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Nursing Assistant Certification

By admin on Thursday, September 2nd, 2010 | No Comments

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Many individuals who are certified as a Nursing Assistant become frustrated with the medical facility environment. The often have to work as scheduled including holidays, deal with internal issues among staff, want more pay for the work they are doing, and don’t feel appreciated.

Home health care offers a great alternative to Nursing Assistants who want more freedom as well as the opportunity to get to know those they are caring for on a more personal level. Home health care is exactly that, offering basic assistance to those who need it in the privacy and comfort of their own home. Nursing Assistants will be performing many of the same tasks including feeding, bathing, and dressing the patients.

Most Nursing Assistants interested in working for home health seek employment with a home health agency. These agencies contract with the patient or their family to offer them services to be able to remain in their home rather than an assisted living facility. However, Nursing Assistants need to be aware home health care agencies generally offer additional services that they will be required to perform including paying bills, running errands, picking up medications, and taking the patient to scheduled appointments. In addition, there may be cooking and light housekeeping involved.

Many Nursing Assistants love home health care because it allows them to develop a schedule that works for them and they get to know their patients. Home health care generally allows you to make your own schedule. It will be reviewed by your supervisor as well as checked with the patients. Every effort is made to accommodate all involved. It is very likely you can customize the schedule around holidays and other events, giving you those days off.

Getting to know your patients while doing home health care is a perk you don’t often get in a medical facility. You sometimes can if you work in a long term care facility, but even then time is often limited and Nursing Assistants have to run to complete the workload they are given. Getting to know the patients in home health care can make the job more enjoyable.

Since home health care takes place in a person’s home with very little supervision, the background check is more intense than what is done to work in a medical facility. This is for the complete protection of the patients. You will have complete access to their home as well as be interacting with them one on one. Therefore any time of issue on your background check can keep you from being employed in home health care.

Be prepared for a references and past employers to be contacted. Home health care agencies will be looking for more than the length of employment and your skills. They will want to find out if you are organized, motivated, and able to work on your own without constant supervision. They will be investigating your promptness as well as how often you call off work, as well as the reasons why.

This is because home health care agencies don’t have the volume of staff to cover your patients if you show up late or don’t show up at all. This can result in patients needs going unmet and them becoming upset. That could result in patients choosing to end their contract with that home health care agency.

Nursing Assistants are more likely to earn more at a home health agency than in a medical facility. On average $2.25 more per hour. They are also more likely to be treated respectfully by their employer and co-workers. They want employees to be happy as this will help keep them as quality employees. Patients do not like for their assistant to continually change. They don’t like having that many new people in and out of their home. The home health care agency has to properly balance keeping the employees and the patients happy.

Before accepting any employment with a home health care agency, take the time to research them with the Better Business Bureau and state Medical Board. You do not want to involve yourself with any agency that does not participate in proper procedures for care of their patients. It is important to report any such issues immediately.

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10 Options in Treating Mesothelioma

By admin on Sunday, August 8th, 2010 | No Comments

As with any cancer, treatment for Mesothelioma depends on the location of the cancer, the progression of the disease, the age as well as state of health of the patient.

It is the oncologist who specializes in the disease who will decide on the line of treatment. The disease is difficult to treat and in most cases the prognosis is poor. Treatment options include:

1. If the diagnosis is done in the early stages surgery may be recommended to remove all cancerous tissues. This means thoracoscopy, VATS or video assisted thoracic surgery, mediastinoscopy (used for staging), or laproscopy.  Often, doctors will advise palliative procedures like chest tube drainage and pleurodesis, thoracoscopy and pleurodesis, pleuroperitonial shunt, or pleurectomy, which treat the symptoms of mesothelioma rather than the disease.

2. Radiation is prescribed aggressively for mesothelioma patients and is often given in combination with surgery or in order to control symptoms, palliatively. Research on using radiation therapy using implants or UV light therapy is in progress as traditional radiation therapy damages surrounding healthy tissue.

3. Chemotherapy is an option and around 12-20% of patients respond to the drugs. Anti-cancer drugs destroy cancer cells and prevent their spread. In mesothelioma, chemotherapy is not considered to be curative. The aim is to prevent spread of the disease; shrink the tumor prior to surgery, known as neoadjuvant therapy; to annihilate any remains of the tumor in the body post surgery; and to relieve pain and other discomfort, palliative chemotherapy. Experts recommend prescribing premetrexed along with cisplastin. These drugs have shown positive results and this is now standard care for Mesothelioma not treatable by surgery.

