Elderly care is an event that most children do not wish to think about. No one wants to think about his or her parent growing old. We look to our parents for guidance and support, but there comes a time when the parenting roles reverse.

It is important to discuss future events with your loved ones and develop a long-term plan for their care for when they become unable to care for themselves. Developing an Eldercare checklist is a proactive way to ensure your loved ones whether parents or grandparents receive the level of care they need and services they want, or, in the case of artificial nutrition, they may not want.

There are several key points and strategies you will want to include on your Eldercare checklist:

1. What level of eldercare is needed, and where will this care be given?

2. How will you pay for the eldercare? The medical costs of eldercare.

3. What will be done with your parents’ or grandparents’ assets while they are receiving eldercare?

4. Are all legal documents including the Will and Living Will current? Have your parents’ or grandparents’ Wills and Living Wills been reviewed recently by an Attorney? What is an Advanced Financial Directive? What is an Advanced Medical Directive in eldercare estate planning?

5. Have your parents or grandparents designated a Durable Power of Attorney?

Making sure you have answers to these questions for your parents or grandparents eldercare early on will avoid confusion and distress later. Don’t wait until there is a tragedy to make plans that will affect how your loved one spends the rest of their life. For the purposes of this article we will assume “loved one” to mean a parent or grandparent.

Where will eldercare be given, and by whom?

1. CAREGIVER AND ELDERCARE

INFORMAL CAREGIVER

There are two types of caregivers: informal and formal. An informal caregiver might be a spouse or child, and these caregivers do not receive direct payment for their services. Usually payment is made through services exchanged such as food or housing at no charge while caring for your parent.

FORMAL CAREGIVER

A formal caregiver is usually employed by an agency to provide quality care in the comfort of your home. If the formal caregiver is not associated with an agency, it is important to conduct a thorough check of references to ensure you are hiring a quality professional.

It is important to inform all formal caregivers of the responsibilities associated with your parent’s needs. If your parent needs assistance in and out of a wheelchair, a hired caregiver should be able to perform this task without harm to your parent or to him/herself. To avoid injury to all persons involved, informal and formal caregivers should receive training on proper techniques for lifting and moving, proper use of bedpans, and how to maintain good hygiene for a parent confined to bed.

LOCATION OF ELDERCARE FOR YOUR PARENTS

There are many options for the location of care provided. Most people would agree that living our their remaining years in the comfort of home is more appealing than living in a state facility. If your parent wishes to receive care in their home you can make home modifications, such as a wheelchair ramp or seat in the shower, to accommodate their changing needs. You can also hire a formal caregiver to come and assist your parent with daily activities such as bathing, eating, taking medications, or regular exercise.

CONSIDERATIONS OF ASSISTED LIVING HOUSES OR NURSING HOMES

If it is not possible for your parent to remain at home, you can choose to place them in assisted living houses or a nursing home. Before placing your loved one in a facility, you should thoroughly check both the location and the staff. Make yourself familiar with required paperwork ahead of time to prevent delays when it comes time to move in, and, if possible, make several unannounced visits to oversee daily activities.

You should check if the facility is regulated by the state, and request to see any licenses they have for providing eldercare. Find out how the staff is trained and if they are required to have certification to work there. You should consider the cost of the facility and the living accommodations your parent will be provided.

Additional considerations when choosing a facility might be types of activities offered to residents and the quality and type of food provided. While no place will be perfect, you should choose a facility that makes your parent feel as comfortable as possible away from home.

2. MEDICAL COSTS OF ELDERCARE AND MEDICAID

Not many insurance companies are willing to pay for long-term care. It is important to check the details of your parent’s policy and read the fine print for restrictions. For example, Medicare will not pay for long-term care but it will pay a very short-term benefit. However, Medicaid will pay for long-term care but only if your parent receives care in a Medicaid facility.

If you plan far enough ahead, you can begin setting aside money so you can afford to provide long-term care to your parent at home. You should consult a financial advisor or estate planner to go over your parent’s bank statements and assets to determine how long their current funds will be able to provide medical care, and based on this assessment you can establish a savings plan to make up the difference needed for long-term eldercare. When figuring in additional savings you need, keep in mind that you will also need to continue paying any current bills your parent might have.

3. WHAT TO DO WITH YOUR PARENTS’ ASSETS DURING ELDERCARE

Before you rush off and put your parent’s house on the market, make sure you have discussed where they want to receive their long-term care. It would be quite devastating for your parent to come home from a hospital stay to discover you had sold the house and moved their belongings into a nursing home.

You should also ask your estate planner or financial advisor which of your parent’s accounts you should withdraw money from to help offset costs. Some accounts, such as annuities, carry penalties for early withdrawal and may require you to pay taxes on income earned through these accounts. Also, once you begin withdrawing money from an annuity you cannot stop payments.

LEGAL ISSUES OF ELDERCARE

Hopefully, your parent has written a will and made you aware of its location. A Will should be reassessed by an Attorney every few years to make sure all the people listed as beneficiaries are still alive, and that your parent still wants them to receive a portion of their estate.

Moreover, your parents should have an irrevocable trust as part of their estate planning eldercare needs which will avoid the high expenses of probate, reduce estate taxes and possibly eliminate some earned income and your parents will gain the benefits of asset protection. Speak with a qualified and good estate planner such as Estate Street Partners who can guide you through this complex process.

4. IMPORTANCE OF LIVING WILL, ADVANCED FINANCIAL DIRECTIVE AND MEDICAL DIRECTIVE IN ELDERCARE ESTATE PLANNING

You should also council your parents on drafting a Living Will in the event they are unable to speak for themselves. Learn more about Living Wills and Advanced Financial Directives and Advanced Medical Directives by going to our website. The Advanced Financial Directives and Advanced Medical Directives are extremely important in eldercare estate planning when your parents cannot speak for themselves and will protect their financial and medical wishes.

5. DURABLE POWER OF ATTORNEY (DPOA) AND ELDERCARE ESTATE PLANNING

You should know ahead of time where these documents are before an emergency arises to ensure that your parent’s wishes are followed. Having a DPOA allows someone your parents trust to act on their behalf and make legal and financial decisions for them, including the transfer of valuable assets, if they become incapacitated.

The world today has become surrounded by drug abuse as well as drug addiction. This escalating disorder has become so common, that its truth is based on misconceptions that people have concerning drug abuse as well as addiction. This paper briefly provides an overview of drug abuse as well as addiction, and at the same time looks at the aspects of epidemiology, social problems, pathophysiology, as well as ethical issues that might arise with medical emergency respondents.

Drug abuse and drug addiction; exactly what does that mean and who is affected by it? There is a confusion between drug addiction and abuse. Drug abuse happens when there is usage of a substance, generally illicit drugs or alcohol, while drug addiction takes place in a broad variety of substances and activities. Addiction can be termed as the compulsive need for usage of substance forming habits, such as alcohol, nicotine and heroin, of which is eventually characterized by obviously physiological signs upon withdrawal as well as tolerance; widely: insistent compulsive use of known substances that are harmful to the user. Drug addiction is usually not a substance forming habit, it also includes things such as gambling, sex, video gaming, and even internet. All the same, the primary focus of society is still to do with drugs, tobacco and alcohol. Several characteristics of pathophysiology and epidemiology will be discussed together with the social implications that addiction causes as well as any ethical problems that lie with addiction and medical emergency service providers.

The addictive behavioral study is relatively new. Science just started to study behavioral addictive in the 1930. Prior to this, studies were being carried out by scientist on drug abuse that were plagued by misconception shadows as well as nature addiction. But with present day discoveries as well as information on how brain chemicals work and the methods of alteration, there is now a deeper understanding of alcohol and drug addiction. Drug addiction, according to Dr. Dryden-Edwards also referred to as chemical dependency or substance dependence, is an illness that is described by a destructive drug abuse pattern that leads to major problems which involve tolerance towards or substance withdrawal and other problems arising from substance use that could have implications to the sufferer, either by school performance, socially or in terms of work. More than 2.5% of humanity suffer from drug addiction at some point in their lives. Some of the commonly abused addictive substances are alcohol, anabolic steroids, amphetamines, cannabis, caffeine, ecstasy, cocaine, inhalants, hallucinogens, nicotine, phencyclidine, opiates, sedatives, anti-anxiety drugs, and or hypnotic. Despite the fact that alcohol and drug addiction is viewed as a mental health issue, there is no one particular determinant cause. However, several people believe that drug addiction and abuse is a genetic disease of which is a false fact. A person’s environment is cause for the development of a predisposition dependency drug.

Epidemiology

The socially associated risk factors of drug addiction and drug abuse encompass the male gender, between the age ranges of 18 and 44 years, heritage of Native American persons, low socioeconomic status as well as the marital status of the unmarried. State statistics reveal that residents from the western U.S are more at risk to substance dependency as well as abuse. While males are very prone to alcoholism development, females seem more vulnerable to alcoholism at fairly lower amounts of alcohol consumption, this is because females have a much lower body mass as compared to males. The combined medical, criminal, economical, as well as the social implications costs American taxpayer more than half a trillion dollars annually. Each year drug and alcohol abuses contributes to 100,000 American deaths, with tobacco contributes approximately 440,000 deaths annually. Individuals of all ages suffer the damaging consequences of drug as well as alcohol addiction and abuse. Babies can get affected while within the mother’s womb if the mother is to engage in drug or alcohol use, which as a result causes defects in birth as well as slows down the intellectual development in the later years of the child. As for Adolescents, they usually perform poorly in school and usually drop out while they are abusing drugs. Adolescent girls stand the risk of having unwanted pregnancies, sexually transmitted diseases, and violence. In addition, parents and adults are also affected, usually by having their cognitive abilities clouded. With all the vast exposure, the stage has easily been set for the next generation to simply step into the addictive lifestyle.

Pathophysiology

Drug addiction primarily affects the brain, but also affects the flow of a person’s organ systems. Drugs as well as mind changing substances which can be abused usually target the body’s natural system of reward either willingly or unwillingly causing entire euphoric effects for the drug user. These effects arise from the dopamine, which is a regulated neurotransmitter movement, emotion, cognition, motivation and pleasure feelings. The release of Dopamine is naturally rewarded to the body for natural behaviors as well as initiations for the cycle to repeat the behavior all over. The dopamine neurotransmitter fills the reward system that is often concealed in restricted amounts from routine activities such as sex or eating. The brain perceives this as a life-sustaining action as a result of the activated reward system. On introducing the chemical substance within a person’s system and the euphoric effects are realized, a person’s brain takes note of several significant happening events and teaches itself to do this action repeatedly until it is a habit. The consumption of illicit drugs can cause an individual to impulsively act when the brain’s reasoning system would normally delay or prevent a form of given action.

