As a provider of home health care services, we specialize
in home health care for seniors Home Health Care includes
a wide range of health care and social services that
are provided in the comfort of your home. Services
may be provided in other settings, such as in an assisted
living. Home health care is often provided following
a hospital stay to help speed healing and recovery.
Healthcare at home is for those who are recovering
from an illness or injury,
are disabled, or have a chronic or terminal illness.
Health services to treat medical conditions are ordered
by the physician. Patients may need the services of
one or more health professionals:
Our skilled
nursing services include:
Wound care.
Education on disease treatment and prevention.
Physical Therapy
Restore balance, range of motion, strength and endurance.
Improve ability to walk, or to get up and down.
Determine equipment needs.
Reduce risk of falling.
Occupational Therapy
Help patient improve in daily tasks such as bathing,
dressing, and basic household activities.
Recommend adaptations to make the home safer.
Establish a daily routine that allows you to do important
tasks without overtaxing.
Medical Social Services:
Social and emotional counseling.
Locate community resources to help with financial
concerns.
Home Health Aides:
Help getting in and out of bed.
Help walking, bathing, toileting, and dressing.
That’s it more or less!!!
Need for overall
healthcare
The “golden years”
don’t always glitter – they come with
their own set of health problems, as if you hadn’t
lived through enough already. But you can look forward
to many more happy years with a little help from your
doctor and the right information. We present the facts
on many conditions common to 45 plusers so you can
stay well.
Being healthy means that your body and mind function
as they are supposed to. In your role as a responsible
adult it is important that you are not only emotionally
healthy but also physically and don't forget your
soul.
You can't do a good job in a working place nor at
home or anywhere else if you don't feel well. Being
healthy allows you to feel good and to perform really
effectively. Maintaining your health is your duty
not only to you but also to your family and your friends
around you.
You certainly want to be able to enjoy all aspects
of your life and to live accordingly Being healthy
will allow you not only to gain knowledge and skills
but also to do excellent work and to be valuable to
others.
Need for meditation
and yoga and other similar exercises
Most of us don't spend much time thinking about the
material nature of human consciousness, but in any
of above mentioned exercises consciousness is at the
heart of the practice. According to insiders the so-called
contents of our consciousness—perceptions, thoughts,
emotions, memories, fantasies, even dreams—have
a kind of material existence though naturally, the
matter is a lot subtler than that of a tree or a rock.
Furthermore, these contents are in constant fluctuation
or constant whirling
While we can't physically touch these fluctuations
of mind, we can easily experience them. Close your
eyes and, for a few minutes, direct your awareness
away from the outer world. If you're a contemplative
person, you've probably done this many times before.
It's possible to consciously step away from the contents
of your mind and observe them more or less objectively
at least briefly. Its like a movie.
Of course, even a trained mediator get swept up in
the tumultuous movie again and again. That's because
we don't simply have these fluctuations, we unconsciously
identify ourselves with them—so closely that
we become them and define ourselves through them.
This is our big mistake. Because the contents of our
consciousness are circumscribed in both time and space,
we also believe ourselves to be cut off from all other
creatures around us and from the world at large. This
nagging inkling of impermanence, temporality, and
alienation is a source of great existential sorrow,
which taints everything we do. In fact, the contents
of our minds are simply passing fancies, mere ripples
on the surface of the ocean of our consciousness.
Our thoughts and feelings are no more us than the
waves are the ocean.
This raises a big question then, maybe the biggest:
Who are we really? Ask yourself: In the little self-observation
exercise above, who was observing the contents? According
to different Gurus it's the true self, called the
Seer , who is eternal, illimitable, unchanging, and
perpetually joyful . The Seer or watcher is a light
source, as it were, that shines on our world—including
the contents of our mind, but is in no way affected
by or attached to whatever happens in those worlds.
It isn't hard to contact the watcher anytime you like.
But maintaining this contact for more than a couple
of minutes is a huge challenge, especially when going
about your worldly business outside a formal meditation
session.
But that's exactly what so many Gurus instruct us
to do: permanently shift our identity orientation
away from the contents and onto the Seer. the exercises
we are offering help you to restrict the fluctuations
of consciousness. Join us and try yourself
You may like Tai Chi
The Chinese Tai Chi Chuan stands for the 'Supreme
Ultimate Force'. The notion of 'supreme ultimate'
is often associated with the Chinese concept of yin-yang,
the dynamic duality of male/female, active/passive,
dark/light in all things. 'Force can be thought as
the means or achieving this ying-yang, or 'supreme-ultimate'
discipline.
