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.

Prior to new medicine, a long and healthy life was not really that easy to attain, but other people attempted to make sure that they had outstanding chance for success by following superstition. Many superstitions grew over the years around weddings, to bring about the brides happiness in her new house and of course to guarantee her fertility. The colour of the wedding gown was believed fashionably to bring luck to the couple.

White, or a form of white, was, after all always the favourite and symbolised a woman’s virginity and virtue in the face of her imminent change of circumstances. White, though, was not always the favourite choice and was considered not practical for most purposes. Blue (worn by a bride in 1870, whose wedding dress is displayed in the London Museum), with its connection to the Virgin Mary, represented a robust image of purity, which, by tradition symbolised faithfulness and never-ending love (this gave rise to the reason that sapphires were used in engagement earrings). Brides, who wore blue at their wedding, believed that their husbands would be faithful to them, so even when the wedding dress was not blue, they would ensure that they wore something blue on their wedding day. This is where the tradition that has survived to present day, came from.

Another popular colour was pink; this was considered very appropriate for a May wedding. Pink flatters most complexions and is associated with the bride’s girlhood, but a few superstitions said it to be unlucky, as the quote state “Marry in pink and your fortunes will sink”! Mrs Joseph Nollekens was very much considered fashionable in 1772 in her saque gown made from brocaded white silk embellished with delicate crimson flowers. She also wore shoes made from the similar material, which had heels of three and a half inches (approx. 8cm). Deeper shades of red were unquestionably taboo by the Victorian era, with the reference to scarlet ladies and hussies.

One of the most unpopular shades was green. This was thought to be the colour of the fairies, and it was considered bad luck to call the attention of the little people to oneself through a time of change. Green was also linked with the lushness of verdant foliage and it was believed that it could cause rain to spoil the wedding day.

Reminiscent of the days of homemade clothing, any natural hue of brown or beige was once considered very bucolic. And the saying is “Marry in brown you will live out of town” and implied that you are going to be country bumpkin and that you would never be able to do well in the city.

The intense shades of yellow have varied in popularity. During the eighteenth century it was considered THE fashionable colour for a short time and many would wear it for their wedding day, like a bride of around 1774 whose wedding dress is in the Gallery of English Costume in Manchester. However prior to this time yellow had been related to heathens and non Christians and would not be worn in church as it was considered an unholy colour!

A very common colour wedding dress, for brides from lower class families, was grey, mainly because it was a very useful colour that could easily be re-used as Sunday best, being considered extremely well thought-of. Mary Brownfield chose grey twilled silk as suitable, as a maiden woman of 32 years at the time of her marriage in 1842. Grey was associated with women in domestic services during Victorian times, and they would frequently be supplied with a brand new gray dress once every 12 months by their employer. The deeper shade of gray or black was banned, as it was linked with mourning and of course death. As a matter of fact it was once seen as such a loathsome harbinger of bad luck, that in a few places even the wedding guests were not allowed to wear it. A recent widow would adjust her mourning dress for a red gown for the wedding day, to protect the bride. At the same time this deepened the aversion towards red, which was once considered as bridal mourning.

For the brides who were compelled by personal economics into wearing a dress which would soon become their every day wear, would embellish it for their wedding day with temporary decorations. In fact up until the nineteenth century, ribbons were tied into bows or “love knots” and loosely affixed to the wedding dress. “Bride Laces” as they were called would be pulled off by the wedding guests during the wedding reception, and would be kept as wedding ceremony favours, or souvenirs. This practice steadily died out and was replaced with flowers instead. Guests could be given floral button-holes to put on, and the bride may wear flowers in her hair either as a corsage or garlanded around her Wedding Dress, otherwise she can carry them as a bouquet. Myrtle and Rosemary were two of the early favourites. Orange blossom became fashionable in the 1830s. This practice has, in fact, remains to present day – Regardless of how simply dressed; many brides will have included a flower or two somewhere within their outfit! Charlotte Pennell married George Hill in 1910, when she was nearing 40 and never had any intention of wearing a “once only” dress. However she did embellish her fashionable attire with a posy of flowers in her hat and had a matching bouquet.