4. Biological therapy using interleukin 2.

5. Immunotherapy where the body’s own immune system is stimulated to fight the disease. Biological response modifiers, BRMs, are used in treatment. These enhance the functions of the immune system; regulate metabolic reactions that promote growth of cancers; alter cancer cell division; block or reverse processes that lead to formation of cancers; and prevent spread of cancer.

6. Gene therapy, where attempts are made to correct the gene sequence that causes the cancer. This is of two kinds, replacement gene therapy and knockout gene therapy. 

7. Administration of lovastatin, a cholesterol lowering drug.

8. Photodynamic treatment where a photosensitive medication is activated using a laser. This is done during the surgical removal of cancerous tissues.

9. Draining of fluid in the chest or abdominal cavity followed by introduction of medications into the cavity to prevent fluid accumulation is done for patients who have uncontrolled fluid accumulation and intense discomfort stemming from it.

10. Combination therapy or Trimodal therapy which means surgery accompanied by radiation and chemotherapy. 

Often, complementary medicines are also used. Termed to be holistic this kind of treatment focuses on a patient’s physical, mental, emotional, and spiritual well being.

In the case of Mesothelioma which is untreatable one can opt for clinical trials of new treatments that are in progress in several research laboratories and centers. The best advice on the line of treatment would be that recommended by the oncologist or physician.

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Get Moving when Worried or Stressed

By admin on Sunday, July 25th, 2010 | No Comments

There seem to be so many people who are depressed that we really should take a look at the causes of depression in the first place. The factors that contribute to depression are well-known, and well-researched, but what causes it is not quite understood. New studies have uncovered some of the factors that contribute to the probability of people developing depression.

Stress

Stress takes the first place prize. It’s true that any stressful environment or situation can lead to depression. It can be anything such as social stress, getting a job, relationship difficulties, worrying about money, staying up late, lifestyle out of control, pressures of school and getting good grades. Other events that could cause depression are: death, change of job, moving from one place to another; even the fear of the unknown can cause depression. The list is endless. While these events cannot be avoided, we must come up with an effective stress coping mechanism to be able to thrive even in stressful situations because they are never going to go away. Stressful situations just keep changing.

Drinking and Drugs

People who take drugs and alcohol are more prone to depression. When these substances are used at a young age, they can effect a a person’s brain in negative ways. These substances help make the person feel good temporarily, but in most cases, people become addicted.

Drugs release dopamine in the pleasure center of the brain. For example: delicious food boosts dopamine release by about 50 percent. Sex, on the other hand, doubles this number. However, drugs can increase dopamine release anywhere from four to ten times. This unnatural high almost certainly leads to depression after the high goes away. This substance is the surest way to fry brain circuitry.

Drugs make a person depressed more than it makes him happy. This effect will spiral downward until the person doing drugs will want more and more of the substance to break the cycle of depression that follows each high and so the addiction is born.

Not Enough sleep

Studies show that up to 40 percent of adults do not get the proper amount of sleep per day and among students, up to 71 percent complain of sleep disorders and lack of sleep.

Sleep is essential to a person’s health. During sleep, the body repairs itself and reorganizes thought. Lack of sleep contributes to a lack of coherence in brain waves. This scenario often leads to depression. Sleeping during the day and staying up late also interferes with the body’s natural rhythms. This can lead to a sense of depression.

Here are few ways on how to prevent depression.

Sleep is a vital part of preventing depression. Balance your life with enough rest and exercise everyday. Most people require seven to eight hours of sleep per day.

Keep some regularity in your life. Orgaize your activities so they can come at expected and regular times. If your weekly, daily or monthly routine is set then your body has time to get used to the activities. This will lead to a reduced chance for depression to set in.

Don’t push yourself beyond your limits. Keep stress in check and try to avoid stressors if you can. If this can’t be done, then try to deal with the stressors in a manner that minimizes the damage it causes.

Sunlight and exercise can help the brain to function a higher level. Make time to enjoy the sunlight and try to stay active in the daylight when possible.

Keep away from alcohol and drugs. They may seem attractive, but all they really do is cause havoc in a person’s life.

Make at least one warm meal daily a priority. Good eating habits and good health are important when keeping away from depression.

Have fun every day. Nothing takes the load off of depression like some good old fun time. Social activities such as chatting, joining a support group sports, and other hobbies can do wonders towards healing a stressed out and busy mind.

Depression can be avoided and treated and it can be fun doing so. Follow the above mentioned tips for a brighter and happier disposition each day. You will look and feel better for it!

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