Posts Tagged ‘Health’

Problem Issues That Need Healing in the Health Care System

This interview is an excerpt from Kevin Gianni’s Renegade Roundtable, which can be found at http://www.RenegadeRoundtable.com. In this excerpt, Dr. Jason Deitch shares on the issues plaguing our health care system and why we need to create our own wellness teams.

Dr. Deitch is the co-author of the best-selling book “Discover Wellness: How Staying Healthy Can Make You Rich.” Dr. Deitch is also the founder of Discover Wellness Center and the Chief Wellness Officer of the Master’s Circle and WellCall, Inc.

Kevin: So let’s give a brief introduction about what you do and then I want to talk about some of the issues that are plaguing our healthcare because I think that’s really important to get into.

Dr. Deitch: OK. You know Kevin, I was a practicing doctor, my training is in chiropractic, for approximately ten years in the Oakland, California area, East Bay, San Francisco area. It was an extraordinary experience, I must tell you. I say that because if you’re on the front lines and you’re working with people as a healthcare provider, especially in the realm of natural health and healing and wellness, you get to see miracles happen every single day. It is a blessing. It is a beautiful thing. We had a family wellness practice. We took care of everything from newborn babies to seniors and everybody in between. It was really a wonderful experience.

But I did always have in the back of my mind, I don’t know if you’d call it a pessimistic or optimistic or whatever type of attitude you want to look at it as, but I always knew as much as I was able to really touch people and help them and improve their quality of life. I kept seeing and thinking about focusing on how many millions of people in the world right now, especially in America, who are uninsured, who are over-dependent on things like dangerous medications and the real issues that came up for me, and really the inspiration for writing this book, “Discover Wellness: How Staying Healthy Can Make You Rich” was really looking at the economics of people getting sick today. I probably don’t have to spend much time convincing people that America is severely threatened, economically as well as on a lot of other different levels, very simply by the fact that our nation spends a majority of its resources, studies say between 70 and sometimes 90 percent, of our resources paying for lifestyle-related, preventable conditions. Care that in essence is being spent on conditions there are essentially preventable. That’s good news and bad news. The good news is preventable and that we can do something about it.

So my co-author, Dr. Bob Hoffman, and myself got together. We realized this was a bigger mission and purpose than being in day-to-day practice and we decided to really try to create a movement around helping people become inspired to really do the things that they probably know they should be doing anyway and aren’t. It is not a revolutionary science. It’s not some brand new radical technique. It is really, hopefully, motivating people to really take action on the common sense things they know they should be doing. The reality is you can go bankrupt by not doing these things, in every sense of the word, and you can in fact become rich by doing these things. It’s really up to you to do so.

Kevin: What are some of the common sense things that most people who are on a healthy path seem to be missing.

Dr. Deitch: One of them is to create your own wellness team. What I mean by that is that as a healthcare provider, and if that’s most of the people who are listening today, I’m going to suggest that we’re all somewhat guilty of defining wellness or healthcare by what we do. We tend to explain it through our eyes, primarily through the things that we do and perhaps profit from. The reality is that people often times need a whole entourage so to speak, or a team of wellness professionals. What we write about in the book is sort of an evolutionary model.

It is a model reflective of medical model that most people are aware of. We make the analogy that most people don’t wake up one day and go, “You know, I don’t feel well, I’m in some pain. Should I go to my neurologist, my orthopedist, my psychologist, my personal trainer? Let me think for a second. Maybe I’ll ask my neighbor what they did.” They really have been conditioned and accustomed to saying, “I’m going to go to the doctor,” and they expect the doctor’s role to be to analyze their condition, analyze their goals and to make recommendations for the products they should be taking, in the medical world that’s mostly drugs or some sort of surgery, and what, if any, referrals may be necessary, what specialists may be necessary to help that person accomplish their goals.

We believe that there’s a real strong opportunity. In fact we believe that the future of wellness almost depends on us taking this opportunity to sort of emulate that same sort of model, to help create some clarity and to provide greater service to communities by doctors positioning themselves as wellness doctors and making the effort to create a wellness team or a wellness network or a group of wellness specialists within a community that can work together as a team for the betterment of the people that they’re working for. Where they understand how each person has a role on the team. There’s doctors and specialists, like in the medical model. And really have a respect for what each person does as opposed to — again, I’ve experienced it in my practice. It happened on more occasions than I would like to think. Somebody would come to see me as a chiropractor, they’d go to a massage therapist and the massage
therapist would say something along the lines of, “You don’t need that chiropractic stuff. You’ve got a tight muscle. Let me just help you.” I just think it’s not right or appropriate for the patient, nor is it right for other healthcare professionals all the way around.

