Saturday, April 26, 2014

Backpacking Checklist - Paperwork

Work related

Finish paperwork at work (e.g. time reporting).

Book hotel

Make a booking for the first night if you arrive at an inconvenient hour, have traveled for many hours or you arrive in high season (where finding accommodations may be difficult). There are many on-line services for booking or just use your travel agency.

Sticky labels

Get sticky labels and write peoples name on them, then just stick them onto your postcards.

Visa

Get necessary visas in your passport. Start this process in time since it can be time consuming. Sometimes you can get visa on arrival. See visa section for details.

Certificate of Immunizations

Bring your Certificate of Immunizations (health book)

Drivers license

If you plan on driving bring your drivers license along. Get an international drivers license if needed.

Other cards

Bring other relevant cards such as airline bonus cards, phone cards, student cards (e.g. ISIC) to obtain discounts, Hostelling International card etc. If you have an e-ticket and it was registered to a card, make sure that you bring the relevant card along.

Insurance

Make sure you have a paper which states your insurance cover with policy number and contact details. If you live in the European Union and will visit another country in the E.U. get a European Health Insurance Card which entitles you to receive health care under the same economic conditions as the citizens of the country you will visit.

Ticket and itinerary

Bring your ticket and itinerary along.

Contact information

Print contact information to:

* Embassies

* Health clinic where you got your immunizations

* Insurance company. Note if there are special emergency contact numbers (sometimes reverse charge)

* Your bank/credit card issuer so that you can report stolen/lost cards

* Travel agent

* Traveler´s cheques issuers local office

* Hotels

* Emergency contacts

* Addresses and phone numbers to friends(for postcards)

Photo

Bring passport photos if needed in order to get a visa on arrival or if you lose your passport and need to get a new.

Book to read on the plane

Get it before you go to the airport (where they are usually more expensive).

Photocopies

Make photocopies of all important documents such as:

* Visa

* Passport

* Tickets

* Certificate of Immunizations (health book)

* Maps in the guidebook (in order not to have to carry the book along while walking around)

Store the photocopies in a separate location from the originals and protect the copies from rain with a plastic cover.

Upload copies

If you have access to a scanner you can scan the photocopies (see previous bullet) and upload them to the Internet (e.g. send an e-mail to yourself with the files attached). If you do not have a scanner you can take a photo with your digital camera instead of scanning. You can also e-mail them to a friend or your family.

Print information from the Internet

Print the information you have gathered on the Internet about your destination).

Your own checklist

Make a copy of your own checklist (based on this one) and bring along. It may be useful for insurance purposes if your luggage is lost/stolen.

Phrase list

A small list with the most useful phrases in the local language to keep in your wallet/purse for easy access or on your mp3-player.

Guidebook

Dictionary

There are electronic ones you can download to your cell phone or portable computer. You can also get a separate electronic device or a good old paper dictionary :)

Passport

Apply for a passport well in advance if you do not have one. Check the expiry date of your passport. Some countries require it to be valid for at least six months from your date of entry.

Check the state of your passport, I was once almost refused to board a plane to Japan because the page with my passport photo was almost falling out of my passport (a well know quality problem with some Swedish passports). This can also prevent you from getting a visa.

Happy travels!








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Healthcare Staffing and Recruitment Agency

Medical facilities are always on the lookout for the well-qualified and experienced personnel. The best option for them would be to approach a reliable healthcare staffing and recruitment agency to meet their requirements. These agencies function as a powerful medium between the employers and the job seekers and offer them structured solutions to meet their specific needs.

Placements in Renowned Healthcare Settings

A healthcare staffing and recruitment agency enables healthcare specialists, including dynamic professionals in physical therapy, occupational therapy and speech language pathology to obtain placements in reputed healthcare facilities including educational institutions, government agencies, hospitals, rehabilitation centers, home healthcare agencies, nursing clinics, outpatient clinics, acute care centers, long term treatment care centers and more. The placements could be permanent, temporary, long-term, short-term, full-time or part-time.

The staffing services are offered to both domestic and internationally trained candidates. Professionals with right aptitude can enjoy excellent remuneration and other benefits including

? Paid housing

? Section 125 Cafeteria plan

? 401(k) retirement savings plan

? Additional state license

? Professional liability insurance

? Completion bonuses

? Travel allowances

? Short-term disability insurance

? Immigration processing support( for foreign candidates)

? Health care insurance

? Continuing education programs

Exceptional Services

Healthcare staffing and recruitment agencies have unmatched industry experience and this enables them to match the specific needs of employers with those of the professionals who have registered with them. By utilizing the services of healthcare staffing and recruitment agencies, employers can save the money needed for placing job advertisements, as well as the time and effort needed for carrying out tedious recruitment processes. These agencies maintain an excellent team of professionals to carry out each phase of the health care staffing procedure including candidate sourcing, preliminary assessment and interview.

Reliable Healthcare Staffing and Recruitment Agencies for the Best Results

To provide candidates with information about the fresh openings in different healthcare facilities, every reputable healthcare staffing and recruitment agency in the United States maintains an online job database which is regularly updated. By registering online, candidates can access the jobs database and locate suitable job opportunities quickly. Employers who need for several professionals at a particular time are even offered volume discounts.








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How Can You Afford Elderly Care With Most of the Money Gone Due to the Recession?

Over the past year seniors watched their 401K, pension plans and other investments loose over 50% of the original value. Seniors lost most of their savings due to the recession. The young and the middle age crowd will have time to make up for the losses in the next decades. Elderly or disabled don't have a lifetime to financially recover from the losses. 

How much money does it cost to hire a live-in care provider? How much does a nursing home cost? How about assisted living community?  

The exact amount will depend on the type of care, location and the facility itself. However, in majority of cases, you can expect to spend thousands of dollars per month. The question is: does the elderly need a full-time, round the clock care due to a debilitating illness or does he need part-time assistance with home care, driving, running errands and daily chores? 

 

Instead of moving into a nursing home or letting senior home care agency manage your money and your live for you, think about exchanging your spare bedroom for part-time help. There are plenty of students and graduates working hard just to pay for their room and board. Getting free room in exchange for helping you out on part-time basis would allow young person to have more time for studying or saving all the money they earn from a part-time job. You would have no additional expense. The guest bedroom gets heated and cooled one way or the other. In addition to helping a young person in need you also help to save the environment. Most of all, you help yourself. You don't need to spend a penny to be driven to the Mall or to the church. You no longer have to pay bills for all the services you spend your money on.   You get to keep all your money. There is another advantage you could get from opening your home to a student - companionship. If you opt for an international student who came here to polish her English language skills you would have a companion to talk to all day long.








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Home Health Aides - What's Involved?

During illness or failing health, patients may either need to go to the hospital, or stay at home with assistance. In the home, there are many types of assistive medical care. Some are high level, certified providers like nursing assistants or respiratory technicians. They would help with dressing changes and physiotherapy.

However, some patients may only require basic assistance such as making meals and housekeeping. If a patient only requires non-nursing care like meal preparation, then the home health care aides are invaluable. These aides are able to help with clothing, meal preparation, resource management and running errands. They are a worker in very high demand.

Basic training for this worker requires only a high school diploma or less, citizenship, and no criminal record. Many agencies train their own home health care workers. A nurse is often on staff to help teach basic procedures such as bathing and assisted walking. The training from these agencies can vary, as is the skills that are taught.

Specific jurisdictions may have different laws and requirements as the industry is not yet universal. As a home health care worker undergoes training, there will be various levels of certification achieved. One can progress up the ladder, building more and more certifications.

These are often paid for by the agency, thus creating a true "on the job training" situation. Those levels of certification contribute to more and more knowledge, and some are even accepted as prior learning credit for certified professions like nursing assistant.

All serve as a fantastic stepping stone for workers wanting to move up the ladder, or those whose options may be severely limited in work opportunities. Because the demand for health care aides is so high, it might be expected that a national voice will speak for certification and regulation.

This is actually an unregulated profession, with a wide variety of expectations, pay scales, standards and scopes of practice. Every state has its own set of guidelines. The National Association for Home Care and Hospice (NAHH) is a resource for tying together many aspects of the industry from all across the nation. Their website is very helpful with job postings, articles current to the industry, and statistics.

The industry does suffer from a perception of low-skilled, barely fluent, grossly underpaid staff who are subjected to unknown conditions in the community. Perhaps one day such an association will speak nationally for these workers.








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Shady Care From Desert Lane And Valley hospital Vegas

My grandmother was staying here and she was bleeding from an aggravated ulcer that was caused due to too much medicine and she was bleeding from 5pm till 3am until someone got to help her and needed to go to Valley hospital Vegas for her bleeding stomach and they won't let her back in

She has Medicaid insurance and no money and 82 yrs old

My father said that they want to sue also the family members for the bills

Its terrible in there

You can smell strong odors of urine thats unbearable

She is also bed ridden

She had Medicare but that dropped

My family has been paying for the bills but are getting out of hand

She tube feeds and cant go to the bathroom on her own

Senior Dimensions she has and Culinary union insurance

My aunt was told that they would put a lien on her property and seize her property if she didnt come up with the money

An attorney friend said they cannot do that

-

I would recommend you call the Governor’s office of consumer health assistance.