This reasoning system is circumvented, hence leading to the undesired action that can possibly have negative consequences on the drug user’s life. However, several drug effects as well as chemical substances are at times euphoric, and other times the substance causes depression, suicidal thoughts, and paranoia. Continuation of the drug causes the brain to become acclimatized to the surplus of dopamine within the reward system. This then leads to the decrease of dopamine release as well as the dopamine receptors numbers within the system itself. In turn, this affects the user’s ability to attain the desired effects of the drug usage. This response from the person’s brain causes the person to try and reactivate the receptors by adding the dosage or amount of the drug in order to attain the same dopamine high. This effect process is referred to as a tolerance. Long term drug abuse causes changes to occur to other systems parts within the brain. The neurotransmitter glutamate of which is a part of the reward systems can be changed and hence cause learning inability. When the brain reaches the maximum level of glutamate, it causes an off balance and the brain tries to compensate, of which as a result affects the drug user’s cognitive ability. Once the brain accustoms to the drug effects, dependence is made and drug abuse cessation causes a result known as withdrawal. While most withdrawal signs are very uncomfortable for the drug addict, there are several serious signs such as seizures, strokes, myocardial infraction, delirium tremens, and hallucinations.

Social, Ethical issues as well as the impact on emergency medical services (EMS)

The consequences of drug abuse and addiction are very evident in an individual social life. The addictions destructive behavior affects every area of their personal life, right from the genesis of the drug abuse. The addictions symptoms from a physical perspective include alteration of sleeping patterns as well as eating habits, which in turn contribute to both weight gain as well as loss. Frequent drug abuse tends to lead to failure in meeting important responsibilities at work, school or even home. Other drug addiction effects include domestic violence, family disintegration, child abuse, employment loss, and failure in school. People with addiction engage in risk taking, and with alterations in the reward system within the brain, the drug users expect positive reactions prior to them taking the substance that would satisfy their needs for the risks they take. Impulse control is difficult when drug choice is available to people with addiction. As a result this fuels the addiction even more.

The effect of the emergency medical service is immense. The calls from addiction range from medical overdosage to trauma. The emergency medical provider’s obligation in response to overdosed patients requires paramedics to find out how much as well as what the patients took, and what is the correct medication to give in order to reverse the condition that is being experienced by the patient or drug user. With the various emergency responses comes danger, with the possibility of violent outbreaks by the addicts or users. Therefore, paramedics must be aware of their surroundings while handling the patients. In addition, patients who experience withdrawals tend to hallucinate a complete event as well as incorporate the paramedics, thus causing the patient to react violently towards the care provider. Drug addiction is a very serious condition that can be considered as a psychiatric problem, of which needs to be treated with a sure diligence as well as suspicion.

Within the realm of the emergency medical service, the response rate of addiction is not considered an emergency condition. The incident will arise if an addict is experiencing withdrawal violent signs or has substance overdose, and the patient would appear in a state of agitation or even unconsciousness. There is no prearranged method in handling a patient that is experiencing problems related to addiction. The key element is in treating the symptoms of the patient. All patients require supplementary oxygen through non rebreathe if tolerance is acceptable. To assist in flushing out a normal saline of infusion, obtaining of intravenous access is a must. Should a patient or addict be in a state of agitation or seizure, administration of a sedative is required, such as versed or valium. Caution must be taken when administrating benzodiazepines because of the risks regarding failure or respiratory depression is present. Should a patient experiencing an opiate overdose as well as low breathing, Narcan 0.4 – 2 milligrams must be administered, but caution must be observed when administering the drug of which is done slowly in order for the patient to breathe sufficiently so as to sustain life. Should breathing and airway problems continue then intubation must be considered in order to secure the airway of the patient. Quick transport with due concern is suggested in order for the patient to be evaluated so as to have the hospital staff commence detoxification.

Conclusion

The drug abuse and addiction world is unforgiving and harsh, especially if an addict or user is unwilling to leave it behind. A number of people claim that the addiction is all within the head, and research has verified this notion. The brain effects from a formed learned pattern is similarly rewarded to such activities like drinking or eating.

A lot of people do not comprehend as to how and why other people become drug addicts. It is wrongfully presumed that drug users have no willpower or moral principles and cannot stop using drugs simply by choosing to alter their behavior. The reality is, drug addiction and abuse is a complex illness, and quitting it requires lots of good intentions. In actual fact, because drugs alter the brain in ways that raise drug abuse compulsiveness, quitting becomes hard, even for the willing addicts.

A lot of drug users also believe that they can control their drug abuse and addiction. Having a drug habit is a costly affair that leads to loss of belongings, money and even self-esteem. Curiosity is what drives some people abuse drugs, while others it is peer pressure, and another group of people become addicts of prescription drugs. While drug abuse normally leads to drug addiction, overcoming drug addiction is no easy task. So the question begs, is this drug abuse or is this drug addiction? These are two completely separate paths that lead to the same depressing outcome. In addition, the consequences of drug abuse as well as drug addiction become noticeable after a given period of time whereby compulsiveness and violence take over, furthermore, the physical toll which includes illness and depression at times could be debilitating. Therefore, the only method to reducing drug abuse as well as addiction is through educating or sensitizing the public. Avoidance is viewed as the best prevention.

The Centers for Medicare & Medicaid Services (CMS) is part of the federal government’s Department of Health and Human Services. Because many Medicare and Medicaid recipients are elderly, much of the funding goes to nursing homes or eldercare services. Health agencies that receive certifications from Medicare undergo an assessment every three years. CMS assesses these home health agencies via quality measures and publishes each agency’s results.

CMS & Home Health

CMS provides scoring for all Medicare-certified home health agencies via Health Compare. The quality measures take into account: (1) the patient’s improvement in performing a variety of activities of daily living (ADLs), and (2) whether the patient’s health improves or stabilizes over time.

It is important to note that the quality measures should only be used as a general guide. Many home health care recipients are elderly, and each patient’s needs are different. Some patients are recovering from surgery or a medical emergency. Others have chronic and worsening medical conditions. Therefore, the lack of improvement in some home health care recipients is not due to poor standards or substandard care, but rather due to declining health. In addition, Medicare’s quality measures for home health are fairly recent and are still being refined. Currently, the quality measures provide a baseline to help consumers see how a local agency compares to both state and national averages.

CMS Quality Measures

CMS quality measures are used in Medicare-certified home health care agencies in order to come up with the final scoring. Medicare details the following quality measures:

* Three measures related to improvement in getting around:
– Percentage of patients who get better at walking or moving around
– Percentage of patients who get better at getting in and out of bed
– Percentage of patients who have less pain when moving around

* Four measures related to meeting the patient’s activities of daily living:
– Percentage of patients whose bladder control improves
– Percentage of patients who get better at bathing
– Percentage of patients who get better at taking their medicines correctly (by mouth)
– Percentage of patients who are short of breath less often

* Two measures about how health care ends:
– Percentage of patients who stay at home after an episode of home health care ends
– Percentage of patients whose wounds improved or healed after an operation

* Three measures related to patient medical emergencies:
– Percentage of patients who had to be admitted to the hospital
– Percentage of patients who need urgent, unplanned medical care
– Percentage of patients who need unplanned medical care related to a wound that is new, is worse, or has become infected

How can you find capable and honest people whose quirks won’t drive your parents nuts? How much will they be paid? For how many hours at a stretch? How many stretches per week or month? Will these people be employees of yours/your parents? Of an agency? Or independent contractors? Do you know how the IRS determines these things and what paperwork and record keeping are required? Have you thought about worker’s comp and withholding? Suppose the applicants don’t speak much English?

Finding Candidates
There are two common ways to find help. Your parents can hire workers through an agency or can hire privately using referrals from friends, neighbors, physicians, local groups, or advertisements. Do you and your parents know the pros and cons of each option?

Agency hires
What are the pros and cons?

If your parents hire through an agency, the helper is the employee of that agency. It will find candidates, select a helper, pay that person, withhold taxes, provide W-2 forms to the helper, and bill you/your parents at its hourly rate. Although your parents will not have to recruit, screen, or haggle over wages, they will have limited choice in whom the agency sends – but somebody will show up, including substitutes when your parents’ worker is ill or on vacation. Clients may ask about the agency’s hiring and screening policies but are expected to rely on the agency’s selection.

If your parents have a problem with the worker, they can call the agency and a supervisor will talk to the worker for them. This is a strong argument in favor of agency hires, as long as your parents are willing to ask for help. How likely are your parents to report dissatisfaction while problems are small and easily fixed? Will they have the moxie to call the supervisor? Will they let you know?

Your parents will probably be charged between $20.00 and $40.00 per hour and will have to agree to a minimum number of hours per visit, usually four. The worker receives about half of the agreed-on fee. If the worker is dissatisfied with the fee schedule or benefits, that dissatisfaction is with the agency, not with your parents. Most agencies have policies prohibiting clients from supplementing salaries or giving gifts to their helpers. This is to protect clients from pressure by rather poorly paid helpers. If a helper suggests ways to skirt this policy and bestow tokens or riches, the agency should be told immediately. This could lead to financial abuse. Will your parents tell you or the agency promptly if this happens?

Types of agencies:
If your parents need simple housekeeping, they should work with a housekeeping agency. If they need in-home help including personal assistance, they should use agencies that specialize in in-home helpers and non-medical personal care providers. If they need assistance with health problems, they’ll need to look into more skilled home health aides.

The first option, housekeeping agencies, provides people who clean homes. But even this apparently simple option should be influenced by the results of the check sheets.

• Some house cleaners sent by housekeeping agencies bring their own cleaning supplies. That’s a help if it saves you or your parents a shopping trip, especially one that involves hauling heavy containers. But it’s a problem if your parents want specific cleaning products used and not others.
• House cleaners from agencies probably are on a fairly tight schedule, will come in, clean, and move on to the next house and may work in pairs or teams. This is great if your parents want the house cleaned quickly because it reduces the time somebody is in their home. But it can be a problem for a parent who doesn’t like people in the house because it increases the number of people there at one time. And with a team cleaning, several rooms may be in upheaval at the same time.
• Agency house cleaners may also chat with each other, and not necessarily in English. This can be a problem if your parents don’t want the noise involved with several people cleaning and talking. If they want to work along with or supervise the helpers, they may hit trouble both because of the helpers’ time constraints and also because they may not speak much English. And, if your parents want sociability as well, they may want to avoid this option. These workers get paid for cleaning, not talking, and need to move quickly and get on to their next job.

