Uncategorized | Distance Learning Systems (DLSI)

Assisted Living Centers and Families

Many families do not learn about the costs of long-term care until the crisis hits and many get the sort of rude awakening that people who underwent this experience felt, said Jon Howell, president and CEO of the Georgia Health Care Association, an industry group that represents assisted living centers, nursing homes and companies that coordinate home care across the state. Seventy percent of individuals now turning 65 will need long-term care at some point during their lives. Only a fraction of those who will need proper care have long-term care insurance, which can pay for services at home or in an elderly care facility or assisted living centers.

Such plans grew in popularity during the 90’s, but sales have dropped recently as some insurance providers exited the market and many of the remaining insurance providers have hit policyholders with steep premium increases. When speaking to civic groups, Howell said, he shares lots of key facts that catch individuals off guard, including: Medicare covers elderly care facility care after a hospitalization, but at day 21, a co-pay requirement kicks in that could cost up to $12,000 over the next 80 days of care. To qualify for State Medicaid programs, residents must effectively impoverish themselves, spending all but $2,000 of their non-exempt resources and also using all but $50 of their monthly Social Security checks to pay for their care.

Medicaid pays an average of $158 a day in Georgia for elderly care facility care; private pay prices are higher. Medicaid doesn’t cover assisted living, only nursing home care. After a resident’s death, State Medicaid programs can take the resident’s house equity and other resources in an estate to cover the price of care paid by the government, although there are protections for surviving spouses. The requirements represent a harsh reality for many once solidly middle-class individuals, individuals who have spent a lifetime working toward financial security, who find they have no option other than switching to State Medicaid programs to cover nursing home bills.

Senior Care and Technology

Hitting into an approximated $7 billion baby boomer spending potential, big businesses are focusing on technological innovation as it pertains to senior care and aging in place, writes USA Today. That technological innovation varies from supporting or changing the diminishing number of care providers comparative to those who depend on them, to distribution of medicine and smart houses that are prepared with receptors and other tracking devices and they are focusing on the aging inhabitants in groups.

Increasingly seen as a safety net for older parents and family members, electronic receptors and other home-based gadgets are giving satisfaction to family members of the aging inhabitants. This “technological trend of international significance” is offering alternatives from medicine management to safety and interaction and is increasing the ability for senior citizens in America to age in their houses. “Imagine bottle caps that shine when it’s time to take medicine, seats that take your vital signs and even carpeting that evaluate walking styles and predict physical damage and psychological infirmity. All are here or coming soon and will be a benefit to the country’s 78 million Baby Boomers, those born from 1946 to 1964, who are experiencing the possibilities of getting old with a reducing population of care providers.”

The technological innovation benefits those who use it, as well as the community in general, as a care provider shortage is approximated to match with the population of child boomers reaching their 70s and 80s. But difficulties are plentiful, too, with different gadgets and technological innovation current on a single platform, as well as the worry associated with tracking people in their houses, the article notes. Medical care and aging technology for senior care, however, is a big business and those who are creating alternatives now are on the cutting edge of what will amount to a large pattern later on. That includes technical leaders from Intel-GE to Qualcomm and many others that are in the field currently, or have programs to get into in the near term.

Distance Learning in the 21st Century

The emergence of the knowledge economy had a powerful effect on business and education and studying. First, technology greatly affected training, educating, studying and handling practices. Companies were able to eliminate middle managers whose primary function was sending information between the top management and front line workers. Companies went “flat,” when leading supervisors could directly connect with front line workers using information technology innovation. Also, workers who were directly engaged in production or providing services were included in “quality circles” to share the pressure of handling the company with the managing class. This “downsizing” or “rightsizing” of the company also removed the stand up instructor in many organizations. Training could be placed on the World Wide Web, without the need for an instructor or company to present such details to students. Further, workers could access instruction at their convenience thus reducing time they would spend away from their projects in training, at times hundreds of kilometers away from their work stations. This way of training, known as distance learning, was developed in the organization separate of the theoretical and practical improvements in distance education in European countries and the United States. Concept and practice of online studying in educational surroundings strongly prescribed connections with an instructor and highlighted its importance. Nevertheless, the telecom and computer nexus allowed some businesses to incorporate training with working, giving rise to new ideas, such as, just-in-time training. This was obtained in certain cases through the creation of performance support systems, which directly allowed workers to link studying to projects at hand.

