***Do you know about - Pediatric Nursing - What Does it Involve?
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Registered nurses and nurses sometimes take specialized courses in certain fields of interest. Nurses who have opted for additional study in the field of pediatrics are known as Pediatric nurse practitioner or pediatric practitioner. The specialization in pediatrics may take up to a year of study and clinical practice, post which these nurses can work on demanding and critically sensitive roles in health care.
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How is Pediatric Nursing - What Does it Involve?
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Here is a brief snapshot of the roles and responsibilities of a nurse who does pediatric nursing:
- They can perform physical examination and also administer treatment for certain injuries to patients. Lab tests, x-ray reports and blood samples can also be ordered by these nurses. Additionally, they are also trained to provide immunizations to infants who need doses.
- An important aspect of the services provided by the pediatric practitioner is that they help in counseling and provide support to the families of the patient. They educate the families of the patient and the patient about the illness and the road to recovery.
- Treating a child is not an easy task at all, as the kid needs to be taken into confidence about the treatment measures. These nurses provide the necessary healthcare aid to the kids, but also speak to them and present the positive aspects of the treatment provided to the kid.
Pediatric nursing is a specialized aspect of nursing, which can be done only if registered nurses are able to complete a course in pediatrics. They would still need to follow all the basic practices of a registered nurse, with the only difference that the pressure in this work role, is on the higher side. Interacting with the kids and their families constantly, while delivering health care treatment to the kid is a challenging proposition.
On some occasions, these nurses may have to speak to other doctors, physicians and specifically, pediatric physicians. A detailed report on the treatment provided to the kid has to be delivered to the doctors, which will help them decide on the complete course of treatment. They would also need to interpret results from pathology labs, which will help them determine the progress of the kid's health.
Basically, pediatric nursing takes care of treatment provided to kids and infants, which needs specialized skills.
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***Do you know about - The Impact of Technology on the Developing Child
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Reminiscing about the good old days when we were growing up is a memory trip well worth taking, when trying to understand the issues facing the children of today. A mere 20 years ago, children used to play outside all day, riding bikes, playing sports and building forts. Masters of imaginary games, children of the past created their own form of play that didn't require costly equipment or parental supervision. Children of the past moved... a lot, and their sensory world was nature based and simple. In the past, family time was often spent doing chores, and children had expectations to meet on a daily basis. The dining room table was a central place where families came together to eat and talk about their day, and after dinner became the center for baking, crafts and homework.
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How is The Impact of Technology on the Developing Child
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Today's families are different. Technology's impact on the 21st century family is fracturing its very foundation, and causing a disintegration of core values that long ago were what held families together. Juggling work, home and community lives, parents now rely heavily on communication, information and transportation technology to make their lives faster and more efficient. Entertainment technology (TV, internet, videogames, iPods) has advanced so rapidly, that families have scarcely noticed the significant impact and changes to their family structure and lifestyles. A 2010 Kaiser Foundation study showed that elementary aged children use on average 8 hours per day of entertainment technology, 75% of these children have TV's in their bedrooms, and 50% of North American homes have the TV on all day. Add emails, cell phones, internet surfing, and chat lines, and we begin to see the pervasive aspects of technology on our home lives and family milieu. Gone is dining room table conversation, replaced by the "big screen" and take out. Children now rely on technology for the majority of their play, grossly limiting challenges to their creativity and imaginations, as well as limiting necessary challenges to their bodies to achieve optimal sensory and motor development. Sedentary bodies bombarded with chaotic sensory stimulation, are resulting in delays in attaining child developmental milestones, with subsequent impact on basic foundation skills for achieving literacy. Hard wired for high speed, today's young are entering school struggling with self regulation and attention skills necessary for learning, eventually becoming significant behavior management problems for teachers in the classroom.
So what is the impact of technology on the developing child? Children's developing sensory and motor systems have biologically not evolved to accommodate this sedentary, yet frenzied and chaotic nature of today's technology. The impact of rapidly advancing technology on the developing child has seen an increase of physical, psychological and behavior disorders that the health and education systems are just beginning to detect, much less understand. Child obesity and diabetes are now national epidemics in both Canada and the US. Diagnoses of ADHD, autism, coordination disorder, sensory processing disorder, anxiety, depression, and sleep disorders can be causally linked to technology overuse, and are increasing at an alarming rate. An urgent closer look at the critical factors for meeting developmental milestones, and the subsequent impact of technology on those factors, would assist parents, teachers and health professionals to better understand the complexities of this issue, and help create effective strategies to reduce technology use. The three critical factors for healthy physical and psychological child development are movement, touch and connection to other humans. Movement, touch and connection are forms of essential sensory input that are integral for the eventual development of a child's motor and attachment systems. When movement, touch and connection are deprived, devastating consequences occur.
Young children require 3-4 hours per day of active rough and tumble play to achieve adequate sensory stimulation to their vestibular, proprioceptive and tactile systems for normal development. The critical period for attachment development is 0-7 months, where the infant-parent bond is best facilitated by close contact with the primary parent, and lots of eye contact. These types of sensory inputs ensure normal development of posture, bilateral coordination, optimal arousal states and self regulation necessary for achieving foundation skills for eventual school entry. Infants with low tone, toddlers failing to reach motor milestones, and children who are unable to pay attention or achieve basic foundation skills for literacy, are frequent visitors to pediatric physiotherapy and occupational therapy clinics. The use of safety restraint devices such as infant bucket seats and toddler carrying packs and strollers, have further limited movement, touch and connection, as have TV and videogame overuse. Many of today's parents perceive outdoor play is 'unsafe', further limiting essential developmental components usually attained in outdoor rough and tumble play. Dr. Ashley Montagu, who has extensively studied the developing tactile sensory system, reports that when infants are deprived of human connection and touch, they fail to thrive and many eventually die. Dr. Montagu states that touch deprived infants develop into toddlers who exhibit excessive agitation and anxiety, and may become depressed by early childhood.