The “conventional” wedding attire as we now know it now first appeared in the latter part of the eighteenth century. With the beginning of mechanically made fabrics and inexpensive muslins being imported from India and with styles inspired by the classical world, by eighteen hundred a white wedding gown with a veil was fashionable choice. As was usual with fashion, it started in London and soon extended to other cities and eventually to the country villages. This new fashion was given the royal approval when Princess Charlotte wore this style of attire at her marriage to Prince Leopold of Saxe-Coburg in 1816. Queen Victoria in 1840 selected Honiton lace and white silk for her wedding which made it the fashionable rule. Also setting new fashion, the Queen was to be one of the first royal brides to have had bridesmaids carry her train.

Even a bride in the nineteenth century, who decided to wear a white wedding dress, would have expected to wear her dress again. For the season of “bride visits” she would visit close family and friends and as a newly married woman, she would wear her wedding dress, with the decorative flowers and train removed. A more affluent bride might then modify the bodice of the outfit (frequently made independently) and re-trim it for evening attire or for any other occasion. Queen Victoria herself took off the lace overskirt from her dress and regularly used it again, she was to wear it over a black silk gown for her Diamond Jubilee festivities over 50 years later.

Up until the Nineteen Twenties wedding gowns were always in fashion, just more elaborately embellished than standard and maybe slightly more modest than the most daring fashion. During the 20’s however, there was a complete revolution in all women’s clothing, where skirt hemlines rose from just above the shoe to well above the knee. To begin with wedding dress styles followed and brides would show their ankles; however as skirts grew ever more shortened, it seemed that some felt that it was not suitable for services in church and most brides gave preference to full-length wedding dresses. This choice of either following the seasonal fashion or reverting to a full length wedding dress and train led to the devolvement of completely separate style during the twentieth century which would sometimes echo but more often diverge from mainstream fashion (like the Vionnet couture design of 1926).

This change was magnified by the interruption caused by the Second World War due to clothing being rationed, uniforms were everywhere, and light-heartedness was looked down on. At the end of the war, fashion returned and brides were evermore keen to wear long wedding dresses made from sumptuous fabrics for their wedding day. This trend took place irrespective of the growing popularity of casual wear, easy wear apparel and trousers for women. As fashion has developed into a more at ease and sporty attire, wedding fashions have deviated further, so much so, that although each decade’s brides can be easily distinguished through the fashion then in vogue, it is not because of the fact that that the fashion’s resemblance to typical fashion.

In this high tech modern lifestyle where everything is automated for easier access why would the furniture world be left behind in serving their customers with quality home and office which provides comforts at its best? Keeping in mind the needs of the customers and aiming at providing them with designs which are chic, comfortable and affordable, the new range of modern American Furniture for home and home office has been launched. With the evolution in lifestyles we follow today, the top manufacturers, understanding the modern needs of every house owners, have come up with modern styles and designs which can offer the customers anything within their budget.

When we are to set up a new home we definitely want to make it special. A lot of efforts go in buying a new home and it demands even more efforts later while settling in. When we talk about buying our basic needs for the house we first think of modern furnishings. Quality is not difficult to be found in stores. But they are restricted to particular style and design and fail to offer all options which are actually available online.

Online store offer liable service to the buyers at the best bargain. They offer different products for dining room, living room, home office and varieties in entertainment furniture as well. For home office it includes modular office sets, home library walls, computer desks, etc. American fixtures designs are more flexible compared to formal and traditional structures which can get difficult to manage and also maintain. The modern American fixtures are designed keeping the modern needs of owners who are looking at products which serve it purpose without demanding much attention on the maintenance and investment part.

Moreover, American people need attractive and very impressive designs. Because the designs do not consume much of the living space of the room and yet serve its purpose well. They are good decorative items and are multipurpose in nature. A wall unit includes wall, TV cabinet, storage space for home accessories and as the wall units covers the entire wall they come in beautiful crafted designs.

