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Choosing a Nursing Home – Things to be taken care of

Choosing a nursing home is an incredibly important matter, and you should know that there are several things that you should take into consideration when you are trying to decide on one. For instance, you should know that most nursing homes have eligibility standards and if you don’t meet these standards then you or your loved one will not be accepted.

The following are some items to consider before settling on a nursing home for long term care:

  • Comparing

You should always do a comparison when you are trying to decide between the nursing homes located in your area. You should take some of the best and then compare the pros and cons between the companies that you choose so that you can find the best one. Price, comfort and accessibility should be the main aspects that you should compare when looking into a long-term care facility.

  • Consider Your Personal Needs

It is important that you need to take your own personal situation into consideration so that you can find a nursing home that fits all of your wants and needs. One feature that you will want to consider is the social environment of the nursing home. For example, you will need to consider if the nursing home is close enough to your family members that they will be able to visit often, whether or not religious services are available, if there is an outdoor area for you and the other residents to enjoy, and what types of activities are available for you to participate in. If the patient is unable to consider these things, it is your responsibility to decide for them.

  • General Levels of Service

Knowing how the service works at a particular nursing home will make choosing one far less difficult. For instance, you should go in and talk to the staff members at a facility that you are contemplating. Ask questions about the facilities and try to gauge their responses in order to decide how they will interact with the patients at the facility. Ask to tour the nursing home; this will give you a chance to see how the staff treats the residents. If possible, speak with the patients or their family members to see how they feel about the care that they receive at the facility.

You will also want to check out the activity programs, because you certainly do not want to choose a place where you or your loved one will end up being bored because there is nothing to do. In this regards, you will want to check and see if there is a schedule of daily events posted, as well as whether or not the activities listed cover a range of different interests.

Additionally, do not forget to check out the dining area and menu, so that you see if the mealtime atmosphere is to your liking, whether the residents there are happy with the quality of the food, if the food appears appetizing or not, if residents are allowed to get substitute meals when they do not like the menu, and whether visitors are allowed to join residents for meals.

Choosing a nursing home is an extremely difficult decision. Many people finish out their days while being cared for in these facilities. This is why it is very important to choose a residence that is of the highest quality and affordability.

Ten Considerate Gifts for Nursing Home or Hospice Residents

When you have a friend or family member who lives in a hospice or nursing home, chances are you are not sure what would be a good holiday gift. Whether the individual is coming home for a quick holiday visit or you will be visiting them at their room during the holidays, chances are you’re stumped at what to purchase for a holiday gift. Chances are, they have already indicated that a gift is not necessary, but you may still desire to give them a thoughtful token for the holidays.

Most times, nursing home residents have little space for trinkets or furnishings. Often gifts of food or candy are frowned upon, and items like scented candles are a dangerous hazard since many residents require oxygen as part of their care regimen. Here is a list of good holiday gifts for nursing home and hospice residents.

1. Board Games – From Checkers to Rummy, the gift of a game this holiday season is something you might consider for a preteen, but nursing home residents enjoy sharing these classic toys with other individuals who live there and visitors who occasionally stop by. Whether you buy an oversized chess set or a handheld Soduku, your gift of a game is certain to bring a smile. If your resident is suffering motor-skill challenges or vision issues, be sure to select a game with larger pieces, and be sure to keep in mind the fact that residents with dementia should not always be allowed to own items containing small parts.

2. Silk Plants – Silk plants liven up any room and require little care to keep them looking beautiful. They are preferable to live plants because they do not require watering, which can cause safety issues due to spills and reaching (for hanging plants), or direct sunlight, which might not be available in every room. In addition, silk plants will not attract bugs and can stay more sanitary than live plants, giving a room a cheerful, homey appearance without risking the danger of having spillable dirt indoors.

