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The holiday season is again approaching. Every year, as the calendar inches closer to the Big Day, the dilemma of what to give someone in a nursing home resurfaces. Birthdays and Mother's Day/Father's Day bring up the same questions. It's challenging to find the right gift for someone in a nursing home.

Take this list with you when you shop for any occasion. Pick up one or two items for simple gifts, or bundle several together in a decorative container for a custom gift basket that is certain to delight your favorite nursing home resident.

Entertainment:

Subscriptions on meaningful topics. Sports magazines, news magazines, womens' publications, the local newspaper, large print digests

Large print fiction or non-fiction books

Large print crossword or word-find books

CDs of favorite music from the 30s, 40s or 50s

DVDs of favorite television shows or movies

A radio, CD player, CD player or even a new television

Games such as checkers, chess, parcheesi, pokeno, dominoes and card decks

Photo album with dates and names clearly labeled

Clothing and Toiletries:

Sweat suits, cardigan sweaters, robes and pajamas. Look for items that have stretchy fabrics and loose arms so that they are easy to get on and off

Slippers or shoes with backs and rubber soles

Hand or body lotion

Facial tissues with lotion

Brush and comb with long handles for those with limited arm mobility

Hands-free pedestal mirror

Electric razor

Gift certificate for the nursing home gift shop or beauty/barber shop

For The Room:

Framed family photographs

New afghan or lap robe

Large number clock

Small lockbox for securing personal treasures

Earphones for television or radio

Large number amplified phone

New large print calendar with important dates marked

Large print address book with addresses and phone numbers already written in

Greeting cards for all occasions and stamps

For loved ones in a nursing home avoid highly fragranced gifts such as cologne, perfume or after shave. These can be annoying to other residents even if your loved one enjoys them. Residents with dementia may accidentally swallow these, too.

Food items can be difficult because of dietary restrictions. If you are certain your loved one will be able to enjoy them, remember to avoid anything that might be difficult to eat with dentures, such as caramels.

If the person you are shopping for has a roommate who gets few visitors (or none at all) consider "adopting" him or her. A little something from you may be the only recognition this lonely person gets on an important day.

Do your best to deliver your gifts in person. Most nursing home residents appreciate visits much more than gifts of things.

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While waiting in line at the post office, I stood behind a small elderly woman who was at the counter taking care of her postal needs. She had a very large purse with lots of zippers and a variety of smaller change purses. She had many questions for the postal worker and kept moving money and items in and out of her purse, zipping and unzipping her purses. She was a little hard of hearing and had to ask the postal worker to repeat her answers. The postal worker showed in her tone of voice and actions that she had no patience for this older person. At one point, she looked over the head of this elderly woman - at me and the line behind me, rolling her eyes in exasperation.

If the person in front of me had been a person of different national origin or race or practiced a specific religion or had a physical disability - would this postal worker have shown the same disrespect or impatience? Most likely not as she would fear being accused of discrimination. It is unfortunate in our society that treating the elderly differently or discriminating against them for their advanced years, is accepted practice. Discrimination against the elderly is known as ageism. The term ageism was coined by US gerontologist Robert N. Butler in 1969. At that time, it was added to the list of specific discriminations of racism and sexism. Ageism includes treating the elderly in a negative way as well as perpetuating negative stereotypes of aging. In today's advertising, the elderly are often characterized as grumpy, unkempt, dependent, self absorbed, a little daffy and eccentric. The activity professional and others who work in long term care have a more humanistic perspective regarding aging and the lifestyles of the elderly. We work tirelessly to provide individual opportunities to each person to live life to the fullest and in the manner they choose to live life, regardless of age.

To begin changing society's negative perspective toward aging and to promote positive images of aging, the activity professional can introduce the following tasks or actions:

1. Have the most amazing and dynamic activity program possible. A solid therapeutic activity program which includes group, individual and 1-1 programs is the best antidote against the negative stereotype of the elderly sitting in a rocking chair, watching life go by.

2. Develop a viable and working Resident Council. Empowering your residents to have a voice and use their voice to speak out about life in the facility and the community is essential in showing others that the elder cares about others and not just about themselves.

3. Embrace person centered care and the culture transformation movement. The philosophies and principles of these models of care emphasize new attitudes toward aging and what it means to get older. These concepts stress the individual nature of each person and living life to the fullest, as each person would like to live life.

4. Keep your residents engaged in life in the community through trips and outings. If you facility has a van or bus, make active use of that van. Make sure the van has the name of the facility painted brightly on the side so everyone sees you out and about. If your community/town has an annual parade, with floats and decorated trucks, think about entering your facility van. Think of the positive impact you will have with a group of smiling elders waving from a facility bus in the local Columbus Day or Independence Day Parade.

5. Develop an active and contributing community role for your residents. Fundraising for local charities, participating in Senior Citizen day at the mall, adopting the local animal shelter and visiting local schools are community oriented tasks which demonstrate the elder is an active and viable member of the community.

6. Take advantage of community awareness days of any kind. National Senior Fitness Day, National Nursing Home Week, National Nurses Day, and National Good Neighbor Day to name a few, would be opportunities for your residents to sponsor a community event and invite community members into their home. This would show the community how life goes on within and outside the walls of your facility.

7. Initiate facility chapters of organizations for your residents to join, while inviting local community members to be a part of your chapter. The Red Hat Society, The Gray Panthers, the VFW, the local Garden Club and other groups can be initiated and conducted at your facility. Integrating your elders with members of the community breaks down the age barriers.

8. Re-define aging for yourself. No matter your personal chronological age, your outlook has an impact on others. Purge yourself of any negative ageist attitudes which may be lurking in the back of your mind. Be true to the rights of all individuals, regardless of age.

9. Assume the role of a positive aging advocate. Whenever you encounter a negative attitude or action, don't be afraid to speak out in a positive and constructive way.

Are you wondering what happened when I approached the counter at the Post Office, after the elderly woman finished her business? The postal worker saw the anger in my eyes and mistakenly thought I was equally annoyed with the older woman. She suggested the woman should stay at home and get someone else to do her errands for her. I told the postal worker I couldn't disagree with her more and we should all be so lucky as that woman - to be out and about doing errands at her age. The postal worker retorted with a bit of a snort and stated she'd rather be dead than a nuisance to others. My parting comment to the postal worker was "be careful what you wish for". As I left, I heard a few chuckles and at least one "bravo" from the line of people behind me.

Age is opportunity no less,
than youth itself, though in another dress.
And as the evening twilight fades away,
The sky is filled by the stars invisible by the day. -
Henry Wadsworth Longfellow

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The vast majority of an educated modern populace has developed a pretty vivid tapestry of what life was like during the "Great Depression". The visions of struggling dirt farmers like the Joad's in Steinbeck's "The Grapes of Wrath", the big city soup lines, the tent cities for thousands of homeless and photographs of men selling apples on street corners have burnished in many of us a searing image of hopelessness and despair.

Today, the United States is sharing the most serious economic malady since the "Great Depression" with countries all over the world. While not approaching the absolute calamity of the 1930's, the damage done to our wallets and psyches is nevertheless daunting and bruising. Businesses, organizations and individuals are understandably fearful and have curtailed spending in lieu of conserving capital. Risk taking, the key to maximizing gain, has been virtually shut down. Small business growth and development has been strangled. Entrepreneurs have hunkered down, fearful of the vagaries of a marketplace that seems to have no stomach for new products and ideas.

In times like these it pays to study the lessons of history. The Great Depression was bleak for so many, of course. Nevertheless, it was actually a fertile era for creativity and entrepreneurial activity.

People were desperate to make every purchase count, to leverage every dollar spent and obtain maximum value. The result was that an exciting array of creative breakthroughs came to market to satisfy the greater demand for economy.

The importance of consumer advertising was magnified and became a much more critical tool utilized by packaged goods manufacturers to woo value conscious consumers. Heinz ketchup, Palmolive soap, Campbell soup, Westinghouse appliances, Revlon and Max Factor cosmetics and Hormel Spam enjoyed an explosion of growth created by new sales promotion concepts. Billboards, mass advertising, coupons and sampling became ubiquitous. Local, regional and national agencies evolved to assist manufacturers in promoting their products in new, exciting ways. Barn advertising for tobacco products and Burma Shave road signs added needed revenue to beleaguered farmers and roadside landowners.

The Studebaker Motor Company had evolved from a 19th century maker of hand carts and wheelbarrows to a struggling auto carriage manufacturer. The Company enjoyed modest success until the Great Depression. Recognizing opportunity, Studebaker went back to its roots as a maker of work conveyances and began to produce the Studebaker paneled work truck. At a price of around $600, this workhorse vehicle enabled thousands of laborers, handymen and small contractors to eke out a living hauling, building and scratch farming.

The ball point pen, nylon, the radio, radar, the Land camera, the photocopier, sticky tape, the television, FM radio band, the helicopter, the jet engine and the electric razor are only a few of the inventions that were perfected and came to market during the 1930's. Inventors did not stop their pursuit of fresh, valuable innovations. They seized the reality they were confronted with and targeted practical solutions to problems that needed to be addressed at that time.

The same opportunity is available today. The opportunity to create products or services that offer great utility and excellent value is appreciated by the consumer more than at any time in recent memory. There is a rush to basics, store brands, no frills products that perform and are sturdy. The inventor that can address these contemporary needs will find a willing acceptance from investors, consumers and retailers.

There is never a better time than NOW to launch a product, start a business or license a product. This is true when markets are booming, or when the economy is in a trough. There are always excuses made for not making a sale, not closing a deal or not taking that chance, that chance that can change one's life. Every economic age offers the opportunity for success for those willing to address real needs with inventiveness. History offers us plenty of proof.

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Hired heaters can literally save lives

During a particularly cold snap, heating at a home can prove inadequate. This is where the option to hire additional portable heaters (to supplement an existing system that is probably running over and above capacity) can literally prove 'a life saver', particularly at weekends when an oil supply for a fixed system can run out, with no prospect of supplies being replenished until the following week.