The greatest advantage of buying such important piece of fixtures from online home furniture store is that you get a vast range of varieties to choose from. In general stores you may find ten items under the same category, where as in online stores you can get hundreds under the same. This includes different styles, designs, size, color, patterns and also price range. Online furniture stores offer best quality home furniture at lower rates than the original price. Be it a dining room or home office, you are sure to find everything u desire for well within your budget from well known brands who offer high quality also.

For those who are relocating to Phoenix, Arizona or current residents who may be looking for a new home, the best choice is to use a reputable Phoenix real estate agency to help you find one of the Phoenix homes for sale. Attempting to locate Phoenix homes for sale without using a Phoenix real estate agency can be a frustrating and lengthy process because of all the Phoenix homes that are available on the market at any given time. One of the best reasons to contract with a Phoenix real estate agency is to make it easy for buyers to find Phoenix AZ real estate and for sellers to connect with buyers who are looking for real estate in Phoenix, Arizona.

Although it is possible to find some properties that are available directly from the sellers, most Phoenix real estate is listed with an agency in order to make the process flow smoother and to allow buyers to have access to a larger network of Phoenix homes for sale. Working with a Phoenix, Arizona real estate agent can help a seller with presenting his home to the largest community of buyers. Although newspaper advertising may work for some things a person sells, it is much more practical to sell your home through a realtor.

For the seller utilizing the services of a Phoenix, Arizona real estate agency means he does not have to do any advertising, be responsible for showing the home, or negotiating the price of the home. In fact, most real estate agencies prefer the seller to leave the home when they are selling in order to prevent the seller from providing any negative feedback to the potential buyer. Leaving everything up to a Phoenix real estate agency takes the responsibility of presenting the property from the seller to the real estate agent who is more experienced in how to secure the sale of Phoenix homes.

One of the most important things is for a buyer to work with his own Phoenix real estate instead of using the services of the listing agent. This protects the buyer because the listing agent is working in the best interest of the seller rather than the buyer. It is essential for the buyer to have someone who does not have a vested interest in the seller and therefore will work with a buyer to help him or her find the property they want. Realtors work from both the seller’s and the buyer’s angle which is why it is essential for a buyer to secure his own real estate agent and settlement attorney. Buying a home is the biggest investment you will make, and you want to be sure the transaction proceeds smoothly and there are no problems that may develop after the sale is closed.

No women can escape the temptation of high heels. Though wearing this kind of footwear means the endless pains in feet at the end of the day, most women still prefer to suffer the pains rather than throw away these feet killing shoes. One biggest reason why women are so obsessed with the heels is that this kind of footwear can greatly boost women’s feminine charm and add extra sexiness to their style. However, with the comeback of kitten heels, especially the pointed-toe style, there is an opportunity for women to avoid the pains but still obtain the sexiness and style that they always lust for.

Usually, kitten heels feature the slender low heels from 1.5 inches to 2 inches high. In fact, this kind of heels has been rather popular in the 50s and 60s and many Hollywood movie stars and celebrities at that time were crazy about the kind of shoes. There are many different styles and designs that can be seen in kitten heels. For those tall women who want to have the sex appeal of high heels, but don’t need too much added height, kitten heels are definitely the best options.

In the market, you can find various designs of the shoes, but among so many options, you can’t miss red pointy toe type, animal print pointy toe style and of course the classic black ones. Red types, without doubt, can add more sex appeal to your style. Every girl needs at least one pair of red shoes to complete the wardrobe. Black types can be worn for both work and after-work activities and they won’t go out of style easily because of the classic design and timeless quality. As to animal print types, they are the most popular styles this season. If you want to look trendy and stylish, you shouldn’t miss animal prints.

No matter what kind of kitten heels you are going to choose, wearing pointed-toe kitten heels can surely endow you with the mix of retro elegance and irresistible attraction which is rare to see in other kinds of heels.

