the person is uncomfortable or in distress.

    The doctors and nurses looking after the person during this time will check regularly for these changes. They will do all they can to make your relative or friend as comfortable as possible during their death. If you are looking after someone at home while they are dying, you should have support from a specialist community nurse, district nurses, and the GP. They can answer your questions and help to make home nursing easier for you.

    People who are dying often sleep a lot and might not respond when you try to wake them. But this doesn’t mean they can’t hear you. Hearing may be one of the last senses to be lost. So it is important not to stop talking to them and comforting them. You can sit close to them and hold their hand. It is important not to say anything that you wouldn’t want them to hear. It’s also a good idea to tell them when you go into or leave their room.

    There will come a time when the dying person won’t want to eat or drink anything. It is important not to try and force them to eat or drink. This will make them uncomfortable. If they are still awake you can give them small pieces of ice to suck or sips of fluid to keep their mouth moist. You can put lip balm on their lips to help stop them getting dry and sore.

    If they really can’t take anything into their mouth, you can moisten their lips and mouth every 1 to 2 hours with lemon and glycerine swabs or water. Your GP or district nurse can get you the swabs.

    The dying person might lose control of their bladder and bowel. This happens because the muscles in these areas relax and don’t work as they did. This can be distressing to see and you might worry that they may feel embarrassed. The nursing staff will do all they can to protect the bed and keep your relative or friend as clean and comfortable as possible.

    If you are caring for someone at home, the district nurses and specialist nurses can arrange for you to have draw sheets or pads to protect the bed. They may also be able to arrange a laundry service for you, if necessary. As people become very close to death and are not eating or drinking, the amount of urine and stools they produce gets less and less.

    Many people who are dying, and the people around them, worry that they will be in pain. Some people don’t have pain. But if a person is in pain, it can usually be well controlled and people can be kept very comfortable. The doctors and nurses looking after the dying person will do all they can.

    Sometimes restlessness is a sign of being in pain. If the dying person can’t communicate very well and you think they are in pain, the most important thing is to tell their doctors and nurses. They will want your relative or friend to be pain free, so do talk to them. This will help them plan the best way of controlling the pain.

    When someone is dying their breathing often changes. It might get noisy and irregular. There may be times when they stop breathing for a few seconds. This is called Cheyne Stoke (pronounced chain stoke) breathing. They may breathe with their mouth open and use their chest muscles to help them catch a breath.

    It can help to raise the head of the bed with pillows or cushions. Just sitting with them, speaking gently, and holding their hand can be very reassuring for them. If someone is having difficulty breathing, a doctor or nurse might suggest giving a small dose of morphine, even if they are not otherwise in pain. Morphine can help to make breathing easier.

    You may hear gurgling or rattling sounds as the dying person takes each breath. This is coming from their chest or the back of their throat. It is because there is a build up of mucus and saliva and they don’t have a strong enough cough reflex to cough it up. Raising their head and turning it to the side can help gravity to drain the secretions.

    Sometimes a nurse or doctor can suck the fluid out through a thin tube put down into the person’s windpipe, but this is not usually needed. Hearing the gurgling sounds can be very upsetting, but they don’t usually seem to cause distress to the dying person.

    The dying person’s face, hands, arms, feet and legs often become very cool to touch. Their skin might also become pale and look blotchy or mottled. This happens because there is less blood circulation to these parts of the body. Keep them warm with blankets but don’t use an electric blanket as this may become too uncomfortable. Thick socks can help to keep their feet warm. Don’t overheat the room as this can make it stuffy. Just keep it at a comfortable temperature.

    You might hear your loved one say things that make no sense. They may not know what day it is or may not appear to know who you are. They may even say things that are totally out of character. For example, they may shout at you or physically push you away. This can be very hurtful and upsetting. But try to understand that they don’t mean it and are not aware that they are doing these things. It happens partly because of the chemical changes going on inside their body.

    At the end of life, the chemical balance of the body becomes completely upset. The dying person then slips into unconsciousness. This is usually right towards the end, maybe only a few hours or days before death. Breathing becomes irregular and may become noisy. You won’t be able to wake them at all. Their breathing will stay irregular for some time and will stop at some point.

    Emotional and spiritual changes

    Everyone will feel different emotions when they are dying. A lot depends on

    • The type of person they are
    • Their age
    • How much support they have
    • Their religious and spiritual beliefs
    • The experiences they have had in life

    Someone dying in their 20s is likely to feel very different to someone who is 80. If the person dying is leaving behind young children, they will have different worries from someone whose children are grown up and able to take care of themselves.

    Before the final stages of death the dying person may talk about wanting to complete any unfinished business. This may mean

    • Sorting out any problems with personal relationships, or deciding not to
    • Visiting certain places
    • Buying gifts for people
    • Sorting out personal belongings and giving special things away to family and friends
    • Getting their will and financial business in order
    • Seeing a religious leader

    As death gets closer they may begin to let go and seem more at peace with things. Others may become very anxious, fearful or angry. Some people may appear to withdraw even from the people they love and care about. But this doesn’t mean that they don’t care anymore. These events are all very normal and a natural part of dying.

    Even if the physical body is ready to shut down, some people may resist death. They may still have issues they want to resolve or relationships they want to put right. It is important to understand these things. Let your loved one know you are there for them and will help them with any of these issues.

    You are likely to feel some very strong emotions during the time your relative or friend is dying. You may feel that you want to try and change what is happening. Often all you can do is give them a lot of support and comfort during this difficult time. Allow them to share any memories or feelings they have. It is also important to reassure them that it is all right to let go and die whenever they are ready. Some people will hold on until they have heard these words from the people they love. So letting them go can be one of the most important and loving things you can do for them.

    If you need some support when someone close to you is dying it may help to speak to

    • The doctor or nurses on the ward
    • A religious leader
    • A counsellor
    • Close friends and relatives

    Try not to worry that you are going to do the wrong thing. Just being with your loved one and letting them know you love and care for them is the most important thing.

