Profit driven Health Care is what Americans vote for. This is the inevitable outcome.
WARNING: The above post may contain thoughts or ideas known to the State of Caliphornia to cause seething rage, confusion, distemper, nausea, perspiration, sphincter release, or cranial implosion to persons who implicitly trust only one news source, or find themselves at either the left or right political extreme. Proceed at your own risk.
"If you do not read the newspapers you're uninformed. If you do read the newspapers, you're misinformed." -- Mark Twain
Depends what you call rehab therapy. If an immobilized oldster 30 days from death receives 15 minutes of joint manipulation (what they call range of motion) 4 times a day to prevent painful frozen up knees and feet, then that, what with another 15 minutes documentation time, checking boxes and filling forms, each visit, before the nurse's aide moves on to the next immobile oldster, then that, by their definition (2 hours PT per day) constitutes high intensity rehabilitation. If this same oldster was bed-ridden at home, then Aunt Gertie would simply say "Paul likes it when I rub his feet and tuck a piller up under his legs, don'tcha know".
Better than leaving them lie there and hurt.
“It has been a source of great pain to me to have met with so many among [my] opponents who had not the liberality to distinguish between political and social opposition; who transferred at once to the person, the hatred they bore to his political opinions.” —Thomas Jefferson (1808)
Depends what you call rehab therapy. If an immobilized oldster 30 days from death receives 15 minutes of joint manipulation (what they call range of motion) 4 times a day to prevent painful frozen up knees and feet, then that, what with another 15 minutes documentation time, checking boxes and filling forms, each visit, before the nurse's aide moves on to the next immobile oldster, then that, by their definition (2 hours PT per day) constitutes high intensity rehabilitation. If this same oldster was bed-ridden at home, then Aunt Gertie would simply say "Paul likes it when I rub his feet and tuck a piller up under his legs, don'tcha know".
Better than leaving them lie there and hurt.
In practice, I agree, but what you're describing is what I used to do daily in my routine as an RN as a part of an immobile patients care, the nurses aides will sometimes assist but usually don't have time.
I think what's being described in the article is not routine range-of-motion care, but rather is exercise performed by Physical Therapy techs that is, by its nature, intended to return the patient to a viable state. When it's done to a patient with NO hope of ever returning to an independent life, it's more like torture without purpose, except to enhance revenue gain from the payor.
At least, that's what I'm talking about. Perhaps I misunderstood the article, but I've lived that reality.
Also, the nurses aide rarely has the education necessary to evaluate the tolerance level appropriate to the individual patient, although many of them are "naturals" and will do fine.
My point being that this should be a function already provided by the appropriate level of nursing care. It isn't, though, because "Corporate" got rid of as many of the nurses as they possibly could to enhance the revenue return used to determine the level of administrative bonus compensation.
Again, I've lived that reality as well, as one of the remaining RN's left with too much of my time being devoted to ensuring those bonus returns, not for myself but for those corporate level executives, and not enough time to devote to appropriate care for the poor souls suffering in those beds.
I can't stand that the admin's answer is to utilize another department and charge more to do what should have already been done.
WARNING: The above post may contain thoughts or ideas known to the State of Caliphornia to cause seething rage, confusion, distemper, nausea, perspiration, sphincter release, or cranial implosion to persons who implicitly trust only one news source, or find themselves at either the left or right political extreme. Proceed at your own risk.
"If you do not read the newspapers you're uninformed. If you do read the newspapers, you're misinformed." -- Mark Twain
F69K g00gle, changed my search engine to a different low life bag licking outfit so didn't come up with your search result til 4 or 5 down. Trying my best to avoid g00gle but damn near impossible
F69K g00gle, changed my search engine to a different low life bag licking outfit so didn't come up with your search result til 4 or 5 down. Trying my best to avoid g00gle but damn near impossible
Agree. I use 2 different search engines. When I was looking for memes in favor of Kav it was obvious that google is bent.
“It has been a source of great pain to me to have met with so many among [my] opponents who had not the liberality to distinguish between political and social opposition; who transferred at once to the person, the hatred they bore to his political opinions.” —Thomas Jefferson (1808)
Akin to, and largely responsible for the sweeping changes in our industrial-military posture, has been the technological revolution during recent decades.<br>In this revolution, research has become central, it also becomes more formalized, complex, and costly. A steadily increasing share is conducted for, by, or at the direction of, the Federal government.<br>Today, the solitary inventor, tinkering in his shop, has been overshadowed by task forces of scientists in laboratories and testing fields. In the same fashion, the free university, historically the fountainhead of free ideas and scientific discovery, has experienced a revolution in the conduct of research. Partly because of the huge costs involved, a government contract becomes virtually a substitute for intellectual curiosity. For every old blackboard there are now hundreds of new electronic computers.<br>The prospect of domination of the nation's scholars by Federal employment, project allocations, and the power of money is ever present – and is gravely to be regarded.<br>Yet, in holding scientific research and discovery in respect, as we should, we must also be alert to the equal and opposite danger that public policy could itself become the captive of a scientific-technological elite.
... Ike's farewell address -- a very prescient thing which everyone ought to read
“It has been a source of great pain to me to have met with so many among [my] opponents who had not the liberality to distinguish between political and social opposition; who transferred at once to the person, the hatred they bore to his political opinions.” —Thomas Jefferson (1808)
Sorry, JD. Much as I’d like to see what you’ve posted I don’t do Fakebook, Twitter or any of those others and I don’t tweet, snort, or giggle. I’ve been known to fart and wheeze a bit, though. Does that count???
