Is Your Loved One Being Treated Properly

hospital places

Having a friend or loved one in the hospital places them in a vulnerable position. Let's face it if the patient were healthy they wouldn't be in the hospital. It is up to you and your family to be their advocate to make sure they are getting proper patient care and to detect if there are signs of neglect. If you suspect that the patient is not getting proper care, here are a few things you can do and look for to determine whether or not your loved one is a victim of neglect:
  1. Sniff around: Literally use your nose to help determine signs of neglect. Although hospital smells are not appealing, you will quickly recognize which smells are normal hospital smells and which ones are not. Your sense of smell will help you to quickly determine if your loved one is getting the proper care in being bathed and cleaned regularly. If not it is a sign of patient neglect.
  2. Look for bedsores: If the patient has bedsores, you'd be right to suspect patient neglect. The staff is not adequately moving your loved one enough to prevent them.
  3. Examine the linen: If it is soiled and has been that way for an extended period of time, it is another sign of improper patient care.
  4. Determine if the patient is dehydrated or hungry:. Be careful with this one. If your loved one is refusing food and drink, that is not neglect, however, if they are complaining about hunger and you see that their water pitcher is constantly empty, it could be a sign of patient neglect.
  5. Talk to the staff: If they are overworked, harried, impatient and generally unhappy, there is a possibility that their workload precludes them from providing adequate patient care.
  6. Trust your instincts: Too many times people do not take their own instincts seriously. If you have a gut feeling that things aren't going right, more times than not, your gut is correct. Seek help.

A few tips:

  • Since visitors inadvertently become patient advocates, coordinate visitation so that the hospital staff and nurses are aware that your loved one has friends/family who care about their well being and are willing to do what it takes to ensure proper patient care.
  • If you suspect hospital neglect, speak to the staff. If it has gone beyond the point where speaking to the staff yields results, contact the Consumer Services Department of your state's Attorney General's office.
  • For more information visit on reporting suspected patient abuse, visit the Department of Labor website.

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Pets provide unconditional love

Pets don't care what we wear or if our hair is combed.


Pets

pets
Pets provide unconditional love and companionship for people of all ages—a fact that any pet owner can confirm. But scientific research also suggests pets help people control blood pressure and manage stress. Researchers have taken an interest in pets because controlling stress and blood pressure are vital keys to reducing the risk of heart disease, heart attack, and stroke. A 2000 study, for instance, found that dogs help relieve cardiovascular stress in people who have had difficulty controlling their stress.

The study was just one of a series that demonstrated the positive health benefits of pet ownership. Dr. Karen Allen has led a team of researchers from the State University of New York (SUNY) at Buffalo in a series of pet-related studies that began more than a decade ago. Their results have repeatedly demonstrated that people show a reduced stress response (i.e., less of a rise in blood pressure or heart rate) if their pet happens to be nearby. Pets comfort us when we face life’s many challenges.

The SUNY-Buffalo research team has also studied the effects of owning a pet on a group of hypertensive people who were caring for their brain-injured spouses. Half of the caregivers adopted a dog for six months. At the end of those six months, the new pet owners were reacting to stress better than they had before, and better than the caregivers who did not have a pet. The other half of the caregivers then adopted a dog. After another six months, all of the caregivers were reacting better to stress.

Research has found that health benefits are not limited to dogs or (by extension) cats. A study found that watching brightly colored fish swim back and forth in an aquarium helped calm people prone to disruptive behavior, such as children with attention deficit/hyperactivity disorder.

Nursing homes in both the United States and Europe have documented the helpful effects of bringing in pets to visit the residents, and many people have benefited from therapeutic programs that allow them to interact with horses, dolphins, and other animals.

Exactly why pets can have a positive physiological effect is not clear, but experts have a number of theories. Research in general has shown that people tend to be healthier when they have a companion. In addition, studies have shown that people enjoyed more social interaction if they were accompanied by a dog. It may also be that people have an easier time reaching out to a person’s pet than a person! Pets bridge all communication gaps.