They are terrific…the agency was formed to help families just like yours.

Their number is 702-486-3587.

I really think they can help.

If I can offer you any additional information, please let me know.

Sincerely,

Beth fisher

KVBC News

So my aunt called and their going to have the inspectors come in and check the place out

Valley hospital still not feeding her and my aunt and cousin went to go feed her and they gave them flak about not being able to feed her

another aunt is writing letters to the governor, etc

[memberofthefamily.net/watch/295017.htm]

STOP THE VIOLENCE

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Friday, April 25, 2014

Healthcare Jobs and Recruiting Solutions

Providing employers with effective staffing solutions and rewarding and exciting job opportunities for skilled professionals, healthcare staffing agencies are highly adept in matching the needs of both employer and jobseeker. Many of these agencies in the United States have the expertise and experience which allows them to locate the right candidate to fill a particular position within the shortest possible time.

Professional Recruiter for Rewarding Solutions

The recruiting services of healthcare staffing firms are extremely helpful for those seeking jobs in the rehabilitation sector and other medical fields. These staffing agencies are in constant touch with top healthcare facilities and are therefore well informed about job vacancies as soon as they arise.

The dedicated staffing services of these agencies help domestic or internationally qualified candidates in occupational therapy, physical therapy and speech language pathology to get placed in well-known facilities on a temporary, permanent, short-term, full-time, part-time or long-term basis. Skilled professionals, both domestic and foreign-trained, who register through these agencies, are assured of high remuneration and a range of benefit like:

? Paid housing facility

? 401(k) benefits

? Healthhappinesslifetime.com care insurance

? Professional liability insurance

? Continuing education programs

? Immigration processing aid

? Section 125 cafeteria plan

? Professional liability insurance

? H1b visas and green cards

If you are a talented therapy professional searching for a suitable job opportunity, you stand to gain a lot by registering with a professional healthcare recruiter. It would give you access to their online jobs database, which has information about the latest opportunities.

Commitment to Provide Personalized Staffing Solutions

The services of health care staffing companies are invaluable for healthcare employers who need skilled professionals onboard. Many small and large hospitals, outpatient clinics, home healthhappinesslifetime.com care agencies, rehabilitation centers, long-term clinics, nursing homes, acute care hospitals, physician's offices, government firms and so on, now depend on employment agencies to meet their staffing needs.

Reputed agencies are well equipped to carry out the entire recruitment procedure on behalf of healthcare employers, including candidate sourcing, preliminary assessment and interviewing, thereby making their staffing decisions easy, reliable and hassle free.








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Elderly Caregivers - Solutions to Providing Good Care For Your Parents

Having parents or family members that are approaching old age is always a concern. We all would like to be able to care of them and make their last years as pleasant as possible. It is, however, easier said than done. With job and other responsibilities very few people have the time or means to care for an elderly person.

While some people seem to age with relative ease, most elderly people need special care. After a certain age, mobility can become a problem and assistance will be needed to do simple tasks like taking a shower or even comb their hair. Some elderly people suffer from serious medical conditions that might not require hospital care, but they might need to be monitored on a permanent basis.

While there are many facilities with permanent assistance for people that need frail care, you might not feel comfortable to send a parent or elderly family member to these facilities. Moving from a known environment at such an advanced age can be traumatic.

The alternative is to find a caregiver that will be prepared to care for the person in their own home or that of a family member or child. Caregivers for the elderly are usually trained to specifically deal with older people and their needs.

Choosing the right person for the job is extremely important and special care should be taken with this decision.

The best place to start is to get advice and help from someone who is already using a caregiver or that know someone reliable and has the right personality for the job.

If you work through an agency make sure there are references and make an effort to personally check the references. It is better to check with people that made use of the services of the caregiver for a long period of time.

To be a caregiver is not the same as being a lawyer or an accountant. The perfect caregiver will be patient, empathetic and loving, but also strict and firm. A caregiver must know what to do in an emergency and if the elderly person has some medical condition make sure the caregiver understands exactly how to handle it. If you can find a caregiver that has previously cared for someone with the same condition, it will be ideal.

While permanent caregivers can be the most expensive option, you will have the peace of mind that you are doing the best you can for your loved one.








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Claim Your Power - Don't Let a Life-Altering Crisis Ruin Your Life

She thought nothing worse could happen. In the past six months Susanna had broken her leg, lost her dog, and found that her boyfriend of four years was cheating on her. Then on Friday, her supervisor told her they had to cut her hours...AND her pay rate. Awful, yes, but it kept getting worse!

Her landlord told her that he could no longer afford to provide rent-controlled housing; and the hospital has turned over the emergency room charges for Suzanna's broken leg to the collection agency. Now Suzanna is afraid to answer her phone. She can't ask for support from her mother who has just been diagnosed with cancer and called her daughter in tears. What would you do?

If one or more of these crises is affecting your life, it's time to turn crisis into opportunity. Sometimes circumstances force us to make changes that we would not have made otherwise. It's not easy, but if you can develop a strategy and work toward purposeful goals, you can emerge stronger and more self-confident. Here are some ideas that might help Susanna.

1. We Need To Cut Your Hours and Your Pay. Although you'll be tempted to quit, it's best not to leave a job until you have another job. Search out other options instead. What opportunities exist for adding hours elsewhere within the company? Stall for time to look for a new job or add a service to help create income for the hours you lost. Perhaps you could use your skills to provide some sort of in-home service, sell personal care or home products, or do phone sales.

If the future with your company looks truly dim take this opportunity to search out a better job. Reach out in the world and tap into your network. Update your resume, take a close look at the job market, post resumes on sites like Monster.com and Craigslist. Inventory your many talents and publish them for potential employers to see.

Think creatively: One man thought of wearing a t-shirt with a company logo for a fee; he has many customers now. What have you always wanted to do? Free up your mind to think in new directions. Most of all do not panic and shut down. Get over the shock, make a plan, figure out who you really are and what your skills and talents are. Then go for it.

2. I Don't Love You Anymore. When someone says this, the other person feels shock. But really, deep inside don't we all know when things are not going well in a relationship? It is a two-way street. The problem is to identify when it's really over and figure out what to do next.

A natural first reaction will be shock and denial, then bargaining and sometimes pleading. These are all normal, healthy reactions that usually lead to recovery and then gradually to moving on. Give yourself time to grieve as you would with any major loss. When you feel ready, have a good funeral and step up to a better relationship.

Take this time to get to know who you really are and what you want. Learn how to enjoy your own company? Get to know what makes you special. Rushing out to replace a lost love can lead to more of the same and feelings of desperation that nobody likes to be around. Falling in love with yourself is the surest way to draw love into your life.

3. Your Position Has Been Made Redundant. During company mergers, people often learn that someone else is already doing, or will soon be doing, their job. Downsizing is all too common and a painful rite in corporate life today. Just remember, in life, when one door closes, another one opens.

To find that new door, focus on your unique abilities and gifts. Think deeply about the challenges your company and your supervisor are facing and come up with novel solutions. Redefine your job description and expand it. Make yourself invaluable, strive for good feedback and look for ways to reach the eyes and ears of the decision makers. If there is something that you always wanted to do, that you thought was a natural fit and should be in your job description, now is the time to do it. Then think it through. In your work environment would it be better to propose it to your supervisor before starting? Or would it be better to start incorporating it into your job, then propose it at a decisive moment that will make your contribution stand out?

Stay cheerful and friendly. If you make yourself positively useful and visible, you may be able to redefine yourself as a leader and step into another job. Either way, the exercise will get you thinking about your full range of skills and abilities that can help you move forward beyond an apparent dead-end.

4. You Can't Live Here Any More. If the landlord has decided to sell a house you are renting, ask if you can negotiate a deal to buy it. If it is beyond your means, could you share the purchase price with another? If the landlord already has a buyer in mind, accept the disappointment and begin to search for something else. Take this opportunity to improve your living arrangements and find what you have always wanted.

If you're losing your house due to foreclosure, have you investigated every option, communicated early and often with your mortgage company, and checked out every possible aid program? If it's unavoidable you must accept it and move on, taking a long look at your financial management style. Be honest with yourself about how you got into this situation, and develop a plan for rebuilding your future.

Let your dreams take flight. Would you like to live in the country? In a loft? In another part of the country? Share a house with another? Ask for new opportunities and they will appear. It is a time for positive change and if you see it as something good, it will be so.

5. Your Insurance Won't Cover This Procedure. Assuming this is a necessary procedure, talk openly with your health care provider about your financial situation. You might be able to negotiate the price and establish a schedule for paying out the fees. Fees received over time are better than nothing and you may find a willing doctor. Call around among other providers. Look at out-of-network providers if your insurance won't pay anyway. Sometimes independent practitioners who do not take insurance have lower billing rates. Your county health department can tell you if there is a federally subsidized clinic in your town.

Asking never hurt anyone. Many healthcare organizations are giving cash discounts these days. If you have some savings, ask for a discount for paying cash. The discount alone can save you more than the interest you would have earned on your savings. Be sure you get a receipt marked "paid in full."

