Satisfaction among the Elderly with Telehealth during the Covid-19 Pandemic

Posted on by Dominick Flarey

By James M. Katz, BA

Telehealth is a rapidly growing field in the healthcare industry that uses technology to deliver care and services remotely. Telehealth can be used for a variety of purposes, including appointments, consultations, prescriptions, and follow-ups.

While telehealth has many benefits, including increased access to care, improved quality of care, and lower costs, there are some challenges that need to be addressed. These challenges include provider training and reimbursement, as well as ensuring patient privacy and security.

Telehealth Concept Picture
Is Telehealth growing?

The article below discusses how health care professionals turned to telehealth as a way to deliver their services to patients during the Covid-19 pandemic. The patients in the study were mostly elderly and from various cultural and ethnic backgrounds. Most scored their satisfaction 6 out of 7. Some of the patients did not find telehealth enjoyable and preferred inpatient treatment. The following article goes into further detail.

“Amid the implementation of restrictions on in-person care during the COVID-19 pandemic, many patients and providers turned to telehealth. Telehealth helped maintain care access during this time, especially for seniors, but researchers from Beth Israel Deaconess Medical Center wanted to determine patient satisfaction levels among the geriatric population that used virtual care.

For the study, they sent a patient satisfaction questionnaire to 278 patients over 65, 208 of whom completed the survey. The study period ranged from April 2020 to June 2021.”

Older Adults Satisfied with Telehealth During COVID-19 Pandemic, Mark Melchionna, mHealth Intelligence. October 10, 2022
Access Article here 

Commentary:

Satisfaction of Telehealth:

Patients who used telehealth were more likely to report satisfaction with their care, including feeling more connected to their doctor and having better communication with their provider. They were also more likely to say they felt involved in their own care and that their care was coordinated.

Patients who used telehealth were also more likely to report better health outcomes, including fewer emergency room visits and hospitalizations, and better management of chronic conditions.

Benefits of Telehealth:

In recent years, telehealth has become an increasingly popular option for older adults. Telehealth allows patients to consult with their doctors remotely, using a computer, tablet, or smartphone. This can be especially beneficial for older adults who may have difficulty travelling to see their doctor in person.

There are a number of reasons why telehealth may be a good option for older adults. First, it can help them save time and money on travel costs. Second, it can provide them with more flexibility in terms of when and where they can consult with their doctor. And third, it can give them peace of mind knowing that they can still receive high-quality care even if they are not able to physically visit their doctor’s office.

In the past, patients had to physically go to a doctor’s office or hospital for medical care. This is no longer the case with the advent of telehealth, which allows patients to receive care remotely using technology. There are many benefits of telehealth, including increased access to care, improved outcomes, and lower costs.

Disadvantages of Telehealth:

Although telehealth has the potential to improve access to care, there are a few potential disadvantages of using telehealth services, especially when compared to in-person visits with healthcare providers. One such disadvantage is that patients may not be able to get the same level of care through a virtual visit as they would if they were meeting with their provider face-to-face.

Another potential downside to telehealth is that it can be difficult to build rapport and trust with your provider when you’re not meeting in person. This can be especially true if you’re using video conferencing for your visits, as it can be harder to read body language and cues when you’re not in the same room as the other person.

Finally, there’s always the possibility that technology will fail during a telehealth visit, which could lead to disruptions in care or even put patient safety at risk.

Is Telehealth for you?

When it comes to your health, you want the best care possible. You want to be able to see a doctor when you need to and get the treatments you need to feel better. But what if you can’t always get to the doctor’s office? What if you don’t have transportation or you live in a rural area? Telehealth might be the solution for you.

There are many benefits of telehealth. It increases access to care, especially for those who live in rural areas or who have transportation issues.

In conclusion, telehealth is a growing field that is changing how healthcare is delivered. It has the potential to improve access to care, reduce costs, and improve outcomes. However, there are challenges that need to be addressed, such as reimbursement, workforce issues, and technology infrastructure. With the right policies and investments in place, telehealth can help transform the healthcare system and improve the health of Americans.

Health Care Management:

Are you a health care professional who is interested in becoming certified as a Health Care Manager? If so, please review the Health Care Manager and Nurse Management Certification programs offered by the American Institute of Health Care Professionals, Inc. The program is based on open enrollment and is self-paced, meaning you are free to start whenever you are ready and you can move through it at your own speed. All of the exams are 100% online. The CE courses have board approvals as well. To begin, you may preview our program by Clicking Here.

Additional Resources:

Patient and family engagement: a survey of US hospital practices. Jeph Herrin, Et.Al. PMC PubMed Central Epub  June 16, 2015.
Access Here

VA/Pitt Study Shows Telehealth Effective, Preferred for Veterans’ Wheelchair Design and Fit. Sheila Tunney. University of Pittsburgh School of Health and Rehabilitation Services, December 2020.
Access Here 

Strategies for Evaluating Telehealth. Dr. John Chuo Et.Al. American Academy of Pediatrics Volume 146 Issue 5. November 1, 2020
Access here 

Patient and clinician experiences with telehealth for patient follow-up care. Karen Dolenan Et.Al. The American Journal of Managed Care, 01  25(1):40-44 PMID: 30667610 January 2019.
Access here

 

 

What Is IOP in Mental Health?

Posted on by Joseph Gerard

Man lying on sofa talking to his therapist at therapy sessionWritten by Sam Darwin

IOP stands for Intensive Outpatient Program and patients with mental health issues are usually treated using this program. They go to treatment sessions like the in-patients, but the treatment is given during the day and not overnight.

The patients divide their time between home and the IOP center. These intensive outpatient programs aim to stabilize patients. They teach them techniques to manage their mental health conditions. Here’s what you need to know about IOP.

