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imaec-digital · 2 years ago

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A typical day in the life of a dialysis patient

Living with dialysis:

It’s natural to be scared and apprehensive when you find out you’ll require a life-saving therapy like dialysis. Even if you get to tour a dialysis centre before starting treatment, you’ll be going to a new site for several hours, meeting your new health care team and other dialysis patients, and experiencing a new medical procedure in unfamiliar circumstances on your first day or night of dialysis. While many people claim to be “dialysis pros” after a few sessions and advise you not to worry, this can be difficult to trust at first. Knowing what to expect during your first dialysis treatment will help you relax and feel more confident. It might be difficult to live on dialysis. As you adopt “new normals” in your life, several challenges require your attention. Feedback from dialysis patient gives hope to many other patients. He states that “I was devastated when I first learned that my kidneys were failing… I had a terrible time witnessing my blood leave my body the first time I had dialysis. I’m happy with dialysis now that I’ve been doing it for ten months. Dialysis is difficult to deal with, but it’s worth it to spend another day with your family. When I first visited the dialysis centre, I was quite stunned by how many folks were undergoing dialysis.

The staff made me feel at ease, and the other patients appeared to accept the treatment. You’ll have a better picture of what life is like on dialysis if you know how long treatment lasts. Although each patient is unique, and this answer is primarily dependent on the type of dialysis being received, treatment typically lasts four hours and is provided three times per week. However, we encourage you to speak with a doctor to learn more about your treatment options. You can now prepare properly, knowing that therapy will take a few hours. Many dialysis patients prefer to undergo their treatments in the evenings. It’s worth mentioning that many dialysis clinics offer overnight therapy. Finally, make a strategy for how you’ll pass the time while your treatment (e.g. bring a book or a magazine, etc.). Living with dialysis will be a lot easier if you plan beforehand.

Life after dialysis:

Patients having hemodialysis had the largest changes in their daily life, according to the statistics presented. The modifications are related to the impact of dialysis on continuing to work or study (41%), as well as life plans (72%), and the percentage was higher than in the case of peritoneal dialysis patients. This link between the two groups of patients, as well as the impact on employment continuation and life plans, was statistically significant. The research examined how frequently problems arise during dialysis. Muscle spasms (very often: 18%, often: 21%), skin dryness and itching (very often: 21%, often: 22%), and an increase or decrease in blood pressure are also common complaints among hemodialysis patients (very often: 29 %, often: 27 %). Dialysis patients have a substantially higher risk of heart and blood vessel disease than the general population (also called cardiovascular disease). Kidney illness, as well as other health issues such as diabetes and high blood pressure, contribute to this increased risk. Except for the time spent undergoing therapy, many patients lead regular lives. Dialysis usually improves your mood since it alleviates many of the symptoms of renal failure. Anxiety is very common among new dialysis patients. As the patient becomes more comfortable with the dialysis process, this concern usually fades. As previously stated, this worry originates from the realisation that life with dialysis will be vastly different from life before treatment. While certain modifications will be necessary, most patients find that dialysis therapy has little impact on their lives, at least for the time being. Most patients are able to resume their previous activities, including jobs, travel, and exercise.

Improve the quality of life while on dialysis:

You are the only one who can assess your own quality of life. The amount of delight and satisfaction a person derives from his or her everyday routine is characterised as the quality of life (QoL). Renal replacement therapy should consider patients’ specific needs and expectations, i.e., ensure flexible hours of work or study and of receiving dialysis, in order to improve hemodialysis patients’ functioning in a way most similar to healthy people. Furthermore, hemodialysis patients, particularly those with emotional issues, should receive psychosocial care in order to improve their QoL and produce better therapeutic results. If you’re new to dialysis, you might still be exhausted and adjusting to the three-day-a-week treatment schedule. However, after a few dialysis treatments, your blood should be cleaner, your anaemia should be healed, giving you more energy, and you should start to feel better and enjoy life again. To improve your quality of life, make sure you are taking care of your body, mind, and spirit. You’ll be on the road to success if you treat the individual as a whole. Dialysis is a life-altering treatment. It is critical to learn how to deal. According to certain research, up to 60% of dialysis patients may develop depressive episodes. Speak to a social worker or other mental health practitioners on your dialysis care team if you’re experiencing a lot of sadness. What one individual considers to be a great quality of life may not be so for another. For the most part, the biggest issue is to be realistic about the differences between your “before” and “after” dialysis lives.

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j-blake-smith-rock-arkanas · 2 years ago

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J.Blake Smith Little Rock Arkansas | Which Doctors Can Assist Me in Managing My Diabetes?

Blood sugar levels are ram due to diabetes, which may necessitate different therapies. Knowing which doctors specialize in treating diabetes helps streamline the procedure. J. Blake Smith Little Rock Arkansas says it also reduces stress. This article explains the fundamental distinctions among the many diabetes specialists and what to anticipate during a consultation for people with diabetes.

Diabetes Medical Professionals

A variety of medical specialists manage diabetes. If you’re at risk for diabetes or start exhibiting symptoms, a recommended first step is to discuss testing with your primary care physician. While managing your diabetes may involve working with your primary care physician, it’s also feasible to rely on a different medical professional or specialist to monitor your health.

Continue reading to discover more about the numerous medical professionals who can help with various facets of diabetes diagnosis and care.

Doctors’ specialties

primary care physician

At your routine checkups, your primary care physician can monitor your diabetes. Depending on the severity of your symptoms or any risk factors, your doctor may order blood tests to screen for the disease. If you do have diabetes, your doctor might recommend medication to treat it. They might suggest an expert to help oversee your care as well. Your primary care physician will probably be a member of the healthcare team that will assist you.

Endocrinologist

The pancreatic gland, a component of the endocrine system, is beset with diabetes. Pancreatic illnesses are diagnosed, treated, and managed by an endocrinologist. An endocrinologist frequently provides care to people with type 1 diabetes to assist them in managing their medication regimen. In some cases, individuals with type 2 who are having problems controlling their blood glucose levels may also require an endocrinologist’s services.

Eye Physician

Over time, issues with the eyes affect a lot of diabetics. J. Blake Smith Little Rock Arkansas explains These could consist of the following:

Damage to the retina caused by diabetic retinopathy, cataracts, glaucoma, etc.

Macular edema due to diabetes

Regular eye exams with an optometrist or ophthalmologist are required to screen for these potentially dangerous disorders. According to American Association recommendations, beginning five years following diagnosis, people with type 1 diabetes should get an annual dilated complete eye exam. Moreover, This thorough dilated eye exam should be performed on those with type 2 diabetes once a year after diagnosis.

Nephrologist

Particularly, Kidney disease is more likely to develop in diabetics over time. A physician who focuses on treating kidney disease is familiar as a nephrologist. A yearly test is advised to detect kidney illness as early as possible. However, if necessary, your primary care physician may send you to a nephrologist. Your nephrologist can assist you in controlling the renal disease. Dialysis, an essential treatment when your kidneys aren’t working correctly, Usually can also oversee by them.

Five years following diagnosis, people with type 1 diabetes should receive an estimated glomerular filtration rate test and an annual urine protein test. This urine protein and estimated glomerular filtration rate test should be performed on individuals with type 2 diabetes and anyone with high blood pressure on an annual basis starting at diagnosis..................

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hiranandanihospitalpowai · 2 years ago

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Basic Details You Must Know About Kidney Transplant

Before throwing light on transplant procedures it is important to know what generates the need of such procedures. When the kidneys lose this filtering ability, harmful levels of fluid and waste build up in the body, which may raise the blood: high blood pressure, and kidney failure (end-stage kidney disease).

End-stage kidney disease occurs when the kidneys have lost about 90% of their average ability to function. This condition generally calls for procedures like transplant performed by specialists. The doctors at Hiranandani hospital kidney transplant centre can help you get a better picture.

End-stage kidney disease occurs when the kidneys have lost about 90% of their normal function. Common causes of end-stage kidney disease include Diabetes, Chronic and uncontrolled high blood pressure, and chronic glomerulonephritis: an inflammation and eventual scarring of the tiny filters in the kidney. Polycystic kidney disease people with end-stage kidney disease must remove waste from the bloodstream through a machine (dialysis) or a kidney transplant to stay alive.

As per the Hiranandani hospital powai news, many medical professionals are trained, and medical specialties work together to ensure good kidney transplant outcomes. Having all this specialist know-how in one place focused on you means you don't just seek one opinion:

Your test results are available quickly.

Appointments are scheduled in a coordinated manner.

Your transplant care is worked together to determine what is best for you.

Freedom: Transplant gives freedom. Freedom to move, do what they like, and stay an everyday existence as others stay. On dialysis, they have a hard and fast agenda of thrice/two times weekly dialysis, and every consultation is four hours. They must journey a long way to return to the health center and spend at least five hours in it (including the dialysis time, parking, billing, etc.). Once on dialysis, they're immobile. Whereas after receiving a transplant, the sufferers are unfastened to move. They must come to the health center best for everyday checkups, generally as soon as a month within the first year.

