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Pivotal Moments in Nursing: Leaders Who Changed the Path of a Profession Beth P. Houser and Kathy N. Player 2004, 286 pp $29.95 softcover

Each chapter of this book tells the story of a nurse who stepped forward to take on issues and challenges to further the nursing profession. Each of the 12 nurses profiled followed his or her own path and affected a developing profession. Some of the nurses profiled include Faye Glen Abdellah, who is recognized as a pioneer in nursing research; Sue Karen Donaldson, who was a driving force being the growth of doctoral programs in nursing; and Loretta C. Ford, who pioneered the first pediatric nurse practitioner role.

Each nurse leader is profiled with a personal, educational, and work history. The authors identify the challenges these leaders faced and the leadership qualities that helped them meet and beat these challenges. Each person’s persistence, passion, and caring about the essence of the nursing profession is explored.

The authors are recognized leaders in the nursing world who have taken the time to research the history of nursing and share their research with nurses who know that they must understand where nursing has been to understand where it is going. They give readers a glimpse into the nursing world that many nurses today are not old enough to remember–before nurse practitioners, before nursing research, before practice was related to outcomes, and before nurses were recognized as leaders anywhere but among themselves.

The value of this book will be apparent to nurses who are new to the nursing world and those who have been nurses for years. All nurses should remember the people who have led nursing to where it is–a respected profession that is still growing and proving itself.

A lactating mother’s life is not an ordinary case-to-case basis. In fact, it’s one great example of multi-tasking, doing all the things at the same time. Normally, the lactating mother would wash the bottles, do the laundry, cook, and feed the baby. With everything coming off spontaneously, she needs a durable and reliable bra that will come off easily so as to feed the baby instantly.

This is where the nursing bra comes in.

A nursing bra is specifically made for lactating mothers, to provide ease and comfort when feeding the baby. It also gives instant access to the nipples enabling the mother to breastfeed the baby without having to remove her bra.

However, having a nursing bra is not enough to resolve the problem of breastfeeding the baby while doing other things at the same time. You still have to consider the right material that makes nursing bra an effective tool for easier breastfeeding.

Here are some tips:

1. Consider your breast size.

Keep in mind that breast size do change during pregnancy and post-maternity days. And so, the breast size you have before pregnancy may differ when you are into the second trimester of your pregnancy, and may even increase or decrease up to the time when you are already breastfeeding your baby.

And so, the best time for you to buy a nursing bra is during the second up to the last trimester of your pregnancy. This because your breasts are already at its biggest size and that your older bras may no longer fit well.

2. Consider the size.

When choosing a nursing bra, you should take note of its size. It should be large enough to give room for nursing pads. But do not neglect the support that you need as well in a nursing bra.

3. Know its features.

You should go for a nursing bra that has an easy-to-remove hook flaps. Take note that you are not merely wearing a nursing bra just for the heck of it. What counts most is the accessibility that you have on your nursing bra that enables you to feed the baby at once.

4. Consider added features.

If you want to reserve some milk before you get down to doing household chores, then you might want to consider a nursing bra that has an additional feature like a pumping system. Make sure that it offers you a free hands option.

5. Do not go for under-wired nursing bra.

It’s best that you get a nursing bra that is not equipped with under wires. This will only make your breastfeeding tedious. Plus, it might even block the milk ducts giving you a hard time producing milk.

6. Avoid nursing bras that have complete opening.

This kind of nursing bra is not suitable for breastfeeding mothers because it will give you a hard time snatching your breasts back in place.

7. Consider its material.

You should choose a nursing bra that is made of breathable fabric. This means that the cups should allow some air to pass through. Basically, the best material for a nursing bra is cotton, though some manufacturers are considering the use of new kinds of synthetics that offer air passage just the same.

8. Do not buy many nursing bras at the same time.

It is best that you do some testing first. Buy one nursing bra first then observe if it is good enough for your needs. If you liked it, then by all means buy yourself three or more.

As long as several years ago, doctors affirmed that mothers should observe accurate schedule of nursing. Now neonatology physicians, modern books and magazines, preparatory birth courses assure future mothers that they need to nurse new-born babies upon their request. Young women can hardly find truth after listening to friends, grannies, doctors and reading various irreconcilable books. And we do want to choose a method of nursing before childbirth: for all that – according to schedule or upon request?

