Home Health Care - Survivor Worker

Home Health Care Nursing Information and Overview

Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health problems, permanent disability or terminal illness.

Home Health Care Basics

Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing phenomenon as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs train nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse's experience and qualifications. In many cases there is a shared relationship between the agency and the academic institution.

Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place as well. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has lead to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decrease of mortality rate from these technologies and medical care has lead to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.

Home Health Care Nurse Job Description

Through an array of skills and experience, home health care nurses specialize in a wide range of treatments; emotional support, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.

A practicing nurse must have the skills to provide care in a unique setting such as someone's home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is evident in all nursing positions, but working in a patient's own living space needs a different level of skill and understanding. There is autonomous decision making as the nurse is no longer working as a team with other nurses in a structured environment, but is now as a member of the "family" team. The host family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include critical thinking, coordination, assessment, communication, and documentation.

Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but still need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the expertise of the family about the child's condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.

Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct dose, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.

Many advanced practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at least one year of clinical experience before entering home health care. Advanced practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.

Employment and Salary

According to the United States Department of Labor, there were 2.4 million nurses in America, the largest healthcare occupation, yet many academic and hospital organizations believe there is a gross shortage in nursing staff. The shortage of nurses was 6% in 2000 and is expected to be 10% in 2010. The average salary for hospital nursing is $53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care, the salary is $49,000. For nursing care facilities, they were the lowest at $48,200.

Training and continuing education

Most home health care nurses gain their education through accredited nursing schools throughout the country with an associate degree in nursing (ADN), a Bachelor of Science degree in nursing (BSN), or a master's degree in nursing (MSN). According to the United States Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN programs. Also, in 2004, there were 417 master's degree programs, 93 doctoral programs, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3 years to complete, while bachelors degrees take 4 years to complete. Nurses can also earn specialized professional certificates online in Geriatric Care or Life Care Planning.

In addition, for those nurses who choose to pursue advancement into administrative positions or research, consulting, and teaching, a bachelor's degree is often essential. A bachelor's degree is also important for becoming a clinical nurse specialist, nurse anesthetists, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).

All home health care nurses have supervised clinical experience during their training, but as stated earlier advanced practicing nurses hold master's degrees and unlike bachelor and associate degrees, they have a minimum of two years of post clinical experience. Course work includes anatomy, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sciences and liberal arts. Many of these programs have training in nursing homes, public health departments, home health agencies, and ambulatory clinics. (U.S. Dep. of Labor, 2004).

Whether a nurse is training in a hospital, nursing facility, or home care, continuing education is necessary. Health care is changing rapidly and staying abreast with the latest developments enhances patient care and health procedures. Universities, continuing education programs, and internet sites, all offer continuing education. One such organization that provides continuing education is the American Nurses Association (ANA) or through the American Nurses Credentialing Center (ANCC).

Conclusion

There are many rewards to becoming a home health care nurse. Some rewards include the relationship with a patient and their family, autonomy, independence, and engaging in critical thinking. The 21st Century brings with it many opportunities and challenges. We must meet these challenges head on - there is an aging baby boomer population, a growing morbidity factor due to increased medical technology and patient care, and the growing shortage in nursing care.

Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time. With clinical experience and proper education, a home health care nurse will lead the future of medical care.

By Michael V. Gruber, MPH is a contributing author to My Nursing Degree Online, providing articles and resources for nurses looking for continuing education online. With a Masters of Public Health and two years of medical school, Michael provides a unique perspective on the current nursing shortage crisis on the Nursing Career Blog as well as comprehensive articles about nurse education and advancement.

Source: http://survivorworker.blogspot.com/2012/03/how-to-become-home-health-care-nurse.html

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GMDN ? Blog Archive ? Strategies To Your Important Insurance ...

