The Novices Guide To Horse Care

Horse Care is a critical element in the bond between mankind and horse. The way a horse reacts to its owner is greatly determined by the quality of its stabling, handling and feed. The accompany article will assist to impart a greater understanding of the basic principles of horse care.

Regular Grooming

The aim of a regular grooming routine is to remove any dust, dirt or additional material such as burs or dry perspiration from the horse’s coat. Regular grooming also assists to massage the skin and encourage blood circulation. Consequently it is crucial to understand that it is not merely something that you conduct prior to a ride but it in reality helps encourage not only the health and well-being of your horse but helps its performance as well.

In the wild, undomesticated horses will actually clean each other on a daily basis by rolling as well as scratching and licking one another. However with the domestic horse and particularly one that is kept in a stable it is the obligation of the horse owner to insure that their horses are regularly groomed.

The basic elements of a grooming kit include a hoof pick, a hard and soft brush, a curry comb, a comb and bush for the forelock and tail as well as a sponge and a squeegee for after your horse has been washed.

Before you commence grooming your hose it is crucial for safety that the horses head is secured a way that will control the horse but allow it to be released rapidly in the case of an emergency. This can be done with either a quick release stable knot or a panic clip.

First of all the coat is lightly scuffed with a hard brush to take away any hard crusts of mud or dried sweat. It is recommended to keep this technique for the fleshy areas of the horse and not areas such as the face. When that is finished the horse should be cleaned with a soft brush, working from head to toe and following the grain of the hair. When you are brushing it is crucial that you continually tap the brush clean to make sure that you are not getting rid of dirt from one area and putting it in another. To finish up the horse is either wiped with a cloth or hosed and dried off with a squeegee to get rid of any last traces of dust.

Then with a wet sponge you are able to lightly wash out the nostrils, corners of the mouth as well as the undersurface of the tail and the anus. Make sure that you use a different sponge for the different ends of the horse.

Main And Tail

To properly care for your horse’s tail it should be groomed on a regular basis to get rid of any foreign matter that has been tangled up. Whilst brushing the tail, make sure that you hold on to the tail higher the area that you are grooming so that you don’t take out too much hair. The tail can be washed as needed with some water and a appropriate shampoo. The mane and forelock are combed out or brushed flat with a damp brush.

11 Points For Mental Health Care Reform

Due to greater understanding of how many Americans live with mental illnesses and addiction disorders and how expensive the total healthcare expenditures are for this group, we have reached a critical tipping point when it comes to healthcare reform. We understand the importance of treating the healthcare needs of individuals with serious mental illnesses and responding to the behavioral healthcare needs of all Americans. This is creating a series of exciting opportunities for the behavioral health community and a series of unprecedented challenges mental-health organizations across the U.S. are determined to provide expertise and leadership that supports member organizations, federal agencies, states, health plans, and consumer groups in ensuring that the key issues facing persons with mental-health and substance use disorders are properly addressed and integrated into healthcare reform.

In anticipation of parity and mental healthcare reform legislation, the many national and community mental health organizations have been thinking, meeting and writing for well over a year. Their work continues and their outputs guide those organizations lobbying for government healthcare reform..

MENTAL HEALTH SERVICE DELIVERY

1. Mental Health/Substance Use Health Provider Capacity Building: Community mental health and substance use treatment organizations, group practices, and individual clinicians will need to improve their ability to provide measurable, high-performing, prevention, early intervention, recovery and wellness oriented services and supports.

2. Person-Centered Healthcare Homes: There will be much greater demand for integrating mental health and substance use clinicians into primary care practices and primary care providers into mental health and substance use treatment organizations, using emerging and best practice clinical models and robust linkages between primary care and specialty behavioral healthcare.

3. Peer Counselors and Consumer Operated Services: We will see expansion of consumer-operated services and integration of peers into the mental health and substance use workforce and service array, underscoring the critical role these efforts play in supporting the recovery and wellness of persons with mental health and substance use disorders.