Let’s think a little: there’s no universal and absolutely correct scheme of dealing with a baby. You’re unique, both you and your baby. Relax and calm down. Maternal instinct will help you to make a right choice. Many inexperienced mothers are just afraid of doing something wrong and this prevents them from listening to their inner voice.

Probably, you will become more confident after reading a story of a mother of 2 children, who passed a way from frightened inexperience to calm conviction. Everyone has his own way. A woman can find her way, listening to herself and her baby carefully. And you may miss the answer to this question, while listening to your advisers all together…

So, nursing according to schedule

In the maternity hospital

Right after my first baby birth – a daughter – I began nursing her according to a schedule. Every 3 hours, I gave her both breasts, 10 minutes for each one. Firstly right one, then left, during next nursing - back to front – firstly left, then right. As a baby was with me in a ward, I saw that my daughter slept well between seances of nursing. This meant she was full. Firstly, I gave her a baby formula also. I was frightened that I still had no milk, and had little colostrums. But a doctor advised me to stop giving her additional feeding. Her argument was simple: as babies are calm, this means they are full. Moreover, one should not teach a baby taking from a bottle, as this may become a reason for them to stop taking breast, as nursing is more difficult. Colostrum is very substantial, it contains all necessary things for a baby’s first days of life, when his stomach is just learning to digest food, and he needs very nutritious and at the same time easy of digestion food.

Milk came on the 3rd day. My daughter even began to eructate because of its excess. I gave her breast for no longer than 10 minutes, and there were no chaps at all, although I did not prepare my nipples for nursing beforehand. We ate every 3 hours. Paediatrists did not recommend night nursing, but on 4th-5th day my daughter began requiring it so hard, that I yielded to that requests, and decided that she knew better when she needed to eat. I also wanted to put her in my bed for sleeping at once, but they frightened me that I can crush a baby while sleeping. Later, when my children grew a little, I knew that if a baby sleeps with his mother, he’s much calmer, and a mother can sleep well, even with night nursing. And I never hear anything about cases of crushed babies.

At home my mother met us. She declared at once that I should give only one breast during each seance of nursing. Otherwise, I will lose milk. This authority was indisputable for me, and I started to give only one breast to my baby. Now, by the beginning of nursing, a breast, which were assigned for nursing, swelled, ached and callosities began to form in it.

“Due to” my mother, another “minus” was cleared up – I racked little milk after nursing. My mother racked a glass of milk after each seance of nursing, when she was nursing us! I did not understand the benefits of it, but I felt myself guilty. I became nervous, quantity of my milk reduced notably. I had to start feeding my daughter with baby formula. Fortunately, at that moment I met a consultant on breast-feeding, and due to her advices lactation was renewed.

Advices of consultant:

- give 2 breasts for one nursing;
- refuse from racking and supplementary feeding;
- change nursing according to schedule to nursing upon request.

The matter with milk. I had milk, but little. And still it was enough for my daughter. Indeed, not for 3 hours already, but only for 1,5. Instead of supplementary feeding, we reduced breaks from 3 to 1,5 hours. Including night. To prevent myself from collapsing because of sleepless nights, I took my baby in my bed all the same. Lactation was back to normal, and in 2 weeks interval between nursing increased to 3 hours, little by little and naturally.

What happened with my breast. It stopped swelling up, as necessary quantity of liquid was already distributed evenly among 2 “containers”!

What happened with my child. My daughter was full up and slept calmly between seances of nursing.

What happened with me. I got a confidence that I would have plenty of milk for each nursing of my baby.

As a result. My daughter ate every 3 hours. Night nursing was necessary (it cleared up, that neonatology physicians considered it to be of special importance). If a baby overslept nursing, I did not awake her. If I got nervous, milk disappeared. We reduced a break between seances of nursing, and everything renewed little by little.