3. Rocking Chair – Most nursing homes and hospices mention rocking chairs on the very top of their wish list for residents, and for good reason. Rocking chairs are easier to get residents into and out of than most types of chairs, and they are very comfortable to sit in due to their relaxed design. Whimsical or pretty cushions and soft padding (Velcro only, no ties) make rocking chairs even more comfortable to sit in, and the fact that they are made of wood makes the rocking chair an easy cleanup favorite for residential home housekeeping as well.

4. Lotion – Consider the gift of lotion for a nursing home or hospice resident. Skincare is often a challenge with aging skin. An easy to pump lotion or skincare gift basket including lip balm is a thoughtful gift. Be sure to choose hypoallergenic lotions without heavy scents, and ask the residential home staff prior to giving such a gift. For an even more thoughtful present, include a box of tissues, some sunscreen (if the resident spends time outside,) a pair of sunglasses, and a large-print book.

5. Large Print Books or Magazine Subscriptions – Large print books allow for less strain on aging eyes and can be shared between residents. Consider making a nice set of bookplates to go along with the gift of reading materials with the resident’s full name and room number. That way, is someone borrows a book, they know where to return it. Magazine subscriptions offer a year’s worth of reading delivered to their room with the mail. Choose fun magazines like National Audubon, Travel, and other exciting publications that show our colorful world.

6. Throw Blanket – Perfect for use on a wheelchair, a cotton throw can be both functional and beautiful. There are literally dozens of throw blankets in both fleece and cotton styles available online. These blankets are preferable to a bulky bed blanket because they are smaller and fit on wheelchairs and rocking chairs much easier. Consider a throw that displays a favorite hobby, faith, or subject.

7. Wall Clock – A lovely wall clock is a great gift for any nursing home or hospice resident. Consider models that are not noisy, that have colorful designs, and large easy-to-read numbers. Clocks are a thoughtful gift because many nursing homes have special activities for residents. A gift clock, which does not look institutional like the typical room clock, would be a great way for residents to stay on schedule for music sessions, craft opportunities, and other activities.

8. Jigsaw Puzzles – Easy to store and with so many varieties, easy to buy, the jigsaw puzzle is a gift that many nursing home residents enjoy. Puzzles help keep minds sharp and busy, and they are an activity that residents can do together. Consider thicker pieced puzzles with fun designs, and select puzzles based on the resident’s abilities. For residents with good motor skills, an 1000 + piece puzzle might be a fun challenge, but for those dealing with muscle issues including arthritis, consider a 500 piece or fewer puzzle.

9. Stationary and Greeting Cards – What better way for your resident to keep in touch than with the gift of pre-stamped stationary, greeting cards or satire essay. A basket of decorative paper, envelopes, and pens is a nice sentiment for residents who love to write. Consider including a “loaded address book” full of the addresses of family and friends, or a set of pre-addressed stickers for certain individuals they often write to so they can just peel the “To” name and address sticker for quick addressing of stationary.

10. Wall Hangings – What better way for a nursing home or hospice resident to create a home out of their room than with a decorative wall hanging? Wall hangings can be purchased in many styles and colors to coordinate nicely with any room. Consider decorative items in the resident’s favorite colors and subjects. Wall hangings are a preferred gift for residents because they don’t take up the space that trinkets do, and they can’t be as easily dropped or misplaced.

When purchasing a gift for a nursing home or hospice resident, be sure to ask staff about the home’s guidelines and restrictions. After all, it’s important to follow the rules of the residential home when selecting a gift for a resident. Never forget that the gift a nursing home or hospice resident wants most is time with family and friends. Be sure to commit to visiting whenever you can, and volunteer to help with activities if possible. Happy Holidays.

Maternity Nursing Scrubs And Uniforms

Maternity clothing is a challenge for most women, but finding maternity nursing scrubs is even more of a challenge. There are so few places where you can find inexpensive, comfortable, but stylish maternity scrub uniforms, and the places that do have them, generally charge you an arm and a leg, just because they are maternity scrubs.
Being a nurse is very taxing, and being a pregnant nurse is even more so. The last thing you want to do on your off days is fight traffic, look for parking spaces, and stand in long lines, just to buy your maternity scrub uniforms.

