During the transition from hospital to home health care, patients face a significant risk of adverse events which may negatively affect patient safety leading to readmission or even worsening of health and death. Events such as falls and missed doses come to mind. Ensuring that the patient’s transition from home to health goes smoothly care is a collective responsibility for the medical staff, the patient and their intended caregiver. Below are some tips that could help to facilitate the process:1. Proper information- it is important to get information about various aspects regarding the patient’s condition. These include:- A detailed listing of diagnosis and all the procedures that were performed. This comes in handy in case the patient has to be readmitted at a different hospital.- An accurate guide on diet requirements and restrictions, treatments, post-discharge therapy.- A list of key contacts including doctors, pharmacists and home care agency representatives among others. If possible collect their business cards for safe keeping.- A realistic assessment of the patient’s outlook- this should include expected recovery time and symptoms of relapses.- A list of available community and hospital resources. Ensure you have information on all facilities that can handle the patient’s illness.It is vital that a high level of communication is maintained between the hospital staff and the patient even after they have been discharged.2. Caregivers are very important- It is not safe for a patient who has just been discharged to be by themselves at home. When a patient returns home from hospital they tend to have lingering effects such as pain, dizziness and muscle weakness. This makes performing certain tasks difficult and they are especially vulnerable to falls. If you are the one being discharged ensure you have a caregiver. This can be a family member, friend or even a hired professional home care attendant. If you have a loved one coming home, consider getting caregiver training. Learn how to take care of them while they are still in the hospital so that you fit into the role seamlessly. Don’t be afraid to ask hospital staff to demonstrate certain tasks and also ask their realistic expectation of what the future will be like.3. Medication management- this is one of the most vital aspects of home health care. In most cases, once a patient is discharged the medication routine will change leaving room for errors. It is important that you verify medication by brand name before leaving the hospital so that there is no confusion in case you have to buy the medication. Ensure you understand why old medication has been stopped, what new medication does and the kinds of reactions and side effects to expect if any.4. Prepare the patient’s home and acquire the necessary home care equipment- various adaptations will need to be done to various aspects of the home to ensure the patient is as comfortable and as safe as possible. Remove excess clutter to allow easy passage and clear items such as cords and area rugs that increase the risk of falls. You may need to install a ramp in place of stairs to facilitate movement of a wheel chair. You may also need to bring in equipment such as a hospital bed, stethoscope and wheel chair among others.5. Prepare for additional expenses- it is important to plan for how to raise additional funds required to sustain various aspects of home health care. Running out of money can be very risky since the patient may be unable to acquire required medication and other needs. Some services of home care are covered by medical insurance which may help to ease the financial burden.6. Timing of the discharge- the patient should be discharged only when the doctor thinks they are ready to go home. Hasty discharging could prove fatal. Some patients insist on being discharged as soon as possible disregarding what is best for them. In such cases it is up to the doctor to be assertive and do what is in the best interest of the patient. In case of early discharge the hospital staff should take a keen interest in the patient’s welfare. They should only be allowed to leave if there is a suitable post discharge place where they can go to and be assured of good care.
Las Vegas is said to be a popular tourist destination in the United States of America. Ask any visitor to Las Vegas the reason of his arrival in the Vegas, his reply would be “To gamble”. To that extent, not only Las Vegas but also other major cities in the United States of America provide enough opportunity to people who wish to ‘punt’ on their money. Needless to say, casinos are breeding grounds for some rags-to-riches and riches-to-rags stories.What are the US Gambling Laws?Gambling is a legitimized activity in many states in the USA. Many state and federal laws mandate statutes that govern the activity of gambling in the United States of America. The US Gambling Laws are further divided into three sections – State Laws, Federal Laws and Charitable Laws.State Laws – Most of the states in the United States of America have legalized gambling. These gambling laws are applicable to any form of gambling which includes but is not limited to lotteries, casino gambling etc. For example, the state law of Alabama lays down the rule that any person who has lost some money during gambling can claim the money back in six months from the date of the gambling. This is governed by the Section 8-1-150 of the statute of Law of Alabama.Federal Laws – Federal laws are laws mandated by the government of the United States of America governing the gambling industry. The four main federal gambling laws include – Federal Anti-Lottery Laws, Unlawful Internet Gambling Enforcement Act of 2006, Wire Act Violation: Internet and Phone, Gambling Ship Act. The Unlawful Internet Gambling Enforcement Act of 2006 mostly bans gambling operators in accepting funds from bettors through the internet. This act has swooped down on tons of websites that indulged in unlawful internet gambling.Charitable Laws – Majority of states in the United States of America have enforced laws that exempt some gambling activities from the gamut of the state and federal gambling laws. These activities include but are not limited to bingo and charitable raffles. Please note that the states of Hawaii and Utah are an exception here as they do not have any Charitable Law. For example, Bingo is considered perfectly legal in the state of Alabama. In the same vein, the state of California has mandated laws on Charitable raffles, Charitable bingo and Charitable poker games.The Online Gambling activity is in terms of its legalities and various rules as applied by the government of United States of America. This reason has prompted many casino owners to operate the casinos from other countries which ensure that they are not governed by the tough laws of the United States of America.The Federal Government has mandated certain statutes for online gambling and online casinos as well ensuring the protection of customer rights at all times. In fact, the government of the United States of America has banned all cross-border gambling activities which has met with a lot of criticism at the World Trade Organization.
It seems that affordable health care insurance is on the mind of many people today. Many employers have dropped their health insurance benefit in order to retain employees. While employees may be glad to have their jobs, they still need health coverage.It is sometimes difficult to find affordable health care insurance. Many people have simply given up trying to find the coverage. They may think it less expensive to pay for medical costs out of pocket rather than pay for the high cost of medical insurance. They may do fine with this policy until disaster strikes and someone has to spend several days or even weeks in the hospital. Suddenly, what seemed like a wise choice has been revealed very foolish.Only one hospital stay can build up thousands of dollars of debt and could lead to personal bankruptcy. Now you wish you had taken the time to find affordable health care insurance.There are some things you can do that will keep health insurance costs down. One is to raise your deductable. By raising the deductable, you can save several hundred dollars each year. You will need to be prepared to pay that deductable before the insurance pays anything on your medical bills, so make sure you choose a deductable that you can afford. Once the deductable is met, the insurance will begin to take over a majority of the heath charges.When you are healthy, you may think that health insurance is an unnecessary expense, You can easily look at all the other bills you have to pay and say, “I could sure use that money somewhere else.” Having health care can save a family from financial ruin. Many families without insurance find that medical bills quickly become overwhelming. Rather than cancel your health insurance policy, you should talk with your insurance agent about a higher deductible to keep insurance affordable for you and your loved ones.