Communication works in all of these cases. Never count yourself out. Instead, keep looking for creative answers. Many pharmaceutical companies provide free medications to families without insurance. Surf the web. Ask around. Insurance companies, non-profit societies, foundations and support groups may have resources as well.

6. Your Close Relative Has Cancer. Sadly, all of us know people with cancer. When a close relative has cancer, it's important to share your time with her and do things to help her and her family: prepare food, babysit, help with chores, run errands, go and visit if they want. Sometimes just being there is what they need most. It's important to talk with family members also. When there is serious illness, the family members often are the ones who are really left out. They need your support and friendship too.

Do not be afraid of cancer. These days, chronic diseases, including heart disease, diabetes and many cancers, can often be successfully managed. Learn more about cancer and how you can help. There are many websites such as the American Cancer Society and the Susan B. Komen Society. Learn by talking to others.

Many of us get started in one direction and keep going on autopilot until something gets in our way. It could be our health or the health of a family member or something catastrophic to our finances or living situation. The important thing to remember is that you are your own best resource. As long as you don't allow the stress of the situation to overcome your faith in yourself, you have all you need to survive and succeed. Be alert to open doors along the way and you'll be able to turn today's challenges into tomorrow's opportunities.








Nancy D. O'Reilly, PsyD, a clinical psychologist and founder of womenspeak.com WomenSpeak.com, has worked with women in a strategic, problem-solving fashion for more than 25 years. She is the author of the self-help book, womenspeak.com Timeless Women Speak.

She is passionate about educating and offering women a place to share the experience of growing older in a positive and rewarding atmosphere. During more than 10 years of research she has asked more than 1,200 women of all ages the hard questions about growing older in a youth-driven society. Women find comfort knowing that they are not the only ones who worry about getting older and who wonder if their value as a person will be compromised. Dr. Nancy interviews an interesting woman author each week for a podcast on her website. She was nominated for Missouri's First Lady Award in 2008 and recognized as one of Springfield, Missouri's Most Influential Women of 2007. She speaks frequently on women and aging, biofeedback, depression, migraine, mental health, constructive confrontation, workplace violence, and stress management. She gives radio and TV interviews, has published professional articles, and has presented her research at a national conference of the American Psychological Association.

Hiring an Honest Maid - Questions to Ask

Hiring a maid means bringing a stranger into your home that will have access to your personal belongings. When hiring a maid, you want to make sure that he or she is honest and reliable.

The first questions to ask about a potential maid should be directed to friends, family, and acquaintances. Ask for their experiences with maids and placement agencies. They will likely have good advice. If a friend employs a maid that she's pleased with, ask for referrals from the maid. Perhaps the maid has friends or relatives. The new maid would be more likely to maintain honesty if she is known to others that you know.

When you are interviewing prospects for the position, always ask for references. The best references are clients or former clients. Your next questions will be directed to the references. Ask for their experiences and any advice they may have about the prospective maid. Inquire about promptness, care of items in the house, attitude, and ease of communication. Be specific about your concerns. As well, ask how trustworthy the reference finds the prospective maid, or what precautions they might have taken with valuables in the house.

Ask the prospective maid if they are bondable. This will ensure that the bonding company will cover any losses incurred. Someone with a felony conviction is not likely to be bonded. Another question you will want answered is the citizenship or visa status of the prospective maid. Someone who has trouble producing documents verifying status sends up red flags about their honesty. You will be responsible for withholdings from the pay, so make sure that person can work legally in this country.

You might also ask some questions about the personal life of the prospective maid. How long has she been a maid? Does she like the work? What does she do on her time off? Does she have children? Where are they when she's working? These questions may give some insight into the character of the person you are considering.

Honesty runs two ways in an employer/employee relationship. Ask the prospective maid what her hourly expectations are. If you pay fairly, and she feels she's being treated fairly, you are more likely to have a good relationship, and avoid dishonesty because she feels she deserves more than you are paying. If you treat your maid fairly in compensation and expectations of her chores, you will avoid many misunderstandings and grief. Be clear about when and how long you require her services, and what you expect to be done.

Honesty is also measured in the work being completed. If you are clear about your needs and expectations and find consistently that chores are not being completed, or done in a shoddy or slipshod manner, you are not being treated with honesty. A hard working and honest maid will be there at the times agreed upon and will stay for the time specified, as well as complete the tasks assigned in a neat and careful way. You can look forward to a long and satisfying relationship if you are both honest with each other.

A maid can be an essential member of the household when there is a good fit, and takes the burden off the person whose commitments and responsibilities leave little time for cleaning.








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How to Prepare For Income Tax Season

Tax season is right around the corner. Although we have months until our tax returns are due, it's never a bad idea to start getting organized early. If you'll be preparing your own tax returns like millions of Americans, you might want to start gathering up all of your important documents now. That way, when the 15th of April rolls around you won't be overwhelmed, run out of time and be forced to file an extension.

Working on your own income taxes has become easier over the last few years. There are many pieces of software out there that can help you prepare your returns. Two of the most popular pieces of tax software are TurboTax and TaxCut. Millions of people will likely use this software to prepare their tax returns this year. These pieces of software and others are reasonably priced and widely available at your local office supply store, if you choose to go that route.

If you don't want to purchase tax software to help you with your income taxes, you can always file your returns online on one of many web sites. A very popular site is Taxact.com . Whenever you are entering personal information, please be very careful. Identity theft is rampant today. Because you will be using your name, address, social security number and other sensitive and important information, it is important that you only share this information with secure and reputable web sites.

If your going to opt for hiring a professional to work on your income taxes, you are in luck. There are many agencies out there that can prepare your returns for you and most of them you already know by name. Jackson Hewitt is one. H&R Block is the most recognized and will charge a reasonable fee. If you're thinking about using their rapid refund program I would think twice. The fees that go along with what is really a refund anticipation loan can be costly. If you expect your refund to be less than $1500 I would suggest you have your return filed electronically. You'll receive your refund in a matter of weeks and save yourself from paying the large fees for a rapid refund check. It's been my experience when using H&R Block that they may not be as thorough and aggressive as a certified public accountant, but they can do the job and relatively quickly.

Working on your income taxes doesn't have to be the difficult task the media and your friends hype it up to be. With all of the retail tax software available, as well as online income tax sites and various agencies, you can conquer this task without any stress at all this year. You may even live in an area where knowledgeable people will assist you for free. There is such a service in the city I reside in that will help prepare your return for free. If you don't have such a resource in your town, go ahead and give the retail tax software a try. It'll makes this task seem simpler to complete.








The author, Frank Mayes is a 51 year old tax professional who has 26 years of income tax preparation experience & 10 years experience in the home based business arena. He lives in the suburbs of Detroit, Michigan. Visit his website and pick up a free report at youcanaffordthisbusiness.com youcanaffordthisbusiness.com

The Implications of Long Term Care in Mississippi

While many states have embraced new health care policies, Mississippi, however, is one of the states that have been left behind due to socioeconomic problems. Poverty affects Mississippi's economic and health policies mainly because private and public payers were less involved or concerned in reducing the health care spending, and believed that the state has insufficient budget for health and long term care services.

In fact, Mississippi was voted the worst state in terms of health care system in 1999. Mississippians have poor health status compared to residents of other states, and Mississippi is the 50th state with premature mortality rate. Several factors influence these trembling health concerns such as heart disease, smoking, cancer, infant mortality, and motor vehicle deaths. However, Mississippi prides of having the highest child immunization rates in the country. The low quality of health care can be blamed on demographic factors such as poverty, high unemployment and illiteracy rate.

From 1994 - 1995, 20 percent of non-elderly Mississippians were uninsured, which is 4% higher than the national rate. The high rate of uninsurance in Mississippi is caused by low level of employer-sponsored insurance. Although Medicaid limits the number of eligible policyholders, many impoverished residents (about 16 percent of the state population) participate and rely in Medicaid.

Medicaid Expenditures

Medicaid provides the second largest state budget for health care. This budget comes from the federal government and revenue contributed by health care providers. Mississippi has the highest federal Medicaid reliance in the country that rose to about 77.2 percent in fiscal year 1997.

Mississippi's Medicaid expenditure has been higher the national average since 1990s. The large expenditures were triggered by the growth of DSH spending and higher spending per enrolee. Unfortunately, less Medicaid budget is appropriated for long term care services compared to other services, primarily because of the restrictions on nursing home and home health capacity. With at least 30 percent Medicaid spending that goes on long term care services, the state receives relatively lower than the national rate of 40 percent.

The state government has changed several insurance regulations in the states, which include the limits on pre-existing condition exclusions and portability of insurance. This led to the changes in the Health Insurance Portability and Accountability Act of 1996. The state pursued a high-risk insurance pool to about 1,500 people with serious health conditions, who were not eligible for any health insurance. The risk pool was funded by the insurance companies and member premiums.