The second option, agencies that provide personal assistance and light housekeeping, offers more services and more sociability. Even if your parents don’t need much assistance beyond light housekeeping at this point, choosing an agency that provides in-home health aides may make sense. As your parents’ needs increase, they won’t have to start fresh with a new agency. These agencies provide employees who can offer broader services including transportation, sociability, assistance with activities of daily living (ADLs), and other support. In essence, your parents make a list of things they’d like help with, how many hours a day/week they’d like assistance, and the agency does its best to match the request with their available staff. The agency bills an agreed hourly rate based on the level of difficulty of the services provided. It has policies about weekend, holiday, and overtime charges.

To get the best match through an agency that provides help beyond housekeeping, you and your parents should give the intake worker at the agency a detailed list of what your parents want help with and how they want to be helped. These checklists should be reviewed right away with any helper who shows up at the house to prevent the well meaning 19-year-old aide from driving your parents crazy by gabbing all day long about a fruitless search for a soul mate. Review the checklists and work regularly with the aide, and pass the feedback along to the aide’s supervisor at the agency. Attention to little details at the outset will make eldercare services more tolerable to your parents now and in the future.

For eldercare services to be tolerable to the elders, you need to explain to the in-home helpers exactly what your parents want help with. It’s not enough to say “hire someone to clean the house.” Does this mean the person cooks meals? Does laundry? Makes beds? Waters the lawn?

It seems simple enough. Your father said he can’t drive anymore so he needs someone to help him with shopping. Unfortunately, it’s easy to misinterpret what’s really needed. Does your father need someone to take a grocery list, go shopping and drop groceries off in the kitchen? Or does he need someone to stop by, pick him up, wait outside while he shops, bring him back, and drop him off? Does he need someone to go in the store and shop with him? For him? Help unpack and put the groceries away?

People make assumptions about what to do and how to help-and don’t get enough detailed information for the assistance to be acceptable to person needing assistance. To avoid these mistakes, and the complaints and cycle of hiring and firing in-home aides, get a complete picture of what your parents want help with. Begin the conversation by focusing first on a single, simple issue like shopping.

Because an apparently simple task like shopping is actually a series of smaller tasks, we have broken each topic into its components. Explore these details with your parents to learn what they really mean when they say “I think I want help shopping for groceries.” The detail may seem excessive to you, but it will make your parents feel understood and allow you to train the helper in acceptable assistance so his/her tenure will exceed a nanosecond.

• Shopping for groceries
Some people enjoy grocery shopping and would miss the activity. They may like the social connection of seeing and talking to other people in the store; they may enjoy slowly wandering down the aisles looking at and feeling the fresh fruits and vegetables, or they may want to keep control over decisions about what is purchased and how much money is spent. For these reasons, grocery shopping can plug into issues of authority and companionship.

Be sure you don’t hire a mismatch, e.g., someone who comes in and does a fabulous job selecting, buying, and organizing the groceries thereby annoying your parents who love to shop and see this as one of the last vestiges of control over daily life. Talk to your parents about the tasks involved in grocery shopping.

Do you want help:
• Deciding how much to spend?
• Making grocery lists?
• Getting to and from the store?
• Selecting the groceries?
• Navigating the aisles?
• Reaching items on very high and/or low shelves?
• Putting the groceries into the cart, onto the checkout counter?
• Paying?
• Carrying the groceries to the car and into the house?
• Unpacking the groceries?
• Doing the whole thing?

Grocery related issues – Do you want:
• Someone to follow along patiently while you shop?
• Someone to chat with while you are shopping?
• Someone to talk to the store clerks for you if you need help finding an item?
• Someone to handle the payment at check out?
• To do shopping on a regular schedule…when?
• To buy only specific brands or specific product sizes?

You may not have realized how much was involved in shopping for somebody else. Busy people just zip in, buy what they need and zip out. But, for people whose world has gotten smaller, these little things matter a great deal. No matter how experienced the provider of eldercare services is, he/she cannot anticipate each client’s preferences and may not ask in sufficient detail to get adequate information. Use these questions to help your parents get clear on exactly what they want help with and how they want to be helped, and to train the helper so he/she can provide elder care services they will accept.

Choosing a career in child care requires a natural love for children, the ability to be creative and inspiring, and consistent child care training. There are many ways to receive child care training which depends on if you are working for yourself or for a company.

It takes many character qualities to work with children successfully and among these characteristics is patience. You also need to use your imagination as well as your talents. If this is your first position in a child care career you may find it difficult to switch from a corporate setting or office setting to a relaxed atmosphere full of vivid colors, shapes, and toys.

Training for a company

If you are working for a children care company they may pay and provide child care training for all their employees. During child care training you will learn different topics to help you prepare for your career as a children’s care provider. The company that you are working for may require that you have so many hours of training and they may decide what topic they want you to receive child care training in and they will probably also pay for it as well. This care training can last anywhere from eight hours to twenty-four months, depending on what type of certification you are required to obtain.

Training for your business

If you have decided to open your home to other families and become a children care provider, you will need to first determine what type of training for child you need. The requirements for a care provider is different in every state so you will need to check with your local health and human resources department to determine what type of children’s care training is required before you can begin to provide care for them in your home. You will also need to determine what type of training you will need to continue to care for children in your home every year.

Training College Courses

If you love taking care of children and want to make a career of it, you may want to consider obtaining a child development degree or child care associate degree so you can open up your very own child care center outside of your home. You may also want to work for a child day care center in your local community instead of opening your own center. It’s not easy to obtain this training and it requires many hours of hard work, class time, and studying however it will be worth it when you have a degree and the job of your dreams.

Children’s care training can be provided locally in your community, at a college, or online. You can also receive training materials in the mail that allow you to read the instruction manual and then take a written test in order to achieve your certification in that particular area of children’s care.

Here the 4 Secrets of Fast Foods: Eating “On-The-Go” & Not Gaining Weight. The success of a weight loss plan is to accept that, by circumstance of time, location, or even money, one might end up in a fast food restaurant or having to eat while driving in their car. Just because one has to eat “on-the- go” does not mean your weight loss has to be disrupted. The secret is like eating anywhere is to have a plan. In this case it’s easier to remember what you should not have rather than the best choices. Here is the short list of what you should try to avoid: It’s as simple as can be, and if you examine it closely it really works. I use a simple acronym: F.A.S.T. to point to the really bad drinks and foods.

The Perfect World:

Ideally, everybody has the “right breakfast” at home, does away with eating at fast food restaurants, picks lower calorie alternatives at the office or at the school cafeteria for lunch, has a high-protein, low-carb snack in the late afternoon and then comes home at the end of the day for a nutritious, healthy dinner including fish, vegetables and salad. That is the perfect world.

50% of All Food is Fast Food Types:

Unfortunately, let’s face it, the perfect world never happens in the lives of the majority of Americans. The NPD Group®, an organization that estimates food trends in the United States, reported in 2002 that more than 50% of all food consumed (not just restaurant foods) consisted of burgers, fries, Mexican food and pizza.

Why Fast Foods?

Consumers go to the drive through at McDonald’s®, Burger King® or Taco Bell® and pick up burgers, chicken nuggets and fries without even thinking about the consequences. These foods taste good, are cheap, satisfying and, most importantly, are convenient-they fit into our busy life styles. Unfortunately, gaining weight is easy even when you only eat small amounts of these high-calorie, fattening foods, especially foods with portions that are difficult to control.

Fast Foods Give Pleasure:

The reality is that, more often than not, these foods represent a main source of a lot of pleasure for many people. Depriving yourself of what you like only leads to wanting it more. Sooner or later, the “I can’t have it” becomes “I must have it” and creates anxiety. The SECRET is to learn how to choose smartly from the vast selection available.

4 Secrets to FAST Food Eating: F.A.S.T.

When you find yourself forced to eat on the go, the secret is to choose foods that will not add thousands of calories to your diet. From all of the choices that surround you, here is a short list of what you should try to avoid.

Just remember the word, “FAST.”

  • F=no fried foods
  • A= No add on’s-sauces, high cal dressings, dips, mayo, all “special sauces”
  • S= skip breakfast, skip sugary drinks
  • T= “thick”--no burgers, sandwiches that have double & triple layers, remember most of these have been eliminated because they are fried.

The easiest way to navigate the 200 or more items is not what’s good, but what’s bad. Here is how F.A.S. T. eliminates all of the high calorie, high carb foods:

F: No Fried Foods for Lunch and Dinner at Fast Food Restaurants:

You really only need to avoid a small number of items among the two hundred or more food choices we are exposed to everyday. Going to fast food restaurants and finding reasonable, low-calorie, portion-controlled foods is absolutely possible.

fried foods: this eliminates all burgers, fried chicken, fried fish, French Fries, onion nuggets

A: Add-On’s:

This means all of the sauces, including Mayo, many of the proprietary sauces, bad salad dressings, croutons,- this can save you hundreds of calories.

Low cal salad dressings, mustard and ketchup are great

S: Skip: Skip Breakfast:

Breakfast is the easiest meal to adjust because what we choose to eat in the morning is not as much about satisfying cravings or wanting comfort food. Many people will pick up the first thing they see, such as a Pop Tart®, a bagel, pastry, a donuts or a muffin. In fact, we would be just as satisfied with foods that have much lower calories. Fast food breakfasts can easily account for a third to half of the total daily calories for a person on a diet. Often, people in a rush get their breakfast at a drive Thur gobble down their food in their cars and often do not even realize what they are eating! –SKIP BREAKFAST IN THESE RESTAURANTS

S: Skip: Skip sugary drinks:

Forget the juices, fruit punches, whole milk, high calorie lattes, and mostly the regular soft drinks There are numerous zero calorie drinks, try water, diet soft drinks, no fat milk

T: Thick(double stacked, multiple ingredients)

If the fried food exclusion did not get you, this will. This eliminates all foods with multiple more than one meat or chicken patty, combinations of meat-bacon and other almost crazy ideas. Vegetables like lettuce and tomatoes on great, we are talking about adding extra proteins and carbs to the sandwiches.

What Can You Eat: Here are the foods that past the F.A. S. T. “test”:

McDonald’s: hamburgers(single), cheese burgers, grilled chicken, wrap snacks, apple dippers, all salads, side salads, watch-no creamy dressings,

Burger King: hamburger, cheese burger, chicken sandwich-grilled, BK Burger Shots(kids and adults), salads, again watch dressing and add-on’s

Wendy’s: Junior hamburger or cheese burger, grilled chicken, Classic single, chili(large or small), baked potato.(sour cream and chives as 80 calories), all salads-watch the add-on’s and dressings,

Subway: most subs, nothing fried, no mayo, watch sauces, avoid meatball, Philly cheese-steak, chicken and bacon ranch, BMT, Italian spicy, Feast, Chicken Teryaki

It’s that simple, you can go to these places when you need to you just need to be a little careful with what you chose.