Sorry, JD. Much as I’d like to see what you’ve posted I don’t do Fakebook, Twitter or any of those others and I don’t tweet, snort, or giggle. I’ve been known to fart and wheeze a bit, though. Does that count???
I have a facebook account by mistake. I thought I was logging into a cigar site and it was their facebook page. I've never loaded anything and there is no photo. I get seven to eight friend notifications a day!
I found that getting out of the mafia is easier than getting out of facebook.
I found that getting out of the mafia is easier than getting out of facebook.
Witness protection much?
“It has been a source of great pain to me to have met with so many among [my] opponents who had not the liberality to distinguish between political and social opposition; who transferred at once to the person, the hatred they bore to his political opinions.” —Thomas Jefferson (1808)
Years ago I let one of my brothers talk me into signing up for Fakebook. Once I saw what a monumental waste of time it was I tried to ‘unjoin’.
I followed their directions and was then told, in essence, okay, we’ll unjoin you but the process takes two weeks. If anyone at all sends you a message or contacts you otherwise at any point during that two week span, the two-week clock starts all over again. I thought I’d never get out of that bvllshit organization. A few folks I’d never heard of tried messaging me a time or two and the band played on. And on.
But finally, a two week span went by with no contacts and I got out. IMHO social media of most species simply sucks. With a capital S. It’s designed for folks who have absolutely no life of their own.
You’ll notice I said ‘most species’. That was meant to exclude CCom from the list. This forum is in a class all its own. And you’re a part of the reason, Wayne @Wylaff. Thanks for that.
Comments
https://medicalxpress.com/news/2018-10-nursing-homes-increasingly-patients-rehab.html
"If you do not read the newspapers you're uninformed. If you do read the newspapers, you're misinformed." -- Mark Twain
Better than leaving them lie there and hurt.
I think what's being described in the article is not routine range-of-motion care, but rather is exercise performed by Physical Therapy techs that is, by its nature, intended to return the patient to a viable state. When it's done to a patient with NO hope of ever returning to an independent life, it's more like torture without purpose, except to enhance revenue gain from the payor.
At least, that's what I'm talking about. Perhaps I misunderstood the article, but I've lived that reality.
Also, the nurses aide rarely has the education necessary to evaluate the tolerance level appropriate to the individual patient, although many of them are "naturals" and will do fine.
My point being that this should be a function already provided by the appropriate level of nursing care. It isn't, though, because "Corporate" got rid of as many of the nurses as they possibly could to enhance the revenue return used to determine the level of administrative bonus compensation.
Again, I've lived that reality as well, as one of the remaining RN's left with too much of my time being devoted to ensuring those bonus returns, not for myself but for those corporate level executives, and not enough time to devote to appropriate care for the poor souls suffering in those beds.
I can't stand that the admin's answer is to utilize another department and charge more to do what should have already been done.
"If you do not read the newspapers you're uninformed. If you do read the newspapers, you're misinformed." -- Mark Twain
https://qz.com/1416651/the-strange-story-of-how-china-detained-interpol-head-meng-hongwei/
http://science.sciencemag.org/content/362/6410/35
Akin to, and largely responsible for the sweeping changes in our industrial-military posture, has been the technological revolution during recent decades.<br>In this revolution, research has become central, it also becomes more formalized, complex, and costly. A steadily increasing share is conducted for, by, or at the direction of, the Federal government.<br>Today, the solitary inventor, tinkering in his shop, has been overshadowed by task forces of scientists in laboratories and testing fields. In the same fashion, the free university, historically the fountainhead of free ideas and scientific discovery, has experienced a revolution in the conduct of research. Partly because of the huge costs involved, a government contract becomes virtually a substitute for intellectual curiosity. For every old blackboard there are now hundreds of new electronic computers.<br>The prospect of domination of the nation's scholars by Federal employment, project allocations, and the power of money is ever present – and is gravely to be regarded.<br>Yet, in holding scientific research and discovery in respect, as we should, we must also be alert to the equal and opposite danger that public policy could itself become the captive of a scientific-technological elite.... Ike's farewell address -- a very prescient thing which everyone ought to read
This is a great series. Check it out.
I followed their directions and was then told, in essence, okay, we’ll unjoin you but the process takes two weeks. If anyone at all sends you a message or contacts you otherwise at any point during that two week span, the two-week clock starts all over again. I thought I’d never get out of that bvllshit organization. A few folks I’d never heard of tried messaging me a time or two and the band played on. And on.
But finally, a two week span went by with no contacts and I got out. IMHO social media of most species simply sucks. With a capital S. It’s designed for folks who have absolutely no life of their own.
At any given time the urge to sing "In The Jungle" is just a whim away... A whim away... A whim away...
We should all wear hazmat suits when flying
Investigative team find that high levels of
bacteria may await airline passengers.
At any given time the urge to sing "In The Jungle" is just a whim away... A whim away... A whim away...
"I ain't got no Opus's"
LLA - Lancero Lovers of America
2016 Gang War (South)
May I assss u a ?
https://www.foxnews.com/politics/senate-dem-hopeful-kyrsten-sinema-said-i-dont-care-if-people-go-to-fight-for-taliban-against-us
I think I'll go have a drink now, and it won't be koolaid.
https://www.foxnews.com/great-outdoors/woman-on-whale-watching-boat-trip
Gee whales in the ocean, whod a thunk.
https://www.foxnews.com/politics/president-trump-in-contentious-60-minutes-interview-defends-relationships-with-putin-and-kim-reminds-stahl-im-president
Get em Trump, and about time. Oh well, at least Stahl's career got a kickstart.