Quality of Life: The high-satisfactory existence is higher with the transplant, which could be found from the above. The variety of visits and dependence on their circle of relatives participants as caretakers is decreased dramatically.

Costs: There isn't any doubt that a transplant includes a considerable quantity at the very outset. But if one calculates the value of the give up of 2nd yr on dialysis and transplant, one will locate that he has virtually commenced saving cash on his health. In dialysis, the affected person pays small quantities at regular durations, so it no longer pinches his pocket. He finally ends up spending extra money than the transplant on the give up of 2nd yr, and that too with a compromised, high-satisfactory of existence.

Survival Rates: Transplantation is the manner to go; the earlier, the higher. It is generally stated that the hazard of the demise of a 30 years antique character on dialysis is equal to an eighty years antique character of the trendy population. Most of the deaths on dialysis manifest because of cardiac causes. Fortunately, the prevalence of these cardiac problems considerably lessens as soon as a character gets a transplant. Kidney transplant gives higher survival benefits than dialysis.

What to expect after a kidney transplant?

If you have met all the requirements for a kidney transplant and surgery is scheduled, your doctors at Hiranandani hospital kidney transplant Center will give you detailed instructions on what to do, what to expect, and how to plan the procedure.

Before a kidney transplant:

You should take care of your health and get used to eating well, exercising, and taking care of your well-being.

Going into surgery as healthy as possible can help you recover.

Arrange for post-surgery recovery help.

You will not be able to drive or lift heavy objects, so that you will need the assistance of a friend, family member, or caregiver—to pack for the hospital.

Bring everything you need to keep you comfortable and entertained during your downtime.

Make sure your doctor answers all questions.

Keep a list of questions and write them down as you think about them, so you don't forget them.

Immediately after a kidney transplant:

You must expect a stomach ache.

You will need to stay in the hospital for up to a week.

Your doctor and nursing team will be monitoring your condition closely.

You will need to take immunosuppressants, medicines that help prevent your body from rejecting your new kidney.

You will need to take others Medicines used to reduce the risk of infection and other possible complications.

After your discharge:

You will need regular check-ups for a few weeks after the operation.

You will have to worry about staying close if you live far from the transplant center.

You will be monitored regularly to monitor your new kidney.

You must take medication daily to prevent your body from rejecting your new kidney.

#hiranandani hospital kidney #hiranandani hospital kidney transplant

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bluebliss1 · 2 years ago

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What is Kidney Cancer?

What is Kidney Cancer

Kidneys are bean-shaped organs that purify blood in the human body. Any dysfunctioning in the kidneys disrupts the functioning of the entire body. Kidney Cancer, also called renal cancer occurs when cells in the kidney mutate. This unwanted and uncontrollable mutation leads to cell growth that eventually forms a tumour or damaged tissues. Most of the time it is curable if detected at an early stage when the cancer is underdeveloped. If cancer spreads beyond kidneys then it becomes difficult to treat and is challenging for the doctor to cure the patients. With the blessing of advanced medical research and development, technology has now made it possible to cure kidney cancer even if it is detected at an advanced stage.

TYPES OF KIDNEY CANCER

Renal Cell Carcinoma: The most common type of kidney cancer is Renal cell Carcinoma. In this type of cancer, the tumour usually grows in one kidney. It is a very fast-growing cancer that spreads to the surrounding organs rapidly. Cancer develops in Renal tubes and later gets spread. Patients may not be able to diagnose this cancer in its early stage as it is symptom-free at first. However, later on, the patient might lose his appetite, lose extreme weight, and feel other changes in their body.

Nephroblastoma: Another type of cancer that is most common in children is Wilms tumour which is also known as nephroblastoma. It often occurs in children ages 3 to 4 and becomes less common after the age of 5. The treatment used for children is very much different from that of an adult. This type of cancer is treated with chemotherapy and radiation therapy. Though the causes of kidney cancer aren’t clear yet. Still, it is said that heredity plays a role in Nephroblastoma.

CAUSES OF KIDNEY CANCER

For patients with acute kidney problems hemodialysis is the only way of treatment until a proper transplant surgery. Therefore it is impossible for such patients to discontinue the process of dialysis at any cost. The Centers for Disease Control Prevention (CDC) has thus come up with a set of rules and regulations as well as special facilities in order to aid the requirements of hemodialysis patients. This new set of rules and regulations has been sent to every state’s health facilities which demand hospitals and clinics with dialysis facilities to take certain precaution and care of the employees as well as patients. This initiative by CDC has ensured the continuation of hemodialysis, the only life supporting procedure for kidney patients.

WHAT MEASURES ARE BEING TAKEN TO PREVENT THE SPREAD OF COVID-19 AMONG KIDNEY PATIENTS?

Though it is very hard to figure out which risk factor leads to kidney cancer yet some common risk factors in kidney cancer may include

Obesity,

Smoking,

High blood pressure,

Long-term dialysis.

Moderate consumption of alcohol is also considered as a rare risk factor in kidney cancer.

TREATMENT OF KIDNEY CANCER

Nephrectomy: Treatment of kidney cancer depends on the general factors like stages of cancer, health, age, etc. but the most common way of treatment is surgery which is also known as Nephrectomy. Most of the time people with early-stage cancer can be easily cured through nephrectomy.

Thermal ablation: In some other cases, Thermal ablation or Active surveillance is also used. Thermal ablation kills the tumour by burning or freezing. It is done by radio-frequency ablation (burning) or cryoablation (freezing).

Active surveillance: Whereas in some cases where active surveillance is used, a small tumour is closely watched to see if it grows. This requires close monitoring and regular imaging and this type of treatment can only be done if the patient is old or has some health problems such as diabetes or heart disease.

Some people find it very difficult to eat during kidney cancer as they might lose their appetite but it is a must to take good nutrition during the cancer treatment. Intake of nutrients and calories will help them to regain the weight they have lost during the treatment and will also give them physical strength.

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ayurvedickidneycare · 3 years ago

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Best Ayurvedic Kidney Care Hospital

Kidney problems have become a major concern for the whole world for the last few years. The reason is, more and more people are getting affected with kidney problems. Chronic kidney disease is a common kidney problem that is affecting a large chunk of the population. The number of kidney patients is increasing every year. That's why it has emerged as a matter of concern for the entire humanity. Even the countries having a good availability of conventional treatment methods like dialysis and kidney transplant are not able to put a halt to the increasing number. The previous statistics related to kidney problems are changing too rapidly and therefore, the world needs to focus on the treatment of the problem. In the same context, the best kidney treatment in Ayurveda hospital can offer the best cure. The reason is, the conventional treatment method has limitations therefore it can’t provide lasting relief to kidney problems. Here in this post, we’ll talk about the effectiveness of Ayurveda in kidney disease cure and why one should prefer this treatment above all. Let’s start with some fundamentals of kidney problems.

Kidneys are two bean-shaped organs in the human body that filter wastes and other unnecessary substances from the blood to ensure that your body can get clean blood. Kidneys do not perform only filtration functions but they do many other essential functions for the body as well. These organs are capable of doing several functions on their own if they are healthy. However, they may stop functioning if they get damaged. In such cases, kidney problems may cause some signs and symptoms. But most cases of kidney diseases are asymptomatic because kidneys can carry out their functions until they are severely damaged. Signs and symptoms that are associated with kidney diseases are nausea, vomiting, low urine output, change in urine color and appearance, muscle cramping, breath shortness, pain in the abdomen or sides, swelling in the body, loss of appetite, and trouble in concentration, etc.

What causes kidney problems to occur?

Many factors can be responsible for kidney problems. Diabetes and high blood pressure when go unmanaged may cause kidney problems. These are the two most common causes of kidney problems so kidney diseases are spreading their wings with the increasing prevalence of these medical conditions. Aside from them, many other factors can affect your kidney health and cause them to get damaged. Some major causes of kidney diseases are

Low blood supply to your kidneys

Urinary tract infection

Heart-related problems

Obesity

Birth defect

Drinking or smoking habits

Certain medicines

Dehydration

When kidney diseases go unmanaged or untreated, they may progress to kidney failure. We all know that kidney failure is a life-threatening health problem and therefore its prevention is the key to overcome kidney-related odds.

Diagnosis of kidney problem

Kidney problems can be diagnosed with regular blood and urine tests. But these tests can't help determine the kidney problem or their damage accurately. In order to determine kidney health and functionality accurately, kidney functionality tests mainly glomerular filtration rate are conducted. In such conditions, some Imaging tests and Renal Biopsy may also figure out your kidneys' functionality and their problem.

When your kidney functioning test reports indicate any kidney problem, your doctor may ask you to go for the best treatment. Best Ayurvedic kidney care hospital is the best way to manage kidney problems.

What Makes Ayurveda Better Than Conventional Healing Methods?

Where conventional treatment has medicines, dialysis, and surgical procedures to manage kidney diseases, Ayurveda follows an entirely holistic approach to fight kidney problems. This treatment system is a complete healing system in itself but these days it is used as an alternative treatment method. It's because of a lack of awareness about this ancient Indian treatment system. But let us tell you, it’s the most effective treatment system that has the potential to provide a permanent cure. It has restorative property as it can repair wear and tear in the body naturally to ensure its natural functionality again. Above all, it makes the affected organ healthy again so that it can carry out its functions on its own. Consequently, Ayurveda's main goal is to provide a permanent cure.

