Charles Perry Partners, Inc. (CPPI) is currently seeking small business partners in the Gainesville, FL and surrounding areas, to join us on the upcoming Prairie View Academy Renovations & Code Upgrade Project.
Hopefully, you and your significant other are treating each other well. Not sure if that’s the case? Take a step back from the dizzying sensation of being swept off your feet and think about whether your relationship has some of these qualities.
1. Do not expect anyone to be responsible for your happiness. Accept yourself. Respect yourself. Love yourself first. Take good care of yourself. If you want, you CAN always find something to do that makes you feel good about yourself right now. Love yourself, so pursue your real needs. Light up your true desires. Ask yourself why you didn’t? Too often relationships fail because someone is unhappy and blames their partner for making them that way. Your life is ONLY under your control. Keep reminding yourself you are good enough to have a happy life and a healthy relationship. Make yourself happy, and then share with one another.
2. Make and keep clear agreements.Respect the difference between yourself and your partner. Don’t expect he or she agrees with you on everything. Reach agreement or plan, and then commit to it. Leave the partner if you can’t come to any agreement or you find he or she always makes excuses for breaking the agreement or plan. If you say, you’re going to meet your partner at noon, be on time, or call if you’re going to be late. If you agree to have a monogamous relationship, keep that agreement and tell the truth about any feelings you’re having about someone else before you act on them. Following agreement shows respect for yourself and your partner, as well as creating a sense of trust and safety.
Use communication to establish a common ground to understand different points of view and to create a mutual, collaborative agreement or plan. You can either choose to be right, or you can have a successful relationship. You can’t always have both. Most people argue to be “right” about something. They say. “If you loved me, you would…” and argue to hear the other say, “Okay, you’re right.” If you are more interested in being right, this approach will not create a healthy relationship. Having a healthy relationship means that you have your experience, and your partner has his or her experience, and you learn to love and share and learn from those experiences. If you can’t reach any mutual agreement, that doesn’t mean either of you is wrong or bad; it only means you don’t suit each other.
3. Approach your relationship as a learning experience.Each one has important information for you to learn. For example, do you often feel ‘bossed’ around in your relationship, or do you feel powerless? When a relationship is not working, there is usually a familiar way that we feel while in it. We are attracted to the partner with whom we can learn the most, and sometimes the lesson is to let go of a relationship that no longer serves us. A genuinely healthy relationship will consist of both partners who are interested in learning and expanding a relationship so that it continues to improve.
4. Tell the unarguable truth.Be truthful to yourself and your partner if you want true love. Many people are taught to lie to protect someone’s feelings, either their own or those of their partner. Lies create the disconnection between you and your relationship, even if your partner never finds out about it. The unarguable truth is about your true feelings; your partner can argue about anything that happens outside of you, but he or she cannot rationally deny your feelings. Here are some examples: “I felt scared when I saw you talking to him at the party,”I feel angry when you hang up on me,” and “I felt sad when you walked out during our fight and didn’t want to be around me.”
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Elite Home Healthcare Services (EHHS) offers complete in-home care services for senior citizens, the disabled, and people recovering from operations. EHHS specialize in customized in-home care programs unique to each and every client. From general in-home care like assistance with daily routines and light housekeeping to more specialized care including post-operation and rehabilitation programs.
Listen to Elite Home Healthcare Services Radio Commerical for FM 107.1
Palliative Care is a new buzzword swirling around the health care industry recently.
The conversation often begins with a pre-hospice situation because you need a chronic condition to qualify. You may still be treating your condition but struggling, or you may have been hospitalized several times recently, or managing multiple health issues and medications.
In a nutshell, palliative care is symptom management. It is a somewhat fuzzy concept because the protocol for care varies among companies who offer it. The ultimate goal is always the same – providing you a higher level of personalized care.
Many of the hospice agencies have incorporated therapeutic programs into their menu of services because it affords you the opportunity to see the value rich hospice can bring to your family.
Waiting for the last two weeks or two days of someone’s life to bring in hospice services doesn’t serve you justly. Hospice can provide so many valuable options when brought in early enough that 24 percent of people graduate off hospice service.
Palliative care is typically at no cost to you and provides a nurse visit to your home once a month. The nurse will assess your current health and your overall well-being.
The goal is to confirm you are managing OK with the current treatment plan outlined by your doctor, including checking on your medications, your vitals, your mental health and general safety.
A social worker twill also assists with resource options. Many companies also provide 24/7/365 telephone access to a nurse.
The palliative team can work in collaboration with your doctors and help you navigate your course of care. They also offer easier access to quick assistance when there is a sudden change in health, and you are dealing with a difficult or emergent situation.