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Other Effects of Obesity

More Than Just Cardiovascular Disease


Whenever there is talk about obesity, it is generally discussed alongside the risks for heart attack and stroke. In reality, there is a long list of conditions that obesity is associated with an increased risk for. While this article will not cover every single one, it will highlight some of the effects of obesity that people may be less aware of.

obesity

Sleep Apnea

Sleep apnea is when you stop breathing momentarily in your sleep. It could be a central sleep apnea from neurological impairment or obstructive sleep apnea from your airway closing off. Obesity is a cause of obstructive sleep apnea because excess fat tissue around the airway and in your neck can make the airway easier to collapse. What ultimately happens is that you would be excessively sleepy in the daytime, enough to impair concentration and put you at risk for accidents.

Keep in mind that you do not need to be obese to have obstructive sleep apnea. Upper airway obstruction has other causes, including substances relaxing the throat muscles such as alcohol and anatomical causes like enlarged tonsils. Even thin people can have sleep apnea.

Obesity Hypoventilation Syndrome

Another breathing problem could occur with obesity. If you were to be massively obese, the heavy weight of fat tissue in your belly could actually make it hard to take a deep breath. Over time, you would build up carbon dioxide in your system and also have a low oxygen level, which would lead to daytime sleepiness and fatigue. This is called obesity hypoventilation syndrome, also called Pickwickian syndrome. Though it has similarities with sleep apnea, do not confuse the two because they are not one and the same.

Gastroesophageal Reflux Disease

GERD, commonly known as acid reflux, can occur with obesity for the same reason as obesity hypoventilation syndrome. Weight from abdominal fat tissue can push the stomach upward, which then pushes its acidic contents upward into the esophagus. While medications for acid reflux can be used, they do not address the root of the problem.

Osteoarthritis

With obesity, there is an increased risk for osteoarthritis in the knees. This is because of the amount of stress put on the knees when one is obese, and there is evidence that shows this. Surprisingly, obesity is also associated with an increased risk for osteoarthritis in other joints, like the hands. This may suggest a metabolic process with obesity and osteoarthritis, not just a mechanical process.

Intertriginous Dermatitis

There are certain areas of skin that fold, allowing moisture to collect if there is a lack of hygiene. They include the groin and the skin under the breasts in women. With obesity, another place would be the skin under the protruding belly. If moisture is trapped in these tight spaces long enough, skin inflammation takes place. This is called intertriginous dermatitis.

Final Words

Obesity is associated with a long list of health risks, more than what is described here. While there are treatment options for each of the individual conditions, the best way to treat them is to lose weight and eliminate the root of the problem. Maintaining a healthy weight is more than preventing cardiovascular disease and other conditions. It is about living a long healthy life.

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Recognizing an emergency and getting your bill paid

emergency call
It's every parent's worst fear. It's the middle of the night and your child is sick. How do you know when to take her to the emergency room?
It can be tempting to take your child to the ER at the first sign of trouble, but it is never a good idea to pay your local hospital a visit without good information. An unnecessary trip to the ER can result in an hours-long wait. If an occasion is non-emergent, those with urgent conditions will be treated first, and if your “emergency” isn't truly an emergency, the hospital can refuse to treat you once you've been triaged.

If your child is under one year and has a fever above 100 degrees, a call to your pediatrician and a trip to the ER is justified. If your child is over one year, a fever alone is not reason enough for an ER visit. The fever can be treated with over the counter ibuprofen or acetaminophen until you can get to your pediatrician's office. If the fever is accompanied by a headache, a rash, a stiff or painful neck, severe vomiting, convulsions or lethargy call your doctor and have him meet you at the emergency room. Other reasons for ER visits are severe pain in the right lower area of the abdomen, coughing or vomiting blood and unresponsiveness.

In addition to wasted time, your insurance company may not pay for a non-emergent visit to the emergency department. Most insurance companies have “reasonable use” policies to cover ER visits. If the claims adjuster feels that a reasonable person would think the symptoms presented at the time of the visit were an emergency, then the claim will be paid. The problem with this system is that it is highly subjective and there is little recourse if you do not agree with the outcome. Even if your insurance company does pay, there are often larger deductibles and co-pays involved with ER visits.

If your child is sick in the middle of the night, there are options. Many emergency departments have a phone nurse on staff. The nurse can provide advice or just reassurance. She can also tell you if you are facing a true emergency that requires a visit. If you call ahead and receive prior authorization, you can often avoid the long waits associated with ER visits. Your doctor's office may have a 24 hour number or a book with common child health problems and solutions.