In kidney problems, Ayurveda applies its ancient healing methodology thus it can offer lasting relief. Primarily, Ayurvedic treatment aims to figure out the underlying factor responsible for kidney problems and then suggests the best cure accordingly.

Kidney care in Ayurveda hospital encompasses some herbal medicines and ancient treatment therapies. Additionally, this treatment also indicates a patient to follow some lifestyle changes, mainly some eating changes. Using these treatment procedures in a personalized manner, the best kidney treatment in Ayurveda hospital helps a patient get rid of all his kidney complications naturally. This treatment can revive kidney health by regenerating new tissues in kidneys and thus enables them to function well. Consequently, the best kidney treatment in Ayurveda hospital can revive kidney health naturally and thus helps a patient get this normal kidney health naturally.

Find and go for the best kidney treatment in Ayurveda hospital to get rid of all kidney problems naturally.

#health #health & fitness #kidney problems #kidney failure #ayurveda #ayurvedic

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chasing-rabbits · 4 years ago

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Another life update that no one asked for nor wanted...so in todays episode of what else could go wrong. I feel like I’m in some kind of really bad dream right now as if I’m on a real life hell and the devil is just toying with me right now. First my Granddad in Spain gets sick has a major heart attack survives but told if he has another one he will die. Then he gets Sepsis from the nurse mishandling him after his dialysis and not following procedure this then nearly kills him literally. He just gets over all that and is some what regaining control again he has physio he’s more able to do things like wash and bathe himself he can cook for himself etc he’s in a wheelchair but he can do these things where as he was needed nurses to come in to their house to help with his care before. So ultimately an improvement then my Granddad over here in England gets sick turns out he’s had a heart attack & had one’s prior to this before without realising. He has permanent heart damage, AF & diabetes. He was in hospital for two weeks then due to a miscommunication error from the heart specialist at the hospital and his GP they fucked up his Warfarin dose to the point when they were measuring w/e they were at his GP’s surgery their machine didn’t measure his levels he was literally off the chart so he had to go to hospital they’d made his blood far too thin. Joy more fuck ups then finally my dad manages to sort it out get the doctors on the same page & in line. The side effects are being treated with at home/over the counter remedies as some of the side effects of meds you know not too great plus his body was adjusting he went from 0 medications to 6 plus medications a day. His body is adjusting and he’s slowly improving. But no then I get told last week my Grandma in Spain has fucking Cancer in her mouth, lymphnodes and lung. So they are going to do a full scan to see if it’s spread else where too. But its looking as though this isn’t treatable/curable and she said something about being told she’d have up to 2yrs to live but I’m not sure if that was a definite or a worst case scenario if it has spread thing as she’s not always the best at communicating things. Oh and then I find out she’d gone to the doctors last year complaining about the pain in her mouth/jaw and they dismissed her and sent her away the cancer started/originated from her mouth. Now this very same doctor well my Grandma’s regular GP had recently retired so upon seeing her GP for an appointment she ended up seeing the same doctor who had dismissed her a year ago. Now I wouldn’t think anything other than maybe it was too early for them to notice it or something like that but given this doctors behaviour in the most recent appointment I think she’s just a negligent bitch. So for the scan my Grandma has to get to the hospital. Now in Spain it’s not uncommon for them to pick you up via an ambulance/bus service thing my Granddad gets picked up along w/ some others he knows via this service you just have your doctor sign off on it. She asked the GP if she could get a ride to the hospital she also has sciatica and other issues that make it hard for her to get around. The GP asks her why she needs this pick up service and my Grandma goes well I’ve got cancer and the GP is like you have two legs don’t you, you can walk or you can get a taxi. She said it abruptly and rudely my Grandma’s just found out she’s got cancer and then gets treated like that it was a massive smack in the face & really upset her this doctor clearly has not a sympathetic bone in her body. Makes me mad they are going to report her anyways and my Granddads dialysis doctor at the hospital made some calls and got my Grandma signed off so she could get a ride there. He’s a really nice doctor apparently.

So yeah this just feels like it can’t really be happening last week I reached out to my CMHT on duty team which was hard to do but it did help. I’m feeling a little better atm about it all right now at first I was numb then I broke down and cried and cried and cried then I was angry and now I’m just sort of coming to that point of acceptance which is never easy but I’m just trying to keep going and focused and busy on things so I don’t dwell on it too much until we hear back more news about the scan.

#erin talks #Life update #life updates

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indiamedicaltourism · 1 year ago

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Kidney Transplant in India

Human beings have one pair of kidneys and it is located right below the rib cage. The kidney serves a major function in removing the waste. Apart from excreting waste, the kidney also takes care of blood pressure, balances the chemical elements present in our body, secretes essential nutrients, and refines the blood.

In some cases, both kidneys stop functioning due to Injuries in an accident, or individuals suffering from diabetes and high blood pressure often suffer from Kidney failure. Patients suffering from kidney failure usually suffer from swelling in feet and hands, weakness, and much more. When the kidney stops its functionality doctors either refer it for dialysis or a kidney transplant. It's preferred to opt for a kidney transplant which can inhibit the growth of toxic elements in the body.

A kidney transplant is a medical procedure where a patient who is suffering from kidney failure can undergo the replacement of his damaged kidney with a healthy kidney. The Kidney transplant cost in India varies with the availability of the kidney donors and the patient current condition. Here is a small detail regarding the Price of kidney transplants in India.

Kidney transplant cost in India

The Kidney transplant price in India ranges from 6, 00, 000 Rupees to 14, 00, 000 Rupees. Other charges like consultation fees, x-rays, lab tests, Hospital costs, medicines, and much more, can cost you extra. The Cost of kidney transplants in India can vary with the hospital treatment procedure, patient condition, donor availability, cost of injections, and surgery cost. Also, if the patient is in critical or emergency condition the treatment cost may again vary.

Top Kidney Transplant Hospitals in India

Fortis Hospital in Bangalore is one of the Top Kidney transplant hospitals in India. The hospital is situated in the Bannerghatta road.

Medanta- the Medicity Hospital in Gurgaon is a Top hospital for Kidney transplants in India. The hospital has a huge infrastructure and well-qualified specialists.

Apollo Hospitals situated in Greams Road, Chennai is a well-known reputed hospital and has been treating patients for more than four decades

Top Kidney Transplant Doctors in India

Dr. Saritha Vinod is one of the Top kidney transplant doctors in India with more than twenty years of experience and also she has accomplished several kidney transplant surgeries. Currently, she is serving at Apollo Spectra Hospital in Chennai.

Dr. Sandeep Guleria is also a Top Doctor for kidney transplant in India with more than thirty years of experience. Presently he is practicing at Indraprastha Apollo Hospital in New Delhi.

Dr. Sharad Sheth from Mumbai is serving at Kokilaben Dhirubhai Ambani Hospital in Mumbai. He has been treating patients suffering from kidney for more than 38 years.

Al Afiya Medi Tour is a top medical tourism company in India. It offers medical tours from all the countries of the world to India. Some of the main countries are Bangladesh, Zambia, Namibia, Iraq, Kenya, Nigeria and so on. We provide free assistance for TURP surgery in India, lung cancer treatment, best kidney hospital in India, stomach cancer treatment in India, liver transplant in India, best hospital for heart valve replacement, bone marrow transplant in India, arthroscopic surgery, best liver transplant hospital in India, brain tumor surgery cost in India, top bone marrow hospital in India etc. If you are looking for free medical and healthcare consulting to find the best hospital and top specialist doctor for any treatment in India then to alafiyameditour.com.

Source: https://bestmedicaltourismcompanyinindia.blogspot.com/2023/09/kidney-transplant-in-india.html

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mybeloved73 · 4 years ago

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My name is Chelsea and I’m a ITU Nurse.

I’m also a newly qualified nurse - I literally left Uni last year and began my job in the September.

My background - I didn’t always want to be a nurse. I wasn’t cut out for that sort of compassion or care. I dreamt of being a PT, an athlete, anything that was sports driven.

Until my boyfriend had a bike accident, that then left him in ITU. He later succumb to his injuries and passed away. The nurses looking after him, changed my life. Shining light kind of moment - I want to be just like them kind of thing.

Granted it took me 4 years to build up the courage, battling my PTSD, severe depression and anxiety to even apply to uni. But I did it - and Sept 2019 I got my Pin as a registered nurse.

Now, if you 1) think covid19 was made up, a conspiracy or the numbers have been made up as a scare tactic or 2) you actually believe wearing a face covering will cause ‘respiratory arrests’ ‘acidosis’ blah... stop reading. Because this isn’t for you. Or even 3) you have the view of ‘its their job’ - back away from your screen.

