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
  • 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

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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.

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


Our Faculty

Marian College Faculty:

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Missouri Workers Compensation

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

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

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

Missouri Workers Compensation Claims

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

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

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

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

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

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

Attorney Fees

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

Workers Compensation Laws

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

Free Workers Compensation Consultations

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

Missouri Workers Compensation

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


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

Breathe Pure Air!

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

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

One of a Kind Services

Duct Cleaning Service

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

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

Learn more about our duct cleaning process.

Dryer Vent Cleaning Service

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

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

Learn more about our dryer vent cleaning service.

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

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

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

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

Common indoor air contaminants include:

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

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

Think about this:

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

New Home Construction

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

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

Finding a Qualified Duct Cleaning Company:

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

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

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

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

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

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

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

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

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

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





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.

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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.

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


Fusion (Perennial)

Showing reviews 1-5 of 26 | Next


Posted by Walter-TN on 18th Apr 2017

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

Fusion madness!

Posted by Unknown on 16th Apr 2017

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


Posted by Taylor-TN on 7th Mar 2017

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


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

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

Giant Maine Buck 236 lb full dress

Posted by Kevin on 3rd Feb 2017

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

Showing reviews 1-5 of 26 | Next

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


5 Big Data Technology Predictions for 2015

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

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

Schroeder says five major developments will dominate 2015.

1. Data Agility Emerges as a Top Focus

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

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

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

Phone Systems Brisbane #phone #system, #telephone #system, #office #phone, #pbx, #business #phone


NEC SV8100 Phone System

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We offer business and office phone systems, new or used, digital or VoIP phone systems with full installation and turnkey solutions, all at affordable prices. Whatever your needs or requirements are, we offer just about everything:

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Get expert knowledge in the latest technology.

We also offer VoIP telephone systems which can massively reduce your office communications costs.

We cater for all business sizes. Please call us today to find the right solution for your business. Our knowledgeable and experienced technicians will guide you through every step of the way � so easy and hassle-free!

Avoid the hassle of dealing with large Telco companies with poor customer service. We make it easy to connect new business phone lines – anything from analogue to digital or VoIP! Unbeatable plans at affordable prices!

we also offer 1300 and 1800 numbers, caller id, line hunt, call forwarding, direct in-dial lines, fax to email, permanent number diversions and more.

Line rental and making calls from your telephone system does not have to be expensive. Here are just some of the great plans we offer.

Business Fixed Line plans suitable for all business telephone systems

Is your business looking for an internet connection that provides you with you faster and more effective services than ADSL2+?

Business grade EFM internet offers your business a powerful communications solution. Enjoy unlimited monthly data quota with our business grade symmetrical Ethernet or fiber optic internet connections. With our reliable and symmetrical connections, you can enjoy downloading and uploading at precisely the same speed.

These types of connections are extremely reliable and are symmetrical, meaning the download and upload speed are the same. Not only do you get unlimited data quota each month, these connections can be configured for internet only or set up as a virtual private network or VPN for connecting multiple business locations together.

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

What is Alcohol Abuse?

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

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

What is Alcohol Abuse? – Alcohol Abuse Definition

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

What is Alcohol Abuse? – Signs of Alcohol Abuse

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

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

What is Alcohol Abuse? – Effects of Alcohol Abuse

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

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

More on Alcohol Abuse

Support Group

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


Chapter 3: Resistance and Static Electricity

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

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

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

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

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

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

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

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

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

Try this experiment.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Learn about Electrical Circuits and electrons in Chapter 4.

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


Cover Stories

Case Studies

HR Roundtable

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Browse by issues


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

    While joint families and easy availability of dome.


    Zillow, SoFi and LinkedIn have been in the forefro.

Uncertainties in the business environment, augment.

  • The spate of consolidation in the telecom sector c.
  • The placement season of top business schools, incl.

  • Sakshi Sood

    Sakshi Sood is a Graduate in Electronics Engineer.

  • Sakshi Sood

    Sakshi Sood is an electronics engineering graduat.

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  • Which Wireless Phone Company Has The Best Service? CBS News #what #company


    Which Wireless Phone Company Has The Best Service?

    Last Updated Aug 5, 2011 12:12 PM EDT

    How good is your cell phone service? A new survey by Vocal Laboratories suggests that may be the wrong question; it’s probably more a matter of “how bad”?

    Consider the all-important call satisfaction numbers. Those are defined as the number of customers who say they’re “very satisfied” with their wireless call.