Just remember: FAST-fried-skip-skip-ad-ons-thick & stacked

Choosing an eldercare home for an elderly can be a challenging task. You want them to get the best care they can and should receive, but there are just so many homes around, you may just feel lost at to what to consider. But do not worry too much, as here we have a guide to choosing a suitable eldercare home for the elderly.

First of all, you should talk to the elderly person, even if they are very sick. They are still very much human like we are, and would appreciate being consulted before having any decisions made. There may be some things that they would want in the centre in order for them to live comfortably. Whether it is the personality of the people caring for them or the facilities available, if the request is not too much to ask, and if some of the homes have what they need, you can narrow down your options to the few homes. At least you are taking care of their spiritual needs this way. You should also evaluate the other needs of the person, for example, if they are gravely ill needing 24-hour care, or healthy and require minimal supervision.

The cost of the eldercare should also be taken into consideration as what you can give may determine the type of care received. Some of these expenses can be covered by insurance, depending on the type of care the elderly receives. Nevertheless, make sure you calculate the costs that you will need to chip in, such as the care, medicine, toiletries, and other necessities.

Ensure that the company that provides the eldercare service is licensed, and meets the state and federal guidelines to provide care for elderly people. With the license, it is recognized that the minimum standards to care for the elderly are met by the centre. Those standards can range from the architectural dimensions of the centre; the staff having undergone intensive training and received certification; as well as the facilities and services available. Such standards are made in order to create a safer environment for the elderly. You should also do additional research on the service provided and ask for references. Just because a centre may be licensed does not make it satisfactory.

Last but not least, pay the centre a visit. Both you are the elderly person should take a look at the place to see if the environment is pleasant and clean, staff are hospitable, and the residents are safe. You will want the elderly person to be able to live there peacefully without complaints. Then, both of you can make the final say.

A study conducted by an organization known as Monitoring the Future, found that 47% of teenagers had involved used illegal drugs before they completed high school. This is not only a problem attributed to the youth, since it is found in adults too. Illegal drugs have a detrimental effect on the livelihoods of the people who use them, making it a national concern. People have lost their lives, and caused untold pain to those who are around them. These drugs have also led to a high level of crime, an issue, which has led to the formation of enforcement agencies, to fight the vice. There is a significant relationship between Drug Abuse and Health Care Cost.

How the abuse of drugs affects healthcare costs.

People who use illegal drugs spend a lot of time in medical facilities, due to a myriad of problems brought about by consumption of the drugs. These drugs affect your health directly by compromising your immune system. If you abuse drugs, you will always be suffering from one illness to another, thereby resulting in more visits to the hospital, than you would, if you were not abusing the drugs. This considerably increases the cost of health care per capita. Insurance companies that provide healthcare schemes are therefore forced to increase the amount of money that you pay, in the form of premiums. Government healthcare schemes are also stretched thus, providing lower cover for people. Drug abuse also has an indirect effect on the cost of healthcare. Scores of people around you will be affected when you abuse drugs. Accidents, on people who do not use drugs, caused by people who are under the influence of drugs are on the increase. These people need medical care, and therefore have to spend large sums of money, treating a condition that was not of their own doing. This is how drugs, directly and indirectly, affect the cost of healthcare provision.

Apart from increasing the cost of providing emergency medical response to people who abuse drugs, a large volume of financial resources goes into curative drug abuse programs. These are programs designed to help you stop abusing drugs. The reason why they are expensive is because they take a long time to have any measurable effect, and they are conducted by highly paid professionals. Drug rehabilitation programs have a draining effect on the exchequer. A lot of taxes are used in creating programs that help people to stop using drugs. Private medical care schemes also spend a lot of money in paying for private rehabilitation of drug addicts in clinics or at home. The costs are further increased by the fact that you still have to be monitored after you leave a rehabilitation facility. This is done so you do not suffer a relapse, and end up where you began.

How you can help lower the healthcare costs brought about by drug abuse.

The first step towards lowering this cost is to stay away from drugs in the first place. Get involved with your peers, and other members of your community, to educate people on the dangers of abusing these drugs. Your efforts will reduce the cost of providing healthcare to drug addicts. If you, or anyone you know, are abusing drugs, you should seek immediate help from a professional. The cost of rehabilitation can be reduced considerably, if you make a personal commitment to staying away from illicit drugs. If you go through a rehabilitation program, only to relapse later, you will have increased the national cost of healthcare provision.

The untold story of abusing prescription drugs

Although the abuse of illegal drugs is a primary concern, when it comes to the cost of providing healthcare, the abuse of prescription drugs, to a lesser extent, also contributes to this issue. When you are addicted to prescription drugs, you will have to spend a lot of money buying the drugs, when you do not need them. To stop this, you should use all prescription drugs according to the directions given by your physician. Do not use the drugs, for a longer period than that prescribed. If you do not get better, you should visit your physician who will give you an alternative treatment.

“If mom is not working, no child care,” insisted Deputy District Attorney Roye Randall of Los Angeles County at the pre-hearing interview of a mother of three, seeking modification of child(ren) support from the father through the County of Los Angeles Child Support Services Department.

Mandatory Child Care
Related To Employment:

The mother, as the other parent represented by this Author, in the proceedings for modification of child(ren) support before Department 2G, Com. Anthony B. Drewry presiding, (Com. H.M. Webster retired in April 2009) against the father as respondent, was willing to split monthly children care costs of $1,056.00 (at $88 per week per child).

But the father objected to child care costs and yet asserted that mom should be working. But mom has three children, 10, 9, and 7 years of age, and a fourth child, 1 year old, with another partner, who is living with mom and the four children.

With four young children, mom is a full time homemaker without time to look for work, nor study, nor train for work, nor actually work. Should the rule on child care costs be changed to provide child care costs to allow mom to look for work and hopefully find work?

Indeed, Section 4062(a)(1) of the Family Code provides for child care costs as mandatory add-on, if “related to employment or reasonably necessary education or training for employment skills” of a parent.

Pros and Cons On Changing
Child Care Rule:

The proposed change in child care costs rule is for the non-custodial parent to provide child care costs to allow the not-working custodial parent to look for work for a reasonable length of time.

Otherwise, the rule perpetuates the status quo, with mom unable to pursue her work or career development, and dad liable for more non-custodial parent’s basic child support according to the Family Code guidelines.

If mom is able to work and earn income, she would be able to contribute to child care costs. And dad’s basic child support payment would be lessened due to mom’s income according to the guidelines.

On the contrary, if the rule of no child care costs for a non-working mom is retained, mom would be a better child caregiver than any other care-provider unrelated to the child. And the dad would not be burdened with paying child care costs in addition to the basic child support payment.

Child Support
Deviation Guidelines:

The guideline formula for computing basic child support is stated as an algebraic formula in Family Code Section 4055(a), as: CS=K[HN-(H%)(TN)]. CS= child support amount; K= amount of income to be allocated for child support as stated in Family Code Section 4055(b)(3); H%= percentage of time the high earner parent has or will have physical custody of the child, compared to that of the other parent; and TN= total net monthly disposable income of both parties.

As a matter of practice, California family law courts arrive at the basic and additional child support payments by using the DISSOMASTER software, where relevant entries from the Income and Expense Declaration of each parent are entered, pursuant to standards contained in California Rule of Court 1258 (renumbered Rule 5:275).

After the formula child support is computed, the court may deviate from the formula amount of support by considering one or more of the five codified factors of: (1) parties’ stipulation to a different amount of child support; (2) deferred sale of family residence whose rental value exceeds mortgage payments, homeowner’s insurance, and property taxes; (3) parent’s extraordinary high income and formula amount of support exceeds needs of the child; (4) non-contribution to needs of the child commensurate with the parent’s custodial time; and (5) special circumstances causing application of the formula to be unjust or inappropriate, stated in Family Code Section 4057(b).

Mandatory and Discretionary
Add-ons To Child Support For
Child Care:

Family Code Section 4062(a) states the two (2) mandatory add-ons to child support, as “(1) child care costs related to employment or to reasonably necessary education or training for employment skills” of a parent; and “(2) reasonable uninsured health care costs for the children.”

And the two discretionary add-ons under Family Code Section 4062(b) are: “(1) costs related to the educational or other special needs of the children;” and “(2) travel expenses for visitation.”

The aforesaid add-ons are considered additional support for the children; and such child care costs may be apportioned one-half to each parent, or a different apportionment, if requested by either parent, in proportion to their net disposable incomes, pursuant to Family Code Section 4061.

Conclusion:

Whether mom or a custodial parent can get child care costs pursuant to Family Code Section 4062(a) and (b) depends on whether the child care costs are mandatory or discretionary add-ons to basic child support.

As mandatory, the Family Law Judge or Commissioner has no discretion not to grant child care costs related to employment or necessary education or training for employment skills for a parent and uninsured health care costs for the child

As discretionary, child care costs related to educational or other special needs of the children and travel expenses for visitation, the Judge or Commissioner may decide one way or the other, as long as no abuse of discretion is committed.

Finding the right way to care for aging members of the family can be tough job. There are a variety of online resources for researching your options so you can make a choice that will benefit everyone.

The aging of America has led to a booming industry providing for the care of our seniors. It has also led to difficulties with Medicare and dire threats of the collapse of Social Security. What is important however is that the medical establishment has responded in a variety of ways to support the special needs of people in their final years.

The omnibus site provided by the Department of Health and Human Services is. This site provides a thorough selection of choices for locating eldercare services in your community. The site is multilingual and provides both online support and phone numbers that can be utilized.

A sponsored site with good information can be found at. It is sponsored by QuietCare, a security warning device for seniors living at home. Nevertheless, the site has a good collection of “how to” articles for both seniors and those family members who feel charged with guiding them through the lifestyle changes leading to eldercare.

An extremely well organized site that provides the same guidance and a library of other online resources is at. This site takes the caregiver from first steps right through facility selection and legal issues. Perhaps the most valuable portion of the site is a list of related online sites, broken out by category. Divisions include Assisted Living; Food and Nutrition; Legal Issues; Equipment and Personal Health Supplies; Financial Issues; and several others. For each of these categories the site provides a dozen or more major web sites as references. A few are commercial; more of them, however, appear to be sites put up by professional associations in the industry or non-profits that give unbiased recommendations on resources.