    What in the World Is Roxanol? #st #lukes #hospice #sheffield

    #roxanol hospice


    Posted on Thursday November 13, 2014 in

    Morphine sulfate is the gold standard in the treatment of pain and shortness of breath in end-of-life care. It’s a valuable tool for symptom management in the hospice setting.

    So what is it? Well, let’s start with the basics of morphine. Morphine is a drug that hospice nurses are well-versed in, and it’s a safe and effective medication when given in appropriate doses. The doses should be administered at prescribed intervals, and increased slowly to address escalating pain. The medication can only be given by order of a primary care physician or the hospice medical director.

    What is Roxanol?

    Morphine sulfate. known under the brand name Roxanol. is a short-acting. immediate release, morphine in liquid form. It’s used in the hospice emergency kit and allows for pain to be more rapidly addressed in a crisis. Some patients shy away from using morphine (and other opioid medications) because of a preconceived notion that it does more harm than good; that addiction is imminent. Here are some facts about morphine sulfate, and how it can help hospice patients during their end-of-life care:

    Administration: Morphine sulfate is available in tablet form. Roxanol is always a liquid form of immediate release morphine, used when the patient has difficulty swallowing.

    Time. Onset is rapid so symptoms are managed more quickly. It can also be used in conjunction with a long-acting pain medication, MS Contin for example, to address any breakthrough pain that occurs between doses of a long-acting pain medication.

    Dependency: It’s important to remember a patient may become dependent on medication for pain relief but dependence is not synonymous with addiction. A person can be dependent on Tylenol to relieve a headache but they are not addicted to the Tylenol and do not take it compulsively in the absence of a headache. A person in pain will rarely compulsively seek pain medication in the absence of pain.

    Safety: Overdose with use of Roxanol should not be a concern when used exactly as prescribed by the physician. Morphine sulfate, in both its long-acting and immediate-acting forms, is a safe and effective medication in the management of pain. The hospice nurse will educate the patient and family regarding the correct dose, how frequently to give the medication, and the correct technique for safe administration. Remember: the hospice nurse partners with the patient, family and under the direction of the physician in providing safe and effective pain management.

    If you have questions about the use of Roxanol or about the care of hospice patients. please visit our hospice care tips and guides section to learn more. You can also give us a call at 888-564-3405.

    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.

    What Does Discharged Loan Mean? #what #does #bankruptcy #discharge #mean


    What Does Discharged Loan Mean?

    Discharged loans are a form of discharged debt. Simply defined, a discharged loan is when an outstanding debt has been forgiven. Nearly all loans can be discharged under the right circumstances, though the most commonly discharged are student loans and home loans, or mortgages. The federal government maintains laws to help citizens with debt relief concerning discharged student and home loans. Financial attorneys should be sought for legal advice concerning loan discharge.

    Discharged loan debt does not automatically cancel lien.

    Discharged Debt

    Discharged debt is debt that is forgiven. Debt is most commonly discharged in the United States on account of bankruptcy. Citizens filing for any type of bankruptcy – Chapter 7, 11, 12 or 13 – are eligible for discharging debt. In the event of bankruptcy, types of debt for which a citizen is eligible for discharge are determined by the court, as are specifics such as lien. Lien is the right of a lending agency to claim the property of a debtor in the case of a defaulted loan.

    Though bankruptcy is the most common cause of discharged debt, other factors may affect a discharge, especially in the case of student loans.

    Discharged Student Loans

    Student loan debt may be legally discharged in the United States for reasons other than bankruptcy. For example, a student loan may not survive the recipient of the loan; if someone dies before a student loan is repaid in full, the loan is automatically discharged. Student loan debt is also automatically discharged in the event of total or permanent disability.

    Other reasons for which student loan debt may be discharged includes improper certification made on the part of a school, the closing of a school within 90 days of a student graduating, and military service or full-time teaching on the part of a loan recipient. Teaching and military service discharges only apply to National Defense loans.

    Discharged Mortgage

    The legality of discharged mortgage debt is determined on a case-by-case basis and is often related directly to the stipulations of the mortgage. As per the United States Federal Courts, mortgage debt is one type of long-term debt that may not be forgiven during a Chapter 13 bankruptcy.

    However, Chapter 7 bankruptcy does permit the discharge of loan debt though not the cancellation of lien. Therefore, if a mortgage debt is canceled under Chapter 7, the lending agency may have the right to seize the mortgaged property in exchange for the discharged debt.

    Some properties are exempt from seizure under Chapter 7, though the specifics of exemption are complex. The U.S. Federal Courts suggests individuals seek legal council with regards to such an exemption.

    Discharged Debt Forgiveness

    The IRS provides debt relief forgiveness through the Mortgage Forgiveness Debt Relief Act and Debt Cancellation. As per this law, any debt discharged on a primary residence, such as mortgage debt, is exempt from taxation. In order to qualify for such a tax exemption, the amount of a discharged mortgage debt must be less than $2 million for a couple or $1 million for those who are married but filing jointly. In the event of bankruptcy, no discharged debt is taxable, including student loan and mortgage debt.

    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
    • HIV/AIDS
    • 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

    Feminization and Crossdressing Phone Sex – Cross Dressing Fantasy Phone Sex for


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    It’s time to take those boring, drab, MAN clothes off. and slip into something more fabulous

    It’s time to release the stress and boredom of being a man. and enjoy the erotic release that comes along with transforming yourself into that amazingly sexy woman that lies within.

    Perhaps you enjoy crossdressing and feminization becase it allows you to feel closer to the women you find so attractive.

    We are experts in crossdressing phone sex fantasies.

    Perhaps you find them so incredibly sexy, you want to feel what it’s like to BE such a sexy woman.

    Cross Dressing allows one to escape the parameters of their own identity and sexuality, to break through the expectations and responsibilities that come along with one’s gender.

    For a lot of us, it’s just really, really sexy!

    Some individuals who are into feminization fantasies enjoy the angle of forced feminization. Many people find domination exciting; combining femdom and feminization in a forced feminization is very arousing for a lot of men – and women, too. Adding an element of helplessness to the feminization experience allows a man to relinquish feelings of guilt which may be associated with his cross dressing tendencies.