As children are connecting more and more to technology, society is seeing a disconnect from themselves, others and nature. As little children develop and form their identities, they often are incapable of discerning whether they are the "killing machine" seen on TV and in videogames, or just a shy and lonely little kid in need of a friend. TV and videogame addiction is causing an irreversible worldwide epidemic of mental and physical health disorders, yet we all find excuses to continue. Where 100 years ago we needed to move to survive, we are now under the assumption we need technology to survive. The catch is that technology is killing what we love the most...connection with other human beings. The critical period for attachment formation is 0 - 7 months of age. Attachment or connection is the formation of a primary bond between the developing infant and parent, and is integral to that developing child's sense of security and safety. Healthy attachment formation results in a happy and calm child. Disruption or neglect of primary attachment results in an anxious and agitated child. Family over use of technology is gravely affecting not only early attachment formation, but also impacting negatively on child psychological and behavioral health.
Further analysis of the impact of technology on the developing child indicates that while the vestibular, proprioceptive, tactile and attachment systems are under stimulated, the visual and auditory sensory systems are in "overload". This sensory imbalance creates huge problems in overall neurological development, as the brain's anatomy, chemistry and pathways become permanently altered and impaired. Young children who are exposed to violence through TV and videogames are in a high state of adrenalin and stress, as the body does not know that what they are watching is not real. Children who overuse technology report persistent body sensations of overall "shaking", increased breathing and heart rate, and a general state of "unease". This can best be described as a persistent hypervigalent sensory system, still "on alert" for the oncoming assault from videogame characters. While the long term effects of this chronic state of stress in the developing child are unknown, we do know that chronic stress in adults results in a weakened immune system and a variety of serious diseases and disorders. Prolonged visual fixation on a fixed distance, two dimensional screen grossly limits ocular development necessary for eventual printing and reading. Consider the difference between visual location on a variety of different shaped and sized objects in the near and far distance (such as practiced in outdoor play), as opposed to looking at a fixed distance glowing screen. This rapid intensity, frequency and duration of visual and auditory stimulation results in a "hard wiring" of the child's sensory system for high speed, with subsequent devastating effects on a child's ability to imagine, attend and focus on academic tasks. Dr. Dimitri Christakis found that each hour of TV watched daily between the ages of 0 and 7 years equated to a 10% increase in attention problems by age seven years.
In 2001 the American Academy of Pediatrics issued a policy statement recommending that children less than two years of age should not use any technology, yet toddlers 0 to 2 years of age average 2.2 hours of TV per day. The Academy further recommended that children older than two should restrict usage to one hour per day if they have any physical, psychological or behavioral problems, and two hours per day maximum if they don't, yet parents of elementary children are allowing 8 hours per day. France has gone so far as to eliminate all "baby TV" due to the detrimental effects on child development. How can parents continue to live in a world where they know what is bad for their children, yet do nothing to help them? It appears that today's families have been pulled into the "Virtual Reality Dream", where everyone believes that life is something that requires an escape. The immediate gratification received from ongoing use of TV, videogame and internet technology, has replaced the desire for human connection.
It's important to come together as parents, teachers and therapists to help society "wake up" and see the devastating effects technology is having not only on our child's physical, psychological and behavioral health, but also on their ability to learn and sustain personal and family relationships. While technology is a train that will continually move forward, knowledge regarding its detrimental effects, and action taken toward balancing the use of technology with exercise and family time, will work toward sustaining our children, as well as saving our world. While no one can argue the benefits of advanced technology in today's world, connection to these devices may have resulted in a disconnection from what society should value most, children. Rather than hugging, playing, rough housing, and conversing with children, parents are increasingly resorting to providing their children with more videogames, TV's in the car, and the latest iPods and cell phone devices, creating a deep and widening chasm between parent and child.
Cris Rowan, pediatric occupational therapist and child development expert has developed a concept termed 'Balanced Technology Management' (BTM) where parents manage balance between activities children need for growth and success with technology use. Rowan's company Zone'in Programs Inc. http://www.zonein.ca has developed a 'System of Solutions' for addressing technology overuse in children through the creation of Zone'in Products, Workshops, Training and Consultation services.
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Do you know about - Pediatric Orthopedic Surgeon
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Kids can be one of the hardest patients to deal with, especially because they have certain developmental issues But for these surgeons, tantrums and treatments can go together smoothly.
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How is Pediatric Orthopedic Surgeon
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A pediatric orthopedic surgeon is a doctor who is trained and is well-adept in diagnosing and treating bone, joint, or muscle problems of children (newborns up to early teenagers). Being a pediatric doctor is already a feat. So how much more can pediatric orthopedic surgeons do? So much more...
The Training - Pediatric orthopedic surgeons underwent through meticulous trainings and learning processes for a long time just to land in the said medical profession. One should first graduate from a medical school (four years), graduate from an orthopedic surgery residency program (five years), and finish training for this sub-specialty (one year) to become a professional pediatric orthopedic surgeon.
The Difficulty - As mentioned, pediatric surgeons perform quite a difficult task because unlike adults, children have specific developmental characteristics that vary depending on their age, and an orthopedic surgeon must deal with that. A pediatric surgeon must be able to know how to handle an infant from a toddler, or a pre-school from a school-aged child.
The pediatric surgeons' work is magnified because of the word - surgery. Young children are usually afraid of even just small wounds and cuts thinking that their body parts might be taken away from them or that there are things which will come out of that hole in their body. That is why; pediatric orthopedic surgeons must be able to explain very-well to the children, or to the anxious parents about the surgery that they are about to do.
