Thursday, March 1, 2007

Getting To Know Your Baby

Bonding with your baby can take time and patience. You already love your baby, but you do not yet know them.

There are many simple ways to bond with your baby. You can let your baby know who you are, just as they can show you what kind of person they are, quite easily as your share you day together.

Talking to your baby

This is one of the best ways you can bond with your new baby. Talking and singing your favorite song or whatever you like on the radio, will allow your baby to get to know your voice. The baby will also get to remember the tone of your voice, which it will find soothing.

Also, you can begin by talking about anything you see in the room or outside. Your baby will enjoying listening and will begin to listen for your voice when you walk into the room. Later in life, especially when starting school, being willing to listen will make a big difference in how well your child can learn.

Massaging your baby

Touch is another great way to bond with your baby. You can learn how to massage your baby through a child birthing class. It is being suggested more and more by practitioners, as a stress free, relaxing way to become closer to your baby.

Your baby will enjoy feeling your skin against their skin. This is a way to bond with your baby that is not only comforting, but, also practical as you will have to touch them often when changing, bathing, and nursing them. These everyday tasks will take on a new and deeper meaning for the both of you.

There are many other ways to bond with your baby. These are simple ways that you can do at home, or as you both travel in the car.

Bonding with your baby should be a lengthy process and one that will build trust. By bonding with your baby, you will both share a unique relationship that will affect the rest of your lives, no matter how many miles apart you may be.

By: Tom Straub

Article Directory: http://www.articledashboard.com

Tom Straub is a successful author and webmaster of the Best Pregnancy Health website featuring online guides on over a dozen pregnancy and childbirth topics.

Sunday, February 25, 2007

Breastfeeding 101: Nursing Basics for New Moms

Making the choice to breastfeed your new baby is one of the most important and far-reaching decisions you will make as a new mother. Both the American Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend breastfeeding as the preferred method of infant nutrition for the first year of life.

The current AAP breastfeeding policy states,"Human milk is uniquely superior for infant feeding and is species-specific; all substitute feeding options differ markedly from it." Why?

As acknowledged by the Food and Drug Administration (FDA), the exact chemical make-up of breast milk remains unknown and cannot be duplicated. Each year, synthetic baby milks are found to be nutritionally deficient as scientists expand their knowledge of human milk.

Some of the known benefits of breastfeeding are:

* Breastfeeding is your baby’s perfect nutrition.

Breastmilk is a living substance that changes to meet your baby’s nutritional needs, both during individual feedings and as he or she grows. Plus, you never have to worry about breastmilk being recalled for contamination.

* Breastfed babies have higher IQ’s.

Formula feeding is associated with lower IQ’s and cognitive development. A recent study found, on average, children who were breastfed to have a three to five point IQ advantage over their formula fed peers.

* Breastfed babies (and mothers!) are healthier.

Breastfeeding is proven to reduce risk of infection and disease by aiding in immune system development. Breastfed infants have lower incidences of asthma, gastrointestinal illness, diabetes, cancers, and are less likely to die from Sudden Infant Death Syndrome (SIDS). They are additionally better able to absorb ingested nutrients, and receive greater immunity from childhood immunizations. Breastfeeding also lowers a mothers lifetime risk of many cancers.

Preparing to Breastfeed

Even though breastfeeding is a completely natural way of feeding your baby, knowing how to do it properly is a learned skill and takes practice. How can you prepare for a successful nursing experience?

* Take a class.

Most hospital’s and birthing centers offer a variety of classes to new mothers on parenting, birthing and breastfeeding. Check your local offerings and sign up in advance. Classes often fill up rapidly, so don’t wait.

* Read good books.

Many excellent titles are available to answer all the questions you forgot to ask your health care provider (and those you were too embarrassed to). Consider, “The Womanly Art of Breastfeeding,” by Gwen Gotsch, Anwar Fazal, Plume, Judy Torgus.

* Think about what you’ll need to make life easier.

Breastfeeding has the advantage of being the most simplistic way of feeding a baby—no bottles to wash and carry or formula to buy. But that doesn’t mean a few well chosen accessories can’t enhance the experience. Will you want others to be able to help with feedings, or do you have plans to return to work after your baby’s birth? A hospital-grade breast pump might be in order. Might you be more comfortable during long nursing sessions having a nursing pillow or foot stool? How about breastfeeding in public? Consider the options of a sling or nursing cape for discreet public feedings—and don’t forget to be sized for a properly fitting nursing bra.

