qualified and experieced qualified nurses and caregiver willing to served you with affordable price ranging 12-15 per hour..
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Private duty nursing care provides skilled, compassionate medical care from clinically trained expert caregivers such as registered nurses (RNs) or licensed practical nurses ,caregivers. This care is designed to help clients who are managing complex medical need or conditions, and is available in shifts from 12 up to 24 hours a day, 7 days a week
Some of the most common care services we provides are
Bathing & GroomingDressingPersonal CareTransferAmbulationSupport Nutritional needsMonitoring (Vital signs – blood pressure, temperature, respiration, glucose etc)Social activitiesSpecialized Nursing Care (Feeding Tube,Urethral Catheterization, Wound Care, Suction, Chest Physio) and other nursing care you require
Minimum Rate= 12rm to 15 rm depend on the case
Care for Patients with Dementia
as life expectancy increases, greater numbers of older adults are experiencing the onset of Alzheimer’s disease and other dementias. The care of these patients can be challenging and difficult to manage without an understanding of the disease process. Dementia is defined as the decline of the cognitive function of the mind, and eventually results in the deterioration of both mental and physical status. It is vitally important to ensure a safe environment for these patients, while treating them with respect and helping them to maintain their dignity. These patients should be allowed to complete tasks for themselves, such as activities of daily living (bathing, eating, toileting, brushing teeth and hair) as long as safely possible. As many patients tend to be fixed and repetitive in their thoughts and actions, a schedule of specific medication times, mealtimes, bath time, and bedtime are often more calming. A quiet environment with soothing colors and lighting may also help decrease the anxiety and confusion common to the hospitalized patient with dementia. Hydration and nutrition are also important factors in the care of this patient. Dementia, especially when advanced, may cause the patient to forget when or even how to eat and drink, possibly leading to further health complications. The nurse should be especially sensitive to the patient’s nutritional status, and offer small servings of favorite snacks and drinks when possible. It may be difficult to communicate with the patient who has dementia. They may have difficulty expressing thoughts and following instructions. Simple words and phrases should be used and the use of facial expressions and body signals may be helpful. If the patient becomes angry or confused, redirection to another topic in a calm, yet firm, manner may help to ensure their safety. As the elderly population of the grows, it will face a healthcare system that is currently too small and unprepared to meet its needs. There is a critical need for more nurses who are competent in the care of the elderly to both provide care, and guide and educate other healthcare workers.
knowing about sundowning and dementia care a short clip
Understanding palliative care (Cancer Patient)
Palliative care is any treatment that focuses on preventing and managing the symptoms of cancer and side effects of treatment. It also provides comprehensive support to people living with cancer and their families. Any person, regardless of age or type and stage of cancer, may receive palliative care. People should receive treatment for the cancer and treatment to ease side effects at the same time. When side effects and other challenges of treatment are well managed, people have better quality of life and report they are more satisfied with treatment. Palliative treatments often include medication, nutritional changes, relaxation techniques, spiritual support, emotional support, and other therapies. You may also receive palliative treatments similar to those used to eliminate the cancer, such as chemotherapy, surgery, or radiation therapy. For example, when radiation therapy helps control pain, it is considered a palliative treatment. That is why it is important to understand the goals of each treatment in your care plan. Children with cancer should also receive palliative care. Parents usually work with the health care team to manage symptoms so their children are as comfortable as possible starting from diagnosis. Family members, including siblings, may receive counseling as part of palliative care to better cope with the child’s diagnosis. Goals of palliative careThe goals of palliative care include:
Treating symptoms, including pain, nausea, breathlessness, insomnia, and other physical issues caused by cancer or its treatment
Managing emotional and social needs, including anxiety, depression, and relationship issues
Addressing spiritual needs or concerns
Addressing practical needs, such as transportation and financial concerns
Providing support for family, friends, and caregivers
Difference between palliative care and hospice careAlthough you may hear “palliative care” and “hospice care” used in similar ways, they are not the same. Palliative care is given at every step of the treatment process. It provides an extra layer of support for people with any stage of cancer. Hospice care is a specific type of palliative care. It is only provided to people with cancer who are expected to live six months or less. If you have advanced cancer, your doctor may suggest treatments to improve symptoms or treatments directed at the cancer. If you choose to stop disease-directed treatment, this does not mean you have stopped “fighting” the disease. It also does not mean your health care team has given up. Instead, the focus may be on relieving burdensome symptoms and allowing for additional support in all areas of your life. When a person decides to begin hospice care, a member of the palliative care team helps with the transition. He or she can also help address the physical and emotional issues that come with that choice. Learn more about hospice care. When and where palliative care is givenIdeally, palliative care should start at diagnosis. It should then continue throughout all stages of the disease. You may receive palliative care in a doctor’s office, hospital, cancer center, long-term care facility, or your home. The location depends on the treatments that have been recommended and the available resources. Talk with your doctor, nurse, or oncology social worker about your options. The palliative care teamA number of people may make up your palliative care team, including:
Oncologist. An oncologist is a doctor who specializes in treating cancer. Usually, your oncologist will serve as the leader of your health care team. He or she is in charge of designing your treatment plan and deciding on medication and dosing. Your oncologist may consult with other health care professionals, such as a palliative medicine physician or pain specialist, to create your palliative care plan.
