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.

Leadership Model For A 21st Century Health Care Organization

There is a growing trend for leaders to break the old autocratic model of leadership to newer models using the concepts of shared and participatory leadership. With the every increasing complexity of health care delivery and the new skilled work force, leaders will have to communicate in an atmosphere where a reaching organization objective is a shared responsibility. According to Bennis, Spreitzer and Cummings (2001) in the future the landscape of health care organization will become more decentralized, which will promote agility, proactivity, and autonomy. Future leaders may move away from singular roles to shared leadership networks that may themselves alter the foundations of the organization. The demands for shared leadership or leaders shifting roles on teams will continue to increase. Health care organization will foster the development and empowerment of people, building teamwork and shared leadership on all levels. The leaders of the future will be guides, asking for input and sharing information. Telling people what to do and how to do it will become a thing of the past (Bennis, Spreitzer and Cummings, 2001). In the 21st century the dynamics of health care will offer leaders who have the ability to motivate and empower others a platform to maximize an organization human resources. Leadership will have to be committed to encourage a two way communication in which the vision meets both the organizations objectives and the employee’s needs. This assignment will develop a leadership model for the 21st century that addresses the role of commitment model of shared and participatory leadership in health care organizations.

Commitment model of leadership

Fullam, Lando, Johansen, Reyes, and Szaloczy (1998) suggest effective leadership style is an integral part of creating an environment that nurtures the development of an empowered group. Leader effectiveness is simply the extent to which the leader’s group is successful in achieving organizational goals (Fullam et al., 1998). In the 21st century health care organizations will need leaders that are committed to developing employees in a team environment. In an environment where leadership is transferable according to objective commitment leadership has a shared purpose. Kerfoot and Wantz (2003) suggested in inspired organizations where people are committed and excited about their work, compliance to standards and the continual search for excellence happens automatically. In these organizations, compliance continues when the leader is not present. This type of leadership requires the team leader to use all available means to create three conditions among individuals: (a) shared purpose, (b) self-direction, and (c) quality work. Leaders who create commitment among their employees believe in creating a shared vision that generates a sense of shared destiny for everyone (Kerfoot & Wantz, 2003).

Involving others in leadership is a unique process which is deeply rooted in individuals believing they are a part of the process of meeting organizational objective and purpose. Atchison and Bujak (2001) suggest involving others in the process is important because people tend to support that which they help to create. People resent being changed, but they will change if they understand and desire the change and control the process. Sharing information promotes a sense of participation and allows people to feel acknowledged and respected (Atchison & Bujak, 2001 p. 141).

Toseland, Palmer-Ganeles, and Chapman (1986) suggest when individual leaders cooperate and share their expertise and skills, a more comprehensive decision making process can be achieved rather than when leaders work independently. For example, in a geriatric team, a psychiatric nurse may lead a group focused on heath concerns, a social worker may lead a therapy group, or a mental-health therapy aide may lead a structured reality-orientation group (Toseland et al., 1986). Shared commitment form the leadership in the future will help to develop, coordinate, and integrate the complex and ever changing health care setting for the 21st century.

Respect for authority and work ethic

Haase-Herrick (2005) suggested shared leadership gives the opportunity to enhance or build trust among individuals. Leadership is mobilized around refining the roles of individuals creating positive health practice environments that support the work of the group (Haase-Herrick, 2005). Leadership ability to lead a team in ways that build morale and reinforce work ethics empowers others to perform to their potential in a group. Leadership is the ability to lead individuals towards achieving a common goal. Leadership builds teams and gains the members shared commitment to the team process by creating shared emotion within the group (Pescosolido, 2002).

Collaboration among leaders in health care

There are new models that are emerging which add a new perspective on how to produce effective collaboration within leadership. Wieland et al., (1996) discussed transdisciplinary teams in health care settings, where members have developed sufficient trust and mutual confidence to engage in teaching and learning across all levels of leadership. The collaborating is shared but the ultimate responsibility for effectiveness is provided in their place by other team members. The shared responsibility for example might be a situation where clinicians on a team each serve in a leadership role regardless of their particular disciplinary expertise (Wieland et al., 1996). The shared commitment model of leadership allows for the independence and equality of the contributing professions while pressuring team members to achieve consensus about group goals and priorities. It is important to emphasize the importance of collaboration in a complex and changing health care environment. The focus on the primary purpose for partnership of leaders will ultimately rest on the shared belief in meeting organizational goals though a collaborative effort. Atchison and Bujak (2001) suggest it is important to reemphasize the importance of keeping everyone informed on the primary purpose of achieving success though a collaborative effort. Clarifying expectations and specifically illustrating how proposed changes are likely to affect the participants is important in achieving commitment leadership (Atchison & Bujak, 2001)