Long Term Care

Mississippi has somewhat stringent policies in terms of long term care. The state issued the "certificate-of-a-need-system" that diminished the number of nursing home beds and creation of new home health agencies. The restrictions on nursing home expansion as well as limiting the average stay in nursing home facilities resulted to low occupancy rate of 99 percent. Although Mississippi receives the largest share in Medicaid, the budget that should have been used for long-term care was, otherwise, used on institutional care. Even though home and community-based services have flourished within the state, these programs are dominated by Medicare and remain unpopular that the institutional care. Half of elderly and disabled Medicaid enrolees in Mississippi need long term care services.

Given those underlying health care problems, the Mississippi government enacted the reform bill in 1997. The bill carried few changes on the state's financial system, but it did not make necessary reforms for Medicaid. Lawmakers became worried that recipients would lose cash assistance might lose Medicaid benefits as well.

Meanwhile, the state adopted the long term care partnership program that has been running previously in other states. The Mississippi Long Term Care Partnership program contains the same vision of other states: to help residents protect their assets against the spend down requirements of Medicaid. This program will lessen the burden of getting long term happinesslifetime.com care insurance in Mississippi. The partnership policies have the following features: long term happinesslifetime.com care insurance inflation protection, asset protection, and tax deductions.








Need more information about completelongtermcare.com/states/mississippi long term care insurance in Mississippi? Visit completelongtermcare.com completelongtermcare.com to get the most relevant information on long term care insurance inflation protection. Compare prices and get quotes from top LTC insurance providers!

Thursday, April 24, 2014

Caring and Fun-Loving Jobs - Doing It With Your Heart

You're a big-hearted person if you love helping people, animals or even both. This is a good thing as everyone loves being with someone who is kind, giving and considerate. Here's a list of jobs that you can put your big heart into doing them:

Baby-sitters/Nannies

They work in a home setting and are responsible for taking care of children from birth to age 10 or older. Their duties include bathing, dressing and feeding the children, supervising play, reading to them and etc. Baby-sitters are paid on an hourly basis and they may be hired for just a few hours or a full day until the parents return home from work, whereas for a nanny, she typically lives with the family and gets paid by the week or month.

What it takes: You must love children for you to qualify for this job. You also need to be creative, patient and caring towards the children to be a good nanny or baby-sitter. Most importantly, you must be aware of child safety issues, as well as knowing first aid. Besides that, you have to be at least a decent cook, neat, courteous and trustworthy. Not to forget that you need to have physical stamina to be able to work long hours sometimes.

Where the jobs are: Look out for these jobs in the classified section of the newspapers or bulletin boards that have notices of families who need someone to take care of their kids at home. Another alternative would be flipping through the Yellow Pages to find a child-care employment agency.

What this job could lead to: Many baby-sitters and nannies often become teachers. As for others, they become child-care development specialists, authors of children's books or even psychologists!

Daycare Assistants

They are also called child-care assistants or pre-school teacher's assistants that nurture and teach children of ages two to five, in group settings. Besides that, their work consists of a lot of fun and games with the children, with a clear purpose of helping them prepare for their first year of school. In addition, they help them to build strong foundations for social, intellectual and physical development. A child-care assistant generally greets children when they arrive and help them with their bags and shoes, feed and teaches them good eating habits, engages them in activities that develop their interest and talents and many more.

What it takes: You must be alert, enthusiastic and creative to be a good child-care assistant. You must also be able to anticipate and prevent problems, deal appropriately with disruptive children and give them fair discipline. Clear communication to children or parents is definitely important, as well as to other teachers of the same team as you. It will be good if you possess skills in music, art, drama or story-telling.

Where the jobs are: Daycare centers, nursery schools and religious organizations normally have these jobs. If not, you could look for them in the Yellow Pages under "Child Care" or even ask parents with small children where they send their kids.

What this job could lead to: Teachers, child-care development specialists, authors of children's books, or a pre-school director!

Any of the above care-giving jobs could just be the right job for you! Try it out. Who knows, you might be your successful job that can turn you into a millionaire!








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Mortgage Refinancing - 3 Costly Mortgage Mistakes You Need to Avoid

Mortgage Refinancing can save you a lot of money if you go about it correctly. Overpaying when mortgage refinancing is a common homeowner mistake that will cost you thousands of dollars in unnecessary lender fees and mortgage interest. Here are 3 tips to help you avoid expensive homeowner mistakes when mortgage refinancing.

Mortgage Refinancing Mistake #1: Not Checking Your Credit Reports

The mortgage rate you qualify is based on your credit score. Your credit score is based on the contents of your credit reports. You actually have three credit reports maintained by three separate credit reporting agencies. These credit reports are frequently prone to mistakes as you have dozens of hands in your records throughout the year. Request copies of your credit reports from each of the credit reporting agencies and carefully review these records for any mistakes.

Mortgage Refinancing Mistake #2: Choosing a Bad Lender

If a mortgage lender asks you to sign blank or incomplete documents when mortgage refinancing, consider this a bad sign of things to come. If you sign blank or incomplete loan documents the mortgage company could fill in whatever they like and you've already agreed to their terms. Also, if the mortgage company asks you to exaggerate your income you're asking for trouble. Avoid any mortgage company that asks you to falsify information or sign blank documents.

Mortgage Refinancing Mistake #3: Not Negotiating for Fees and Rates

Closing costs and lender fees vary widely from one mortgage lender to the next. Carefully compare costs and fees using the Good Faith Statement and question any fees that seem unreasonably high. Ask your mortgage company or broker to see the original interest rate guarantee from the wholesale lender and compare it to the written guarantee you received. Comparing these guarantees will help you avoid any retail markup or Yield Spread Premium of your greeneasylife.com/LoanCalculator mortgage interest rate.

You can learn more strategies for mortgage refinancing while avoiding expensive mortgage mistakes by registering for a free mortgage tutorial.








To get your FREE six-part Mortgage Refinancing Video Tutorial, visit RefiAdvisor.com using the link below.

Louie Latour specializes in showing homeowners how to avoid costly mortgage mistakes and predatory lenders. For a free copy of "refiadvisor.com Mortgage Refinancing - What You Need to Know," which teaches strategies to find the best mortgage and save thousands of dollars in the process, visit Refiadvisor.com.

Claim your free mortgage refinance information guide today at: refiadvisor.com refiadvisor.com

refiadvisor.com/pblog Mortgage Broker Refinance

Working With an Adoption Agency Home Study

An adoption agency is instrumental in providing information and resources for the adoption process. They offer many different services, one very important service is the home study. A social worker will typically be contracted by the adoption agency. During the home study visit, the social worker will ask many questions about your finances, family and future plans. All of the home study findings are provided to the adoption agency and used to hep determine the viability of the adoptive parents.

The worker will ask about criminal history. If you have committed a felony, you probably won't be eligible to adopt. But, past criminal history will not necessarily make you ineligible depending on your agency, the type of offense, and the length of time since the offense. The worker will ask about your fertility. If you are adopting internationally, it may be a requirement that you are infertile, since some countries require it. If you are adopting domestically, it will depend upon the agency as to whether it's a requirement. If you are infertile, the worker will want to discuss how you have dealt with it, since having this resolved is important before bringing a child into the home.

The worker will also ask about your financial and living situation. You don't have to be wealthy to adopt, the agency just wants to make sure you have sufficient resources to care for a child. You also don't have to own a home to adopt, but your home or apartment must be able to accommodate the child. The worker will also want to see that you have thought about the child's educational and recreational needs. Some agencies that are affiliated with a particular religion may also require you to be a church member.

Finally, the worker will discuss with you what characteristics you would like in a child. If you have to many requirements here, it may be a sign that you have unrealistic expectations. On the other hand, you need to be honest in what you can accept. Some people are open to adopting a child with special needs, others are not. If you are not, don't say that you are. The child that comes into your home needs to be accepted for who he/she is.

The key to the home study is to be as open and honest as you can. Now is the time for the worker to see if you are ready to adopt, and she can't properly evaluate this if you are hiding information or your feelings. Additionally, it is possible that she will find the truth from another source (like in a criminal background check). It's better she hear from you, so she can see if you are ready and if you meet the guidelines. An adoption agency that gets information from another source may deny you because they can't be sure you were truthful in other areas.

Understanding the home study process before contracting an adoption agency can help ease the whole process. Some have remarked that by knowing that some of the more personal questions asked by the social worker are standard and necessary to ensure the adopted child is placed in a safe environment has helped maintain a cordial relationship between the adoptive parents and the findadoptionagencies.com/articles adoption agency








Loman is a content advisor and a frequent contributor for AdoptionAgencynews.com Find more about findadoptionagencies.com adoption services at our sister website FindAdoptionAgencies.com

Professional Caregivers Fulfill Many Family Needs

Three or four generations ago, people who needed short-term help or long-term care depended upon a network of extended family members. Several generations lived under the same roof or within walking distance, and were available to act as caregivers to those in need.

Of course, times have changed. Today, family members can live hundreds or thousands of miles apart, our parents and grandparents can work well into their golden years, and those of us who are single working parents or working couples have demanding schedules. Thankfully, when we need help with our own family or with our extended family, professional caregivers are there to lend a hand.