Tai Chi can perhaps best be thought of as a moving
form of yoga and meditation combined. There are a
number of so- called forms which consist of a sequence
of movements. Many of these movements are originally
derived from the martial arts and more ancestrally
than that, from the natural movements of animals and
birds although the way they are performed is slowly,
softly and gracefully with smooth and even transitions
between them. For many practitioners the focus in
doing them is not, first and foremost, martial, but
as a meditative exercise for the body. For others
the combat aspects of Tai Chi are of considerable
interest. In Chinese philosophy and medicine there
exists the concept of 'chi', a vital force that animates
the body. One of the avowed aims is to foster the
circulation of this 'chi' within the body, the belief
being that by doing so the health and vitality of
the person are enhanced. This 'chi' circulates in
patterns that are close related to the nervous and
vascular system and thus the notion is closely connected
with that of the practice of acupuncture and other
oriental healing arts.
Another aim of Tai Chi is to foster a calm and tranquil
mind. Learning to do the exercises correctly provides
a practical avenue for learning about such things
as balance, alignment, fine-scale motor control, rhythm
of movement, the genesis of movement from the body's
vital center, and so on. Thus the practice of Tai
Chi can in some measure contribute to being able to
better stand, walk, move, run, etc. in other spheres
of life as well. Many practitioners notice benefits
in terms of correcting poor postural, alignment or
movement patterns which can contribute to tension
or injury. Furthermore the meditative nature of the
exercises is calming and relaxing in and of itself.
In a two-person exercise called 'push-hands' Tai Chi
principles are developed in terms of being sensitive
to and responsive of another person's 'chi' or vital
energy. It is also an opportunity to employ some of
the martial aspects of Tai Chi in a kind of slow-tempo
combat. Long-time practitioners of Tai Chi who are
so-inclined can become very adept at martial arts.
The emphasis in Tai Chi is on being able to channel
potentially destructive energy away from one in a
manner that will dissipate the energy or send it in
a direction where it is no longer a danger.
The practical exercises of Tai Chi are also situated
in a wider philosophical context of taoism. This is
a reflective, mystical Chinese tradition first associated
with the scholar and mystic Lao Tsu, an older contemporary
of Confucius. He wrote and taught in the province
of Honan in the 6th century B.C. and authored the
seminal work of Taoism, the Tao Te Ching. As a philosophy,
Taoism has many elements but fundamentally it espouses
a calm, reflective and mystic view of the world steeped
in the beauty and tranquillity of nature.
ETHICAL ISSUES
FACED BY HOSPICE STAFF
Hospice is a team effort among a patient, family,
significant others, physicians, and providers. In
addition, there are a multitude of questions about
how a person may die and the variety of treatments
and technologies that are available. There is a great
deal of room for ethical dilemmas as the hospice staff
member interacts with the community surrounding the
patient and deals with the needs and desires of a
particular patient. In addition to patient-related
concerns, a staff member may face ethical questions
involving work-related circumstances.
Most questions arising are
Suicide, assisted suicide, and euthanasia
Working with patients who have been admitted without
a do not save order
Whether or not to perform cardiopulmonary resuscitation
on a patient who does not have a signed DNR order
or an advance directive stating that the patient does
not want CPR
Withdrawal or withholding of nutrition/hydration
Family decisions to “prolong dying” versus
an incompetent patient’s previously expressed
views
Patient autonomy versus patient safety and physical
needs
The under diagnosing of potentially treatable problems
Confidentiality of AIDS patients versus safety of
visitors and caregivers
Treating a patient on a ventilator
Removing a patient’s life support system
Conflicts with the patient’s family or significant
others
Concern that the nursing home facility is not providing
adequate care for the patient
Ethics of being judgmental or accepting
Religious objections regarding the treatment or lack
of treatment given to a particular patient
Conflict over whether to follow a patient’s
wish to be discharged from a hospice unit when the
staff member feels that the primary caregiver is incompetent
to take care of the patient
Family needs and nursing home placement
Pain medication—respiratory distress/consciousness—the
question here being whether the pain is so great that
it is necessary to adversely affect consciousness
and cause some respiratory distress by the higher
use of medications to suppress the pain. Is it better
to control the pain or for the patient to be more
alert?
Dealing with the request of a white patient to have
no black staff caring for the patient at home
Deciding whether to honor a patient’s request
for total palliative sedation for “existential”
reasons (i.e., psychological distress or suffering
rather than uncontrollable physical pain)
Suspecting that a patient or family caregiver is selling
or sharing the medications provided by the hospice
Having to go into a neighborhood recognized as dangerous
in order to provide home care for a patient
Being sexually harassed or sexually assaulted by a
patient or family member
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