There is a National Long Term Care Ombudsman Resource Center (ORC) established and supported by the Federal Government. This organization is an excellent starting point for localized resources. You can click on a map on their web site and select a state where you’ll find listings for such offices as the State and Regional Ombudsmen, Office of License (where you can check on Long Term Care facilities); Medicaid Fraud Control; and so forth. The site is located at.

Ancillary issues facing our senior population today is what sort of long term care insurance is best for them, and the question of whether or not they should pursue home equity conversion, a “reverse mortgage,” to finance their final years. There are increasing numbers of online resources relating to both these areas.

One site that covers both issues and several other related matters – such as wills, trusts and powers of attorney; assist technology and remote monitoring – is the National Care Planning Council’s Guide to Long Term Care Planning at. The site includes 35 in-depth chapters totaling over 670 printable pages covering virtually all areas of long-term care planning. It also provides numerous lists of care providers, advisers and specialized services in four categories of care needs. For the role of Medicare in Long Term Care, go to the government site at.

Finally, the AARP provides some basic information on reverse mortgages at. HUD has a reverse mortgage program that is insured by the FHA and is outlined at. Reverse mortgages are expensive, and not without complications. The FHA insists that reverse mortgages on loans they’ve insured not be provided without a counseling session between an FHA or HUD professional and the homeowners.

Ava has flute lessons at 4:00. Dad has a doctor’s appointment at 5:00. And you have no clue what you’re going to whip up for dinner. As a member of the sandwich generation-those who care for both their children as well as their aging parents-you’re in a unique situation. You’ll feel stress in your mind, your body, and even your pocketbook. This guide will help you assemble an eldercare solutions team that can make you feel a little less sandwiched.

Non-medical in-home care
In-home care providers are a favorite solution for many children caring for aging parents. These companies offer a wide variety of services designed to enhance to help your parent in the tasks of everyday living. Professional in-home care can provide assistance with bathing or toileting. They can also perform light housekeeping, such as changing linens or unloading groceries. What’s more, these companies offer companion eldercare solutions services. That means Dad has someone to play checkers with while you’re at a day-long conference.

Adult day care and other senior activities
From day trips to the local tourist trap to water aerobics, you can find a number of local services to keep Mom or Dad active. Church groups and social service agencies are two good sources for activity-related eldercare solutions. Your local agency on aging can also provide a list of resources for you to contact.

Family and Friends
Many of us have a circle of family and friends-and when it comes to caring for aging parents, it’s important to tap into that resource. Have a family meeting to decide how each person can help. Maybe your retired Aunt can become Mom’s taxi service. Perhaps your spouse can take over cooking one night a week. Teens can take on responsibility, too, by picking up prescriptions or taking over one of your typical household chores.

Even if your family consists simply of you and your aging parent, you can still find solutions to make your life less stressful. For instance, ask a neighbor to watch a movie with Dad while you slip away for dinner. If help with household stuff will help make caring for aging parents easier, ask a church youth group if they’d be willing to trim the fire bushes. Have a neighbor with a ladder? Exchange a home-cooked meal for clean gutters.

Professional Services
Caring for aging parents comes with a price tag, especially if you’re part of the sandwich generation. Experts estimate it costs more than $16,000 a year to pay for child care and elder care. That’s why it’s important to enlist the help of professionals who can help guide you through the numbers. Consult a financial advisor who has experience in eldercare solutions.

Remember to ask your parents about getting legal advice regarding living wills and medical powers of attorney. Putting these documents into place now, when your parent is still relatively health, can save the family future heartache and conflict when a serious illness strikes.

Don’t let the stress of raising children and caring for aging parents take its toll on your life. By planning and finding the right kind of help, you can find an eldercare solution you and your aging parent can live with.

Your parents need more help than they’re willing to admit. They bristle at the thought of elder care services and independent living programs, and they have fired all the in-home helpers and housekeepers you’ve hired for them. How might you prevail upon them to accept some assistance? Ask them about their pets.

They surely want the best for their animals and might be willing to let somebody take their dog for an occasional romp or change the litter box a couple of times a week.

Pet owners often make decisions about their own health and circumstances based on the impact the decisions would have on their pets. “I can’t go into the hospital over night for the test the doctor ordered-who would feed and walk Fluffy?” Your parents might welcome assistance that would make it easier to keep the animal at home and in good health and spirits. And, accepting help for the pet is easier than admitting you need help yourself. Still, help is help, and accepting help for the pet is a face-saving way to ease in to help for oneself.

There are various dog walking and pet sitting services, and some are fully bonded and insured. Local animal shelters and veterinary practices have referral lists. Neighbors with pets probably have recommendations too. A responsible teenage neighbor looking for pocket money might also be a good resource.

When was the last time your parents’ pet went to the vet for an exam and shots? Getting an animal into a carrier is hard enough for many pet owners in the prime of their-and their pet’s-life. It may well be impossible for your parents to catch the cat, put it in the carrier and carry the carrier to the car they shouldn’t be driving anyway.

The way to make assistance tolerable is to get clear and detailed information about what your parents want help with and how they want to be helped. Starting with a topic they’re willing to consider, help with a trip to the vet, you can follow this good experience with others like help with shopping and eventually with in-home help.

Do your parents want help with:

• Walking the pet
• Feeding and watering the pet
• Cleaning up after the pet, inside or out
• Getting the pet ready to go to the vet
• Taking the pet to the vet
• Staying with the pet if your parent is out of town or in the hospital?

No matter how experienced the provider of eldercare services is, he/she cannot anticipate each client’s preferences and may not ask in sufficient detail to get adequate information. Use these questions to help your parents get clear on exactly what they want help with and how they want to be helped, and to train the helper so he/she can provide elder care services they will accept.

Natural health treatments are best treated when the whole of you is taken into consideration. Typical health treatments isolate parts of you, dealing only with your eye, your big toe, you digestion, etc. But how can this make sense, bearing in mind the whole of you is all connected?

Let’s look at a more efficient way of considering the whole of you in your treatment.

Consider shock. Initially this can cause an increase in your heart rate, make you sweat more, make you extremely anxious, agitated and restless. Your body is preparing you for flight – to flee from a potentially dangerous situation. However, often shock comes after the danger has passed, such as in a bad accident. Fleeing is no longer necessary, although it would have resolved the shock.

This unresolved shock remains in your system forever, unless it is energetically treated. This can lead to ailments such as high blood pressure, panic attacks, heart conditions and other serious health issues.

But by resolving the shock with an energetic health care modality such as homeopathy, the related health issues are also resolved.

Homeopathy works at an energetic level, which is highly appropriate given that you are an energy being. Many people find this concept hard to understand, in this current climate where the focus of ill health is on the physical, or outside forces. However, natural treatments as a whole, and homeopathy in particular, understand that this is a very limited way of looking at health. And normally, an ineffective one.

It does mean a change of mindset. But given the fact that worldwide health is at an all time low even, or perhaps especially, in those countries where medicine has never been more available, it may be a long overdue change.

For floor surfaces, real wood has several restrictions as a result of the natural attributes of solid timber. Expansion and shrinkage of wood from dampness and temperature variation sets quite a few sizing constraints on timber flooring. Usually, 5 inch broad and 34 inch thick panels would be the biggest which can be constructed from hardwood without diminishing the construction of the flooring surfaces, although some companies make broader planks utilizing exclusive milling procedures. There is certainly no common measurement that will work well in each and every setting. For modern design methods, the most important attribute of wooden floors is they are usually not advised to get installed directly above cement. Wooden flooring services will be able to give advice on this.

Hardwood floors can come in a wide array of sizes and designs, with every plank created from real timber and machined from one section of solid hardwood. Hardwood floors have been initially utilized for structural requirements, getting fitted vertically with respect to the timber support beams of any building. Contemporary building methods now seldom use solid wood building supports, and timber floors are utilized mainly for their looks.

It is not easy to compare and contrast in generalities wooden floors to manufactured wood flooring, because there is an array of manufactured wood floor qualities. Manufactured flooring surfaces generally are pre finished more frequently than real wood floors, and in most cases are given with bevelled edges, impacting the look. There are various restrictions on hardwood giving it an increasingly reduced range of use. Hardwood must not be mounted immediately above a concrete floor, ought not to be put in basements, and it should never be utilized with under floor heating. Hard wood is additionally commonly restricted in plank breadth and it is much more vulnerable to spacing, crowning, and cupping, with increased plank size.

Manufactured timber flooring has several advantages over real hardwood, over and above dimensional stability and widespread use. Trademarked installation techniques like Fiboloc, provide speedier set up and uncomplicated replacement of planks. Engineered wood also enables a ‘floating’ assembly’ (in which the panels will not be attached to the floorboards beneath or to one another), additionally improving simplicity of restoration and decreasing set up time. Generally manufactured wooden sections are lengthier and broader than solid panels. The surface areas of solid and manufactured floors share the same qualities of hardness and sturdiness. Contacting wooden flooring services will provide all the details of the best floor choices.

Working With Different Vehicle Transportation Services

Often, when you’re moving, you’ll need the help of vehicle transport services. You’ll find that vehicle transport companies can be a real help to people who can’t figure out how to get multiple vehicles to their new home. You actually have a pretty good choice of ways to achieve cross country auto transport.

First, Ask for Quotes

The first step to ship a car is to get vehicle shipping quotes. When you do this, you should get vehicle shipping quotes from at least 3 different car companies. This gives you the power of comparison shopping between the vehicle companies. This will help you get the best deal for each cross country car transport you consider.

Check Delivery

The car transport company can’t issue a guaranteed delivery date, according to federal law. In fact, if you get a one week window for delivery, especially with cross country auto transport, you’re lucky.

Seeking Discounts

If you will ask the vehicle transport services which days are best for shipping a car, you may be surprised by the discount you can receive. The car transport quotes consider only the amount of time needed to complete cross country auto transport, rather than the easiest days for them to move your vehicle. Many times, you’ll find that car transport companies like to move cars on a certain day for local vehicle moving, or a certain time during the week with cross country auto transport. This is because the vehicle transportation companies know the local traffic patterns, and if given the opportunity to plan around predictable heavy traffic, you may get a discount. For instance, the car transport companies know if there is a tourist attraction along the route, and may be able to plan to go through that area on a weekday rather than a weekend, saving hours of transit time.

You can also spare your budget with cross country auto transport if you don’t use your car for cargo shipping. Transport services must consider the weight of your vehicle when planning the cross country car transport, and if you overload it with household belongings, it may make the load too heavy. At that point, the car transport companies charge more for hauling your car. If you’re using a moving van, anyway, see if you can get all of your belongings on the van, instead of paying the vehicle transport services to move items that could go on the van.