 

What Is Intensive Outpatient Treatment?

Intensive outpatient treatment is a form of mental health care. It provides the structure and support of therapy in a less restrictive setting than inpatient treatment. IOP aims to help you learn how to manage your symptoms and live more independently.

Intensive outpatient treatment consists of weekly or biweekly sessions. These are a combination of individual therapy and group therapy. Treatment is provided at a clinic or hospital, and patients attend for about four hours per day, five days a week. The length of the program varies, but it generally lasts between three months and one year.

IOP treatment focuses on helping you learn how to manage your mental health issues to live successfully in the community. Treatment often includes medication management and cognitive behavioral therapy (CBT).

 

How Long Does Intensive Outpatient Treatment Last?

Depending on the patient, intensive outpatient treatment lasts anywhere from four to twelve months. The number of hours per week varies by treatment center but typically ranges from four to five hours a day.

In some cases, intensive outpatient treatment may be combined with partial hospitalization. This is for patients who need more intensive care than usual outpatient treatment can provide. How long you stay depends on several factors, including:

  • For how long have you experienced symptoms of mental illness?
  • Your support system at home (e.g., family members, friends)
  • Your financial situation
  • Your ability to follow through with treatment recommendation

Suppose you have been diagnosed with a mental illness and have difficulty managing your symptoms. Or you’re having difficulty functioning at home or in your workplace. In that case, you might enjoy intensive outpatient treatment. Participating in this program will likely improve your mood, energy, and productivity.

 

Who Needs Intensive Outpatient Treatment?

IOP can help people diagnosed with a mental health disorder, such as depression or bipolar disorder. It’s also used to treat those struggling with alcohol or drug addiction.

IOP is appropriate for people who:

  • Have had a recent mental health crisis and are at risk of harming themselves or others
  • Have been hospitalized in the past six months and need additional therapy to prevent future hospitalizations
  • Are unable to take medications as prescribed because they have side effects
  • They are having trouble managing their symptoms without medications. This includes people who have tried medications but stopped taking them for side effects or other reasons.

 

girl sitting on the bank of the river

How Can I Get Started In IOP?

Inpatient treatment programs can be an important part of your recovery. You will gain from inpatient treatment if you struggle with a mental health condition. The level of care and support you receive from an inpatient treatment program will depend on the type of program you choose. Many different levels of care are available (IOP and residential treatment programs).

To start the process, you’ll have to contact your insurance provider to find out which facilities they cover. Once you have that information, it’s time to start looking into the different types of programs available near where you live or work.

Some people prefer to go straight into a residential program. Others prefer an intensive outpatient program first. Either way, getting started is as easy as visiting theheightstreatment.com and setting up an appointment for an assessment.

 

How Does IOP Help People With Mental Illness?

Inpatient treatment is one of the most effective ways to treat a person who has a severe mental illness. Inpatient treatment takes place in a hospital or other residential treatment facility. Here, professionals can receive around-the-clock care.

People hospitalized for mental illness often need more intensive services than outpatient treatment. This includes medication management and therapy. IOP can help people who are struggling with mental illness for a variety of reasons:

  • They may need more support than what their primary care provider offers.
  • They may have already been hospitalized but still have some symptoms that need to be addressed before returning home.
  • They may be unable to participate in outpatient therapy due to other factors such as work or family responsibilities.

 

How Does Intensive Outpatient Treatment Work?

Intensive outpatient treatment allows you to receive the same level of care that you would get in a hospital setting. But, the treatment is delivered on an outpatient basis. You will not be admitted to an inpatient unit or need to stay overnight. Instead, intensive outpatient programs usually involve regular visits with a therapist and group therapy sessions.

Intensive outpatient treatment may include individual and family therapy sessions if needed. These programs are designed for people who can’t leave their jobs or families for long periods.

Group therapy often involves working with patients who have similar issues as yourself, such as anxiety or depression. A therapist might also recommend joining a support group after intensive outpatient treatment. This way, you have someone else to talk to about your experiences.

Individual therapy is often used as a supplement to group therapy. It helps patients address specific problems related to their mental health issues. For example, suppose someone has an anxiety disorder and is having trouble leaving home every day for work. In that case, individual therapy could help them learn strategies for dealing with this problem to continue working without feeling anxious all day long.

 

Woman in mental health treatmentHow Does IOP Differ From Traditional Outpatient Programs?

In-patient treatment is one of the most effective options for individuals with severe mental illnesses. These services provide intensive care under a team of qualified professionals. They provide immediate help and support to patients who need it most.

In-patient treatment programs are very different from outpatient programs. Traditional outpatient programs are designed for people who live locally. They can attend regularly scheduled appointments during the week.

These outpatient programs aim to help patients maintain their independence. They teach skills and provide support. This allows them to live safely in the community without requiring constant supervision.

In-patient programs, however, provide 24-hour care in a controlled environment with many therapeutic services available on-site or nearby. While patients are not required to stay overnight, they can still stay for several days or weeks, depending on their needs and recovery plan.

In-patient psychiatric treatment provides intensive care for individuals suffering from severe mental illnesses.

 

What Types of Therapy are Offered During Intensive Outpatient Treatment?

The type of therapy offered in an intensive outpatient program depends on the needs of the individual. In general, most intensive outpatient programs offer a combination of therapies, including:

  • Individual therapy. This can include cognitive behavioral therapy (CBT), dialectical behavioral therapy, or supportive psychotherapy.
  • Group counseling. These groups are often led by a licensed mental health professional. They focus on recovery and addiction, stress management, or anger management.
  • Family therapy. Some clinics offer family therapy, including individual sessions with parents and their children. They also have group sessions for families who want to support each other through treatment.
  • Brief medication management (BMM). Suppose you have been prescribed medication for your mental health condition during an intensive outpatient program treatment. In that case, you may also be eligible for BMM sessions with a psychiatrist or medical doctor. This professional should specialize in treating mental health conditions with medications.