Types of Caregivers

Broadly speaking, there are three categories of professional caregivers: non-medical home health services, home support services, and child care. Home health service caregivers are helpful for adults and children who are convalescing, the developmentally challenged, people with disabilities, and the elderly. Services can range from private duty nursing to live-in caregivers to medication supervision. For example, if your spouse has recently had surgery, you may need a caregiver for a few hours each day while you're at work. Similarly, a caregiver can help your mother or father continue to live independently by providing her or him with incontinence assistance, transportation to doctors' appointments, or physical therapy exercises.

Those who provide home support services can help in a number of areas. For example, they can help with meal planning and preparation, personal shopping or errands, and even do laundry and light housekeeping. They can also provide companionship for the person they're caring for.

Child care services can run the gamut from babysitting to providing in-home child care while you're at work to nannies who will live with you and your family. People in all types of family situations - from professional working couples to single parents to home-based business owners - turn to professional caregivers to help with child care.

Finding Quality Caregivers

Entrusting someone else with caring for a loved one is an enormous responsibility, and the selection process isn't always easy. However, when you use a reputable homecare agency, much of the legwork is already done. For example, a homecare agency will typically thoroughly screen caregivers. This may include face-to-face interviews, a national criminal check, a DMV check, and a sex offender database check. They should also require stellar performance ratings from applicants' previous employers.

When looking for a reputable homecare agency, it's important to find one that has been in business - and under the same management - for over a decade. It should be a member in good standing of the local Better Business Bureau and Chamber of Commerce, and should have verifiable references.

Whether you need a babysitter or a nanny, a home attendant or a hospice caregiver, it's important to get the help that your loved one needs. Caregivers can provide both you and your family member with the support needed to live life to the fullest.








Chris Robertson is an author of Majon International, one of the worlds MOST popular majon.com internet marketing companies on the web. Learn more about a-1domestic.com Role of Professional Caregivers or Majon's majon.com/directory/Family_and_Children Family and Children directory.

Avoid Problems With In-Home Caregivers

With aging comes the strong likelihood that we will need a caregiver; someone to help with daily tasks and personal hygiene. Often it is not practical for family members and friends to provide all the assistance that a loved one needs. Finding a caregiver usually falls on females in the family as they are the main caregivers.

Care provider agencies provide this type of assistance. However the transition can be fraught with frustration when family members make incorrect assumptions that caregivers are trained, trustworthy and do not need supervision. Additionally in many cases, the person needing the care resists the idea and can cause difficulties in initially making the transition to accepting care. Many times the agency caregiving relationship is misconstrued as a family relationship versus an employer to employee relationship and individuals receiving care often cross the boundary creating issues that result in situations of potential conflict of interest, safety or abuse.

Meet the company owner. Establish a relationship with the owner and the supervisor of the home care agency to create an environment that supports open communication about concerns, possible solutions and alternatives. Request the educational background of the company owner and ask why they are qualified to provide this service? Never hesitate to call with issues. Ask how often they will contact YOU to request feedback. You should receive a personal call immediately after initiation of services and then on a regular schedule not to exceed 90 days.

Ask for qualifications. Request a copy of the company liability and workers compensation insurance. Ask if caregivers are background checked and what specifically is checked for example criminal background, driving record, credit background, drug testing. If the agency runs only a criminal background check they may be missing a poor driving record that may indicate irresponsible behavior, substance abuse or a credit record that may indicate poor money management. Issues with any or all of these may potentially expose your family member to issues of safety, abuse or neglect.

How is time kept and billed? Companies with a high degree of supervision use automated time and attendance systems whereby the caregiver calls in from the home of the client and calls out when leaving. This serves as a time clock to ensure that you are not being billed for time the caregiver is not in the home. It also alerts the agency if their caregiver does not show up to work as scheduled. Paper systems are more commonly used, however if this is the case request a copy to be included with your invoice so you can review the information.

Do not cause issues for your caregiver. I have often witnessed clients telling their caregivers to leave a shift early but not to mark time accurately so they are paid for the entire shift. This causes issues of dishonesty for the caregiver who knowingly falsifies paperwork at the request of the client. Be a good client and don't cause these issues for your caregiver or their agency.

Create a task list. Many times the individual receiving care cannot make a task list for the caregiver often resulting in unproductive time. Make a list for the caregiver and your parent or family member. Share this with the agency to make your expectations clear and to ensure that the agency can provide the assistance needed. Some agencies provide companionship only and not other caregiving tasks, know which you are hiring.

Put together a photo album or a journal describing your loved one's life, interests, accomplishments, family and friends. Providing a history for caregivers invites them to bring a genuine understanding of the care they are providing. Or better, yet, make this a project that your loved one and the caregiver can do together to validate the importance of the life lived by your family member.

Maintain a professional relationship. No matter how close you or your loved one becomes with the hired caregiver the caregiver is NOT your family. By creating and maintaining a professional relationship you ensure results that are in your best interest and avoid the potential of financial or personal abuse. Never, except at the holiday when it can be documented and approved by the agency, give gifts, tips, unused household items as you are training the caregiver that accepting items is okay. IT IS NOT!

By instituting these tips you might feel as though you are personally training the agency and caregiver. You are! Each individual and situation is different and many hired caregivers are average people without extensive training.

It is important to create an outline of the care you expect; adult caregiving can be difficult and challenging and is definitely not for everyone. If you are dissatisfied with your caregiver contact that agency and request a replacement. The best way to provide quality of care for your loved one is to establish a genuine understanding expected outcomes of the care being provided and the implementation of professional boundaries.








Pamela D.Wilson, The Care Navigator, specializes in consulting, planning and education for families and individuals experiencing transitions in health care. Contact her at thecarenavigator.com The Care Navigator or visit thecarenavigatorblog.com The Care Navigator Blog for free information

Wednesday, April 23, 2014

Tips for How to Start a Home Business

Starting a home business can be a great idea for some people as they will be able to perform their household activities and generate an extra income by working from home at the same time. It is an ideal option for all those mothers who are forced to stay at home to take care of their small kids. According to successful entrepreneurs, starting out a business is the most difficult job to handle. If you are interested to establish your own home business, certain tips and suggestions are given below to guide you in the right direction:

1. Decide which kind of business you can set up in your home. Also consider your skill sets that you can utilize in the business you intend to do. You may be good at cooking, baking or any other similar activity. If you are good at studies and hold a higher degree in education then you can offer home tutorial services to school or college students. You can also use the idea of freelance writing if you can write good English and present yourself well. Try to weigh all these home business ideas carefully so that it becomes easier for you to recognize the business type you would like to set up in your home.

2. Ensure that the home business idea you have chosen for will give you an opportunity to work from home most of the time. If it requires you to leave your home and go to other places to pursue the business activity then it will defeat your purpose of doing a home business. For instance, you have selected bookkeeping service and it requires you to physically venture out to work out papers in different agencies for your client then you will be spending maximum of your time out of home. This could not be the right choice for your home business.

3. Ask for advice from home business consultants and legal experts to know if your home business idea needs to apply for a business license and permit. There are different state business regulations all over the world and it is your local government which will deal with all the local based business matters. In normal cases, if you want to make an extra space in your home for business, you will have to abide by certain local laws. Hence you need to obtain permission from any local governing body.

4. Allocate a space in your home for carrying out your business activity. It does not mean that you will have to build up additional rooms as it may require you to get permission for the local authority. Even the extra space in your living room can be used for business purpose, as long as you can attend to your customers or clients without any disturbance in your household activities.

5. Make space for your business set up. Put the necessary items such as telephones, fax machines, tables and other office furnishings in place. It is necessary that you give a business touch up to the area. If you have kids, don't let them hang around your home business area especially when you are attending to customers.

6. Structure your home business record system. If possible buy a filing cabinet to store your important business records and confidential documents.

7. Run your business with an objective. Set a target for your revenue and sales and try to achieve it.

8. Behave like a professional while dealing with your customers.








Damesh Neel is a successful yourhomebusinesses.com home business owner and offering useful business tips and suggestions to help people to identify potential business opportunities and utilize them to run their own yourhomebusinesses.com/home-business.html business from home.

Aging Parents at a Distance - 4 Steps to Finding the Best Care

Many families have parents or grandparents who are getting older and quite suddenly can't manage on their own. After Jane's mom had a fall and broke her hip she seemed to age and was a little disorientated. Jane knew her mom could no longer live alone. Jane lived too far away from her mother to oversee her daily activities. Now her mom is settled in her new home where all her needs are met. Help is at hand round-the-clock. She is reminded to take her medications. She is eating wholesome meals prepared for her and she is even making new friends. At last Jane can breathe easily and sleep at night knowing that her mom is well cared for.

The change in circumstances came about suddenly and without warning. Jane's mom would need on-going care and organizing it looked daunting. If you are in a situation like Jane's you will make the process easier on yourself by using these steps.

Step 1: Don't Panic. Take a deep breath.

You are not the only one in this situation and no one is ever ready. Try as we might we are not prepared for our parents becoming incapacitated. If you calm down and stop wringing your hands you will have a better chance of dealing with the situation. The sooner you accept that this is a responsibility you will have to take on the better off you will be.