Some of the more serious cases of care homes being left without heat, have been documented by the media: they often involve heating failure over a bank holiday or Christmas and leave residents wearing body warmers, fleeces and blankets around the clock.

While there is no strict minimum temperature to be provided for residents or patients at UK care homes or nursing homes, Health and Safety Executive guidelines state that managers have a duty of care towards people on their premises, this includes the provision of reasonable heat.

The elderly need not be without heat

With the elderly often being frail and susceptible to illness (particularly chest-related illnesses, when temperatures dramatically fall), any heating failure at a care home is particularly worrying.

The tragedy of it all is that in the vast majority of cases one phone call to a heater leasing specialist who operates a 24/7 emergency call-out service could immediately solve the problem.

In such situations, small heaters (e.g., oil-filled radiators, 3kW DE-25 units...) would be used as they are unobtrusive, have simple controls, are very safe, and are easily powered (most portable electric hired heaters work off a standard 13a 240v power supply).

Heater hire engineers will situate the rented heaters safely, ensuring that supply cables will not be a trip hazard for residents with vision or maneuverability challenges.

Hired mobile heaters can be used to heat large rooms and communal areas as well as individual bedrooms, so everyday life at a home could continue without upheaval or upset being caused.

How contingency plans can mean peace of mind

Premises managers can safeguard themselves against the consequences of a heating system failure in winter by formulating a contingency plan with a heater hire specialist, during the autumn months. As part of the plan, the specialist will perform a site survey. They will consider factors such as: their fastest possible response time, access to the building, available power there, budget, etc., and will then be thoroughly prepared and primed to respond immediately to an emergency call-out.

The many benefits to hiring heaters

As well as being the ideal emergency back-up option, leased portable heating units are energy efficient, environmentally-friendly, and can be:

Used immediately;

Easily stored;

Rented on a short contract basis;

The perfect stop-gap between the removal of an existing (fixed) heating system at a care home or nursing home, and the installation of a new one;

Added to an existing heating solution when extra heating is required.
Portable heaters can also be hired during planned servicing or maintenance work to a fixed heating system at a care home or nursing home, of course.

Specialists will pull out all the stops

Specialist heater hire companies recognise just how vital it is that care homes and nursing homes are properly heated in winter, and so will offer a 24/7 service in order to provide a stop-gap heating solution until a built-in heating system at a home is repaired and operating fully again.

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A great home based business for nurses where you can still care for people and stay in the health and wellness industry. Many work at home nurses that come to us for a legitimate work at home business, come to us with similar scenarios. First of all, it is safe to say that most nurses got into their profession because they love caring for people. The nursing profession provides quite a variety of different areas in which nurses can care for others, such as clinics, outpatient, long term care, assisted living, community-based as well as hospital, which has many different specialities in itself. Some of those nurses, however, do go through burnout due to one scenario or another and are looking for something similar, where they can still care for people, but have greater control over their personal life, hence, they find us.

Burnt Out Nurses. Can you relate to one of these scenarios?


  • You got into nursing years ago because you wanted to help people and this provided so many different ways you could do so and a work at home nurse was not even thought about. You started off enjoying what you did for the most part. Your career was rewarding and you did see some fruit from your labor in appreciative patients and relieving stress for others going through difficult personal health situations. To make ends meet, you had to work a lot even though you really wanted to spend more time with your children. Day after day, year after year of taking care of others in need and in crisis starts to wear on you emotionally. You are so drained at the end of your work day, you have little energy for the ones you love. This too wears on you, but you have bills to pay and no choice, but to work 40-50+ hours a week, week after week. You are burnt out, but still want to help people, but on the terms that allow you to take care of yourself and your family.

  • Maybe a scenario you can relate to better might be that you got into nursing years ago because you wanted a rewarding profession that contributes to the lives of others. You work hard at being excellent at all that you do in your nursing career. You wouldn't want to work at home as a nurse because you want to be right in there. You are energetic and diligent in your career. You do your continuing education on a regular basis. You keep up on all the newest things related to the area of nursing you are in. Most people seem appreciative, but some are eager to blame their troubles on others and you worry it may be you. You constantly worry that despite your painstakingly careful approach to your duties, that you may lose focus, maybe come to work a little tired because you were up all night with the puppy or child, and the dreaded thing happens, you make a mistake. Not only do you have to live with the guilt of altering someone's life in a negative manner, but you now are being sued. The years of stress worrying about this has been overwhelming.

  • Another scenario might be that when you got into nursing years ago, it was portrayed as a profession that you could get a job anywhere, anytime, although work at home nurses may not have existed. This may have been true then, but maybe not now. Maybe the direction you took your career limits your places of employment. Besides, the health care industry, in general, has gotten so regulated that it makes is nearly, if not, impossible to meet all regulations. The area of nursing you are now in is okay, but just lacks its appeal that it once had. You are a professional and love caring for others, but all that you have to deal with to do that, makes it more stress on your life than you think you can take anymore. You would like to be calling the shots and running things in a way that truly is effective in helping people, but without all the corporate nonsense that will not allow you to properly take care of others.

What Are Many Nurses Looking For In A Work At Home Business

Basically, many nurses now are looking for work at home businesses where they can still care for and help people, but be able to work at home, spending time with their families, where nobody can sue them for mistakes, not have sore feet every day and provide a good income for their families. All the while, developing their businesses like they want, doing the things they enjoy and seeing lives change in the process. Being able to work as hard as they want and work smart, so that their rewards are not just in helping others, but helping themselves and their families as well.

There are a lot of good nurses out in the work force and we need you there as nurses are the glue that holds things together. If, however, you are at a place in your life where you are just a bit burned out and ready for a change, start investigating other options that support you emotionally. You might consider a health and wellness company where you can work from home, allowing you the freedom of working from home, but still in your line of interest. There are businesses that you can build totally online and/or offline with successful leaders. There are a variety of ways you can choose. Good solid work will bring you a fantastic income and you can enjoy yourself and your family while doing so. There are many "work at home" things out there, but not all are stable with a good track record. Be sure to choose a company that has been around, is solid and growing. One that has a good business plan and a proven track record for changing lives for the better.

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Many times you learn of a parent's medical crisis from an unexpected phone call. The change in your parent's health and abilities sets in motion a journey for both you, as caregiver, and your parent through the health care system. During a hospitalization, you learn the realities of elder medical care. Hospital stays are much shorter, and your parent most likely will detour through a skilled nursing facility before returning home.

Here are some tips to help navigate a rehabilitation stay in a skilled nursing facility:


  1. Hospital stays are minimized. When your parent no longer needs medically necessary services in a hospital environment, he will be discharged due to Medicare restrictions. If your parent has been hospitalized for a minimum of 3 days, the doctor may write orders for rehabilitative services in a skilled nursing facility.

  2. A rehabilitation stay provides your parent with a daily regimen of therapies such as: Physical therapy, Occupational therapy and Speech therapy.

  3. Speak with the doctor early in the week about his plans for your parent's discharge. The worst days to transfer to a skilled nursing facility are Friday, Saturday and Sunday, because therapies are normally scheduled Monday through Friday.

  4. It is likely that your parent will need visits from you more when he is in the skilled nursing facility than he did when he was in the hospital. Although the nursing home resembles a hospital in both form and function, it does not provide the same level of care or have the manpower to answer all those calls for assistance quickly.

  5. Nursing homes are in the business of making money. Even non-profit facilities expect to cover cost of care and have money to reinvest. Rehabilitative stays are quite lucrative for skilled nursing homes.

  6. Make sure the facility you or the hospital social worker selects is certified by Medicare.

Continual communication with the hospital admitting doctor, social worker and the doctor in charge of your parent's rehabilitation helps ensure that your parent's needs and desires are remembered and followed. Even when you try your hardest to take care of all the issues that pop up, you will sometimes feel inadequate. Try to let go of any regrets and give yourself kudos for doing your best to support your parent when he needs you most.

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We all know how important it is to look for a nursing home for our loved ones. As much as we want to take care of them, there will always be a point in time when we will not be able to take care of them all the time. There will be times when your willingness will not win over the fact that you are living a busy life. Most of the time, when we start to live a very busy life, we tend to neglect the fact that we should be taking care of the elderly. We often come to the decision that maybe it is time to send them to a nursing home.

This is the best place where we can send out loved ones because this serves as a second home for them. These are able to provide a place to sleep, stay, talk with other people too. The most important thing about a nursing home is the fact that they are supervised all the time. They are checked if their needs are addressed to. These will include meals, rooms, medical services and rehabilitation for the residents. You might actually wonder why a nursing home may not look like a hospital, because even if they are taken care of in a nursing home, the patients will still be able to enjoy their independence as individuals.

Things To Look For In A Nursing Home

When you look for a nursing home, you might find it that there are a lot of choices for you. It is recommended that you choose a nursing home based on personal recommendation of your friends and family. They might have an idea on which nursing homes will be best for your loved ones. If they have sent their loved ones in a nursing home too, then you might ask the level of satisfaction that their relatives have had while staying there. You can get first hand experiences from them which can really be helpful.

When you have selected one which you think is perfect for your relative, it will be a good idea to visit the facility. This is the perfect opportunity for you to go around the place and evaluate the kind of care that they are offering. You can check the facility for overall hygiene and cleanliness. You can observe how the patients are doing as well as the kind of job which the nurses are giving them. This will give you the perfect opportunity to evaluate if this is really the right day care to choose.

It is very important that you identify the needs of your loved ones. This includes the special mental conditions as well as physical complications that your loved one is experiencing. You need to check these out and create a list before sending your loved ones. Give this list to the nursing home so that they can still give the right medication for your loved ones even if you are not taking care of them.

Making The Choice

There are certain factors which you need to consider when choosing the perfect facility. Of course, you need to make sure that you choose one which is strategically located. This means that it should be in a place which is in the middle of your house and office so that you can drop by and visit anytime that you want to. Trust me, this is a very helpful tip that you should follow. Especially if you are still not used to the idea of this, you can really use a visit or two per week in the nursing home.