Birth and Beyond

Your baby has arrived and you’re ready to put all your months of preparation to the test. Remember:

* The lactation consultant is your friend.

Many hospital’s and birthing centers (and pediatrician’s offices too!) have lactation consultants on staff that will be happy to get you and your baby off to a healthy start in your nursing relationship. Don’t miss the opportunity to meet with a consultant for practical, hands-on advice about the mechanics of breastfeeding.

* Keep score.

Unlike bottlefeeding, you can’t measure how much milk your baby is getting through breastmilk, so keep count of your baby’s wet and dirty diapers to make sure he or she is receiving adequate nutrition. Although it is very rare a mother does not produce enough milk to feed her baby, if you have any questions, be sure to contact your pediatrician.

* Give it time.

Nursing your baby is a dance that takes time to learn. Though some babies are champion nursers from the beginning, many new moms find it takes some effort to perfect the skill. The first few weeks are often the most difficult, but if you experience problems, don’t give up. Given the right assistance, the vast majority of woman can successfully breastfeed their babies. Meet with a lactation consultant or attend a local La Leche League meeting. Utilize the support of other nursing mother’s.

Most of all, pat yourself on the back for making the choice to give your baby the best start in life you can offer, and health benefits that will last a whole life through.

About The Author

Barbara Eastom Bates is the author of the upcoming release, "Basic Training for Brides-to-Be," and editor-in-chief of Operation Military Spouse, http://www.operationmilitaryspouse.com.
opmilspouse@yahoo.com

How Will You Pay For Skilled Rehabilitation In The Nursing Home

One of the most frustrating events for individuals facing rehabilitation is thinking that their insurance is going to pay for everything and finding out that their insurance will not pay for the complete services required for a successful rehabilitation.

Nursing home skilled units want to be assured that the necessary steps will be taken to assure that they will be paid. Nursing homes are most familiar with Original Medicare, Medicare Advantage Plans, Medicare Managed Care Plans, Medicare Preferred Provider Organization Plans, Medicare Private Fee-for-Service Plans, Medicare Specialty Plans, federal employee health program, military health program and railroad retirement programs. If your patient has one of these, they will be highly considered once that payer source is verified.

Medicare Part A is the primary source of insurance that will pay for a skilled nursing home stay. Medicare pays 100% of day 1 through day 20 and from day 21 up to day 100 Medicare will pay everything less $114.00 per day co-pay as long as the resident is making progress towards their rehabilitation goals.

If, Medicare is managed through a HMO (Health Management Organization) it usually pays 100% of the rehabilitation stay. The HMO determines the length of stay by the assessments provided to them by the nursing home rehabilitation staff and the level of independence required where the resident will reside after their rehabilitation stay. The HMO utilizes a Nurse Case Manager and a Medical Director who is a physician to make this determination.

Secondary insurances with Medicare Supplemental Coverage will usually pay the $114.00 per day co-pay from day 21 through day 30 up to day 100 depending upon the tier level of the insurance plan and some tiers will some times pay up to 120 days. It is important for you to know what your insurance will cover.

If you have the resources you can of course pay the Medicare $114.00 per day co-pay privately.

Most states offer a Medicaid Program for individuals who meet the financial eligibility and medical need criteria. Please contact your State’s Department of Human Services Income Support Division (local Medicaid office) to see if you or your loved one meets the criteria for assistance. Most individuals fear that they may loose their home or all of their income and assets if they apply for assistance. There are laws and regulations in each state that provides Medicaid to protect the home or homestead and to protect the spouse from poverty. There are also attorney’s that specialize in Elder Law that can help you protect your income and assets and plan for the transition to State Medicaid Assistance when you or your loved ones resources become exhausted.

Nursing homes generate income from providing rehabilitation services to keep financially afloat. They check to see that they will make a profit from providing the patient the services they need. That means that everything the patient needs in the way of treatments, therapy and medications must be covered by your insurance before they agree to accept a patient from a hospital.