    There are many reasons why so many men enjoy crossdressing. Regardless of your own reasons, you will find someone here at Femphone who can help you explore your feminization fantasies, and even help you delve into crossdressing reality, if that’s your goal.

    Browse our profiles on this page. Each of the Feminization Mistresses has included a bit of information about herself, and about her interests in feminizing men. If you have any questions before you call, feel free to contact us at the email addresses provided on our profile pages.

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    What Makes a Woman?

    Remember when you threw on a towel and pinned it that you were automatically super man? Or if you felt a little girlie you played the woman role when playing house? Magically, you were who you wanted to be. It all came through in your own perceptions, and your own imagination. What if you are a cross dresser, and you really want to become a woman?

    Buying Panties Discreetly

    Are you a closet panty boy or are you still too embarrassed to admit your fetish, if only to the sales girl? No worries, you have several discreet panty buying options.

    A Crossdressing Essay: Is the Crossdresser Powerless to Stop Crossdressing? In this essay by Ms Courtney, the subject of just how deep the crossdressing compulsion goes. Crossdressing: Is the Crossdresser Powerless to Stop?

    You’re a man. You know what looks and feels sexy on a woman. And you want to capture that sexiness all for yourself, don’t you?

    You fantasize about sliding on those sleek, silky garments, slipping your feet into a strappy pair of sandals with the tiny gold buckle at the ankle, sitting in front of a mirror and spend as long as you want, making yourself. beautiful. making yourself sexy sexy like us.

    Cross Dressing and Transgendered Articles and Essays

    The bold titles below link to a series of crossdressing-transgendered articles written by the women of Femphone:

    Crossdressing Clothes: Stockings and Crossdressing, the Pleasures of Hoisery and Transgendered

    Caught in Panties: what should Mistress do if she catches you wearing her panties?

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    What are palliative care and end of life care? #motel #santa #barbara

    #palliative care


    What are palliative care and end of life care?

    What is palliative care?

    If you’ve been told you may not get better, you might also have heard about palliative care. Palliative care is for people living with a terminal illness where a cure is no longer possible. It’s also for people who have a complex illness and need their symptoms controlled. Although these people usually have an advanced, progressive condition, this isn’t always the case.

    Palliative care aims to treat or manage pain and other physical symptoms. It will also help with any psychological, social or spiritual needs. Palliative care includes caring for people who are nearing the end of life. This is called end of life care.

    The goal of palliative care is to help you and everyone affected by your illness to achieve the best quality of life. You might receive palliative care alongside particular treatments, such as chemotherapy or radiotherapy.

    • improves quality of life
    • provides relief from pain and other distressing symptoms
    • supports life and regards dying as a normal process
    • doesn’t quicken or postpone death
    • combines psychological and spiritual aspects of care
    • offers a support system to help people live as actively as possible until death
    • offers a support system to help the family cope during a person’s illness and in bereavement
    • uses a team approach to address the needs of the person who is ill and their families
    • also applies to the earlier stages of illness, alongside other therapies that are aimed at prolonging life

    More information on how we can help you or a loved one living with a terminal illness .

    What is end of life care?

    End of life care is an important part of palliative care for people who are nearing the end of life. End of life care is for people who are considered to be in the last year of life, but this timeframe can be difficult to predict.

    End of life care aims to help people live as well as possible and to die with dignity. It also refers to care during this time and can include additional support, such as help with legal matters. End of life care continues for as long as you need it.

    Who provides palliative care?

    The professionals who provide palliative care fall into two main groups:

    1. General care

    Those who provide day-to-day care to people with advanced illness and their family and friends, such as your GP, community nurses or Marie Curie Nurses.

    2. Specialist care

    Experts in palliative care, such as consultants in palliative medicine or clinical nurse specialists.

    You’re likely to need both general and specialist care as your needs change. Palliative care can be provided in different places including in your home, in hospital, at a care home or a hospice .

    General care

    Providing general palliative care is part of many health and social care professionals’ jobs. You might see these people regularly as part of your care:

    • your GP
    • community nurses
    • social workers
    • care workers
    • spiritual care professionals

    These professionals should be able to assess your care needs, and those of your family and friends. They should meet those needs where possible and know when to seek specialist advice. The aim of general palliative care is to provide:

    • information for you and your family or friends, and signposting to other services
    • accurate and all-round assessment of your needs
    • coordination of care teams in and out of hours
    • basic levels of symptom control
    • psychological, social, spiritual and practical support
    • good communication with you, your family or friends and the professionals supporting you

    Specialist care

    Specialist palliative care services manage more complex patient care problems that cannot be dealt with by generalist services. Palliative care specialists usually work in teams to provide joined-up care and you might see one or more specialists when you’re referred. Specialist teams include:

    • doctors and nurses
    • counsellors
    • specialist allied health professionals, such as physiotherapists, occupational therapists, dieticians and social workers

    Specialist palliative care services may be provided by the NHS (local health and social care trust in Northern Ireland), local councils and voluntary organisations. These could include inpatient and outpatient facilities and bereavement support services.

    Common myths about palliative care

    Palliative care is often misunderstood and some people believe things about it that aren’t true.

    MYTH: If I need palliative care it means I’ll have to go to a hospice
    You can receive palliative care in a range of settings including in your home, in hospital, in a care home or a hospice.

    MYTH: If I have palliative care it means my doctors have given up and I’ll no longer receive active treatment for my illness
    You can receive palliative care alongside active treatments for your illness, such as chemotherapy and radiotherapy.

    MYTH: If I have palliative care I’ll no longer be seen by other specialists who know about my particular illness
    You can receive palliative care support alongside care from the specialists who have been treating your particular illness.

    MYTH: Palliative care is just about treating pain and other physical symptoms
    Palliative care aims to provide a holistic approach to give you the best quality of life possible. This means caring for all your physical, emotional, psychological, social and other needs.

    MYTH: Only people who are ill can benefit from palliative care
    Palliative care teams are very aware that caring for someone with an advanced illness can have a big impact on family members and friends. Palliative care teams do what they can to help people cope.

