April 30, 2008

Conventional Medicine’s Vision A Future In Preventive Health Care

Filed under: health care — admin @ 4:05 pm

The University of Kentucky’s Dr. William Markesbery thinks a day is coming when we will be able to protect children from the illnesses of old age, including Alzheimer’s disease. Although it’s purely speculative at this time, it could be possible in a few decades to identify young people who are genetically susceptible to develop Alzheimer’s disease. Protective drugs, lifestyle changes, or other strategies could be started decades before symptoms of the disease appears.

Scientists don’t know exactly what causes Alzheimer’s disease but they think many factors can affect each person differently. Alzheimer’s disease is not considered a normal part of aging, but age is a primary risk factor. This disease usually doesn’t appear until after age 60, and about five percent of people ages 65 to 74 have the disease, and the percentage jumps to nearly half after age 85. Generally if members of your family have had Alzheimer’s disease you are more likely to be at risk. Doctors think a number of genetic mutations and variations can increase risk, but these markers have yet to be identified. They can not know for sure if someone has Alzheimer’s disease until they examine the brain tissue after death. It is the only way of currently diagnosing this disease. Drugs can sometimes slow down the symptoms in the early and middle stages of the disease, but there is no cure.

After reading this article one important question comes to my mind. If they have no cure for the disease that already exists in people, how do they think they can prevent one from occurring in the first place? The mere idea of protective drugs to prevent young people from a disease they may never develop, such as Alzheimer’s or any other brain disorder is a frightening thought!

Could it be that modern man is creating a complex solution for a relatively simple nutrient deficiency problem? This simple solution should be examined first because there is a high probability that a nutrient and or dehydration problem could produce a much more cost effective answer.

Remember this well known fact, medical schools that train our doctors and scientists are heavily funded by the drug industry. Their primary agenda is developing complex chemical substances that untrained people like you and I do not fully understand. This keeps more money flowing into a failing health care industry. In comparison, there is not a lot of money to be made in a simple corrective nutrient approach. How much can you charge for fish oil and water?

Consider this, the human brain is 85 percent water and 15 percent fat in its make up. There are two essential nutrients the brain must be given to perform adequately. These two essential nutrients are omega-3 essential fatty acid (fish oil) and pure water. These two nutrients are non-negotiable as far as your brain is concerned.

You can learn so much from reading these two books on how to strengthen your brain to avoid most any brain disease (disorder). “The Omega-3 Connection” by Dr. Andrew Stroll M.D. and “Your Body’s Many Cries For Water” by F. Batmanghelidj M.D.

You be the judge and decide which option would be best for you or your family. One approach is unrealistically costly, the other is definitely affordable. Call upon your innate common sense and open your mind to what these two medical professionals have to share with us all.

Brenda Skidmore has spent the last three years researching natural health care alternatives. She can attest to the many benefits of natural practical cures and preventive strategies for human health.
Along with the many medical professionals whose published works she has studied. It is her sincere desire to bring forth this knowledge for the betterment of mankind. To improve your life today visit mywater4life.com

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April 29, 2008

How to Become a Home Health Care Nurse

Filed under: health care — admin @ 10:01 am

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.

Find more information about becoming a Home Health Care Nurse including certification and job openings at My Nursing Degree Online.

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April 28, 2008

Long Term-Care; 70 Million Americans Will Be Over 65 by 2003

Filed under: health care — admin @ 5:07 am

We will all grow old; this is a given. We will all have health issues as we grow older, this also is a given. Many people work their whole lives and if they are smart end up with a paid for house and a little nest egg for retirement. This is a good 15% of the population. Good for us as we have a strong middle-class. But whether you are rich or poor there will come a time when you need long-term care. As a matter of fact statistics show tat 10% of use will need long-term care for 3-5 years.

The problem is that such care costs a good $135.00 per day now, not including any future inflation. So something you should be thinking about is; do you have adequate coverage to protect you life’s earnings, home and nest egg in the case you are somewhat incapacitated and need home long-term care? Many financial planners are recommending insurance for this; as a matter of fact currently it is all the rage.

When shopping for such long-term care insurance there are things you need to look for besides your basic costs of premiums and general services. Things such as an inflation rider to protect you; also a non-forfeiture rider should be in the policy. The non-forfeiture rider prevents the insurance company from completely canceling your policy if you miss premiums; instead you will get less services or care, but not loss of all benefits. There are also in some policies provisions for limiting premium increases. Insurers cannot raise an individual’s premiums but they are allowed to raise premiums for an entire class or category of folks. You need to make sure this will not happen and look for this in your policy.

Guaranteed Renewability is another provision you need to have; meaning they cannot cancel or refuse to renew your policy as you reach and older age of higher risk.

There are over 100 companies, which offer these types of insurance policies but only about 15 or so are any good. Other companies like some abuses in the Insurance Annuity Business may simply collect lots of premiums and then go out of business in the future, leaving you high and dry after taking your premiums. Please be careful and think about this.

Lance Winslow

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