The nursing home will also want to get an understanding of the patient’s cognitive status and psycho/social-well-being to see that they are appropriate for their facility unless they have a contract with the discharging hospital. Keep in mind that not all nursing homes are adapted to serve all types of patients. If you or loved one has some behavioral issues, related to dementia, Alzheimer’s disease or psychiatric problems they may not be accepted for admission. You may need to find a nursing home that specializes for those types of paient needs.

Understanding your insurance benefits and your needs will get you the services you require for a successful rehabilitation stay.

http://www.articlecity.com/articles/family/article_818.shtml

Monday, February 19, 2007

Choosing the Right Travel Nursing Placement Agency

Travel nursing is becoming one of our nation’s fastest growing professions, and it’s no surprise. If you love seeing new places and enjoy exciting new experiences that evoke the feeling of taking an extended vacation, then the career of a traveling nurse might be just what the doctor ordered! Travel nursing enables many people to stay on vacation for two to six months in free luxury accommodations while earning high hourly wages at the same time.

Yet despite all these advantages, many nurses describe to me that they’ve shied away from the traveling profession. Why? Because bad experiences with placement agencies have left them with nothing but a negative impression. They’ve been underpaid or lacked benefits, and I can’t tell you how many nurses have complained to me about inadequate housing or recruiters who were unkind, uncaring, and just plain unavailable. The sad result is that nurses end up jumping from one agency to the next, always in search of the perfect package that’s never there.

In this light, choosing the right staffing agency requires a nurse to consider everything that is offered. Some nurses emphasize pay as their top priority. Others require an excellent benefits package. Many travel RNs are location-specific and want to experience the lifestyle in the country’s hot spots. Career flexibility is often a pivotal factor, along with customer service. The bottom line is, your agency choice depends largely upon one of the four following criteria.

SALARY

No question about it, there are some agencies that offer more money than others. So the first thing to remember is that agencies may base salaries upon things like location availability, need-to-fill assignments, and cost of living.

Some agencies must offer noticeably higher rates if they expect to fill certain assignments where nurse-to-patient ratios are very low, or where a facility has extreme patient needs. If you’re a nurse who is attracted by very high dollars, be alert for a potentially desperate situation you might be entering, and the workload it could bring. You may make more money, but you’ll earn every dollar and more.

Location also factors into salary. The California bay area and many larger east coast cities definitely offer more lucrative pay rates. It’s also much more expensive to live in those places, so recognize the relationship that exists between salary dollars and cost of living. I’ve seen nurses return from Hawaii saying they had a great vacation and made a lot of friends—but their purses were lighter, not heavier from the experience. You might get less money in an exotic location and come back with more money from a not-so-exotic location. My point is, your criteria will determine your priorities.

BENEFITS

What some companies may lack in salary, they make up for with benefits. Many agencies offer benefits programs that revolve around monetary bonuses or discounted luxury housing; and I have even observed a trend with several newer companies that offer entirely free housing to all their nurses. Take note, however, that those agencies may not ante up the really high salaries. It’s a trade-off, so they compensate you with benefits to save you daily, monthly, and annual expenses. Every nurse should be aware of what benefits they need the most, and then ask their recruiters to assist in developing a package that is tailored to their individual needs.

CUSTOMER SERVICE

To many traveling nurses, customer service and aid are the most important attributes a placement agency possesses. If you called ten agencies and only talked with one live recruiter, it’s probably best to narrow it down to the agency where individual placement specialists were easily available. After all, if you’re ready to proceed with a new assignment you’ll want an agency that can make it happen fast and has recruiters available who already understand your criteria. In fact, your criteria may change from one assignment to another, so customer service is paramount. Determine what you want and then find out which agencies can make it happen.

FEATURED LOCATIONS AND HOT SPOTS

While for some nurses, salary, benefits, and career flexibility might be the number-one interest, many others just want the obvious—to travel and see the world. If you’re an adventurer who cares more about the travel experience than the money, then you’ll need an agency that can offer you the locations you want.

Not every agency can send you just anywhere. Figure out where you want to go, and then call around to discover who can send you there.