When you have finally decided on one, it is your responsibility to check the constitution of the nursing home. There are rules and rights which are set by the health care facility for their residents. This will cover privacy, visiting hours, medical benefits as well as check-ups. You may need to review these things so that you will lessen any conflict which you might encounter in the future. What also comes with this is that it also your responsibility if there any special diets that your relative needs. So you always need to inform your nursing home for any of these things.

There will be a contract that will be provided for you. What you should expect to find in here are the rates for admission, discharge and transfer reasons, payment modes as well as the cover charge for bringing home the patient temporarily. Read thoroughly the contract and take down your questions before signing because this can lead to conflicts if you sign without clearing out any doubtful statements in the contract.

Emotional Stress

Although we think that sending out loved ones in a nursing home is the best decision that we can make, this can always lead to a little emotional stress on the part of our loved ones. This may create an impact in their lives leading them to think that they are already old and we do not need them in our lives. This is why as part of our nursing home responsibility, we should be able to explain to our loved ones the reason why we have to send them there. You need to clear it out that they are not excess baggage in our lives. You need to tell them that this is the best decision that you have when it comes to wanting the best care for them. It is very important that you are able to assure them that you will come and visit them. Never promise them anything which you cannot do. This will lessen the false hopes that you might bring to them.

It is not so hard to deal about sending your loved ones to a nursing home. Especially when the point in time comes that you have to. It is all about looking for the best day care for them. When you have found the right one, everything else will follow. So make sure to keep these things in mind if you want to make sure that everything will go smoothly as you send them in a nursing home.

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The Irrevocable Income Only Trust is an important planning tool

It is no secret that the high cost of long term care can be ruinous. Everything you worked for -- lifetime savings, even your house and retirement accounts -- can all be wiped out in a matter of months to a few years. That is why advance planning, including Medicaid planning, is so important. It is critical for most families that a loved one needing long term care qualifies for Medicaid assistance.

Among the planning strategies used to qualify for Medicaid, one of the most important is transferring assets into an Irrevocable Income Only Trust ("IIOT"). The purposes of the IIOT include (1) to preserve a source of income, (2) to shield and manage assets, (3) to ensure Medicaid eligibility, and (4) to avoid the costs and time associated with probate. IIOTs allow individuals to transfer their assets into a trust as protection in lieu of making outright transfers to their children. Under the terms of an IIOT, the transferor ("grantor") will receive all of the income produced by the assets in the trust for the grantor's lifetime. By transferring assets into an IIOT, the grantor will still reserve some control and retain some interest in the transferred assets -- advantages that are not available when transfers are made outright to individuals. If the grantor places the grantor's home into the trust, then the trust agreement can specifically provide for the grantor to continue to reside in the home for the grantor's lifetime. Because IIOTs are irrevocable, the grantor cannot revoke the trust and reacquire the assets; therefore, the assets are deemed unavailable (and, therefore, not countable) for Medicaid eligibility purposes.

The IIOT can be used to qualify for Medicaid

Under current law, Community Medicaid (i.e., the kind applicable for care at home or at many Assisted Living Facilities) may be available within a couple of months after the assets are transferred into a trust. Institutional Medicaid (i.e., the kind applicable for care at a Nursing Home) would be available after the look-back period expires. The look-back period is the time window within which Medicaid can look to see if assets have been transferred. It is also the period prior to the Medicaid application during which Medicaid will penalize an applicant for transfers within such period. Under current law, the look-back period is now five (5) years.

Assets transferred into a trust more than five years prior to the filing of a Medicaid application will not impact Medicaid eligibility. If, however, a person who set up such a trust ends up needing Nursing Home care before five years elapse, a penalty period would be assessed and some other planning technique would likely have to be employed. If a penalty is imposed because of a transfer to an individual or a trust within five years of a Medicaid application, the period of ineligibility begins when the individual enters a nursing home and is otherwise eligible for Medicaid.

The IIOT can save taxes

IIOTs also offer tax advantages. The grantor is treated as the owner of the trust for income tax purposes. This is valuable because the trust's income tax rates are usually higher than the grantor's income tax rates. Additionally, the IIOT can be drafted to include a special power of appointment for the limited purpose of including the trust assets in the grantor's estate for estate tax purposes. A special power of appointment will also permit a grantor to change his or her beneficiaries. Upon the grantor's death, the trust assets obtain a "step-up" in value. This means that when the assets are distributed to the grantor's chosen beneficiaries, the beneficiaries' bases in the assets for income tax purposes will be the value of the assets as of the grantor's date of death. As a result, the beneficiaries will avoid any capital gains taxes on the appreciation of the trust assets between the date of acquisition and the grantor's death if the property is sold after the grantor's death.

An Irrevocable Income Only Trust can be a valuable tool. It is complex and has many potential pitfalls, so a knowledgeable Elder Law attorney must be consulted.

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Recently, person-centered care in nursing homes has been receiving a great amount of attention. Organizations have developed with the sole purpose of advancing the philosophy and approaches of this model of care. More nursing homes have undergone culture change by using a person-centered approach. And, there is an increasing amount of publications written about person-centered care, person-first care, patient-centered care and resident-centered care in nursing homes. Although the philosophy behind this care model is not new, some of the specific approaches and methods used in nursing homes today are rather new and very exciting. It takes a total commitment, from the administration to floor staff, to make person-centered care work. If there has been some hesitancy in implementing this type of care in your facility, its time to get excited about the best way of delivering the most highly individualized care there is. And, yes, you can do it!

First of all, leadership must believe in the person-centered model of care. This is no easy task for some administrators and directors of nursing, who have been used to more traditional forms of care. It involves more than prettying up the facility with more home-like creature comforts. It is a philosophy of care that truly puts the resident in the center of the care process. Routines, schedules and tasks become secondary to the needs, desires and pace of the resident.

Second, leadership must get all employees on board with this type of thinking. Nursing, social services, activities, dietary, housekeeping and laundry, and therapies must be educated and shown the benefits of this kind of care in order to believe that it can and will work in their facility. Skilled nursing homes have traditionally provided institutionalized care under the old medical model that places medication passes, treatments, dinning schedules, and pre-scheduled activities before the needs of the resident. Leadership must emphasize that person-centered care essentially turns this old model of care upside down.

Third, leadership must get residents and families involved in designing, customizing and implementing person-centered care through active participation in one-on-one discussions, resident council meetings, and family focus groups. Administration and staff cannot make all the decisions that go into care without critical input from those they care for. Residents provide important information concerning care issues such as when they like to wake up in the morning and when they like to go to bed, what they like to eat and when they would like to eat, preference of a bath, shower, or some other bathing experience, preference of caregiver, and where they would like to live in the facility. Families offer details on their loved ones history, likes and dislikes, religious and spiritual preferences, past occupations and careers, and hobbies. All of this input helps staff to create a more unique and individualized resident-centered care environment and experience.

Fourth, leadership gathers all of the ideas and information they have collected from residents, families, and staff and rolls out their special version of person-centered care in their building. Their model of care may include breaking down long hospital-like hallways and corridors (which are very common in many nursing homes) into smaller neighborhoods or communities of 6 to 8 residents. They may wish to have caregivers assign themselves to each neighborhood and provide consistent assignments. They may want to provide cross-training for nursing assistants in activities and housekeeping and create a new position: the person-centered specialist. They may endorse natural waking and retiring, liberalized diets, easy access to outdoors, and spontaneous activities 24 hours a day. These are just a few ideas that facilities can include in their journey through person-centered care.

Last, all employees must feel person-centered care in their hearts. This is where real care from anyway. It can also be where true culture change comes from, turning their once traditional and institutional facility into a person-centered home where residents want to live, families want to visit and staff want to work. Employees must also understand something else very important about person-centered care: it is not an end unto itself. Instead, it is a process, a ongoing journey, and one in which mistakes will be made and processes changed in order to constantly improve not only the quality of care in nursing homes, but the quality of life itself.

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Registered Nurse Report
This comes from the US Department of Labor and is their 2010-2011 Occupational Guide. Here are highlights of the report:

  • Registered nurses (RNs) constitute the largest healthcare occupation, with 2.6 million jobs.

  • About 60 percent of RN jobs are in hospitals.

  • The three typical educational paths to registered nursing are a bachelor's degree, an associate degree, and a diploma from an approved nursing program; advanced practice nurses-clinical nurse specialists, nurse anesthetists, nurse-midwives, and nurse practitioners-need a master's degree.

  • Overall job opportunities are expected to be excellent, but may vary by employment and geographic setting; some employers report difficulty in attracting and retaining an adequate number of RNs.

  • Employment of nurses is expected to grow by 22% much faster than the average of all occupations

  • Nurses with a bachelor's degree are more sought after than nurses without one

One of the most interesting things about the job outlook is that they say that growth in nursing in hospitals will be much lower than in other places like working in doctor's offices, nursing homes, home healthcare and in other parts of the medical field. Just because it is growing slower doesn't mean that there still isn't quite a significant growth in jobs in the hospital setting.

Other interesting things in the report are that in some areas of the country they are having such a difficult time attracting nurses that employers are offering relocation assistance (money to relocate), signing bonuses which are cash bonuses when you officially agree to work for them, family friendly scheduling and other incentives to attract qualified candidates.

In 2008, here were the median wages of nurses:

  • Employment services (those who work as head hunters) $68,160

  • General medical and surgical hospitals 63,880

  • Offices of physicians 59,210

  • Home health care services 58,740

  • Nursing care facilities 57,060

The report also talks about the types of jobs that nurses have and their responsibilities and the opportunities for advancement. Here are some of the interesting points about registered nurse advancement:

  • Most RNs start out as staff nurses in hospitals

  • Many RNs go on to become advanced practice nurses such as nurse practitioners, nurse anesthetists or nurse midwives

  • Many nurses in the hospital environment find advancement opportunities in management and supervisory positions in the hospital

  • Many nurses move their career into the business side of healthcare. It isn't uncommon for nurses to go academically to get an MBA degree and enter the business world and it is not unheard of that nurses go on to become lawyers.

It is important to remember that healthcare is a big business that hires many people who work very far from the patient's bedside. In many, many of these jobs, it is really important that the people have a real and tangible healthcare background. Nursing provides that background.