We really invite people to have a healthier discussion amongst the wellness community, as professionals, to learn how to work together as a team. But more importantly, until we start teaching people in our communities how to become better clients and better patients and better consumers of our services, we’re going to continue to be a fragmented profession. And worse off, people aren’t really going to get the benefits of what we have to offer as a unified team of wellness professionals.

Kevin: Wow. What are you doing personally to make this kind of united organization? I know for a fact, being in the natural health industry, that there is no united front at all. What are some of the guidelines that you think would be required in order for this to actually become even more mainstream, even more of a natural approach, the first thing that comes to someone’s mind?

Dr. Deitch: It’s a multi-prong approach. The first think you asked is, “What are we doing?” Well, you know that I’m the Chief Wellness Officer or the nation’s largest leadership training and coaching firm for wellness professionals. It’s called “The Master’s Circle.” One of the things we do, we just in fact created a quite innovative, online training program that gives healthcare providers of all disciplines, the ability to go through a five-module online training course from the comfort of their home or office or any computer that has access to the Internet, that allows them to go through five specific modules that take them through what I think of as the transformation from a traditional-type of a healthcare provider, which is really focused on treating symptoms and then letting people go on their way, into one that really works as part of one of these unified teams. It’s really, I think, kind of an awareness and people becoming comfortable and having a sense of who they can trust within this process. Everybody’s obviously making sure that they get taken care of and nobody wants to be taken advantage of. But I do believe that most people that are attracted to the wellness industry specifically, really have a higher purpose. They have a higher mission. And there has yet to emerge a leader.

That’s what we do. We work on training leaders to be able to reach out into their community, to reach out to other types of providers and have whether it’s a meeting or a conversation or a walk or lunch or some sort of connection, it’s all communication. It’s all a matter of those unique individuals basically starting conversations with others to say, “Look, enough is enough already. I don’t know about you but I think we’ve got a major problem and quite honestly the problem’s not that I don’t have enough new business or I don’t have enough new patients. The problem is that there is a surge of people who are experiencing stress in our communities these days that need more help more than ever. Quite honestly, I can’t handle all of that myself. I know that there are people that walk into my office that not only need my care, but probably need your care too. So I’m creating a network, a unified front within our community, that I would like to talk to you about seeing if you’d like to be a part of. Now here are the conditions: we are focused on serving people based on their needs not just ours and we have a professional code amongst us that we understand that we’re not here to take people away from their primary provider or from each other. We all agree and have a respect and understanding for what each other does and we don’t really interfere with that doctor-patient relationship. We have a trust and an appreciation that we’re all here for the betterment of a person, a betterment of a patient, and their families I might add. And there is a code or agreement that we’re really trying to do the right thing for the right reasons to make the world a better place.” As altruistic as that sounds, I will make the argument that it’s also good business and not just good business but it’s really what’s in the best interest of people.

Kevin: That’s an amazing point and I’m glad that you mentioned that.

To read the rest of this transcript as well as access The Renegade Roundtable experts just like Dr. Jason Deitch please click here! Kevin Gianni is an internationally recognized health advocate, author & film consultant. He has helped thousands of people take control of their own health naturally. For more information visit raw food diets and holistic nutrition.
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We are living in a fast and materialistic world. People are concerned with materialistic pleasures and very often get their priorities wrong. They neglect their health and their relationships with their family, a consequence of leading a fast pace life. However, there are some responsibilities in life that an individual cannot neglect, and that is to care for the elders in your family. This is a special role of a caregiver that you have to undertake, to look after your elderly parents or a relative. It is a very rewarding experience, one that will remain with you in the future in the form of pleasant memories. Caring for the elderly is not an easy task and it can bring a significant amount of stress and worry upon the caregiver. The hard work is compounded if the person is infirm or disabled.

We often take our own health for granted and neglect to take care of ourselves. However, if we have the responsibility to look after our elderly parents, we have to consider many factors, and this includes their health. Here are a few tips that can help to safeguard the health of the elders in your care.

? Diet: Maintaining a healthy and suitable diet in respect of the elderly is of utmost importance. The older people are prone to illness more often than others and a healthy, nutritionally complete diet can keep illness at bay. Avoid large amounts of fat and salt in the diet as this slows down any recoveries from illness. Too much salt makes the circulatory system sluggish and fats can clog arteries. Instead, the diet should contain plenty of fresh fruit and vegetables to provide the necessary vitamins and minerals for the regeneration of tissues. Ensure that they get a sufficient quantity of fiber in their diet to promote bowel movement.

? Mental Health: The state of the mental health of the elderly individuals is a great concern for the caregiver. One has to make sure that they are comfortable in their surroundings. Setting a routine will help them relax and also give them a sense of being a part of the family life. The elderly are trying to cope with the changes happening in their lives; this may cause some depression or anxiety that should be taken care of with a little understanding and compassion.