You’ve seen in the news about the public sector pay rise? That nurses aren’t included, nor the junior doctors, physio’s etc (I use etc as there are so many people being forgotten in all this and it is used lovingly and not to cause offence)? Honestly, Im so glad that others are being recognised for their input and help during this - the teachers who put in extra work for children of key workers, who sacrificed their home life to entertain little ones every day and try give them the education they need and deserve, to the police, military - anyone receiving this recognition. Honestly you deserve it. And the NHS will not shadow that or take it away from you.

We agree’d to a 3 year pay deal, that had the options of being reconsidered earlier than the final date if there was a change in circumstances. Covid19 should really be considered as a change in circumstances. I mean being told that you’re already ‘unskilled’ and watching people clap to STOP pay rises... was hard enough. But to have everyone else recognised for their vital contributions and lay something that was agreed in 2018 - is inexcusable.

You realise that most nurses didn’t get to see your claps on a Thursday? That’s handover time. And due to covid19 if their handover time was earlier - they were usually late because of how busy it was and still missed it.

I saw one. Because it so happened I had come off of nights the night prior.

So! My life during covid19 starts off with the busiest winter that my hospital has seen in ITU. We have 10 beds. We are funded for 7/8? We had to open an escalation centre that we stole from our day surgery unit to give us a further 3 beds.

Which in itself is hard - looking after seriously sick patients away from your actual designated and designed ward and without the continuous presence of doctors.

That wasn’t enough.

We had to then stole half of the recovery room, which usually houses patients post surgery whilst they wake up.

Going up to 16 patients. Remember - at this point. I’m THREE MONTHS qualified.

Learning is hard, steep, and in-depth. You’re suppose to be trained over the course of a year as a newly qualified, with study days and help from mentors etc. I couldn’t attend some of those days because we didn’t have the staff to look after the most patients our ITU had ever seen.

Now I know ITU is hard. I picked it.

I knew what it entailed, well partly.

I have to maintain my patients artificial airway. They either have a tube in their mouth or in their throat.

They’re then connected to a ventilator.

Every single setting on that machine, every button - changes something drastically.

From the fio2, PEEP, PS, PC, TV, MVE, PEAK, RR, PF ratio, ... one button, one alteration or mistake... literally can stop this person breathing. Cause respiratory distress, arrest.. trauma? anything.

Did you know I have to move that tube in their mouth every hour to stop pressure sores developing in their mouth? And I still have to brush their teeth and give oral care?

I have to suction down their throat and clear their lungs? Or suction their actual mouth for extra secretions?

And record all this data hourly.

To ensure that this patient is comfortable with this tube... I have to medicate this patient.

I have to keep them in an artificial coma.

Titrating the drugs to their optimum levels.

Some are measured mg/hr, mcg/hr, mcg/kg/min..

some have limits on maximum dose per hour you can use.

Some have really severe side effects.

Such as noradrenaline. Which can literally cause your fingers and toes to become necrotic.

I have to monitor someone’s glucose - whether you’re diabetic or not, and correct it if needed with insulin or dextrose.

I have to give diuretics but not allow your body to become too negative, I have to give fluid challenges to ensure you’re not vascular depleted.

I can help your kidneys with the use of a dialysis machine. Literally filter your blood of toxins your body can no longer remove without help of a machine. This requires constant blood tests to ensure that you aren’t collecting dangerous toxins or you need additional support from the machine.

I can use a machine to check your cardiac output and interpret it to make sure that you have enough fluid vs a drug that’ll help squeeze your heart instead.

I can read an ECG and tell if you need additional supplements such as potassium. Do further tests for magnesium, phosphates etc. And deliver those.

I can feed you through a tube down your nose, and ensure you absorb it. But it’s okay I can give you medication to also help that - these require me to do daily ECGs though, and interpret the data of your QTC to make sure it’s not affecting your heart.

Now. If that’s not enough. Covid happens.

Now remember our record was 16 patients?

Try doubling that.

We worked in our ITU,

Escalation centre

Recovery - we took the whole thing.

Next - we took over operating theatres.

3 patients in theatre 6

3 in 5

3 in 4

2 in 3

We stole theatre staff, recovery nurses, ODPS, ward nurses, retired nurses, health visitor nurses, anyone we could relocate to help us.

March - I’m 6 months qualified.

I’m now the most qualified ITU nurse in my theatre.

I have people who have never looked after a ventilated patients before asking me for help. Please don’t silence my alarm if you don’t know why it’s alarming. I know it’s loud and annoying but it’s telling me everything I need to know with enough time before I need to panic.

Now - covid patients weren’t just sick. Weren’t just needing help to breathe. These patients were all sorts of ‘new’. Nothing made sense!

These patients COULDNT be ventilated. We needed to paralyse them to literally be able to take over their breathing properly! No amount of sedation worked! Their lungs were fibrous and acting like elastic under tension.

Side note - if your patient wasn’t sedated enough compared to paralysis - they could be silently awake, but completely paralysed. Knowing everything happening to them. But unable to do anything - not even breathe. Every time you start rocuronium you need to remember that. If you’re withdrawing treatment - TURN THE ROC OFF FIRST. And wait before you do anything else.

Back to it. They were so unstable that you try roll them, which we usually do 4 hourly to prevent pressure sores - they desaturated to numbers so low that you would usually see some hypoxia brain injury after.

We couldn’t roll these patients without risking that. So you know what. You don’t roll.

So we couldn’t protect their skin integrity. You just watch them, and feel guilty.

Nursing school 101 - pressure sores are PREVENTABLE. Roll your patient. Skin care and hygiene is your best friend.

Now covid went against everything a nurse knows and holds dear.

Our ITU never had pressure sores. Until covid. Some had grade 4’s.

Maggot therapy.

Vacuum dressings.

These patients were also clotting, and sending off clots to their kidneys, liver, heart, brain. Covid made your blood super sticky!!!!

People were having strokes whilst being sedated, going from fit to multi organ failure in days. I’m trying to save these people, knowing they could possibly wake up with complete left side paralysis? Never talk again? Never be them again?

Now you know about these past medical histories etc?

You realise what that is?

that it could be Type 2 diabetes?

Hypertension?

That was it for some.

None of this thinking they were super sick, with lists longer than my arm, and that’s why they didn’t make it. No.

Literally things that happen with age. Poor diet? That 120/80 you’re happy you got - THATS PREHYPERTENSION.

I was probably hypertensive the entire time with anxiety.

Did you know We had to use the old anaesthetic ventilators. None of us had used those before. Those big bellows you see in films going up and down rhythmically. Those.

That was scary.

I’m use to a single touch screen button (hello modern technology) to deliver 100% o2 if my patient needs it. This has a switch to a bag, a button, dials to titrate o2 with normal air. And if I didn’t monitor the crystals in the bottom my patient would retain their own co2 and I wouldn’t know why.

New found love for anaesthetists and ODPS - these machines are NOT designed for prolonged use. But they helped us keep our patients alive. By literally guiding us and helping us look after the machines so we could do our job.

Now. All of this is made worse by PPE.

I’m hot.

It’s hot.

And intense and I’m working hard because tonight, I have 3 ventilated patients. By myself.

I have a gown on.

2 sets of gloves

An apron

An FFP3 mask

A hat

A visor

And no air con.

But I’ve got this. I can’t do my hourly checks because I am one person.

My super sick patients now have 2 hourly because it is physically impossible.

Where are the other staff?

Sick.

You’re watching these people struggle to breathe on machines and then being told your close friends at work, your mentors, your seniors are spiking temperatures. Some being admitted to hospital. Some not being able to come back to work for weeks.

Some ending up on your ventilators. It’s okay. I’ve got this.

I’m an ITU nurse right?

CPR wearing that get up. Is TOUGH. 27mins. I cried that day.

We lost 3 patients in 12 hours.

I held the hand of so many people as I turned off their ventilators because their families couldn’t be with them and no one should die alone. No one. I tried my best.. and then once my day had finished, I had to come home to my dad who is immunosuppressed. Who doesn’t understand boundaries. “Kevin stay in the other part of the house!”

*knocks on bedroom door with dinner*.

Proning. What an experience that is. And doing it Daily. The complications of that were scary before you even approach the patient.

So I’m going to flip my patient - who has a tube down their mouth to help breath, who is on medication for sedation, paralysis, to keep their blood pressure up.. from laying on their back - to laying on their front.

Seems easy?

Well it’s not. And requires like 8 people.

8 people.

We don’t have enough people as it is. So we now develop a proning team made up of everyone.

There are consultants, there are experts in their fields, there are physios and then I don’t know who else.

Honestly I couldn’t thank these people enough. More people would have died if we didn’t have a proning team. But now, people spent 23 hours laying on their front. Pressure sores on their faces. Potential of going blind? New complications of not being able to breathe we never expected.

We are finally back into one unit now. I’m still less than a year qualified. And I’m still running on adrenaline expecting this second wave. Those still reading, I know you’re thinking that she picked this job.

She knew what it meant.

And you’re right! Give me those complex drug calculations and ventilators. Oh and the scrubs!

But a pandemic? I didn’t pick that. The world didn’t pick that.

Honestly thank you, to the ward nurses - your lives got flipped upside down.

The physios who became best friends.

Consultants who literally got down and dirty with us.

To the domestics who cleaned furiously for us.