 

Importance of Intensive Outpatient Program (IOP)

IOPs aim to manage your symptoms, learn new skills, and improve your overall quality of life. Your psychiatrist and therapist will help you develop a treatment plan based on your needs and goals.

The benefits of IOP include:

  • A flexible schedule allows you to work, attend school, and take care of other responsibilities.
  • It helps you learn how to manage stress, handle problems in relationships, and cope with urges.
  • Providing a safe place to receive treatment while maintaining normal activities
  • You get a customized treatment plan based on your needs and goals
  • Short-term therapy can address specific issues in your life, such as depression, anxiety, or substance abuse.
  • The opportunity to learn new skills to cope with symptoms and develop healthy relationships with others
  • You’ll get support from other people trying to overcome similar problems.

 

Conclusion

It is vital to remember one of the essential aspects of mental health: you are not alone. It can be difficult to remember even someone with a history of depressive episodes. IOP programs or therapy groups may help offer reassurance even with a mental illness. There is contact with others, and there will always be contact with others.

And no matter what, you are never alone. When you need inpatient treatment for mental health, it is crucial to choose a facility based on the needs of your loved one. IOP has many benefits and can help progress and maintain recovery.

 

 

If you are interested in more information visit AIHCP’s Crisis Intervention Program here

SANE and Forensic Nurse Needs in Sexual Assault Cases

Posted on by Dominick Flarey

SANE nurses perform a critically important job in the healthcare industry.  This job is far from a happy one but is a needed one due to the fact crime exists, in particular sexual assault.  SANE nurses collect critical forensic evidence from sexually assaulted victims and preserve the evidence for police and the justice system.  These forensic nurses can also play important roles in investigations against these crimes.  They may be called to court and become expert witnesses.

The article, “Demand for sexual assault nurse examiner services rises as staffing drops” by Bobbi-Jean MacKinnon reviews in one particular facility how sexual crimes have risen with the availability of SANE nurses dropping.  The article discusses the importance of these types of nurses and how they cover a broad area in ensuring proper investigation and collection of evidence.  MacKinnon states,

“The number of people seeking sexual assault nurse examiner services at Horizon hospitals is on track to exceed the past two years, while the number of nurses trained to perform them is dropping.  A total of 143 people have accessed sexual assault nurse examiner (SANE) services between April 1 and the end of September, according to data provided by Horizon.  If that trend continues, the number could reach about 286 by the end of 2022-23.”

“Demand for sexual assault nurse examiner services rises as staffing drops”. Bobbi-Jean MacKinnon. CBC NEWS.  October 6th, 2022

To view the entire article, please click here

 

SANE and Forensic Nurses supply an invaluable service to patients as well as the criminal justice system in the prosecution of sexually assault crimes

Commentary

SANE nursing is a specialized area of nursing that focuses on providing care to patients who have been victims of sexual assault or abuse. SANE nurses are specially trained to provide compassionate and confidential care to these patients, as well as to collect evidence and assist in the prosecution of their abusers. SANE nursing is an important part of providing comprehensive care to these patients and helping to ensure that their abusers are brought to justice.

The acronym “SANE” stands for Sexual Assault Nurse Examiner. The main goal of a SANE examiner is to collect evidence and document the injuries sustained by the victim during the assault. In order to do this, the SANE examiner will perform a thorough physical examination and collect samples for various types of testing. The SANE examiner will also take photographs of any injuries present on the victim’s body. While on site, the SANE examiner overall provides high quality, compassionate care to victims of sexual assault. The SANE provides a variety of services, including: medical assessment and treatment, crisis intervention and support, evidence collection, and referrals for additional services.

In addition to on site care and collection of evidence, SANE examiners also are called into court numerous times.  SANE examiners in court are responsible for providing expert testimony on the mental state of defendant at the time of the offense. This testimony is used to determine whether the defendant was legally sane at the time of the offense. SANE examiners use their clinical training and experience to assess the defendant’s mental state and render an opinion on whether the defendant was legally sane at the time of the offense.

Many SANE examiners also look into becoming certified in Forensic Nursing.  Forensic nursing is a field of nursing that deals with providing care to patients who have been victims of crime. Forensic nurses work closely with law enforcement and other officials to provide care and support to victims and witnesses of crime. They also work to collect evidence and compile medical reports that can be used in court.

Becoming a SANE Examiner

In order to become a sane examiner, one must first understand the basics of examining. This includes understanding the different types of exams, how to construct an exam, and how to grade an exam. Once these basics are understood, one can then begin to develop their own methods and procedures for conducting examinations. It is important to keep in mind that each examiner is different and therefore there is no single right or wrong way to conduct an examination.  The training covers all aspects of the examination process, from initial patient assessment to evidence collection and documentation. Upon completion of the training, nurses will be able to provide high-quality, compassionate care to victims of sexual assault.  In addition, Forensic nurses receive certification from a reputable organization.  Again, most forensic nurses are also SANE certified.

Conclusion

The vital importance of SANE examiners and Forensic nurses cannot be underestimated.  They provide care to the patient who has undergone the intense trauma of sexually assault but they also provide the collection of evidence needed to convict violent sexual offenders.  They furthermore work with the local, state and federal authorities in an investigation and also within the court room as a witness to the evidence.  Any nurse can become SANE and forensic nurse certified.  They merely must fulfill the training requirements and pass the tests required to perform this important service.

It can be a very dark field but a necessary one where a single good person can give love, compassion and light to a traumatic event for another.  Nurses who wish to find justice for others and care for the most vulnerable are excellent candidates for SANE and forensic nursing.