Packing Your Car

Should you choose to pack your car, anyway, the transport companies will have a list with details of items prohibited from shipment in your car. The list is a long one, and many of the items the vehicle transport companies refuse to transport seem obvious to some people. You can’t, for instance, ship guns and ammunition, or explosives in your car if it is on a cross country car transport.

The troubling thing about this list is, that car transport companies wouldn’t have to make those rules unless someone had tried to ship those very items.

Following the basic guidelines for transport will make your life a lot easier. A person’s vehicle is important to them and should only be trusted to a competent auto transport companies. After doing the homework to find solid vehicle transport companies your car or truck will be transported within your state of with cross country auto transport.

You are one of many people who really want to look taller. You have tried almost everything to make you look taller, but they’re all failed. Well, if you are described by these sentences, just don’t give up your hope. Many people just don’t know that there are some fashion styles that can make you look shorter. So, this article will show you the way to look taller, and trust me, it’s easier than you think.

Before talking about the fashion styles as mentioned, there is something that you should learn about your bone health. Do you ever know that your bone health has a big effect to your height? Well, it has. So, frequently exercise is important, along with having a good food. Avoid doing this can make you shorter than before, really.

Well, you have the right to think that this is impossible. Since when we are first born, we have only gristle, not solid bone. But, as we are growing, this gristle fortify to form solid bones. And when we are teenager, the end of our long bones are plated by the growth of gristle. This helps our growth spurts.

However, if you don’t have any good foods during these important years, you actually can suppress your growth. So, which is the food that I am talking about? It’s easy. Just try to eat foods rich in calcium, amino acids, calories, and protein. This is to make sure that you can grow as much as you can. Especially, when you are teenager because this period has a lot of changes that is important.

When you get older, your bones get weaker because of the lack of exercise and having poor foods. Besides, your bones start to shrink because of the low level of calcium. So, having a good food will keep your bones strong and healthy. Don’t forget to regularly exercise also. This can be helpful too.

Now, it comes to the fashion as previously stated. If you want to look taller, try to wear darker or solid colors clothing, since it covers your waistline. Do not wear white shirt with black pants because this will emphasize your middle. In addition, wearing vertically striped clothing can help looking taller. For women, if you want your legs to look longer, try wearing vertical striped stockings.

Why not use your health insurance for counseling? Isn’t that what it is for?

Perhaps.

But using health insurance for mental health services is a little different than other medical issues. Sometimes mental health issues are not covered by your health insurance. Once you use your health insurance for mental health, you will have a mental health diagnosis on file – a mental health disorder/mental health illness must be on the insurance claim in order for insurance to pay for treatment. This will be in your permanent medical record.

Of course you want to consider using your health insurance for counseling, but there are some good reasons for you to consider why you may not want to use your insurance for counseling services.

Why doesn’t my counselor accept my health insurance?

Many counselors choose not to accept health insurance for very good reasons. They want to focus 100% of their time in treating you. If they accept health insurance, there is a lot of extra work involved in accepting insurance, in addition to agreeing to work for a discounted fee. The counselor may spend hours on the phone getting benefit information, authorizations, or following up on claims payments. The counselor has to wait a month for payment from the insurance company. The counselor has to file progress reports with the insurance company. The counselor is required to submit treatment reports and other details about your medical history with the insurance company.

It’s not that counselors don’t like insurance companies, or don’t want you to use your insurance (we have health insurance too!), but many counselors prefer to focus 100% of their time and energy in helping clients, rather than doing paperwork for insurance companies.

But this isn’t the only reason counselors may not be in network with your health insurance company.

The other reasons are more compelling, and you need to consider them BEFORE you decide to use your health insurance.

Many counselors prefer not to work in network with health insurance companies so that they can better protect your confidentiality. Any information (claims, reports, or treatment plans) filed with health insurance leaves the protection of their office and their locked files and your personal, private, emotional information is outside of your counselor’s office. In order for any insurance company to reimburse or pay for counseling (both in network and out of network), you must be considered “ill”. You must be diagnosed with a mental health illness or disorder. If you are not ill enough to warrant a diagnosis, then insurance will not pay for counseling services. If you do qualify for a mental health diagnosis, your illness will be listed in your permanent medical record. Many counselors don’t like this “medical model” of declaring someone ill, so they choose not to accept insurance because they want to focus on their client’s strengths, and not label them as mentally ill.

Do you want to be considered mentally ill? If you have a mental health diagnosis already, because you have been to counseling or psychiatric appointments in the past, find out what your diagnosis on file is. If you already have a mental health diagnosis, this may not be a concern to you, but if not, you may not want this in your medical record.

Counselors also do not like releasing information to others to protect your confidentiality. Once a claim is submitted to the insurance company, who knows how many people take a look at it and rubber stamp it while it travels through the system? If insurance pays for any counseling sessions (in network or out of network), then the insurance company has the right to audit your complete file. They can request copies of counseling notes, assessments, and other personal emotional information to determine if you really are “sick enough” to warrant their payment. They can deny services to you if they think you aren’t sick enough or if they think your counseling is not “medically necessary”.

Additionally, there are many counseling issues that are not even covered by insurance at all. Stress management and anger management are usually not covered. Marriage counseling is usually not covered. Certain medical conditions/mental health conditions may be excluded (such as attention deficit disorder or adjustment disorder). Even if your illness or disorder is covered by your insurance plan, they may limit the number of visits they will cover (sometimes only 20 per year), and they will set a maximum amount they will pay per calendar year or in your lifetime.

Additionally, counselors prefer not to have someone in the insurance company telling them how to treat their clients. Insurance companies can decide what type of counseling is covered, what diagnoses are allowed, and how many times the client needs to come before they are cured. Many counselors prefer to work directly with clients to serve their needs, without interference from an insurance company.

Using your health insurance for counseling services can also affect your security clearance, life insurance rate, employment, or future health insurance coverage.

For the above reasons, I recommend that you be informed about using health insurance for counseling. You may choose to file anyway, but be an informed consumer.

  • Be an informed consumer.
  • Know your mental health diagnosis.
  • Talk to your counselor about the diagnosis.
  • Ask your counselor about your treatment reports.
  • Decide if you have, or want to have, a psychiatric illness.

If you have clinical, severe depression, anxiety, or other issues, then you probably already have a diagnosis.

But if you are stressed, having relationship problems, or trying to figure out your purpose in life, your symptoms may be minor, and you may not want to have a mental health diagnosis in your records.

Once an insurance claim is submitted to your health insurance company, your diagnosis becomes part of your permanent medical record, and can affect future life insurance, preexisting conditions, or the cost of private health insurance.

Classic home furniture styles endure the test of time. While trends come and go, the materials, construction, lines and proportion of classic furniture ensures that the styles will retain their popularity. Decorating a home in classic designs gives homes a look of permanency, history, and tradition. Here are several house furniture styles that have become classics in interior design.

English Style

The English style is a collector’s dream-come-true. The look features armoires, curio, and china cabinets to showcase collections, frequently those of glass or china. Wood is the prominent material in homes decorated in the English style, from paneled walls and wood flooring, to wood living room furniture and wood-framed bed canopies. The English style also features upholstered furniture in fine fabrics, often with plaid, paisley, striped or floral patterns.

The color palette for the English style includes strong, saturated colors like crimson, forest green and navy blue, as well as a heavy use of gold and golden yellow. Dark wood is favored over lighter woods like pine and oak, and the strong color palette helps balance the deep, rich tones of mahogany, walnut, and cherry. The scale of a large English manor is reflected in a modern use of the style with an oversized mirror, chandelier or floor-to-ceiling window treatment.

French Provincial

French Provincial furniture is influenced by the ornate style of the French Court of the 1600s and 1700s, as interpreted by the period’s less affluent merchants and peasants. The scale, lines and proportions of the home furniture echo those of Louis XIV and Louis XV, but with a decidedly country feel. French Provincial furniture has a handcrafted look, with a heavy use of cane and wicker. White painted furniture also suits the French Provincial style. Strong blues and yellows are popular, as are more muted shades like terra cotta and rose. Home furniture stores may refer to this style as French Country.

Romantic Style

While the Romantic style does not encompass a particular historical period, due to its enduring charm and appeal, the look has achieved classic status over time. A predominant use of fabric dominates home furnishings in the Romantic style. Textiles can include rich, textured fabrics like brocade, but most often feature lighter fabrics, such as silk, lace and chintz. Painted furniture with smooth, arcing lines are popular choices for the style, as is furniture upholstered in floral patterned fabrics. Pastels comprise the Romantic style’s color palette, with white used as a unifying element.

Both online home furnishing retailers and home furniture stores offer a variety of classic furniture designs. When shopping for classic home furniture styles, identify the style by its characteristic use of material, textile and line, to ensure that the furniture you buy best reflects the style’s signature look.

Just like welding, cutting is also an important process in heavy duty industries. Cutting is an important procedure as the accuracy and the clean finish is important for any process. When a metal piece of solid thinness is cut, the cutter must make sure that the machine used to cut is as efficient to make a clear cut without any chip or cracked finish. Same ways metals sheets of thinner thickness must be handled carefully. Therefore the importance of a proper cutting machine is equally significant just like a welding machine. Among the other cutting machines, Oxy Fuel Cutting Machines are one of the latest, and let’s see about them in brief in this article.

Oxy fuel cutting is one such procedure which makes use of pure oxygen for the purpose of cutting metal sheets like that of steel. The point behind the procedure is the oxygen that reacts with the steel; this is where the reaction happens which gives rise to iron oxide. The combustion process happens with the help of fire, which actually heats the steel to a high temperature, which is calculated to be just about 1800 F. The 1800 F is the temperature at which the pure form of oxygen used in the Oxy Fuel Cutting machine is made to flow in a steady stream and this reaction is the one that creates the perfect cut.

Oxy Fuel Machines are nothing but metal cutting machines that work according to the above procedure by having oxygen as their fuel. The important point to note down in this method is that. These machines take help of the high-velocity, high-temperature that the oxygen gas gives when heated. The cut is actually made because of the ionized oxygen gas which falls out of the nozzle of the welding machine at a very high velocity. The velocity of the ionized gas is the force that is behind the necessary heat that is provided to melt down the metal sheet. The perfection of any cuts made out of this Oxy Fuel Machines is too high and is the main reasons why technicians prefer these machines for cutting steel metal sheets.

