The Medical economics, managed care, governmental cut-backs, each a catalyst for downsizing has created a climate of unprecedented financial pressures. Consequently, new alliances and strategies for growth are at the forefront. Emerging as a viable affordable health care alternative, adult day care is such an alliance.Adult day care, a community-based program designed to meet the needs of functionally impaired adults through an individual plan of care, is composed of 5-8 hours of care/ programing including door-to-door transportation and lunch for adults 18 and over. It is a program designed to serve adults who may be physically impaired, who may have some form of dementia, and who may need special supervision, increased social opportunities, assistance with personal care or other activities of daily living.Senior citizens, wheelchair bound or ambulatory, may not as yet require the services provided by a nursing home; a center very likely, will be all the support necessary for these individuals. Thus, adult day care meets the needs of the frail elderly and provides a cost efficient alternative to institutionalization.Professional nurses can have a tremendous impact on society in adult medical day care. By daily evaluation of the frail elderly, nurses can recognize and interpret the signs of a potential medical problem and often prevent a medical emergency. Professional nursing is the basic premise upon which the cost saving centers are based; without which centers cannot function efficiently.The financial incentive to start one’s own facility is excellent. States now provide a Medicaid Waiver which allows people to stay in their own homes; grant money and Veterans benefits are also available. Moreover, these programs can be enhanced by providing revenue producing ancillary services such as nursing services, geriatric nurse practitioners, medical care, rehabilitation, occupational, physical and speech therapies, family support, nutritional counseling, mental health services, medication reviews and case management for those senior citizens coping with multiple health problems. These services may be billed to Medicare. These programs reduce geriatric hospital stays and re-admissions by providing an additional discharge option.This type of facility requires the least amount of “start-up” capital when compared to other health related facilities. Some adult day care centers were started in churches. This enabled these centers to have an initial client-base from the congregation. Thus, because of their low rent involvement their start-up capital was minimal.The demand for these centers continues to grow. By the year 2020, it is estimated that our nation’s elderly population will increase to over 53 million.In this complex world, where our technologies may sometimes compromise our ideologies, there are some justifiable concerns over the quality and quantity of care being received by our frail elderly. Whereas, with adult medical day care, the frail elderly can obtain the medical and social assistance they require, and the cost savings pressures of managed care and downsizing may be satisfied.To find out more about starting a center go to http://www.adultdaycaregroup.com.
Those looking to study to become physician assistants might also be interested in learning more about the physician assistant programs in California. The good news for students like this is that there are already nine such programs in the state of California, and they are accredited by the ARC-PA. In fact, California is actually only behind Pennsylvania and New York in the area of PA programs that come with the required accreditation. Based on the program that students end up picking, they can get a mere certificate, an associate’s degree, a bachelor’s degree or even a master’s degree.RequirementsThe requirements for eligibility are different based upon both the school as well as the program that students are applying to. For instance, some schools might demand that you already possess at least two years’ worth of college credits. A lot of the universities and colleges providing physician assistant programs in California also mandate a specific number of hours of contact with patients. It also will not hurt to already have some prior experience in the field of healthcare. Finally, some schools might also be quite picky about GPA and require students to have a minimum GPA to be accepted to a program.SchoolsThere are a good number of PA programs in California. One of the schools that are providing such programs to those interested is the Stanford School of Medicine in Palo Alto. This school permits students to enroll in a program in which they can earn either a certificate or an associate’s degree. In addition, the Stanford School of Medicine has options to allow students to enroll in programs that can lead to bachelor’s degrees and master’s degrees.Other schools in the state make good choices, too. For instance, interested students can enroll in the Riverside Community College located in Moreno Valley. Alternately, they may instead enroll at the San Joaquin Valley College in Visalia. Both of these schools offer students programs that can offer them an associate’s degree.On top of these choices, there are still other schools that offer PA programs in California. These are Touro University, Loma Linda University, Western University Health Sciences, the University of Southern California (Keck), the University of California Davis School of Medicine in Sacramento and Samuel Merritt University.Students who are very serious about doing the hard work that it takes to become a PA have to be certain if they are first eligible to make an application to the program and the school of their choice. Each school, which features PA programs comes with varying eligibility requirements. Thus, it is recommended that students directly get in touch with the school that they have their sights set on. Overall, students’ experience, academic standing and character are huge factors that the school that students are applying to is going to be assessing.Physician Assistant LicensureTo take PA programs in California, students should remember that it is insufficient to simply finish an accredited program. Students are going to be made to take and then pass the national certification examination referred to as the Physician Assistant National Certifying Examination. Each and every state is different with respect to its laws on the practice of physician assistants. Still, one of these requirements has to do with passing the certifying exam that is administered by the NCCPA. Those students who end up passing this exam are then allowed to attach the Physician Assistant-Certified title after their names.However, the certification process does not stop just yet. Every two-year period, physician assistants are obligated to complete 100 hours of continuing education. Every period of six years, physician assistants are mandated to take and pass a recertification test; otherwise, they can choose to just finish an alternative program and then complete a take-home examination.How to make the best ChoiceStudents looking to get into a PA program should want to get into one of the better ones. Getting into one of the better programs gives students an edge over the competition because these are naturally better able to prepare them for the necessary licensing tests, the duties that come with this career and the responsibilities they must deal with. Students should consider these factors:1. PANCE Pass Rates: Excellent PA programs usually feature a high percentage of students who do pass the PANCE (Physician Assistant National Certification Exam). Students want to look at which programs produce students who score high on this examination since that shows they have been more than adequately prepared by the program.2. Rankings: Rankings should alert students about which programs are academically competitive with each other. They should be regarded by students as a guide. Rankings usually indicate that North Carolina’s Duke University is number one, and the physician assistant programs of DC’s George Washington University, Georgia’s Emory University, the University of Utah and the University of Iowa following closely behind.3. Compatibility: Compatibility is another thing that students should not take lightly. Compatibility includes the campus environment, the location and the cost. Compatibility has a tendency to be overlooked by students, but it is very important, nonetheless. Students in a physician assistant program that is not convenient in terms of how much they have to pay, where it is located and what the environment is like will not be able to make the most of their enrollment.Physician assistant programs in California come in all forms, mainly because quite a few schools in the state offer them. However, not all schools and their physician assistant programs are created equally, which means that students wanting to enroll in said programs have to evaluate various programs before applying. If they do not, they run the risk of being accepted into a physician assistant program that is not going to be conducive to their unique needs. Factors to consider include the cost, location and the campus environment.
