Physician S Report Child Care Centers: Fill & Download for Free

Good patients are those who:Are compliant with verbal instructions. You'll heal, feel better faster.Are honest when asking for information, pain assessment, drug usage, Rx meds currently using. Lying won't help your outcome. Nurse's can tell if you’re an IV drug user.Are able to effectively communicate their needs, medical issues.Can discuss treatment in an intelligent manner; see #1, #3.Have family & visitors who don't demand things like it's an emergency. Food, coffee, linen changes, pain meds, nurse's time, etc. Nurses are not your personal “WAIT STAFF”. If they bring you a cup of coffee or a drink without you asking, THANK them. They do have other patients.Expect your nurse to speak your language, especially if you don't speak English. Even being bilingual (English/Spanish) doesn't mean they can speak Arabic, Farsi, Hindi, German, Japanese, Chinese, etc).Have children who behave while in the patient areas. Patients need to rest, not hear your children at play or babies who cry. Don't expect the nurse to quiet them.Realize that their elderly parent as a patient may cry, become disoriented, appear angry, frustrated and confused. Don't expect the nurse to be able to “fix” them.Nurses are:Highly educated, trained, competent people who administer meds, take patient vitals, assesses your condition, perform many patient physical tasks. They clean your diapers, private parts, bathe and clean you; inserts catheters, change your dressings; start IVs, change the IV tubing, etc. Thank them.Not your doctor. Don't expect them to change your meds without contacting your physician, change your diagnosis, interpret your lab results, X-ray or decide to discharge you.See #1. Don't expect your nurse to “drop everything ” to contact your physician because you want to go home now. Discharge may take several hours.Not your dietician. Since most patients can order their meals before delivery, it is not your nurse's fault you didn't get everything you wanted, particularly your ice cream sundae. If you are a newly-diagnosed diabetic, or a cardiac patient just starting a cardiac diet, or the cafeteria ran out of ice cream (it happened once), don’t expect your nurse to go to a store and buy it for you (yes, it happened).Legally bound to report child abuse, med errors, and other situations to CPS, administrators, and/or your physician. Threatening them won't help your cause.Not your antagonist. Threatening your child's, spouse’s, parent's attending nurse(s) because you want something or your demands aren't being met immediately with a lawsuit definitely won't help your situation in a hospital, assisted living center, or rehab facility.Compassionate, sympathetic, empathetic caregivers who love their jobs, their patients, and co-workers. If your family member dies, don't mistake their calm methodical work demeanor around the deceased patient for not caring. Nurses, through training, experience and professionalism , can keep their emotions buried for now, but will express them privately in an appropriate time and manner later.

All the problems mentioned in the paper are disturbing, but aren't as well known as e.g. more Down's syndrome babies when the mother is older, even to me as a physician, although I've read the UK report on more neurological problems in children born after ICSI. We'll have to see if others confirm this association, and if so maybe make other recommendations in the future.Be aware that only in e.g. Scandinavian countries, and Belgium, there is enough public support for child care to be available to most young mothers, since this means a lot of financial solidarity in the population at large is needed since the way this is financed is through higher taxes. This year after the Dutch government had to save lots of money due to the economic problems Europe faces in The Netherlands this had lead to cuts in this support for working mothers, who now face the choice of staying at home or continue working while almost all the nett earnings will be used up for paying for child care. Many child's care centers are closing down now. I can't envision this happening in very individualistic countries like the USA.One problem the author didn't mention is, that the age at which the GRANDMOTHER had the mother of a child also raises the risk of her grandchild having Down's syndrome, irrespective of the child's mother's age when conceiving, see these papers:2011 Maternal grandmothers with advanced age reproduction are more likely to have Down syndrome grandchildren by Suttur S. Malini et al in the J. of Paramedical Sciences Page on Www2010 in the Journal of Royal Medical Services by Nazmi R. Kamal Page on Www Advanced Maternal Grandmother Age and Maternal Age as Risk Factors for Down Syndrome in a Group of Jordanian Families2006 Influence of advanced age of maternal grandmothers on Down syndrome by Suttur S. Malini et al in BMC Medical Genetics

