Continuing Care Nurse Career Guide and Counseling

Question: A continuing care retirement community differs from a traditional nursing home in that it provides which of..? the following services? a.Skilled nursing care b. Assisted-living facility c. Independent Living facilities d. All of the above

Answer: D

Question: How important is it to you that your health care professional undertakes continuing professional development? In the UK the majority of health care professionals (including Drs, nurses, physiotherapists, paramedics) now have to show that they continue to update their skills and knowledge on a regular basis. It's not just enough for them to go on courses they have to reflect on what they have learned and show what impact this learning has had on their professional practise. Often they have to do this in addition to their full-time jobs. Do you think this is fair or should they be allowed time to develop their knowledge and skills during their working day?

Answer: I'm interested in the question and how you worded it as i suspect you have some insider knowledge. The CPD is a good idea but some of the barriers to it being effective are lack of funding to pay for external training courses (staff regularly pay themselves and do them in their own time) confused systems for monitoring competence (currently 3 bodies) over dependence on drug companies to pay for training, excessive bureaucracy in the CPD process and wide regional variations in the support for training. The reflective learning idea containes a major flaw- you could be refelecting on absolute rubbish but don't realise it. Yes there's a huge issue of being allowed time at work to do it but unless there is pressure put on NHS empoyers to prvide time and resources made available the current muddle will continue. Professional bodies and unions have been very weak on this issue

Question: Continuing Care on the NHS in the UK. Must we pay? My mother aged 86 is in an EMI Care Home but lately her health has deteriorated. The current EMI care home wish to give her notice as her health is poor enough to warrant nursing care that they cannot give. They have told me that if she is currently self-funding, she simply has to pay in the proposed new nursing care environment, no question. I think that is absolutely wrong. My mother has multi-infarct dementia, is doubly incontinent, very poor chest and respiration function, covered in sores and bruising due to a high steroid intake, has high BP, unable to communicate and may pass away at any moment seeing the poor shape she is in. She has been assessed for NHS nursing care and I await the results. I have asked for her to go into continued NHS care but I am told that I will simple have to pay although the NHS may may a nursing contribution. I think she deserves better having worked all her life. The state wants her money but is she had none, they would have to care anyway.

Answer: On 18th May--a UK court passed a judgement that said that the NHS would have to pay the patients for their treatment even if they go private.You can checkout one company that arranges medical treatment in INdia for UK patients at low costs.they are called the Forerunners Healthcare.Or if you want--you can email back to me--i will send you th copy of the UK court judgement--may be you can use it for your benefit.

Question: Any advice on where to find info on how to start a home heath care agency? I've been giving a lot of thought to starting my own home health care agency. I've been a home health care aid and a nurse aid as well as a medical assistant. When I was a corpsman in the Navy, my plan was to continue with nursing school, but I got injured, and as a result became disabled. I'm still interested in working in healthcare, and I enjoy spending time with the elderly. Anyone know where I could start researching ways to start my own home health care agency/nursing agency?

Answer: The best routes to take are to research the process of starting a business as well as the industry you're interested in. I recommend checking out the SBA, Entrepreneur, The Start Up Journal & Nolo. All 4 are great informational resources for the new/small business owner. I posted links for you in the source box. Associations may be a good avenue to explore as well. These organizations will address many of the thoughts, questions and concerns you'll inevitably have as well as many you haven't anticipated yet. See the source box for some relevant links. Research, research, research – this cannot be stressed enough. Read as much as you can about the industry. Here are some book titles that are relevant: * Pocket Guide to Home Health Care by Karen McGough Monks * Handbook of Home Health Standards and Documentation -- Guidelines for Reimbursement by T. M. Marrelli * Handbook of Home Health Orientation by T. M. Marrelli * Manual of Home Health Nursing Procedures by Robyn Rice There are plenty of free informational resources out there. Check the source box for links to articles. Hope that helps! I wish you much success & happiness in all your ventures!

Question: Should i become a CNA or Patient Care Technician first before becoming a Registered Nurse? I am going to school this summer to become a Patient Care Technician. If i find that i really like this job, will it be best for me to continue my education and become a RN? Also, Is being a Patient Care technician or a CNA stressful just like nursing? In my last sentence i meant to put is being a registered nurse more stressful than being a cna or patient care tech

Answer: I work in this area and I would say be a CNA because this is a certificate position and you will be working with RN's so you will be able to get hands on experience also while going to get you CNA you maybe able to do this and get paid at the same time. You should continue you education in becoming an RN this would be very beneficial to you as you can make $60 or more an hour after a few years depending on what you want to do with it. Also start pay is anywhere from $35-$50 an hour w/benefits you can also do per diem status and make your own hours and be paid more that the full time employees but usually no benefits. You may also get a sign on bonus and some hospital will pay you a sign on bonus and may even help pay student loans. Good Luck As far as the stress no matter what you do in life there will always be stress.

Question: Are males allowed to work in the continuing care field? I am 18, with one remaining year left of high school. I want to go into the continuing care profession, but am wondering if men are allowed to work in this field and if it is seen often? I have not heard anything about male pcw's or seen any pictures, only females, is this just another stereotype like nursing used to be? Are the career posibilities the same for men as women in this career choice, meaning do employers prefer women over men, or what? Also, if males can work in this field, what are the policies on personal hygiene, meaning am I allowed to bathe females being a man or are only same sex staff members allowed to perform these tasks? (not that I'm wondering for sexual benefits, thats just discusting, men or women) Just wondering for my own knowledge. Also I'm openly gay as well, not that, that would have any negative effect on my job, but I just thought incase, why not mention it. Any feedback would be appreciated, perferibly from someone who works in this field or a similar field and is exposed to cca/pcw's, so they can tell me a bit about how many men they see compared to women working in this career. Thank You Ok, well what about the policy part? And any information on usual hours, pay, duties, etc.