It is also worthwhile to keep in mind that there are several important factors that are driving the increase in the need for nurses. Firstly, the aging population means more sick people. The baby boomers are getting into their 60s and the need for more healthcare at that age increases dramatically. That means there is a need for more nurses. Secondly, whatever healthcare reform looks like, it will likely increase the access many people have to healthcare. People who couldn't afford healthcare or it wasn't a financial priority will be able to get healthcare under the new programs being discussed. This will drive the demand for more doctors.

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No doubt that once you've fully completed your CNA training you'll want to find a job in your local area, so you're going to need to understand the employment options available to you. The good thing about being a CNA is that you can pretty much work any where you like in the health care setting you just need to find the right job for you.

The remainder of this CNA training article will aim to provide you with the facts relating the employment prospects of newly qualified Certified Nursing Assistants.

There are several employment options open to you as a newly qualified CNA, you just need to have a good look around the local health care providers in your area. When you're searching for a job consider that there are 4 main types of CNA employment on offer, these include the following:

  • Home care employment

  • Hospital employment

  • Long term care employment

  • Doctor's surgery employment

The first and also the most popular type of CNA employment is working within the clients home, more and more these days people want to stay in their own homes for as long as they can without having to go into long term care facilities, this is where the home based CNA comes in. The home healthcare CNA cares for someone in their own home, this means that the person can stay in their own home and maintain their own independence whilst still receiving the care and support they need. The duties of the home based CNA include things like shopping, cleaning, cooking, washing, assisting with personal hygiene needs and nutritional support.

The second type, and most commonly available type of CNA employment is that in the acute sector, I.e. within the hospital based setting. Within the acute care sector CNA's work directly alongside registered nurses and other registered practitioners, for this reason the role can be a lot more fast paced and challenging at times. The duties of the hospital based CNA are often a little more technical based, offering you the opportunity to care for patients who are undergoing surgery and medical intervention. Such patients require things like blood pressure, pulse, optometry, respiration and blood glucose monitoring, something which you don't do in patient homes.

The third type of CNA employment is that in the long term care setting, this includes nursing homes and residential care homes. Duties within the long term care facility can often be similar to those in the home setting, including things like washing, dressing, feeding and bathing. Working in a nursing home setting can be rewarding since you get to know the residents you're looking after, however it can also be emotionally demanding at times. One of the major positives of employment within the long term care setting is that the availability is growing slowly due to more and more people living longer.

The final type of CNA employment is that within a doctor's office or GP practice, this is one f the slowest paced jobs and is usually an option for those older CNAs who are looking for something a little less physically and emotionally demanding.

Whatever your choice, your CNA training will set you up for each of the above settings, however it will only be your own experience and time which will give you the true skills needed to succeed in each area.

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The new law makes it much more difficult to protect a family's wealth while having the government pay long-term nursing home costs for a family member through Medicaid. What you need to know...

THE TRUTH ABOUT MEDICARE

Surveys show that most people greatly underestimate their risk of needing nursing home care someday. The cost of such care already is extremely high, close to or exceeding $100,000 per year in many parts of the country and rising steadily. Over a period of years, it can consume a family's lifetime of savings and leave it deeply in debt.

Big mistake: Thinking that after the age of 65, Medicare pays for nursing home care.

Reality: Medicare pays the full cost for only 20 days of "rehabilitative" nursing home care, which must occur after a hospital stay. After that, it covers another 80 days with the patient paying the first $124 (in 2007) of daily costs (about $3,700 per month). After these 100 days, coverage ends.

WILL MEDICAID PAY?

Long-term nursing home care could be covered by Medicaid, a government program that provides health care to low-income, low-wealth individuals.

To be eligible: One must own few assets (usually less than $2,000 worth, with some exceptions noted below) and have only nominal annual income. The amount depends on where you reside - for instance, in New York you can retain income of only $692 per month. If the care recipient is married, his/her spouse generally can't have assets exceeding approximately $99,000, and can have only a modest income, with exact amounts varying by state.

Until recently, many seniors had planned to use Medicaid to cover their long-term care by transferring their personal wealth to other family members. They made gifts of assets to other family members and/or paid expenses (such as college tuition costs) for them.

Snag: The new rules make this strategy much more difficult.

TOUGH NEW RULES

To restrict the rapid growth in Medicaid costs, Congress enacted tough new eligibility rules effective in 2006, with the exact date varying by state. Rule changes...

*Tougher "look-back" computation. The look-back period has now been increased from three years to five years.

Plus, the ineligibility period that results from transfers made during the look-back period now begins only when the individual would become eligible for Medicaid benefits but for the transfers - that is, after his assets would have been exhausted - instead of on the earlier date when the transfers were made.

Situation: An older individual gives wealth preserving gifts totaling $320,000 to several of his family members. Two-and-a-half years later, he needs long-term nursing home care. The cost of care in his area is $8,000 per month.

Under old law, if the individual had retained $48,000, he could use it to pay for his own care for six months. This period added to the time since the gifts were made equals three years, so he would then be eligible for Medicaid and his $320,000 of gifts would be secured.

Under new law, the five-year look-back period "catches" the $320,000 of gifts. This makes the individual ineligible for Medicaid benefits for 40 months ($320,000 divided by $8,000 per month equals 40 months).

Worse, this ineligibility period now starts only after the individual has spent down on his own care whatever wealth he's kept. He then is left with the need to finance 40 months of nursing home care on his own, while having no wealth to pay for it!

Other family members may be called on to return gifts received from the individual to pay for his care. If they have spent the funds (such as on college costs), this may not be an option.

Recommended: Know the law in your state. Medicaid laws vary greatly by state and are very complex, with many special rules and exceptions. Examine the laws of your state with a legal expert to find special rules that may help in your situation.

MORE CHANGES

Other restrictions in the new law...

*Home ownership. Persons with more than $500,000 of equity in a home now are ineligible for Medicaid benefits. (Individual states may increase this limit to $750,000.)

Thankfully, individuals who have a spouse, children under age 21 or adult children with disabilities living in the home are exempt from this ruling. Previously, there was no such restriction (although states might try to recover the cost of care later through a lien placed on a home or a claim made against it in probate).

*Annuities. When an individual, who is receiving Medicaid benefits, or the spouse of such an individual, owns an annuity, the state must be the remainder beneficiary of the annuity. In this manner, the state's cost of Medicaid benefits (up to the amount provided) is repaid.

*Spouses not receiving care. When the spouse who receives most of a couple's income (such as from a pension) is institutionalized, applying all of that income toward Medicaid costs can result in great hardship to the other spouse (the "community spouse").

As a result, some states have enacted rules that allow shifting of assets to the community spouse free of Medicaid claims.

The new law sharply restricts such actions, increasing hardship on many community spouses in such states.

SELF-DEFENSE

To protect wealth now...

*Purchase long-term-care insurance. This will pay for future nursing home care. It is the safest way of providing for future care needs while protecting family wealth.

If you don't already own long-term-care insurance, consider buying it now. The earlier in life you buy, the lower the cost of the premium.

Beware of an early disability. During working years, you are more likely to be disabled, potentially requiring long-term care, than to die.

Check whether your employer provides long-term-care insurance - if it does not, purchase your own.

*Make wealth-shifting gifts early. For gifts to other family members to be effective at protecting family wealth, they now must be made a full five years before a need for Medicaid assistance arises.

*Purchase items exempt from the wealth test. Items not counted among assets when qualifying for Medicaid include clothing, jewelry, books and an auto needed for work or to travel to obtain medical care. Reduce cash balances by buying things that retain value, such as rare books and fine jewelry.

*Purchase a single-life annuity. This can reduce wealth by converting it to income that ends with your life (and so does not have the state as a secondary beneficiary).

*Take out a home-equity loan. Reduce the equity in your home to below the $500,000 (or $750,000) limit. Borrowing can be used for living expenses, to fund gifts, buy exempt assets or buy a single-life income annuity.

*Take out a reverse mortgage. This, too, can be used to decrease home equity - but fees are higher than the home-equity loan, and a reverse mortgage generally provides less flexibility than home-equity borrowing. Only use this strategy as a last resort.

*Deed a home to children while retaining a life estate in it. This gives you the right to use the home while you live while removing its value from your assets.

Snags: You expose the home to children's creditors ... if future conflicts arise between you and your children, this arrangement could become uncomfortable.

*Set up an irrevocable "Medicaid trust". By irrevocably transferring your assets to the trust, you reduce your wealth to qualify for Medicaid. The trust administers the assets for your family as you direct, and pays you a set amount of income for life at an amount that preserves Medicaid eligibility.

Snag: The income you receive is fixed, so you must be sure it will be sufficient.

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Nursing homes are meant to be a safe place for the elderly where help is provided to those who cannot attend to their own daily needs. Whatever the best intentions of staff and nurses are, often patients fall through the cracks. Unfortunately abuse in skilled nursing facilities is a somewhat common occurrence. It has been reported that there is a rise in the number of abuse claims in many nursing homes within New York.

Hospitalized senior citizens often become victims of abuse, incompetence, and neglect. In some cases, patient records in nursing homes have been doctored in order to hide problems. The increase in New York elder abuse is the same as throughout the country: large corporations expect large profit from nursing homes yet provide less care for patients. These facilities are often understaffed and their nurses and nursing assistants underpaid. These problems are typical throughout the nursing home system. Larger cities often bear the worst level of consequences for patients in elder homes.

Instances of Abuse of Elderly in New York

Typical examples of elder abuse are cases where the elderly patient suffers from bed sores. When neglected and treatment not given for an issue such as this, the sores become so infected the bedsores reach the level of residents' bones, causing infection and pain for the patient. These sores are painful and rather difficult to treat and cure, and arise mainly because of insufficient staff or poor care, leading to inadequate care of the patients' daily living needs. Other areas of concern are personal hygiene, adequate food and hydration and response to patients' daily needs.