Posted by GMDN | Posted in Uncategorized | Posted on 22-03-2012

Our life is volatile, that may be fascinating and superb. Even so, additionally, it shows that you simply can?t forecast when mishaps take place. This is why it?s extremely vital that you have insurance coverage. There are several forms of insurance coverage and insurance companies. Here are tricks to assist photovoltaikanlage discover what forms of insurance coverage you need and how to obtain it.
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To get a great price tag on insurance coverage and to know what your options are, see if your state includes a section of insurance coverage. A great deal of local health systems have similar to this, and there might be a phone number andOror internet site provided by info which you can use to determine which items are obtainable, along with their respected prices.
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Source: http://gmdn.info/strategies-to-your-important-insurance-policy-queries/

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asics ? Blog Archive ? burberry purses Legal Living Will Article ...

When we think of a Will we imagine a typewritten file arranged according a solicitor signed along the testator and witnessed,burberry purses,merely there are other less general types of Will namely are equally legal and binding. ? A Holographic Will,burberry coats,for instance is a Will entirely handwritten and signed along the testator,23 jordan shoes,constantly without witnesses The truth that it doesn?t entire require witnesses plus is approved among some jurisdictions namely because the signature of the testator namely amid the same handwriting for the body of the file and is whereupon approved for certify namely the testator actually established.
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Source: http://asics.manablog.jp/archives/12615

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Steelers WR Hines Ward retiring

PITTSBURGH (AP) ? Hines Ward believes he can still play football. The longtime Pittsburgh wide receiver known for his high-wattage smile and his bone-crunching blocks just couldn't stomach the thought of doing it in some strange uniform on some strange field with nary a Terrible Towel in sight.

"I just wouldn't feel right," Ward said.

So rather than play for a 15th season ? and his first outside the Steel City ? a tearful Ward opted to retire on Tuesday and secure a legacy unmatched in the franchise's long history.

"I can say I'm a Steeler for life and that's the bottom line, that's all I've really ever wanted," Ward said.

Ward holds every significant franchise receiving record, including receptions, receiving yards and touchdowns. His 1,000 career catches rank eighth all time and he is one of two players with at least 1,000 receptions and two Super Bowl rings.

The decision comes three weeks after the 36-year-old was released by the Steelers in a salary cap maneuver. Ward says he was contacted by several clubs but never had any formal discussions. He insists there are no hard feelings for his release, understanding that football is a business. As if to prove the point, Ward embraced Steelers owner Art Rooney II after stepping away from the podium following the announcement.

"Thank you (Mr. Rooney) for giving a small town boy from Forest Park, Ga., a chance," Ward said.

The former third-round pick out of Georgia was due to make $4 million next season, an expensive option for a player whose role diminished significantly in 2011 when he finished with 46 receptions, the fewest since his rookie season in 1998. He embraced his role as mentor to Pro Bowlers Mike Wallace and Antonio Brown even though he knew they were chewing into his playing time.

"I know the wideouts are going to be in great hands," he said. "They're full of talent."

And they're part of an offense that didn't exist when Ward made his debut 14 years ago. He spent most of his first three seasons blocking for running back Jerome Bettis, something he did better than any receiver in the league.

Over time, the Steelers evolved from the grind-it-out attack that has been the club's identity for decades. Ward's breakout season came in 2001 when he set a franchise record with 94 receptions then obliterated that mark in 2002 when he finished with 112 catches.

He made four straight Pro Bowls from 2001-2004 and seemed to get better as he aged. He was named the Most Valuable Player of the 2006 Super Bowl after catching five passes for 123 yards and a touchdown in Pittsburgh's 21-10 victory over Seattle, the franchise's first championship in 26 years. The Steelers added a second title in 2009 to give them six, more than any other team in the league.

Ward hoped to get the Steelers their seventh Lombardi Trophy but didn't catch a pass in a 29-23 overtime loss to Denver in the wild card round of last year's playoffs. Only one pass came his way, a dart down the sideline by quarterback Ben Roethlisberger during Pittsburgh's final drive in regulation. Denver cornerback Champ Bailey swatted the ball to the ground and Ward walked off the field and into the unknown.