Please also review AIHCP’s Forensic Nursing Certification Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals within the nursing community and SANE workforce who are seeking a four year certification.  The program consists of 5 courses and then the applicant is eligible to earn the four year certification.

Additional Resources

“Rural Availability of Sexual Assault Nurse Examiners (SANEs)”. Elizabeth Thiede BSN, RN,Sheridan Miyamoto PhD, FNP, RN, FAAN.  The Journal of Rural Health. 06 December 2020. Access here

“Forensic nursing science: Global strategies in health and justice”. Virginia A.Lynch. Egyptian Journal of Forensic Sciences. Volume 1, Issue 2, June 2011, Pages 69-76. Access here

“What is a SANE exam?”. Elizabeth Boskey, PhD. Verywellhealth. August 10th, 2022.  Access here

“What is a Forensic Nurse?” Nurse Journal Staff. Nurse Journal. September 9th, 2022 Access here

 

 

 

 

 

Legal Nursing and the Standard of Care

Posted on by Dominick Flarey

In Legal Nurse Consulting, the idea of the standard of care is critically important.   This standard is the defining linear line between negligence and proper care of a provider to a patient.  It provides the guidelines necessary to understand if a malpractice has occurred or not occurred.  Legal Nurse Consultants play a key role in defining this line within the practice of nursing and healthcare.  It is hence extremely important to understand this standard and its applications in cases where supposed malpractice may have occurred.

The article, “Standard Of Care: Legal Definition & Examples” by Christy Bieber and reviewed by Adam Ramirez looks more closer at these standards.  In the article, the definition of standard of care is clearly stated and how it applies to cases of potential malpractice.  The article also reviews what type of compensation individuals can receive in a malpractice case and how to proceed in such a filing.  The article states,

“In many cases, it is necessary to consult with experts in order to determine if a defendant fell below the standard of care. For example, if you are pursuing a case against a doctor for medical malpractice, you might need to present testimony from other medical professionals to establish what the standard of care was and to explain how the doctor fell short of fulfilling this duty and thus caused harm. An experienced medical malpractice lawyer can provide insight into proving a case. Your attorney can also help you to gather evidence and find expert witnesses who can testify on your behalf.”

“Standard Of Care: Legal Definition & Examples”. Christy Bieber. Forbes Advisor. October 10th, 2022.  To access the full article, click here

Legal Nurse Consultants play a key role in helping understand the standard of care in medical malpractice cases

Commentary

Legal nurse consulting (LNC) is a nursing specialty that provides support to lawyers and other legal professionals on cases involving health care. LNCs use their clinical knowledge and experience to help identify potential legal issues, gather and analyze medical records, and provide expert testimony.  Legal nurse consultants work with attorneys and other legal professionals to provide expert analysis and testimony on a variety of legal issues, including medical negligence, personal injury, and long-term care. As a legal nurse consultant, you will use your knowledge of the healthcare system to help attorneys understand complex medical issues.

The Standard of Care

In the legal profession, the standard of care is the watchword for determining whether a healthcare professional  has acted properly. The standard of care is defined as the degree of care and skill that a reasonable healthcare professional  would use in similar circumstances. This duty of care is owed to all clients, regardless of their level of sophistication or ability to pay.  In general, the standard of care requires that a person must be reasonably careful in order to avoid harming others.

The standard of care is the legal duty of all health care professionals to provide their patients with a certain level of care. This duty is based on the professional’s knowledge, skill, and judgment. The standard of care must be met in order to avoid liability for negligence. There are four elements to the standard of care: 1) the duty to act; 2) the standard of care; 3) causation; and 4) damages.

Malpractice

Medical malpractice is a type of negligence that occurs when a health care professional provides substandard care to a patient, resulting in injury or death. Although the standard of care varies by jurisdiction, it is generally defined as the type and level of care that a reasonably prudent health care professional would provide under similar circumstances. When a health care professional deviates from the standard of care and causes harm to a patient, he or she may be held liable for medical malpractice.

When filing a medical malpractice claim, there are a few things to keep in mind. First, you’ll need to file a complaint with the appropriate state agency. In most states, this is the Board of Medicine. You’ll also need to obtain copies of your medical records and any other relevant documentation. Once you have all of this information, you’ll need to meet with an experienced medical malpractice attorney to discuss your case.

Role of the Legal Nurse in Malpractice case

In a malpractice case, the legal nurse may be asked to review medical records and other documentation to help determine whether there was negligence on the part of the medical care provider. The legal nurse may also be asked to provide testimony in court about the case.  Overall and in more detail, a legal nurse reviews medical records, researches medical conditions and procedures, and provides guidance on the standard of care. In addition, they may  interview witnesses, collect and organize evidence, and assist with trial preparation. The goal is to help the attorney build a strong case on behalf of the client.  Legal Nurses may represent the healthcare professional or the patient suing for malpractice.

Conclusion

In conclusion, legal nurses are an important part of the healthcare team and play a vital role in ensuring the standard of care is met. They work closely with attorneys and insurance companies to investigate cases of malpractice and negligence.  The standard of care is important in protecting patients and ensuring that they receive the best possible treatment. It is also important in preventing medical negligence and malpractice.

Please also review AIHCP’s Legal Nurse Consulting Certification and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified nurses seeking a four year certification in Legal Nursing.  After completing the required four courses, a registered nurse can apply for the four year certification.