    I want for nothing at this hospice. The staff give me all the medication I need and plenty of emotional support. They shower me because I get too breathless to do it myself. And they re always throwing tea and biscuits at me not literally, mind! Sylvia, person with a terminal illness

    External websites

    Carers UK – support and resources for carers

    NHS Inform – palliative care zone

    NHS Scotland – palliative care guidelines

    What really happens to your body when you stop drinking alcohol, what


    What really happens to your body when you stop drinking alcohol?

    There are plenty of reasons to quit drinking alcohol. Perhaps you can’t party as hard as you once did, and the hangovers are getting worse. Maybe you’ve developed a beer belly. Possibly, there’s a deeper issue at play and you don’t want your drinking to get out of hand before it’s a problem—unless it already is and you just don’t realize it. Whatever your circumstances are, you’re here, and you’re ready to kick the sauce. Let’s breakdown what happens to your body once you quit drinking.

    The first 48 hours after you stop drinking may be the biggest detox hurdle. Depending how much you were drinking, this may feel like a hangover or it may be more than that. Withdrawal symptoms can include sweating, a rise in blood pressure, shakiness or tremors, and insomnia as well as the usual hangover symptoms like headache and nausea.

    You probably saw that one coming. If you’ve been drinking alcohol regularly, your body is going to take note when it’s gone. According to the National Institute on Alcohol Abuse and Alcoholism, cravings are to be expected when your drinking behavior changes. The equilibrium your body created to adjust to alcohol in your system will no longer exist. That first day you go without a drink, especially if you’ve been drinking every day, is likely going to be filled with cravings for alcohol. For some, cravings can last weeks, months, or years depending on the amount and regularity of alcohol use prior to quitting.

    If you are a heavy drinker, you may not be out of the woods after 48 hours. Between 48-72 hours is generally when the onset of ‘delirium tremens’ occurs for some. Delirium tremens is sudden confusion that may be paired with hallucinations, shaking, irregular heart rate, and an increase in body temperature so high that it can sometimes lead to seizures. If you are a heavy drinker, it is important to detox from alcohol under the supervision of a medical professional as the withdrawal from quitting cold turkey can lead to death.

    While hangover and withdrawal symptoms can be uncomfortable, and at times dangerous, the good news is that after peaking at around 72 hours after the last drink, the last of these symptoms will generally start to subside. At this stage your body begins to create a new equilibrium that does not include alcohol and its effects.

    While your body will have adjusted after a week of not drinking, there may be psychological effects of detox that last longer. Some people report feelings of anger and aggression, general anxiety and depression, nightmares and difficulty sleeping, and even decreased libido. This is in part because alcohol use affects neurotransmitters that are implicated in mood, such as serotonin. There may also be underlying issues for which alcohol has been used to self-medicate. Often the experiences and emotions that were being ignored during alcohol use rise to the surface after you stop drinking. During this time it can be helpful to seek out counseling, either individual or in a group, to handle these emotions and experiences.

    It may take a week or two, but after you quit drinking you’ll ultimately sleep better. According to research, drinking increases brain wave patterns that usually happen when you’re awake. In normal deep sleep, the brain activity is in delta waves. Consuming alcohol causes brain activity during sleep to happen in alpha waves. Alpha waves are generally only seen in brain activity when we’re awake, but resting. We all know that resting on the couch isn’t the same thing as getting a good night’s sleep, so it’s no wonder that people who drink regularly often feel tired and fatigued during the day.

    You may be thinking, “But I always fall asleep faster when I drink!” That may be true, but it’s only for a little while. A review of several studies found that even if alcohol helps you fall asleep more quickly and deeply at first, the quality of your sleep suffers overall, leaving you feeling tired the next day. So while you may have a hard time falling asleep at first when you stop drinking, you’ll be more refreshed the next day.

    You’ll lose weight

    If you stop drinking and change nothing else about your diet or level of activity, you’re likely to lose weight. It’s partially the simple concept of calorie counting—alcohol, especially beer, contains a lot of calories. A single IPA may have as many as 200 calories; and a margarita could have roughly 300. If you suddenly drop hundreds of calories a day, the pounds will drop off over time. Plus, you’ll overeat less. Research shows a link between alcohol consumption and heightened senses. Being intoxicated sends the hypothalamus in the brain into high gear, which makes the body more sensitive to food smells. That, combined with alcohol’s famous ability to remove inhibitions, leads to extra eating.

    Your skin will look better

    Alcohol is a diuretic, meaning it causes water to exit the body. Not so much “cause” as “force.” In short, it’s severely dehydrating. It decreases the production of a hormone that helps the body absorb and hold water. This is why water is needed during a hangover. Over time, less water in the body leads to noticeable effects, such as parched and dry-looking skin, rosy red cheeks, dandruff, and eczema. After kicking the sauce, you should see a vast improvement in the quality of your skin.

    Blood sugar levels return to normal

    When the body is processing alcohol, it stops efficiently maintaining proper blood sugar levels. Not only does it get in the way of your body accessing glucose stores but it decreases the effectiveness of insulin, the hormone that regulates blood glucose levels. That leads to wildly out of control blood sugar levels, which over time can lead to type II diabetes. Blood sugar levels often normalize when alcohol is no longer a factor—in studies, they’ve been shown to drop by as much as 16 percent.

    Your chances of developing several forms of cancer decrease

    The National Cancer Institute has linked heavy drinking with an increased risk of several cancers, among them: mouth, liver, breast, colon, and rectal cancer. Without alcohol in the body, that’s one less carcinogen to worry about.

    Liver fat will decrease

    In a small study conducted by New Scientist and the Institute for Liver and Digestive Health at University College London Medical School, abstaining from alcohol for a month led to an average of 15 percent decrease in liver fat (with some individuals seeing a 20 percent decrease). This is important because fat accumulation in the liver can lead to liver damage and eventually liver disease.

    Your immune system will work better

    Excessive drinking has been linked to many immune-related health effects. These include higher susceptibility to pneumonia and other respiratory disorders, greater likelihood of sepsis and certain cancers, a higher instance of postoperative complications, and poor wound healing, among many others.