Nursing upon request

Everything was quite the opposite with my second child, a son. He was born being a glutton. After delivery, I put my son to my breast, and he was suckling for 40 minutes, without breaks! And this was a new-born baby! During following 2 days, he asked nursing every hour. I was glad to one fact – my son received colostrums, medicinal for his health. I put him to each breast for no longer than 10 minutes, to avoid chaps on nipples. We did not sleep for 2 days – a baby required nursing! I had to give him a baby dummy. This helped and a break was increased to 2 hours. On the 3rd day milk came and my efforts were rewarded in full. He woke up, ate his full and fell asleep till next nursing. He ate so much that I thought his tummy would burst. And he treated any food restriction as a personal insult. I had much milk. I had to drink less liquid, to reduce quantity of milk. This helped me. Of course, a little man with such appetite refused from night breaks between nursing. But I was already an experienced mother and nursed my baby calmly in bed. I was less nervous, and there were no problems with lactation anymore.

Let’s sum up

Procedure of nursing is individual for each child.

• If a baby sleeps well during 3 hours between procedures of nursing, does not cry at the end of nursing, like he’s still hungry, then everything is ok. You observe a scheme of nursing, which doctors recommend, without efforts and naturally.

• But if a baby shows anxiety at the end of nursing, if he cries, when a mother takes away breast, awakes an hour or two after nursing and plays up, then, most likely, he wants to eat. Milk, which he sucks out for one procedure of nursing, is not enough for 3 hours for him.

• It happens, that a baby likes to eat often, but little, since birth. Then he easily falls asleep after nursing, but asks feeding not after “fixed” 3 hours, but earlier.

Don’t exhaust a baby with hunger, and yourself with doubts. Just give him breast when he asks. But watch him during this process.

• May be a baby cries because of wind, not hunger. In this case he will jerk with legs, cry, bow out a nipple or refuse to take it at all.

• If a baby begins eating gladly, as soon as he’s given breast, - you guessed: a tot was hungry.

Most popular fears, connected with nursing upon request

1. Nursing upon request – is a constant stress and impossibility to leave a baby for a moment, being afraid that he would ask eating.

Staying with a baby all the time and being under stress are different things. The first thing is necessary for a new-born during first days and even months of his life. The second one just harms him.

Watching your baby, very soon you will begin to see the interval between procedures of nursing of your (not average statistical) baby. And you will be able to leave him with father or granny for this time, so that to have some rest or do home matters.

2. A baby will eat constantly, his stomach will not be able to have a rest.

A baby will eat enough food for his organism. Breast milk (unlike formulas) – is a unique product. You can give breast to your baby although every 30 minutes (this happens when you need to renew lactation), not overloading his stomach.

By 2- 3 months, you will work out a procedure with a break, close to “classical” 3 hours.

When a fixed procedure of nursing breaks

This happens because of 2 reasons. The first one – is stress or sickness, because of which quantity of mother’s milk reduces. In such case, put your baby to a breast every hour, to renew milk inflow. This will last for several days, a week – to the maximum. And then lactation will be renewed.

The second one – are your baby’s increased needs. Some children grow with sudden changes. During the period of intensive growing they need more “building material” – mother’s milk. While mother’s breast is switching to a baby’s increased needs, a break between procedures of nursing may be reduced temporarily. Don’t worry: soon you will return to balance with your baby.

If you hear contradictory advises and don’t know whom to listen to – listen to your baby. And you will know for sure, when he needs your breast or something bothers him. You will be ok. Be positive!

One need only to scan a newspaper or read a weekly magazine to be astounded by the number of stories about new medical breakthroughs, disease processes, emerging threats of disease, or innovations in medical and health care technology. The World Health Organization warns us to prepare for a potential worldwide Bird Flu epidemic, terrorists threaten us with chemical, biological and nuclear weapons, and new protocols for ACLS are released. How is a working nurse to keep up?

Nursing education provides the basic building blocks of medical, scientific, and nursing knowledge, but competence in the nursing profession requires an ongoing process of continuing education. Continuing education for nurses is necessary for the nurse to remain up to date with the latest practice issues and it is necessary for patients safety as well. Some states have made continuing education for nurses mandatory and require a certain number of course credit hours be attained before license renewal, or require certain mandatory course subjects, while other states leave it to the nursing professional themselves to accept a personal responsibility for their own continued learning. Regardless of whether nursing continuing education, or Nursing CEUS as such programs are commonly referred to, are mandatory in ones state or not, all nurses who describe themselves as professionals need to be willing and ready to implement change in their own practice by realizing that competence in any profession requires periodic updating.