Additional Resources

The Standard of Care. Donna Vanderpool, MBA, JD. Innov Clin Neurosci. 2021 Jul-Sep; 18(7-9): 50–51.  Access here 

Understanding Standard of Care for Patients. Trisha Torrey. VeryWellHealth March 4th, 2020.  Access here

Medical malpractice. BASHIR MAMDANI. Indian Journal of Medical Ethics Vol I No 2 April–June 2004.  Access here

An Introduction to Medical Malpractice in the United States. B. Sonny Bal, MD, MBA. Clin Orthop Relat Res 2009 Feb; 467(2): 339–347.  Access here

 

 

Nursing Management and Nurse Shortages

Posted on by Dominick Flarey

With the recent pandemic and other stresses, numerous nurses may be looking to exit the field.  Nurse shortages are not something new and continues to be an issue.  The industry is in demand but needs to find ways beyond salary to attract more individuals to the field itself.  It is essential to better manage nurses and departments to ensure nursing satisfaction is met and nurses reap the rewards of a fulfilling career.  Flexibility and options are key.

The article, “Two-Thirds of Nurses Poised to Quit in Coming Years: 8 Steps Healthcare Employers Can Take to Address Potential Mass Exodus” by A. Kevin Troutman looks closer at the dilemmas facing the nursing industry.  In the article, Fisher poses the question how can nursing management and healthcare facilities attract more nurses but also keep the current staff satisfied.  He lists 8 steps healthcare employers can utilize in meeting these demands.  He states,

“The below list of eight suggestions is by no means an exhaustive list of things healthcare employers can do to deal with the challenges of the current nursing shortage. It does, however, illustrate that even in the face of dire predictions for the future, you can take steps to better protect your organization, your patients, and – most importantly – your employees.”

Two-Thirds of Nurses Poised to Quit in Coming Years: 8 Steps Healthcare Employers Can Take to Address Potential Mass Exodus.  A. Kevin Troutman. Fisher Phillips. JDSUPRA.  Oct 10, 2022. Access article here

Nursing shortages remain an issue in the healthcare industry. Nursing Management can play a key role

Commentary

With nurses playing such a key role in healthcare, it is important to address nursing shortages and why.  Finding solutions to find more nurses and retain existing staff is critical to the healthcare industry, especially after the recent pandemic issues.

The demand for nurses is determined by a number of factors, including the number of patients needing care, the severity of their conditions, and the availability of other health care professionals. The American Nurses Association estimates that there are currently more than 1.2 million nurses working in the United States, and that this number will need to increase to 2.4 million by 2030 to meet the demands of the growing population.  There is a current demand for nurses in the healthcare industry. This is due to the aging population and the need for more preventative care. The demand for nurses is expected to continue to grow in the coming years.

There are a number of reasons for the high demand for nurses. The first is the aging population. As people live longer, they require more medical care. This includes both acute care and chronic care. The second reason is the increase in chronic diseases. These conditions require ongoing management and often result in multiple hospitalizations. The third reason is the increasing complexity of care. With advances in medical technology, patients require more sophisticated and expensive treatments. This requires a higher level of nursing care.

However, within this demand is a fear of many existing nurses seeking to quit their positions.  The high turnover rate among nurses is a major problem for healthcare facilities. There are many reasons why nurses quit, but the most common ones are poor working conditions, low pay, and burnout. Healthcare facilities need to do more to retain their nurses by improving working conditions and offering competitive pay.

The pandemic has also played a key role on stress on nurses and why many may be looking for less stressful jobs.  The COVID-19 pandemic has taken a toll on healthcare workers, particularly nurses, who are on the frontlines of the fight against the virus. The stress of working long hours in high-pressure situations can lead to burnout, anxiety, and depression. In order to support nurses during this difficult time, it is important to provide them with adequate resources and opportunities for self-care. Additionally, creating a supportive work environment where nurses feel valued and respected is essential.

Nursing Management can better retain nurses and attract other potential nurses

There are a few key ways in which nursing management can keep employees. First, it is important to establish clear expectations and goals for employees. Additionally, regular communication and feedback are crucial in order to ensure that employees are on track and meeting expectations. Additionally, providing opportunities for professional development and growth can help retain employees. Finally, creating a positive work environment and culture is also important in keeping employees engaged and motivated.

In addition to keeping employees, nursing management needs to find ways to attract new nurses to help with the work.

There are a few things that nursing management can do in order to attract new employees. One is to offer competitive salaries and benefits. Another is to create a positive work environment where nurses feel supported and valued. Additionally, nursing management can provide opportunities for professional development and career advancement. By doing these things, nursing management can make the profession more attractive to potential employees.

Conclusion

In conclusion, the nursing shortage is a problem that needs to be addressed. There are many ways to address the nursing shortage, but one of the most important is to keep nurses in the profession. To do this, we need to support nurses in their career development and provide them with opportunities to grow and advance in their careers. We also need to create a work environment that is conducive to retention and recruitment of nurses.

Please also review AIHCP’s Nursing Management Certification Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified nurses and professionals who are seeking a four year certification.   By completing the required courses, nurses can diversify their career and seek higher positions in the healthcare profession within the field of nursing management.

Additional Resources

“Global nursing shortages – action for change” Vari M Drennan and Fiona Ross. British Medical Bulletin. 2019.  Access here

“Innovative Information Technology Solutions: Addressing Current and Emerging Nurse Shortages and Staffing Challenges Worldwide”. Lloyd, Jenna; Ferguson, Stephanie L  Nursing Economics. Vol. 35, Iss. 4. July/August 2017.  Access here

“Why Is There a Nursing Shortage?”. Kristen Hamlin. Nurse Journal. August 29th, 2022.  Access here

“Understanding the American Nursing Shortage”. S. Behring. Healthline. August 11th, 2021.  Access here

Anger Management and Unresolved Trauma Video

Posted on by Dominick Flarey

Unresolved anger in trauma is very common.   The trauma caused can lead to anger towards the situation, society or the perpetrator of the trauma.  Forgiveness, letting go and and finding peace can be difficult with unresolved anger.  Many times, aggression and and violence can emerge from this type of unresolved conflict.  This is especially true if justice is not given to a particular past wrong.