    Here are the second-quarter scores:

    1. Verizon ” 66 percent
    2. Sprint ” 64 percent
    3. T-Mobile ” 60 percent
    4. AT T ” 56 percent

    Essentially, customers are giving every company a failing grade. But that’s not the worst of it. Look closer at the results, and you’ll notice that a majority of the companies’ scores are falling.

    For example, AT T is down from 66 percent from the same quarter a year ago, and off 13 percent from the previous quarter. T-Mobile is down five percentage points from last year; Sprint is off by four percentage points. Only Verizon’s scores rose – from 61 percent to 66, the highest in the survey, but still dreadful. It means more than one-third of customers aren’t satisfied with their call.

    Vocal Labs says there’s no reason to panic. AT T’s precipitous drop was temporary, and subsequent numbers suggest it is back to levels from the previous year. (Full disclosure: I’m an AT T customer. I made five calls yesterday afternoon, and four were dropped. So I’m not convinced.)

    The other key number is call resolution, or the percentage of customers whose problem was resolved on the call. Here, too, the numbers are disappointing.

    1. Sprint ” 69 percent
    2. AT T ” 66 percent
    2. Verizon ” 66 percent (tie)
    3. T-Mobile ” 65 percent

    These are terrible scores. Nearly one-third of customers aren’t getting fixed, give or take a few percentage points. The trend is relatively flat over the previous four quarters. AT T is the only standout, rising six percentage points from the same quarter in 2010.

    Sprint is down a percentage point from a year ago; T-Mobile is off three points. Verizon edged four points higher.

    The ACSI assigns a score out of 100 based on its survey, and it confirms that wireless phone services are not loved by their customers.

    1. Sprint – 72
    1. Verizon ” 72 (tie)
    2. T-Mobile ” 70
    3. AT T ” 66

    Is it any wonder customers are fed up with their wireless phone service? No amount of spin or explanation can keep a rational consumer from concluding that cell phone service is bad, and getting worse.

    With the merger of AT T and T-Mobile looming, it’s difficult to image service improving any time soon.

    What do you think? Please send me your stories of customer service (good and bad) received from a wireless phone company. Here’s my email address. And take a minute to vote, too.

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


    What Does Herpes Look Like?

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

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

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

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

    What Does Herpes Look Like?

    Picture of a Herpes Outbreak

    What Does Herpes Look Like?

    Above Picture of an Ant Bite

    Above Picture of a Fire Ant Bite

    Above Picture of Bed Bug Bites

    Above Picture of a Black Widow Spider Bite

    What Does Herpes Look Like

    Above Picture of a Mosquito Bite on a Hand

    Above Picture of another Mosquito Bite on Arm

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

    Above Picture of Razor Burn in The Pubic Area

    Above Picture of Razor Burn on Neck

    Above Picture of Cuts From Shaving

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

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

    Above Two Pictures Showing an Ingrown Hair

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

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

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

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

    An Ordinary Rash or Genital Herpes?

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

    Images of Herpes

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

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

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

    What’s Next?

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

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

    6 Reasons Why You Should Sign Up for My Email Newsletter.

    Learn More About What Does Herpes Looks Like

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

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

    Return to Home Page from What Does Herpes Look Like

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

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

    #what is home hospice


    Welcome to Community Home Care

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

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

    Our Mission

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

    Our Core Values

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

    Find a Location Near You

    What Are The Signs Of End Stage COPD – Symptoms #cheap #hotel

    #end stage copd hospice


    Brenda Case

    MY Husband Has Been Told By His Dr. At Hospice That He Is IN The End Stage Of COPD. I Would Like To Know If There Are Signs For Me To Look For. I Care For Him At Home. We Have Been Married 43 YRS I JUST WANT SOME ANSWERS ANSWERS THAT Will Help Me .CAN ANY ONE DR ETC GIVE ME SOME ANSWERS ON THIS ONE QUESTION PLEASE.


    Hi Brenda. It’s so hard to get news like that and yet be left mostly in the dark about what it means. However, being labeled as end-stage COPD does not necessarily mean death is just around the corner. People can go on to live with that label for months or even years. The body is highly adaptable, especially as related to breathing capabilities, and the human will also plays a part. So no one can say exactly how long a COPD patient has once he or she enters the “end stage.” So you may want to go back to the hospice staff or doctor and ask for more specific answers about what they meant. It’s always OK to ask questions!

    My mom is dealing with some of these same issues. She sees herself going downhill daily, although she has not yet reached the hospice stage like your husband. She recently asked her doctor how she would know when the end was coming, and the doctor’s answer was that she would be able to tell. Not much of an answer, but it did seem to calm my mom’s fears.