4. Mental Health Clinic Guidelines: The pace of development and dissemination of mental health and substance use clinical guidelines and clinical tools will increase with support from the new Patient-Centered Outcomes Research Institute and other research and implementation efforts. Of course, part of this initiative includes helping mental illness patients find a mental health clinic nearby.

MENTAL HEALTH SYSTEM MANAGEMENT

5. Medicaid Expansion and Health Insurance Exchanges: States will need to undertake major change processes to improve the quality and value of mental health and substance use services at parity as they redesign their Medicaid systems to prepare for expansion and design Health Insurance Exchanges. Provider organizations will need to be able to work with new Medicaid designs and contract with and bill services through the Exchanges.

6. Employer-Sponsored Health Plans and Parity: Employers and benefits managers will need to redefine how to use behavioral health services to address absenteeism and presenteeism and develop a more resilient and productive workforce. Provider organizations will need to tailor their service offerings to meet employer needs and work with their contracting and billing systems.

7. Accountable Care Organizations and Health Plan Redesign: Payers will encourage and in some cases mandate the development of new management structures that support healthcare reform including Accountable Care Organizations and health plan redesign, providing guidance on how mental health and substance use should be included to improve quality and better manage total healthcare expenditures. Provider organizations should take part in and become owners of ACOs that develop in their communities.

MENTAL HEALTHCARE INFRASTRUCTURE

8. Quality Improvement for Mental Healthcare: Organizations including the National Quality Forum will accelerate the development of a national quality improvement strategy that contains mental-health and substance use performance measures that will be used to improve delivery of mental-health and substance use services, patient health outcomes, and population health and manage costs. Provider organizations will need to develop the infrastructure to operate within this framework.

9. Health Information Technology: Federal and state HIT initiatives need to reflect the importance of mental-health and substance use services and include mental-health and substance use providers and data requirements in funding, design work, and infrastructure development. Provider organizations will need to be able to implement electronic health records and patient registries and connect these systems to community health information networks and health information exchanges.

10. Healthcare Payment Reform: Payers and health plans will need to design and implement new payment mechanisms including case rates and capitation that contain value-based purchasing and value-based insurance design strategies that are appropriate for persons with mental health and substance use disorders. Providers will need to adapt their practice management and billing systems and work processes in order to work with these new mechanisms.

11. Workforce Development: Major efforts including work of the new Workforce Advisory Committee will be needed to develop a national workforce strategy to meet the needs of persons with mental health and substance use disorder including expansion of peer counselors. Provider organizations will need to participate in these efforts and be ready to ramp up their workforce to meet unfolding demand.

Ideas For Health Care Beds

While spending a lot of time in a hospital, nursing home, or private care facility, you want the most comfortable furniture, especially a bed, for the most comfortable stay possible. Health care beds can make sick people more comfortable if they have to spend lots of time reclining. Raising the head or legs may also be necessary to recover from some surgeries or illnesses. You need to consider a few things when deciding on the right kind.

A good model should provide comfort and safety for the person, and will make the caregiver’s job a little easier. It is important that the head and foot areas be adjustable to several positions. The rails on the side keep the person from accidentally falling out of the bed. They also give the person something to hold when getting up or down. Raising and lowering the entire platform is also important. A lower position makes it safer for a weaker person to both stand up and sit down. Caregivers appreciate a higher position, since they won’t have to bend over so far to tend to the patient.

If you choose a manual model, the caregiver must have enough physical strength to use the cranks that change the positions. Not everyone is strong enough to do this. With an electric model, the positions are changed by motors operated by buttons. Electric models may have more positions to choose from than manual ones. They also may be able to weigh the person without him getting up. Not to mention they are simpler to use and take less effort on behalf of the patient and the care giver.

Another thing that can make a big difference is choosing the right mattress. Mattresses can be filled with gel, air, or foam. Pressure sores may be avoided or treated with the right kind of mattress. Make sure to get sheets that match your chosen mattress. Different types of injuries need a different firmness and type of mattress.

These special items can be quite expensive, but some of the cost may be covered by your health insurance. The insurance company may require a statement of necessity from your doctor before they will cover it.