Please also review AIHCP’s Anger Management Consulting Certification and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification.

Pet Loss Grief is Real and Needs Respected

Posted on by Dominick Flarey

Losing a pet can be a difficult transition in life.  Many times, individuals dismiss it since it does not involve the loss of a family member.  The reality is pets are family to millions of individuals.  The loss can be as painful as losing anyone.   Due to this dismissal, pet loss in many circles is disenfranchised an ignored. Pet Loss Grief Counseling or support groups can aid many who do not receive the proper support they need in this type of grief.

The article, “Losing a Pet Can Be Just as Hard as Losing a Loved One” by John Grohol looks at the deep seated pain that can result from the loss of a pet.  He points out the numerous ways pet loss can affect someone as much as losing a friend or family member.  He also lists how one can find ways to cope better in the aftermath of pet loss itself.  He states in regards to the lack of understand of pet loss in the following:

“Sadly, many people don’t understand pet loss and the value that pets hold in a person’s life. This can greatly add to a pet owner’s grief. Instead of being comforted and heard by friends or family (what psychologists refer to as validation), the person is told, “It was just a dog (or cat), get over it” or “I’m not sure why you miss that cat (or dog) so much.” These kinds of unintentionally hurtful comments can add to a person’s burden of grief (Messam & Hart, 2019)”

Losing a Pet Can Be Just as Hard as Losing a Loved One.  John Grohol, Psy.D.  PsychCentral. Feb 27th, 2022.

Access article  here

 

Saying goodbye to a pet is like saying good bye to family for millions of people. Pet loss is true grief and loss.

 

Commentary

The loss of a pet can be a difficult and emotionally charged experience. Pets provide us with companionship, love, and support, so when they pass away it can leave us feeling isolated and alone. The grieving process is often complicated by the fact that we may not have had the opportunity to say goodbye or to properly mourn our pet. This can lead to feelings of guilt or regret. It is important to allow yourself time to grieve and to reach out for support if you are struggling.

When a pet dies, it is not uncommon for people to experience a range of emotions, including sadness, anger, guilt, and confusion. The grieving process is often described in stages, with the first stage being denial and isolation. This is followed by bargaining, in which the individual tries to make deals with God or other powers in order to bring their pet back. The third stage is depression, characterized by feelings of sadness and despair.  It is important to allow yourself to grieve. It is okay to feel sad and to cry. You should also try to talk about your feelings with friends or family members who will understand what you are going through.

Pet Loss and Disenfranchisement

Individuals who have experienced the loss of a pet may feel disenfrachised, or isolated from others who have not gone through a similar experience. This is because the loss of a pet can be a very significant and personal event, which can be difficult to communicate to others who have not experienced it. Additionally, the grief associated with pet loss can be complicated by the fact that it is often not recognized or validated by society at large.

When a person experiences the loss of a pet, it is important to respect their grief and not try to downplay their feelings. The loss of a pet can be just as devastating as the loss of a human family member, and so it is important to be understanding and supportive. Try to avoid saying things like “it’s just a animal” or “you can always get another one.” This can be very hurtful and dismissive of the person’s feelings.  In many families, pets are considered members of the family. They are given the same love and care as any other member of the family, and are often thought of as part of the family unit. Pets provide companionship and unconditional love, which can be beneficial to both children and adults. In some cases, pets may even help to teach responsibility and empathy.

When an individual experiences the loss of a pet, they may feel a deep sense of grief and sorrow. This grief can be difficult to cope with and may impact different areas of an individual’s life. To help address this grief, there are pet grief support services available. These services can provide individuals with support and resources to help them through their grieving process. By offering pet grief support, individuals can begin to heal from their loss and move forward in their lives.  Sometimes this support can come in the form of individual grief counseling or grief support groups who share similar losses.  This type of counseling is especially important due to the nature of pet loss being dismissed by many as not important or equal to the loss of a family member.  Since support is not given, many have to find support in counseling or within groups with like minded losses.

Conclusion

In conclusion it is important to remember that pet loss is real to many individuals.  Pets are just not mere trinkets or cute furry objects, but play pivotal roles in people’s lives.  They are not merely animals to be disregarded but true family.  Due to this, the loss is real and painful.  It is important not to sweep this type of loss under the rug but to respect it and help others through this painful process of losing a pet.

Please also review AIHCP’s Pet Loss Grief Support Certification and see if it meets your academic and professional goals.  After completing the six core courses of the program, professionals may then apply for the certification.  The program is online and independent study and open to qualified professionals seeking a four year certification in Pet Loss Grief Support Counseling.

Additional Resources

Pet Loss: A Disenfranchised Grief. Marty Tousley. Grief Healing. February 6th, 2017.  Access article here

Why We Need to Take Pet Loss Seriously. Guy Winch. Scientific American. May 22nd, 2018.  Access article here

Pet Loss: Understanding Disenfranchised Grief, Memorial Use, and Posttraumatic Growth.   Breeeanna Spain, et.al.  A multidisciplinary journal of the interactions between people and other animals.Volume 32, 2019 – Issue 4.  Access article here

Grieving the Loss of a Pet: Why It’s So Hard and Tips for Coping. Villy Valez. Veterinarians.org. March 4th, 2022.  Access article here

 

Meditation and Yoga: They both have Benefits

Posted on by Dominick Flarey

Dominick L. Flarey, Ph.D, RN-BC, ANP-BC
Board Certified Adult Nurse Practitioner
Board Certified Psychiatric-Mental Health Nurse

 

The benefits of meditation and yoga are vast and varied. They can help to improve mental and physical well-being, increase focus and concentration, reduce stress and anxiety, improve sleep quality, and boost immunity. Additionally, meditation and yoga can help to increase self-awareness, foster a greater sense of self-compassion and acceptance, and promote more positive thinking patterns.

