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What's the Hardest Part of a Physician's Job? Print E-mail
Written by Rada Jones, MD | KevinMD   
Tuesday, 07 January 2020 17:35

I work in the ER. It's not an easy job. Not glamorous either. At least not as glamorous as my mother-in-law used to think. Years ago, when I declared I was going into emergency, she looked at me askance. She didn't ask why. She looked at me with her wise old eyes. "Let me tell you about ER," she said. "I know all about it. I watch every show." She was politely dismissive and actively unimpressed. Worried about the staff having sex in the closets maybe? Or she didn't think that my hair or my style could stand up to the job. She was right. Not about the sex. I don't know how the folks in the movies find the time. Or the interest. I struggle to find time to pee. And the closets? Really? You get turned on by dirty mops and bleach perfume? She was right about the hair. It's still not worth mentioning. And my style - what style? I eventually got used to people questioning my career choice. Patients ask me when I'm going to specialize. My best friend - a computer maven - asked me why I choose to work triage. "Can't a nurse do that? Shouldn't you be treating people, instead?"

What are the 7 ADLs? Print E-mail
Written by AHHC News   
Wednesday, 04 December 2019 15:49

Activities of daily living, ADLs for short, are essential everyday tasks that people do to live healthy, safe, independent lives. ADLs are used in the caregiving industry to assess an individual’s ability to function on their own. This evaluation then helps determine whether an individual requires home care and assistance.

If you have elderly loved ones or care for the elderly, then it is important to know what the different activities of daily living are. You may be concerned about your elderly relatives or patients living on their own at home and feel they may need daily care. By evaluating their ability to perform ADLs, you can get a better, more accurate idea of whether they are in need of caregiving services from a home care agency. Your senior relatives or patients may also be eligible for government help depending on their ability to perform ADLs. For some elderly individuals, only part-time home care is needed. For others, full-time home care is required in order for them to maintain their health and well-being. Read the following information to learn more about the different activities of daily living and their importance.

Personal Hygiene

Personal hygiene concerns bathing, showering, oral care, grooming, nail care, and other activities that help one remain clean. Personal hygiene is important in order to maintain your health, well-being, and even personal appearance. However, some of these tasks can be especially difficult for elderly individuals, making it tough for them to maintain their personal hygiene. Knowing this, pay attention to your elderly loved one’s/patient's hygiene habits and grooming as their inability to maintain or perform such tasks should be of concern.

Continence Management

Continence management concerns toileting and one’s ability to control their bowels and bladder. If an elderly individual has continence problems, their incontinence can significantly affect the individual’s ability to live their life. Because of their lack of control, seniors may require incontinence care at any moment, so they have a great need for a caregiver who will help them clean up and change after incidents occur.

Eating and Feeding

Getting proper nutrients helps people stay healthy, and eating daily meals gives us the necessary energy to get through the day. This is why it’s so important to be able to feed yourself. If you have an elderly relative or patient who isn’t eating enough, then it may be a sign that they have trouble feeding themselves and require assistance. If this is the case, help is a necessity. Otherwise, your loved one may end up skipping meals due to their inability to eat on their own.

Dressing and Undressing

Getting dressed and putting on clothing seems like a simple enough task, but it’s not easy for everyone to do, especially elderly individuals. If seniors cannot change their clothes, then they will be left wearing the same dirty clothing items and will be unable to get properly dressed for various occasions. That said, it’s important that people are able to dress themselves or get the assistance needed to change outfits.


Ambulation refers to one’s ability to walk from place to place independently. If you have an elderly loved one or patient in a wheelchair or who requires the assistance of a walker to safely move about, then care services would likely be beneficial for your relative or patient. If they need help walking, then they may be more at risk of suffering from falls while moving about. This risk can be minimized significantly with someone present to help them move around their home.


Transferring is similar to ambulation but concerns a person’s mobility. Examples of this include getting up and into bed and standing up after being seated. Struggles with transferring can also be potentially hazardous because a senior’s difficulties with transferring can lead to accidents. Knowing this, assistance would be of great benefit to your loved one or patient.


Memory problems can be especially troubling to encounter in your elderly loved ones and patients, because it may be an indicator of Alzheimer’s disease or another form of dementia. Although there is no cure for dementia of any sort, early diagnosis is best with such conditions, so be wary of frequent forgetfulness and memory lapses in your elderly relatives and patients.

If you find that your elderly loved ones or patients struggle with any of the aforementioned activities of daily living, then you should get them part-time or full-time help from a home care agency. Home health care services will allow them to remain within the comfort of their own homes while still receiving the care they require.
Assisting Hands Home Care can provide assistance with senior home care services to elderly individuals in need. We can provide professional, well-trained, qualified caregivers who will help with any ADLs that may be difficult for seniors. We will also help with other important activities such as transportation and meal preparation. The caregivers we employ are trained to conduct CPR and first aid, so you can have some peace of mind knowing that your loved ones are in the hands of our caregivers.