Today distance education is successful among home school students, K-12 educational institutions and universities, many of which require synchronous or asynchronous connections with an instructor while depending on instruction on the Web. Distance education, however has grown extremely in organizations and government organizations, including the army, where there is little or no interaction with an instructor.

While the number of those who are engaged in various forms of distance learning may pale in comparison to those who are studying in traditional ways, the important aspect is the steady rate at which distance students are increasing. If current trends continue, it will be just a matter of time for online studying to become the prominent way of studying and educating.

Comfort and Support in Hospice Care

While most hospice services are designed to care for sufferers in their own homes, associates may provide care in assisted living or skilled nursing features if appropriate. Some hospice solutions also have their own features or are associated with hospice programs, such as Scripps. Scripps’ hospice care ensures that Scripps patients have continuity of care. The hospice group continues to help coordinate proper care with primary physicians as well as specialists as may be required.

Hospice benefits not only sufferers, but their close relatives and friends as well. Team members provide support for those facing the loss of a loved one. In addition to offering bereavement services after a patient passes, hospice can be there to help loved ones with the grieving process.

Most insurance companies, such as Medicare, will cover hospice for qualified sufferers. Although many sufferers are older, hospice care is available to sufferers of any age, including children who have a terminal diagnosis with limited life span. Generally, a physician must agree that a patient’s life span is less than six months in order for hospice care to be covered; however, because it is nearly impossible to predict exactly how long a patient will live, some sufferers may receive hospice services beyond six months.

Like hospice care, modern care also concentrates on offering support and comfort to very ill sufferers, concentrates on the whole person and evaluates the physical, mental, emotional, and spiritual needs. Unlike hospice services, however, modern care is offered to sufferers who are still being treated for their illnesses and are not necessarily near the end of life; in fact, many make a full recovery. Palliative care is provided in parallel with curative treatments and can be a tremendous resource. A patent with cancer, for example, may receive modern care to help with the side effects of chemotherapy treatment or can evaluate and treat pain.

Humanities and Education

“What’s the objective of learning the humanities: literary works, ‘languages’, philosophy, history and the arts?” You see, hordes of directors orchestrating the financing and therefore developing the framework of college have insisted that it’s essential to develop our universities around the study of “useful” topics, mainly math, chemistry and the managing of international currency, to the near exemption of the humanities. I do not think it’s such a hot idea.

Administrators who market education as a ticket to success instead of interpreting it as process to learning are, basically, suggesting for the training of employees rather than for the training and learning of people. Of course we want our children to discover useful and successful work when they graduate from college, if indeed they are lucky enough to have been able to be present at one. But, we also need to remember that a real education is not simply the acquisition of a set of skills. Each of us, regardless of birth or class, should get to be part of the bigger discussion that life provides. Ever pay attention to what the people who really run things discuss? CEOs, CFOs, political figures from all parties, designers of both ball gowns and software, lyricists, technicians, physicians, art gallery curators and manufacturers of non-reality-based TV programming? They do not talk about work: They find mutual understanding in life. They talk about books, movies, art, music and poems. Maybe they talk about the roller derby; it depends on the audience. You will find physicians studying Alice Munro and technicians grieving the loss of Lou Reed while comparing him to Leonard Cohen.

And there is another reason to study poetry: As one sincere buddy announced, the study of literary works can be validated by the fact that nobody ever thrilled a lady by reciting a formula. Public universities and colleges are in particular risk of contorting and, at their most severe moments, crippling their student body if they define themselves as merely a way for learners to get better jobs. In such a caged perspective, universities are in risk of becoming service institutions: We will train the Workers of the World, sure, only we will not give them anything in the humanities to merge them, motivate them, sensitize them or enlighten them.