    However, I thought this was an important issue, so I wrote a post about it yesterday, which has not yet been published by the HealthCentral editors. Should be soon, though. Meanwhile, you may want to read an article Dr. David Kaufman did here back at the beginning of March:

    That article will help you understand what’s going on inside your husband’s body and some of the signs to look for as he deteriorates.

    I also found some descriptions from caregivers of the final days and hours with their loved ones before death which were helpful. It seemed that their loved ones became less and less mobile, remaining in bed more and more, eating and drinking less and struggling to breathe pretty much constantly. Most found that hospice was useful, especially in administering frequent morphine to control the air hunger, or gasping for breath, that was so common. Many saw their loved ones either lose consciousness or get foggier mentally in the final days/hours.

    I hope some of that helps you. You have a tough road ahead of you. No matter how prepared you are, it’s going to be hard to lose your mate of 43 years. So take care of yourself during this difficult time and don’t be afraid to reach out to others for support.

    My thoughts and prayers are with you. Kathi


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


    Client Alerts

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

    Basic Life Insurance

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

    Supplemental Life Insurance

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

    New Private Letter Ruling

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

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

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

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

    Files And Links

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

    #what is palliative treatment


    WHO Definition of Palliative Care

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

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

    WHO Definition of Palliative Care for Children

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

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

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

    #palliative care fast facts


    All About Opioids and Opioid-Induced Constipation (OIC)

    Facts about Palliative Care

    What is palliative care?

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

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

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

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

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

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

    Next Page: Glossary of Terms

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

    Additional materials provided by Wyeth.

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  • PARC – RSD and CRPS information
    Information on Reflex Sympathetic Dystrophy (RSD),otherwise known as Complex Regional Pain Syndrome (CRPS).
  • Pain Talk
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    Please note that although you may feel free to cite and quote this article, it may not be re-produced in full without the permission of Medical News Today. For further details, please view our full terms of use

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

    #find a hospice


    Palliative Care Center

    What Is Hospice?

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

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

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

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

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

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

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

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

    Eligibility for Hospice

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

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

    Hospice care and palliative care: What – s the difference? #hospice #peterborough

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

    #home medical care


    What is a medical home? Why is it important?

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

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

    1. Personal physician:

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

    2. Physician directed medical practice:

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

    3. Whole person orientation:

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

    4. Care is coordinated and/or integrated:

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

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

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

    6. Enhanced access to care:

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

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

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

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

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

    What is Hospice & Palliative Care #hotel #uk

    #canadian hospice palliative care association


    What is hospice and palliative care?

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

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

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

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

    There are three main goals of hospice palliative care:

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

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

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

    Philosophy of Care

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

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

    #hospice nursing care plans


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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Sample Careplans

    Please browse and bookmark our free sample careplans below. Our careplan library has been utilized by over 100,000 visitors.

    Featured Schools Nursing Healthcare Programs

    What are hospices #homecare #agency

    #what are hospices




    originally, a medieval guest house or way station for pilgrims and travelers. The term is currently used to designate either a place or a philosophy of care for persons in the last stages of life and their families. For decades there have been hospices in England, free-standing facilities unaffiliated with hospitals and autonomous in terms of professional procedures. These hospices were the predecessors of the hospices now found in the United States.

    A hospice program provides palliative and supportive care for terminally ill patients and their families. The concept of hospice is that of a caring community of professional and nonprofessional people, supplemented by volunteer services. The emphasis is on dealing with emotional and spiritual problems as well as medical problems. Of primary concern is control of pain and other symptoms, on keeping the patient at home for as long as possible or desirable, and on making his or her remaining days as comfortable and meaningful as possible. After the patient dies family members are given support throughout their period of bereavement.

    hos pice

    An institution that provides a centralized program of palliative and supportive services to dying people and their families, in the form of physical, psychological, social, and spiritual care; such services are provided by an interdisciplinary team of professionals and volunteers who are available in the home and in specialized inpatient settings.

    [L. hospitium. hospitality, lodging, fr. hospes. guest]


    /hos·pice/ ( hos´pis ) a facility that provides palliative and supportive care for terminally ill patients and their families, either directly or on a consulting basis.


    1. A shelter or lodging for travelers, pilgrims, foundlings, or the destitute, especially one maintained by a monastic order.

    2. A program that provides palliative care and attends to the emotional and spiritual needs of terminally ill patients at an inpatient facility or at the patient’s home.