Leadership competency on all levels

The ability to lead in the 21st century requires leaders to be competent in motivating and empowering others to perform to their maximum potential. According to Elsevier (2004) leadership is the ability to lead a team or number of individuals in ways which build morale, generate ownership and harness energies and talents towards achieving a common goal. The leadership competency is all about motivating and empowering others while accomplishing organizational objectives. Leadership is the vehicle in which the vision is clarified though the encouragement of two-way communication on all levels of the organization (Elsevier, 2004).

Leaders in the 21st century will have to be competent in identifying change as they occur and encourage others to adjust to those changes for the mutual benefit of achieving objectives. Elsevier (2004) suggest leaders will have to be comfortable with change because which change comes new opportunities for collaboration among followers and peers (Elsevier, 2004). Improving the results of change initiatives while making sure those changes are fully understood will be a priority for leaders who choice to lead by commitment leadership.

Leadership as a changing agent

Longest, Rakich and Darr (2000) suggest organizational change in health care organization does not occur absent certain conditions. Key are the people who are catalysts for change and who can manage the organizational change process. Such people are called change agents. Anyone can be a change agent, although this role usually is played by leadership. Change agents must recognize that any organizational change involves changing individuals. Individuals will not change with out motivation introduces by the changing agent. The changing agent must create a body of shared values and attitudes, a new consensus in which key individuals with in an organization reinforce one another in selling the new way and in defending it against opposition (Longest, Rakich and Darr, 2000). As health care organizations change in the 21st century successful leaders must have the skills that are necessary to make change possible with in teams of individuals. Longest, Rakich and Darr (2000) suggest one of the important category of change is team building or team development, which “remove barriers to group effectiveness, develop self sufficiency in managing group process, and facilitate the change process (Longest, Rakich and Darr, 2000). A leader who leads by commitment must seek to minimize the resistances to change by building a consensus of objectives with in the organizations culture.


Leadership in the complex health care environment in the 21st century will need individuals to be committed to the promotion of team effectiveness. Sarner (2006) suggest leadership is a “power- and value-laden relationship between leaders and followers who intend real changes that reflect their mutual purposes and goals.” In plainer language, leadership is the dynamic that galvanizes individuals into groups to make things different or to make things better — for themselves, for their enterprise, for the world around them. The essential components of leadership have remained more or less constant: intelligence, insight, instinct, vision, communication, discipline, courage, constancy (Sarner, 2006). In the 21st century leaders must know how to gather, sort, and structure information, and then connect it in new ways to create clear objectives that satisfy both the organization and individuals needs. The important skill that can be learning during this process of leadership is the ability to listen to colleagues and collaborators for the sole purpose of foster a shared consensus. In order to communicate a vision in the future a commitment leader must work with others and sometimes defer some part of the leadership process to ensure organizational objectives are achieved.


Atchison, T. A. & Bujak, J. S. (2001). Leading transformational change: The physician-executive partnership. Chicago, IL: Health Administration Press.

Elsevier, R. (2004). Leadership and change orientation. Competency & Intelligence 12(2), 16-17. Retrieved October 8, 2006 from http://web.ebscohost.com/ehost/delivery?vid=14&hid=16&sod

Haase-Herrick, K. (2005). The opportunities of stewardship: Leadership for the future. Nursing Administration Quarterly, 29(2), 115-118. Retrieved March 23, 2006, from Ovid Technologies, Inc. Email Service.

Kerfoot, K., & Wantz, S. (2003). Compliance leadership: The 17th century model that doesn’t work. Dermatology Nursing, 15(4), 377. Retrieved June 3, 2005, from http://proquest.umi.com/pqdweb?index

Longest, B., Rakich, J. S. & Darr, K. (2000). Managing health services organizations and systems (4th ed.) Baltimore, MD: Health Professions Press, Inc.