Hip hop music as we all know is really popular these days. It all started in the 1970’s from the South Bronx of New York City. There are a lot of sub culture music styles that are involved with Rap music. Let us know more about hip hop in the following listed details:

Brief history:

During the 1970’s, New York City’s African American Puerto Rican community created the Rap music genre. It is actually a style that came up while trying to add rap music and other instruments like synthesizers, drum machines in live bands. Rappers are the main subject of the hip hop though there are more to it than just rapping. It began with its simple music versions that were modernized and evolved throughout the years.

Styles and Techniques:

Hip hop music or Rap music is not just music at all. It is composed of other things, not only the music itself. If we talk about being in a hip hop culture and community, you will be in a lot of transformation and changes. For example is their fashion statement. Hip hop has brought along a new type of clothing to all artists on the rap music industry including the people listening to it. It is what the people on the Bronx have come up with, but the a little edge into it. We can see most of the artists wearing baggy clothes, with much ‘blings’ in their accessories. It is all part of the hip hop community transformation.

The language is also a bit different. Black people from the Bronx have a certain style or slang in their language. They are more of the baroque style of speaking, and they have added that style in their music’s. Rap music are consists of songs that are written for people that wants to express their feelings in an edgy way.

Graffiti:

Even the graffiti has been transformed by the hip hop music society. It was used in the earlier years as a form of expression for the political activists. Now, hip hop people created it into a way for them to express their way of life, thoughts with the current society, and all other issues. It can be seen throughout the Bronx where it originated.

Famous artists:

1. Run-D.M.C.

2. Public Enemy

3. Grand Master Flash and the Furious Five

4. Beastie Boys

5. 2pac

6. Eric B and Rakim

7. N.W.A

8. Wu-Tang Clan

9. Jay Z

10. De La Soul

11. Outkast

12. A Tribe Called Quest

13. Notorious BIG

14. Nas

15. Eminem

17. LL Cool J

18. Boogie Down Productions

19. Dr. Dre

20. Afrikaa Bambaataa

21. Kanye West

22. The Roots

23. Gangstarr

24. Ice Cube

25. EPMD

26. Salt-N-Pepa

27. Slick Rick

28. Big Daddy Kane

29. Snoop Dog

30. Pete Rock and C.L Smooth

Those are the major information we should know about the rap music genre. Try listening to some of their songs to know more about what this type of music is all about.

Ever wondered what kind of intense pressure Christiano Ronaldo must be going through every time he walks on to the field while playing for the hugely popular Manchester United? I know it’s the wrong kind of comparison, but kitchen furniture manufactures are almost always put in similar kinds of unenviable situations. After all, they have been entrusted with the onerous task of resurrecting our stolid kitchens. Wherever they go, their impeccable reputation precedes them. A reputation, which has been painstakingly built on years of selfless service to homeowners across the globe.

Excellence that speaks for itself

One look at furniture created by leading kitchen furniture manufacturers, and you know that you’re looking at something special. The obsession with excellence, emphasis on cutting edge design, unmatched craftsmanship and complete attention to every possible detail, is unmistakable. Then there are those numerous innovations in terms of style and color that make the furniture look almost like an esoteric yet priceless work of art. Be it kitchen dining furniture, kitchen island furniture, kitchen storage furniture or an array of functional cabinets, nothing comes close to the tireless service rendered by kitchen furniture manufacturers. Giving a fresh lease of life to every kitchen is their credo, and it’s clearly espoused in their work.

Wood and more

If you are on a singular mission of adding oodles of aesthetic value to your kitchen, then there’s nothing to beat wood kitchen furniture. That’s a secret every kitchen furniture manufacturer will tell you. Wood kitchen furniture, be it chairs, tables or even stools has the power to add immense value to any space. Unique and distinct in every possible way, each piece of furniture is sure to fill you with not contained enthusiasm and glee. But what if the thought of being Eco-friendly provokes you? Then there are other options that can be explored. Several manufacturers make fabulous looking furniture from medium density fiber board, particle board and laminates. This kind of furniture is enduring, practical and very affordable. Considering that the radioactive stocks of this furniture rarely last, you must consider it rather providential to get something for your kitchen. It’s all that you need to make cooking an absolute delight.