Methods of obtaining nursing continuing education hours and the pros and cons of each:

1. Professional Journals: Most professional nursing journals offer an article for continuing education credit. Some offer a partial credit hour or one credit hour to readers who fill out a post test after reading the article and mail it in. While some journals offer the credit for free, others charge $10 or more and in addition to the inconvenience of needing to tear out a post test form and mail it in the nurse has no official record of having taken and passed the course. Obtaining continuing education hours through professional journals is costly and inefficient in that the cost of the journal itself must be taken into consideration along with the cost of the course if there is one, and the time and expense of mailing in addition to the lack of official record of completion and lack of central maintenance of all credits accumulated by the nurse. Additionally, nurses who rely on professional journals for their CEU hours are typically only exposed to courses related to their own specialty rather than a broader range of topics that they actually need to be exposed to in todays ever evolving health care climate.

2. Seminars: Professional development programs and seminars that offer accredited continuing education hours for nurses are frequently offered at various locations in every state, in some foreign countries, and even on cruises. Employers frequently pay the registration fees for nurses to attend local seminars of short duration such as one day, but nurses still have to sacrifice their precious day off to attend them or lose time from work to do so. In addition nurses who attend seminars away from home have to pay their own travel expenses, hotel bills, and costs of meals. Needless to say cruises and foreign travel are an appealing avenue, but obtaining one’s continuing education by that method is not something every working nurse can afford to do.

3. Online Nursing CEUS: The internet provides nurses access to extremely affordable and high quality accredited continuing education courses covering a plethora of professional nursing topics. Online nursing ceu courses are the gateway to nursing continuing education for the 21st century! Nurses who take advantage of online ceu courses are not restricted by geographical barriers, financial hardships, or the inconvenience of taking time from work or family in order to attend courses. Online nursing continuing education courses are readily available for both mandatory state required subjects, courses in ones own nursing specialty, and courses that all nurses regardless of practice specialty need to be familiarized with so nurses have access to a much broader choice of subject matters than they ever had before when restricted primarily to journals or seminars. In addition to those benefits, substantial as they are, online nursing ceu courses are inexpensive, up to date with changing trends, can be taken from the comfort of ones own home, generally allow nurses who take them to keep an official record of courses completed and credit hours earned online with the course provider, and allow nurses who complete a course to print the course certificate immediately upon completion.

In order to stay professional and to safeguard the wellbeing of the public nurses need to continue their education over the course of their career through a variety of means including taking continuing education courses. The most convenient and most cost effective method of nursing continuing education is by taking online Nursing CE courses. Online nursing continuing education courses are readily available, flexible, offer online tracking, and provide nurses with the broad scope of subjects they need to familiarize themselves with in order to keep up to date in today’s ever changing health care climate. One useful place for nurses to obtain online nursing ceus for free is Medi-Smart.com’s Free Nursing CEU Directory .Online nursing continuing education is indeed the face of nursing continuing education for the 21st century!

If you think you might want to be a nurse, there are a lot of employment options you can consider.

Nursing is a time-honored profession, and in today’s world of modern medicine it can also be a lucrative profession. There is no doubt that a nurse must be dedicated and diligent. If you really aren’t the kind of person who can give that extra ounce of energy, nursing is not a career you will enjoy.

But, if you like helping people and are interested in science and medicine, this field may be for you!

Nursing also gives you a lot of options regarding work environment. Most people think of a nurse as the person who stands next to your hospital bed, but nurses today have a lot more options and it is easier to find a work environment that suits your tastes and preferences.

Private Duty Nurses work with one patient in the hospital or at home to help them recuperate from an illness or to care for a patient with a chronic or terminal illness.

Hospice Nurses work with a patient and family to ease the dying process and communicate with doctors and other medical staff regarding medical issues. This care allows the patient to stay at home and be more comfortable during the final days of his or her life.

Operating Room Nurses are in the thick of things, and must understand the use of modern operating room equipment, the type of procedure the doctor is doing and the kinds of tools the doctor will need. The nurse must be ready to assist the doctor on a moment’s notice.