Answer: your not in too many nursing homes... it's not uncommon for guys to do this work robbie, just unexpected...

Question: I nursed my bougainvillea inside during the winter and it's come back very nicely. How do I continue its care?

Answer: If you are going to place it outside again make sure you slowly let it get used to the outside . Don't take it from the house to full sun or you will just burn the plant. The first day put it in a shady area 2nd day let it have some morning sun for maybe a hour 3rd day maybe an hour and 15 min. but make sure it's early morning. Do this for about a week or so until you feel it can take full sun.

Question: i'm taking patient care technician classes now.is it possible for me to continue as a license practical nurse? i wish to become an LPN-LVN.Can this be possible after my PCT certificate?can someone indicate me LPN schools in GA? Thanks. Lumiere-

Answer: Yes, you can. http://www.nursingschools.com/states/geo… Good luck!!

Question: Im a nurse hoping to emigrate to Sydney soon, Im starting looking for a job but don't know where to go!? Im highly experienced cardiothoracic surgical nurse with critical care experience and want to continue in this area, can any one recommend any hospitals in Sydney?

Answer: Sydney Hospitals A. St Vincent's Hospital - wwwsvh.stvincents.com.au - (02) 8382 1111 B. Wolper Jewish Hospital - www.wolper.com.au - (02) 9328 6077 C. Royal Prince Alfred Hospital - www.cs.nsw.gov.au - (02) 9519 6591 D. The Prince of Wales Private Hospital - www.healthscopehospitals.com.au - (02) 9650 4000 E. St Vincent's - www.clinic.stvincents.com.au - (02) 8382 6560 F. Mater Misericordiae Hospital Sydney - www.matersydney.com.au - (02) 9900 7300 G. Balmain Hospital - www.cs.nsw.gov.au - (02) 9395 2111 H. Royal Prince Alfred Hospital - SSWAHS - www.sswahs.nsw.gov.au - (02)9515 6111 I. Sydney Children's Hospital Foundation - www.schf.org.au - (02) 9382 1188 J. Sydney Adventist Hospital - www.sah.org.au - (02) 9487 9111 My mum used to work at J. Great people. P.S. They call it "the san", I don't know why. They have accom for workers cheap- workers only. I got all this off google...have a look there was a map.

Question: My 86 yr. Mom is in a nursing home. Long term care pays for 2 yrs. What do we do to qualify her for Medicaid? She has some assets, but not enough to continue paying for the nursing home on her own. What do we do with her assets, so she will qualify for Medicaid when the two years that are paid by long term insurance are up? She has a house and some money in the bank, but it costs $160 a day in the nursing home. We don't understand how Medicaid works and if they take all her assets which she worked hard for and would like to leave to her children. Any help would be appreciated, especially from personal experience. We are planning to see an attorney who specializes in elder issues. The state we live in is Texas. For the person who said our tax dollars will go to pay her bill. She also paid taxes and so did my dad as we all do. He did not utilize Medicaid and if we don't that should be our share. We do not want to get our hands on her money. We want to do the right thing for her and what she wants. My mother has first stage Alzheimers Disease, so needs to be in a facility where she can be taken care of 24 hours a day. One more question. When all her assets are gone and she has to apply for Medicaid, will she be able to stay in the nursing home where she is now. It specializes in different stages of Alzheimers Disease or will she have to move to a government faciltiy?

Answer: It seriously depends on the state in which you are living in. Medicaid laws very from state to state. Hopefully, your Grandma has a trust and will in place. Things to have ready for the attorney. Life Insurance Policy info, Trust/Will info, Hopefully, your grandma has most of her liquid money in an annuity at the bank. Lookback periods vary from state to state meaning, even if she was to give everything to the kids now, the government will see that she did that and get it back to pay for her medical bills. If she lives in florida, Her Home and Primary vehicle do not count as assets. Florida has a 5 year lookback period. Review the Long term Care policy as well...Just because it says two years...it doesn't always mean it stops after two years...if she has a $200 per day policy and it's only costing $160 per day..it will last longer than two years...review the policy with the company that sold it to her. You can also ask the agent that sold it to her, what the laws are concerning medicaid...he/she will know as well. Just checking back in. Sorry to hear about the condition your mom is in...Once the state drains all her assets it will make sure that your mom is in an institution if that is the wish of the family and it will be paid by medicaid. The worst part about that is, those places are staffed by like, 1 nurse to every 20 patients and they are cared for in order of need. If someone is having a worse problem then another..that 2nd person will just have to wait. It's not a good scenario at all, but it's the best the gov will offer. That's why it's very important as you now see to make sure you are ready to retire. Did you check and see what the benefits were for her current LTC policy? Like I said..it could last longer than 2 years. Don't forget to contact her agent! Also some contracts allow you a Gaurentee that you can increase your benefits every three years without providing proof of insurability. Check into it!! And don't listen to the nut under me...I understand what you are saying...you just didn't know if that's what actually happened in a medicaid situation..not that you wanted to screw over your fellow man. Checking back in again... If the Nursing home she is staying in accepts medicaid..she will probably stay there...If not..she will be given the first bed available in the state..which could be anywhere..she or the family have very little say so once she is on medicaid.