In more severe cases, elderly residents' have also become victims of rape, physical abuse and other violence in nursing facilities. Although rare, these situations arise when staff are not properly screened during employment interviews, poorly trained or poor quality staff are hired due to low wages for the position. There are times these types of cases go unnoticed or undocumented. Family members may contact their local Ombudsman who act as a liaison with the nursing home and the state to deal with severe staff and patient problems. Family members must be proactive when addressing this type of abusive situation. Documentation of events by family members can then be discussed with the New York local Ombudsman and a nursing home abuse attorney may be brought in to advise and prepare litigation if needed.

Corporation Profit vs Insufficient Nursing Staff

Skilled nursing facilities are often understaffed with workers who are underpaid for the amount of work they do. Even the best intentions by CNA's (certified nursing assistants) go by the wayside when severely understaffed. When time constraints happen CNA's must provide care to eight to fifteen patients at a time. This can result in less care taken when feeding a patient, dressing and daily care of patients. As some skilled nursing facilities cut down on staff to increase their profits, the existing staff does not have sufficient time to ensure all their residents get fed, bathed, clothed, gotten up from their bed to their wheelchair or taken to social acitivities. A lack of hygiene can mean bedsores for an elderly resident. Overworked and underpaid staff at times equate to poor quality care for elderly patients.

Patients Medicated to Keep Quiet

Another issue that may happen in these facilities is inadequate medical care. Doctors do not always visit the patient on a timely basis. Registered nurses (RN's) are stretched thin as they too are usually understaffed. The lack of time for quality medical care at times leads to more medication to quiet the patient. Over medication is elder abuse and should be addressed with your attorney.

New York Nursing Home Provider Associations

Nursing home provider associations often have helpful information about skilled nursing facilities that are their members. Here is a list of New York organizations focused on assistance to elderly care.

County Nursing Facilities of New York
111 Pine Street
Albany, New York 12207
Phone: 518-465-1473

Greater NY Healthcare Facilities Association
360 W. 31st St., Ste. 303
New York, New York 10001
212-643-2828

Greater NY Hospital Association
555 West 57th Street
New York, New York 10019
212-246-7100

Healthcare Association of NYS
1 Empire Drive
Rensselaer, New York 12144
518-431-7600

Intercounty Health Facilities Assoc.
1615 Northern Blvd. Suite 306
Manhasset, New York 11030
516-627-3131

NY Association of Homes and Services for the Aging
150 State Street, Suite 301
Albany, New York 12207-1698
518-449-2707

NYS Health Facilities Association
33 Elk Street, Suite 300
Albany, New York 12207-1010
518-462-4800

Southern New York Association, Inc.
39 Broadway, Room 2805
New York, New York 10006
212-425-5050

With so much going on behind closed doors of New York nursing facilities, the families of elderly residents must turn to civil litigation for justice. It is often difficult to prove abuse with elderly in a skilled nursing setting. Working with an attorney who is knowledgable about New York state regulations for the elderly is advisable. Contact a reputable New York elder law attorney who specializes in these types of cases.for advice on how to proceed with litigation.

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Considerations for a Day Care
Adult daycare is for elderly people who are no longer able to take care of themselves. This daycare will provide a good atmosphere, social setting and best supervision to them.

Most Daycare Centers are sponsored by the Federal or state government, public, churches, and other volunteer groups. There are also some daycare centers that are owned and managed by a firm which can also be private centers.

The Organization of United Cerebral Palsy Foundation (UCP) is offering programs that can be both for residential and for adult daycare in some parts in the country to help people who suffer from cerebral palsy or have other mental and physical disabilities.

Activities in an Adult Daycare
Elderly should be comfortable and must enjoy their stay in daycare. Different facilities must be available and some interesting activities should be done to entertain them. When looking for an adult daycare center, you should know their daily activities and know if it is possible for an adult to do these. The Recreation Director is the one in-charge for initiating the activities to be done for the whole day and making sure that no elderly will only watch television all day long. Recreational and other social outlets are also provided for older persons who are disabled.

Inquire about social and entertaining activities in a daycare. Most of the seniors have talents and these talents can also serve as their hobbies too. Different programs should be formed which include arts, gardening and music and others also include pets. Programs and activities should be full of fun and interesting. These must boost the energy of seniors. Physical exercises can also be added to daily activities. This information should be gathered upon touring the facilities of adult daycare.

List of Questions
Before going on a tour in different adult daycare, you must prepare a list of valid questions that you will ask to the director or person that will assist you in your tour. Upon answering your questions, you must write down the responses because this will serve as your guide and reference when you go to a different day care.

Asking Questions
Do not forget to ask questions regarding their hours of operation and medicines and other items you must bring if they can do medications. Discuss their rates and other additional charges. Check out if there is doctor or a nurse that are always available in cases of emergencies.

Checking the Facility of an Adult Daycare
Bringing the senior during the tour to the whole place will help you determine if the available daycare facilities are comfortable for him. The tour will also help the citizen to be familiarized with these facilities for easy recognition that he will enjoy when he is already inside the daycare. Introduce him to the staff and other seniors in the daycare to start making friends.

Be Observant All the Time
You must be a keen observer while touring and making interviews. Pay attention to the cleanliness of the place and neatness of the working staffs. Through observing, you can determine if the place is really comfortable and whether cleanliness is strictly observed by having no foul smell around the area. And best of all, you have to ask questions if you are bothered by the quality of the facility.

Residential Care
Seniors and also those physically or mentally disabled individuals that have no families who cannot stay in their homes for some reason can go to group homes or other type of residential facilities. These facilities offer well trained host, thus one reason why residential daycare are more expensive.

Investigate whether the person granted to have a residential care are eligible enough for assisting the seniors in their houses in their daily activities.

Do Not Be Intimidated While Touring
Sending your loved ones to daycares requires lots of things to pay attention to. You will search the right nursing homes for them and upon deciding you must choose the best to take care for them. Do not be intimidated to the things that you will see in daycare since you are seeking for professionals who can give medical care and also medical environment.

Locating Adult DayCare
In America, there are only few daycares for adults. You can find it by searching the Yellow Pages of your local directory.

If you experience difficulty in locating any adult daycare, best to call a hospital, social worker or someone that specializes in geriatric care.

Helpful Ideas
Stimulation and lighting should be adequate for the senior. Their vision problems can lead for some minor accidents or can also be major accidents in daycare so adequate lighting is very important. Replace bulbs that are not functioning especially any burned out light bulbs and make sure that lights must have same wattage. Be sure to have lighting in stairs, closets and restrooms where accidents occur often. It is very important to provide enough lighting when they are doing their hobbies and especially while they are reading. It has been observed that seniors love to read newspapers so provide them a magnifier. Losing vision tend to make them decline from any activities or programs and it is really a heartbreak for them.

Check the floors if it is safe for elders
The flooring is the most widely used of elders in a daycare whether in rooms, kitchens and other rooms for doing the activities and programs. It is best to check the floors if it is safe for walking for seniors and that no any polish is applied on those which can be slippery. Check also the tile floors if there are more broken tiles. There should be no rugs that can cause a senior to slip down and will be hurt that can lead them from suffering in wheelchair when there are not able to carry themselves to walk. There are also some rugs that are available in the department stores that have a non-skid back to avoid any accidents.

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Employment in Nursing - What it Takes to Become a Successful Registered Nurse, Traveling Nurse, or other Nursing Professional

Do you like helping people? Have you ever thought about becoming a successful nurse? If so, we can help you. While certain professions are currently on the way out, nursing industry positions are on the rise. Namely, the nursing industry is one of the quickest developing fields. As the number of different types of homes providing specialized and individualized care continues to grow, the nursing home industry job market is growing and the many types of jobs needed in the nursing homes.

Before you can become a nurse you need to understand the difference between the different types of nurse. Here is a list of different Nurse positions:

1. Certified Nurse Assistant (CNA): A CNA is also known as a nurse assistant or home health assistants (HHAs). Essentially, CNAs provide patients with assistance all aspects of their daily living tasks, working under the supervision of a registered nurse. CNAs work in hospitals, as well as in different types of nursing homes, adult living facilities, and even in private homes. They maintain a close interaction with patients, and inform their reporting nurse of any changes.
2. Registered Nurse (RN): A Registered Nurse (RN)Registered Nurse is the most prevalent and the largest occupation in health care. An RN performs a variety of duties including providing treatments, educating patients and their families about various medical conditions, and providing advice and emotional support to patients and family members. Depending on the level of experience and specific field, RNs may choose to specialize in areas of health care relating to a particular condition, an area of the body.
3. Travel Nurse: A Travel Nurse is a very exciting position. The Travel nurse is an RN who takes travel assignments, working in hospitals across the nation for upwards of 3 months at a time. They work in various hospitals that are experiencing a strong shortage of nurses, and their working conditions will vary from one assignment to the next. As far as the industry goes, these nurses are highly paid and enjoy generous benefits, since their services are in such high demand.
4. Public Health Nurse (PHN): A Public Health Nurse (PHN)Public health nurses are RNs with specialized training in community health. These nurses work with local resources, articulating community health concerns to local health planners and policy makers, and assist members of the community to voice their own problems and concerns.
5. Licensed Practical Nurse (LPN: An LPN effectively performs in all areas of health care, and have more training than CNAs, but less than RNs. LPNs provide basic bedside care such as taking vital signs, preparing and giving injections, applying dressings and ice packs, and monitoring the patient's overall condition. LPNs also observe and report adverse reactions to medications or treatments, sometimes performing routine laboratory tests.
6. Nurse Practitioner: A Nurse practitioner is an RN who with additional education. Namely, and NP has completed additional courses and specialized training in order to function as a doctor. They take on additional duties in the diagnosis and treatment of patients, and in many states they may write prescriptions.
7. Work with an Experienced Resume Writer: A resume is your key to success. In this competitive job market, a resume is your BEST Career tool. Most of the time, it is your only method for getting your foot in the door. If you resume is riddled with spelling or grammatical errors, it will be discarded. By hiring a Certified Professional Attorney Resume Writer with EXTENSIVE HR experience, you can guarantee that you will have a legal professional help you achieve your career goals.