OT’s To literally orientate our patients when they’re waking up like 70 days later.

Every

Single

Person

Who

Helped.

Oh communication team made up of medical students, who updated the families because... I couldn’t. I couldn’t leave my patient. Not like this!

Matron who literally had to facilitate all this, with people who knew nothing about ITU. Being in ITU. Looking after ITU patients. Whilst her own ITU staff were sick, in hospital, or newly qualified, or working to the point they broke.

To the countless companies sending food, goodies, moral support !! Oh my god that was incredible to come to after not having a break for 6+ hours ... mmm... food!!

Did you know they’re offering support for the nurses to stop PTSD, or anxiety or just to help up digest what we saw? Psychological support for just doing your job?

But it’s okay.

We got a deal in 2018 for the pay.

We got clapped thursdays.

We all know that’s not enough, but we will still turn up for work.

We can’t leave our patients.

We can’t strike.

They’ll always mean more to us than pay. And the government knows that. Abuses that.

540 NHS staff lost their life doing ‘just their job’ - today the NHS staff walked through London protesting, to be heard. To be listened to. To be acknowledged. To be paid fair.

Sign the petition for us. Because we aren’t just here for covid. We’re here for life.

https://petition.parliament.uk/petitions/316307

And just put your mask on - please - for that hour you go shopping.

I’ve been wearing mine since March 6th. 13+ hour days. Developed a nice grade one on my nose, my friends faces bleeding from using a rubber respirator....

And We’ll be like this for the foreseeable future.

Now that we have the stocks to do so anyways.

Oh and I’m pissed my graduation was cancelled! All that and I don’t get to wear the hat and gown. Bastard virus. (I understand there was more lost but humour me).

Signed, your registered ITU nurse. We will always continue to monitor.

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fostermarketarch · 4 years ago

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Important Thing Need To Know About Upcoming Glucose Sensor Market In 2027

Glucose monitoring is a way to measure glucose levels in real-time throughout the day and night. Glucose monitoring devices use a tiny glucose sensor inserted under the skin to check glucose levels in tissue fluid. The device can detect and notify a patient if glucose is reaching a high or low limit. All these advantages have resulted in wide adoption of glucose-sensor based devices by patients having treatment of intensive insulin therapy, and or suffering from hypoglycemia unawareness or are suffering from high/low blood sugar levels among others. The rising number of these cases across the globe is expected to benefit the industry growth over the forecast period.

Key Insights:

Latest Updates

Analyst Views

Future Otlook of the Market

Get Free PDF Brochure of this Report @https://www.fostermarketresearch.com/product/industry/7/154/Pdf%20Brochure/

Key Region Covered in Irrigation Syringes Market are

North America (USA, Canada, and Mexico)

Europe (Germany, France, the United Kingdom, Netherlands, Russia, Italy, and Rest of Europe)

Asia-Pacific (China, Japan, Australia, New Zealand, South Korea, India, and Southeast Asia)

South America (Brazil, Argentina, Colombia, rest of countries, etc.)

The Middle East and Africa (Saudi Arabia, United Arab Emirates, Israel, Egypt, Nigeria, and South Africa)

Competitive Landscape:

Key players in the global Glucose Sensor market include Senseonics Holdings, Inc., Insulet Corporation, Bayer AG, Ypsomed Holding AG, LifeScan, Novo Nordisk, Medtronic PLC, Dexcom Inc., Abbott Diagnostics Inc., and Roche Diagnostics, among others.

Key players in the market are adopting several strategies to strengthen their presence in the competitive landscape. They are focusing on product development as well as acquisition to retain the market share. For instance, in October 2018, Julphar partnered with Dexcom and BD (Becton, Dickinson and Company) to launch and supply its continuous glucose monitoring systems (CGMs) and insulin pens in the U.A.E.

Market Taxonomy:

By Product Type

Non- InvasiveOptical Sensors Trans Dermal Sensors

Minimally InvasiveMicro Pore/ Micro Needles

InvasiveIntravenous Implantable Micro Dialysis Subcutaneous Sensor

By Application

Polarimetry

Raman Spectroscopy

(Near) Infrared Spectroscopy

MIR Spectroscopy

Impedance Spectroscopy

Fluorescence

Photo-Acoustic Spectroscopy

Optical Coherence Tomography

Skin Suction Blister Technique

Sonophoresis

Reverse Iontophoresis

Others

By End User

Hospitals

Diagnostic Centres

Home Care

Others

For more Information of this Report @https://www.fostermarketresearch.com/product/industry/7/154/

Market Dynamics:

The increase in incidence of diabetic cases is expected to provide high glucose sensor market growth and opportunities, which in turn will attract and compel numerous market players to develop innovative products or product line extensions. For instance, in March 2017, a report in the Diabetes research and clinical practice mentioned that one out of every ten adults is expected to develop diabetes by 2040, which reveals the graveness of this pandemic. Therefore, the treatment and he management of diabetes are expected to be the prime focus areas among healthcare departments and stakeholders, globally. However, the lack of adequate reimbursement for devices is the key barrier to the adoption of the devices.

For instance, in March 2016, a report published in Diabetes technology & therapeutics, quoted that only selected citizens were reimbursed if they opted for glucose sensor-based therapy called continuous glucose monitoring (CGM) therapy. On the contrary, high growth opportunities in the untapped markets, like highly skilled and cost-effective labor as well as growing economy of developing countries, are expected to provide significant profitable opportunities for manufacturers in the near future.

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About Foster Market Research:

Foster Market Research is a global market intelligence and advisory firm engaged in providing data-driven research extract from rigorous analysis, to the clients to make critical business decisions and execute them successfully. Foster connects over various distribution channels and numerous markets for great understanding of the trends and market to deliver our clients with accurate data.

Our focus is on providing market research that delivers a positive impact on your business. We work continuously to provide our clients with the most accurate analytics data and research reports without any delay so as to improve their business strategies and provide them with rich customer experience.

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techmomma · 5 years ago

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Being Prepared

In uncertain times, now, perhaps more than ever, is an important time to discuss a difficult subject:

Advance Directives, aka “What if I or a loved one are in the hospital and cannot make decisions for myself or them?”

Talking about such matters, especially our philosophies, beliefs, and what we want to happen in the event we cannot make decisions for ourselves, is a topic that more often comes up in the midst of emergency. For most, it’s a surprise. And for most, they heap on themselves a stressful situation that can absolutely be avoided with some heart-to-heart discussions beforehand. Below, I will outline some important topics you can discuss with someone you trust, so that they know what to do, in case the unexpected happens.

CW: death, death mention

From personal experience, being willing to discuss such things was one of the few things that saved us during the sudden, unexpected emergency of my late fiance falling into a coma due to diabetic complications. We had a limited time window; hesitating too late, and the doctors would have been legally prohibited from removing his life support no matter what we chose. Luckily, he and I, both believers in the death positive movement, understood the importance of this kind of discussion, and had talked about figures such as Terry Pratchett and dignity of dying. Knowing that my fiance would not want to end up like him helped steer us in the right direction, regarding what quality of life would have been acceptable, and what would not.

Which brings us to the subject: just what do you talk about? How do you phrase it? Who do you discuss this with?

For most of us, the person we discuss this with will be a trusted family member. Perhaps a spouse, or domestic partner, perhaps your significant other. For others, this may be a trusted friend. Regardless, this needs to be someone you trust will honor your wishes, rather than instating their own. Or, if they did, someone you trust to make the right decisions. This is the person you can designate as your Health Care Agent. In addition, as a safety measure, you can designate others as Alternate Health Care Agents in the event your Primary is unable to for whatever reason, and have this discussion with them. Having two or three individuals who know your wishes and can be contacted is a pretty safe bet. This is especially important for those in long distance relationships or persons who live away from home; have your trusted person, but also have someone who is physically close to you who can travel to the hospital. Have people who can contact others on your behalf, or can be contacted if you cannot.

What you want to happen, in the event you cannot make decisions, is called an Advance Directive. For the state of Washington, you can fill and print out this form, if you do not have an attorney. I highly recommend looking it over whether you live in Washington or not; it has a lot of examples of the kinds of things you can make decisions on and what to talk about!

So how do you breech an admittedly difficult and possibly painful subject? That will depend on you, but the person you trust to fulfill your wishes should, ultimately, be someone who is at least willing to discuss this subject with you, regardless of the difficulty.

If need be though, or in need of a reasonable segue into the subject, this is my permission to you to use the example of my late fiance, who suffered an unexpected diabetic coma in the middle of the night when alone and could not make decisions for himself, eventually culminating in a termination of life support as per his wishes. If it can happen to him, a healthy man in his early 30s, it could certainly happen during a COVID-19 outbreak, which seems to be a russian roulette in regards to whose case is mild and whose is lethal. If it can help you make decisions that benefit yourself and the emotional well-being of your loved ones, I am more than confident he would give his blessings.