? Physical Health: As a caregiver, you must ensure that the elderly in your care get regular health check ups. Any changes should be brought to the notice of the doctor immediately. This will help to diagnose problems quickly and the routine of the health checks will help the individual to relax and thus improve the general health.

? Exercise: It may not be possible for all elderly individuals to exercise as this depends on their physical conditions. However, 15 to 20 minutes of gentle exercise can work wonders for their general well being. Walking around the supermarket or walking the dog or gardening can be an exercise for the elders. The elderly in your care can be taken outdoors as often as possible as this can help to break the monotony of being confined to the house. Any outdoor activity will help to stretch the joints to reduce stiffness or immobility and raise their spirits, thus improving their overall health.

Abhishek successfully runs an Old Age Home and he has got some great Eldercare Secrets up his sleeves! Download his FREE 80 Pages Ebook, “How To Take Great Care Of Elders” from his website http://www.Senior-Guides.com/560/index.htm . Only limited Free Copies available.

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Health Care & Higher Education: Different Industries, Similar Profiles

Introduction

Over the past several months, members of Phillips & Associates have remarked on a growing trend: mid- to senior-level managers and administrators are successfully making the transition between the health care and higher education industries when seeking new career opportunities.

We were curious about this phenomenon and decided to investigate further. We spoke with leaders who had moved between the two industries about their reasons for making the switch. We also talked with folks about the similarities and differences between the two industries.

We want to share with our clients the insights we are witnessing in the marketplace. We believe that this information will change some of the ways you look at recruiting, as well as the way you look at future career opportunities.

Health Care And Higher Ed: What Similarities Do They Share?

The health care and higher education industries share a similar profile and nowhere is that more apparent than in New England. In fact, some of the country’s leading universities are located in New England. Many of these colleges and universities also have prestigious medical schools, such as Tufts, Boston University, University of Massachusetts, Yale, Harvard, Brown and Dartmouth, and they are affiliated with the area’s top teaching and community hospitals. Gary Vassar, Director of Human Resources at Children’s Hospital, notes that the close affiliation between academia and health care also extends into the training of allied health professionals; now most nurses and other non-physician providers are trained in schools that are part of university or college systems. In addition, many of the instructors for these academic programs are also practitioners.

Besides sharing a close connection from an academic perspective, health care and higher education institutions share many similarities in terms of organizational structure, philosophy or mission and personnel needs. These similarities open the way to increased career opportunities for seasoned organizational leaders, especially during these times of strong demand coupled with a limited supply of professionals. For this reason, many employers are seeking to hire people from similar industries, rather than requiring specific industry experience.

Health care and higher education organizations are service providers. Their success depends on their strong reputation and the satisfaction of their customers with the quality of the service provided. Quality is determined through consumer feedback and success rates. This contrasts with many other industries, which are sales-oriented and product-driven in nature.

Health care and higher education organizations have to compete mightily for customers, requiring these institutions to invest in the resources that will help them be more qualityoriented, more cost-conscious, more customer service driven and more innovative than their competitors.

Higher education and health care attract individuals with similar profiles. “The service mission of both health care and higher education tends to attract people who are engaged in a social cause,” according to Laura Avakian, Vice President of Human Resources at the Massachusetts Institute of Technology (MIT) and former Senior Vice President of Human Resources at Beth Israel Deaconess Medical Center and CareGroup, Inc. “Employees at all levels have social good as an important cause in their daily work.”

Both health care and higher education are labor-intensive industries, employing a widely diverse population, in terms of ethnicity, job function and level of education. As Avakian explains, “You have highly educated people at one end of the spectrum, such as doctors and professors. On the other end of the spectrum, there is a large population of culturally diverse individuals whose first language is often not English. These are the dominant ends of the spectrum with specialized folks in between, providing an interesting organizational structure, which significantly affects policy making. This is of particular importance since these industries are complex, labor intensive organizations, where salary and benefits account for about 50% of the operating budget. Compare that to the airline industry, for example, which may be at 20%. In health care and higher education, you need hundreds of people with specialized skills at all different levels to make the place run well.”

Most health care and higher education institutions are long-standing, not-for-profit organizations with rich traditions dating back one hundred years or more. Over time, they evolved into complex organizations, where decision-making involves input from a variety of key constituencies with a variety of viewpoints. For example, hospital administrators must involve physicians who may be reluctant to embrace the changes required to respond to dynamic marketplace conditions. In academia, the president requires input from faculty members. With decisions made by committee, change can come slowly. In these dynamic industries, however, it is imperative that organizations move quickly to mitigate risk. In addition, the administrators of higher education and health care facilities must deal with a unique group of service providers, physicians and professors, who are often independent, entrepreneurial, and somewhat autonomous.