Health care beds can really help the quality of life for certain patients. Choose a provider that will help you both pick the best model for your situation and guide you through the process of finding the money you need to pay for it.

Improving Health Care in America’s Not That Complicated

Government intervention and oversight aimed at improving the quality of healthcare in America will be far less effective than improving the dialogue between doctor and patient. That belief is well-documented in “The Language of Caring Guide For Physicians: Communication Essentials For Patient-Centered Care” by Wendy Leebov and Carla Rotering.

In this book the authors offer a well-thought out and detailed methodology for doctors on how to raise the quality of care in their practices to build up client satisfaction and confidence. And when patients believe in their doctors they are more to listen to and follow their doctor’s directives, thus elevating their level of good health and lowering risks.

The authors stress that doctor-patient communication has a great impact on almost all areas of a medical practice. And that communication with staff also is key to an effective and successful practice. They point out that poor communication by doctors is a major cause for patients returning to the hospital after being discharged and is a major reason leading to medical malpractice lawsuits. They summarize the importance of this single factor in this statement: “The quality of your communication – the important spoken and unspoken conversations that reside between you, patients and families, and coworkers – has a far-reaching impact on outcomes, public perception, reputation, pay, job satisfaction and much more.”

This book not only provides very detailed training material but relies heavily on graphics to neatly and effectively summarize points within each chapter and at the end of each chapter. The authors are consultants and trainers who have dedicated much of their professional lives to elevating professionalism and compassion in the medical field. The Language of Caring Guide for Physicians, in my opinion, is a must read for doctors.

What to Look For in Home Health Care

In between full-time hospitalization and a healthy lifestyle lies an unfortunate middle ground known as home health care. Some people have conditions that are not so severe as to require constant care through hospitalization, but are serious enough that the patient needs regular attention from a trained professional. Should a family member need attention of this frequency, your daily commitments and lack of medical training may make it impossible for you to provide your loved one with the care they need. In this instance, you will need the help of a home health care service.

Hiring an in-home medical professional is not a decision people make many times in their lives. The subject matter is difficult enough that actually weighing the merits of different companies (especially companies that will be responsible for your loved one’s well-being) could feel overwhelming. What you need are a few simple points of comparison that will help guide you through the process.

Variety in Staff

Chronic disease is extremely difficult to predict. People recover at random, get worse without warning, and develop new symptoms with frequency. In order to provide your family member with care that will adapt along with their needs, you’ll require a company with a wide variety of trained staff members. Any company worth hiring should offer most of the following: specialized nurses, dieticians, physical and occupational therapists, speech-language pathologists, and religious consultants. These various staff members will be able to provide aid at every step of your loved one’s treatment and recovery. Regardless of what twists and turns their illness takes, you will be able to rest easy knowing that you’ve provided them with solutions to whatever arises.

Variety in Service

As with the need for variety in staff, you may not be fully aware of all the treatment options your loved one will need when they first enter into home health care. While a strong variety in staff will aid in quality of life and recovery, ultimately a medical professional will need to be regularly treating each new symptom as it develops. Some of the services you should look for include: wound management, radiology services, physical therapy, social work services, speech-language pathology, occupational therapy, post-surgery care, cardiovascular rehabilitation, orthopedic rehabilitation, neurological rehabilitation, pain management, urology management, and rehabilitation nursing. Talk to your family member’s doctors about the types of care they’ll anticipate becoming necessary, and compare it to the list of services provided by the company in question.

Do They Take Your Insurance

It’s an obvious point, but one worth stating. Medical care in a form, particularly long-term care is extremely expensive. You need to make absolutely certain that the company you choose will work with whatever forms of medical compensation your loved one is able to access.

It is perfectly natural to feel overwhelmed by this sort of decision. You are trying to look objectively at a situation absolutely fraught with emotion. Try to strip away the people involved and itemize the quality of the business itself, and the commitment they have to their clients. This way you’ll be able to make the best decision for your family member without compromising your emotional strength.