In most cases, the specific weight loss program you choose has little to do with whether you will lose weight or not. Weight loss occurs when you consume fewer calories than your body is using. As a result, it does not matter if you choose to follow a low carb diet or a vegan diet or a vegetarian diet or a high protein diet, your own special homemade diet or any of the many commercial diet programs. So long as the plan you choose to follow results in your burning more calories than you are eating, you will lose weight. Therefore, the optimum diet program for you will be the one that fits in best with your personal and cultural preferences concerning food choices and exercise requirements as well as your reason for dieting in the first place.The fact of the matter is that there is no single best weight loss plan (or even one best set of weight loss tips) for everyone. Every person is different, both physiologically as well as psychologically. Your body and you mind are going to react to stimuli differently whether that stimuli is food or thought. The type of eating and/or exercise plans that work well for one person may not be workable at all for another. Same goes for motivation: what motivates (or discourages) one person may have the exact opposite effect on another. The main reason diets fail is not a lack of determination; it is because the dieter chose the wrong plan and simply could not continue to follow that plan. To give yourself the best chance of being successful, you must consider all aspects of any program you are considering and determine how well each component (food, exercise and motivation/support) fits into your lifestyle.Determining Which Weight Loss Program Is Your Best FitThe first thing you must do when searching for a weight loss program is to ignore the commercials you see for all the “new” and or “improved” diet plans. That is not to say you cannot consider one of these programs; it is just that the advertising can (and is designed to) sway your decision-making and you should not consider any advertising claims when selecting a plan to follow.To find the best fit for you, we suggest that you take the following into consideration:
Are you self motivated? If so, then support groups (online or off) and weekly meetings should not factor into you decision. However if you are a private person, then plans, such as weight watchers, that emphasize support groups and meeting should probably be avoided. On the other hand, if you need the support, this component (including the quality of the support as well as the frequency) should be one of the first things you look for.
Do you like to cook? If so, you will probably not do well on any of the meal delivery programs. However, if you don’t cook or live a life on the go, following a pre-packaged meal program may be a better choice.
Same thing goes for certain foods and food types. If you have cultural or religious preferences or just foods you cannot or will not eat, then you have to determine if the program has adequate substitutions for those foods. If not, then you should avoid those programs.
What is your feeling about exercise? Do you like to exercise or do you hate it? Do you have time to exercise or will it be something you have to make time for? If you have a physical limitation or lack of time or just hate the thought of exercise, then you will not want to choose a plan that derives most of its benefit from an exercise plan. Note: even a little increase in the exercise you are getting will aid whatever diet plan you do chose and will help make you healthier; however, if the plan is really an exercise plan with a diet component, you should really look elsewhere if exercise is not your cup of tea.
Are you looking for fast results without a real concern for long-term sustainability? If so, diet programs that use supplements (natural, over the counter or even prescription), severe calorie restriction diets (never a good idea long-term) or gimmicky diets like the Birmingham Cardiac Diet may be a good choice.
How much time do you have? If you are well-organized or have abundant free time, then a simple program where you make your own menus, buy you own groceries and cook your own food may be a better (and certainly cheaper) choice. If you need someone else to tell you step by step what you need to be doing and eating, then a more regimented program will be needed.
How are your finances? Weight loss programs cost money to buy (or access), money to maintain (for food, supplements, gym memberships etc) and money to continue (in some cases, the programs have a continuing fee for as long as you are on the program). You have to find out what it will cost you (at least an estimate) to reach your target weight goal and decide 1) if you have that money to spend and 2) if that cost is justified by the results you expect to receive. Many times the additional cost involved with a plan makes it a bad choice altogether. Sometimes there are just better alternatives from a monetary standpoint. However, sometimes, the cost of the program is not an issue or the benefits outweigh the cost however high that cost may be. There are programs out there that have only a onetime cost and there are those that have a recurring cost. You must decide which one will not only fit your budget but is one you will be able to continue to justify in your mind.
Are you looking for long-term sustainability? If so, the fad diets and the rapid weight loss diets are probably not the option you are looking for. Permanent weight loss requires you to replace the habits that led you to become overweight with healthier habits. If you want to diet once and be thin forever, you have to choose from weight loss programs that emphasize education and behavior modification. Do you want to gain knowledge and information on how to lose weight and keep it off for life? Do you feel that learning to make better food and exercise choices is more important than just losing weight? Then, you just might be a holistic dieter. The more you learn about healthy eating and exercise choices and the more you strive to make those healthier choices a part of your life, the greater the likelihood that you will be able to maintain your ideal weight.The list above is certainly not all-inclusive and I am sure you can think of other personal preferences that you need to consider. The point is that you must consider these preferences when choosing a diet to follow. When you are ready to start what will hopefully be you next (and last) weight loss, don’t just go for the sexy, popular, new diet plan but sit down with a pre-made list of criteria and pick the program that best fits you. Without question, the easiest weight loss programs to follow (and the one which you will be most successful with) are the program(s) that fit your life and your goals the best.