The former "Dancing With the Stars" champion could have a lucrative postseason career in front of a camera ? he worked the red carpet during the Oscars ? but he maintained after his release he could still contribute. He still does.

"I feel like I have a few more good years in me left, Ward said. "I would love nothing more to get back to the Super Bowl."

He wasn't willing to do it, however, outside Pittsburgh.

"I want to go down as one of the greats to wear the black-and-gold and that's how it should end," Ward said.

Ward laughed when asked if he could go into coaching one day, taking a jab at coach Mike Tomlin, who isn't sure how Ward's passion would play in the locker room. One of the most respected players in the league because of his contributions on and off the field, Ward leaves a void that will be difficult to fill.

"On behalf of the NFL players, I want congratulate Hines on an extraordinary career," NFLPA executive director DeMaurice Smith said. "I know he will continue to be a leader and example to our men."

Ward's already started by urging Wallace to do what he can to remain with the Steelers.

"I told Mike you may get a chance to go other places but there's not another place like Pittsburgh," Ward said.

Certainly not for Ward. His No. 86 jersey has long been one of the team's top sellers, and his blue-collar attitude rang true to a fan base where hard work is a way of life. Ward understands the unique relationship the Steelers have with the city and to tarnish it by making a last-gasp attempt to pad his career stats didn't interest him.

"I want my legacy here to say, you know what he was one hell of a football player who gave it his all," Ward said. "I'm truly blessed. I played in three Super Bowls, won two Super Bowls, was Super Bowl MVP ... what more could a player want out of his entire football career?"

Source: http://news.yahoo.com/steelers-wr-hines-ward-retiring-161605703--spt.html

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How to Find a Good Online Life Coach | zeeol.com - another news ...

[unable to retrieve full-text content]There are numerous forums, and sites that deal in private growth and development. Some of these self improvement websites are dedicated to lifetime coaching. Also the google can be a great way to obtain coaches online.

Source: http://www.zeeol.com/how-to-find-a-good-online-life-coach.html

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Michelle Obama kicks off charm campaign

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Source: http://news.yahoo.com/michelle-obama-kicks-off-charm-campaign-134749823.html

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Fifty Odd , Archive dating after 50, relationships after 50, marriage ...

Recently a friend and I were talking about dating after 50, relationships after 50 and marriage after 50. She is in favor of all those things.

I?m not so sure about it? myself.? I?m very happy being single.

My friend met someone when she was post-50. That led to her dating after age 50. Then that led to marriage after age 50.

Her husband is a wonderful man. He is handsome, well-educated, creative, somewhat easy-going, financially stable and healthy. He?s even a darn good dancer. They have a very compatible, loving and caring relationship.

My friend wasn?t really fishing for a relationship when she met him. But he is quite a catch.

She?s really glad she gave that dating after 50 thing a chance.

As for me, I have few expectations of ever dating after 50. It would require someone very, very, very special to entice me to shave my legs and spend an evening listening to him talk about himself.

There may be a lot of fish in the sea, but I?m not likely to wet a hook again.

Although?after listening to my friend talk about the good things in marriage, I began to wonder if I was missing anything. I thought about? men I had dated in the distant past. Three came to mind.

I knew my life would be different if I had hooked any one of those fellows. But would it have been better?

I asked myself, ??If I knew these men today, would I have regrets that I had tossed them back??

?I don?t know,? I answered myself.

I wondered. But I didn?t have to wonder for long.

You know how when you start thinking about someone and then you get a random phone call or a visit from them or see their obituary in the paper shortly after that? I think that?s the Universe intervening and giving you answers to your questions.

Whatever?Universal Intervention or not?within two weeks, I had definitive answers to my wondering.

Shortly after all this wondering began, I was awakened around 11:00 p.m. by a man knocking on my front door. It was more a pounding, really.