Palliative medicine physician. This is a doctor who specializes in hospice and palliative care. He or she works with the health care team to relieve symptoms and side effects. A palliative medicine physician will also talk with patients to align treatment to his or her goals and values.
Nurses. The nurses on your team help manage pain and other symptoms. They also act as the main contact for the rest of your health care team. If you receive palliative care at home, nurses may visit you regularly to ensure you receive the care you need.
Social workers. A social worker provides counseling for you and your family and arranges family meetings. A social worker may also help with practical issues like transportation and can connect you with local resources. Social workers also help with discharge from the hospital and finding in-home help, or, if necessary, hospice care.
Pain specialist. Pain specialists, or pain medicine doctors, are experts at finding the cause of pain and treating it. They may prescribe medication, recommend a rehabilitation program, and/or perform pain-relieving procedures. An oncologist or palliative medicine physician may be able to control your pain without referring you to a pain specialist.
Chaplain. A chaplain is usually affiliated with a specific religion. He or she is trained to listen to patients’ and family members’ concerns, especially about death and dying. Chaplains are also available to discuss other faith-related and spiritual matters.
Dietitian. A dietitian can help address nutritional challenges, such as nausea or appetite loss. Dietitians may also provide advice about nutritional supplements and help create specialized eating plans
Physical and occupational therapists. A physical therapist helps maintain mobility and improve how well a person moves. Physical therapists also develop exercise programs to maintain or improve physical strength during and after treatment. Occupational therapists typically focus on daily tasks and functioning, especially upper body movement.
Child life specialists. These trained professionals specialize in helping children and their families understand a child’s serious illness. They also assist siblings through the experience.
Volunteers. Many palliative care programs have trained volunteers that visit with patients who want companionship and emotional support. Volunteers often perform simple tasks, such as reading out loud or writing notes, or can simply sit and talk.
Grief and bereavement coordinator. A grief coordinator counsels family members who are facing or have suffered the loss of a loved one. They have specialized training in social work or psychology. Learn more about grief and loss.
Talking about palliative careAn important part of palliative care is talking about your diagnosis, treatment, and needs. These conversations help clarify your goals and expectations. The best palliative care occurs when patients and their families work together with the health care team. Here are some practical tips to help promote good communication with your health care team:
Ask the doctor to explain your diagnosis, treatment plan, and prognosis. Prognosis is the chance of recovery. These may change over time, so continue to have open, honest discussions with your doctor. Taking notes or bringing a family member or friend along may help you remember more of the information.
Ask your health care team to explain if you don’t understand an explanation, description, or unfamiliar medical word.
Tell the doctors and nurses about any pain, discomfort, or other side effects, even if you feel they are not serious. Often there are many options for relieving symptoms. However, the health care team needs to know about them to help you feel better.
Keep track of your symptoms and side effects. Write down what they are, how often they occur, and how severe they are. This will help the doctor identify the cause and find solutions.
Don’t be afraid to ask questions. You may want to write your questions down before appointments. It is important to ask about your social, emotional, functional, and spiritual needs, as well as questions about your health. Here is a basic list ofquestions to ask the doctor to help you get started.
Talk with your doctor about the palliative care services available to you. You may want to ask to be referred to a palliative care specialist. Oncologists typically welcome the support and information palliative care specialists provide.
Cerebrovascular accident is the medical term for a stroke. A stroke is when blood flow to a part of your brain is stopped either by a blockage or a rupture of a blood vessel. There are important signs of a stroke that you should be aware of and watch out for. If you think that you or someone around you might be having a stroke, it is important to seek medical attention immediately. The more quickly you get treatment, the better the prognosis. When a stroke goes untreated for too long, there can be permanent brain damage.
Types of Cerebrovascular AccidentThere are two main types of cerebrovascular accident, or stroke. An ischemic stroke is caused by a blockage, and a hemorrhagic stroke is caused by a breakage in a blood vessel. In both cases, part of the brain is deprived of blood and oxygen, causing the brain’s cells to die. Ischemic StrokeAn ischemic stroke occurs when a blood clot blocks a blood vessel, preventing blood and oxygen from getting to a part of the brain. There are two ways that this can happen. When a clot forms somewhere else in your body and gets lodged in a brain blood vessel, it is called an embolic stroke. When the clot forms in the brain blood vessel, it is called a thrombotic stroke. Hemorrhagic StrokeA hemorrhagic stroke occurs when a blood vessel ruptures, or hemorrhages, which then prevents blood from getting to part of the brain. The hemorrhage may occur in a blood vessel in the brain, or in the membrane that surrounds the brain.