The types of roles in which people have made successful transitions from one industry to the other are varied, including support services, development, information systems, facilities and finance. Having worked in both industries, Cheryl Hoffman, former Chief Financial Officer at Beth Israel Deaconess Medical Center and now Finance Dean/Chief Financial Officer of the Faculty of Arts & Sciences at Harvard University, provides this view: “The leadership structure within the departments is very similar between the two industries. For example, the departments on the medical side are often divided along clinical lines, such as pediatrics and surgery, with a chief heading each; on the faculty side, the structure is divided along department lines such as humanities and social science with a department chair of each. If you look at the roles and titles of administrators between the two industries, you will see that health care and academia have parallel responsibilities: for example, both may have a vice president in charge of plant and facilities or a vice president of finance.” Another example in the finance area is the controller or trust fund finance position that is similar in both health care and higher education, especially given similar cultures, missions and operations.

Transitioning Between The Two Industries

The fact that there are so many similarities between health care and higher education is good news for professionals in both industries. Many people have successfully made the transition from one industry to the other. The skills required for mid- to senior-level administrative positions are complementary and applicable to either industry. The cultures are similar, as are the roles within the operations area, often leading to a smooth transition for the new employee.

MIT’s Avakian believes that the essential skills for many roles, such as human resources, purchasing, facilities management, budget, and audit are easily transferable between industries. “The nuts and bolts of the job are similar. I have a friend in HR at a manufacturing firm; she spends a considerable amount of time dealing with incentive compensation and other for-profit issues. My job requires more time dealing with labor/employee relations and management structure issues in higher education, just as I did when I worked in health care. Similarly, in the specialty fields, a research biologist here at MIT also could work in health care.”

Mark Kostegan, President of the Healthcare Foundation of Cape Cod, hired several professionals with higher education experience into positions he supervised while at Children’s Hospital and Massachusetts Eye & Ear Infirmary. “I looked into the academic pool for talent in the area of development and concluded that if you can raise money successfully in academia, you can transfer those skills to health care, and vice versa. It’s the same skill set, tactics and process. Basically it’s a service-based environment with a strong social cause. There are few obstacles to prevent someone from transitioning from one environment to another. With the right skill set, you can be successful in either arena.”

Keene Metzger, Dean for Administration at Radcliffe Institute for Advanced Study at Harvard University and former Vice President of Finance at Somerville Hospital, acknowledges that switching industries can be worrisome. One may be concerned with the different skill base and knowledge needed for the new industry. As a financial officer for the third time, but without experience in academia, Metzger had this to add: “The key is to listen to the advice of those who have been in the industry for a long time. There is a wide range of opportunities and if you listen to others you can benefit from their strengths and knowledge. Keep your eyes and ears open.” Cheryl Hoffman agrees, “Be open minded; learn and begin to understand the organization before you move forward with changes. New blood and new perspectives can be very healthy for the organization as well for the individual.”

This article is drawn from Phillips DiPisa?s Thought Leadership Library. You can find more perspectives on managing today?s complex healthcare organizations on our Web site at www.PhillipsDiPisa.com.

Phillips, DiPisa & Associates

62 Derby Street

Hingham, MA 02043

telephone: 781-740-9064

www.PhillipsDiPisa.com

Copyright (c) 2007. Phillips, DiPisa & Associates.

About Ralph DiPisa


As a principal of Phillips DiPisa, Ralph DiPisa Ralph DiPisa conducts executive leadership searches for the firm?s healthcare clients. A former President and CEO of Quincy Medical Center in Massachusetts, Mr. DiPisa possesses more than 20 years of management and leadership experience within healthcare settings.

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Obama’s Health Care Plan is Useless

The health care plan that President Obama has proposed will do nothing to solve our health care crisis.

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Seniors Mental Health & Depression

A majority of men and women from the ages of 55-74 report they are satisfied with their lives and are currently in good health. While periods of depression may occur among seniors, it is important to remember that it is not a normal part of aging.

Depression is the most common mental health concern for older adults, affecting between 15 to 20 percent of older adults living in the community. It is not a normal part of aging. Symptoms such as decreased energy, poor sleep and preoccupation with health problems should be viewed as possible symptoms of a treatable illness and are NOT a result of the aging process.

Treatment for depression works, yet too many people remain undiagnosed and untreated because they don?t recognize the signs and symptoms of depression.

Mental health specialists generally agree on the following definition of major depression:

Symptoms persist for two weeks or longer People either have depressed moods or seem unable to enjoy life. Major depression should be considered if four of the following seven criteria are present: A change in sleeping habits (more or less than usual) A change in eating habits or weigh Low energy or fatigue Trouble concentrating Feeling worthless or excessively guilty Marked restlessness or slowed-down movements Thoughts of death or suicide

Depression can be defined as an imbalance of brain chemicals triggered by stress and life events, including biological, psychological and social factors.

Depression is NOT a character or personality flaw.