It is not that we have just one single model of Oxy Fuel Machines in the market. There are several kinds of Oxy Fuel flame Machines that are available in the market these days and each has their own specialties. Portable cutting equipment or plasma cutters, shape cutting machines and profile cutting machines are some of the Oxy Fuel flame Machine. If you were thinking that the Oxy Fuel flame Machine are fit only for cutting steel, then you are wrong, you can even cute electrically conductive metals such as aluminium and brass with the help of these machines. As the perfection of these oxy fuel machines is higher they are widely available as shape cutting machines. These shape cutter machines are in general used for the purpose of cutting metals into varied shapes as we desire like circular, flanges, squares, rectangles, straight line and much more.

Banks manage financial assets and the success of that management is dependent on the capabilities of the persons who manage those assets.

Therefore growth in this sector is dependent on effective management and leadership capacity and dominance in retail services is directly related to the expansion of the branch network through which the bank’s retail products and services are distributed.

The central departments or bank headquarters form the nerve center of the bank by providing direction, developing new products and services, handling high value investments, treasury management and credit activities. However, it is through the network of bank branches that the retail services developed by the central marketing function are distributed. The network of branches acts like the five senses as well as the arms and the legs of the body by sending critical information from the field to the central departments and executing the corporate strategy by successfully linking the needs of the public to the products and services developed to meet those needs.

The quality and the quantity of that exchange between the branches and the central departments have a great impact on the ability of the bank to leverage its products and services in the market. Simply put, the branches are the points of sales for all the retail products and services developed by the bank. Even though sophisticated, high-value products and services are facilitated by the central departments concerned, the ‘retail services’ are the ‘Cash Cow’. A bank’s ability to expand its branch network through which its products and services are distributed is therefore critical to its growth and profitability.

The question arises – “What is that growth dependent on? And the answer is – “It is dependent on the human capabilities available in the form of individuals who have the skills, the knowledge, the experience and the personality to successfully manage newly established branches. Herein lies one of the major challenges faced by many banks: Their need and their readiness to open new branches both in the home country and abroad is frustrated by the scarcity of individuals who are genuinely capable of successfully launching a new branch or ‘turning-around’ an existing branch.

The purpose of this article is to explore some of the reasons for the scarcity and to suggest some things that can be done about it the in the short term and in the longer term.

8 Challenges and 8 Possible Solutions

Challenge 1: There is no training and development program designed specifically to prepare individuals to move from ‘competent employee’ to ‘competent branch manager’ with the requisite leadership skills.

Solution: Identify individuals with leadership potential as early as possible in their careers through various activities and through multiple sources and methods. For example, if ‘leadership’ is identified as one of the core competencies of the bank and it is fully integrated into the appraisal system at all levels, there will be regular feedback through the performance appraisal system. This feedback can be further validated through regular Assessment and Development Centers designed to identify talent in various areas. Once identified, a clear career path should be presented to these individuals and a systematic development program applied to ensure that we not only identify capable individuals but that we retain them. A clear career path with well defined requirements for moving from one position to another contributes very strongly towards the retention of ambitions and talented leaders. When linked to ‘Succession Planning’ there will also be a timeline that ensures adequate preparation for successors and minimal disruption of work due to sudden departures.

Challenge 2: The competition for talented individuals who have the potential to lead is very high because the demand far exceeds the supply. This increases cost because salary levels have to be raised in order to attract and hopefully keep the best talent.

Solution: Recognize that intelligent and talented individuals are looking for something more than just the salary. So make your bank one that attracts the kind of people you want. Intelligent individuals with leadership capability are looking for a credible organization where they can grow and where they are given the opportunity to contribute as well as enjoy the fun and challenge of working in that place.

Challenge 3: The type of person who is good at managing the branch operations and attending to all the administrative details may not necessarily be good at leading and managing a bank branch from a commercial perspective. Therefore the assumption that it is possible to promote the operations manager to branch manager and then bring someone up from the ranks to handle operations is simply not valid.

Solution: Recognize that ‘Work Preferences’ are an even more powerful predictor of job satisfaction and productivity than academic qualifications and experience. ‘Work Preferences’ must be measured, understood and built into career management and staff retention programs. A person who is good at one thing may not necessarily be good at another. The ‘Work Preferences’ that make a good operations manager are the exact opposite of those that make a good branch manager. When Operations Manager and Branch Manager positions are filled with individuals whose ‘Work Preferences’ are congruent with their skills and their roles it leads to complementary. This increases to a high degree the potential for a great performance. Therefore ‘Work Preferences’ should be factored into the recruitment, selection, career planning, talent management, and succession planning and retention programs of the bank.

Challenge 4: The ‘Critical Success Factors’ for the position of Branch Managers need to be redefined so they reflect current market realities. The branch manager certainly needs to have a solid foundation in the banking know-how that brings the highest revenues to the bank – Credit and Trade Finance. There are far too many branch managers that are not really able to discuss business affairs with their more sophisticated clients in a satisfactory manner. Moreover, many are also unable to adequately coach their staff on the effective preparation of credit files or trade finance documentation and credit.

Solution: Develop a rigorous testing and evaluation system in these areas and use it as a pre-requisite for promotion to the position of Branch Manager. In other words, if candidates for promotion to the position of Branch Manager are unable to pass a knowledge test and a practical skills assessment, they will have to develop their abilities and pass the tests and assessments in these areas before their promotion can go through.

This will contribute to building a sense of professionalism in the sector.

Challenge 5: There is little or no emphasis on the essential ‘soft skills’ for branch management. This includes the effective management of people – inspiring, motivating, developing and challenging them to get the best results. The soft skills are underrated in comparison with banking techniques, whereas they are equally important. Here there are a wide range of skills that are vital to success; the least of which are customer relationship management that goes beyond dinners and lunches or funerals and weddings. Business Ethics is another critical area that must receive attention in light of the recent global economic crisis.

Solution: Develop a set of corporate values and a clear set of interpersonal and managerial competencies that are ingrained into the psyche of every employee through an ongoing coaching and mentoring program. Train and develop your managers so that coaching and mentoring is part and parcel of their daily routine. As they communicate these values and build the competencies into daily behavior, they will contribute to the creation of a new corporate culture where those who do not fit will move out and those who do will move up. This will increase the supply of better qualified candidates for leadership and managerial positions.

Challenge 6: Many think of the Branch Manager as a Public Relations Officer or a Liaison Officer facilitating the exchange of documents and information between the central departments and the branch. In fact many banks have designed the job of the branch manager so that he or she is no more than an informed ‘button clicker’ authorizing transactions through the bank’s operating system. Certainly the ‘control’ function is a very important one and one that cannot be relinquished. However, it has to be considered in light of the role of the branch manager and the optimal utilization of capacity.

Solution: Answer the question of what exactly is the role of the branch manager and what is the most valuable contribution that such a manager should be making. Unless this question is discussed in depth and in light of the future strategy of the bank the role of the branch manager will remain vague and will by necessity be defined by the personal preferences of the individual occupying that position. Those who like dealing with people will become Public Relations Officers, those who like dealing with things and with numbers will become Controllers, those who like ‘challenges’ will become Demanding Bosses. Each role has its merit but the bank needs to decide which role it wants to emphasize and to select its managers accordingly. The important thing is that the decision must be aligned with the banks corporate strategy for growth and expansion.

Challenge 7: From the branch manager’s perspective the question always arises: “Do I have any real power or authority within this centrally controlled structure?” There is no doubt that there are those who will take charge and confidently communicate with the central departments and get the support they need and there will be those who perceive themselves as waiting for orders and are therefore not really responsible in the final reckoning.

Solution: This relationship needs to be considered and clearly defined including the identification of the inevitable ‘grey areas’. Some individuals will be able to rise to the occasion but are waiting to be invited or to be told that they do have permission of the ‘powers that be’ to interact assertively and openly with the Central Departments. They are on the same side.

Challenge 8: Branch Managers also ask: “Where do I go from here? What is my future? Do I remain a Branch Manager for the rest of my life?”

Solution: The answers to these questions are critical to attracting suitable candidates for the position. This is also linked to the role we want our branch managers to play. Are we looking for ambitious entrepreneurs with a solid ethical grounding who are prepared to go after promising opportunities? Or are we looking for ‘button clickers’ who will scrutinize the details, follow the rules and religiously adhere to procedures? Or are we looking for someone who enjoys being a Public Relations officer and gets along really well with people but lacks the solid banking knowledge that will yield high returns from these customer relationships?

This is an important decision as it will determine who you get to fill the position. If you don’t want to settle for taking the first ‘okay’ candidate, a decision must be taken.

Looking at these Human Capital challenges and solutions leads us to propose two main courses of action. One is to make the most of the current situation and the other is to be better prepared for the future. Below are the details on both approaches.

Short Term Human Capital Investment:Take advantage of the current crisis to recruit the talent you really want and to build a pool from which to choose in the future. In the Harvard Business Review you will find steps of consideration to ensure that when you do hire, you hire the right person, at the right time, with the right skills to ensure that when you need specific outcomes, your people are able to deliver.

Hiring Top Executives: A Comprehensive End-to-End Process

1. Anticipate the Need

  • Conducting ongoing, proactive analysis of future needs.
  • Continually evaluating the pool of potential talent.
  • Developing rigorous periodic forecasts of the company’s talent needs.

 

2. Specify the Job

 

  • Defining the specific demands of the job.
  • Specifying which skills and experience are relevant.
  • Identifying the team the candidate will need to work with or recruit.

3. Develop the Pool

  • Developing a large pool.
  • Including insiders, outsiders, inside­rs, outsiders, and outside-insiders.
  • Considering people on the periphery of the organization (employees in remote offices, consultants, suppliers, customers).
  • Tapping your networks and involving the right external partners.
  • Asking candidates’ peers for nominations.

4. Assess the Candidates

  • Using a small number of high-caliber, well-trained, properly motivated interviewers.
  • Employing rigorous behavioral event interviews.
  • Conducting detailed reference checks.
  • Including top stakeholders in candidate assessment.

5. Close the Deal

  • Demonstrating active support for the candidate’s interests.
  • Describing the job realistically.
  • Involving the hiring manager personally, not just HR, in closing the deal.
  • Ensuring that compensation is fair to other employees.
  • Involving C-level for top positions.

6. Integrate the Newcomer

  • Using veteran top performers as mentors.
  • Making sure the newcomer checks in regularly with boss, mentor, and HR even when no problems have arisen.

7. Audit and Review

  • Removing bad hires within the first year.
  • Regularly reviewing recruiting practices.
  • Identifying and rewarding excellent interviewers.
  • Holding all assessors accountable for the quality of their evaluations.

Source: Fernandez-Araoz, C, Groysberg, B and Nohria, N 2009, ‘The Definitive Guide to Recruiting in Good Times and Bad’, Business Harvard Review, vol. 87, no. 5, pp.79.