A travel nursing career is absolutely one of the best, most rewarding choices any nurse can make, but it’s important to select a company who will partner with you every step of the way. Before you jump in, do your homework and research all the best placement agencies. Finding the agency that fits your unique wants and needs will drastically increase your chances of success and happiness in your career.

http://www.articlecity.com/articles/travel_and_leisure/article_392.shtml

Top Ten Travel Nursing “Hot Spots”

The great thing about being a traveling nurse boils down to one key component – it’s about the travel! For those of us who love moving around and seeing the world, travel nursing is the profession of our dreams. There are many travel destinations available, based on weather, activities, cost of living, and salary. Therefore, I have gathered a list of my “Top Ten” destinations that nurses choose, based on the number of travelers who inquire about each location every month. Are you a travel RN scouting a new assignment? Then I’d like to suggest the following ten “Hot Spots”:

HAWAII – It’s no shock that Hawaii generates over 500 travel nursing inquiries per month. The wide range of outdoor activities from snow-capped mountains to snow-white sandy beaches elevates Hawaii to one of those meccas where you can build a snowman or a sand castle all in one day. Nurses tell me that you’ll discover virtually every type of outdoor activity imaginable—hiking trails that wind through erupting volcanoes, secret beaches, and lush green ranchlands. Many travelers also hunt, mountain bike, go rafting, and golf on some of the world’s most extravagant courses.

ALASKA – Travel nurses are intrigued by the possibilities of Alaska’s rugged mystery. Alaska is a huge wilderness with beautiful scenery, and travel nursing assignments offer plenty of time to see and do everything you want, whether in winter’s darkness under northern lights, or the glorious spring and summer where it’s light most of the time. Outdoor enthusiasts enjoy Alaska for its’ wildlife, spectacular natural landscape, and fishing expeditions where the fish really are as big as the stories about which they’re told. Countless day cruises and sightseeing expeditions abound, as well as opportunities to hike, kayak, canoe, ski… Need we say more?

MONTANA – Whether photographer, adventurer, or both, Montana is truly a state that beckons with open arms. River trips, fishing and camping, history, snowy mountain ranges, and waterfalls are what you’ll encounter, along with plenty of open space to explore. Assignments in Montana appeal to those travel nurses who just need some time to break away from their city grind to enjoy marching to the beat of an entirely different drummer. The Big Sky Country boasts some of America’s most famous mountains, canyons, river valleys, forests, grassy plains, badlands, and caverns, and many travelers find it just irresistible enough to keep coming back.

MAINE – Maine’s splendor has inspired artists like Georgia O’Keefe and three generations of the Wyeth family, since the mid-nineteenth century. Travel nurses can’t resist at least one adventure in this charming getaway. Whether you embark on outdoor adventures like skiing and snowmobiling, or if you prefer the cozy ambience of antiquing through charming villages or just strolling or riding horseback on miles of sandy beaches in the smell of salt air, Maine is legendary and offers some wonderful travel nursing experiences. Its’ unique culture is outdoorsy and quaint, and of course you get to enjoy lobster as the locals do—fresh from the ocean!

CALIFORNIA – Warm weather and world-famous beaches make California a favorite choice for traveling nurses. Nine-hundred miles of coastline gives nurses in all locations the chance to spend many hours near the waves; and for nature lovers, California is home to many wildlife parks, remote wilderness areas, and safe-havens for endangered animals. If you’re an excitement junkie, you can scout out a wide selection of theme parks; and no matter what your taste in music, concerts abound in every type of venue. Historic sites and museums invite, as do five-star restaurants and clubs in which to see and be seen. The shopping is unparalleled, whether it’s trendy Melrose Place, La Jolla, or the strand in Venice Beach; and of course it’s home to Hollywood, and, yes, movie stars. Whether northern, southern, or coastal locations, traveling nurses return to California time and again.

WASHINGTON – The Evergreen State boasts the gorgeous Pacific Ocean, the Cascade Mountains, desert experiences, rain forests, towering volcanoes, glaciers, and lush wine country. Washington State rates high on the list of many nurse travelers. Must-sees are the Space Needle and Coulee Dam. The culture here is incredibly diverse; sophisticated, outdoorsy, and loaded with resorts, history, parks, museums, and botanical gardens. Whether touring downtown Seattle for cozy antique and book stores, exploring ancient Indian grounds, or hiking and biking mountains or trails, Washington holds a strong allure for many nurse travelers.