So, what do you talk about? Anything and everything. Again, try checking out example Advance Directive forms, and some Financial Power of Attorney forms (you may need witnesses for these forms to be legalized, but in reality, any form you fill out is still technically legal and admissible in a court of law). But I have some subjects that both my late fiance and current significant other have discussed that will, at the very least, give any Health Care Agents you designate a good idea of what you would like done. Also check out your medical provider’s website, if they have online access. Mine actually has a page where I can outright fill out Health Care Agents, so I actually just filled that out today and it’s right there in their records to access in an emergency! Again, make sure the person you designate is informed and willing! Check with family members or friends too, they may be able to provide you with legal forms to formalize your wishes.

Some topics you can discuss:

Your personal beliefs regarding treatment. Do you have a spiritual leader you want contacted? Do you have religious, spiritual, or personal beliefs that might interfere with treatment? In some religions, some medical treatments may not be acceptable! If you do not have any exceptions or clauses, how far do you want medical treatment to go? If your condition is terminal, do you want treatment prolonged even if the end result is still death? Do you want hospice? Do you want to be given life-sustaining treatment (life support), even if it is known that this will only worsen or prolong a terminal condition? Do you want to be resuscitated, even if your quality of life may suffer or will be negligible? (For example, being resuscitated while in a Permanent Vegetative State?) If your condition is terminal, do you wish to pass away at home, or in the hospital? What if you are pregnant while unable to make decisions; do you want to put the survival of yourself or the baby first? If you are unsure, and know that the choices may depend on context, do you want to allow your Health Care Agent to decide? Are they comfortable and willing to make decisions like those on your behalf? Do you want your Health Care Agents to have these powers only during an emergency or in specific ways (springing) or effective and general once agreed to (durable)?

If you are alive and yourself but will need assisted living, such as wheelchairs, help with feeding, changing, bathing, dialysis, etc., who is willing to help you with this? Is your SO willing? Do you want your SO to do so? Do you want nurses and providers to do so? What are your feasible options?

Do you want to be an organ donor? Are you willing to be a full donor, which may mean your family will be unable to have an open casket? Only a partial donor? Do you only want to be able to donate specific things, if able? Where do you want those donations to go? Medical schools, other patients?

Do you have pets? Who do you want to take care of them if you cannot? Are they able to take care of those pets?

What do you want to happen to your material possessions? Who do you want to wipe your laptop of those seedy sites you visit? Do you want specific things to go to specific people? Do you want it all to go to your Health Care Agent, who can then decide what to do with those items? Who do you want your money and assets to go to? (Remember, your loved ones cannot be billed for the dead’s debts, no matter what companies claim!)

If you die, what do you want to happen with your body? How much money are you comfortable with loved ones spending? Is there a specific ritual you want performed or cultural practice observed, is there a specific place you would like to be buried? Do you want to be embalmed? Do you want to be cremated? Where would you want your ashes scattered? Do you ultimately not care, even if you have preferences, and want your loved ones to do what is best for them in regards to their own grieving process?

These are obviously difficult subjects and for some people, these may be hard to discuss. Death is a hard subject! Especially death of ourselves or loved ones. I can tell you from experience though, how grateful we were that these things were discussed beforehand--and how grateful I was to my late fiance for taking so much heartache and stress off of our shoulders. Talking about these things can, in some cases, be an ultimate act of love to unburden the people you care about. (You may also be surprised at how easy it is to talk about the subject, once you just get started!)

For some of us, talking about these things can feel like paranoia, or obsession over death--or even, if we have a history of suicidal ideation, that we may worry about worrying others. Just state beforehand that you do not have thoughts of self-harm in talking about this; only that you want to be prepared. Your trusted ones will understand--and may thank you, for making your wishes known.

It is not paranoia or obsession with death to care about the stress your loved ones may be under in a trying time. Remember: we make these to prepare for the unexpected, but make them in the hope and likelihood they will only gather dust.

For more info on the death positive movement, understanding your rights regarding Advance Directives, practical advice on the handling of your body, and greener funeral options, check out Caitlin Doughty’s youtube, aka Ask A Mortician.

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embodylovemovement · 4 years ago

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Thank you and yes! Diets go by many names these days-cleanses, detoxes, lifestyles. It’s all the same harmful diet culture with a new package. Repost @thenutritiontea ・・・ Nope it’s not a “lifestyle”. And I don’t care how long the list is of food you’re allowed to eat. And the fact that one would feel the need to go off a list is telling in itself. There are some eating habits that we do have to shift for. Diabetes, kidney disease (especially if you need dialysis), Crohn’s, food allergies, etc. These aren’t the restrictive diet culture fads out there for losing weight though. These are actual lifestyle changes and can be sustained. Especially when you work with a DIETITIAN 😉. See what I did there? There’s a BIG difference. Not to mention even if you have to change it up with how you eat due to a disease or allergy, the food freedom mentality can still be applied. Not to mention there is no guilt or food shame for simply eating. Remember that saying the word diet is very uncool now. The industry has caught on. So now they use the word lifestyle. Or wellness program. The Noom ads actually throw in the term “self care” 🤦🏽‍♀️. Listen, anytime you have to restrict what you’re eating for the end goal to be weight loss it’s a diet. And if it’s done in a harmful way, that’s way worse and proven not to last. No one should be eating 1200 calories. That’s not a lifestyle nor is it sustainable. No one should cut out entire food groups. That’s also not sustainable. No one should feel ashamed of eating foods that they like. Period. ✌🏽 . . . . . . . . . . . . . . . . #selfcaresunday #foodfreedomforever #foodfreedom #allfoodsfit #healthyeah #dietitiansofinstagram #rdsofinstagram #ditchthediet #stopdieting #eatwellbewell #iamwellandgood #eatsmart #guiltfree https://ift.tt/2CcTCT0

#embodylovemovement #embodylove selflove drmelodymoore

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treyburnrehabil-blog · 4 years ago

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Finding the Best Nursing Home

Whether you're trying to find your self or you're a member of the family assisting out, finding the quality nursing domestic close to you may be a tough process. For all involved it's a brand new emotional and financial challenge. But the greater prepared you are the higher decision you'll make.

What Is a Nursing Home?

Nursing houses provide their citizens with 24-hour protection monitoring, each day dwelling assistance, and advanced on-site clinical care. They also sponsor social activities along with art classes, cooking classes, birthday parties, and film nights. A nursing domestic is an area for a person who can't be cared for at home however doesn't want a health center. Nursing houses usually have a nursing team of workers on-website online, 24 hours a day. Some are installation like hospitals with physical, speech, and occupational therapy. Some have special devices for Alzheimer's and dementia patients. Nursing houses are not handiest for the elderly. They are there for all and sundry who desires 24-hour care.

Up until recently, nursing homes were rigid and institutionalized. There had been policies and a time table for everything (waking, sleeping, eating, bathing, etc.). Now the culture is changing to considered one of resident-centered care. They need their citizens to sense like they're at home. Many durham nursing home are households—small companies of citizens dwelling beneath the identical roof with the same body of workers sharing meals and sports. Some houses are on campuses with multiple households. Resident puppies and cats can frequently be located in the homes. And some homes let citizens convey in their very own pets.

What to Expect

Traditional nursing homes are wonderful from assisted dwelling centers, which are supposed for humans with extra independence. Nursing domestic citizens commonly are getting better from contamination or injury, or want assist managing chronic health issues including cardiovascular disease, diabetes or dementia. Many of the houses are prepared with oxygen tanks, dialysis machines and other medical gadget that isn't generally located at assisted residing centers.

Examples of fashionable nursing domestic benefits are:

Private and semi-non-public rooms

Three cooked food every day

Help with every day dwelling sports together with bathing and dressing

Medication management

Various therapies (memory therapy, physical therapy, speech therapy)

Laundry and house responsibilities services

A social interest calendar

Despite their common points, nursing homes show plenty of variation. Also, a few have adopted characteristics of assisted dwelling centers. This guide permit you to apprehend the opportunities and make the excellent move.

Initial Searching

Before you do a whole lot of leg work, ask around.

Ask your doctor, family, friends, acquaintances and clergy what experiences they have got with nursing houses.

Ask a medical institution's discharge planner or social worker for recommendations, especially if you're within the health center or have been recently.

Contact a social service organisation and speak to case manager about nursing domestic choices.

Contact your neighborhood Agency on Aging for recommendations.

Ask the question, “Are there nursing homes close to me?“

Selecting the Right Nursing Home

After you've asked around (see above) and have a few homes that sound promising, go for a visit. And reflect onconsideration on those questions even as you're there. These questions will most probable result in different questions.

Quality of Life

Is the workforce respectful and friendly?

Is the nursing domestic clean?

Do they provide social, recreational, spiritual and cultural sports that hobby you?

Can you select your waking, mattress time, and bathing time?

Can you get food and drink anytime? Is the meals good? Ask to strive it.

Can you have got site visitors anytime?

Can you have got a pet?

Is transportation provided?

How lots privacy is there?

Can you enhance your room the way you like?

Is the temperature comfortable?

Is there good natural lighting?

Do you have got a phone and TV in the room?

Quality of Care

To be a licensed Medicare/Medicaid provider, a nursing home should meet 150 requirements ranging from safe garage of food to protecting residents from bodily and intellectual abuse. The State Survey Agency plays an inspection to fee the nursing home on those necessities. Ask to see a copy of this inspection report.