Step 2: Make Arrangements to Visit

Yes, in order to arrange for appropriate care for your parent you will have to be there. Plan on staying at least a week. It may take longer. If you have siblings encourage one of them to come as well. Too many people trying to make this decision can make it more difficult so if there are four or five of you it might be wise if some of them came to visit later or came for a day or two and went home.

Step 3: Research Local Agencies

Before you leave do an internet search for agencies in the area. Try terms like: in home care, care facilities, board and care, nursing homes, assisted living. What you are looking for depends on the level of care that will be needed.

Step 4: Develop Strategies

Your parent will not willingly move to an assisted living facility. He or she wants to stay at home. Equally the parent will not happily accept someone coming into the home to help. There are privacy issues not to mention change of lifestyle. Yet you can see these changes are necessary and it becomes your job to implement them to the satisfaction of your parent. How?

If the home is suitable for home help, that may be the best solution. It should be single story and there will need to be alterations to the bathroom.

If the home is not suitable you will have done your research on assisted living facilities and board-and-care facilities. Board-and-care facilities are independently run, are smaller and can be more "homey" and less expensive. Be sure the board-and-care facilities have licenses and ask for references.

You must visit all candidates before making a decision. Try to imagine yourself living there. If it doesn't look like a good fit reject it. There will be something else. You may have to broaden your horizons.

Finally you will have to confront your parent with the options. Be sure to remain calm. Your parent will be agitated enough for both of you. Do not present it as a "done deal" at first. Build up to it over a series of visits. If there is dementia or other cognitive impairment you will use other means of communication such as touch.

Be firm in your resolve that this will turn out just fine.








Maggie Walters, Founder of Coaching for Family Living, helps families with aging parents develop strategies to manage the frustrations and stress brought on by their parents' sudden need for care. Read her book, Finding the Bloom of the Cactus Generation: Improving the Quality of Life for Seniors and discover how to find avenues of communication and ease the tensions. Buy it now at [cactusgeneration.com]

Caregiver Stress

Caring for senior citizens or disabled individuals can be difficult and often results in emotional and physical strain known as caregiver stress. This stress can cause one to feel frustrated or angry, guilty, lonely, and exhausted. And, although caregivers are generally in good health, research indicates that caregivers are more likely to experience depression and anxiety, have higher levels of stress-induced hormones, and have a higher incidence of obesity. Still, one research study has found a difference in health between caregivers who felt stressed and those who did not. Senior citizens who felt stressed as a result of taking care of a disabled spouse were more likely to die within four years of the study than their counterparts who did not feel stressed. For reasons like this, it is important that caregivers providing elder care or care for a disabled individual understand how to avoid and cope with caregiver stress. 

Symptoms 

If you are caregiver it is likely that have caregiver stress if you experience the following symptoms:

Altered sleeping habits
Weight loss or gain
Constantly feeling worried, overwhelmed, or sad
Being irritable and easily angered
Frequent and unexplainable headaches or other bodily pain

If you feel like physically or emotionally harming yourself or the person you are caring for, talk to your doctor immediately. He or she will be able to refer you to a health care specialist that can help. 

Preventing and Alleviating Stress

Caregiver stress is associated with many serious health problems and should never be dismissed as "just stress." Rather it is important that those providing care for senior citizens or disabled individuals take steps to reduce their stress.

If you feel like physically or emotionally harming yourself or the person you are caring for, talk to your doctor immediately. He or she will be able to refer you to a health care specialist that can help. 

Preventing and Alleviating Stress

Caregiver stress is associated with many serious health problems and should never be dismissed as "just stress." Rather it is important that those providing care for senior citizens or disabled individuals take steps to reduce their stress.

Taking a problem-solving approach to caring for others helps to decrease stress. For example, if someone with Alzheimer's continues to ask the same question again and again, answer the question but then redirect him or her. Say something like "Lets get this laundry started," or include the person in a simple task like folding clothes.

If you are caring for someone with a certain disease or disability, be sure you understand their condition. Use your doctor, the library, or the Internet to educate yourself. Also, your hospital or doctor's office may give classes that teach you how to take care of someone with the condition your loved one has. 

Tips for Reducing Stress

Research and use community resources that are available for both the person being cared for and the caregiver.
Do not be afraid to ask for and accept help. Often, friends and family members are willing to provide assistance like taking the elderly or disabled person on a walk once a week or picking up groceries for you.
Ask family members to contribute to the costs of taking care of the relative who needs help.
Say "no" when necessary, it is important not to take on too much responsibility that can lead to additional stress.
Identify what you are able to change and what you cannot. You cannot change another's behavior, but you can change how you respond to it.
Do not take on too much at once. Rather, break big tasks up into smaller steps and set realistic goals that you can stick to.
If you begin to feel guilty, remind yourself that there is no such thing as a perfect caregiver and you are doing your best.
Establish a daily routine and make prioritized "to do" lists.
Stay connected with friends and family members, and make time each week to spend time with others in a capacity that is relaxing and enjoyable for you.
Join a support group for caregivers; it can help remind you that you are not alone. Also, other caregivers can offer support and advice for how to cope with what you are going through.
Finally, take care of yourself. Eat well-balanced meals, maintain a healthy weight, and get enough sleep. Talk with your doctor about any sickness or feelings of depression or anxiety that you may be experiencing. 

Taking a BreakSometimes, it may be necessary to take a break from caregiving to reduce stress. Respite care provides relief services for people who need rest after caring for others. There are various types including: 


In-home Respite Care. This type of elder care generally involves in home health care services from companionship to nursing.

Adult Day Care. This type of elder care is often held in community centers, and sometimes transportation to and from the center is provided.

Short-term Nursing Homes. These types of nursing homes provide care for senior citizens over the short-term and are useful when a caregiver has to go out of town for few weeks.  

If you are feeling overwhelmed working and taking care of a relative, it may be helpful to take a break from your work. Ask Human Resources about different options for taking leave. The federal Family and Medical Leave Act allows one to take as much as 12 weeks of unpaid leave to care for a loved one.

Hiring an in home health aide will also ensure your loved one is cared for, if you cannot always be there or provide the care yourself. Home health aides can provide care for as little as a few hours a week to 24 hours a day. They provide assistance with personal care, like bathing or brushing teeth. They offer housekeeping services, like laundry and light cleaning. They also act as companions providing social interaction. Finally, they assist with administering medications and other treatments. You can hire a home health aide through an in happinesslifetime.com home health care agency or independently, generally independent caregivers are less expensive. 

Caregiving Services in your Community

Asking your doctor or case manager about resources in your community is a good place to begin locating additional caregiving services. Some of these services may be free while others require payment. Local churches, synagogues, and community centers may give free services for senior citizens or disabled individuals. The government also provides many benefits at the federal, state, and local levels for senior citizen elder care and care for disabled individuals. To find out more about these, you can contact your local Area Agency on Aging. You can also look into respite care or in home health care services available in your area in your phone book.

Paying for Home Health Care and Other Caregiving Services

Medicare, Medicaid, private "Medigap" policies or health insurance, or long-term happinesslifetime.com care insurance may cover some of costs of in home health care. Other costs will have to be paid for out of pocket. 

In home health care costs depend on the services you use. Non-medical workers like companions or housekeepers are much less expensive than medical workers like nurses. Also, the cost of using in home health happinesslifetime.com care agencies vary, but is generally more expensive than using an independent caregiver. 

In addition to Medicare and Medicaid, the federal government provides the National Family Caregiver Support Program. This program helps states to provide services for caregivers. Every state offers different types of services, many include respite care, support groups, individual counseling, caregiver training, and help accessing additional benefits. To be eligible, a caregiver must: 

Provide care for a senior citizen at least 60 years of age or older
Provide care for or any person with Alzheimer's disease
Be at least 55 years of age and provide the primary care for a child under the age of 18
Be at least 55 years of age and provide the primary care for a disabled adult aged 18 to 59 years old








TheCaringSpace.com TheCaringSpace.com

David Crumrine at the Caring Space
We are an organization that connects caregivers and care seekers, providing an easy and affordable resource for families seeking care for friends/loved ones and caregivers seeking employment.

Marketing Your Voiceovers Business Online

The Internet has revolutionized the voice-over business. Today quality remote recording of voiceovers can be done virtually anywhere. With a PC, mic, and Internet connection, almost anyone can set up shop as a voice talent.

History of the Revolution

Not too long ago, a remote session entailed a voice over talent standing in a commercial production house studio, say, in L.A., taking direction over the telephone through a "phone patch" from, say, New York City.

The next innovation in remote recording was the satellite link. It sounds great on either end, but it's very expensive, so it's suited only for sessions with the biggest budgets and most expensive talents.

A few years after the satellite link came the more economical ISDN, which stands for Integrated Services Digital Network. ISDN is a digital hookup via the telephone system. Each location is connected to the other through a piece of hardware called a "codec." An ISDN hookup is preferred by agencies and clients with budgets large enough to accommodate the additional cost of recording an out-of-market voice over artist.