Save your gas, your back, your feet and your sanity and order your maternity nursing scrubs on line, in the comfort of your home. There one hundred other things you can spend your time on. Like house cleaning and grocery shopping, which in itself can be taxing, when you’re pregnant.

So here is a list of 5 places to order maternity scrub uniforms. Look them over and see what they have to offer. May particular attention to the special offers and any discounts you get on shipping.

SassysCrubs

Sizes:
XX Small to6X

Sassy is different in that you choose the fabric you like, then you choose the scrubs you like, and your outfit is custom made. They offer the newest fabrics and seasonal fabrics. All together they have 1400 different fabrics to choose from. All the scrubs are custom made in the US.

You can choose from solids, prints, blends and 100% cotton. Their clothes are comfortable from the beginning of your pregnancy, right on to the end. The prices on their individual garments will be indicated during the process. You also have to set your browser to accept “cookies” to place an order on line.

Maternity Brand Names Offered:
– Custom Made

Clothing Offered:
• Maternity Scrubs Top
• Maternity Scrubs Pant
• Maternity Scrubs Jacket

Special Offers:
– Gift Cards
– Gift Wrap ($6.95)
– No Sales Tax (Except For New York State)

Shipping:
5 – 12 Business Days (Allow Time Because Items Are Custom Made)

A2Z Uniforms

Sizes:
Extra Small to 3X

This site specializes in hard-to-find maternity scrub uniforms that are comfortable and inexpensive. They have a variety of colors in maternity nursing scrubs and maternity medical scrubs. You can also find sets, which is easy on the budget. The prices here, range from $21 to $30 dollars.

Maternity Brand Names Offered:
– Landau
– Cherokee
– Grey’s Anatomy

Clothing Offered:
• Maternity Empire Tops
• Maternity Wrap Tops
• Flare Leg Scrub Pants
• Straight Leg Scrub Pants

Special Offers:
– Embroidery
– Monogram
– All Orders Over $50 Dollars Earn An Extra 5% Off (Limited Time)

Shipping:
– Free Standard Shipping For Website Orders $75 dollars and over
– Shipping Charges Depend On Order Weight

All Heart

Sizes:
Petite, Regular, Plus, Short and Tall

If you like pastels, then you will love the colors at Allheart, but they also have navy and white. Again, the colors are all solids, and the prices range from $22 to $36 dollars.

Maternity Brand Names Offered:
– Dickies
– Cherokee
– Barco
– Landau
– Grey’s Anatomy

Clothing Offered:
• Maternity Mock Wrap Tops
• Flare Leg Scrub Pants
• Straight Leg Scrub Pants

Special Offers:
– Embroidery
– Personalization
– Clearance Close Our Prices 75% Off

Shipping:
– Free Standard Shipping For Website Orders $129 dollars and over
– Shipping Charges Depend On Order Amount
– International Orders Accepted
– Ship FedEx Ground, 2-Day Air and Premium Ground

 

Uniform City

Sizes:
Extra Small to 5X

This site has at least two different styles and several colors to choose from. The colors are denim, navy, chocolate, black and white. However they are all solids. No prints are sold here. The prices range from $17 to $23. They also shoes, stethoscopes and other accessories.

Maternity Brand Names Offered:
– Cherokee

Clothing Offered:
• Maternity Empire Tops
• Maternity V-Neck Tops
• Flare Leg Scrub Pants
• Straight Leg Scrub Pants

Special Offers:
– Custom Embroidery (Extra)

Shipping:
– Shipping Charges Depend On Order Amount
– No International Orders (Exceptions Are Hawaii, Alaska, Guam, US Virgin Islands)
– Ship FedEx 2-Day Air, Next Day, USPO

 

Cheap-Scrubs

Sizes:
Small to 3X

Even though there are only two colors to choose from, the maternity scrub uniforms are well made and they come in a set. The colors are a solid navy and teal, and the price for the set is only $29.99 dollars. If you need shoes, stethoscopes or other accessories, they offer those also.