    Research suggests this is because alcohol overexerts the immune system. In fact, some studies have found that a single episode of binge alcohol intoxication leads to exertion on the immune system and inflammation. The good news is that it can be reversed. After you stop drinking, your immune system’s response will be strengthened over time.

    You have a better chance of conceiving

    If you’re trying to have kids, your chances will be better once you stop drinking because alcohol reduces fertility. In one study, healthy women who drank 10 or more drinks a week decreased their odds of conceiving to 34%. While you may be thinking that you’ll be fine because you don’t drink that much, even moderate drinking affects fertility. In the same study, women who drank between one and five drinks per week (less than one drink per day) decreased their odds of conception to 61%.

    Brain damage could be reversed

    Extended alcohol use and abuse can negatively impact your brain. According to research, alcohol’s most significant impact is on the areas of the brain critical to learning and impulse control. While some of these changes may be permanent, especially for those who abuse alcohol for an extended period of time, there is some hope.

    According to the National Institutes of Health, abstaining from alcohol over several months to a year may lead to a partial correction of some structural brain changes that were caused by alcohol and may also reverse negative effects on problem-solving, memory, and attention.

    It may be hard

    If you are a moderate drinker, you may be able to quit on your own without too much trouble. If you’re a regular or heavy drinker, however, you may find it much more difficult. Both internal and external triggers may lead you to want to start drinking again. No matter your current level of drinking, there are many resources available if you want to stop, including a state by state resource guide. Whether you utilize an online support group, attend meetings, or seek individual counseling, quitting drinking is possible for everyone.

    What does Hospice cost? › Center for Hospice Care Southeast Connecticut #private

    #hospice care costs


    What does Hospice cost?

    Center for Hospice Care can provide services to those who meet the qualifications regardless of financial status. We do not turn anyone away because they cannot pay. If you are worried about the cost of caring for a terminally ill person, or worried about your family s finances when you are terminally ill, please do get in touch with us. We can discuss your options and hopefully ease your concerns.

    Hospice care is widely covered by private insurance plans, although your provider is the best person to talk to when it comes to details about what is and is not covered by your plan.

    Medicare and Medicaid

    Patients who are eligible for Medicare/Medicaid Hospice Benefit will be able to get most hospice costs covered. That includes both clinical services such as pain relief, and support services. Some services may also be available to caregivers and loved ones at no extra cost. Usually, families of Medicare/Medicaid patients will have to pay very little for services related to the terminal illness.

    Those who are not covered by Medicare or any other insurance will still be provided with hospice care. We will not refuse assistance because of an inability to pay. In some circumstances we can also help find out if terminally ill patients are eligible for special coverage that they may not currently be accessing.

    Through the support offered by the community of Eastern Connecticut in the form of volunteer time and philanthropic donations, we can help make sure no terminally ill person goes without hospice care because of the cost.


    What s home health care? #hospice #definition

    #home health care


    What’s home health care & what should I expect?

    What’s home health care?

    Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF).

    Examples of skilled home health services include:

    • Wound care for pressure sores or a surgical wound
    • Patient and caregiver education
    • Intravenous or nutrition therapy
    • Injections
    • Monitoring serious illness and unstable health status

    The goal of home health care is to treat an illness or injury. Home health care helps you get better, regain your independence, and become as self-sufficient as possible.

    If you get your Medicare benefits through a Medicare health plan, check with your plan to find out how it gives your Medicare-covered home health benefits.

    If you have a Medicare Supplement Insurance (Medigap) policy or other health insurance coverage, tell your doctor or other health care provider so your bills get paid correctly.

    If your doctor or referring health care provider decides you need home health care, they should give you a list of agencies that serve your area. but must tell you whether their organization has a financial interest in any agency listed.

    What should I expect from my home health care?

    • Doctor’s orders are needed to start care. Once your doctor refers you for home health services, the home health agency will schedule an appointment and come to your home to talk to you about your needs and ask you some questions about your health.
    • The home health agency staff will also talk to your doctor about your care and keep your doctor updated about your progress.
    • It’s important that home health staff see you as often as the doctor ordered.

    Examples of what the home health staff should do include:

    • Check what you’re eating and drinking.
    • Check your blood pressure, temperature, heart rate, and breathing.
    • Check that you’re taking your prescription and other drugs and any treatments correctly.
    • Ask if you’re having pain.
    • Check your safety in the home.
    • Teach you about your care so you can take care of yourself.
    • Coordinate your care. This means they must communicate regularly with you, your doctor, and anyone else who gives you care.

    Find someone to talk to

    Find someone to talk to in your state

    Is your test, item, or service covered?

    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?
    3. What is INCLUDED in the TOTAL QUOTED PRICE ?
    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.

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

    #hospice nursing


    What Does a Hospice Nurse Do?

    Updated August 16, 2016

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

    What Is Hospice Care?

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

    Hospice nurses are vital members of that team.

    Hospice Nurses Varying Roles

    Hospice nurses have a number of important responsibilities:

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

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

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

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

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

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

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

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

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

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

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

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

    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.

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


    • CASES



    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

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


    What to Do After a Car Accident

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

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

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

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

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

    Action Plan to Deal with Accidents:

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

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

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

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

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

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

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

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

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

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

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

    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.

    Venezuela protests: What you need to know #americas, #venezuela #protests: #what #you


    Venezuela protests: What you need to know

    (CNN) Venezuela has been riven by violent protests in recent weeks as opposition leaders face off with President Nicolas Maduro and his supporters.

    Anti-government protesters want Maduro to step down, accusing him eroding democracy. Maduro, meanwhile, has ordered the Venezuelan armed forces onto the streets to maintain order.

    The political turmoil comes against the backdrop of a worsening economic crisis. Despite having the largest proven oil reserves in the world, Venezuela is fast running out of cash. and its people have struggled for years with food and medical shortages, coupled with skyrocketing prices.

    As the protests continue, here’s what you need to know:

    Why are they protesting?