Having a sick child can make you feel helpless, but with some forethought and good information, you can provide the best care for your child.

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What is Carbon Monoxide Poisoning?

Carbon Monoxide Poisoning

According to the United States Environmental Protection Agency, carbon monoxide is a gas that is hard to detect and that can kill an individual in a very short period of time. Each year hundreds of individuals die after unknowingly inhaling carbon monoxide. Being aware of the symptoms of carbon monoxide poisoning and preventing carbon monoxide leaks has the potential to save lives.

Causes of Carbon Monoxide Poisoning

According to the Center for Disease Control carbon monoxide poisoning can occur when an individual breathes in combustion fumes. Car exhaust, gas stoves, gas heaters, and a variety of other combustion based household appliances emit carbon monoxide. Normally this is not a problem, but if too much carbon monoxide accumulates in an area that is not well ventilated the results can be tragic.

Symptoms of Carbon Monoxide Poisoning

The NY Times reports carbon monoxide causes the body to be oxygen starved because it takes the place of oxygen in the blood. Symptoms of carbon monoxide poisoning are; trouble breathing, chest pain, confusion, dizziness, drowsiness, seizures, fainting, headaches, nausea and vomiting, coma, and death.

Treatment for Carbon Monoxide Poisoning

Treatment for carbon monoxide poisoning can only take place if the victim is given medical attention early enough. A victim should first be moved out of the toxic environment. Once medical help arrives the victim will be taken to the hospital for treatment. Because of the illusive nature of carbon monoxide many victims of carbon monoxide poisoning die before help is ever received.

Preventing Carbon Monoxide Poisoning

Carbon monoxide poisoning is preventable if individuals take precautionary measures. The Center for Disease Control makes the following recommendations in order to prevent tragedy associated with carbon monoxide poisoning:

  • Have gas furnaces and water heaters checked by a professional at least once a year
  • Install a carbon monoxide detector on each floor of a home
  • Do not use fuel burning appliances, grills, generators etc... near any window of a home and never use such items within an enclosed area
  • Do not leave a car running in a garage connected to a house, regardless of whether the door or garage windows are open
  • Do not leave a gas oven door open with the intent of heating a house
  • Do not burn any items in a fireplace or stove without a vent
  • Get out of the house immediately if a carbon monoxide detector starts beeping and call 911 so that authorities can check the health of individuals in the house as well as the house itself.

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When to Change TED Hose

TED hose, also known as anti-embolism stockings, are recommended by health care providers for individuals who are prone to poor leg circulation, deep vein thrombosis, extended periods in bed, etc. TED hose are worn to help reduce swelling and increase circulation in the legs. They are available in both thigh and knee high lengths in a variety of sizes. TED hose should be worn as recommended by a health care provider. The stockings must be taken care of properly to maximize their effect. Knowing when to change and replace them helps to insure they are being used properly.

TED Hose

TED hose are worn for specific periods each day. A health care provider will determine the amount of time per day an individual wears TED hose. After each recommended amount of time wearing the hose is reached, the hose should be removed and properly cleaned. Changing TED hose after each use can help lengthen the amount of time each pair will last before needing replaced. This also allows the TED hose to be washed and dried completely before their next use.

TED hose should be changed immediately if the become wet or soiled. If the recommended amount of time the hose should be worn has not been met when they become dirty, change them and replace with a clean, dry pair. Wearing TED hose that are damp or wet can lead to skin irritation and discomfort. When the hose become dirty they need to be removed and cleaned before their next use. Dirty TED hose can hold germs and bacteria which can lead to infections if allowed to enter the body.

Change TED hose if they become ripped or snagged. Anti-embolism stockings are designed to (and made of material that allow them to) gently compress, or squeeze, the legs to increase circulation and decrease swelling. Anti-embolism stockings that become torn or snagged cannot work properly since tears and snags prevent the hose from compressing the legs as desired. Change TED hose when they become ripped and throw the torn pair away.

TED hose should be changed if they become too loose or too tight. They are designed to squeeze the legs gently. If the hose become too tight, they can cause harm and impair circulation in the legs. Anti-embolism stockings that fit loosely prevent them from doing their job by not allowing the legs to be compressed by the hose. Proper fitting hose are important to ensuring they do the job for which they were designed. Ill-fitting hose should be changed and replaced with a properly fitted pair.

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