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Caring for an elderly family member can be an extremely difficult for the average family. Most families simply do not have the necessary time or the expertise to help an elderly individual with his or her health needs. In these cases, many families turn to nursing home facilities to care for them. Taking a loved one to a nursing facility is not a decision that is made lightly; families have to trust that their elderly relatives will be well cared for by dependable, experienced health professionals. Unfortunately, sometimes nursing home residents are neglected or even abused, which can cause serious physical and emotional harm.

Types of Negligence

Some nursing homes are not the positive, well-kept places that they appear to be at first glance. Nursing staff may not give their elderly residents the attention that they need, or worse, may intentionally abuse them. Below is a list of some of the types of negligence or abuse that may occur in a retirement home:



  • Physical Abuse


  • Psychological Abuse


  • Sexual Abuse


  • Theft and Fraud


  • Malnutrition


  • Bed Sores

While it can be difficult to catch a staff member in the act of abuse or neglect, there are warning signs that a family can watch for. Any sudden personality changes in a loved one, particularly sudden withdrawal or depression, could be hints that something is not right at the home. Likewise, if an elderly resident shows repeated signs of physical abuse such as bruising, concealed scrapes, or bed sores, he or she may be a victim of nursing home abuse or neglect.

For More Information

If you have a loved one in a retirement home and suspect the staff of abuse or neglect, consider consulting with an attorney to discuss your legal options.

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Slow murders and quick murders inside of nursing homes:

Please note there is an extremely important update to this article, at the end of the article. If you are any way involved in living in or visiting a nursing home or rehabilitation and care center, or if you have friends, relatives or co-workers inside of one of these places, it is vitally important that you read this complete article and the ultra-important update at the end of the article.

What is happening inside of our nursing homes and inside of our physical rehabilitation centers today would shock the average person. Right now, today, while you sit in your comfortable home reading this, someone your age, someone of your background is suffering at the hands of unscrupulous staff in nursing homes and in physical rehabilitation and care centers right in your own city.

Just recently a friend of mine from across the country called me to tell me that her mom was put into a hospital due to bedsores. The home-health care agency that was in charge of trying to help her and keeping her safe, neglected to turn her or move her every two hours and as a result of that neglect, this woman was hospitalized when the bedsores got so bad they were life-threatening. Would you think that a sore could be life-threatening.? Yes, and this is especially so to seniors, fragile , ill people and to disabled people. This woman recently died. And she died not from illness, but from needing to be hospitalized due to horrible bedsores.

What permits this to go on? Sometimes it is indifference but most times what permits the abuses to go on is that people are not aware that this is happening. This article brings it to light, brings it to your attention and begs your participation in changing things for better and asks you to take small steps to save a life today.

As you are reading this, pause for just one moment and let me ask you this question: Are you one of those people who do not or will not believe that people are being treated so horribly in America? If you are, give yourself and everyone else the benefit of the doubt and read the article that is listed inside this link near the bottom of the page. Also, if you know any doctors, ask them if they would put ANY family members inside of a nursing home. You will have your answer there.

One of the biggest reasons that residents get more unhealthy and sometimes die in nursing homes is due to bedsores. And usually bedsores are a direct result from lack of care, lack of good nursing home management and supervision and under-staffing of rehabilitation and care centers. In other words, the management in these places is so lacking and so inexperienced at keeping people healthy, that they do not keep proper track of how often patients are moved and changed from side to side. Once residents are allowed to lay still for hours at a time, these patients develop sores, which most times never heal. Most times, these sores can be life-threatening. How? If a resident has diabetes or other serious physical ailments, these sores can cause the patient to be more unhealthy and unhealthy to the point where they can reach near death. And the horrible truth is that ALL of these sores are totally unnecessary and totally avoidable. All the rehab and care centers and nursing homes have to do is to turn patients and move patients every two hours and document such moves. However the bad rehab and care centers and bad nursing homes just let the patients rot immobile until they develop sores.

How do they get away with doing that? Here is what they do. They allow the patient to rot in bed, bringing breakfast and other meals to the room, not encouraging the patient to come out to the dining room. Then once they rot in bed, they begin to be able to not move or turn themselves. This happens over time to patients in these bad centers. Once they cannot move themselves, they are getting worse, more unhealthy and sometimes die due to ulcers and bedsores.

Injury happens; patients may need amputations due to bedsores if they develop into gangrene. And then the cycle goes over and over until the person dies. And the bad rehab and care centers get away with this action. And today, they are getting away with it over and over and over. How? They are getting away with it because many patients have no visitor that can see what the place is doing to the resident. And the really bad places try their best to stop the other patients from having visitors. What can you do about this?

You can help also by reading ALL the articles that talk about negligence and malpractice inside nursing homes. Print these articles here and have them circulated inside of libraries and other stores that give you permission to put these articles out there. If you are store owner, kindly post this article on your bulletin board and pass it around the colleges and other schools. Thank you for saving lives. If you work in a nursing home, I urge you to copy this and bring it inside the nursing home and circulate it amongst family members and visitors. Please spread the word. You can do this anonymously. Leave it in bathrooms in a safe place. Place one in peoples' rooms , of course with their permission. But spread this word about what is happening inside of these bad rehab and care centers and nursing homes. Pass the world, just like they passed the word about concentration camps, spread it person to person, business to business. Thank you, read more here.

Please check the email box at the top and circulate this to all your friends.

The average person would wince if they knew the truth. The truth is that each and every day, there are nursing homes and physical rehabilitation and care centers that make people sick. Instead of helping the patients get better, they allow them to vegetate. When elder care abuse occurs in the nursing home or physical rehabilitation and care centers across the nation, that abuse is more apt to be "covered up" because there are entire teams of people to do the covering up. In other words, something happens inside of a rehabilitation and care center or nursing home; it happens at "one level" -- for example, inside a patient's room or in the bathroom or other solitary places, and only that staff person sees what that staff person is doing or has done.

Once this abuse is "discovered" within the physical rehabilitation center or nursing home -it is the nursing home's "job" to see that this abuse is not 'let out " to the public. After all, the staff, in reality is there to protect the nursing home's image and to protect the nursing home's finances and future FIRST -before they are there to protect the patients. Anyone who has been behind the scenes and inside of nursing homes can see that in most places or in lots of nursing homes --the staff does just that - protects staff and the corporation from social and financial losses.

One of the worst abuses that some rehabilitation and care centers commit are those abuses where they permit patients (who are able) to recline in bed all day just because it is easier for the staff to do that. Patients who come into the center in fair condition begin to lose muscle because they are permitted to recline in bed for many long hours during the day and night. These abuses are intolerable yet they still exist today in some centers and nursing homes.

Wheelchairs as Restraints: Another of the worst abuses in bad nursing homes is when they use wheelchairs as restraints. Wheelchairs are supposed to make residents lives easier and happier. They are not supposed to be used as restraints, but in the bad nursing homes and in the bad rehabilitation and care centers, the wheelchairs are restraints. Most of the residents on their long term care floor are basically prisoners and they wait for hours to go to the bathroom even though they are fully aware they have to go and they tell residents they have to go.

Most times, in these offending rehab centers, the residents are forced to wear diapers even if they do not want to wear a diaper. Would you want to wear a diaper if you did not need to wear one? No. But in the offending rehab centers, the residents are forced to wear them. Their other choice is to sit in their wet, cold clothing for hours and hours (because no staff brings them to the bathroom). The staff keeps the residents in wheelchairs and diapers as a matter of control, and as a matter of less work for them. (If a resident has no clean clothes, the resident (bound to his wheelchair cannot come out of the room and stays isolated in there). Once they are bound to their room, the staff has less work. That is one less resident that they have to care for. So watch out for places that use the wheelchair as restraints, because most likely they will use diapers for their convenience, even though some patients do not need nor do they want to be in diapers.

Discern: What is the difference between a place that is using wheelchairs as restraints and one that uses wheelchairs only when necessary? Look around. Go into many of the homes to visit. If you see tons of people in wheelchairs, just sitting around for hours (not for minutes), then you know that place is using wheelchairs as restraints. They make the people in wheelchairs wait and wait and wait and wait for ordinary living things like having meals or going to the bathroom. The good place that uses wheelchairs only when necessary has residents in wheelchairs too, except the residents do not have to wait for hours and hours to go to the bathroom. The waiting time is cut down, yet in the offending places, the waiting time is prolonged until no human being could wait that long.

Good verses Bad: That is the difference. And you will know as soon as you walk in whether the home really cares for residents or whether the home is just out to make money no matter what the residents feel like or look like. In the offending homes it is all about money. In the good homes, it is all about making residents and families comfortable. No one is making a blanket statement against all nursing home. However, the people who work inside of these nursing homes and care centers are well aware of what is happening. . This article is about the ones that are lacking in care, lacking in respect and about the ones that are daily breaking the law and on a daily basis violating the residents, patients and visitors' rights. There have been cases where staff inside of physical rehabilitation centers and nursing homes have purposely covered-up wrong-doings to protect their own jobs and to continue to collect money from insurance for the benefit of the corporations that owned the rehab centers and nursing homes.

Now, here's the news breakers that you might want to notice:

Inside some Nursing Homes and Physical Rehabilitation and Care Centers:


  • There are some residents and patients who have to wait an HOUR or more or sometimes two hours in order to go to the bathroom. Sometimes when residents complain about the treatment or complain about the lack of care, the residents are punished for speaking out. This is why you will not hear the complaints of the residents who are presently inside these nursing homes and physical rehabilitation and care centers.


  • There are some residents who are emotionally forced into wearing diapers because the staff lets them wait so long to go to the bathroom and the residents know this and thus they have to wear diapers against their will OR they have to sit in wet clothing for hours because no one can or will take them to the bathroom when they NEED to go to the bathroom


  • There are sometimes walls of people in wheelchairs in the corridors. Some residents are put in 'recliner-type' wheelchairs which they cannot move. Some sit for hours and hours in a corridor with no one around. They are left in these chairs unattended, unable to move, unable to get out of the chair; they sit and just hope that someone passes by. Then, when and if they are permitted to have visitors, the place changes "atmosphere" and the staff makes it appear as if these residents are actually getting attention and care.