Symptoms of a Cerebrovascular AccidentThe quicker you can get a diagnosis and treatment for a stroke, the better your prognosis will be. For this reason, it is important to understand and recognize the symptoms of a stroke.
difficulty walking
dizziness
loss of balance and coordination
difficulty speaking or understanding others who are speaking
numbness or paralysis in the face, leg, or arm, most likely on just one side of the body
blurred or darkened vision
a sudden headache, especially when accompanied by nausea, vomiting, or dizziness
The symptoms of a stroke can vary depending on the individual and where in the brain it has happened. Symptoms usually appear suddenly, even if they are not very severe. They may become worse over time.
Diagnosis of a Cerebrovascular AccidentYour doctor can tell if you have had a stroke in a number of ways. First, you will be examined. Your doctor will check your reflexes, vision, speaking, and senses. He or she will also check for a particular sound in the blood vessels of your neck. This sound, which is called a bruit, indicates abnormal blood flow. Finally, your doctor will check your blood pressure, which may be high if you have had a stroke. Your doctor may also perform diagnostic tests to confirm a stroke and to pinpoint its location:
Blood tests: Your doctor may want to test your blood for clotting time, blood sugar levels, or infection. These can all affect the likelihood and progression of a stroke.
Angiogram: By adding a dye to your blood and then taking an X-ray of your head, your doctor can find the blocked or hemorrhaged blood vessel.
Carotid ultrasound: Using sound waves to image the blood vessels in your neck helps to determine if there is abnormal blood flow towards your brain.
Computed tomography (CT) scan: A CT scan is often performed soon after symptoms of a stroke develop to find the problem area or other problems that might rule out a stroke.
Magnetic resonance imaging (MRI): MRIs can also be used to check for damaged blood vessels.
Echocardiogram: This imaging technique uses sound waves to create a picture of your heart. It can help to find the source of blood clots.
Treatment for a Cerebrovascular AccidentTreatment for a stroke depends on the type. In the case of an ischemic stroke, the goal is to remove the blockage. In the case of a hemorrhagic stroke, treatments are aimed at controlling the bleeding. To treat an ischemic stroke, you may be given a clot-dissolving drug or a blood thinner. You may also be given aspirin to prevent a second stroke. In some cases, emergency treatment may include injecting medicine into the brain or removing a blockage with surgery. For a hemorrhagic stroke, you may be given a drug that lowers the pressure in your brain caused by the bleeding. You may also need surgery, if the bleeding is severe, to remove excess blood. You may also need surgery to repair the ruptured blood vessel. After any type of stroke, there is a recovery period that varies depending on how severe the stroke was. You may need to participate in rehabilitation because of the effects of the stroke. This can include speech therapy, occupational therapy, or work with a psychiatrist, neurologist, or other professionals.
Prevention of a Cerebrovascular AccidentThere are many risk factors for having a stroke. Correspondingly, there are many measures that can be taken to help prevent them. These preventive measures are similar to the actions that you would take to help prevent heart disease, and include the following:
maintain normal blood pressure
lmit saturated fat and cholesterol intake
refrain from smoking and drink alcohol in moderation
control diabetes
maintain a healthy weight
get regular exercise
eat a diet rich in vegetables and fruits
If your doctor knows that you are at risk for a stroke, you may be prescribed medications to prevent one. These include drugs that thin the blood and prevent clot formation.
Prognosis for a Cerebrovascular AccidentIf you suffer from a stroke, your prognosis depends on the type of stroke, how much damage it causes to your brain, and how quickly you are able to receive treatment. The prognosis after an ischemic stroke is better than after a hemorrhagic stroke. Common complications resulting from a stroke include difficulty speaking, moving, or thinking. These can improve over the weeks, months, and even years after a stroke. Approximately half of all stroke patients are able to go home and function without help, while the other half requires care (NIH, 2012).
What is Colon Cancer Colorectal cancer, or colon cancer, occurs in the colon or rectum. As the graphic below shows, the colon is part of the large intestine or large bowel. The rectum is the passageway that connects the colon to the anus.
Colon cancer, when discovered early, is highly treatable. Even if it spreads into nearby lymph nodes, surgical treatment followed by chemotherapy is highly effective. In the most difficult cases — when the cancer has spread to the liver, lungs or other sites — treatment can help make surgery an option for many, as well as prolonging and adding to one’s quality of life. Research is constantly being done to learn more and provide hope for people no matter what stage they are. Most colon cancers develop first as polyps, which are abnormal growths inside the colon or rectum that may later become cancerous if not removed.
Colon cancer affects men and women of all racial and ethnic groups, and is most often found in people 50 years or older. However incidence in those younger than 50 is on the rise. This disease takes the lives of more than people.