There are certain techniques that a pediatric surgeon must use in order to explain to a child what he/she is about to do during the surgery. Oftentimes, pediatric surgeons use a doll to explain to a child how the surgery would go about. Pediatric surgeons usually decorate their offices with toys and colorful items because these things make the child less anxious and more comfortable.
The Conditions Handled - Surgeons specializing in pediatrics can handle several medical and surgical pediatric conditions. A pediatric surgeon makes a careful assessment of the child to arrive into an accurate medical diagnosis. Since children are still growing up and their musculoskeletal features do too, there are normal growth conditions in a child which is abnormal in an adult. The role of the pediatric orthopedic surgeon is to determine if a condition is normal for the child or not.
On the other hand, a pediatric orthopedic surgeon can manage the following true musculoskeletal conditions: deformities that occur at birth like clubfoot or congenital hip dysplasia; limping; fractures; bone and joint infections; and tumor. A pediatric orthopedic surgeon can perform various surgeries related to these conditions.
The Salary - On average, a pediatric orthopedic surgeon works at about 50-55 hours per week in different clinical settings and the average salary is 6,847 (US, 2009).
There are two ways on how to find a pediatric orthopedic surgeon. The first one is by referral and the other one is by searching on the Internet. One's family physician or pediatric doctor can make referrals on whom to see for orthopedic cases. On the other hand, the Pediatric Orthopedic Society of North America website has a directory of its members. Choosing the best pediatric surgeon is essential because the success of the child's surgery lies on his/her hands.
If you are in need of an orthopedic surgeon or have an interest in the subject you should check out our website Kids can be one of the hardest patients to deal with, especially because they have certain developmental issues But for these surgeons, tantrums and treatments can go together smoothly.
A pediatric orthopedic surgeon is a doctor who is trained and is well-adept in diagnosing and treating bone, joint, or muscle problems of children (newborns up to early teenagers). Being a pediatric doctor is already a feat. So how much more can pediatric orthopedic surgeons do? So much more...
The Training - Pediatric orthopedic surgeons underwent through meticulous trainings and learning processes for a long time just to land in the said medical profession. One should first graduate from a medical school (four years), graduate from an orthopedic surgery residency program (five years), and finish training for this subspecialty (one year) to become a professional pediatric orthopedic surgeon.
The Difficulty - As mentioned, pediatric surgeons perform quite a difficult task because unlike adults, children have specific developmental characteristics that vary depending on their age, and an orthopedic surgeon must deal with that. A pediatric surgeon must be able to know how to handle an infant from a toddler, or a pre-school from a school-aged child.
The pediatric surgeons' work is magnified because of the word - surgery. Young children are usually afraid of even just small wounds and cuts thinking that their body parts might be taken away from them or that there are things which will come out of that hole in their body. That is why; pediatric orthopedic surgeons must be able to explain very-well to the children, or to the anxious parents about the surgery that they are about to do.
There are certain techniques that a pediatric surgeon must use in order to explain to a child what he/she is about to do during the surgery. Oftentimes, pediatric surgeons use a doll to explain to a child how the surgery would go about. Pediatric surgeons usually decorate their offices with toys and colorful items because these things make the child less anxious and more comfortable.
The Conditions Handled - Pediatric orthopedic surgeons can handle several medical and surgical pediatric conditions. A pediatric surgeon makes a careful assessment of the child to arrive into an accurate medical diagnosis. Since children are still growing up and their musculoskeletal features do too, there are normal growth conditions in a child which is abnormal in an adult. The role of the pediatric surgeon is to determine if a condition is normal for the child or not.
On the other hand, a pediatric orthopedic surgeon can manage the following true musculoskeletal conditions: deformities that occur at birth like clubfoot or congenital hip dysplasia; limping; fractures; bone and joint infections; and tumor. An orthopedic surgeon specializing in pediatrics can perform various surgeries related to these conditions.
The Salary - On average, a pediatric orthopedic surgeon works at about 50-55 hours per week in different clinical settings and the average salary is 6,847 (US, 2009).
There are two ways to find a pediatric surgeon. The first one is by referral and the other one is by searching on the Internet. One's family physician or pediatric doctor can make referrals on whom to see for orthopedic cases. On the other hand, the Pediatric Orthopedic Society of North America website has a directory of its members. Choosing the best orthopedic surgeon is essential because the success of the child's surgery lies on his/her hands.
If you would like more information on orthopedic surgery contact Associates In Orthopaedics
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Primary Care Providers - Is customary Nursing Care Or Relationship-Based Care arrival Back?.
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Primary nursing or Relationship-Based Care is a method of nursing institution which emphasizes continuity of care by having one nurse (often teamed with a nursing assistant) provide complete care for a small group of inpatients within a nursing unit of a hospital. The "primary nurse" is responsible for coordinating all aspects of care for the same group of patients throughout their stay in a given area. Thus, customary care nursing is an aspect of the nursing profession which focuses on providing customary care to patients.
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Primary care acts as a patient's first point of sense with the healing system: when a outpatient arrives in a doctor's office seeking a physical, attention for a sore throat, or other forms of healing assistance, he or she is interacting with a customary care provider. customary care nurses can diagnose, treat, and carry on a number of conditions independently or in consultation with a doctor, and they can also provide referrals to other healing practitioners if a problem is exterior their scope of care. If that sore throat, for example, is caused by a cancer in the trachea, the outpatient would be referred to an oncologist.