  • There are some residents who are very afraid to speak up or to complain about these places because they have to be there all alone with the staff and SOMETIMES there are some staff who will retaliate against residents who complain about anything that happens behind the closed doors of these facilities. Speaking out is a punishable offense (though it is not legal, it still happens). Patients and residents are being punished for speaking out. Visitors and family members are being punished for speaking out. And this is the very reason why society needs to continue to speak out - for the protection of residents all over the United States of America and all over the world.


  • There is a majority of staff --against a small amount of family members, so when it comes to complaining to staff, when family complains "verbally" , those complaints are and will be ignored; and when family complains in writing, those families are retaliated against and the facilities illegally stop visitors on false trumped up charges.


These are just a few of the horrible things that happen inside of some physical rehabilitation and care centers and some nursing homes , today and every day, or every other day. Yet, none of this is put in the newspapers. None of this is made public because families and residents and patients are afraid of further retaliation. So, where does the buck stop? Who can help these residents and families. What can you do about these horrible injustices? How can we help those people inside of nursing homes and inside of physical rehabilitation centers?So, how do you help change lives? How do you change the system that is damaging many seniors and disabled individuals? How can you look inside of a nursing home and or rehabilitation and care center and bring care to those that might not be receiving care? You can help and you can help today. YOU, yes YOU -- can make a big difference in this world today.Read and learn how you can help in this world today, help residents, help patients and help save a life today!

Beginning steps:


  • Get together with your local community organizations and or churches or synagogues


  • BRING this to their attention, and ask that a committee be formed. Have that committee arrange to go inside of nursing homes and into physical rehabilitation and care centers. Have them write and or call and ask for permission to bring visitors and programs inside of the facilities.


  • Organize holiday concerts or programs that you can bring in during regular days, weekdays and weekends into any of these residences.


  • Approach your local nursing homes and rehab centers and tell them that you want to help the residents become connected on the internet so they can contact their families which are usually in other states or countries.


  • BRING as many visitors as you can bring in to visit these patients and residents, (Ask permission from relatives and then sign in at the security desk of the nursing home. Tell them what you are there for and they should lead you to where you are due).



Why You Would Want to Help:

Here is what we observed while visiting a physical rehabilitation and care center in the United States:


  • Have you ever noticed that when the supervisors knew that visitors would be coming into the place, there seemed to be a 'mysterious' burst of extra employees and extra care and extra attention to residents while the visitors where inside the building. On ordinary days, when there usually was a lack of care or negligence due to lack of staff or missing staff or staff that just wasn't there or staff that was overworked -- that was the situation, but somehow , when the visitors were inside the building, there was an abundance (compared to regular days) of staff and everyone "seemed" to be attentive to residents and nicer to residents because they were putting on the "show' for the public.


  • Have you ever noticed that once the visitors left the building (most visitors left even though there were many hours of visiting hours left , so one or two visitors remained), that the staff mysteriously got 'busy' somewhere else, and that is the time when residents were forced to wait one or two hours to be brought to the bathroom. If a resident needed a bathroom while a visitor is present, somehow that resident was able to get to the bathroom (while witnesses were there), but once all the visitors left -- the residents went back to having lack of care and to some possible negligence and or malpractice.


  • One family member even overheard that one resident simply walked out of the rehabilitation center and the staff was not even aware that she was missing until she had gone miles from the place. No one noticed that this lady was missing! Imagine that? They were so busy doing other things, that they didn't have time to keep an eye out for a patient who obviously needed to be watched and cared for.


  • Family members have told me that sometimes the staff made certain residents 'cry', that these residents were not crying when the visitors were there (there are witnesses when visitors come into these places). And no staff wants a resident crying or complaining while the visitors are present.


  • Some have noticed that in some places, supervisors and administrators lie right to the faces of family. We noticed that most of the staff diligently covers up what happens as soon as they want to cover it up. We noticed many things that we cannot type here. But trust that it is all true.


If you visit and stay long enough inside some facilities, you will see that some facilities are guilty of lack of care -- at the minimum and guilty of more than that probably to this very day. Inside some nursing homes and inside some physical rehabilitation centers some residents are totally helpless and can not find anyone to complain to. effectively to (Even though the law provides avenues of complaints and even though the law provides departments and organizations that residents "CAN" complain to) Some of the residents are totally helpless and cannot safely and healthily make legitimate complaints about lack of care , so they remain there in their sad situation. The residents know that they have to stay there and that it is not easy or almost impossible to get out of there, so they are stuck with their complaints and stuck with their situations until visitors come to see them.

Help Save Lives and Help Change Lives Forever, try these:


  • Ask your co-workers to form a team that will visit individual residents in places like these. Contact the caregivers and family members of the residents and tell them that you would like to begin visits to that nursing home and ask their permission to visit their family members who reside in those places.


  • Ask your boss to begin a program where you work that will enable your workers to visit people inside of nursing homes.


  • If you know Geraldo Rivera or if you know any other journalists or media people personally, ask them to help uncover the injustices that are happening on a daily basis throughout nursing homes in Staten Island, NY, and all along the east and west coast. Ask anyone you know that has finances or community backing to help you begin to organize groups of people that will legally go into nursing homes to visit people. Contact us if you need names of nursing homes that can use your help in saving lives.


  • Advertise and seek out voluntary lawyers and legal professionals to help families deal with the red tape that some of the offending nursing homes and physical rehab centers dish out to families and residents who make legitimate complaints.


  • IF you know anyone who does radio shows or tv shows, ask them for free time to talk about the abuse that happens inside of nursing homes, and ask them to put a call out to lawyers and to other professionals who will help to work for social change inside of nursing homes.


  • ASK everyone you know to go and visit inside of nursing homes whenever and where ever possible. (always check with the families first and always obtain permission.


  • Go through your community and ask all families who have people inside of these facilities if you have permission to write to these seniors. Donate stamps and envelopes to seniors and write back and forth to them. Keep them connected. This is extremely important. Ask the families if you can telephone these seniors or disabled individuals and then do that once you gain permission.


  • If you are phoning someone at a nursing home and they never answer the pay phone, document that fully. Document how many times the phones ring and document how many hours or days or weeks it takes you to actually reach the resident.


  • All of the above information will be quite helpful at Congressional and public hearings when they come up. You can save lives and you can change conditions. Please help in all these community projects.


  • Write to us to share your ideas about what you or your organization are doing to help things get better. Share your information . You can help.


BY doing any and all of these things you will help change the conditions inside of nursing homes. Here's another way you can help. Be in contact with residents inside of these places. Reach out to isolated patients via email and via telephone calls. Contact is what changes things inside of nursing homes and inside of physical rehab and care centers. Contact someone today to begin your own project.

Here are people to contact:


  1. Contact your Senator or your Congressman to ask for public hearings regarding the conditions inside of nursing homes and rehab centers. (When discussing the problems inside of nursing homes be sure to emphasize that you are speaking about physical rehabilitation and care centers also. These problems are not only restricted to nursing homes). When speaking of the issues, remember to use that wording "rehabilitation and care centers" or rehabilitation centers. This will make your investigations and reports more complete than if you just speak about nursing homes.


  2. Contact any of your local community organizations and ask for help in changing conditions "behind the walls" of nursing homes. Go to your local community leaders and ask them where you can go to for help. Reach out to everyone you know in your neighborhood and ask for referrals. You will find the right person to help if you just keep asking as many people as you can ask.


  3. Contact other families in your communities. Contact them through PTA meetings and contact them through business improvement meetings and contact them through various meetings that happen in your community. Once you contact them ask EVERYONE to participate in some way to help isolated nursing home residents. Ask some to write letters to Congress or to the Mayor. Ask others to contact patients' families and ask permission to visit. Ask the professionals, doctors, nurses and lawyers to come forth and say the truth about what happens behind the closed doors of those places. You can do it. You can help!


  4. If you know a lawyer, or a professional worker, enlist them to help in this campaign against nursing home and physical rehabilitation centers abuses and malpractices.



Some simple ways you can help: First, Believe!

In order to help, you must believe. You will hear some incredible stories and they are true stories. You need to be able to listen to them and then to assure the patients or residents that you do believe what they are saying. This is some of the most valuable help that you can give someone -- first, believe. You can help by believing the resident. Once inside these places, when residents complain to their families about the mistreatment or lack of care, the first thing that some families respond with is 'disbelief" . After all, who would want to believe that PAID staff is not caring for their relatives. Who would want to believe that they put their relatives in a place that is possibly mistreating the relatives.

The best way you can help is believing the words of the residents when they complain that the nursing home staff is giving them lack of care or giving them abuse., believe them. Do not think that they are making up stories. Believe them. They are in no position to make up stories. They do not want to complain. They are afraid to complain about staff . So believe them. They feel safer complaining when you are there visiting them. So that's why they mention it to you. And then once you leave , they are left to stay there. So believe them. Take them at their word. That's how you can help. There are things happening inside of those centers that should not happen, yet they are there to witness it , and when you do not believe their words, when you doubt them, you take their hearts and dispose of them. So believe them. If someone is complaining to you about conditions inside of a facility, go and ask your Pastor, Priest or Rabbi how the community and how the church can help the residents. Please reach out to these people who need help. You can save a life today!

Handling the red tape of refusals:


  • Diligently document times, dates, days, places and the people that you speak with. Put all your requests in writing to help document. For example, write a very friendly letter stating that you want to come in and entertain or be with residents as part of your community project or school project. Tell them when you would like to visit (and try to arrange these projects during times when there are no visiting hours). When the facility refuses to let you entertain the residents or visit with residents, later ask to do the same - visiting- during regular visiting hours.


  • Document each and every request for each and every visit to each facility. Note the name and time and date of your request - and the name of the person that you speak with. Focus on one facility at a time. You can begin with those in the largest cities and work to those out in the country. We need help sending visitors into East Coast cities - those nursing homes that seem the hardest-hit. If there is any facility who refuses to cooperate , or any that seem to be hiding something, it would appear that those would be the ones needing the most help and the most visitors. (Connect with your lawyers and investigators in your own cities to see what kinds of help you can receive).Obtain permissions from any of the families and from any of the residents and patients that you wish to visit. And do this all year round. Visitors are needed every single day of the year, and especially on weekends.