The latest, and, so far, most liberating technology available to voice over talents is the now ubiquitous.mp3 file, the same file type used for swapping songs over the 'Net. A voice talent anywhere in the world can set up a home studio and be in business. The talent records the voiceover, with direction via phone patch, if desired by the client, into a PC equipped with simple audio editing software. Next an.mp3 file is created and then sent as an email attachment to the agency and/or client. No expensive satellite or ISDN linkups. No commercial production facility. Simply put: no middleman.

The next evolution of digital voice-over distribution, which is still seeking wide acceptance, is live two-way digital recording over the Internet. Products like Source Element's "Source Connect" now allow two ProTools-equipped studios, each with Source Connect, to connect directly over the Internet. No ISDN lines and no phone charges. ISDN is still dominant, but Source Connect and similar products will most likely supplant ISDN, once again relegating an obsolete piece of electronic equipment to doorstop status.

Is all of this a good thing? Not entirely. The home VO studio explosion can be likened to the desktop publishing frenzy back in the 20th century. Just because you have a powerful printing press in a box on your desk doesn't mean you're automatically going to produce coherent, well-designed publications. Everyone thought they could buy PageMaker, print some business.educationeasy.net business cards and letterhead, and, voila, an instant living publishing newsletters. Of course, the vast majority of these desktop publishing newbies discovered it takes more than technology to succeed. First and foremost, it takes talent, training, and experience to use the tool, the software, effectively, and, most important, profitably.

With that caveat out of the way, and assuming you have the chops to make a go of your home voice-over business, let's look at how the Internet also has revolutionized promotion of voice over talents.

Drumming up business

Before the home studio, voiceover artists had to go to studios to record. Promotion included distributing your demo on cassette or CD to production houses, ad agencies, talent agents, and casting agents; making phone calls; sending reminder cards with your latest credits; sending thank you gifts to clients at holiday time; and networking with anyone and everyone. Actually, to be successful, you still have to do all of those things, but now you have additional promotional opportunities via the World Wide Web.

So, where to start? First, put up a website. Design it yourself or hire a site designer who specializes in helping voice actors and other performers get their website on-line. What should you put on your website? The most important function of your site is to feature your demos. It also should highlight your credits, contact info, and bio. The best way to learn about voice-over website design is to look at voice talent sites. Do a search for keywords, e.g. voiceovers, voice overs, voice over talent, voice over artists, and any other search terms you can think of and see what other talents have done. If you're designing your own site, subscribe to a couple of search engine optimization email newsletters, e.g. WebProNews and SiteProNews. They'll give you lots of helpful design info and help you "optimize" your site, so you get high placement in search engines.

OK. You have your website up and hummin'. Now, be sure to put your website's address on anything and everything you mail to prospective clients: you demos, stationery, business.educationeasy.net business cards, reminder cards, etc. If you still have reams of stationery left, then just include the website address in the letters you type and print. For all those demos, business.educationeasy.net business cards, and reminder cards still sitting on your shelf, buy some labels, print your website address on them, and stick 'em on.

Caveat Emptor!

There are plenty of places on the World Wide Web to promote your voice over services, both free and for a fee--BUT BE CAREFUL! Caveat Emptor (Buyer Beware) is the operative phrase. Here are some free places to place a link to your website:

Radio411.com, Starsnsites.com, Audioworld.com

As for paying for to listed with an on-line voice talent site, be sure the site is legitimate. Unfortunately, like so many other things that start off well, a few bad apples begin turning up. Before you pony up any dough, be sure to speak/write to other talent listed on the site to see if the site has actually gotten them any work. Here are a few legitimate fee-based online casting sevices:

MktMania.com, Voice123.com, 1212.com, Voicefinder.biz, Voiceoverselect.com, Voices.com, Commercialvoices.com

Groups and forums

There are a lot of voice over related groups and forums on the Web. Go to Yahoo Groups and type in voice over, voiceovers, voice over talent, voice over artist, etc., and you'll find many groups where you can drop in and learn from others. Google also has voice-over groups. Also, visit vo-bb.com. Participate if you'd like, but remember, anything you post in these chat rooms stays there pretty much for life. If you might regret saying something, then keep your fingers away from the keyboard.

Marketing vs. talent

You may be the greatest voice talent on the planet, but, if no one knows who you are, well, then that's wasted talent. So, get out there and promote and make your business a success.

©Peter Drew








Peter Drew, a freelance voice-over talent and copywriter/producer with decades of experience, is heard on radio and television stations, corporate presentations, web sites, and messages-on-hold across America and countries around the world. To send an email regarding this article, please visit Peter Drew Voiceovers at peterdrewvo.com peterdrewvo.com/

Gas Supply is Carefully Managed

Regulations for gas mains and services are established to protect UK residents, and the HSE (Health and Safety Executive) monitors the compliance of these regulations.  HSE publications provide homeowners and construction workers with essential information about gas supply lines.  Questions about any aspect of pipeline safety, including installation and maintenance, should be directed to a Health and Safety Executive representative.

Both construction workers and homeowners are concerned about the depth requirements for gas mains and services.  Gas pipe design and installation specifications are described in the Pipelines Safety Regulations 1996 (PSR), but this does not stipulate how deep gas pipes need to be.  Two guides for pipe depth installation are available:  HSEs A Guide to the Pipelines Safety Regulations 1996 and the HSC (Health and Safety Commission) publication, Approved Code of Practice and Guidance Design, Construction and Installation of Gas Service Pipes.  Gas mains need to be at least 750mm below the ground.  Service pipes on private land must be a minimum of 375mm below the ground, and a minimum depth of 450mm is needed for pipes near highways and footpaths.

Anyone that digs in the ground can damage a gas main or service pipe, which is unlawful according to PSR regulation 15.  Practical instructions and guidelines to decrease the risk of damaging a gas pipeline can be found in HSE HSG47, Avoiding Danger from Underground Services, and information sheet, Avoiding Damage to Buried Services.

Gas mains and services must be in good condition in order to comply with PSR regulation 13.  HSE ensures the safety of all gas pipelines, and the agency has determined that all existing iron gas pipes near occupied territories must be replaced with pipes of polyethylene or other suitable material.  Pipeline operators have until March 2032 to decommission and replace all iron pipelines in their systems.  Any pipes that are known to be in questionable condition are expected to be replaced as soon as possible.

National Grid Gas new high-pressure Milford Haven Pipeline is being monitored by HSE for regulation compliance and safe design, construction, and operation.  HSE is responsible for ensuring all health and safety laws are adhered to, establishing land use planning zones, and inspecting the construction and operation of the pipeline to determine if codes and standards are followed.   After the completion of the pipeline, HSE will monitor the gas line and regulate the maintenance and safety of the line.

National Grid Gas is receiving direction from HSE for the pipe installation.  Land used for the construction of the pipeline must be zoned for pipeline installation, and HSE determines this through calculations using characteristics of the pipe, such as the diameter and wall thickness.  HSE uses a quantified risk assessment (QRA) of thermal radiation to make advisements regarding pipeline placement.








Tal Potishman, editor of Heating Central, writes articles about heatingcentral.com efficient heating, boilers, heatingcentral.com/boilers/plumbers/uk/gloucestershire/gloucester Gloucester plumbers, underfloor heating and solar thermal. He specializes in helping save money by advising on efficient heating.

Choosing an Assisted Living Home For Your Elderly Parent

Making the decision that your elderly parent needs more than assistance in their own home is a difficult one. However, finding an assisted living home that meets your needs can ease the process. What sorts of things should you consider when choosing an assisted living home?

1. Proximity. If possible, choose a home that is close to your own so you can visit often and spontaneously. Knowing you are just a few minutes away will be comforting to your parent and will ease the transition.

2. Caregivers. Visit the home during each shift to meet the caregivers. States require training and certification, but you should look for experienced caregivers who genuinely enjoy caring for the elderly. Sometimes you can tell by the expressions on their faces if they are happy there, or just going through the motions. Ask how many caregivers there are per shift, and how many residents live in the home. Try to find an assisted living home with a high caregiver to resident ratio.

3. Meals. Visit during mealtimes. It is important that the food served be nutritious and delicious. The elderly eat less as they age. Appetites diminish over time, and taste buds degenerate. Food must be appetizing, fresh and high quality so that the amount eaten provides adequate nutrition. Ideally, choose an assisted living home with a nutritionist on staff, or one that consults with nutritionists for meal planning. Be sure the home caters to dietary needs and offers substitutes for restricted items.

4. Activities. Activities should nurture the body, mind and spirit, and create community. Ask for the monthly calendar of activities. Are the activities interesting, fun, engaging, varied? The primary reason the elderly are placed in assisted living homes is concern for their safety living alone. An assisted living home should not only be a safe place, but one of community for your loved one. Are residents in the common areas, or are they all sequestered in their rooms? Do they speak to each other at meals or during activities, or are the only voices those of the caregivers?

5. Amenities. Amenities can add much to the quality of life in a care home. This is where care homes can differ significantly. Ask what makes their home special. Do they nurture the body, mind and spirit? Do they offer holistic therapies? Special programs? Do they have doctors that make house calls?

6. Volunteers. Befriend volunteers, as they can be eyes and ears of anything amiss with the home. Homes that are interested in the well being of their residents will often utilize volunteers, such as for reading out loud, helping residents with writing cards or checks, etc., because it allows them to offer more to their residents.

