Showing posts with label Health Management. Show all posts
Showing posts with label Health Management. Show all posts

Jan 23, 2012

Nursing Career Outlook for the next few years......


Keeping up with job market news in the nursing field can quickly make you wish you had a career advisor to untangle the mixed messages—a tough job market, yet understaffing at hospitals and clinics; a looming shortage, yet potential students being turned away from schools.
Here, we throw the word “crisis” out the window and provide some quick, simple facts and projections about the job market today and tomorrow, along with answers to the questions you’ve been asking.
What will the job market look like in 10 years?

The need for both RNs and LPNs is expected to grow like never before—by 21 to 22 percent between 2008 and 2018. What is particularly interesting is that these jobs will be in various fields, not just in long-term care and geriatrics. As medical procedures advance, nurses are needed to care for patients who are recovering from previously fatal diseases and conditions.

How does the current shortage compare to ones in the past?
The last time the United States experienced a significant nursing shortage was in 1965. It’s predicted that in 2025, there will be a shortage that rivals that of the one in 1965. In fact, it’s estimated that we will be short twice the amount.

How is the nursing field faring in the recession compared to other job markets?
Healthcare facilities across the U.S., including hospitals, long-term care and clinics, added 21,000 jobs in November 2009. In that same month, 85,000 people in other fields lost their jobs.
Why can’t some new nurses find jobs?

Currently there is a job vacancy rate of more than 8 percent, and yet some nurses can’t find jobs. One reason may be that these nurses are new and inexperienced. Will the powers-that-be invest money into orienting them and accepting them into the fold? Seems the smart ones will, considering these nurses are going to be an essential part of the team 15 years from now!






Dec 30, 2011

 
 
Nurses are notorious for giving of ourselves until we can’t give any more. We are still mostly women and we are mostly mothers, which even compounds the ‘caregiving’ overload. We have to find ways to care for ourselves so we can re-energize and have the capacity to do the things we do. Every time I sit on an airplane and listen to the flight attendant instruct me to place the oxygen mask on myself first, before assisting others with their masks, it reminds me that I need to carry that advice into all areas of my life, especially my role as caregiver. When I take care of myself and find ways to renew my energy and unwind, I can return to my caretaking roles with less fatigue and maintain my inner calling to the profession and the way I treat others. It starts with taking care of myself. We need to understand the importance of taking care of ourselves and that looks different for each of us, but using the acronym BREATHE, I’ve come up with some thoughts about getting away and renewing your own air supply:
Be proactive. Plan ahead. If you see that you have a demanding week, plan to take rejuvenation breaks. You know the things that do it for you. For me, some of those things are a running, hiking, a shopping trip, a nice meal, a pedicure, a hot bath by candle light, a romantic evening with my husband, a drive in the country, a massage, a movie at the theater, blasting music on my drive home and singing along. Create a list of your things that bring you pleasure and before you get tired or overwhelmed, look at your list and your calendar and schedule a break to catch your breath.
Recognize your own limits. A co-worker may be able to run before work, work a 10-hour shift and stop for drinks on the way home, but I know that will send me over the edge. I like being home before and after a long work day. Being away from the comfort of my home and the refuge that my own space provides is a sure way to send me looking for my broom - and no one will want to work with me the next day! Know yourself and your limits and don’t compare yourself with others.
Examples. Find examples of other caregivers who know how to care for themselves. More experienced nurses, social workers, doctors, or therapists who seem to maintain balance between work and personal care are great resources for developing your own breathing techniques.
Ask! When you find a good example ask him or her how they care for themselves and what activities seem to replenish them. What do they do at home, outside of work, or even during a brief break during a work day that allows them to catch their breath and recharge? I once asked our social worker at the cancer center what she does to care for herself. She told me she gets up early each morning and with her cup of coffee sits in a big comfy chair with a large picture book of amazing photography and works of art. She explained that the beauty in the book sets her mind in the right place so she can address the pain she sees the rest of the day.
Treat yourself. Find a handful of things that help you feel cared for and then do them, buy them, experience them. A romance novel, a decadent dessert, a stroll by the river, a foot massage, a kite, something that reminds you of childhood or being taken care of and go for it without guilt. Too often we put our own needs on hold because we think we are too busy to take a moment to treat ourselves. Treating ourselves has become a focus of great guilt. Treating ourselves, if done in moderation with the intention of returning us to responsible adulthood, should be absolutely guilt free! Get a second scoop of your favorite ice cream then cherish every bite.
Help! Don’t be afraid to ask for help. I have met nurses who never ask for help and view it as being fragile or inadequate for the role of caregiver. Perhaps we don’t feel we deserve help. We may feel it is unfair to ask for help because our own needs don’t compare to the needs of our dying patients or the suffering we witness every day. We may feel weak asking fellow caregivers to switch hours with us or our parents to watch our kids while we get a night out.  Again, I draw on the analogy of the oxygen mask and the idea that self-care is the only way we have the reserves to meet the endless needs around us. If we all ask for help appropriately and show compassion to each other, there will be no guilt, only healthy team members and teamwork.
Envision the nurse you want to be. Remember why you became a nurse. I chose nursing because I love being allowed into someone’s life at a vulnerable time and having the skills and knowledge to take care of them. After more than 24 years as a nurse and 19 as a mother, I have to remember my calling and continue to envision myself acting in ways that allow me to carry out my mission. I do love taking care of people and it is a privilege I don’t take lightly, but I have found that if I am not taking care of myself, I am not ‘breathing’, and I need to remind myself to ‘breathe’ and remind those around me to find those things that re-energize them and give them the life they need to sustain a life of care-giving.