Actually I don’t believe the quality is the same as in the USA, because here in my corner of Europe it is better.According to the most recent findings, the healthcare quality in the USA is only 70 % of that of Finland.[1]And I know that you are asking about resources specifically. But I don’t know how you can separate resources and results achieved with those resources. Clearly our physicians don’t lack anything crucial that it takes to cure their patients.The science journal Lancet has for several years published the results of the comparative research by the group titled Global Burden of Disease. They survey the incidence, lethality, and risk factors of diseases in 200 countries.Recently, they have also published results concerning the funding, quality, and accessibility of healthcare.Their global network consists of 200 researchers who collect, combine, and analyse all information available about health and healthcare. They have developed indexes to measure healthcare quality.According to their latest report,[2][3] the countries with the best quality of healthcare are Iceland, Norway, the Netherlands, Luxembourg, Switzerland, Australia, and Finland.In May, the journal compared the countries with regard to cost-effectiveness: how the results correlate with the amount of investment, and how equally healthcare and the obligation to contribute to financing it are distributed across population.By these criteria, Switzerland, Iceland, and Finland succeeded better than other countries. In Finland, healthcare costs 3,300 dollars per person annually, which is 10 % less than in Iceland and 40 % less than in Switzerland.In the USA, healthcare costs over 8,000 dollars per person per year. The USA ranks the 29th by quality and accessibility.[4]Do I believe those 200 researchers?Yes, I do. My experiences from the Finnish healthcare system are in accordance to their findings, and I’m not surprised in the least.In 1998-2010, the clinical research in Finland was evaluated to be the most influential in the world.[5] Public funding for it has been cut somewhat since then, but medical research still continues to be an important field of innovations here in Finland.I thus disagree with the answer by Charlie Rand that claims that“[w]e do know that the last time a European country financed medical research was the Germans during WWII”.That’s factually incorrect, as the Medical Center of the University of Rochester states:[6]“Once the undisputed center of global innovation in medicine, the U.S. is steadily losing ground to Asia and Europe and will, if trends continue, relinquish its leadership in the coming decade. That is the conclusion of an analysis appearing today in the Journal of the American Medical Association.”In practice, our physicians use the most modern technology to diagnose and monitor diseases and the results of treatment.And there’s also close cooperation between different countries of Europe. In the case of rare diseases, physicians can acquire training in another country of the EU, for example.And what about private healthcare in countries with universal healthcare?What is often left unsaid is that when insurance companies can trust that in case something serious happens, the public system will take care of it, also private health insurances cost only a fraction of what they cost in countries without universal healthcare.Our two children have a private health insurance. An insurance costs about €200 per year, and the deductible is about €100.Of course that’s completely voluntary, since our children would be covered by universal healthcare also with no private insurance.But we have preferred to pay for it.Not because we wouldn’t trust our public system for everything — far from it! We have needed all kinds of interventions from MRI scans to surgeries and from eye specialists to dentists, and the quality has always been excellent.The only reason why we want to pay a bit extra is that when a child starts to cry because s/he has earache, it’s usually 8 o’clock in the evening, and the emergency clinic is on the other side of the city. And if you want to have the luxury of choosing your child’s eye specialist because you have found one who just ‘clicks’ with your child, personality-wise, it’s nice to not have to pay for it yourself.Those are the kind of little details that certainly aren’t necessary — the quality of our public healthcare is among the best in the world! — but which can make life a little bit smoother and less stressful.But for all bigger things we are happy to use our public healthcare.When my child was operated due to a rare condition, our surgeon told us that the monitoring process here in Finland is exceptionally long; it will continue until the child turns 18 and include all kinds of examinations (including CT scans and MRI scans) conducted by a multi-professional team.Personally I have had an MRI scan done four times: once due to vertigo, once due to hearing-related problems, and twice due to back pain. Each time, it was a self-evident part of the treatment, and I didn’t need to persuade the physician to write me a referral.At the moment, a BNCT equipment with the most modern technology is being built in the Radiotherapy Unit of the University Hospital of Helsinki.[7]Finland is a highly advanced country when it comes to technology, a promised land of engineering, and healthcare is a priority.In conclusion, there’s no reason why European universal healthcare couldn’t be as advanced and of as high quality (or better) than in the USA. Nothing in the model prevents it from being that. Of course there are differences between different countries, but in general the quality is very good.And for those of us who prefer to pay the modest amount of €300 extra for also having an access to what the private sector can offer (which is more like a cherry on top of your piña colada), that is an option, too.(A public maternity hospital in Helsinki)Thank you for asking, David!Footnotes[1] Suomen terveydenhuoltojärjestelmä maailman paras[2] Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016–40[3] Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016[4] Suomen terveydenhuoltojärjestelmä maailman paras[5] Lääkäriliitto[6] U.S. Slipping as Global Leader in Medical Research[7] HUS - BNCT-hanke