Advanced Placement Courses for High School Students

Getting a full load of courses during college means late-night stuffing, regular assessments and lots of content to cover. But it can also mean studying in an advanced, less curriculum-driven atmosphere, while experiencing a break from the extracurricular actions that take over the schedule in high school. Scholars who are lucky enough to not have to work, have time each day to research and slack off, since their complete class time is about 15 hours less each week than that of a higher school student. But a good amount of kids are now using up to 10 advanced placement courses during their junior and senior years, balancing three periods of sports, group service, flute training, driving training and applying to college. School directors say advanced placement courses generally require 30 to 60 minutes of preparation per class per evening. And no high school student’s day begins with an 11 am class.

Why are kids placing themselves through this? And why do parents allow and even require this? There are a lot of explanations for your high school student to take advanced placement courses. Learners can generate college credit and may be able to save money by completing college a term or two early. Learners are also able to take electives previously in college, enabling them to try out new subject matter or even move on to more complex courses in their major more quickly. But not every college allows AP credits. And by the time your child finds out where she is going to college, she is mostly done taking courses.

My buddy who works as a college consultant for high school students says students really need to know themselves before signing up for several AP courses. If you think you can manage work and stress, staying up late and if the subject is an area in which you succeed, go for it. But there are other ways to help you take a stand out: Get into and win an essay competition, for example. But, she says, if a scholar’s objective is to get into an Ivy League university, she motivates him or her to take more APs, especially in a selected area, since the scholar’s “weighted” Grade Point Average will be higher than if he would have taken non-AP classes.

Nursing Homes and Assisted Living Dilemma

For family members across Kansas and Missouri, struggling to choose the right service to take care of an aging beloved with Alzheimer’s disease or dementia, an important aspect of the decision is understanding the differences between nursing homes and assisted living. It is a dilemma Mitzi McFatrich deals with every day as the executive director of Kansas Advocates for Better Care, a non-profit advocacy organization assisting elderly care service residents and or their family members. “There are so many of us that are aging and a large number of those individuals are going to have Alzheimer’s disease and dementia,” she said. “How are we going to fulfill their care needs?”

People often mix up nursing homes and assisted living facilities, but the two are not exactly the same. A nursing home provides health care to Alzheimer’s disease and dementia patients, with RNs on-site eight hours a day. In Missouri and Kansas, assisted living facilities employ RNs on a limited basis. Because assisted living facilities receive health insurance funding, there are strict state and government regulations on staff training, the number of employees required per shift and the level of cleanliness. There is zero government oversight for assisted living centers; very few state rules. Medicare often pays most of a patient’s elderly care service bill. In assisted living facilities, a resident’s family must shoulder the whole cost.

While a nursing home service agrees to become a permanent residence for individuals no matter their disease, a person who’s Alzheimer’s disease or dementia worsens can be discharged from an assisted living service. The director of education, programs and public policy for the Alzheimer’s Association, Heart of America chapter, Michelle Niedens says these care facilities can evict a resident in as little as 30 days. “There’s often an over promising; ‘We can handle your mom and dad, through the whole disease course,’ that is, until some major bump occurs and then the game gets changed,” Niedens said. According to McFatrich, facilities will say, “We can no longer fulfill this person’s needs. And that’s what they use in order to release someone.” That release or eviction can affect a family’s ability to find their loved one a new house.

Improving Patient Care with Technology

Citizens at the Kane Regional Centers will soon have a new friend in the physician’s office: “Telly,” a tele-presence digi-cam rig that can connect to a remote doctor and gather healthcare details during exams. The rig is part of a UPMC-run program called RAVEN or Initiative to Reduce Avoidable Hospitalizations Using evidence-based Interventions for Nursing Facilities in Western Pennsylvania, which is financed by a $19 million grant from the Centers for Medicare & Medicaid Services.