About the Author: Katherine is an oncology nurse and writer. She has been a nurse since 1987, married the love of her life in 1989 and became a mother in 1992. She writes about balancing life with career, family and adventure and finding joy in the journey. She recently moved from New Mexico to Florida and works for the University of Florida.....Click Title for the Source Link

Sep 11, 2011

Diabetes and Diet and Excercise

A healthy diet, not a "diabetes diet"

Diets for people with diabetes, weight, heart disease or other health problems are all very similar. That is because a healthy diet is the same for almost everyone. That means:

  • Eat less fat and less sugar 
  • Eat smaller portions of meats and dairy products
  • Eat more vegetables, fruits and whole-grain or unprocessed starches 
It is true you will have to reduce sweets because they usually have high fat and high sugar. Cake, cookies and ice cream can all be part of your diet if you control the size of your servings.
 

Plan healthy meals

It is important to plan so you are balancing the different foods you need each day. Every meal should include something from each of the basic food groups:
  • Vegetables and starches (carbohydrates)
  • Low-fat meats, dairy products or certain types of beans (proteins)
  • Margarine, oils or fats present in the foods you eat or prepare
Here is an easy way to think of what a balanced meal might look like on your plate: three-quarters of the plate surface should be covered with vegetables, fruit or grains. The other quarter should have meat or dairy products.

Done correctly, good meal planning can reduce the need for insulin or other medicines. The best way to find a way that will work for you and your family is to talk to a dietician. Either your doctor or Priority Health can suggest a dietitian available to help in your local area.


Watch portions

 For example, a healthy portion of protein - chicken breast, or steak, or a hamburger - is 3 oz., which is about the size of a pack of cards. Some people weigh their food to make sure they are eating the right amounts. There are other ways that your doctor or a dietitian can show you.


Eating smaller meals more often during the day is a good way to keep your blood sugar at the best levels for you.
  • Eat about the same amount of sugars and starches at each of your meals and snacks to keep your blood sugar consistent.
  • Don't skip meals so you can avoid having blood sugar levels from going up and down like a yo-yo.



  • Avoid fried foods.
  • Eat smaller servings of foods with cheese or creamy sauces.
  • Choose low-fat offerings.
  • Restaurants serve very large portions. Split your entrees with others or ask for half-orders. Ask for a doggie bag before you eat and put half your plateful into it to limit the food in front of you.
  • Choose broiled, grilled or baked meat or fish. These cooking methods reduce fat and usually do not have fats added.
  • Ask for steamed vegetables and ask your waiter or host not to put any other butter or sauces on them

Exercising is essential when you have diabetes, pass this information on to your clients....