Many of the signs of depression may also indicate other problems or medical conditions – It is important to consult with a doctor to determine if your symptoms indicate depression or another medical condition.

Depression is often difficult to recognize among the senior population and it tends to be under diagnosed. Living with depression not only prevents older adult from fully enjoying their lives but it puts a strain upon their health, which can lead to other medical concerns. It is also very difficult for their caregivers and places a strain on their health as well.

What we do know is that there is no one cause for depression- every individual is unique in what may cause their depression, and what may trigger a depressive episode. Some possible causes and risk factors include genetics and family history, brain chemistry, personality, major illness, medications & alcohol, and life events. Risk factors for serious depression, particularly in older adults, may include loss and bereavement, lack of social support, isolation, living in poverty, being a caregiver, and abuse.

Having depression could also increase the risk of suicide among older adults, particularly in older males. According to the CDC, seniors account for more than 16% of all suicide deaths. Older adults who are over the age of 60 are far more likely to have a higher risk rate of suicide than younger people. If you feel that a friend or a loved one is suicidal, encourage them to seek out help either from a doctor, friend, crisis centre or, mental health agency.

Some things to keep in mind:

Keep a positive attitude. Remember that slowing down does not mean you have to come to a complete stop. Chances are you will still be able to do almost all the things you used to; you may just need to take a little more time and learn to pace yourself. See your family doctor regularly. He/she can, then, deal with any changes or symptoms that require medical attention. Be careful about your medications. As you get older, they may begin to interact differently with other drugs and to affect you differently than before. Make sure your doctor knows about all your medications, even those prescribed by another doctor. Take responsibility for your own health. Do not hesitate to ask your doctor questions; some do not offer explanations unless asked.

Depression is a serious disorder that is treatable. In addition, dealing with an individual who is suffering from depression or at risk of suicide can be absolutely overwhelming for a caregiver. Although the caregiver is providing care and assistance to their loved ones they must also look after their own emotional, mental, and physical well-being.

While all of us may feel sad from time to time, sadness is not depression and it is important to remember that depression is not a normal part of aging.

About eldercaring.ca

Elder Caring Inc. http://www.eldercaring.ca is a group of experts with backgrounds in Social Work, Occupational Therapy, Physiotherapy and Gerontology. As working professionals in the field, all of our team members have many years of experience in working with the disabled, the elderly, and their families. The company has team members and representatives across Canada.

About eldercaring.ca

Elder Caring Inc. http://www.eldercaring.ca is a group of experts with backgrounds in Social Work, Occupational Therapy, Physiotherapy and Gerontology. As working professionals in the field, all of our team members have many years of experience in working with the disabled, the elderly, and their families. The company has team members and representatives across Canada.

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Health News: The Secret To Good Health Is Simple

How good is your health?

Most people forget that good health is the greatest asset they can have in life.

They work hard all their lives without taking proper care of themselves

for many years until one day they break down.

Don?t wait until you?ve a nervous break down, to face the reality.

You should balance your activities with the proper amount of rest.

Some of the leading experts in the field of aging now believe that regular exercise along with the proper amount of rest may actually add years to the life span.

Results from a number of tests indicate that speed and muscular strength of many of the elderly can be extended.

Leading authorities agree that this new data is going to shatter many of the myths about aging and physical performance.

The conclusion now is that the performance and ability of the elderly has long been underestimated, diet, proper sleep and exercise along with rest and relaxation are all important factors in preserving our bodies.

Laughter is one of the best things for your mental and physical state.

People are naturally attracted to someone who has a good sense of humor.

You can develop a good outlook and a good sense of humor by associating with and surrounding yourself with pleasant happy people.

Recognize that stress is a killer. A life filled with stress can really wreak havoc on your body causing a number of illnesses such as hear attacks, strokes, asthma, gastric problems, menstrual disorders, ulcerative colitis, angina, irritable colon, increased blood pressure, ulcers, headaches, etc.

There are different types of stress such as mental, emotional and physical.

Emotional stress seems to take the greatest toll on everyone.

All stress is not bad; in fact, life would not be very interesting if it were not met with challenges.

However, too much stress, too often with no effective and appropriate outlet, does not allow the body and soul to recuperate.

You might review a typical week to see if you can identify things that might be making you anxious or causing you stress.

Once identified, stressors can be attacked and eliminated.

Are you a worrier? Chronic worriers don’t have more serious problems than others – they just think they do.

Many worriers try to cope by trying not to think about their problems, but this just makes things worse.

Doctors say that chronic worriers feel less anxious if they actually spend a half-hour a day thinking specifically about their problems.

Get plenty of exercise. People who are physically fit look good and feel good.

A good exercise regimen will lengthen your life. Improve your appearance, build self confidence and help delay the aging process.

Remember that you need to do something physical every day.