  • If you are in a position of political power, think about your own relatives who someday might wind up in a nursing home or rehab center. If you think you can avoid this malpractice by sending them to a good fancy home, you are mistaken. What affects one person affects all people. Please help spread the world.


For some interesting readings and reviews about nursing homes and about hospitals, check this site Please send visitors into your local rehab care centers and nursing homes today. They need as many visitors as possible. If you are a family member of a resident, ask all of your friends, relatives, co-workers and others to visit the patient. The more visitors, the better; have visitors taking turns, shifts and that will best protect the resident. I know it is hard to do this, but wherever possible, do it, and you will help better the quality of care inside of that particular rehabilitation and care center by sending more visitors inside the walls of that place.Please contact us and keep in touch so we can all benefit from your ideas and suggestions on these matters. Be sure to read part two of this article which is being posted as you read this. I need to hear from you. You can help improve conditions inside of nursing homes even if your nursing home stay was more than a year ago or five years ago. Your comments are so important to everyone. Kindly let me hear from you. Thank you.

Last note: You can see some more news about nursing homes at this video website. I am not affiliated with this website but find that the information is vital to the safety of people all over the world. If you have a family member inside a nursing home or if you are inside one yourself, you need to watch this video link

Updated May 18, 2008

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With respect to income and retirement planning, there are 3 phases of life. The introduction phase, the accumulation phase, and the preservation phase. The second phase, the accumulation phase, is the phase of life where you accumulate funds to retire (working years of life), pay off as much debt as possible, and try to achieve the best quality of life you can. This is the phase that is destroying the American dream of retirement.

Most of us grew up with the illusion that if you get an education, you'll work for a great company and enjoy a comfortable retirement. Those days are over. Education (the introduction phase) still is a vital step in preparing for your career path; however, working your entire life in exchange for a pension plan is an envied dream to most Americans today, and nothing more. Unless you are a government employee, the odds of having a guaranteed income stream throughout retirement is out the window. This is why the planning process must be revamped when discussing the accumulation phase. You simply are not able to work for 30 years, get a gold watch, and have a check coming in month in month out. Today, the accumulation phase of life requires a calculated approach depending on your financial goals.

The odds of an individual under the age of 45 receiving social security starting (earliest) at the age of 62 is highly unlikely. With the amount of baby boomers set to retire in the next 15 years, the social security well will run dry. When you take into consideration that most retirement strategies today are deferred compensation plans which are market linked, the scenario can become quite concerning. Most deferred compensation plans have either broke even over the last decade, or have lost value. So in order for one to get back on track, they are likely to have to double the historic return in a global recession; a highly unlikely probability. So what is the solution to this dilemma? Financial guarantees.

There are products today specifically designed to provide an income stream for life with all of the flexibility above and beyond the traditional pension plan. Many IRAs, 401ks, and other pre tax dollar investments have been converted into specialized products that can guarantee an income stream for life. Informed Americans are converting their deferred compensation plan into these vehicles simply because their need for an income stream during retirement greatly outweighs the burden of hedging against risk in a global recession. The truth is most IRAs in retirement are used as an additional income stream or are passed on to loved ones as a legacy.

Let's take a closer look at how lifetime guarantees are helping protect against the absence of both the traditional pension plan and social security. Assume John is 50 years old and has been in the workforce (accumulation phase) for 25 years. Since the age of 25, he has been maxing out his 401k contribution each and every year. Three years ago John was laid off and started a new job with a lower salary soon after. Since his current employer is not matching his 401k he sees no incentive to roll it over to that product, not to mention he cannot afford to with the reduction of income. John has not done well on his return over the last 10 years, and was lucky to break even. Today the balance on his old 401k is $150,000. John does not have a pension and wants to retire at the age of 65. His sole objective is to provide an income stream for his retirement years, as he knows he is behind in his planning and does not have a pension plan. Furthermore, he realizes that counting on social security to be available 12 years from now (at the soonest) is pretty much hit or miss. For these reasons, John explores a lifetime income approach. If John were to roll over his 401k into a traditional IRA and utilize financial guarantees, he would be eligible for an income stream of over $1,650 per month starting at the age of 65 without adding one more penny to his account. This income stream would be guaranteed for life, regardless of any future market conditions. As an added benefit, if John were to ever become sick or have to go into assisted living, he would have instant access to all of his cash value without penalty.

There are many Americans that have very similar circumstances to John. The number one fear in retirement today is the fear of running out of money. Just 10 years ago the number one fear in retirement was the fear of death, as it was for several decades before. As financial times change, so do retirement trends. The financial crisis has caused many people to exit market strategies in exchange for an income stream guaranteed for life; especially without having a pension or being able to receive social security.

Americans for the most part do not have a contingency plan in place. Unfortunately, there has not been enough of an emphasis on the importance of income planning. In a global recession, priorities are placed in short term solutions aimed at the current state of the economy, failing to address long term goals. The financial goals are concentrated to the economy as a whole, and rarely dedicated to financial guarantees in retirement. With the Federal stimulus and the struggling economy, the individual has an inherent responsibility to plan for their future income outside the recommendations of a financial planner. Knowledge is the key. The more avenues you explore with respect to retirement planning the more likely you are to achieve your financial goals.

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Nurses are classified into various categories like Licensed Practical Nurse (LPN), Registered Nurse (RN) or Certified Nursing Assistant (CNA). They help patients under the supervision of an LPN and generally work in places like nursing homes, day care centers, nursing homes, assisted living places and personal homes. Although they perform and execute all the duties of a nursing assistant, there are some procedures that a CNA cannot perform owing to legal limitations.

Job Profile

The general job profile is to assist the patients under the supervision of a licensed or registered nurse. However, the responsibilities vary according to the place of work and area. Sometimes, they act as coordinators between numerous patients and the registered nurses. In other words, they act as a link between registered nurses and patients. They look after most of the patients' needs and keep a tab on their (patients') health. They gather all relevant information on the patient's health and report it to the registered nurse. Often, their workload makes their lifestyle hectic, fast paced and demanding. However, with a deep-set compassion towards suffering fellow human beings and the desire to help them is the driving force. Such feelings help the nurses see through their difficult days.

Training

Medical facilities, Red Cross, online schools and community colleges offer these courses. Such courses offered by institutions provide rigorous practical as well as theoretical training. They also enlighten you on the laws abiding the certified nursing assistants. If you want an on the job training, that is possible in clinics and hospitals. However, these are very rare and hard to find since normally clinics do not give trainings. Doing so is a huge responsibility on the clinic. At the end of the course, the CNAs must take an exam to become qualified nursing assistants.

Scope

Normally, nurses want to move up in their medical careers. Therefore, there is a constant demand for CNAs. In other words, it is easy to get a job as a certified nursing assistant since people who start their career from this point move to higher positions. The demand for CNAs is high especially in medical institutions and centers for assisted living of the elderly.

One of the major reasons why there is such a huge turnover for CNAs is the fact that once a CNA, it is easy to get higher education and become a registered nurse. This is possible owing to the Internet. With the advent of online classes, it is easy to continue studying while working as a can. There are many bachelor degree programs that these nursing assistants opt for to get better paying jobs in the field of medicine.

Salary

Normally, CNAs are paid on hourly basis rather than annual salary. Your pay therefore fluctuates according to the number of hours you work weekly or work on a fulltime basis steadily. Although on an average, the hourly pay is $15, however, it may fluctuate depending on the area and location of work.

On a concluding note, being a certified nursing assistant is a noble profession since you are helping the diseased and distressed. If you have a compassion towards the suffering fellow humans then this is the right field of choice for you.

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Whether you're getting ready to retire yourself or you're researching for your parents, the cost of retirement communities is probably one of the first things you've thought of. There are a number of things to consider and there's no one right answer to the question 'how much do retirement communities cost?' Here are some of the different housing types and a rough estimate of what it might cost to live in one.

A Senior Active Living Community

A senior active living community is usually the least expensive type of community. Here, seniors can live together in apartments, attached houses or single family detached homes. These neighborhoods usually have a number of on-site amenities, such as fitness centers, golf courses, restaurants, tennis courts, arts and crafts centers, nature preserves and even spas. The price can vary according to the type of amenities, the location and whether residents are expected to rent or purchase a home, condo or apartment. However, it's possible to buy a home for under $70,000 in some areas, which can mean a monthly mortgage payment is truly affordable even for retirees on a budget. Some also have an entrance fee and these average around $1000. This fee can vary based on the location and is typically non-refundable.

A Continuing Care Retirement Community

A continuing care retirement community, also known as a CCRC, offers many of the same amenities, but it also provides three different levels of care: independent living, assisted living and skilled nursing. Residents can choose to live independently, but have the added comfort of knowing that a nursing staff is there to help if necessary. A CCRC may have an expensive one-time entrance fee that can range from $100,000 up to $1 million. Additionally a CCRC may have a monthly fee from $3000-$5000. The fee can vary based on the type of care that is provided -- for instance, someone who lives in the independent living section may have a lower cost than someone who lives in the skilled nursing section.

Senior Apartments

Senior apartments are different than an active living community. These apartments are usually smaller than the condos or houses in an active living neighborhood and they typically don't offer quite as many amenities. While most of the apartments have full kitchens in each unit, it's possible to find a building that offers a dining room, library, laundry services and more right in the building. Many of these are also fitted to accommodate wheelchairs, walkers, scooters and other things that will help residents stay mobile. Some of these apartments may be subsidized according to a resident's income, which can help residents on a budget.

Other Things That Can Affect The Cost Of Retirement Communities

Because the cost of retirement communities can vary wildly according to location, amenities and other variations, these numbers are only a rough estimate. To answer the question, 'how much do retirement communities cost?' it's important to compare like communities so you're getting an apples to apples comparison.

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