Long Term Human Capital Investment:

Identify, develop and retain top talent by using a number of structured and unstructured innovations in ‘Talent Management.’

Build Your Own Talent Pool

Forward-looking Banks today realize that what limits their ability to expand and develop retail operations is the availability of qualified managers to head new branches. The absence of an effective second or third line management layer within a bank means that the bank will face a succession crisis if there isn’t a swift and effective response to this reality.

The challenge is how to make sure that the right persons have been selected and that the path of their development and training will be one that properly prepares them to carry the bank into the 21st century. More importantly, will these individuals be ready to respond to the impact of the political, legal / regulatory, environmental and social changes in the world and in the region? Will they be prepared to handle the reality of borderless financial markets and the ever-increasing pace of technology driven change?

There is no doubt that banks already have or are actively recruiting high potential individuals to lead their banks into the future. The problem, however, is how to accurately identify and accelerate the development of these high potential people so that they can get to where you need them to be in 1 or 2 years instead of five or ten. The second challenge is how to retain them.

These are the challenges that this Bank Branch Manager Accreditation program addresses.

CRITICAL PROGRAM SUCCESS FACTORS

This is an ambitious program and dictates that we proceed with full awareness of the necessary conditions to ensure success.

  1. Full support and or commitment from top management.
  2. Selection on merit and competence so that the investment is made in the right people and the program is perceived as credible.
  3. Selection on merit and competence so that the investment is made in the right people and the program is perceived as credible.
  4. Address the expectations of all stakeholders to prevent misconceptions regarding the outcomes of the program.
  5. Develop a supportive succession and retention plan for those in the program and those directly impacted by them.
  6. Set a realistic budget for this project and demonstrate the high return on investment.
  7. Give the program the optimal time for successful implementation.

OBJECTIVES

The main purpose of this program is to prepare successful individuals to fit smoothly into the role of future Branch Manager of fast-growing banks that have a regional and or international client base. This will involve a number of subordinate objectives:

  1. Train and develop future Bank Branch Managers quickly, effectively and economically.
  2. Use techniques that will bring out the best in your staff and help you decide, without a doubt, where each one will perform best.
  3. Ensure that the development program is totally targeted to your bank’s culture and business strategy.
  4. Identify those who can deal with high change and high stress business environments.
  5. Differentiate the true team players from those who do better alone.
  6. Change your corporate culture to reflect the values and competencies that are vital to the future success and sustainability of your business.
  7. Provide real management experience at low risk to you and your staff.
  8. Involve more than one group in the change process to ensure maximum ‘buy-in’ or ownership of the development process.
  9. Increase the supply of qualified candidates and so reduce the risk of poaching by competitors.

The more we know of human nature and the workings of the human brain, the more we realize that the story of our lives is written in every cell of our body and shaped by every significant relationship. The importance of getting the right people in the right place and the right group of people working together cannot be overestimated. The right outcomes will seem to come as if by magic.

This is a critical time for CNBC Fast Money with initial tests being conducted. It was noted that the CNBC rating has plummeted in the past years as cynical stock traders tried to escape the slowly crumbling industry. However, CNBC executives believe that the market is reviving to its old glory, even with the verge of new competition. How can we say that this US financial investing TV programis profitable?

Even though CNBC ratings might have been suffering from negatives, the network is still in high-revenue tier. Take note of its pretax income of about $ 270 million. With the US reserves and economic monitoring will continue to be the meat of financial talk shows, which is really the nature of the network’s plan to entice its viewers. However, this financial TV program is seen to be more appealing to a more natural type of consumerists or those traders who doesn’t give so much fuss about the weak points but just want to try venturing out with stocks and try to be rich. Is stock-picking important to CNBC?

The answer is yes. The kind of stock-picking in CNBC Fast Money is quite sensitive. In the past trading years in 1990s, CNBC received criticisms for including too many members in the panel who sometimes crazily peddling on stocks even without careful analysis. But CNBC defended that they had found a way to offer new responsible programs. However, the primary idea of the show will still revolve around turning money in the shortest period of time. What are expected changes in CNBC Fast Money?

Since news and analysis on financial trends have turned into measly commodity of the financial world, the network has to consider presenting news and financial information in the most innovative way without compromising responsible programming. The executive producers also want to include cultural relevancy on the program by providing access to the viewers and teaching them how to use such information for their stock trading. How could this happen?

Perhaps the secret of CNBC Fast Money is to widen its appeal without compromising its reputation among its advertisers. The network targets Class A and B market to maintain its standing as a major player in the business world. Fast Money TV program is indeed a primary network asset of CNBC. However, programming is in constant change with new ideas cropping up to develop the program and to implement changes. Talk shows and late night shows could be a challenge yet Fast Money is still a major TV phenomenon.

There are some obvious organic gardening tips that most gardeners know, such as using compost and organic fertilizers. These are pretty basic organic gardening tips. However, there are a lot of other tips that are just as easy to follow, but not as well-known. The beauty of organic gardening is that it offers you a safe and healthy way to grow the plants that you want to grow, whether they are vegetables or flowers.

You could try organic gardening tips like using a Toad House. Many people do not realize just how effective toads can be in the removal of insects. A toad can eat 50-100 insects in one night. Encouraging these harmless creatures to take up residence in your garden can severely cut down on your insect problems without the use of chemicals. If you have children, they will love watching the toads in the garden too.

Organic gardening tips like using BEE-Allure™ Honey Bee Attractant can also help to increase the yield from your vegetable or flower garden. These can be even more important additions to your garden since so many honey bee colonies have been dying off in recent years. Honey bees are some of the best pollinators you could have in your garden. Many people worry about bees stinging them, but honey bees will generally not sting people unless trapped. However, for those people who are allergic to bee stings, this option may not be a good idea.

One of the most aggravating problems in your garden is keeping down weeds. You could choose to use an organic weed killing product or you could try Weed Barrier Mat. These mats can prevent weeds from growing between your vegetable rows so you never have to break your back pulling weeds again. Even if a weed killer is organic there is always the chance that it may damage your other plants if used incorrectly. The mats remove this worry.

Organic gardening tips can cover a wide range of issues that you find in your garden. Everything from insects that can damage your plants to better ways of ensuring that your soil is full of the nutrients your plants need. Earthworms are a great organic addition to any garden. They are natural aerators and their castings add nutrients to the soil.

The main reason that so many people are changing over to organic gardening is for the safety of their families. Organically grown food does not have the possible danger of chemical residues that can either be left on the outside of vegetables and fruits or absorbed into them. Chemical products also have a chance of leeching into the ground water that your family drinks. Chemicals can either cause illness or death in wildlife and pets that are roaming where they have been used.

As you become used to organic gardening, you will probably find some organic gardening tips that were not covered here. Most organic gardeners have their own favorite methods of ensuring the safety of the foods they grow.

There is a world of travel possibilities for people with special needs! Where do you want to go? What do you want to experience? With a bit of careful planning and the asking some important questions, individuals with disabilities can find accessible travel options for many exciting destinations worldwide.

If vacation or business travel has been a daunting idea to you or to your family, be encouraged that there many places to explore where special needs can be easily accommodated with your comfort and convenience in mind.

You Have Places to Go & Things to Do

Family Vacations – Travel options abound for families with special needs children. Ranging from amusement and theme parks designed for a number of disabilities or camps that offer programs and accommodations for a broad spectrum of special needs, there are exciting possibilities for making fun family memories! Vacations to Disney World, National Parks, museums, and the like can also be accessible for those with disabilities through the utilization of things like travel wheelchairs, access guides, and travel agents that specialize in travel with disabilities.

Travel Planning for Special Needs – there are a number of companies that specialize in creating group tours, cruises, and individual wheelchair travel options. These companies develop itineraries and travel arrangements that facilitate special needs accessibility. Their travel agents assist in making arrangements and providing the appropriate resources to make your experience an enjoyable and memorable one.

Travel Resources for Special Needs

Travel Agencies & Tour Groups – A number of travel agencies and tour groups that specialize in travel arrangements for people with disabilities have developed over the years. Theses agencies and groups provide assistance in planning and executing vacations for people with a broad range of special needs.

Travel Companions – Whether you require assistance from a companion to manage daily activities or simply want someone to travel with, there are companies that can offer these services. Be sure to search for companions from reputable companies or with credible references.

Accessibility Guides – There are a number of publications, websites, & blogs available to assist with your travel planning. These guides outline destinations, accommodations, transportation, and other resources for traveling with disabilities.

Travel Wheelchairs – The right travel chair can make any trip less stressful and much more comfortable. There are travel wheelchairs that are especially designed for making travel feasible and safe. Look for chairs that are comfortable and durable, but also lightweight, compact or collapsible, and easy to maneuver.

Online Resources:

Disability Travel and Recreation Resources

Society for Accessible Travel & Hospitality

Travelconsumer

DisabledTravelers

Additional Travel Tips

Airplane Travel – Travel by airplane can be a bit intimidating for some travelers, especially if you must travel with a wheelchair or have mobility restrictions. Airlines are required to provide reasonable accommodation for individuals with special needs, but that does not mean you should leave your travel comfort in the airline’s hands. A little extra planning on your part can make for a much more enjoyable airport and flying experience.

  • Plan to arrive two to three hours prior to a domestic flight or up to four hours prior to an international flight to ensure enough time to get through security and make your way to the gate.
  • If you experience discomfort after sitting for extended periods of time, strongly consider selecting destinations where travel times are limited. You should also consider if limited mobility is an issue, restroom use on the plane may be difficult. Some airlines provide small chairs to transport guests to the restroom, but if this is not an option, it would be wise to limit your time in the air.
  • It may be a bit more expensive to secure non-stop flights for your trip, but limiting connections can reduce the stress of navigating multiple airports in a restricted time period.
  • Research the airline and plane ahead of time. Can the plane size accommodate a wheelchair in the cabin? Can you reserve an aisle seat?
  • Individuals in wheelchairs or scooters are subject to thorough searches at the security checkpoints. While it may be a bit uncomfortable and tedious, these searches are to ensure the safety of all passengers.
  • If you require medication or have mobility restrictions, it can be helpful to secure a letter from your doctor to make the transition through security a little easier.

Hotel Accommodations – While most commercial establishments are required to provide handicap accessibility, there are a few things to consider for ensuring a successful hotel stay during your travels. Make your hotel reservations over the phone if possible. If applicable, ask about whether the doors to the rooms are wide enough for a wheelchair and that the restrooms and showers in the room are handicap accessible. Be sure to get a confirmation number for your reservation. For convenience, it is often good to request a room on the ground floor or be sure to verify that an elevator is available.