    Photos: Anti-government protests in Venezuela

    Venezuelan lawmakers Luis Stefanelli, left, and Jose Regnault stand in a corridor of the National Assembly after a clash with demonstrators in Caracas, Venezuela, on Wednesday, July 5. Supporters of embattled President Nicolas Maduro stormed the building and attacked opposition lawmakers, witnesses said. At least seven legislative employees and five lawmakers were injured, according to National Assembly President Julio Borges. Journalists said they were also assaulted.

    Photos: Anti-government protests in Venezuela

    An armored National Guard vehicle runs over a protester in Caracas on Wednesday, May 3. The protester, 22-year-old Pedro Michell Yaminne, survived, his mother told CNN. Interior and justice minister Nestor Reverol told reporters that the “lamentable” incident was under investigation. He said that moments before Yaminne was run over, demonstrators hurled a Molotov cocktail at the armored vehicle, opened the side door and “brutally assaulted” the driver.

    Venezuela is in crisis, and while there is no simple solution to the country’s woes, the opposition argues it can fix the failing economy.

    When there is food on the shelves, prices are so high that few Venezuelans can afford it. Many have taken to eating out of the trash.

    Medicine remains in short supply, too. Venezuelans hunt for penicillin and other remedies at pharmacies everywhere, often without success. Public hospitals have fallen apart, causing people, including infants, to die because of the scarcity of basic medical care.

    Venezuela recently asked the United Nations for help to relieve serious shortages of medicines.

    Where has all the money gone?

    The country only has $10.5 billion in foreign reserves left. according to recent Central Bank of Venezuela data. For the rest of the year, Venezuela owes roughly $7.2 billion in outstanding debt payments. In 2011, Venezuela had roughly $30 billion in reserves. In 2015, it had $20 billion.

    Massive government overspending, a crashing currency, mismanagement of the infrastructure and corruption are all factors that have sparked high inflation in Venezuela. Inflation is expected to rise 1,660% this year and 2,880% in 2018, according to the International Monetary Fund.

    Another key problem is the relatively low price of oil, which stands at half of what it was in 2014. Venezuela has more oil reserves than any other nation, and oil shipments make up more than 90% of its total exports.

    Riot police confront demonstrators during an anti-government rally Wednesday in Caracas.

    The low price is making it nearly impossible for the country to pay its debts and import food, medicine and other essentials. Hyperinflation has wiped out salaries and the value of the currency, the bolivar, sending prices for all kinds of goods skyrocketing.

    The outlook isn’t great either. Unemployment is set to surpass 25% this year, according to the IMF, and the economy is expected to remain in recession this year and the next after shrinking a massive 18% last year.

    What are Venezuela’s neighbors doing about the turmoil?

    President Donald Trump has not said much publicly about the crisis in Venezuela. In the early days of his presidency, he tweeted a photo of himself with Lilian Tintori. the wife of opposition figure Leopoldo Lopez. In the tweet, Trump called for Venezuela to release its political prisoners. US Secretary of State Rex Tillerson told reporters the United States was “concerned that the government of Maduro is violating its own constitution and is not allowing the opposition to have their voices heard, nor allowing them to organize in a way that expresses the views of the Venezuelan people.”

    Venezuelan society crumbles

    • What went wrong in Venezuela?
    • How Venezuela became the world’s worst economy
    • What it’s like to be hungry in Caracas
    • Morgue turns into ‘rotten freezer’
    • I flew to US to buy toilet paper
    • Hospitals run out of supplies
    • Newborns in cardboard boxes
    • Abandoned pets of Venezuela’s crisis

    The Organization of American States recently tried to declare Venezuela in violation of its democratic charter but was denied the necessary votes by Caribbean and Central American nations that have depended for years on cheap Venezuelan oil. OAS Secretary General Luis Almagro, a Uruguayan, routinely calls Venezuela a dictatorship.

    In March, Venezuelan Foreign Minister Delcy Rodríguez called Almagro a liar and a criminal mercenary at the OAS.

    The region seems split in its support for Maduro. Argentina, Brazil, Chile, Colombia, Costa Rica, Guatemala, Honduras, Mexico, Paraguay, Peru and Uruguay signed a joint statement Monday asking for the Venezuelan government “to guarantee the right to peaceful demonstration,” and avoid violence against protesters. They have also urged the government to call for elections.

    Even the Vatican has gotten involved in the Venezuela crisis. Pope Francis sent an envoy to Caracas to mediate talks between the opposition and the government in 2016. While those talks failed, Francis said he is willing to meet with the opposing parties to help resolve the conflict.

    CNN’s Flora Charner and Patrick Gillespie contributed to this report. A previous version of this story gave the wrong home country for Luis Almagro.

    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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    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.

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    What to Do When Your Poop is Dark Green #what #does #it


    What Does Dark Green Poop Mean?

    Why are we here?

    Are we alone in the universe?

    Why is my poop green?

    The first two questions are a bit beyond the purview of this site, but the last one can be answered quite readily.

    Dark green poop may be surprising or alarming upon your first encounter, but it actually has a very simple biological explanation and, as far as the brilliant rainbow of feces is concerned, is not normally a cause of significant concern. There are also certain steps you can try taking when your poop is green in order to prevent a reoccurrence. But we’re getting ahead of ourselves. Let’s start with the basic question and move on from there.

    What Causes Green Stool?

    Understanding why you have dark green feces first requires knowing why it’s normally brown in the first place. Poo is a mix of undigested food, bile, bacteria, and dead blood cells. The brown coloration happens during the stool’s journey through the digestive tract where intestinal bacteria break down and feast on the leftover bile and other cell detritus it contains. The underlying process is surprisingly complicated but the main takeaway here is that poo is normally greenish until exposure to intestinal bacteria, where turns it brown.

    It’s also important to distinguish between dark green stool (1 ) in adults and any dark green poop from a baby. During the first few days of life, an infant will pass dark green stool known as meconium. This is normal and is the result of waste that was accumulated during gestation. Meconium usually persists for several days until the baby begins breast or formula feeding, at which point it will start to turn yellow over time. Dark green poop in a breastfed baby or one being bottle-fed is therefore not normally a cause for alarm.