Here in Northern California, (as Lvn schools in California are aware) most acute hospitals adapt this nursing model to have more sufficient and sufficient outpatient care. We are mandated by law that one nurse should have no more than 5 patients to care for. To meet this law and to save money at the same time most acute hospitals that adapt this model hire nurses that have good time supervision skills, are good at multi-tasking and competent with nursing skills in order to provide direct outpatient care effectively and efficiently. Most nurses who provide customary care nursing to their patients are happy about where they work and have adapted to this working model of nursing care. They claim that their patients get more personal care and thus the nurses feel appreciated and get more pleasure from their work. These nurses don't rely on their nursing assistants or care partners to take care of their patients or do outpatient care. These nurses feel they know their patients well and can provide good outpatient care. Nurses also feel that their patients are happier and have faster saving as they know their nurse well and have good continuity of care. These hospitals also have higher buyer pleasure rate as stated by most surveys.
President Obama comes from Hawaii, a state that uses the customary nursing care model. There are some predictions that customary nursing will emerge as part of the healing reform that congress and lobbyists are pushing to pass as a law to create the ideal nursing setting. Earning Lvn certification by becoming an Lvn in California is a good first step to learning the health care system, keen on to an Rn schedule and becoming a customary nurse.
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Do you know about - Top Ten Tourist Places in Tamil Nadu
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Tamil Nadu, a southern State of India, rich in culture, is the gateway to India. This beautiful state is located on the shores of the Bay of Bengal in the midst of the deep blue Indian Ocean, bordering with Kerala in the west, Karnataka in the northwest and Andhra Pradesh in the north. There are many tourist places in this beautiful land, which attract tourists from all over the world. These are just ten of them.
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Kodaikanal, the princess of Hill Stations, located in the Western Ghats, is one of the main tourist attractions of this land.
Ooty (Udagamandalam), known as Queen of Hill stations. This picturesque, green place is
also located in the Western Ghats.
Madurai, the second largest city in Tamil Nadu, known as the Athens of the East. Madurai is an ancient city, more than 2,500 years old, built in 6th century, with the world famous Meenakshi temple and other attractions.
Mamalapuram, famous for the ancient shore temple and the beach. It is the jewel in the crown of the Pallava contribution.
Kanyakumari where the three seas meet, was earlier known as Cape Comrin.
Kancheepuram, the city of thousand temples, is famous for weaving silk saris in dazzling colors.
Chidambaram, the seat of the Cosmic Dancer, the temple is spread over an area of 40 acres.
Thanjavur, an enchanting district of Tamil Nadu, is known as the Rice Bowl of Tamil Nadu, and is also home for one of the best temples (Brahadeeshwarar Temple) of South India, built by the great
Chola emperor Raja Raja Chola. It is also home for the famous Thirumala Nayak palace.
Chennai, the fourth largest metropolitan city of India, is the capital city of Tamil Nadu,
located on the Coramandal coast. This vibrant city offers many tourist interesting spots,
like Beach Resorts, Art gallery etc.
Tirunelveli, one of the most visited destinations of this state, with many famous temples
and waterfalls like Courtallam.
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Queen City Pediatrics Glenway - Things To Do And See In Edinburgh
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Do you know about - Things To Do And See In Edinburgh
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Visit the Palace of Holyroodhouse - HM The Queen's official residence in Scotland. Then, walk up the famous Royal Mile which links the Castle with The Palace of Holyroodhouse. On route explore some of the museums and shops and take lunch in a Royal mile pub or cafe. Edinburgh Castle, built on its own volcanic rock at the top of the Royal Mile is Scotland's number one visitor attraction and is home to the Scottish Crown Jewels. Edinburgh's oldest visitor attraction, built beside Edinburgh Castle in 1853 is The Camera Obscura where for 150 years visitors have spied on passers-by in the street below and enjoyed amazing panoramas of Edinburgh!
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How is Things To Do And See In Edinburgh
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A popular evening activity which combines history with entertainment is a ghost Tour! They are available every evening around the Old Town and you will hear many tales of ghostly goings on and sinister Edinburgh characters.
A great way to see the city is to take an Open Top Bus Tour. Not only can you hop on and off at your leisure but they provide a convenient link between the main tourist attractions such as Holyrood park, The Old Town and The Royal Yacht Britannia, now permanently moored in Leith.
Edinburgh has some super parks and gardens allowing the visitor and of course locals a break from the buzz of the city. Take a hike up the 251m high Arthur's Seat, an extinct volcano and enjoy spectacular views of the city. Or how about a lazy stroll in The Meadows followed by a cappuccino in a city coffee shop. An excellent way of exploring the city is by bike. There are over 128km of cycle paths allowing a safe and scenic route past many interesting landmarks such as the Canal Path and Water of Leith walkway. Out of the city there is some fantastic mountain biking in the Pentland Hills Regional Park.
Just one mile from city centre, lies the tranquil Royal Botanic Garden, 72 acres of beautiful plants. Founded in 1670, it is said to be one of the finest botanic gardens in the world. Here you will also find a Glasshouses, featuring Britain's tallest Palm House, and the award-winning art gallery at Inverleith House. Open all year, the garden hosts many popular events and exhibitions.
It is worth making the 7 mile trip south of Edinburgh to visit the stunning 15th century Rosslyn Chapel, which recently featured in Dan Brown's book and the film The Da Vinci Code. With elaborate carvings and the famous Apprentice Pillar, the chapel is set in the beautiful Rosslyn glen complete with trail walks around the romantic Rosslyn Castle.
With so much to do (and we've only scratched the surface here) it's definitely worth staying in Edinburgh for the weekend (or longer if possible!). There are plenty of hotels, bed and breakfasts and campsites to choose from but Edinburgh also boasts a fantastic collection of holiday rentals (or short term lets). Let In Edinburgh is one website that will help you find short term lets in Edinburgh and also allows you to view in-depth property information and contact the owner/agency directly.