Trauma Nurses work in large hospitals and handle trauma patients who may come in by helicopter or ambulance from automobile accidents, train or airplane crashes, fires or other major events. Some trauma nurses also work in the helicopters that are dispatched to pick up the patients.

Institutional Nursing for schools and colleges is also a growing field for nursing jobs. These nurses treat everything from a cold or flu to a sprain or sports injury and often get to know their charges very well. It is a great place for someone who loves kids or just likes less stress on a daily basis. These jobs can also include placement in a women’s shelter, homeless shelter or other non-profit outreach organization.

Home Health Care Nursing has evolved. Today, home health care nurses work in rural, suburban and urban areas, traveling from patient to patient to care for and monitor the patient’s needs and communicate with doctors and other medical staff. This home care allows the patient to remain at home, with family, or alone, and still get the care they need. Nurses can now use mobile monitoring equipment to monitor everything from heart rate and blood pressure to blood sugar for diabetics and more, so the nurse can treat one patient and check on another one in the car on the way to visiting a third patient.

Hospital Nursing is also a brave new world. Nurses learn to use and monitor new equipment every day, and have the responsibility to care for patient’s recuperating from surgery or illness. Their daily care and interaction with the patient has a major impact on how fast the patient recuperates and on the patient’s attitude. There is nothing like the feeling you experience when you walk in the door to start your morning shift and your patient says “Boy, am I glad to see YOU”. Years after a hospital stay, patients will still speak fondly of a favorite nurse who eased the discomfort of their hospitalization.

It’s all in a day’s work!

If you think nursing is for you, look into local nursing schools and get started on the path to nursing.

With a short supply of qualified nurses to staff our hospitals, schools, hospices and other facilities, another pair of hands would be most welcome!

America is in the midst of a nursing shortage that is expected to get worse as baby boomers age and the need for health care increases. Complicating the nursing shortage problem is the fact that nursing schools and universities across the country are having difficulty maintaining enrollment levels that remain insufficient to meet the projected demand for nursing care.

Based on a recent survey, it is common knowledge that there is a nursing shortage and this is viewed as a serious issue. The study revealed that 75% of Americans think that the nursing shortage is a very real and very important health care concern. The general view is that the nursing shortage will have a negative effect on health care services. The poll indicates that 81 percent of the population is acutely aware of the nursing shortage and fully 65 percent believe that the nursing shortage is nearing crisis levels.

The survey also found that, despite the nursing shortage most Americans are confidant that nurses’ opinions on medical issues are highly credible and that the nursing profession is generally respected and admired. Because of the nursing shortage there are many more nursing positions available than can be filled. This is despite the fact that average nurse salaries match up quite well with other professions.

Many potential solutions, such as travel nursing, are being developed to address the current nursing shortage. The position of travel nurse was created more than 20 years ago in order to address shortfalls in staffing in states that experienced dramatic swings in seasonal population. Now, being a travel nurse is regarded as operating in a specialized nursing category and has become a crucial factor in potential solutions to the worsening nursing shortage.

Becoming a travel nurse opens the door to a world of possibilities. Agencies that specialize in travel nurse placement will help you locate a variety of travel nurse positions in areas of the U.S in which you have an interest. A travel nurse assignment will normally last for about 90 days but may continue for up to six months. After selecting the region or state you then must decide which travel nurse position you will accept. It is entirely up to you which type of program and which type of medical facility you will join on your travel nurse adventure.

The compensation for a travel nurse is well above average and is attracting more nurses into the travel nurse profession. The salary or a travel nurse is well above the norm. What’s more, the travel nurse package may include complimentary housing. Plus, travel expenses may also be covered. A travel nurse will also receive generous benefits such as health insurance or a retirement plan, if they are working with a good travel nurse agency

Most travel nurse assignments provide a substantial bonus upon completion of atour. The collective compensation for a travel nurse is far greater than permanent, local nursing positions. In many cases being a travel nurse can result in a six figure annual income.

Considering the severe nursing shortage, a qualified nurse can fill a crucial need and be handsomely compensated for it.

A proper, beforehand planning is necessary to safeguard self-dignity and to attain a secured after-retirement life. We all admit that.