Maternity Brand Names Offered:
– N/A

Clothing Offered:
• Maternity V-Neck Tops and Straight Leg Scrub Pants Two Piece Set

Special Offers:
– Free Tote Bag With Order

Shipping:
– Shipping Charges Depend On Order Amount
– Shipping By Parcel Post Only
– Canada and US Shipping Only

This completes the list of the 5 places to order maternity nursing scrubs on line. I hope you were able to find something you like. As stated before, finding maternity scrubs can be a difficult process, but the sites above can be utilized to your best advantage.

A lot of them don’t have maternity scrub uniforms in prints, but you can still find very stylish
maternity scrubs in a variety of solid colors, plus the scrubs are comfortable, and that is what’s important. So I hope you enjoyed the article, and please check out the sites.

If you should decide to order from any of the on line sites, please don’t forget to read their return policy, their shipping policy and any other policies that are important for you to have a beautiful shopping experience with your chosen store.

The Ethical Side of Nursing Research

Although nursing research and nursing practice influence each other and co-exist, they are not the same entity. The difference between the two areas was outlined in 1979 by the National Commission for the Protection of human Subjects of Biomedical and Behavioral Research or the Belmont Commission. The commission mentioned that the design of nursing practice is geared towards the improvement of a person’s well-being with the application of several interventions. Nursing practice will offer diagnosis, preventive treatment or therapy to patients. Moreover, the Belmont Commission stated that research, in contrast to practice, is geared towards testing a hypothesis, drawing conclusions, and generally contributing to the acquisition of knowledge. Research activities are continuous. They involve Continuous Quality Improvement and clinical trials at random.

The most important provision in nursing research refers to the ethical principles governing human subjects. The three ethical principles are: autonomy, beneficence, and justice. To explain further, autonomy refers to self-determination and informed consent. Before research can be conducted on an individual, he must be informed and must be given the right to choose whether or not he will participate or withdraw from a research study. Autonomy recognizes the basic principle of respect for a human being. Would-be participants of a research study must be told of the risks involved. Autonomy is usually reduced in instances where the participant is a child or is unconscious. In which case, the participants are given the right to safeguards. Next of kin, a health care surrogate, or a guardian could act as safeguard for the participant. Beneficence is the principle that guides health care assistants and providers.

The principle has its foundation on health care moral advocacy. Beneficence provides maximum benefits and protection from harm. In order to follow this principle before a research, there is a thorough and fair analysis of known risks and benefits of the research. If consent is given, there should also be monitoring of a person’s response during the course of the study. The last principle is the principle of justice. It mandates that every participant should not have been coerced to join a research study. Also, it provides that the subjects of the research exclude those persons who are with severe mental or physical illness. Persons who are economically and educationally at a disadvantage are also covered in this principle. All subjects must be selected that only from the group listed above. They must come from a broad population, of various societies, gender, socioeconomic status, age, and ethnicity.

Now, if a nurse or any health care giver has an ethical conflict with a certain research, he has no moral obligation to see through the procedures of the experiment. The nurse in question must bring his concerns to the others’ attention, specifically to those persons involved in assisting the patient and reviewing the suitability of the research. There may be a personal consequence of reporting, but failure to communicate perceived ethical injustice violates the ethical principles of the nurse and the profession. The last one is so much more difficult to ignore than the first.

What to Look for when Researching a Nursing Home

One of the hardest things for a family to do is to have to resort to placing their elderly loved one in some sort of Nursing Home facility. There’s no easy way to get through it but this article will guide you through the process.
We are human. We age and grow old. We break down and repair ourselves. But much like an old car, eventually our parts just wear out. Bones get brittle, skin gets loose, our posture gets bad, and walking can become difficult or cease all together. Then there is our mind. Confusion or dementia can set in. We can forget things that we’ve known how to do for most of our lives. We can be a danger to the well being and safety of others and ourselves without even realizing it. And when we get to that point, it may be necessary for us to have constant supervision and 24 hour assistance as needed. These days, when most couples both have a job, having someone there to take care of our loved may not be possible. Nor does everyone in the household have the proper training and skills to properly and safely assist our loved one.