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Primary Care Providers - Breast Cancer Survival Rate - Stage 4 Breast Cancer.
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The breast cancer survival rate for Stage 4 breast cancer is much lower than for breast cancer detected at earlier stages.
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How is Breast Cancer Survival Rate - Stage 4 Breast Cancer
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Stage 4 breast cancer, or advanced breast cancer, has metastasized to other tissue together with bone tissue, lung tissue, or the liver. When breast cancer has overwhelmed the body's natural defenses and spread this far by the time the cancer is first diagnosed, the 5-year survival rate drops to 16%-20% in the United States (American Cancer Society).
Up to 5% of white women in the U.S., and up to 9% of black women have advanced breast cancer spread to distant tissue at the time of first pathology (Seer). This difference is ordinarily attributed to poverty and lack of health insurance.
In general, women who have advanced breast cancer at the time of pathology live approximately 18 months after pathology (median survival rate). Those who are still alive five years after their pathology of advanced breast cancer can live an additional 3.5 years (median survival rate) agreeing to the American Cancer Society.
Since this is the most deadly kind of breast cancer, it is leading to work closely with all the health care providers. New treatments are being advanced all the time, and second, or even third opinions may give the outpatient more information about newly discovered successful solutions.
Early detection is clearly the most leading factor in breast cancer survival rates. Breast cancer detected at Stage 1 while it is still localized to the breast has a survival rate of 98%-100%, while metastasized breast cancer first detected at Stage 4 drops down to 16%-20%.
Early detection procedures must include monthly self-examinations done at the same time each month. From age 20-40, healthy women should have clinical breast exams performed by their health care providers every three years. After age 40, the breast exams should be annually and should include a mammogram or similar procedure.
North American white women have the top rates of breast cancer in the world, but the 5-year survival rate for all stages (Stage 1, Stage 2, Stage 3, and Stage 4) combined is 88% for the U.S. A up-to-date study found European countries have lower 5-year breast cancer survival rates, with England at 77.8% and Ireland at 76.2% (Lancet Oncology).
The difference in these survival rates is ordinarily attributed to life-saving early detection.
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Pediatric Physicians - Taxonomy Code For NPI Number-What Is A Taxonomy Code And Why Is It Important?
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Need to pick a taxonomy code for NPI Number? What the heck is a taxonomy code and why is it important when you apply for your NPI number? Picking the correct taxonomy code is extremely important because it can directly affect your reimbursement by insurance companies.
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Taxonomy Codes are an administrative code set for identifying the provider type and area of specialization for health care providers. They are alphanumeric and are ten characters in length. Taxonomy codes allow providers to identify their specialty. A provider can have more than one taxonomy code.
Taxonomy Codes have 3 distinct levels. Level I is the provider type which is a
major grouping of health care providers. For example: Dentists, Osteopathic Physicians, and Chiropractors.
Level II is Classification or a more specific service or occupation related to the provider type.
Level III is the Area of Specialization. This is a more specialized area of the classification in which a provider chooses to practice or make services available. This is usually based upon the sub-specialty certificate.
Taxonomy Codes allow the provider to identify their specialty at the claim level so this can directly affect your reimbursement from insurance companies. If you have an inaccurate taxonomy code linked to your NPI number then your services may be paid at a lower reimbursement rate, or outright denied by an insurance company.
Example: If you are a Pediatric Surgeon and you pick a taxonomy code for just straight Pediatrics, your services may be denied. You would need to pick the more specific code of Pediatric Surgeon (at Level III) in order to ensure proper reimbursement for your services.
In order for health care providers to receive reimbursement from insurance companies after May 23, 2007, they must apply for an NPI number and choose a taxonomy code. When applying for your NPI number it is extremely important that you pick the correct taxonomy code. It can affect your payments from insurance companies. The NPI number application has a list of the taxonomy codes available.
Copyright - Michele Redmond 2007
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Pediatric Physicians - Interesting Facts About a Nursing Career
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Nursing is a noble profession. Without these people, no one will be able to look after the patient when the doctor is not available. It should be pointed that there is a shortage of nurses in the US. The government for its part has hired foreign nationals to fill the gap but this is not enough to solve the problem. This is why knowing some facts about a career in nursing could probably encourage students in high school or maybe even in college to make that shift.
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1. Entry level nurses earn a lot more than what other professionals earn after graduating from college. One report shows that they get an average of ,000 a year compared to accountants who only get about ,000.
2. Unlike other courses that will require the student to get a degree in 4 years, nurses can graduate and find work after 2 years. These programs area namely an Associate Degree in Nursing or AND as well as the Hospital Diploma. Students of these two programs can go back to school later on to further their studies by getting a Bachelor of Science in Nursing or BSN.
3. Nurses may also find work in places other than the hospital. These include schools, correctional facilities, private companies, research labs and homes since only three out of five registered nurses work in a hospital.
4. For the country, majority of nursing jobs are occupied by women despite an increase of 5.4% of males that have joined the workforce. But in the U.S. military, one third of those serving are men.
5. In the US, the ratio between registered nurses and doctors is 4:1. Aside from providing the usual health care services to patients, they also teach patients about prevention and work in other fields such as cardiac, family health, gynecology, neonatal, neurology, oncology, pediatrics and other advance clinical specialties.
6. Nurses work between 8 to 10 hours per shift because the risk of an error happening are greater if they work longer than 12 hours.
7. The reason why the government has to fill the shortage of nurses is to lower the incidence of adverse outcomes with patients. For instance, one study has shown that if the number of registered nurses in a hospital is not increased, there will be a rise in the number of patients who will suffer from lung failure, pressure ulcers and urinary tract infections.