Life is never the same after-retirement. Some people want to live close to the hard-earned friends or family whereas some people want to live unaided or in Nursing Homes, Retirement Communities, Home Health Care, Retirement Homes, Active Adult Communities, Senior Apartments. Whatever the reason be, some basic calculations are necessary for a better future.

Let us answer two simple and primary questions-

What is my primary consideration in the decision on where to reside?

It may be closeness to family, state retirement benefits, medical reasons, dream location, specific medical care or other reasons.

Which type of care am I searching?

It may be assisted living, nursing home, retirement community (Active Adult), Residential Care, Home Health Care, CCRC, hospice care or some other types.

Individuals must explain each little question to themselves to live a hustle-free post retirement life. At times, the simplest of the task turns out to be an epic one. For example, selecting the right nursing home is often a very hectic job as different nursing home specializes in different features.

Some minute details, in general, tend to be of high importance while selecting a nursing home for future, like the distance from a specific location. Apart from taking information on costs and fees, one must also note the types of care offered and types of aid accepted by that particular house. Even climbing stairs may be a bigger problem in future.

Budgeting is one of the most important aspects that need repeated critical assessment. The financial condition is not the same for everyone and one must sensibly figure out the budget on which he or she can comfortable sustain themselves for rest of life. Additional and hidden costs must be clarified beforehand.

One must take care of some seemingly insignificant issues that in future may become critical. It is always better if the home is in an easy-to-visit location for family and friends.

It is always recommended that the nursing homes should consult the family physician before consulting somebody else. The family members should make it sure that the nursing home uses or may use (if necessary) hospitals where the family physician practices.

Direct interactions with the present residents of the nursing home always provide a lot of information about the living standards and other characteristics.

Travel nursing is an up-and-coming profession that appeals to many nursing professionals for several reasons. Excellent pay and benefits, the chance to travel at the expense of someone else and variety are among the positive points of travel nursing. Sound great? It’s not all the “bowl of cherries” that some believe.

The idea of getting paid to travel appeals to many people. The problem is that we want to have time to take in the sights, relax and enjoy our travels. Travel nursing is similar in some ways to driving a truck. You may get to see some incredible sunsets and view awesome scenery, but you’re seldom going to have the opportunity to stop and smell the roses, visit those tourists destinations and take photos (unless you snap them from the window of a moving vehicle). In many cases, those panoramic views will be nothing more than spots from an airplane window.

So what’s all the fuss about travel nursing? There are some positive points. You DO get to travel. While it’s not like a vacation, how many people do you know who have seen the world? Even getting to view Paris, France from a moving vehicle is better than never having seen it at all. And while there are those cases that require every bit of your time and attention, many patients who travel are stable enough to do so. They may also be up for enjoying at least some of the trip and to share the memories of those views - even if they’re all from the inside of a moving vehicle.

Once you get away from the fact that you’re traveling and that you may not be seeing as much as you’d like, there are some real benefits to traveling nursing. Pay is one of the big benefits. Many companies advertise pay from $25 to $75 per hour, depending on the demands on your time, the amount of experience you can offer and the length of the trip. On the downside, be sure that the money is sufficient. $25 an hour isn’t much if you’re working three hours and then spending the night waiting for your next assignment.

Aside from the tangible benefits, there’s always that goal that health care professionals have to help people in need. Travel nurses become responsible for their patients during a trip. Those trips are sometimes long, difficult journeys. During that time, the travel nurse can literally be the difference between life and death for critically ill patients. But remember that those patients and their families typically have some driving reason for the trip. Perhaps it’s someone who fell ill during a vacation in another country. Maybe it’s an opportunity for a better treatment facility or one closer to friends and family. Whatever the purpose, the trip is usually a step toward the hope of a better life. As a travel nurse, you can be part of that.

There’s no doubt that travel nursing provides an excellent opportunity for many, though it’s not for everyone. If you enter this profession knowing all the facts, you may find that travel nursing is exactly the career move you’ve been looking for.