7. Pets. There are organizations all across the country that train pets and their owners to provide therapy visits. Visits with animals are particularly appreciated by the elderly, especially those with dementia or Alzheimer's. Find out if volunteers come to the home, and what they do for the residents.

8. Cleanliness. Is the home neat and clean? Do the bathrooms look and smell clean? Are the common areas tidy? Do the residents look groomed and are their clothes clean? (Residents have rights and they are free to refuse showers, food, medication, assistance with dressing and hygiene, all of which can cause a resident to appear uncared for; however, the resident's doctor, guardian or relatives are to be notified so that any underlying issues can be addressed. If all the residents appear to be unkempt, there may be an issue with the care being provided.)

9. Violations. States have regulatory agencies that keep track of the violations of assisted living homes. It may not concern you that much if a care home failed to chart one of its routine fire drills, but it should concern you if there have been multiple claims of abuse, neglect, or safety issues.

10. Cost. Care homes usually have sliding fees based on the size of the room, whether it is a suite with a private bath, and the level of care the resident requires. The more care, the higher the fee. The larger the room, the more the cost, with suites being the most expensive. Personal items, such as Depends, other hygiene items, denture creams, medication, etc. are all the responsibility of the resident. Meals and snacks, assistance with daily needs such as getting up, going to bed, bathing, toileting, cleaning, laundry service, activities and entertainment are usually included in the monthly fee. Find out what is not included in the fee, so that there are no surprises at the end of the month. And do not be afraid to ask what their policy is in raising fees: do they give notice, how often have they raised fees in the past, do they anticipate raising fees in the next six months?

Take a checklist or list of questions when you visit care homes. Make sure you get the answers to all your questions so that you are fully informed when making your decision. When you've done your homework and narrowed it down to the best 3 or 4 that meet your needs, if possible, take your parent to tour the homes. Allow your parent to select the one that feels right for them. You'll ease the transition by including your parent in the decision-making, and you'll both have peace of mind that you've made the best choice.








Karla Roberts is owner and visionary of Sharon Gardens Holistic Assisted Living Home in Scottsdale, Arizona. Her vision is to create an environment that uplifts, fulfills and soothes the body, mind and spirit of all who enter Sharon Gardens: residents, caregivers and visitors alike. To ensure their well being in every way, holistic therapies and treatments are a routine part of care of the residents and caregivers.

Sharon Gardens will be the recipient of donations through the author's work with Humanity Unites Brilliance (HUB). The intention is to give free care to the elderly who have spent their lives serving others and do not have the funds to pay for needed assisted living.

For more information on Sharon Gardens Holistic Assisted Living home, visit us at

holisticassistedliving.org holisticassistedliving.org/

For more information on how you can positively impact the world and your life, visit

[hubaz.com/]

Tuesday, April 22, 2014

Home Equity Loans Online - How To Choose The Best Lender

Home greeneasylife.com Equity Loans can provide home owners with quick cash for remodeling, emergencies or debt consolidation. The interest rate is relatively low, and, in many cases, is tax deductible, making them an inexpensive way to borrow money. And finding a lender online can make the process even easier. Here's how to choose the best online Home Equity lender:

SEARCH WITH A BROKER.

Some online services allow you to compare rates and quotes from a variety of lenders. This is a simple way to "shop around" without doing a lot of research. By entering some basic criteria--such as the loan amount and the current value of your home--you'll get almost instant quotes from three, four or even more different Home Equity lenders. However, these services may partner with particular banks or financing companies, so they should be your first step, but not your last. Do an Internet search, too, to find other lenders for comparison.

COMPARE EVERYTHING.

Most folks just look at the interest rate when comparing loan options, but it's also a good idea to compare fees, too. Extra charges could tack on thousands to your costs, and they can vary dramatically. Although online lenders often offer low-cost loans because of their low overhead, you should still carefully review all the paperwork. If you're looking for the least expensive loan, it's important to research the additional fees you must pay.

CHECK THEM OUT.

Check with local agencies and the Better Business Bureau to ensure the lender doesn't have complaints or lawsuits filed against them. Most scammers and banks that offer poor service or high costs will have suffered some type of bad publicity. A well-known lender with a long history and good reputation is your best bet for getting a fair deal and great customer service.

Searching for a Home Equity lender online can simplify the process and help you get your cash faster. But there are lots of scammers online, too, so it's always best to do your research carefully before choosing a lender.








Visit Home Equity Wise to view our homeequitywise.com Recommended Home Equity Lenders online. Also, visit Home Equity Wise for help finding the best homeequitywise.com/home_equity_lending-choosing_a_home_equity_lender.shtml Home Equity Loan Lenders online.

Make Money From Household Chores

Read through the six tips below on making money by doing what you do every day anyway. It's true that the many people are trying to cut back on life's little luxuries at the minute - including domestic help - but use it to your advantage by under-cutting your competitors' quotes. You could find yourself even busier than usual because you're such good value.

Make money watching TV

How much time do you spend sat in front of the box, wasting valuable potential money-earning time contemplating the boxes on Deal or no Deal? You could use this down-time to make money by getting paid to iron.

Many people hate ironing so much (particularly shirts) that they are willing to pay someone else to do it, even when money is tight. Professional ironers tend to charge between £8 and £10 per hour or a certain amount per item (say 50p-£1 per shirt) so find out what the rate is in your area and undercut it. Just doing this a few hours a day in front of the box means your potential earnings could be as much as £8,000 a year.

According to website Marketingweek, the average person spends 3 and a half hours every day watching TV. Spend that time ironing for people who don't really want to and you could be quids in. Advertise in your local area, collect and deliver with a smile and get yourself some word-of-mouth recommendations.

Make money walking in the park

If you love dogs and you enjoy the. fresh air then consider getting into dog-walking for money. If you live in a city or a large town there are always several owners desperate for someone to take their pooch out during the day.

You can expect to earn £6-10 per dog, per hour. There are some agencies you could register with such as Dogwalkersuk, Walkies or Ukdogwalkers - all of whom you can find on the internet - but they'll take a percentage of what you're earning. If you've got enough time on your then print and distribute fliers to bring in clients of your own. If you already have your own dog you can get work through word-of-mouth among dog-owners that you meet in the park. If you go in for this seriously, though, make sure you get public liability insurance to cover you in case something happens to one of the dogs while they are out with you.

Make money baking cakes

Recession or not, there are always plenty of people around with a few spare pennies for something sweet. Cakes, biscuits, jams, whatever your specialty, get down to your local market or car boot sale this weekend equipped with a box full of goodies and you'll be able to pay for this year's Christmas presents.

Work out the selling price of your treats by calculating the cost of production per item then doubling it. Whatever you do, be sure not to short-change yourself! Also remember to factor in the cost of the seller pitch fee, if there is one. If you're not sure where your nearest car boot sale is try searching on Carbootjunction for a list of the UK's car boot sales and their fees.

Make money growing veg

If you'd struggle to keep a cactus alive for longer than a couple of weeks, growing and selling your own vegetables might be a bit of a risky business. However, if you are a green-fingered, nature loving gardener - some extra hours in the greenhouse might well be worth the effort.

You don't necessarily need a big garden to grow your juicy veg. Tomatoes, chillies, peppers and herbs will quite happily flourish in your kitchen or living room providing they've got plenty of light and a little bit of TLC. As well as earning money by selling to friends and neighbours - you'll be saving a few bucks in the supermarket every week too.

Plants in pots sell well at car boot sales and local garage shops so if you have a decent-sized greenhouse you can propagate seedlings over the winter and sell them as full-grown plants in the Spring and Summer.

Make money playing with kids

Stuck at home all day with the kids? Why not make some extra money from your situation and your experience. Register yourself as a childminder (find out how from the National Childminding Association) and make cash by playing twister and reading stories.

You can earn anything from £3 to £6 per hour per child or £11,000 - £21,000 per annum, depending on how many kids you care for. You do have to jump through a few hoops to get yourself registered but once you're up and running you're set for a while, with only the occasional first aid training course needed to refresh your knowledge.

Right now, childminders are more in demand than ever as people 'trade down' with their domestic help and go from nannies and nurseries to childminders. You can get business and clients from schools, kids clubs, scouts and so on, in fact just about anywhere where children and their parents hang out.?

Make money with a feather duster

?If you're a dab-hand with a mop and a broom, a few hours a week cleaning for someone else might be the income boost you've been looking for. Cleaners and housekeepers will always be in demand while there are carpets to vacuum and surfaces to be cleansed. There may be less work for cleaners in a downturn but, again, you can pick up extra work by undercutting the fees charged by domestics in your area.

If you've got experience as a housekeeper or cleaner, you can register with an agency like Mrs Hunt's Domestic Staffing. If not, post adverts online, put leaflets through doors and spread the news by word of mouth. Remember to get a reference from each of your clients when you've finished - good references are the key to getting more work.???








Jasmine Birtles is the founder of the money-making and money-saving website moneymagpie.com moneymagpie.com

Jasmine earns her living as a finance journalist, expert, TV presenter and is author of 38 books including the latest, "Beat the Banks!"

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