Whether you have Type 1 or Type 2 diabetes, exercise can help you live a longer and better life.

Exercise can help to strengthen your heart, control your weight, and increase how much you enjoy life. If you have Type 2 diabetes, exercise could eliminate your need to take insulin or other drugs. 

If you haven't been exercising up until now, you have plenty of good reasons to start. And if you have been exercising, congratulations. 


Set goals

Start without goals and it is too easy to stop. Most people start a fitness program for personal reasons. Some common reasons are:
  • "My clothes are a little tight around the waist."  
  • "It's getting a little harder to keep up with the kids or grandkids."
  • "I miss going out with my friends."  

Take out a sheet of paper and at the top, write, "Why Exercise?" Then start writing why you think exercise would help you. Those reasons become your goals.


No excuses

You are not alone in thinking you have good reasons not to get started. But those are probably just excuses. The American Diabetes Association dedicates an entire page on their website (www.diabetes.org) just to the excuses people have for not getting exercising. Here are a few we hear all the time:
  • "I don't have time."
    You can get positive benefits just by starting with a few minutes a day. Work up to 30 min. a day.
  • "I'm too tired."
    Try walking at lunchtime, in the morning or whenever you're rested and ready.
  • "It hurts."
    If exercise leaves you with sore muscles, go easy at first. Build up over time and there is no reason to be sore or uncomfortable. If your knees or joints hurt when you walk, consider pain-free alternatives like swimming or lifting light weights.
  • "I can't afford a gym."
    The sidewalk in front of your house is free. The bike in your garage can be dusted off. Some people do more housework for exercise.  
  • "It's boring."
    It's a simple truth: if you don't enjoy it, you won't do it. So bring a friend along. Read a magazine on a treadmill. Walk in a mall and window-shop along the way. Ride your bike in a new direction. If one exercise is getting boring, add others.


Get professional advice

Talk with your doctor. Everybody can add or enjoy some form of exercise, but diabetics have good reason to make certain they choose an activity that fits their current health. 
  • If you have experienced numbness in your feet, you should not do an impact sport like running or step aerobics without your doctor's approval.
  • If your eyes have been impacted by diabetes, you probably should not be doing an activity that either causes impact or raises your blood pressure (like weight lifting).
  • For people who are already active in sports, there are a lot of sources of online information dedicated to athletes with diabetes. For example, a group called the Diabetes Exercise and Sports Association has information and many links to help anybody from weekend warriors to professional sportspeople continue enjoying their fitness routines and activities.


Get geared up

Don't start by investing a lot of money in equipment. Start with a good pair of shoes and absorbent, seamless socks, some comfortable clothes and you're ready. Get a medical ID bracelet in case you are exercising and experience any difficulties.


Plan your blood tests

Until you know for certain how an exercise is going to affect you, test your blood glucose levels before and after an activity. Your doctor can provide good advice on what to look for and what any changes mean.


Get moving!

  • Write a plan, be realistic
    Just the act of writing what you intend to do and patting yourself on the back when you do it is a big boost to building fitness. Write down what you will do on a calendar and watch how it all adds up.
  • Don't rush it  
    Improving fitness takes time. It takes time during your day and it takes days or even weeks to reach your goals. If you push too hard, you'll feel uncomfortable. Take your time, enjoy the trip and you will enjoy the goal when you reach it.
  • Make it a team sport  
    To have a plan and stick to it is a lot easier if you have the encouragement and support of friends and family members. Invite someone to join you.
  • Everything counts  
    When all is said and done, fitness is what you get for moving a little more than you did the day before. Every move you make during your day adds to your fitness. If it's raining outside, get out your vacuum cleaner. If your day is going to be too busy, park at the far end of the parking lot and walk a little further.

-source page here....