How can you ensure that your loved ones (let’s call them parents for the sake of this article) are getting the best possible care at a nursing home or assisted living facility? The first step is to pick the best institution you can afford, if you have a choice in the matter, but after that you can’t simply sit back and relax. It’s a fact that most nursing homes and assisted living facilities are understaffed, and even when they aren’t, you need to be sure the staff are doing everything they are supposed to do.

There are several things you can do to improve the service your parents receive:

Get involved with the institution on a regular basis. Going in person is best, but if you can’t manage that, keep up with frequent phone calls. Learn who is in charge of which services and who to call if there is a problem. Make sure you understand exactly what services will be provided, and talk to your parents regularly to find out if their needs are being met.

Naturally, the better your parents are functioning, the less you need to do, but no matter how capable they are, it’s still a good idea to help monitor the quality of their care. My father had severe short-term memory loss when he lived at an assisted living facility, so it was very important for me to be actively involved.

Get to know the staff on a first-name basis. The aides in assisted living and nursing homes work very hard for little pay, yet their attitudes can determine how satisfied your parents will be with their care. It was fortunate for me that my father always got along well with staff. In spite of everything, he kept his sense of humor, and went out of his way to be friendly.

Sometimes a resident is unhappy and difficult, which makes the staff’s job harder. One woman I knew always complained about everything and was sarcastic to the aides who were trying to help her. They still tried, but the job of caregiving was made more difficult because of the way they were treated.

No matter what job they are doing, people like to be appreciated. When you take an interest in the staff, you acknowledge that the quality of your parents’ lives is important to you, and that you recognize the contributions staff are making in this regard. Very often a small token of appreciation, like a box of candy at holidays, will go a long way in gaining staff support.

Finally, follow up to make sure promises are kept. I had a very difficult time getting my father’s laundry taken care of at his assisted living facility. Most residents put their laundry hampers outside their door on laundry day, and put the clean laundry away themselves when it was delivered. But my father was not able to keep track of his laundry at all. He didn’t know when it needed to be done, whether the clothes in his hamper were clean or dirty, or how to put the clean clothes away in his closet and dresser.

After talking to the director of the facility, she said she would ask the aides to pick up Dad’s laundry when he wasn’t in his room, and then put it away when they delivered it, again when he wasn’t in his room. But I had to follow up several times before this procedure was actually done on a regular basis.

By following up on requests, showing appreciation for staff, and getting involved in the day-to-day care of your parents, you can make a significant difference in the quality of their lives.

Nursing home neglect and abuse is frequently in the news these days. Although most nursing home facilities try hard to provide a good experience for their residents, the quality of care differs greatly between nursing homes.

When the time comes to choose a nursing home for a member of your family, it is wise to perform extensive research about local nursing home facilities to be sure your loved one receives the best care and respect available. This effort will take considerable time and effort on your part but your extensive planning is the least you can do for your loved one.

Obviously, you will want to visit the nursing homes, talk with the administrators and thoroughly do a visual inspection of the facility. Do not be easily impressed by fancy furniture and smooth talking nursing home administrators. Their job is to fill the rooms. Your job is to protect your loved one.

Try to visit with a resident of each nursing home you consider. Does the resident seem happy and positive? Do they wear a smile or a frown? Talk with the residents who are wheelchair bound. Are they well groomed? Are most of the people in the halls able to communicate with you? If their demeanor is slow and foggy you might wonder if they are over-medicated.

Ask many questions of the people in charge. Find out exactly what is offered by the nursing home facility. Is the nursing home staff experienced? What is the longevity of the staff? Are the residents encouraged to leave their rooms and get regular exercise? Who makes decisions if a resident’s health declines? What hospital would be used for an emergency?

Visit the nursing homes at different times of the day. Observe what the residents are served at meals. Does the staff treat all residents with respect?

Is the nursing home clean? Remember that a beautiful lawn and a sharp looking building does not necessarily reflect the quality of indoor housekeeping.

Ask your family doctor to recommend a nursing home or to refer you to someone he or she knows who has experience with a nursing home.

Do you have friends who have a parent already in a nursing home? This simple idea could be your best bet.

Check with your local hospital discharge representatives. Their jobs often involve contact with nursing homes. Be sure to obtain the inspection reports from your state agency.

After you choose a nursing home for your loved one you will enjoy a feeling of great satisfaction that you did your best to help your loved one.

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