SOUTH CAROLINA – Endless adventure, excitement, fun and exploration represent why South Carolina is always a favorite destination for travel nurses. America’s oldest landscaped gardens frame mansions rife with historical heritage, in addition to pristine beaches and legendary marshy wetlands. For all you golfers, with over 330 golf courses, there’s always a new place to swing your clubs. But what fascinates many traveling nurses is the rich heritage in which South Carolina has paved the roads of culture, art, and folklore in our past. You can visit several historical areas and discovery centers of American history, including the American Revolution and the Civil War.

COLORADO – World-class winter skiing and summer music festivals in the mountains are just two reasons that nurses love traveling to Colorado. Boasting four spectacular seasons, Colorado is where travel nurses get to explore the state’s 18 million acres of state and national parks, forests, and monuments for biking, hiking, fishing, mountain climbing, and kayaking, to name a few. Colorado has many cultural treasures, including ancient Native American sites and dinosaur fossil exhibits, historic ghost towns, and even award-winning vineyards in Grand Junction. And for those who enjoy city life, amid all this natural beauty lie wonderful metropolitan areas like Denver and Boulder, full of shopping, performing arts, and professional sports.

TENNESSEE – From energetic nights of blues on Beale Street, to gorgeous rolling acres of Tennessee Walker horse country, to peaceful Smoky Mountain sunsets, Tennessee is a vacation that offers many world-renowned attractions. Nurse travelers who visit Tennessee will find that they’re within a day’s drive of 75-percent of the U.S. population via quality interstates and highways. Attractions in Tennessee include the Jack Daniels’ distillery, Elvis’s Graceland, the Grand Ole Opry in Nashville, and lots of southern hospitality. And don’t forget the crown jewel of the southern Appalachians, the Great Smoky Mountains National Park.

ARIZONA – If you adore the outdoors, then the Grand Canyon State might just be for you. The nurses who go there just rave about Arizona’s landscape which takes in tall mountain ranges, swift rivers, grasslands, sand dunes, and cactus forests all set against a beautiful sky that glows pink in the sunset. The traveler nurses who enjoy history will find plenty of it here, including Old West reformations, Native American nations, and Spanish-influenced areas all in one state. Arizona is also home to the nation’s greatest golf courses, resorts, spas, cabins, and ranches.

As you can see, limitless possibilities exist for those nurses who want travel, fun, and adventure to be part of their daily lives. If you’re a nurse who travels and it's time for you to move on to a new location, try one of these top travel nursing destinations and see what new experiences lie ahead.

http://www.articlecity.com/articles/travel_and_leisure/article_408.shtml

Travel Nursing Career - A Dream Come True

Deciding what job to pursue after college entails more brain cells that most activities. Unlike deciding on what car to buy or what clothes to wear, one must give the decision its due because it will effect your happiness and quality of life for the next three to four decades.

Most people believe that a career in travel nursing is stuff that dreams are made of. For those currently following this career path… most of those who have experienced this lifestyle agree that it is a great way to make a living but there are a few who argue and refute this. But all agree that it's entirely up to you whether your career in travel nursing becomes to a dream come true.

How do you start on a career in travel nursing?

Let's divide the answer into two parts: travel and nursing. We'll tackle the latter first. To be able to pursue a career in travel nursing, you must of course be equipped with a creditable nursing degree. Now some may possess one-year-diplomas and call themselves professionals but unfortunately for them, not all hospital or healthcare employers accept that as enough credentials. If you only have a vocational degree tucked under your belt, then perhaps you'd rather pursue a career in care giving rather than travel nursing. Caregivers, after all, still get to travel across the globe. It all comes down to the skills.

The second half of a Travel Nursing career is the traveling. So you're the proud holder of a nursing degree and you're duly licensed to practice nursing. The next step to tackle then is learning how to go about your travels. Most people prefer to seek recruitment agencies for help in this matter. These agencies are ably experienced in assisting people interested in making a fortune in travel nursing. But you must beware! There are several recruitment agencies that may just be a scam to whisk your money away. And remember, using their services means paying some fees and if in some instances the fees are high so be careful and be wary. Ask questions and don't go with any agency that you don't feel is being 100% honest with you and if there fees are out of line then find another agency or you can always go it alone.