    Etymology: L, hospes, host

    a system of family-centered care designed to assist the terminally ill person to be comfortable and to maintain quality of life through the phases of dying. Hospice care is multidisciplinary and includes home visits, professional health care available on call, teaching and emotional support of the family, and physical care of the client. Some hospice programs provide care in a center, as well as in the home or in a nursing home. Hospice also offers bereavement counseling for the family. See also emotional care of the dying patient. stages of dying.


    A residential or institutional palliative care unit in the UK which provides planned, co-ordinated, multidisciplinary care for the terminally ill and their carers. Hospices are often run by charitable organisations with which NHS Boards may have contractual arrangements for providing patient care.

    Services provided
    Inpatient and day care, home care, respite care and specialist advice.

    Professions associated with hospices
    Medical, nursing, allied health professionals, social work and chaplains/ministers of religion.


    Managed care An institution which provides comfort care and a combination of inpatient, outpatient, and home health services pain relief, symptom management and support, for terminally ill Pts (and their families) with CA, AIDS and other dread diseases. See Comfort care.

    hos pice

    An institution that provides a centralized program of palliative and supportive services to dying patients and their families, in the form of physical, psychological, social, and spiritual care; such services are provided by an interdisciplinary team of professionals and volunteers who are available to provide assistance at home and in specialized inpatient settings.

    [L. hospitium. hospitality, lodging, fr. hospes. guest]


    A hospital specializing in the care of the terminally ill. Hospices are dedicated to providing the physical, emotional and psychological support and expert pain management needed to help the dying to accept the reality of death and to die in dignity and peace of mind.


    n system for care of a patient during the final phases of a terminal illness, often involving family, emotional support, and professional health care in the patient’s home.

    hos pice

    Institution that provides a centralized program of palliative and supportive services to dying people and their families, in the form of physical, psychological, social, and spiritual care.

    [L. hospitium. hospitality, lodging, fr. hospes. guest]

    hospice (hos pis) ,

    n a program under medical direction and nurse coordination that provides a variety of inpatient and home care for individuals who are terminally ill and their family members; provides calming and accommodating care that meets the special needs arising from the variety of stresses experienced during the final phases of illness, death, and grieving (e.g. emotional, physical, social, economic, and spiritual).

    Link to this page:

    It will also be shared via the National Hospice Foundation and social media sources to help people understand the many benefits of hospice and palliative care.

    Both the Welsh Labour Government and our Health Board should instead be asking our hospices how they can help deliver more, saving the Welsh NHS money and delivering better care for patients, their families and carers.

    The hospice has a 25-bed inpatient unit and a Day Hospice with up to 20 places available per day, though the majority of the care offered to people living with terminal illness is done in their own homes thanks to Birmingham St Mary’s Specialist Palliative Care Community team and a new Hospice at Home service.

    HOSPICE HELP: lan Elstone (left) and John Gledhill (second left), of the Provincial Grand Lodge, hand cheques to, from left, Caroline Bone, of Overgate Hospice. Ian Leedham, of Forget Me Not Children”s Hospice and Wasim Hussain and Garry Wilkinson of Kirkwood Hospice (

    Suncoast Hospice is a not-for-profit community-based organization established more than 35 years ago by volunteers.

    Our Hospice at Home nurses support patients to remain at home by providing hands-on nursing care, 24-hours a day, seven days a week.

    MERSEYSIDE hospices providing end of life care for children and adults have been awarded a share of PS60m government funding to improve care environments and settings.

    Help the Hospices would like to send you information about its work and fundraising activities.

    There were 5,150 hospice organizations in operation in 2010, up from 4,500 in 2006, with reimbursement to hospices under the hospice Medicare benefit now exceeding $10 billion per year.

    The great majority of hospice patients are at home or in nursing homes.

    Accordingly, we examined hospice -level variation in disenrollment rates in a national sample of hospice agencies and the association between characteristics of hospices (i.

    This is just one of three common misunderstandings about hospice. which involves treating symptoms and improving quality of life during the last stage of a person’s life.

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

    #nursing home care


    Skilled Nursing Care: What Is It?

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

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

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

    What to Expect from Skilled Nursing Care

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

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

    A skilled nursing care facility also provides:

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

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

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

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

    Skilled Nursing Care vs. Assisted Living

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

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

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

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

    Resources for Skilled Nursing Care

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

    Find Skilled Nursing Care

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

    Install Intermediate Certificate #what #is #intermediate #certificate


    Customer Support Install Root Certificate

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

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

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

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

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

    SHA-256 – Orders March 31, 2014 and After

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

    SHA-256 Orders Prior to March 31, 2014

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

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

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

    SHA-1 – For Installation Prior to June 26 2011

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

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

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

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

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