If you don’t use your joints, quite simply they’ll tighten up with age to create the stooped, bent and worn out appearance we so often associate with old age.

Studies have shown that people with arthritis experience less pain if they continue to keep their joints flexible.

As one gets older, the bones tend to get brittle which is why it is common for senior citizens to break bones and especially their hips when they fall.

Eating right, getting proper sleep and learning to relax are all very valuable in maintaining a healthy body and mind.

And keep in mind that eating healthy foods and avoiding those high in fats, sodium and cholesterol will help to decrease your risk of heart disease, high blood pressure and associated problems.

May these good health news and insights help you to live a longer, healthy and happy life.

The author is a health expert and understands the role of health news from Health Blog in maintaining a good health. This is what has been shared with the help of article to make other people familiar with the benefits of health blog .

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Health Care Debate Draws Dean, Rove To PSU

It sounded like the makings of raucous political theater: Former Democratic Party chief Howard Dean and former Bush administration official Karl Rove sharing a stage to discuss health care.

They didn’t disappoint, even if the students who brought the political heavyweights to Penn State on Tuesday night were looking for something a bit more cerebral than a town-hall tussle.

The hour-plus event ended up being a primarily lively political debate complete with good-natured one-liners, with a sprinkling of town hall-like verve provided by a smattering of anti-Rove audience members.

“Liar! Liar!,” some in a crowd of mainly students yelled at Rove toward the end of the night, when the former deputy chief of staff to President George W. Bush brought up the No Child Left Behind education legislation as an example of an issue that could attract bipartisanship.

“These people must be from Michigan ? or they must be from Ohio State, I don’t know,” Rove quipped, referring to Penn State’s biggest football rivals.

The verbose pair hammered each other with arguments familiar in the fractured health care fight.

Rove lambasted Democratic proposals as being modeled on broken government programs like Medicare, weighed down by staggering costs. Dean implored that it was imperative that all Americans have the option to obtain affordable health care.

“All I want is the option, I don’t want to tell people what to do,” Dean said.

In one of several interruptions by both men, Dean cut off Rove when the Republican brought up statistics that Dean said were fudged.

“It’s the first time tonight, and I’m calling you on it. You made that up,” Dean yelled.

“You just called me a liar and I don’t appreciate it,” Rove retorted in an exchange that elicited howls.

Later, Dean revealed that he and Rove got along “reasonably well,” and that the theatrics were part of the “fun of engagement and entertainment.”

Dean and Rove appeared with former Senate Majority Leaders Tom Daschle and Bill Frist for a health care forum in Georgia in May. They lectured again on the same topic at DePauw University in Indiana on Sept. 11.

Dean, a medical doctor, was Vermont’s Democratic governor and ran for president in 2004. Rove, the deputy chief of staff for President George W. Bush, is a contributor to Fox News.

Health care reform has been the most divisive issue this year in Congress and sparked fierce debate at town hall forums across the country last summer.

Most recently, Senate Majority Leader Harry Reid, D-Nev., outlined a proposal to include a government-run insurance program to compete with private health insurance plans. States could opt out of the so-called public option under the latest version of the Democratic plan. Republicans remain opposed to the government getting in the insurance business.

On Tuesday, Dean and Rove answered questions submitted ahead of time via e-mail.

“You don’t really want to allow for potentially ugly situations,” said senior Mike Perone, committee chair for the university’s student-organized Distinguished Speakers Series.

Perone said Dean and Rove were contacted through the Harry Walker Agency, a New York-based speakers bureau. They were paid $50,000 for their appearance, with money coming from the student activity fee.

Asked at a news conference before the debate the point of their appearance, Dean said, “I would like it to be education, but sometimes I think we get hired more to entertain.”

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Fact Sheets Home Health Care

Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of services and can often delay the need for long-term nursing home care.

More specifically, home health care may include occupational and physical therapy, speech therapy, and even skilled nursing. It may involve helping the elderly with activities of daily living such as bathing, dressing, and eating. Or it may include assistance with cooking, cleaning, other housekeeping jobs, and monitoring one’s daily regimen of prescription and over-the-counter medications.

At this point, it is important to understand the difference between home health care and home care services. Although they sound the same (and home health care may include some home care services), home health care is more medically oriented. While home care typically includes chore and housecleaning services, home health care usually involves helping seniors recover from an illness or injury. That is why the people who provide home health care are often licensed practical nurses, therapists, or home health aides. Most work for home health agencies, hospitals, or public health departments that are licensed by the state.