A few things to consider when traveling are the need of a passport. First, check with the embassy in your country of choice and see if they require a visa. Second, make sure that all your nursing documents, proof that you have graduated from a reputable school and have passed the necessary examinations, are all duly authenticated. A career in travel nursing may mean jumping from one country after another so it would definitely reduce your stress level if all your papers, even your resume, are supported with valid reference documents.

How do you adjust or embark on a life of travel nursing?

Experienced travel nurses provide us with plenty of advice and tips to make sure that first time nurses in this particular career will have an easier transition into the field.

Double-Check Everything

At least three to five days prior to your departure make sure that you haven't forgotten anything. Make a checklist of all essentials and cross them off the list as you pack them. From documents to the clothes you've packed, make sure that everything in your list is accounted for. A career in travel nursing is a demanding job and leaves little room for error so it's best to start on the right foot.

Research Your Destination(s)

A travel nursing career requires that you to go to different countries meet different people and adjust to different cultures. Researching destinations beforehand will help avoid miscommunication, reduce the possible culture shock and basically just make your experience a whole lot more enjoyable and less stressful.

Ask For An Early Move-in

An early move is suggested by experienced travel nurses because it enables you to relax and breathe a little before embarking on your new travel nursing job. Familiarize yourself with the place and the people. And best of all, enjoy the new sights because one of the major perks of having a career in travel nursing is of course... the travel.

While the compensation and perks are quite exceptional because the Travel Nursing Career is such a high demand, highly sought after position it's a bit more difficult to secure than most other nursing positions. As a result, most employers are very picky so make sure that you have what it takes. And if you don't, then improve your skills (education and / or experience) or find another sector of the nursing profession to make your career.

http://www.articlecity.com/articles/self_improvement_and_motivation/article_2814.shtml

Mommy & Baby: Nursing Questions & Answers

Q. How often should I nurse a newborn infant?

A. No fewer than 8 times per day, depending on how long he gives you at night. If he can go 4 hours, you’ll probably see two feedings in between 11:00 p.m. and 7:00 a.m. If you tank him up right before you go to bed, you may only have one.

Q. How often should I nurse an older baby?

A. Depending on your child’s age, you should be on a 3-4 hour routine during the day. Remember, as your child gets older, the frequency of nursing sessions will drop off, but he will be eating more at each session. If you are committed to nursing past 6 months of age, it’s not recommended that you drop below 5 feedings per day. If you believe your milk supply is waning and you don’t want to stop breastfeeding, add a feeding or two to your daily routine in order to increase your milk supply

Q. How do I drop a feeding as my baby grows?

A. The most common changes are moms who want to switch from a 3 to a 3.5 hour routine or a 3.5 to a 4 hour routine, babies who are ready to drop their middle of the night feeding, or parents who are ready to stop the late-night feeding.

Most often you’ll know when your baby is ready to switch by a change in his sleep patterns. A baby on a 3 hour routine typically takes 3 naps per day (morning, afternoon, late afternoon) and the switchover to a 3.5 hour routine will see a shortening of one of those naps or the dropping of the last nap of the day. Babies are generally ready for this switch by about 12 weeks of age.

Dropping the middle of the night feeding is most often accomplished by the baby himself between 7-14 weeks of age. You’ll know your baby is ready when he doesn’t wake you up until 6:00 a.m. or so, and you’ll probably wake in a panic that morning, realizing you weren’t beckoned in the middle of the night. He will require more food during the day from this point on, and your breasts will likely be overly full for several days, but it’s all good!

Stopping the late night feeding is typically the trickiest to do. Many parents are reluctant to drop it, thinking that if they do, their baby will wake in the middle of the night, starving. If you think he cannot drop the feeding completely, back it up in 15-minute increments until you arrive at your desired time. If his last two feedings of the day are closer than your flexible schedule says it “should be,” don’t worry. It’s a temporary fix, and that’s what flexibility is all about. The routine serves you, not the other way around.

http://www.articlecity.com/articles/parenting/article_500.shtml