Will you get a copy of your care plan? Your care plan is based totally for your health records and should be assessed in the first 14 days and at the least every 90 days thereafter.

Who are your doctors? Can you notice your private doctor?

What improvement goals is the nursing domestic running on?

Staffing

Federal regulation states there must be sufficient group of workers to care for the citizens. What is sufficient? There should be at least one RN for at the least 8 directly hours, 7 days a week.And there should be both an RN or LPN (Licensed Practical Nurse) on responsibility 24 hours a day.

Does the body of workers wear call tags?

Does the workforce recognise the residents with the aid of name?

Do they knock on residents' doors earlier than entering?

Is there a licensed doctor on body of workers daily?

Nursing Home Compare Tool

We have a database of nursing houses that we've reviewed. We provide modern-day customer critiques and complaints with a purpose to study into to assist with studies. Our search characteristic can be used to compare nursing homes in your region and help you come back to a extra knowledgeable decision whilst it comes to selecting a nursing domestic.

Medicare.Gov has a useful tool that allows you to compare nursing houses in your place so you can do research on the various nursing homes in your area. You can select up to a few nursing homes to compare and you are provided with special results. You will learn approximately the overall score of the facilities, fitness inspection results, workforce ratings, and nice measures ratings. It is easy to enter a zip code and choose three place nursing homes to examine and contrast.

When it comes to selecting a nursing home, it's crucial to do your homework. When you use our search function or the Medicare nursing domestic examine tool, you'll have access to an abundance of statistics to examine over about nursing homes in your region.

If you are concerned approximately value, recognize that in case you don't have the assets to cover a stay in a nursing domestic, you will be in a position to stay within the nursing domestic as a Medicaid resident, so long as the nursing home accepts Medicaid. When you don't have non-public money to pay high nursing domestic costs, you'll be included by means of Medicaid once you've got been ordinary into the program.

Nursing home care expenses will vary, but you could anticipate to pay anywhere between $6,000-$10,000 a month to live in a nursing facility.

Nursing Homes vs Assisted Living Communities

Is a nursing home your high-quality choice for senior care? It's critical to understand that nursing homes and assisted dwelling centers are becoming extra alike. Often those who initially search for a nursing home determine that assisted living is a better fit. Here we take a look at developments in offerings and costs for each kinds of dwelling arrangements.

The phrases nursing domestic and assisted residing middle have distinctive connotations. Although the two styles of senior houses are becoming greater alike, their class names still matter. Facilities that offer “progressive care” can fall into each groups.

Assisted Living Centers

Assisted dwelling centers fit many people's needs, often providing extra services than people assume.

With assisted living (as with nursing domestic care) residents can get private care assistance inside the regions of bathing and dressing, meals, medicine management, transportation, stepping into bed, and more.

Residents can get help with laundry, housecleaning, paperwork and different chores.

Compared with nursing homes, assisted dwelling centers cost much less and allow extra freedom. Planned sports are probable to be extra enormous and lively. However, as compared with nursing homes they aren't as well equipped for clinical care.

Generally the federal government regulates nursing houses, and states alter assisted living centers. Federal regulation stipulates that nursing houses need to have RNs on responsibility at all times. This isn't continually a requirement in state-permitted assisted dwelling centers.

Nursing Homes

Nursing homes value extra due to the fact the care is extra intensive. For example, residents in nursing houses are more likely to apply wheelchairs or be bedridden. And even though humans in assisted care might have dementia, people in nursing houses who have dementia generally tend to have greater superior symptoms. Overall a nursing home is ideal whilst someone can advantage from consistent tracking and care from registered nurses and different scientific staff. As defined below, nursing houses have become greater like assisted living communities. A trend called “culture trade” is making nursing home atmospheres greater domestic-like.

Progressive Care

Progressive Care: Sometimes people choose nursing homes due to the fact they count on wanting reminiscence care or different superior care soon, and they'd rather not relocate twice. A better solution could be deciding on an assisted living facility that offers “innovative care” or “a continuum of care.” A resident can start out inside the assisted dwelling place of a domestic, then move simply a quick distance if extra extreme care is wanted later on.

Culture Change Nursing Homes: A stereotype of nursing homes is that they sense institutional, or impersonal and bleak. The concept has a organization foundation in reality — yet in recent times many nursing houses are warm, personalised and high quality environments for citizens and staff. An enterprise aim called “culture exchange” enables provide an explanation for the transformation. Compared with traditional nursing homes, culture alternate nursing homes give residents greater freedoms. For example:

Residents can pick their very own bedtimes although end-of-day private care assistance is needed; bedtime doesn't observe a strict schedule.

Other examples are multiple choices for sports and mealtimes.

Residents would possibly additionally have the ability to decorate their rooms with furniture and art work from home.

Culture change nursing houses also assign the same employees to the identical residents for consistency and comfort. Sometimes this is called “character-centered care” due to the fact it's targeted on what's nice for individuals, not what's easiest for managers. Residents have a greater feel of manipulate and independence, and this may impact their general well-being. Population size also can powerfully affect great of life, as it shapes a man or woman's sense of network. Many culture exchange nursing houses therefore institution their citizens into communities of 20 humans or less. Each micro-community has its very own refrigerator for snacks, and probable meals are organized with the institution's workforce for a homelike atmosphere. Also for a experience of network, each day bulletins are brought in man or woman with the aid of a acquainted workforce member, now not impersonally over a PA system. Besides taking a individual-focused technique with residents, culture trade nursing homes take care to sell personnel empowerment. This can result in decrease turnover quotes and happier workers, similarly improving citizens' experiences.

Nursing Home Costs

Compared with an assisted dwelling network, a nursing domestic expenses approximately double. This is due to the fact the everyday resident needs a better level of care. The charge is calculated at a day by day rate, then elevated for month-to-month billing. In 2016, a GenWorth observe located that the median month-to-month costs at Medicare-licensed nursing houses have been approximately:

$6,850 with a semi-non-public room

$7,seven-hundred with a personal room

Rates may be a whole lot better too… and looking beforehand ten years, GenWorth expects that the typical resident will in all likelihood be charged more than $10,000/month. Obviously, dwelling in a nursing domestic charges more in keeping with month than what the average American spends on rent or a mortgage price. Fortunately each person has a charge solution the usage of non-public or public funds. You can jump beforehand to learn extra approximately deciding to buy nursing home care.

The fee of a nursing domestic live is generally covered via coverage whilst the stay is for rehabilitation. Medicare pays for a nursing home live if the resident is anticipated to return home within a three month period. Once an person needs long term or custodial care, health insurance no longer pays for the person to live in a nursing domestic.

It fees more to stay in a nursing home over an assisted living facility due to the fact extra care is provided. In an assisted dwelling facility, meals are provided, medicine reminders are given and people have the help they need near via. The workforce to resident ratio can be pretty low, as residents frequently don't want a whole lot assistance at all.

In a nursing home, the extent of care is lots higher. Residents of a nursing home want clinical care, medicinal drug control and hands on assistance with the sports of day by day living. The personnel to resident ratio in a nursing domestic is more than in an assisted living facility. This increases the value dramatically, as the staffing wishes are pricey for the facility.

When you want a higher level of care whilst staying in a nursing home, which include dementia care, the price of staying within the a nursing home can growth significantly. If you will be paying privately for nursing domestic care, locating the maximum cheap nursing domestic in your location will be vital to your budget.

Nursing Home Payment Solutions

Staying at a nursing home within the US costs roughly $7,000 consistent with month however we see masses of nearby variation. For examples of extremes, in 2017 the standard fee was about $150 in keeping with day in Oklahoma and about $800 consistent with day in parts of Alaska. Nursing domestic prices are also shaped by using the resident's room setup, the facility's amenities and the extent of care required… but in any case, the lifestyle isn't cheap! How do people pay for nursing houses? Ideally meeting with a monetary guide first, individuals and families locate answers with personal and/or public funds. Especially while a spouse's living expenses need to be considered too, it's very clever to get expert guidance. Here's an introductory manual to fee answers.

Private Pay

Nursing domestic care is expensive. Therefore it's commonplace to pay privately at first, then flow to Medicare or another funding supply. The main gain of paying privately is flexibility. With Medicare and other taxpayer-subsidized packages, seniors have fewer picks due to the fact nursing houses can restrict their numbers of publicly-funded enrollees. For this reason it's important to recognize the accepted payment setups before deciding to move into a given facility. Sources of personal price range could be financial savings or cash from cashing out IRAs and different investments. People additionally borrow from lifestyles insurance rules, sell their houses, and get opposite mortgages as explained below.

Annuity (Savings)

Planning ahead for long-time period care, someone with financial savings should buy an annuity. The underwriter receives a lump sum of coins and then issues everyday monthly bills to the person following retirement. The individual can use these payments for a nursing home, a vehicle payment or whatever else. The main gain of having an annuity is financial discipline. The annuity forces savings to be stretched out over time, and ordinary payments are guaranteed. Additional blessings of annuities are:

Savings placed into an annuity are shielded from attention on packages for authorities aid

a person who lives long should draw more from the account than they placed in

The main downside of annuities is that cost is misplaced in commission and annual charges. Also, penalties are charged if funds are withdrawn early.