E-commerce and furniture

The emergence of the Internet and the consequent information explosion has revitalized and energized the kitchen furniture industry all over the world. These manufacturers make use of the Internet extensively to offer tailor-made solutions to their clientele. Its just not kitchen furniture that is selling like hot cakes but integrated kitchens, custom-made kitchens, kitchen cabinets and many more food storage alternatives. These manufactures are sure poised for a great leap forward in the near future.

Kitchen furniture manufacturers with their innovative ideas, refreshingly different design and impeccable execution have managed to carve a niche for themselves in the hearts and minds of customers. They have developed an uncanny ability to understand the client’s requirements perfectly and find flawless solutions for them. Only they can ensure the perfect balance between fashion and function, always.

Classic home furniture is elegant or traditional. It doesn’t have to be boring or predictable. These are simply quality pieces that you spend a little bit more money on just because you will get a lot of use out of them. You can also style them in a lot of different ways to make them feel different. Here are a few tips for picking up these kind of furnishings.

When you go shopping for classic home furniture your really going to want to focus in on the overall style of the piece. This is super important simply because the shape is really what determines the design. In this case you want to go with more of a timeless or traditional look. This will keep it from becoming dated quickly. Plus, you’ll always be able to change up your specific design style just by changing out a few pieces in the room. This can really save you a lot of money. You’ll need to find a bridge between the over the top look of theme decor and the clean lines of contemporary decorating. This will give you a lot of design durability.

Another aspect that you want to consider when buying these pieces is to go with a material that won’t easily become dated. You will really want to get a high quality wood. Often times, this is what really makes the piece. Plus it’s a way to add a subtle color palette to your room. This means staying away from more vibrant fabrics and wood tones. You really want to go with something that has an enduring style and then put your personal stamp on it through smaller touches.

There are several different aspects in the classic style. You could go with a classic country, traditional elegant look, or a more casual feeling. It’s just a matter of what the word means to you and how it works within your specific lifestyle. This will really tie in with your overall color palette as well as your price range. For instance if you wanted a classic contemporary look then you could focus on a dark almost black wood. If you want a country look then go with an oak in a medium or light tone. For a traditional beach cottage theme find furniture that has a whitewash look. For a formal feeling you would go with a mahogany tone. There are several different types of classic home furniture; it is just a matter of finding the ones that you can really live with.

Home furniture construction is every bit as important as its looks – perhaps even more so. Most home furniture manufacturers offer much the same type of furniture, with not a great deal of intrinsic difference between their overall design and appearance. It is how furniture is made that matters, because you want it to be comfortable, hard wearing and last a long time.

The standard of furniture craftsmanship employed is very important, whether you are purchasing a table, cabinet or sofa. Here is what to look for in your own home furniture before you part with a single cent:

The Construction

You can always tell how well a furniture manufacturer builds it furniture by checking a drawer. Just one drawer is all it takes to make a fairly accurate judgment. Remove the drawer and check the joints. There should be dovetail joints all round, signifying strength and durability. The front joint should be hidden dovetails, so they don’t show on the outside face.

Inspect the outside and inside of each drawer to make sure everything has been properly smoothed down, and its contents are unlikely to be snagged. The sign of good furniture craftsmanship is that even the outside surfaces of the drawers, including the bottom, have been properly smoothed and finished. They should also open smoothly, preferably with a central drawer guide rail to prevent any lateral movement.

Rails and framework should be fitted using proper carpentry joints: cross rails using dovetails or pinned mortise and tenon joints. Mortise and tenons should be used on the main frame of chests, cabinets and armories. The wood finish should be added in steps. This should begin with a preservation coat and then the staining and finishing coats added.

Back panels should not be stapled – these frequently loosen, and the furniture could be weakened. In fact, if the correct jointing techniques have been employed in home furniture construction, the back panels should not be needed for strength – the frame should be strong enough itself. Nevertheless, panels should be attached using screws and corner blocks. An important aspect of taller furniture is that it has been tested for stability. You don’t want a tall chest tipping over when you pull out a filled top drawer.

