According to the Department of Health, about one in ten scheduled hospital appointments are missed in a year. These results to an expected loss of millions of dollars as well as the delay of healthcare of patients affected. The government has reportedly encouraged hospitals to find ways to drive their numbers up. Hence, appointment reminders have become quite popular options.
Some hospitals and other healthcare facilities send reminder messages to their patients via the methods preferred. So patients can get the reminder messages via email, text and/or phone calls. A combination of two or more of these methods can also be arranged as long as consent was given beforehand.
Why Patients Miss Appointments
There are various reasons why patients miss appointments but the most popular would be: emergencies, other commitments and simple cases of forgetfulness. However, all three can be resolved with the right choice of appointment reminders software.
Since appointments are set a few days before, there is no knowing what would happen in the days in between. Emergencies at work could happen that could result in you missing an appointment. Patients finding a better deal at another facility even after confirming an appointment also go against the revenue of the clinic. But in a majority of no-show cases, the culprit is the case of forgetfulness.
Representatives of the health industry say that it is very important that people start to realize the importance of showing up on scheduled appointments. Patient care should not be delayed especially if pre-existing conditions have been noted. Doctors’ and nurses’ time are also very important because instead of waiting for you to show up, they could be attending to other patients instead.
There may be genuine reasons for not showing up on appointments, it is vital that the facility be informed. All appointment reminders sent out can be linked to a live representative who can cancel appointments or even reschedule them for you. In other cases, the system will make the changes without requiring manual intervention.
Even if you have just realized that you cannot make it on the day of the appointment, you should still call. Calling can enable the front-desk staff to decide whether to give your spot to a walk-in patient or not. That way, no one’s time gets wasted, the clinic earns and the walk-in patient gets to have his or her health assessed.
Doctors Thank “Healthy Move”
The encouragement and reminder coming from the Department of Health is considered a “healthy move” by doctors. Doctors say that it is high time that the general public be reminded that the state of their health is a shared responsibility between them and their practitioners.
Meanwhile, healthcare facilities have become more creative in terms of the means that appointment reminders are sent. Some use Skype while others use office automation systems that include automated reminders.
In the modern world people seem more determined than ever to shed unwanted pounds at any cost. They go through many dangerous exercise routines and unlicensed supplements that inevitably do more harm than good.
On the market today are many approved supplements that would aid in weight loss in a natural, safe, way. Some of those wonderful products work without any discernible side effects. Others have noticeable reasons for avoiding them.
The Department of Health and Human services has determined that the following substances, among others, are useful for the role of supplemental weight loss: Apidexin, Phenphedrine, Decaslim, and Testoripped.
There are a few key differences between each of these that you may wish to be aware of. Apidexin, for instance, is a fat loss related supplement. Unlike most products devoted to helping you lose weight, this one does not act as a diuretic. The consumer of this supplement loses actual fat, not water weight.
Phenphedrine is an appetite suppressant. It targets hormones in the brain that cause hunger and keep you from the desire to eat as much. This product was proven successful in deterring hunger attacks and ‘stress’ eating.
Decaslim is a more food and nature oriented product. It was invented by a college student in Hawaii that based the formula on the ten super foods episode that Oprah Winfrey did on her show. Several of the key ingredients are the world famous Acai berry, the flaxseed, and green tea. Those who utilize this supplement generally remain devoted to it for its health benefits beyond the loss of weight.
Testoripped is not just a supplemental weight removal product. It is also a fitness and muscle promotion system. The product is a fast acting weight remover as well as a promoter of the growth of lean muscle mass due to having creatine, Arginine AKG, and Tribulus Terrestius as ingredients. This increases the production of testosterone in the body. For this reason only men should take this supplement.
Home Health Care Nursing Information and Overview
Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health problems, permanent disability or terminal illness.
Home Health Care Basics
Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing phenomenon as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs train nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse’s experience and qualifications. In many cases there is a shared relationship between the agency and the academic institution.
Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place as well. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has lead to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decrease of mortality rate from these technologies and medical care has lead to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.
Home Health Care Nurse Job Description
Through an array of skills and experience, home health care nurses specialize in a wide range of treatments; emotional support, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.
A practicing nurse must have the skills to provide care in a unique setting such as someone’s home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is evident in all nursing positions, but working in a patient’s own living space needs a different level of skill and understanding. There is autonomous decision making as the nurse is no longer working as a team with other nurses in a structured environment, but is now as a member of the “family” team. The host family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include critical thinking, coordination, assessment, communication, and documentation.
Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but still need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the expertise of the family about the child’s condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.
Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct dose, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.
Many advanced practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at least one year of clinical experience before entering home health care. Advanced practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.