It’s times like this when you may have to start looking into alternate care for our loved one. This may mean removing our loved one from the house that they may have spent most of their lives in. It’s not an easy thing to do at all. There is a lot of red tape not to mention the emotional tool it takes on the family.

First you need to have a talk with your loved one’s doctor and find out just what her or his needs are and the level of care that is needed. They may only need an assisted living apartment in a residential community. Your doctor can also give you information or contact information on who to talk with to find out how to pay for this care as it can be VERY expensive. But fear not, the state and Social Security Administration have a hand in the funding as well.

Second, you have to sit down and discuss this with your loved one. They may be upset and angry. This is normal. Calmly explain to them just why this is needed and work on getting through to them that they NEED this care as the quality of life they deserve is not being provided in their present home setting and that it’s for their own safety. If your loved one is confused and such, they may not protest at all but if they’re not, getting them to accept it all may be somewhat of a process. Be patient and try to be considerate of their feelings. If they are active in their church or even somewhat active, ask the church’s Priest or Pasteur for assistance. They have dealt with this before and can be a tremendous help.

Based on the doctor’s recommendation, visit the area’s facilities. Find out what area of the facility your loved on will be in. In many nursing homes, certain level care patients may be kept in different areas. Ask the admissions advocate to take you for a tour of that specific area. Take a look around. How clean is the area? Observe the staff. Look at their faces. Do they seem stressed out like they have 100 things to do in 5 minutes?

Ask to speak to the charge nurse of the area your loved one will be in. They are the ones who are on the ward from day to day and can answer your questions far better than the person in the admissions office. Ask the charge nurse if it would be possible for you to speak with one of the C.N.A (Certified Nursing Assistant) staff. The C.N.A staff will be providing about 85% of the care to your loved one.

Here are some questions to ask:

What time is breakfast, lunch and dinner each day?

This may not seem very important but it will help you to know their daily schedule. And take note of the breakfast time.

What kind of activities does the facility do with the residents?

Many facilities do bingo, square dancing, movie nights, and arts and crafts.

Do they offer physical therapy or occupational therapy?

These things can help your loved one keep their joints in proper working order.

Do they get bathed daily?

Good hygiene is essential to your loved one’s health and comfort.

What is the C.N.A to patient ratio on the unit your loved one will be in?

A C.N.A has a very physical, and emotionally demanding job and they don’t get paid NEARLY what they are worth. In fact, many of them are very underpaid. If when observing the unit staff during your tour, they seem stressed out, the unit is likely understaffed. A single C.N.A may have to take care of 18 patients during their shift and perhaps 12 of them are total care patients who aren’t capable of doing anything for themselves. They are a LOT of work.

What time does the staff get them up in the morning?

This is kind of a sneaky question and it has to do with the meal times. If Breakfast is at 8am and the staff starts their morning care at 5am that’s 3 hours before breakfast that they’re getting up. (Morning care includes bathing, brushing their teeth, shaving, etc.) If that’s the case, the facility is likely understaffed. An experienced C.N.A should be able to have your loved one ready for breakfast in about 30 minutes. Now they have more than one patient to take care of so 2 hours should be sufficient if they are properly staffed.

How much money do you make here?

Ask the C.N.A that question. If it’s under $8 per hour they are very underpaid and staffing is likely a problem there because the second the C.N.A finds something for $9 or $10 per hour, they quit. (And who can blame them?)

You may very well have to go to a FEW facilities before you find a decent one.

And when the time comes and your loved one is settled, make it a point to visit them at least once weekly and bring the grandchildren.

Nursing homes aren’t really a pleasant environment to visit. There are some very ill people there. But they provide a service that our community greatly needs and one day, you may need one as well. Good luck.