There are many similarities between meditation and yoga, which is why they are often practiced together. Both involve the use of breath control, focus, and mindfulness. In both practices, the goal is to quiet the mind and achieve a state of relaxation. Additionally, both meditation and yoga can be used as tools for self-improvement and personal growth.

In this article, Yoga and meditation: What are the real health benefits? author Kat Bayly presents us with some interesting information on both modalities and outlines the benefits of both practices. She also shows how both practices can be combined and often are to enhance the experiences. This interesting read will enhance your understanding of using both modalities as complimentary practices to one another to gain better health outcomes in your meditation and yoga practices.

“While meditation primarily works on your mind and thought patterns, yoga moves your body and can help improve your fitness. This isn’t to say that yoga doesn’t work with your mind and improve your mental health. Research has found that yoga can have a positive effect on your mental health too and meditation can also benefit you physically.”

 

 

Yoga and meditation: what are the real health benefits? Bayly, Kat. LiveScience. October 8, 2022. Access article here

Commentary

Benefits of Meditation

There are many health benefits associated with meditation. Some of these benefits include reducing stress, improving cardiovascular health, and reducing pain. Meditation has also been shown to improve cognitive function and increase brain activity. Meditation has been shown to provide a number of benefits for the body. These benefits include reducing stress, improving sleep quality, and reducing pain perception. Meditation has also been shown to improve cardiovascular health by reducing blood pressure and improving heart rate variability. Additionally, meditation has been shown to boost the immune system and improve cognitive function.

Meditation has been shown to be beneficial for the mind in a number of ways. First, it can help to reduce stress and anxiety levels. This is because meditation helps to promote a state of relaxation and calmness. In addition, meditation can also help to improve concentration and focus. This is due to the fact that it helps to quiet the mind and allows one to focus on a single thought or object. Finally, meditation has also been shown to help improve sleep quality.

Meditation has been shown to be beneficial for spiritual well-being. In a study of over 3,500 adults, researchers found that those who meditated had higher levels of self-actualization and self-transcendence than those who did not meditate. Meditation has also been found to increase feelings of connectedness and positivity, and to decrease anxiety and depression. In addition to the benefits mentioned above, meditation can also help to improve focus, concentration, and memory.

Benefits of Yoga

The benefits of yoga on the body are numerous. From improving flexibility and joint range of motion to reducing stress levels, there is something for everyone. One of the most beneficial aspects of yoga is its ability to improve posture and alleviate pain. By lengthening and stretching the muscles, yoga can help to realign the spine and reduce tension in the shoulders and neck. In addition, the deep breathing associated with yoga helps to oxygenate the blood and promote healing.

The benefits of yoga on the mind are numerous and well-documented. Yoga can help to improve mental clarity and focus, while also reducing stress and anxiety levels. Additionally, yoga has been shown to improve sleep quality and promote a sense of well-being. There is also evidence to suggest that yoga can help to reduce symptoms of depression.

The benefits of yoga on the spiritual are many and varied. For some, yoga provides a way to connect with their higher power or to develop a deeper understanding of their own spirituality. For others, yoga may be a way to reduce stress, anxiety, and negative emotions. Additionally, yoga can help to improve focus and concentration, and promote a sense of peace and well being. Ultimately, the benefits of yoga on the spiritual are unique to each individual and will depend on their own personal journey. Many have claimed profound spiritual experiences during yoga sessions.

Types of Meditation and Yoga

There are many different types of meditation, but some of the most common include mindfulness meditation, Transcendental Meditation, and Zen meditation. Mindfulness meditation is a type of meditation that involves focusing on your breath and being aware of your thoughts and sensations without judgement. Transcendental Meditation is a type of meditation that involves repeating a mantra or sound to help you focus and reach a state of deep relaxation. Zen meditation is a type of meditation that involves sitting in silence and focusing on your breath.

There are many different types of yoga, but some of the most common are Hatha, Vinyasa, and Ashtanga yoga. Hatha yoga is a more gentle form of yoga, while Vinyasa and Ashtanga yoga are more physically challenging.

In conclusion, both meditation and yoga have benefits and can be practiced by anyone. Meditation can help to clear the mind and focus on the present, while yoga can help to improve flexibility and strength. They are both beneficial in their own ways and can be enjoyed by all.

Meditation Education

Are you a health care professional, or an  ordained or licensed clergy who is interested in teaching meditation to others? If so, please review the Meditation Instructor Education and Certification program offered by the American Institute of Health Care Professionals, Inc. The program is by distance education in online classroom with faculty mentoring as needed. There is open enrollment and you may begin your program at any time. Our CE courses have board approvals. To begin, you may preview our program by accessing here.

    Additional Resources

1. Meditation for CMT is a No Brainer. Lugo, Estela. Hereditary Neuropathy Foundation. September 22, 2020. Access here.

2. 12 science-Based Benefits of Meditation. Thorpe, Matthew, et.al. Healthline. October 27, 2020. Access here.

3. A Systemic Review of Yoga Interventions for Helping Health Professionals and Students. Ciezar-Andersen, Sylwia, et.al. Complimentary Therapies in Medicine. Vol. 58; May 2021. Access here.

4. Yoga an effective strategy for self-management of stress-related problems and wellbeing during COVID19 lockdown: A cross-sectional study. Sahni, Pooja, et.al. PLOS ONE. February 10, 2021. Access here

Anger and Violence in Society

Posted on by Dominick Flarey

Anger is a complex emotion that is characterized by feelings of frustration, annoyance, and hostility. It is often triggered by a perceived threat or injustice. When someone feels angry, they may experience physiological changes such as an increase in heart rate and blood pressure. This can lead to aggressive behaviors such as yelling or violence.
Anger is a normal and healthy emotion. However, it can become problematic if it is expressed in unhealthy ways or if it is constantly present.  Please also review AIHCP’s Anger Management Consulting Certification.