Life Insurance

A complete lifestyles coverage coverage (but now not a term lifestyles insurance coverage) can be tapped for long-term care bills. However, this of direction reduces the financial gain for heirs. Three techniques are:

surrendering a coverage

selling a policy

converting life coverage to “lifestyles guarantee”

First, an entire existence coverage policy may be surrendered to the provider. This way that the company buys the coverage returned from the policyholder. However, commonly they'll pay just 50 to seventy five percent of the face price. Similar terms are provided for the second approach: promoting the policy to a “life settlements” enterprise. Again the typical offer is set 50 to seventy five percentage of the policy's price. The lifestyles settlements organisation keeps to pay the coverage's premiums until the policyholder passes away. The business enterprise then receives the economic payout. Life insurance conversion to “existence warranty” is a 3rd choice designed especially to pay for long-term senior care. Like life insurance, life assurance includes a savings assure plus an investment portfolio. Life coverage conversion accounts might give much less for senior care but hold a death advantage (inheritance). The advantages and disadvantages vary from character to man or woman. Meeting with a economic advisor might be worthwhile.

Long Term Care Insurance

When a person is planning well earlier to pay for senior care, buying long term care coverage can be a smart circulate. It lets in extra freedom of desire compared with using Medicare and different public packages for nursing domestic payment. People buy policies that pay anywhere from about $2,000 to $10,000 per month. To protect against dramatic market changes, inflation protection can be protected with month-to-month premium payments. It's essential to recognize that long time care coverage guidelines range in phrases of whilst they'll pay benefits. Generally to receive payments for nursing domestic care or assisted dwelling, a person must want help in at the least two ADLs or sports of day by day dwelling. A doctor's announcement of this need is needed as a part of the claim.

Renting Out a Property

When a senior leaves their old living area empty, then renting it out with careful management might be a treasured supply of profits. Turning a domestic right into a condominium would possibly turn out to be a permanent supply of earnings for the family, or just a transient supply of earnings until the house is sold. Ideally any condominium arrangement will be made whilst the home owner is still a able decision-maker. For a loved one to take over, that individual will want legal guardianship or power of legal professional over the owner of a house.

Bridge Loan

Bridge loans can cowl people's living costs as they await a property sale, pension payout, or other truly guaranteed supply of earnings. A bridge loan is a short-term loan but often the first payment isn't due until 90 days after signing. Common loan lengths are from three months to two years.

Reverse Mortgage Loan

While a bridge mortgage can assist at some point of a pending domestic sale, a opposite mortgage mortgage facilitates maintain the home till the second one spouse actions out or passes away. The loaned cash can help pay for nursing domestic care. The maximum loan amount available is based on domestic equity. The gain of the usage of a reverse mortgage loan for nursing domestic payment is covering housing costs at once. However, when the second one character no longer lives within the domestic, mortgage payments turn out to be due. Often heirs opt to sell the belongings alternatively than maintain payments.

Medicare & Medicaid

Medicare and Medicaid are taxpayer-funded programs that assist seniors pay for nursing home care. Both packages are constrained to human beings with considerable economic want. Medicare is typically confined to medical care for shorter time periods. Medicaid helps cover custodial care. It's feasible to be eligible for both applications at once. Medicare nursing home coverage applies to financially eligible people aged 65 and up who meet all three of those criteria:

to begin with require a hospital stay of three nights or longer

require professional nursing or rehabilitative care as judged through a physician

move to a nursing domestic within 30 days of hospitalization

Without hospitalization, the individual may be eligible for Medicare domestic nursing visits instead. When a patient is eligible for Medicare nursing domestic care, the program may additionally pay the full price of nursing domestic take care of up to twenty days.

Medicare will also supplement a live for a further 80 days (for a complete of 100), but the affected person has a co-pay of more than $150/day.

If psychiatric care is needed, the period of care with Medicare supplements may be further extended.

Medicaid, on the alternative hand, helps pay for long-term personal care (such as help with bathing and eating) in nursing houses and different settings. Because Medicaid is in part nation-run, eligibility and advantages vary by using location. You can see the state-of-the-art country government policies at benefits.Gov. Tip: Shifting one's economic belongings ought to carry Medicare/Medicaid eligibility. For example, when planning for senior care extra than five years in advance, someone should lessen their assets in a “Medicare-friendly” manner by means of shifting a belongings deed to a relative. A man or woman could also set cash aside for funeral costs and it won't count number as an asset, not like if the cash had been kept in savings.

Veterans Benefits

The Veterans Administration or VA has 3 nationwide programs for assisting veterans with nursing domestic care:

Community Living Centers (CLCs)

State Veterans' Homes

Community nursing domestic program

Priority is given to veterans who want nursing domestic take care of service-related disabilities. Some packages are paid for absolutely by using the VA. Others require co-payments.

VA Community Living Centers

Community Living Centers or CLCs have been formerly called VA nursing homes. They're in particular home-like facilities for veterans of all ages. Social activities are planned, and citizens are unfastened to personalize their rooms and can keeps pets. Usually a CLC housing arrangement is temporary however some veterans live lifelong. Services variety from non-public care to skilled nursing and palliative care. The VA operates extra than 130 CLCs across the country, and most are located close to VA hospitals. Benefits in any respect Community Living Centers include:

24-hour skilled nursing care

Rehabilitative care

Access to social work services

Geriatric care

Additionally some CLCs provide those services:

Mental fitness care

Memory care

Respite care

Hospice care

In a few instances a co-pay is needed for VA CLC housing. Coverage relies upon on financial want and the veteran's incapacity status as it relates to service.

State Veterans' Homes

More than 1500 kingdom-run nursing houses are approved through the Veterans Administration. When an eligible vet chooses care at any of these homes, the VA will pay a part of the daily charge. Although all nation veterans' houses meet sure VA standards, plenty of variation results from states putting their own eligibility criteria and lists of services. In a few states non-veteran spouses and Gold Star military dad and mom are eligible for house as well. You can find state veterans' homes in your area with the long-term care locator at va.Gov.

Community Nursing Home Program

The VA Community Nursing Home program companions with nursing homes in vets' personal communities. This expands options for vets who don't stay close to CLCs or kingdom veterans' houses, and need to live near their households at the same time as in a nursing home. VA-approved community nursing domestic care includes:

24-hour skilled nursing care

Occupational remedy and physical remedy

Access to social paintings services

Additionally some community nursing houses offer:

Short time period rehab services

Hospice and palliative take care of the end of life

Special take care of dementia

The Veterans Administration determines its payment subsidies based on army service, degree of disability and economic need.

Uestions to Ask Nursing Homes

Before selecting a nursing home for a cherished one, visiting greater than as soon as is recommended. For example, one day you may study afternoon sports. Another day you could visit for dinner and then see how the community winds down for the night. Sharing a meal with residents and team of workers may be an particularly valuable way to get insights about the facility. Touring a nursing domestic, you'll notice generalities along with the cleanliness of the rooms and hallways, and the way kindly or not-so-kindly human beings have interaction with one any other. You might also locate that one facility is more fitting than every other in methods that count number to your loved one — for example, it'd have gardens, a remedy dog, or bilingual caregivers. Here are unique inquiries to ask administrators at nursing homes and comparable facilities:

How many residents stay on the nursing home? If the populace is large, are residents separated into smaller communities?

What is the ratio of caregivers to citizens? Are specific caregivers assigned to particular citizens?

What is the workforce turnover rate? If worker pride is low, often this shapes the citizens' exceptional of life.

Does the facility provide 3 balanced food daily? Do residents have choices at each meal?

Can citizens customize their rooms with art and other belongings? What fixtures is provided?

When can citizens spend time outdoors? Is the nursing domestic close to different matters that I want to do?

What safety precautions are in vicinity for citizens with Alzheimer's disorder or different dementia? Nursing houses might have stable perimeters, for example, or require certain patients to wear electronic bracelets.

Does the nursing home provide transportation for scientific appointments and to assist residents with errands?

What social sports are sponsored through the home? Can citizens pick out from a couple of hobby calendar? Generally the bigger the nursing home community, the extra diverse the offerings.

What special services are available? Examples are tailored memory care, sensory therapy rooms, and hairdressing.

What sources of payment are accepted? Some facilities restriction their numbers of Medicare and Medicaid sufferers because they're permitted to charge greater when billing privately.

What are the move-out criteria? When might a senior be asked to leave against his or her will? Knowing the answer to this query is mainly important if dementia turns into as issue, as a few dementia sufferers tend to disrupt community life.

Where Can I Find Nursing Homes Near Me?

We offer an in depth database of nursing houses across the nation. Search our nursing domestic listing or provide us a call on our senior helpline to speak to a representative directly. We assist you to to find the right nursing domestic to serve your specific care needs. We can also help you to discover a nursing home that is positioned close to you or close to your loved one, so that making the transition right into a nursing domestic is as seamless as possible.

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