How Do I Make Sure That Home Health Care Is Quality Care?
As with any important purchase, it is always a good idea to talk with friends, neighbors, and your local area agency on aging to learn more about the home health care agencies in your community.
In looking for a home health care agency, the following 20 questions can be used to help guide your search:

How long has the agency been serving this community? Does the agency have any printed brochures describing the services it offers and how much they cost? If so, get one. Is the agency an approved Medicare provider? Is the quality of care certified by a national accrediting body such as the Joint Commission for the Accreditation of Healthcare Organizations? Does the agency have a current license to practice (if required in the state where you live)? Does the agency offer seniors a ?Patients? Bill of Rights? that describes the rights and responsibilities of both the agency and the senior being cared for? Does the agency write a plan of care for the patient (with input from the patient, his or her doctor and family), and update the plan as necessary? Does the care plan outline the patient?s course of treatment, describing the specific tasks to be performed by each caregiver? How closely do supervisors oversee care to ensure quality? Will agency caregivers keep family members informed about the kind of care their loved one is getting? Are agency staff members available around the clock, seven days a week, if necessary? Does the agency have a nursing supervisor available to provide on-call assistance 24 hours a day? How does the agency ensure patient confidentiality? How are agency caregivers hired and trained? What is the procedure for resolving problems when they occur, and who can I call with questions or complaints? How does the agency handle billing? Is there a sliding fee schedule based on ability to pay, and is financial assistance available to pay for services? Will the agency provide a list of references for its caregivers? Who does the agency call if the home health care worker cannot come when scheduled? What type of employee screening is done?

When purchasing home health care directly from an individual provider (instead of through an agency), it is even more important to screen the person thoroughly. This should include an interview with the home health caregiver to make sure that he or she is qualified for the job. You should request references. Also, prepare for the interview by making a list if any special needs the senior might have. For example, you would want to note whether the elderly patient needs help getting into or out of a wheelchair. Clearly, if this is the case, the home health caregiver must be able to provide that assistance. The screening process will go easier if you have a better idea of what you are looking for first.

Another thing to remember is that it always helps to look ahead, anticipate changing needs, and have a backup plan for special situations. Since every employee occasionally needs time off (or a vacation), it is unrealistic to assume that one home health care worker will always be around to provide care. Seniors or family members who hire home health workers directly may want to consider interviewing a second part-time or on-call person who can be available when the primary caregiver cannot be. Calling an agency for temporary respite care also may help to solve this problem (see the Respite Care fact sheet for more information about these services).

In any event, whether you arrange for home health care through an agency or hire an independent home health care aide on an individual basis, it helps to spend some time preparing for the person who will be doing the work. Ideally, you could spend a day with him or her, before the job formally begins, to discuss what will be involved in the daily routine. If nothing else, tell the home health care provider (both verbally and in writing) the following things that he or she should know about the senior:

Illnesses/injuries, and signs of an emergency medical situation Likes and dislikes Medications, and how and when they should be taken Need for dentures, eyeglasses, canes, walkers, etc. Possible behavior problems and how best to deal with them Problems getting around (in or out of a wheelchair, for example, or trouble walking) Special diets or nutritional needs Therapeutic exercises.

In addition, you should give the home health care provider more information about:

Clothing the senior may need (if/when it gets too hot or too cold) How you can be contacted (and who else should be contacted in an emergency) How to find and use medical supplies and medications When to lock up the apartment/house and where to find the keys Where to find food, cooking utensils, and serving items Where to find cleaning supplies Where to find light bulbs and flash lights, and where the fuse box is located (in case of a power failure) Where to find the washer, dryer, and other household appliances (as well as instructions for how to use them).

A WORD OF CAUTION . . .
Although most states require that home health care agencies perform criminal background checks on their workers and carefully screen job applicants for these positions, the actual regulations will vary depending on where you live. Therefore, before contacting a home health care agency, you may want to call your local area agency on aging or department of public health to learn what laws apply in your state.

HOW CAN I PAY FOR HOME HEALTH CARE?

The cost of home health care varies across states and within states. In addition, costs will fluctuate depending on the type of health care professional required. Home care services can be paid for directly by the patient and his or her family members, or through a variety of public and private sources. Sources for home health care funding include Medicare, Medicaid, the Older Americans Act, the Veterans’ Administration, and private insurance.

Medicare is the largest single payer of home care services. The Medicare program will pay for home health care if all of the following conditions are met:

The patient must be homebound and under a doctor?s care; The patient must need skilled nursing care, or occupational, physical, or speech therapy, on at least an intermittent basis (that is, regularly but not continuously) The services provided must be under a doctor?s supervision and performed as part of a home health care plan written specifically for that patient The patient must be eligible for the Medicare program and the services ordered must be ?medically reasonable and necessary? The home health care agency providing the services must be certified by the Medicare program.

To get help with your Medicare questions, call 1-800-MEDICARE (1-800-633-4227, TTY/TDD: 1-877-486-2048 for the speech and hearing impaired) or look on the Internet at http://www.medicare.gov.