Pescosolido, A. T. (2002). Emergent leaders as managers of group emotion. The Leadership Quarterly 185(2002), xxx-xxx. Retrieved October 5, 2006 from http://www.unh.edu/management/faculty/ob/tp/Emergent%20Leaders%20as%20Managers%20of%20Group%20Emotion.pdf

Sarner, M. (2006). Can leadership be learned? FastCompany.com Retrieved October 8, 2006
from http://www.fastcompany.com/articles/archive/msarner.html

Toseland, R. W., Palmer-Ganeles, J., & Chapman. D. (1986). Teamwork in psychiatric settings. National Association of Social Workers, Inc. Retrieved May 29, 2005, from [http://www.apollolibrary.com/srp/login.asp]

Wieland, D., Kramer, J, Waite, M. S., Rubenstein, L. Z., & Laurence, Z. (1996). The interdisciplinary team in geriatric care. The American Behavioral Scientist. Retrieved May 1, 2005, from [http://proquest.umi.com/pqdwebindex=1]

Wireless Medical IT Bringing Health Care to the Bedside

It was very common over the years for a hospital or extended care facility patient to suffer the worsening of a condition due to record-keeping errors that would give the wrong treatment. Some people who have spent several weeks in hospital may have felt slightly uneasy during the night shift when robotic attendants and nurses seem indifferent when administering medication or taking blood. There would be many possible mix-ups that could cost (and have cost) a patient’s life. Mercifully, the digital solutions available today provide greater accuracy in scheduling medication doses and times.

There have been countless improvements in hospitals, clinics, and long-term health care facilities that have extended the duration and quality of our lives. Computer networks can keep track of patient care as well as administration; specially-designed hardware assists doctors and nurses to access data anywhere throughout the facility.

Wireless mobile devices have brought a level of efficiency to the workflow in hospitals, clinics, and long term health care facilities. Accuracy of patient records has improved greatly and lessened the number of incorrect operations that were commonplace decades ago. Almost everyone has seen a newspaper story about the wrong organ being removed or a patient getting another patient’s operation due to a mix-up. It stands to reason that the hectic environment of a hospital would be an easy place for confusion to reign supreme because of human error. Technology now exists so that an identifying bar code can be placed on the area in question to guide the surgeon.

The medication administration record (MAR) in many long-term health care facilities are still being written manually for each medication administration event for each resident. Misinterpretation of some scribbled notes could result in a dosage mistake or getting the medication totally wrong if the patient is mistaken for someone else in a different bed.

Medical software developers offer customized solutions for hospitals, clinics, dentist offices, and long-term heath care facilities to administer their entire operation in one package capable of cross-referencing data to coordinate all functions. Being mobile with laptop carts throughout the wards saves going back and forth from a centralized station. Laptop kiosks are used in some hospitals to shorten distances walked by attending health care staff.

Laptop carts for wireless access to the eMAR (electronic medication administration record) program are free and mobile so that time round the ward is more efficient and accurate. There are also med carts for the transportation of liquids, supplies, and medicines that can be locked for storage.

The same modern technology – both medical software and medical IT hardware – that is experiencing success in acute care facilities can be just as beneficial, if not more so, in long-term care facilities where residents need even more frequent med passes, treatments, and attention from nursing staff. It makes financial sense to acquire the IT accessories, laptop mounts, and EMR software needed for the extended care facility because the increased efficiency will reduce work hours for overburdened staff and provide better morale for everyone from the administration office to the worried sick patient peeking out nervously from under the sheets.

Little Known Career in Health Care As a Nutritional Cleanse Coach

There is a little known about, yet exciting new career available in the health field and is being forwarded by a company that has an unusual name – Isagenix. The company has helped pioneer the growth and development of an industry called “nutritional cleansing” and the career position termed as a “nutritional cleanse coach.”

The identified problem in the United States as well as around the world is that every living human being on the planet is overloaded with over 200+ different toxic chemicals and substances that are embedded in their tissues, organs and body fat.   The facts are undisputed; toxins and impurities are being pumped and dumped into everything that we eat, drink and the air we breathe and our bodies have become a final resting ground for massive amounts of toxic waste directly from our environment.

Not only on the outside, but also in the inside, we are heavily polluted and there have been no solutions that were practical and viable in terms having some degree of success in reducing and eliminating many of the impurities that have been accumulating in out bodies since conception.

Once you become an Isagenix Nutritional Cleanse Coach you will learn how the company has pioneered and develop and ground-breaking revolutionary health practice called “nutritional cleansing”. The practice and procedure of a nutritional cleansing is based on a powerful health formulation of herbs, minerals and botanicals that are infused into the body and provides it with nutrition on an unmatched scale.