Those with higher resident nurse staffing will have lower rates of adverse patient outcomes enabling them to be discharged later on without further incident.
8. Apart from a shortage in trained nurses, there is also a shortage in nursing faculty. After years of working in a hospital setting, such individuals can apply in schools to teach what they know to the bunch of hopefuls who want to make a difference in the lives of the patients.
The facts mentioned about nursing just goes to show that nurses play a vital life saving role in the overall healthcare system of the country. Doctors which we have a lot of can only do so much and they need the help of trained professionals to follow through what they have done to treat a patient.
If you have the desire to help people, then perhaps you should see if a nursing career is right for you.
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Brushing up on Throwing and Catching
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For many, the arrival of spring means one thing only: baseball season, with baseball fever often gripping those that play or coach the game. during the winter, baseball players tap their bats and oil their stiff, new gloves in hope of warm weather so they can hit the brilliant to brush up on their skills.
Throwing and catching are by far the most universal skills in the game, since every position on the field must be able to do each so well they could roughly do them in their sleep. This year, add some variety to your baseball convention by along with some of the following free baseball drills that focus on improving your players' throwing and catching abilities.
Go Long!
The first of the free baseball drills is for outfielders in particular. The Long Toss drill is an excellent way to lengthen players' throwing distances and build players' arm strength, especially those who throw with a pushing motion. To begin the drill, divide your team in partners standing facing each other roughly 30 feet apart. Where possible, partner together players with similar throwing distances.
Have the partner throw and catch to each other. When they successfully make 5 throws and catches each without missing a single one, have each player back up 5 feet, or the distance of one giant stride. Continue until players are no longer able to make the throws smoothly.
The next of the free baseball drills rewards players with quick reflexes. The Quick Hands drill is set up similarly to the Long Toss drill mentioned above: with players partnered off and standing facing each other about 30 feet apart. The drill begins with a toot on the whistle and partners are to throw the ball back and forth between each other as fast as they possibly can.
As they make each catch, have the player yell out the amount of catch it is. Whichever pair can throw the most catches in a 30 second period, which is marked by another blow on the whistle, is the winner. If whether player misses a catch, their count returns to zero. As your team improves, have them begin standing additional apart. This drill is great for encouraging a diminutive salutary competition amongst your team.
Running Wild
Finally, we have the Base Throw drill, which teaches players definite throwing and tagging procedures during a rundown at second base. To set up the drill, place a fielder at first and second base. Divide the remaining players into two groups, setting one group behind first base and the other behind second.
The drill begins with the sound of your whistle, and all players except the fielders begin running wildly between first and second base. during this drill, the fielders are to tag as many players as possible. As soon as a player is tagged, the must exit the field. The fielders are given one diminutive to tag as many players as possible. This drill soldiery your fielders to think on their feet and react swiftly during a high-pressure situation.
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Primary Care Providers - Spirituality and Nursing
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Spirituality as part of nursing care has been infrequent and underutilized in the past. Today we have a challenge to embrace a holistic view of life and self to couple spiritual care into nursing practice. Nurses are in the best position to deliver the aspect of spirituality in nursing care, particularly when caring for the sick person with mental, curative and terminal illness.
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Spiritual issues are raised in disbelief and anger, the nurse helps the sick person with their spiritual journey, searching for meaning and developing a deeper meaning in faith, hope and love. The nurse assists the sick person as a whole being, using holistic nursing. It should always be respectful and non-biased. It is about listening, identity, being respected and valued.
Religion involves rituals practices and experiences. It involves a search for a higher being. It is linked with a religious affiliation and religious commitment. Religion may or may not be a part of their spirituality. Spirituality does not wish any religious beliefs, but their exists an affiliation with God or anyone God is perceived to be by that person.
What does spirituality mean to me? Being a spiritual and religious person I believe it is an important part of holistic nursing. Without spirituality it would be hard for the mind and body to heal. It is needful for total nursing care especially with the dying sick person and the mentally distressed patients. Without spirituality in my life, it would be an empty and lonely life. Without God in my life it would be hard to feel daily life problems.
Nursing care should be focused on corporal and psychological needs as well as spiritual. Nurses must also collate patients' strengths and coping styles, as it helps with assessing spirituality. Listening, silence and touch are important aspects of spirituality. Touch can demonstrate caring, sense of worth and relieves stress. Being gift at a religious ritual such as anointing of the sick can be important to the dying patient. Other ways of introducing spirituality and condition can be undertaken straight through encouragement of journalling, meditation, scripture reading, prayer, music, art therapy, guided imagery and aromatherapy.
I have the opening to work with both psychiatric and hospice patients. Both can be very curious especially when the patients are in spiritual distress or religiously delusional. I have worked in psychiatry for the past ten years and found that spirituality can be truly ignored. Spiritual appraisal is part of sick person appraisal because it can affect the care and rehabilitation of the patient. Asking the sick person what their religious affiliation is no longer tabooed. It is encouraged that spirituality be part of their rehabilitation , especially if they are in spiritual distress.
Working as a hospice nurse has its great recompense which is providing relieve and hope to patients who are dying. Being able to sit with the patient, keeping their hands, saying a prayer or rosary is an important aspect of spiritual care. Being a source of strength and hope for the sick person and house is rewarding. Spiritual preserve provides meaning of hope, love and pleasure in their final days. Reconciliation is also part of spiritual care. Being able to help with these unfulfilled expectations or omissions can be fulfilling. Assuring the sick person that they will not die alone and guiding them to the light.
Spirituality provides a means for aid providers to empower and encourage patients to engage in their curative process. Spirituality is incorporated with holistic care and is needful to the holistic care of any patient. We as nurses become a source of spiritual hope for all our patients.