Help with getting medication adjustments (especially pain meds) in a quicker, easier and more efficient manner than calling the doctor for an appointment, is another significant benefit of these programs.
How will healthcare change in the future? Dr. Stephen Klasko shares his insights on healthcare reform in this informative talk cleverly staged in the year 2020.
This not an easy exercise considering recent healthcare reform efforts and scientific discoveries make even a six-month view into the crystal ball a little cloudy. To help us get an idea of what the future of healthcare will look like, we consulted Roswell Park Cancer Institute.
Here are 3 changes, they said we may see:
A new way to deliver care
The traditional, one-size-fits-all, office visit model of medicine has reigned for decades. Physicians are locked into a system that requires they see patients in their office every 15 minutes, and alternatives like e-mail consultations have been slow to catch on.
Healthcare has been stuck here because of the payment structure, says David Moen, a physician and medical director of care model innovation at Minneapolis-based Fairview Health Services. Moen’s job is to rethink the traditional model and find ways to make the alternatives work. The current financial structure limits this innovation, he says, and fails to take into account patient engagement and drive efficiencies.
But at Fairview, they are initiating care reform, Moen says, which will in turn inform payment reform. Moen says the future of care includes different delivery models (think phone, Internet, and group visits), a greater focus on patients’ behavior, and a far more team-oriented approach.
“This is probably the most opportune time in decades for physicians to provide leadership to the change taking place,” he says.
Moen’s colleague, Eric Christianson, an emergency department physician at Fairview, has been trying his hand at what some believe will become a new tier for healthcare delivery: online visits.
As part of a pilot program with BlueCross BlueShield of Minnesota, Christianson has started seeing some patients via the Internet, using a Web cam and a telephone. Already, after only about 40 visits, Christianson says he can see how this method would make him more efficient, and give him some flexibility in his schedule.
“It seems to me to be a very common sense, logical step,” he says. “The technology is out there. There are still things that need to be worked on, but as it’s being developed and being refined, it’s clear to me that it could be utilized for betterment of patient and physician experience.”
Not only will the online care model extend healthcare access to people in rural or underserved areas, but it can offer the physician a unique way to control her schedule. Imagine spending half of the day in the office seeing patients, then returning to work — perhaps from the comfort of your home — in the evening after your child’s softball game or dinner with the family. Any down time between patients, such as a last-minute cancellation, can be filled with another appointment.
A patient can go online to find out which physicians are available for an online visit, says Roy Schoenberg, CEO of American Well, which provides the online system.
The physician can review records, communicate, and write a prescription — and actually get paid (albeit less than for an office visit).
Minnesota is one of only a few areas using the online care model, but Schoenberg envisions the system evolving to allow for other disciplines to participate and for physicians to consult with each other.
Christianson also sees the mode taking off. “There’s no question that online care is something that is going to grow,” he says. “This is just another layer we can utilize and help with the efficiencies of the whole system.”
Perhaps the ultimate move toward more efficiency would be seeing more than one patient at a time. Imagine if you could corral a half-dozen of your patients with similar conditions into a single visit, allowing you or your staff to give the information and guidance once. For some physicians, this is already a reality, and many see group visits as a new model for the practice of the future.
Although group visits have been around for several years, the concept is gaining in popularity, and more payers are beginning to reimburse for them.
The concept started around patients with a similar condition, such congestive heart failure, who are in a rehab program, says Erica Drazen, managing director for the emerging practices division of CSC Healthcare Group, a planning and performance improvement consulting firm in Waltham, Mass. In a group visit, there may be a facilitated discussion about diet or exercise, after a nurse or physician has evaluated each patient individually.
“Patients listen to what is going on with every patient, as well as talk amongst themselves,” Drazen says, which provides them with greater insights into their condition and builds support among the group.
“As you hear questions and answers, you learn a lot about yourself,” she says. “Patients love the visit experience.”
Surprisingly, privacy concerns don’t seem to be a barrier to such visits, Drazen says, and of course any exam is done in a separate room.
This can allow the physician to be more efficient, and it also gives her some insight into the condition she might not otherwise get in one-on-one visits.
Group visits tend to be limited to organized systems of care, such as an HMO or large clinic that allows for reimbursement, Drazen says, but “where they are introduced, they spread pretty quickly.”
Rather than being uncomfortable for patients with chronic illnesses, group visits can be empowering, says David Ehrenberger, a family-practice physician at Bloomfield Family Practice, which has conducted group visits and is participating in a patient-centered medical home pilot project.
“That group dynamic is extremely powerful,” he says.