I opened the door only after he identified himself as one of the three guys? I had once dated.

Apparently he was there to deliver my answer.? There he stood on my front porch, drunker than Cooter Brown, barely able to stand upright. He steadied himself by holding onto my porch post.

He said he had just moved into the neighborhood and wanted to let me know we were neighbors and could we be friends again?

WTH? I hadn?t seen him in at least 20 years. How did he even know where I lived?

Oh, right?I remembered why we quit seeing each other. He?d always been a little fishy and a drunkard.? Obviously he still was.

?Nope, sorry,? I said. Then I slammed the door.

A few days later, I saw another old flame while I was shopping at a garage sale. He said he was soon to be married to a lady he met on a ferry boat in Some State North of Texas.

He was shopping for stuff for their new home. At a garage sale. Hmmm?good provider, I thought.

I congratulated him and wished him well.

Finally, I was on-line trying to give? away my usable items (junk) on www.freecycle.org, when someone contacted me about my posting.

Turns out it was the other man I?d been wondering about. He recognized my user name because we used to email political jokes to each other.

When I politely emailed him back and inquired about his health, he sent a three page reply listing all his physical complaints including the pus-filled sores on his swollen legs.

He said he regretted how things had ended with us and asked if I would like to go out with him again sometime.

And if I did want to go out with him, he continued, then could I please come and? pick him up because he was no longer able to drive? And would I please bring the junk ( er, valuable items) ?I had listed on www.freecycle.org because he?d like to sell it on www.ebay.com?

I answered his email and explained that I believed our relationship had ended just as God had intended. Then I changed my user name.

So, thanks to the Universe, I have my answers.

?

Looking back at my previous catches allowed me to see that I had been fishing in the Dead Sea.

I realized I just kept catching crap?I mean? carp.? Really.

Fish or cut bait? Think I?ll choose the latter for now!

?

Source: http://fiftyodd.com/2012/03/all-the-fish-in-the-sea-dating-after-age-50/

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Can IT Outsourcing Really Save Your Small Business Time And ...

[unable to retrieve full-text content]Pc and IT technology has been about for the final 10-20 years Within the earlier years it was not in typical use, but now IT technology is utilized in most enterprises. Because the enterprises now run and depend on their IT ...

Source: http://www.gemworldlabs.net/can-it-outsourcing-really-save-your-small-business-time-and-dollars/

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Apple announces early morning con-call tomorrow, March 19, to discuss cash balance

Apple has just announced that they will be holding an early morning conference call tomorrow, Monday March 19, at 6am PDT, 9am EDT to discuss Apple's cash balance.

Source: http://feedproxy.google.com/~r/TheIphoneBlog/~3/QDjTetqTcTE/story01.htm

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Windows 8 app keeps perps under virtual lock and key, frightens pedestrians (video)


Need something to sate that Windows 8-lust Microsoft stirred up with its Consumer Preview? Then take a gander at this in-development vehicle control app shown off at the company's Redmond campus as part of this year's Worldwide Public Safety Symposium. Developed by Modularis, an outfit known for their enterprise, federal and OEM automation solutions, the Metro-style application turns its host slate into a virtual controller, granting users remote access to door locks, sirens, lights, as well as the ability to pull cloud-based data -- courtesy of Windows Azure -- from multiple cars to determine GPS location. And, as you'll see in the video after the break, it also has the unintended and wholly amusing benefit of freaking out innocent passers-by.

Continue reading Windows 8 app keeps perps under virtual lock and key, frightens pedestrians (video)

Windows 8 app keeps perps under virtual lock and key, frightens pedestrians (video) originally appeared on Engadget on Sat, 17 Mar 2012 14:50:00 EDT. Please see our terms for use of feeds.

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Source: http://www.engadget.com/2012/03/17/windows-8-app-keeps-perps-under-virtual-lock-and-key-frightens/

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