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Primary Care Doctors - Differences between Nursing Homes, Assisted Living & persisting Care retirement Communities
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Benjamin Franklin said it best - “nothing in life is unavoidable except death and taxes” but with daily advancements in science, technology and health care, Americans are living longer than ever before*. This blessing however, has created a unique dilemma for contemporary American families: How to plan for and get ready for one's seclusion years.
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Have you taken a road-trip lately? almost every highway is graced with large bill-boards providing the locations of new planned communities where couples can spend their seclusion years dedicated to recreational pursuits. I doubt you will find a local newspaper that doesn’t have at least one ad promoting the amenities found at a local assisted living facility. Try to crusade for “nursing homes in Virginia” on the Internet and thousands of web pages will appear. Each and every day new facilities offering different programs are being built and marketed across the state.
Is such a factory right for you and your family? If so, which facility? We often hear the terms “retirement community,” “nursing home,” and “assisted living facility” but rarely reconsider what these terms precisely mean. The differences however, are astonishing and it is imperative to understand these differences when manufacture choices for yourself or your loved ones.
Nursing Homes
In Virginia, a nursing home means any factory with the traditional function of providing long-term nursing care, nursing services and health-related services on a persisting basis, for the treatment and inpatient care of two or more non-related individuals**. Put simply, a nursing home is a factory designed for man who needs less care than a hospital, but requires daily health care assistance.
The Virginia agency of health licenses such facilities and has established guidelines regulating varied aspects of their operations, programs, and staffing needs, etc***. For example, a nursing home must: (a) have written policies and procedures about the treatment of residents and the supervision of resident care which are ready to residents and their families (12Vac5-360-20); (b) provide urgency healing services within 15 minutes, under general conditions (12Vac5-360-50); (c) be field to unannounced on-site inspections of the nursing factory by State employees (12Vac5-371-60); (d) have a written deal with one or more physicians licensed by the Virginia Board of treatment to serve as healing director (12Vac5-371-230); and (e) each resident shall be under the care of a doctor licensed by the Virginia Board of treatment (12Vac5-371-240).
In addition, residents of nursing homes are also given unavoidable rights as defined by Virginia Code §32.1-138. See http://leg1.state.va.us/cgi-bin/legp504.exe?000+cod+32.1-138. Nursing homes are the most regulated and structured residential options for our Seniors requiring some level of daily health care. If the factory provides care through Medicare and Medicaid programs, it is deemed a "Certified nursing facility" (Virginia Code §32.1-123; Virginia Code §32.1-127) and must be in yielding with both federal and state laws.
Of course, the more rules and regulations that define and control the daily operations of a nursing home, the greater the accountability of the staff. These are the population who will be charged with the daily task of caring for your loved one, and manufacture sure they are in yielding with state and federal laws. No matter how nice and or challenging the factory might be, the staff will make the variation in the middle of your loved one being cared for and encouraged, or not.
A nursing home is best great for someone:
Who requires daily health care – such as aid getting in and out of bed; taking medicine; or using the restroom. Who may have dementia or Alzheimer’s and as a result, is unable to eat and or bathe daily without reminder or assistance; Who is recovering from a fall or urgency and is therefore unable to walk, dress and or eat without aid Assisted Living Facility
“Assisted living facility” means an adult care abode which has been licensed by the Virginia agency of social Services to provide a level of assistance for adults who may have corporal or reasoning impairments and wish at least moderate aid with the activities of daily living. Within assisted living, there are two types: quarterly assisted living for those seniors (typically) who need aid with one or more daily activity; and laberious assisted living for man who may be incapable of performing activities due to reasoning and/or severe corporal impairment (12Vac30-120-450).
The Virginia agency of social Services licenses assisted living facilities but does not regulate in the way the agency of health regulates nursing homes. While there are Virginia guidelines regulating aspects of assisted living facilities, they are limited: An assisted living factory must: (a) provide or coordinate personal and health care services; and (b) provide 24-hour supervision.
As reflected in the table below, assisted living facilities have no obligation to provide health care and/or have health care staff ready to help your loved one. In addition, with no obligation to provide such services, there is the query as to whether or not they owe a duty to warn or treat residents with illnesses or diseases that could be transmitted from other residents.
While a nursing home will have many nurses on staff and doctors hired to monitor the residents, assisted living is more analogous to an apartment construction or college dorm where laundry and food services are provided and residents are on their own for the rest of the day.
An assisted living factory is best great for someone:
Who is basically independent but may not be able or willing to get ready their own food or drive to doctors’ appointments; Someone who wants to scale back and anticipates needing aid with laundry, cooking, etc. In the near future. A join where one spouse is independent but may need aid in feeding and or providing for needs of other spouse. Continuing Care seclusion Community
In Virginia you may also see advertisements for a seclusion community. They are popping up all colse to our favorite College Towns and tourist destinations.
A persisting Care seclusion society provides care depending on your current needs. Like an insurance policy, the resident pays an entrance fee and periodic adjustable payments, which in turn gives the resident a container of residential and healthcare services that the Ccrc is obligated to provide at the time these residential and health care services are required. For example, if upon entering, all you want is help with your meals, that is the only assistance which will be provided. If you wish laberious corporal therapy or God forbid, daily aid for a Dementia patient, the Ccrc has assisted living services or nursing home services ready under your contract. persisting care contracts are regulated by the Virginia Bureau of insurance of the Virginia State Corporation Commission.
Many Ccrcs can have nursing home services ready whether on-site, or at licensed facilities off-site (12Vac5-360-10). While you may be entering the seclusion society as a very wholesome independent and capable resident, as your needs change, so will your ageement with the society and in turn, the facility’s obligations to you.