How to Survive Tandem Nursing – Tips for Mothers Nursing Two Children at Once

Life doesn’t always work out the way we plan. While some women are ready to jump into a tandem nursing relationship, others are reluctant. Just breast-feeding one child is a commitment, and taking on two at the same time is a major commitment. I know this because I am breast-feeding my 6 month old son Caleb while also nursing my 2 ½ year old son Jacob. I never expected to be nursing two children at the same time especially when they are over 2 years apart in age. Weaning Jacob is a challenge and I am still working with him hoping to have him fully weaned before he turns 3 years old in November. Jacob is the type of child that is very persistent and doesn’t want to give up the breast so easily.

So rather than having a war and going through weeks of sleepless nights to wean him cold turkey I have decided to wean him gradually as that seems to be less traumatic for him. I also need the sleep right now because my other son needs me so nursing them both was the best solution for my situation. There are days when I feel like every ounce of energy has been zapped from my body due to nursing both children, so I felt that it was a good idea to share some tips for survival in order to help other mothers who are also tandem nursing.
Rules

One of the first things I did when I started tandem nursing was develop some rules to follow. Just because your nursing two children doesn’t mean that you need to nurse both of them all the time and always at the same time. Yes there are times when I nurse them both, but that is on my terms. I explained to my toddler that the baby needs to be nursed first because breast milk is the baby’s only food source while he can eat regular food un like the baby. There have been times when the baby is nursing and Jacob wants to nurse also, and yet I wasn’t in the mood to nurse both of them, so I tell him that he will have to wait his turn.

Nursing a toddler is much more challenging than nursing a baby because toddlers are very demanding at times. Even though Jacob (my toddler) doesn’t talk much yet, he still understands just about everything I tell him. Jacob doesn’t need to nurse for nutrition, but he nurses for comfort which is very different. You set the rules based on what is comfortable for you, and your family. Remember that you’re the boss.

Take time out for yourself

When you’re taking care of two little ones there will be times you feel as though you’re being spread to thin. You might feel tired and exhausted. It is essential to find time for your self. Have your partner or husband watch the kids while you take a hot bath, or go spend the evening with your girlfriends. You will need to plan for this by pumping for the baby, and carrying a hand held pump with you in your purse when you’re out and about. It is so important that you have supportive people in your life who will allow you to do this. All mothers needs special care.

Take care of your nutritional needs

When your nursing two little one’s, your body can quickly become depleted of essential nutrients. If you’re not giving your body what it needs, your body will leach it from your bones, teeth, liver and other places where nutrients are stored in order to make milk for your babies. This same rule applies to any nursing mother. Be sure to eat a wide variety of fruits and vegetables on a daily basis as well as some type of lean protein such as eggs chicken or fish just about every day. If you’re a vegetarian be sure to consume other non meat protein rich foods such as beans, soy, or protein shakes. Supplementing with Brewers Yeast can also help you to stay healthy and keep a good milk supply. Drink 8 to 10 glasses of purified water each and every day, and if you’re working out drink more. Listen to your body. You can become dehydrated very quickly nursing two babies. Listed below are other essential nutrients that I take on a daily basis in addition to eating healthy.

Juice plus- This is a whole food multi-vitamin and Mineral supplement made from actual food. Whole food vitamins are much better for your body as compared to synthetic (lab created) vitamins. Other great whole food multi vitamins can be found at your local health food store or pharmacy. Another great brand is Garden of Life.

Calcium- In addition to taking a whole food vitamin I also take extra calcium, 1000 mg per day to be exact.

B-vitamins- I take a chewable B-complex supplement to help increase my energy levels. B-vitamins are essential because they help with stress as well.

Fish Oil- Depending on the season I usually take pharmaceutical grade salmon oil, fish oil, or cod liver oil. Cod liver oil is best to consume during the winter months because it has extra vitamin D.

Floridex- Floridex is a non constipating iron supplement that works wonders for nursing mothers.