Last Updated on Wednesday, 04 December 2019 16:15
Some of the nation's largest health systems want to care for patients in their homes Print E-mail
Written by FHI's Week in Review   
Monday, 25 November 2019 17:27

Samantha Liss reports for Healthcare Dive on Nov. 21, 2019:
Some of the nation's largest hospital systems are turning to a startup to help them deliver at-home hospital care to patients who otherwise would have been admitted...It's a move that may seem at odds with the traditional business model of hospitals, but it's one way providers are trying to get ahead of the curve as pressure mounts to reduce the cost of care and as reimbursement is increasingly tied to quality. It also fits the trend of care moving out of the pricey hospital setting.
"This is the first instance I have seen where a hospital system is attempting to intentionally reduce patient census in favor of lower cost care being provided out of the hospital," states David Fater, CEO at ALDA and Associates International in Boca Raton "This may indicate that we are approaching the tipping point and <witnessing> a new breed of hospital CEO," he adds.

Read more in the current issue of Week in Review>>
Karoline Mortensen’s Passion Lies in Health Policy Print E-mail
Written by FHInews   
Wednesday, 20 November 2019 18:43

The world of healthcare is in constant flux. Seemingly endless policy changes at the local, state and federal levels often result in unintended consequences for those in the industry. To keep up with those changes, many people have opted to attend the Miami Herbert Business School’s Healthcare Executive MBA program.

There, they can expand their knowledge of healthcare management and administration, learning from a team of experienced professors such as Karoline Mortensen, associate professor of Health Management and Policy and Academic Director of the Master in Health Administration (MHA) program.

Mortensen, who has been teaching at UM for nearly five years, has an extensive background in health policy and management. Her classes attract a mix of mid-career professionals including physicians, healthcare executives, registered nurses, pharmacists and researchers. Some are looking to add to their existing knowledge and move up in their organization, while others come from outside of the healthcare industry and are looking to make a career change.
karoline mortensen Because the industry is in flux, Mortensen says she is constantly refreshing the material she teaches.
“While there are core concepts we teach, we also talk a lot about current policies that are up for debate such as ‘Medicare for All’ and the Affordable Care Act,” she says. 

Mortensen earned her master’s degree in Applied Economics from the University of Michigan and her PhD in health services organization and policy from the University of Michigan. She started her career at Rice University, going on to teach at the University of Maryland School of Public Health before landing at UM.

She is a standing member with the Agency for Healthcare Research and Quality Health System Value Research study section, the lead federal agency charged with improving the safety and quality of America's healthcare system.

“I am passionate about understanding the delivery, organization and financing of our healthcare system,” she says.

Mortensen says many of her MBA students are motivated by the fact that they can use what they learn in the classroom to not only improve their work life, but also to improve the care they provide to their patients.

The university’s strong network of alumni, as well as some well-known dignitaries, often serve as guest lecturers. They include Congresswoman and former UM President Donna Shalala, as well as Florida Sen. René Garcia, who represents Hialeah. The university also hosts networking events where alumni engage with students and each other. Healthcare executives and practitioners also are invited as guest lecturers.

“One of the most exciting things about our program is our powerful alumni network,” says Mortensen. “They lead to interesting discussions and provide our students with a balanced perspective. I encourage students to listen to all voices in the class.”

Mortensen has received awards for outstanding teaching and mentoring of graduate and undergraduate students.

“I try to make the material interesting and relevant and I try to push my students to look at information, draw their own conclusions and think of other perspectives,” she says.
Last Updated on Thursday, 21 November 2019 09:36
Re-imagining Elder Care: Creating a More Financially Sustainable, Community-Focused Model Print E-mail
Written by David Friend, MD, MBA & Chris Cooper, RN, MHA, MIM | BDO   
Friday, 25 October 2019 17:12

Elder care is in a race against time. In 2016, there were approximately 45 million Americans over 65. This cohort represents 16 percent of the population, but an astounding 36 percent of overall healthcare spending. At nearly $18,000 per person, we spend five times more on older Americans than we do on children. Further, the senior population continues to grow rapidly, forecast to reach more than 80 million individuals, or nearly double, by 2050. The math is simple: today's way of caring for the elderly is unsustainable. Healthcare organizations, especially those in parts of the Midwest with larger proportions of seniors, must re-imagine the way they care for The industry needs to place greater emphasis on investment in empathy- and community-based care focused on preserving and improving quality of life. Seniors are already demanding such care, fueled by five industry forces that will shape the future of elder care.

Last Updated on Thursday, 28 November 2019 10:22
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