A persisting Care seclusion society factory is best great for someone:
Who is basically independent but anticipates the need for daily health care for themselves or a spouse in the near future; Someone who is physically disabled and would be unable to care for themselves or a spouse if the disability grew worse. With at least three very different choices, it is very foremost to do your research:
To study assisted living facilities in Virginia, go to agency of social Services website: http://www.dss.state.va.us/facility/search/alf.cgi.
To study nursing homes, go to Medicare’s website: http://www.medicare.gov
And Last But Not Least
It is all the time best to speak to a house member of a current resident and spend time getting to know the staff, no matter what type of factory you are looking into. If looking and researching is not enough, then reconsider the chart below – a comparison of the legal duties of a nursing home compared to the legal duties of an assisted living factory in Virginia.
Duty or Requirement
Nursing Home
Assisted Living
Duty to provide nursing care and or monitor resident’s health?
Yes
No
Doctor required to supervise residents?
Yes
No
Each resident shall be under the care of a doctor licensed by the Virginia Board of Medicine?
Yes
No
Must have nurses on staff?
Yes
No
Must offer rehabilitative services?
Yes
No
Must have ongoing consultation from a registered dietitian or dietitian on staff?
Yes
No
24 Hour supervision required?
Yes
Yes
Must fabricate a written plan upon admission of resident?
Yes
Yes
Staff must feel criminal background check?
Yes
Yes
Monitored by Virginia center for quality health Care Services and buyer Protection
Yes
No
Monitored by agency of social Services
No
Yes
*Life expectancy increased dramatically during the past century, from 47 years for Americans born in 1900 to 77 years for those born in 2001. These same factors—improved healing care and stoppage efforts— that are partly responsible for the dramatic increases in life expectancy have also produced a major shift in the foremost causes of death in the United States in the past century, from infectious diseases and acute illnesses to persisting diseases and degenerative illnesses.” The State of Aging and health in America 2004, published by the center for Disease Control, ready at http://www.cdc.gov/aging/pdf/State_of_Aging_and_Health_in_America_2004.pdf.
**See generally, Virginia Code §32.1-123, as amended and Virginia executive Code § 12Vac5-360-10.
***It is a Felony under Virginia law to control a nursing factory without a license. See generally, 12Vac5-371-30.
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Pediatric Physicians - The Skills Needed To Have A Successful Nursing Career
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Nurses enjoy one of the most rewarding careers in the healthcare industry. Since they are the ones in constant contact with patients, they usually end up providing moral and emotional support aside from primary care. Although the nursing profession started out as assistants to doctors and other healthcare practitioners, they now play important roles in the patient's recovery. Without these nurses, the health care industry would certainly be chaotic.
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The demand for nurses have grown considerably especially when the profession evolved into highly specialized fields. Today, nurses can be classified according to the unit they are currently working in. There are emergency room nurses, intensive care unit nurses, pediatric nurses, dialysis nurses, oncology nurses, psychiatric nurses and so much more.
It is not surprising, therefore, that medical facilities use nursing job descriptions that are very detailed and specific. They do not want to attract applicants only to find out that they do not possess particular skills, completed educational requirements, undergone training or have had sufficient experiences. If the nursing job description is accurate, majority of the applicants will have the right qualifications.
Speaking of qualifications, here are some of the requirements that you can find in nursing job descriptions.
Education
Normally, nursing job descriptions would contain specific details on the educational background required. If the ad is looking for staff nurses or other entry level positions, you should have at least completed an associate degree in nursing. In some cases, where the healthcare facility is looking for someone with a master's degree, they will still hire nurse applicants with a bachelor degree, on the condition that the nurse applicant continue her education while employed.
Specialized nursing fields would typically require nurses who have been certified. Most certifications are awarded by official nursing organization after you have completed a program and passed an exam. On the other hand, there are nurse job descriptions that only require an applicant to have completed high school. This is normal in positions such as nurse assistants. The employer will be the one to provide the training program.
Experience
The amount of experience you have under your belt could dictate your suitability for a job. Some nursing job descriptions are very clear about the level of experience applicants should have before they even consider them for the position. If you are applying for a job, straight from a nursing school and it says in the job description, "two-three years experience a must", do not waste your time. Even if you have graduated with high marks, you will not be able to land the job. There are certain fields that would require experience such as intensive care nursing, critical care nursing and emergency room nursing. You should always consider that real life experiences are the best teachers and nursing requirements which involve life and death situations, naturally require experience.
Skills
Even if you have met the educational requirements contained in the nursing job description, it is also vital that you possess nursing skills such as:
o Communication: as nurses, you are considered to be the eyes and ears of the doctors. Because you will be interacting with patients on a daily basis, it is important that you have excellent communication skills. These skills include listening effectively and speaking clearly. You must also be able to explain to the patients and their families the medical condition as well as the treatment procedure being done. If you can not do this correctly, you would only cause confusion and mistrust between you and the patients.
o Organization:
if you will be working in a large medical facility, you should be able to organize your tasks and responsibilities accordingly. If you do not create a system that would allow you to juggle several roles at once, then you will find yourself being stressed out. Make sure you accomplish your tasks according to priority and leave less important things for later. Also, you should know how to adjust your work schedule in cases of emergencies and other urgent matters.
o Management: when medical facilities are looking for nurses who will fill up supervisory positions, it would be normal that they require these nurses to have excellent management skills. This means that you should be able to create and implement rules and regulations. In addition, you should also be able to work well with your staff as well as with other health care practitioner that you will be dealing with on a regular basis. As a leader, you should be able to follow orders as well from attending doctors.
There are other details contained in nursing job descriptions that you should go over before applying for the job. These include duties and responsibilities and compensations and benefits. If you meet all the requirements set by the employer, you can apply confidently.
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