    Now that the preliminaries are out of the way, let’s look at what dark green poop might mean.

    Excess Nutrition

    Sometimes, the color of your poo has less to do with your own body and more with what you’re eating. Consuming large amounts of green, leafy vegetables like kale or broccoli can sometimes result in your poo appearing dark green. Iron-rich foods such as beans or meats will produce a similar effect and may leave you with a dark green, almost black poop. This is more easily seen in the dark green poop a two month old might have if they are fed iron-fortified milk. In all of these cases, the underlying mechanism is the same. There is a biological limit to how much of any nutrient your body can make use, of and anything leftover can get excreted, dyeing the resulting poo. Iron supplements or supplements that contain chlorophyll or fructose can also cause green stools.

    Food Coloration

    Food dyes are generally not absorbed by the body and will get excreted along with other waste. If you have recently eaten a large number of foods that use green coloring (such as promotional St. Patrick’s Day treats), you may find yourself producing green stool over the following days. How susceptible someone is to food coloring will vary from one individual to the next. It’s fully possible, for instance, for you and a friend to eat the same dyed foods but for only one of you to have a green poo as a result.


    Antibiotics, particularly the powerful ones that get prescribed for major infections, are capable of reducing the levels of bacteria in your intestinal tract. As mentioned earlier, these are the same bacteria responsible for why poo normally appears brown and their loss means your feces can’t be processed as thoroughly during its trip through the body. Due to this, green stool is a known side effect of some antibiotics.

    Gastrointestinal Distress

    Anything that causes food to move too quickly through the intestines can produce green stool since this cuts down on the amount of time it can be processed. This means that any situation capable of causing severe diarrhea, such as food poisoning, salmonella, a parasite, or irritable bowel syndrome, would also be able to produce dark green bowel movements. In other words, anything capable of aggravating your bowels will also be capable of producing dark green diarrhea.


    A colon cleanse is a type of home treatment some individuals use to try and flush “toxins” from the body. Cleanses come in numerous varieties but typically employ some combination of supplements, enemas, and/or laxatives. Since colon cleanses essentially force-evacuate your bowels, it’s possible for them to produce green stool by virtue of triggering a bowel movement prematurely, before feces has been properly processed.


    It’s also possible to have dark green poop while pregnant. During pregnancy, a woman’s body produces more blood, and if she doesn’t get enough iron, she could become anemic. If that happens, she might then take iron supplements, a side effect of which is black or green poop. Iron supplements can cause other discomfort, such as constipation, so it may be in the best interest of pregnant women to increase their iron intake through diet, by consuming liver, red meat, and leafy greens.

    Treating Dark Green Poop

    Anyone can be affected by dark green poop; toddlers and adults alike. Treatment for dark green poo begins with identifying what the actual cause was. Fortunately, this is not a difficult task. Meconium is easy to rule out simply by asking whether the person was born recently.

    Similarly, you should be able to remember whether or not you recently engaged in a colon cleanse (enemas are kind of hard to forget). If you suspect antibiotics or a nutritional supplement are involved, it’s best to consult with your doctor on how this can be determined. It’s strongly inadvisable to discontinue an antibiotic without your doctor’s approval since you were likely prescribed that medicine for a good reason.

    Lastly, conditions such as food poisoning or irritable bowel syndrome come with other associated symptoms that can help identify them. In these instances, the green stool is likely accompanied by diarrhea, stomach cramps, nausea, vomiting, or other signs of digestive disagreement.

    Once your cause is identified, treatment becomes relatively simple:

    • Meconium goes away on its own, so time is the only remedy needed.
    • Talk to your doctor about switching to a new, less severe antibiotic to give your intestinal bacteria time to recover.
    • Over-enthusiastic eating of green foods or iron-rich items can be curtailed with simple diet adjustments, as can any indulgence in overly-dyed treats.
    • Food poisoning requires bed rest, maintaining fluid intake, and easing in to bland foods once you’re able to keep them down. Most food poisoning cases resolve within a few days with or without treatment.
    • Avoid giving yourself a colon cleanse.

    When to See Your Doctor

    A one-off incidence of green stool is rarely a cause for concern and can be safely ignored. If you find that you are having recurrent or repeat episodes of green bowel movements, however, a doctor’s appointment may be in order.

    Often, an exam for green stool will involve some questions about any recent dietary or lifestyle changes that may be affecting digestion and the stool itself may get examined if nothing can be ruled out.

    One important thing to keep in mind is that although most causes of green stool are benign, this does not stop green stool from occurring alongside other more problematic situations.

    If your stool seems to have mucus or blood in it (bright red or tarry, almost black) or is very watery, medical attention may be advised. This also applies if you experience rectal pain, intermittent bouts of constipation, fever, or loss of appetite. These symptoms should always be paid attention to and investigated regardless of whether you have dark green poop or not.

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    About the Author, Browse Victor’s Articles

    Victor Marchione, MD received his Bachelor of Science Degree in 1973 and his Medical Degree from the University of Messina in 1981. He has been licensed and practicing medicine in New York and New Jersey for over 20 years. Dr. Marchione is a respected leader in the field of smoking cessation and pulmonary medicine. He has been featured on ABC News and World Report, CBS Evening News and the NBC Today Show and is the editor of the popular The. Read Full Bio »

    What – s the difference between a hotel, motel and inn? #hotels

    #motel inn


    What s the difference between a hotel, motel and inn?

    ‘Time Travel’ is the basic difference between a Hotel, Motel and Inn.

    Inns – Today’s hotels were popularly started in 500 AD known as ‘INN’. (details kindly refer my answer to question – Starts of Inns, in the link Prashant G. Arabhavi s answer to At what time period hotels/inns were started? )

    Today’s Inns stay as before located / attached to fuel / gas stations or garage, with rooms not more than 15–20, building not more than 1st floor, food provided is snacks, basic facility of TV. And most of these stations / garages are also attached to a small super market / provisional store.