Furniture Craftsmanship in Upholstered Furniture

Here again the strength of the frame is all-important. You sometimes find upholstered home furniture construction given less attention than that of cabinetry because it is not so visible. However, the frame should at least be constructed from a properly jointed hardwood frame, and not just from plywood panels nailed together as you sometimes find. A well-built frame provides a solid base for the springing and other upholstery, and your chairs and sofas will last a long longer because of it.

The base of the seat should first be correctly webbed and then sprung using steel springs of the right size for the depth of the seat. The springs should be properly secured to a solid wood frame and tied together so that the seat is comfortable to sit on. They should then be covered with canvas or synthetic burlap, and then stuffed using a suitable natural or synthetic stuffing material before adding a final cotton batting that acts as a base for the cover.

The External Covering Fabric

The cover fabric should be hard-wearing, meeting industry standards for upholstery fabrics and also meet any fire-resistance regulations applicable. The cover should be properly tacked to the frame, although it is common these days simply to use a staple gun. The cushions should be filled comfortably, some preferring a coil sprung filling wrapped in a layer of foam or batting. Whichever type is used, the internal fiber should be effectively secured and distributed evenly.

Finally check the overall appearance of the furniture. If your upholstered furniture has been manufactured using proper standards of home furniture construction, it should look good, feel completely stable and also be comfortable to sit on. The covers and cushions should fit correctly, and be neatly sewn, and the seat should offer support at the front edge and not sag.

Home furniture construction is very important, and without being sure that proper standards of good furniture workmanship have been employed in its manufacture, you should not expect it to last. While furniture hand-crafted from solid wood and the best materials can be expensive, you should assess that against the cost of replacing poorly made furniture that fails to last.

One of the most well-liked home furniture choices these days, is the couch bed. Couch beds provide a chance to save some space, but are extremely practical and create versatility in living spaces. Lounge beds tend to be the very best solution for bedrooms having restricted room that should have both a bed and lounge in them. While typically utilized in tv rooms, settee beds tend to be now becoming rather popular for youngsters rooms mainly because of their doubling up abilities. Settee beds are a exciting and practical option for kids room home furniture.

It’s pretty common know-how that kids tend to be a disaster waiting to take place. If you want to give them a massive amount of room to play you’ll need to keep home furniture in child’s rooms to a minimum and you realize they’re going to litter the room with toys and other things. Naturally, a bed is an essential piece of the room and it is significant footprint can take up a large amount of precious space. That can leave very little space for studying and playing.Older kids will need different home furniture in the daytime. If they have a sofa they are able to sit comfortably to do the stuff they take pleasure in. Much of the time a bed is of no use throughout waking hours and basically uses up space without being used all through the day.

In several instances a settee bed for a kids’ space is the ideal answer, allowing youngsters to utilize and take pleasure in their personal space very easily. At times moms and dads don’t think about it nevertheless a couch can turn out to be a important component of a kid’s room after they get to a particular age. When growing youngsters start to read a large amount of textbooks they need a comfortable place where they can sit and concentrate. Typically when a bed is used as a reading area it can lead to a child to feel sleepy and become powerless to focus on just about anything but sleeping. In the event that your kid has a settee she will be able to use it a great deal for quite a few more purposes and have fun also.

An additional fantastic feature of utilizing a lounge bed in a kids’ room is it saves a large amount of space. Then you may have the room you will need to fit in a wardrobe or different useful furniture. With out the added in clutter of extra home furniture a space seems larger and is more comfy and helpful when they need to have room for work, amusing pals and sleepover get-together. You are able to discover a sofa bed for a child’s room in virtually any coloring, type or layout you want. Numerous of the styles we discover for general use will moreover be very good for use inside a kids’ room as well. Kids will generally prefer the convenience of an upholstered sofa. There are also kid’s couch beds made to work with particular themes in case you plan to generate a themed room for your little one.