WHERE CAN I LEARN MORE ABOUT HOME HEALTH CARE?
There are several national organizations that can provide additional consumer information about home health care services. These include the following:

The National Association for Home Care, which can be reached at 202-547-7424 or by visiting its website at www.nahc.org. The postal address is: 228 7th St., SE; Washington, DC 20003. The Visiting Nurse Associations of America, which can be reached at 617-737-3200 or by visiting its website at http://www.vnaa.org. The postal addresses are: 99 Summer St., Suite 1700; Boston, MA 02110.

To find out more about home health care programs where you live, you will want to contact your local aging information and assistance provider or area agency on aging (AAA). The Eldercare Locator, a public service of the Administration on Aging (at 1-800-677-1116 or http://www.eldercare.gov

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Senior Health Care – a Way to Healthy Life

Longevity is an invaluable gift of nature if utilized to the maximum and can yield fruitful results, if we pay attention to it ‘now’. How long you live, how youthful and elegant you look, and how great you feel depends on you. Growing old gracefully is the masterwork of wisdom, and one of the most difficult chapters in the ‘great art of living’. Getting old does not necessarily point to bad news. If you discover the secrets of wise and healthy living, you can grow old with your self-esteem, confidence and a sense of adventure. Today’s centenarians are simply living a healthy and an active, natural life span for the human body is created to live a long, healthy life if nurtured with care but also keeping in mind predictable factors like disease and death. The fear of getting old and infirm is what keeps us from being hale and hearty. Life should be determined much by its content rather than its length. Therefore, life should be led purposefully and fervently till the last breath.

Aging is part of our natural growth process. Aging is the buildup of experiences and changes in our entire life. It begins at the outset and concludes at death. It is another stage in our development. We are all in the process of aging and must learn ways of dealing with changes that occur all through our lives. Aging and illness are not identical, and the idea that senility is a natural sign of aging is wrong. By understanding the normal aging process, you can determine better what changes are normal and what may be indication of illness. And, by recognizing the normal changes in the body, you will be able to take steps to minimize or delay them and achieve better health. Thus, you are taking control of your life and becoming responsible for your well-being. We, as a society, are striving not just to live longer, but to live better. We seek a way to avoid chronic diseases, encroaching fatigue, and degrading changes that seem to characterize old age. As a nation, we are searching to find what we can do to make our lives better, extend our most healthy, vibrant, active years, and shorten the time of limitation and failing health.

Science has made great strides forward in understanding of just what aging is, how it works, and most important of all ? what we can do about it. We can reduce diseases of aging and prolong our health and vital years. In short, we will be able to look younger and live longer naturally. Over 85% of the incapacitating diseases of old age result from only a handful of diseases ? cancer, coronary artery disease, stroke, diabetes, kidney failure, obstructive lung disease, pneumonia and influenza. Heart disease, by itself, accounts for fully one out of every two deaths of older Americans, and high blood pressure directly causes or contributes to 15% of all deaths. We now can control even these pathologies by our lifestyle. By the simple act of knowing what to eat, exercise, and live your life, you can lower your risk for these diseases of aging and incorporate this knowledge into your lifestyle, thus avoiding the causes of premature aging, weakness and death.

Link 54 is a senior citizen community site for senior discussion group where our member can chat, get insight or ask question on any topics related to Seniors health such as Seniors Alzheimer’s , Senior breast cancer, Sexual Health, pain, Skin Cancer etc?..

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Elderly Home Health Care: Ensures a Better Life for Older Adults

You got an unexpected good job offer away from your home. Your parents feel proud and happy for you. But your parents have reached in an age where daily assistance is required for them. In fact, they are not in a position in relocating at your new working place. If this situation sounds familiar, then opting for elderly home health care might act as best solution for you.

Old age affects different people in different ways. While some people experience forgetfulness, confusion and dizziness others might experience serious health related problems. But thanks to elderly home health care service providers who are well aware of these facts and help older people in surviving a better sound and healthy life.

For any type of non medical support, elderly home health care is the best available option. Your elderly family member gets adequate aid and assistance in a familiar surrounding hence they feel comfortable and secure. As a step ahead, caregivers ensure providing enough support so that elderly people become independent and self- sufficient. On the other hand, you can have your complete peace of mind that your elderly family member is getting just the right care and attention.

If your elderly parents or grandparents have returned home after being in long time in hospital, then you must consider for the services of home health care. After spending a long time outside the familiar environment of home, elderly people lack their confidence in being self-reliant. Under this type of circumstances, they require to maintain a good quality of life which elderly home health care could provide. With their supportive attitude they help old people in returning to their normal life.

A caregiver also helps elderly people in making their own choices and determining their own course of life. Sometimes, elderly people feel insecure in their own surroundings because of various reasons. Home health care providers assist them in being safe. Some of the important services that elderly home health care service provides offers are listed below:

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