As a result of this super-nutrition the body begins to release these toxins and impurities and the body now has an optimum chance for better health and well being and can start the process of healing itself.

The top trait of what it takes to become a nutritional cleanse coach is a strong desire to assist individuals in the areas of better health and wellness.

Here are 5 big reasons for becoming a nutritional cleanse coach with Isagenix.

1. College or more school is not required. The learning that you will undertake can be done totally online with a comprehensive learning section on their highly informative website.

2. You can be up and running within minutes and to sign up with the company is incredibly inexpensive and you will have direct assistance in getting started with your new career and business.

3. You can expand and growth your business here in the United States as well as in 7 foreign countries.

4. A new career and business that is yours! You call the shots, but a mentor or season higher qualified coach will guide you and directly assist you in the expansion of your new business.

5. Seems to provide an opportunity to make unlimited amounts of income. If your goal is six figures then that can be very much a part of reality. According to the company, most Isagenix Nutritional Cleanse Coaches start off part-time and build up their knowledge and confidence as they begin to make modest amounts of part time income.

One thing for sure, science has proven that we are bombarded daily with toxins and impurities that negatively affect the quality of all our lives. So, if you are considering a helpful, new career or wanting to make extra income you may want research Isagenix International regarding the position of a nutritional cleanse coach.

A Guide to Skin Care For Wrinkles

Wrinkles are a natural part of growing older but that does not mean we just have to accept them. There are many choices these days if you are looking for skin care for wrinkles but unfortunately there are plenty of bad wrinkle creams for every good one.

When a new wrinkle cream hits the shelves it usually leads to mass excitement but just because something is new or is heavily advertised does not mean it is effective. People tend to rely on advertising too much, rather than finding out what the best new wrinkle cream actually should contain.

There is more to skin care for wrinkles than grabbing the first new wrinkle cream you see or automatically assuming the more costly is the best.

Good Ingredients in Skin Care for Wrinkles Products

If you are going to buy a new wrinkle cream, you should read the ingredients list carefully before parting with your money. There are many different natural ingredients you might see on the ingredients list including honey, aloe vera, green tea and many more.

Cynergy TK is well worth knowing about because this ingredient increases skin radiance, reduces wrinkles and fine lines and promotes elasticity and firmness in the skin. It accomplishes this by supporting the body’s own production of collagen and elastin. Collagen helps fill out the skin so that wrinkles lessen While elastin gives the skin it’s ability to stretch.

Don’t let manufacturers of skin creams fool you into thinking that collagen is going to help you when it is included as one of the ingredients. Collagen molecules cannot be absorbed into the skin. The only way to increase collagen levels is to help the skin produce its own collagen.

Retinol, a vitamin A compound, is an antioxidant which is able to neutralize harmful free radicals. Another great antioxidant found in some of the best skin care for wrinkles is CoQ10. When CoQ10 is used in the nano-emulsion form, it is easily absorbed into the skin to work as an anti aging compound.

Sea kelps are loaded with vitamins a minerals. The extract from one of these is called phytessence wakame. When used in large enough quantities, this ingredient improves skin elasticity and tone. Including these ingredients will assure you that a new wrinkle cream is going to be effective.

Anti Wrinkle Cream Ingredients to Avoid

There are many different ingredients to avoid if you are looking for a new wrinkle cream. Parabens are used to prolong a wrinkle cream’s shelf life but they can cause allergic reactions. Mineral oil is found in some preparations and not only does it create an oily layer on the skin and stop it breathing but it keeps wastes and toxins trapped in the skin.

The word perfume on the label might look innocent enough but this could indicate any one of hundreds of different chemical perfumes, some of which can cause dizziness, headaches, coughing, skin rashes and hyper-pigmentation. If you like perfume, you can wear it on your wrists – you do not need perfume in your face cream!

Triethanolamine, or TEA, is frequently used to adjust the pH levels in skin care for wrinkles products. However, TEA can cause allergic reactions including dry hair and skin and eye problems. It can also be toxic if applied to the face or body for a long period of time.

Keep these things in mind if you are considering skin care for wrinkles A new wrinkle cream should have high quantities of natural plant based ingredients and be free from synthetic chemicals or petroleum products. The effectiveness of these anti aging creams and lotions has come so far in recent years that you will be amazed at the improvement you see in the quality of your skin.