Government-Backed Loans – Government loans refer to those loans that are guaranteed by one of two federal agencies. The two types of government loans are: Federal Housing Administration (FHA) loans, and Veterans Administration (VA) loans. The advantage of financing using FHA loans are that they are easier to qualify for and allow a borrower to finance more of the loan amount than non-government loans. Whereas with a Conforming loan a borrower may only be able to finance 80% of the loan amount, a FHA loan allows a borrower to finance 97% of the loan amount. FHA loans are recommended for those borrowers who are first-time buyers, have little money to put down, have a short credit history, or are having trouble qualifying for a Conforming loan. The two main advantages of financing using VA loans are that the VA allows borrowers to finance 100% of the loan amount, and that, the VA only requires proof of veteran status to qualify for the loan. The only drawback to government loans is that mortgage insurance is required at all loan to values (LTV), unlike Conventional and Jumbo loans where payment of mortgage insurance is determined by the amount of equity a borrower has in his home.

VA Loan Information

VA loans are designed to provide assistance in purchasing a home for United States Veterans. A benefit of a VA loan is that you can purchase a home with no down payment. In addition, it is slightly easier to qualify for a Veterans Affair loan when compared to a regular loan.

Many people for who actually qualify for a VA Loan are not aware of it.

Who qualifies for a VA Loan?

The following table shows what type of service (and for what duration is required in order to be eligible for a VA Loan:

Wartime

Service during:WWII-09/16/40 to 07/25/47 Korean-06/27/50 to 01/31/55 Vietnam-08/05/64 to 05/07/75 Persian Gulf-8/2/90 to undetermined. You must have at least 90 days on active duty. Plus, you must have been discharged under other than dishonorable conditions. If you served less than the standard 90 days, you may be eligible if discharged for a service connected disability.

Peacetime

Service during periods:-07/26/47 to 06/26/50 & 02/01/55 to 08/04/64 & 05/08/75 to 08/01/90To qualify for a VA Loan, you must have served at least 181 days of continuous active duty. Plus, you must have been discharged under other than dishonorable conditions. If you served less than the standard 181 days, you may be eligible if discharged for a service connected disability.

Other questions about VA Loans:

1) Is the spouse or children of a veteran eligible?A spouse is eligible if the veteran died as a result of a service connected disability or died while on active duty. The children are not eligible. 2) Who makes the loans?Private lenders make the loans. However, the VA guarantee protects these lenders against loss. The guaranty will allow lenders to make loans without other requirements (for example, a down payment). 3) Can I get a VA loan if I have been foreclosed on in the past?Yes. The best way to find out how to qualify for this is to contact a mortgage specialist. They can give you advice on what you can do to ensure you can qualify for a loan.If you are considering a VA Loan, remember that there are still a variety of different mortgages. A mortgage broker can be a useful tool to help find the most appropriate mortgage for your purchase. If you plan on living in your home for a long period of time, you may want to consider the traditional fixed-rate 15- or 30-year loan. Another option is to choose an adjustable rate mortgage and consider refinancing again in a few years. Short-term mortgages include balloon mortgages and one-year adjustable rate mortgages.

Is an FHA loan the best home loan for my situation?

You have many decisions when choosing which type of loan is best for your situation. Is the FHA loan the best? What about a VA loan? When is a Conventional loan better than an FHA loan?

A mortgage specialist can analyze your situation, and help you determine which loan is best for you. In many cases, there are other loans more beneficial than an FHA loan. Although in some situations, FHA loans are the best choice.

About the FHA Loan program. With an FHA Loan, your home loan is insured by HUD. The FHA Program is designed to help give home buyers the opportunity to qualify for a mortgage, when they may not otherwise qualify. HUD assumes some of the risk on the loan. The requirements are not as high for an FHA loan as they are for Fannie Mae or Freddie Mac Loans. Plus, a borrower can purchase a home with only 3% down. In some cases a borrower can qualify for gift programs which allow them to purchase a home with no money out of pocket. There are a variety FHA loan programs that you can take advantage of. A mortgage specialist can give you advice as to which is best for you.