Employment and Salary
According to the United States Department of Labor, there were 2.4 million nurses in America, the largest healthcare occupation, yet many academic and hospital organizations believe there is a gross shortage in nursing staff. The shortage of nurses was 6% in 2000 and is expected to be 10% in 2010. The average salary for hospital nursing is $53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care, the salary is $49,000. For nursing care facilities, they were the lowest at $48,200.
Training and continuing education
Most home health care nurses gain their education through accredited nursing schools throughout the country with an associate degree in nursing (ADN), a Bachelor of Science degree in nursing (BSN), or a master’s degree in nursing (MSN). According to the United States Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN programs. Also, in 2004, there were 417 master’s degree programs, 93 doctoral programs, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3 years to complete, while bachelors degrees take 4 years to complete. Nurses can also earn specialized professional certificates online in Geriatric Care or Life Care Planning.
In addition, for those nurses who choose to pursue advancement into administrative positions or research, consulting, and teaching, a bachelor’s degree is often essential. A bachelor’s degree is also important for becoming a clinical nurse specialist, nurse anesthetists, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).
All home health care nurses have supervised clinical experience during their training, but as stated earlier advanced practicing nurses hold master’s degrees and unlike bachelor and associate degrees, they have a minimum of two years of post clinical experience. Course work includes anatomy, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sciences and liberal arts. Many of these programs have training in nursing homes, public health departments, home health agencies, and ambulatory clinics. (U.S. Dep. of Labor, 2004).
Whether a nurse is training in a hospital, nursing facility, or home care, continuing education is necessary. Health care is changing rapidly and staying abreast with the latest developments enhances patient care and health procedures. Universities, continuing education programs, and internet sites, all offer continuing education. One such organization that provides continuing education is the American Nurses Association (ANA) or through the American Nurses Credentialing Center (ANCC).
There are many rewards to becoming a home health care nurse. Some rewards include the relationship with a patient and their family, autonomy, independence, and engaging in critical thinking. The 21st Century brings with it many opportunities and challenges. We must meet these challenges head on – there is an aging baby boomer population, a growing morbidity factor due to increased medical technology and patient care, and the growing shortage in nursing care.
Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time. With clinical experience and proper education, a home health care nurse will lead the future of medical care.
Even in countries where there is no single public health care system, there are a number of government jobs in health care. Then there are countries like UK, where there is a central public health care system such as NHS, which employs more than a million experts in health care. For the US, though there is no agency comparable to NHS, there are a number of governmental agencies that require health care workers, including doctors. Here I will cover all these agencies, as well as briefly touch upon NHS.
For other countries, there are corresponding government agencies that employ health care professional. For example, the Army Medical Corps will exist in almost every Army, though its name will likely be different.
UK jobs in NHS
Employing more than 1.7 employees, the National Health Service(NHS) of UK is one of the largest direct employers in the world. It has a requirement to fill all kinds of jobs, from General Practitioner, Hospital doctor including surgeons, Nurses, therapists, management, including non-healthcare jobs such as construction and catering. The website jobs.nhs.uk is the primary portal to find about any requirement by NHS for jobs in healthcare.
US Government Jobs in Health Care
Veterans Health Administration This agency is part of the Department of Veterans Affairs, and is responsible for the health of the veterans of the US Military. VHS employs a total of 200K employees, which makes it one of the largest US governmental agencies. It employs doctors, nurses, allied healthcare professionals including therapists, podiatrists etc. Though the pay with VHS, like other governmental medical jobs, is less than what one might get in private practice, there are many benefits including sovereign immunity from malpractice lawsuits.
US Army Medical Department Where VHS is responsible for the health of the veterans, the US Army Medical Department is responsible for the health of the serving soldiers in the US Army. You can join the Army Medical Corps as a serving officer of the US Army, the Nurse corps or as a serving enlisted man in allied service.
US Air Force Medical Service The Air Force medical service consists of Nurse Corps, Medical Corps, Dental Corps, Enlisted Medics, Medical Service Corps and Biomedical Science Corps.
Medical Corps and US Navy Hospital Corpsman The Medical Corps consists of commissioned officers in different specialties, whereas the US Navy Hospital Corpsman is a corps of enlisted medics in the US Navy. So whether you are a specialist or not, you can join the navy. Note that the physical training given to members of Hospital Corpsman is as rigorous as the training for Marines corps. So if you are inclined for a military life coupled with a passion to be a medical professional, this can be the best option for you.
Department of Health and Human Services This is the primary civilian medical aid body of the US government. As a doctor or nurse employed with this department, you will respond to medical health emergencies in any part of the United States. There are other jobs where you will make policy, and help the people of US face medical challenges. This is more popularly also known as HHA.