    Hotels – In the early past (40–50 centuries) due to Industrial Revolution and aviation, these Inns took a different shape in terms of structure, comfort, convenience, luxury, facilities, cleanliness, competition, bla bla bla, which are called ‘HOTELS’ today.

    Motels – The above hotels grew as a business and profession, forming chains, brands and groups. This specialised further to get the classification / types as per the location. Today’s hotels which are located by the highway are called ‘MOTELS’.

    1. Hotels which are floating (off-course in water) are called ‘FLOATELS’
    2. Hotels located in urban cities are called ‘COMMERCIAL HOTELS’
    3. Hotels located by the airport and railway station are called ‘TRANSIT HOTELS’
    4. Hotels located in the holiday destination and in relaxing environment are called ‘RESORTS’.

    Dmitry Onoprienko. 3 years of Hotel Operations experience (UK)

    • Motel is where you share a kitchen, living room and bathroom with other guests;
    • Inn is a low class hotel (limited facilities, usually small number of rooms)
    • Hotel is a premium accommodation plus extended facilities (e.g. spa, pool, 24/7 concierge service, etc.)

    Sorry for being short.

    Written 7w ago Answer requested by

    The precursor to the modern hotel was the inn of medieval Europe. For a period of about 200 years from the mid-17th century, coaching inns served as a place for lodging for coach travelers. Inns began to cater for richer clients in the mid-18th century. One of the first hotels in a modern sense was opened in Exeter in 1768. Hotels proliferated throughout Western Europe and North America in the 19th century, and luxury hotels began to spring up in the later part of the century.

    Inns are generally establishments or buildings where travelers can seek lodging and, usually, food and drink. They are typically located in the country or along a highway.

    The term inn historically characterized a rural hotel which provided lodging, food and refreshments, and accommodations for travelers horses. To capitalize on this nostalgic image many typically lower end and middling modern motor hotel operators seek to distance themselves from similar motels by styling themselves inns , regardless of services and accommodations provided. Examples are Premier Inn, Holiday Inn, Comfort Inn, Days Inn and Knights Inn.

    Inns in Europe were possibly first established when the Romans built their system of Roman roads two millennia ago. Some inns in Europe are several centuries old. In addition to providing for the needs of travelers, inns traditionally acted as community gathering places.

    Historically, inns in Europe provided not only food and lodging, but also stabling and fodder for the travelers horses. Famous London examples of inns include the George and the Tabard. There is however no longer a formal distinction between an inn and other kinds of establishment. Many pubs use the name inn , either because they are long established and may have been formerly coaching inns, or to summon up a particular kind of image.

    A hotel is an establishment that provides lodging paid on a short-term basis. Facilities provided may range from a basic bed and storage for clothing, to luxury features like en-suite bathrooms. Larger hotels may provide additional guest facilities such as a swimming pool, business centre, childcare, conference facilities and social function services. Hotel rooms are usually numbered (or named in some smaller hotels and B Bs) to allow guests to identify their room. Some hotels offer meals as part of a room and board arrangement. In the United Kingdom, a hotel is required by law to serve food and drinks to all guests within certain stated hours. In Japan, capsule hotels provide a minimized amount of room space and shared facilities.

    A motel is a hotel designed for motorists and usually has a parking area for motor vehicles. Entering dictionaries after World War II, the word motel, coined as a portmanteau contraction of motor hotel , originates from the Milestone Mo-Tel of San Luis Obispo, California (now called the Motel Inn of San Luis Obispo), which was built in 1925. The term referred initially to a type of hotel consisting of a single building of connected rooms whose doors faced a parking lot and in some circumstances, a common area or a series of small cabins with common parking. Motels are often individually owned, though motel chains do exist.

    As large highway systems began to be developed in the 1920s, long-distance road journeys became more common, and the need for inexpensive, easily accessible overnight accommodation sites close to the main routes led to the growth of the motel concept. Motels peaked in popularity in the 1960s with rising car travel, only to decline in response to competition from the newer chain hotels that became commonplace at highway interchanges as traffic was bypassed onto newly constructed freeways. Several historic motels are listed on the US National Register of Historic Places.

    Note: Today it is not practical to draw a line to distinguish between an Inn, Hotel, and Motel. Many of the features of all of these may be found in a property today.

    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.

    ATP – What does ATP stand for? The Free Dictionary #what #does


    References in periodicals archive ?

    I think that being on the eve of a Super 9 tournament, some players may feel that if they make it to the final of the tournament the week before, they may not be fresh for the Super 9,” said Kevin O’Keefe, former ATP Tour director of media services and now president of Riprock Sports Marketing in Pacific Palisades.

    To address this requirement, ATP introduces aMLC technology by implementing its unique firmware to manipulate four states of MLC into two states, which dramatically widens the disturbance margins among NAND Flash cells.

    Thus, the biochemical profile of the engineered mice appeared consistent with faulty ATP production, says Wallace.

    These results indicate that simply binding ATP provokes folding.

    ATP maintains more than 16,000 CD-ROM, DVD, microfiche and Internet-based library subscriptions for a global consumer base that includes civil aviation authorities, maintenance facilities, Fixed Based Operators, aircraft operators, flight schools, and universities.

    The ATP (Association of Tennis Professionals) is the governing body of the men’s professional tennis circuits – the ATP World Tour, the ATP Challenger Tour and the ATP Champions Tour.

    ATP continues active discussions with parties to explore opportunities to monetize ATP ‘s investment in the ATP Titan and other assets.

    In the process of providing energy, ATP loses one of its phosphates and

    ATP Oil Gas is an international offshore oil and gas development and production company with operations in the Gulf of Mexico and the North Sea.

    Three of the seven blocks are contiguous to existing ATP operated developments with the remaining four blocks providing for new development area opportunities.

    Paul Bulmahn, ATP ‘s Chairman and CEO stated, “The ATP Titan is on track for installation at Mirage (Mississippi Canyon 941), part of ATP ‘s 100% owned and operated Telemark Hub.

    ATP Oil Gas Corporation’s presentation will be broadcast via live and replay audio webcast on the Conference’s website http://customer.