“Bringing tele-medicine to the Kane Centers will enhance the speed and performance of patient care with which residents receive healthcare consultations when there is a change in their health,” Allegheny County Executive Rich Fitzgerald said. “It will also slow up the need to transport residents to a medical center or E.R., which is difficult for some of them.” “Telly” will not substitute doctors, who will still perform routine exams. It’ll only be used when an individual’s condition changes, along with a shift in breathing, heart function or pain. The robot-like rig will be monitored by physicians and can examine the eyes, ears, nasal area, neck, respiratory system, heart, stomach, skin, arms and legs and neurological system.

The rig looks like a pc monitor on wheels with a digi-cam secured on top. It comes equipped with tools like a wireless stethoscope, which can pass on details to a doctor at another location. Close relatives will be able to listen in via PC and telephone. “We recognize that a patient’s doctor or health professional specialist is sometimes not available at the skilled nursing facility to assess and treat the citizen when there is a change in their usual health,” Kane Executive Director Dennis Biondo said. “The goal is to provide ongoing access to high-quality patient care and health-care professionals.”

Hospitals and Stories of Tragedy and Triumph

Every day, hospitals are fields of frustrating sadness, minutes of genuine joy, hours of anxious expectation and deep doubt about the road ahead. When you stroll into the main gates of a hospital, none of the grasping dramas that are unfolding within are obvious. You see individuals in electric motorized wheel chairs awaiting trips, volunteers guiding lost individuals to the correct side and employees talking as they wait for coffee.

But like any hospital, go a little further and you will be confused by experiences of human tragedy and triumph, pain and discomfort, hope and even happiness. The individuals who work there have devoted their careers to helping others and offering the best proper care possible. The sufferers who are resting in mattresses and close relatives and friends who sit at their bedsides don’t want to be there, for the most part. Some are making an effort to recover and leave, while others are too sick or weak and have nowhere else to go. Every day is a fight, whether you are a health-care employee or patient. And it’s easy to forget once you escape to the bigger world outside.

Hospitals are not generally fun places to be. They are, as one physician advised me, where sick individuals hang out. Many surfaces have an unmistakable, yet somehow unidentifiable, distressing scent. If you are a patient, you may have to share a room with a perfect stranger who keeps you up all night moaning in discomfort. Front line health-care employees do the best they can with restricted resources, aging facilities and less-than-ideal operating circumstances. But it’s obvious there are methods we can also do better. Finding the way forward, that is the challenge.

Age Friendly Assisted Living Centers

The middle-agers are coming of age, which means a large section of the population is now approaching or in retirement. An older demographic means a different atmosphere for many cities and most of all, different needs. Housing, transport options and community service needs are not the same for senior citizens as they are for, say, families or middle-age professionals. Making sure cities are able to properly provide senior citizens is important. With the population bubble of middle-agers attaining retirement age, the number of 65 and older is expected to grow; all the while, growth in the under-24 age bracket is reducing.

Economist Charles Colgan talked recently in Wells, observing that the quickest growing section of the population usually is the 65 years and older. Maine is not alone in dealing with an aging inhabitants, of course, and to that end, the AARP and World Health Organization have been working to make the Global Network of Age Friendly Communities. Regionally, Saco is positioned to become the area’s first such group. The town started this process with an evaluation of its present condition and what could be done to make the town more “age friendly.” Topics up for conversation included community contribution, health employment, interaction, outdoor areas, transport and real estate, among others. By gathering to evaluate the present condition of the town in regards to elderly people, the town is taking a practical advancement in being an eye-catching place for individuals to come and stop working and perhaps even more important, for long-time residents to age in place.

Simple developments like including more bus runs to and from food markets and medical care facilities, street developments and wheelchair-accessible community areas can make a big difference in enhancing individuals’ total well being. Bigger changes like cost-effective senior housing and cost-effective assisted living centers can also allow senior citizens to remain in their communities even after they can no longer care for a single-family home. Making these accommodations, especially in assisted living centers, not only makes the community more pleasant to them, but also to their loved ones. Improvements such as those community areas and transport also benefit the entire community.