The ability to control one’s anger is a critical life skill. Anger is a natural emotion, but it can become problematic when it is not managed in a healthy way. Some people have difficulty controlling their anger, which can lead to problems at home, work, and in social situations. There are a number of strategies that can be used to control anger. These include relaxation techniques, cognitive restructuring, and problem-solving.  Please also review AIHCP’s Anger Management Consulting Courses

Anger management refers to the process of recognizing and regulating one’s own emotions, as well as the emotions of others. It is a skillset that can be learned and practiced in order to better manage aggressive impulses, handle conflict constructively, and maintain healthier relationships.
There are a number of different approaches to anger management, but all share the common goal of helping individuals identify and cope with the triggers and symptoms of anger in a more productive way.

When one does not manage one’s anger, a variety of issues can arise in life.  Hence it is critical to employ anger management strategies.  Anger however is seen in a variety of issues where it is not healthy or productive but dangerous to everyone.

Domestic violence is a large problem due to uncontrolled anger. Please also review AIHCP’s Anger Management Consulting Program

 

Illicit anger can cause havoc in the home life.  Domestic violence is a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner. Domestic violence can be physical, sexual, emotional, economic, or psychological actions or threats of actions that influence another person. This includes any behaviors that intimidate, manipulate, humiliate, isolate, frighten, terrorize, coerce, threaten, blame, hurt, injure, or wound someone.  Many families deal with domestic violence.  It may not just by physical in nature but may also be mental.  While men usually resort to physical abuse, many women can also be perpetrators through emotional abuse.

There is no one answer to addressing the issue of domestic violence. However, various experts agree that there are some key steps that can be taken in order to effectively address and prevent domestic violence.  Some of the key steps that can be taken to address domestic violence include: increasing public awareness and education about the issue, strengthening legal protections and penalties for perpetrators of domestic violence, and increasing access to support services for survivors of domestic violence.  If you are in immediate danger, call 911. If you cannot talk on the phone, try to text or use social media to reach out for help. Once you are safe, you can call a national hotline like the National Domestic Violence Hotline at 1-800-799-7233.

Dangerous anger is not just left at home but it can also follow one to the work place.  Displaced anger can travel back and forth between home and work and manifest in either environments.

Workplace anger is a type of emotion that is characterized by feeling mad or frustrated while at work. This type of emotion can be caused by a variety of things, such as feeling like you are not being appreciated or feeling like you are not being compensated fairly. Workplace anger can also be caused by feeling like your work is not fulfilling or challenging enough. Whatever the cause, workplace anger can lead to negative outcomes, such as decreased productivity, decreased job satisfaction, and even quitting your job.  In addition work place anger can lead to more violence with shootings via disgruntled individuals.

There are a few things you can do to stop workplace anger. First, try to identify the source of your anger. Is it your boss? A co-worker? Once you know who or what is causing your anger, you can try to address the issue directly. If that’s not possible or if the issue is not resolved, you can try to distance yourself from the person or situation that’s causing your anger. Finally, you can try to reframe your thinking about the situation.

In addition, anger and unresolved issues find its place in schools.  School shootings over unresolved anger or bullying can erupt quickly.  School violence is a serious problem in today’s society. It includes any form of violence, whether it is physical, verbal, or emotional, that takes place within the school setting. School violence can have a negative impact on the students, the staff, and the overall climate of the school. It is important for schools to take measures to prevent and address school violence.
Violence and anger in schools are a national crisis. Please also review AIHCP’s Anger Management Consulting

 

There are a number of ways to address the problem of school violence. One approach is to increase security measures such as metal detectors and security guards. Another approach is to provide more support services for students who may be at risk for violence. This might include counseling, conflict resolution training, and after-school programs.
Still another approach is to address the underlying causes of school violence. This might involve working with families and communities to reduce poverty and improve mental health services.  Teachers, administrators, and students all have a role to play in stopping school violence. By working together, we can make our schools safe places for learning
Lack of proper anger management and utilization of skills associated with it lead to these three types of violence.  It is important to see the issues that can erupt from the inability at a young age to control rage and anger.  The family and its interactions with society in public sphere all become affected by the inability to control the emotion of anger.  Again anger itself is not the villain but improper control of it.  When not controlled properly or managed, it leaks into every social aspect of society.
Please also review AIHCP’s Anger Management Consulting Certification and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Anger Management.

Grief Counseling Certification Video on Nightmares and Unresolved Trauma

Posted on by Dominick Flarey

Trauma if it is not faced consciously will re-emerge in the subconscious.  Nightmares can bring back past trauma in an attempt to understand and face the eluded issue.  Due to disassociated mental material, trauma is trapped in the brain and not stored as a long term memory properly.  Due to this, the trauma memory becomes a rogue thought within the brain.  It haunts the individual through PTSD.  Grief Counseling can help.

Only till the trauma is resolved, faced and understood, can one begin to heal from the event.  Nightmares surrounding the trauma manifest as a way to face it but in an incomplete way.  The nightmares at first are more vivid and true to the event but overtime can become more symbolic.  The only way to overcome the nightmares is to face the trauma when awake.  Counselors can also help individuals who are facing nightmares with strategies to minimize the nightmare and prepare the mind for a more peaceful sleep.  Ultimately though, one has to be put in the work when awake to eventually overcome the haunting past traumatic event.

Please also review AIHCP’s Stress Management, Crisis Intervention and Grief Counseling Certifications.  The programs all deal with trauma in some aspects.  They are all online and independent study and open to qualified professionals seeking a four year certification.