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My son was dx with nonverbal learning disability at 5 then as many are, dx with aspergers symdrome, severe add and dyslexia at 11. We have just now been referred for OT/PT evals. We began vyvanse this year and he has gone from reading 2nd grade to 5th grade level; he just could not attend long enough to learn. Hand writing is of great difficulty so we have been using digital recording,"stop jots" for a lot of reports and things like that. We now have OT/PT involvement because a very interested special ed teacher has picked up on some of the more suttle issues with autism. It is easy to say he is lazy or a "slacker". He complains about writing "hurts my hand"; he leans or lays over. These are the suttle clues of lack of core body strength and weakness in muscles. You can not beat your self up! We started getting help at 5 because he flushed my wedding ring down the toilet and laughed while I cried my eyes out. I wanted to just beat him! At that point I knew something was not right. He could not read the body language. What we have told him is that "you are not lazy and or stupid; do not allow anyone to tell you that you are." "Everyone's brain works differently. It's like a computer. Hard drives are set up with different programming. This means that the same software will not always work and that's ok. GOD set each of us up according to his plan. We each have our unique gifts to share with the world.The differnces in the hard drive is what makes each computer special. It has its own job, works in its own way to share its "gifts". Each computer though different, is no better than the next; no real right or wrong, and no good or bad, just specialized. He seems to accept and understand his differences. I hope this helps and I wish you the best.

I am a member of Melaleuca and have been for almost three years now. I will not go with out some of their products. They have a lotion that IMO rivals Eucerin. My daughter is sensetive to certain textures ; she doesn't like the feel of freshly washed skin..."squeeky"...go figure.. the child has always hated to bathe, LOL. But, she's 18 now so I suppose she know what she likes. She still refuses to take cotton out of medicine bottles; it's funny to watch she and my husband stand and look at each to see who will break first... usually it's me,LOL. There are a few other products for cleaning that I use. If you want more info you can PM me. P.S. I'm in it for the products not the business opportunity so don't worry about being pounced on, LOL.

It is true that finding a payor source is difficult.What about requireing clients to pay full or half up front then offer them assist to get reimbursement. Using this system (http://www.abccodes.com/ali/home/default.asp); it won't allow you to go out of your scope of practice.Also, have them try to use their flexible spending accounts. Most MDs would write Rx if they thought it would help their patient get what they need.You may have to do a cost/benefit analysis for the insurance companies but you could standardize this for all clients. Dee

This may be of interest to you. http://www.abccodes.com/ali/home/default.asp

I would think that your liability would be the same working in either situation.All nurses should cover their own malpractice insurance even if the agency has a policy. I was told by the owner of the company I work for that this should be the case because if it came right down to it; he would throw the nurse to the wolves, meaning place as much distance between the two to save his own business. Not only that, even hospitals have been know to turn on a nurse to get back what they lost in a suit.If you stayed with in your scope of practice you should be ok. I think I would write my own policey and procedures manual or purchase one. That way you have a formal document to cover you. In any case, contact a lawyer in your area.

My family would get so frustrated with me because I would always be out later that I had planned because I got lost. My hubby and daughter got me a Magelan,not sure of the model, for Christmas. The best gift I have ever gotten!It's great for when you get a call to open a new case or while you are on-call.I won't leave home with out it!

.."condition, due to an illness or injury, that restricts the ability of the individual to leave his or her home except with the assistance of another individual or the aid of a supportive devise (such as crutches, a cane, a wheelchair or a walker), or if the individual has a condition such that leaving his or her home is medically contraindicated." I think they are leaving the part about a "taxing effort"out. But, if the patient defines his efforts as taxing ;then does this not meet the rquirement if all others are met. I wonder if it's just an attempt to avoid potential litigation about denial of services for not meeting status,like a defensive practice. Another thought,if a client states he is in pain and rates it higher than we think it should be. Pain is what the patient says it is. We are not supposed to rate pain for them. Do you think the same take should be used on "taxing" effort. Maybe this is their interpretation.

The agnecy I work for has told me that there has been a change in what constitutes homebound. They tell me that anyone who has to use a cane or walker to go out of the home meets the requirement. So, is this correct; the use of any assistive device meets the requirement?It seems pretty loose to me. Thanks

Well, we did our own scheduleing;as long as we got in the number of visits; they did not get involved with it. I believe they couted 25 visits as full-time for benefits, which is awsome!Home Care hours are kind of up in the air as a whole. I work around my patients apts., my family schedule and patient acuity. I might be home by 1PM or 7PM; it all depends on what I have to do on a given day and who has a change in condition and needs to be seen. Dee

Hi, I worked for Gem City about 4 or 5 years ago. If things have not changed, I would recommend them very highly. The pay was very fair, owners respected nurses and nursing. I never had difficulty getting therapies started for my patients. The only reason why I do not still work for them is that they were in the Dayton area mostly and I live in the West Chester, Mason area. Hope this helps. Dee

About how much do you have to save for taxes? Is it possible to hold it in a savings account that earns high interest, like HSBC online? The last time I looked, it was close to 5%.

How long from the date care is given does it take Ohio to pay independent providers?What is the typical rate for RNs? Thanks

Has anyone purchased the above product? If so, what do you think about it?

Thanks for replying Zahryia. You are correct about this being offered by some organizations. The hospice that we used for my dad would not provide an aide until it was nearly the end;about the last 5 days and an LPN over night. It seems that volunteers are few. Most people fear death, don't want to be around the dying, don't know what to say. I'm not too good to run a vacume or throw a load of laundry in the washer. These are the little things that people need.They show humanism. I chose 'doula' because it implies that one is the servant for a woman. Today, the care of our elderly or sick falls either to the daughter or to the wife of the son. They are still responsible to care for their own family; the sandwich generation, I think its called. I truely believe in caring for the whole person or family.I believe most families would like to care for their own if they could manage all the work and maintain quality of life for themselves, their children and the ill family member. I vision this person to be a companion who actively participates in the day to day to day, shares info, teaches through demonstration and modeling,offers support to the patient and family members, explains what is going on with various behaviors of those involved.Also part conciere; help with letter writing or what ever else they need. When I was looking for assistance for my dad, I was quoted $22-$25 per hour, with a 4 hour min. for HHA.I'm sure the aide made very little of that. I believe this would be a fair price to pay for one that has a specialized knowledge base and one who could help so much. Sorry this is so long, just thinking. Any other thoughts? Thanks

what do you all think about this idea?offer clients some one to fill in the gaps that occur when the need is "custodial" care. the role of this person would be to teach stress management,comfort measures,dying or agingprocesses to family and a source of referrals.In addition, this person would provide short periods of respite time for the fulltime caregiver.they would also do personal care, housekeeping,errands,meal prep etc.Basicly, someone that would enable a family to keep a loved one in their home instead of placement. I could either provide these services myself or train others to do it. If I do it, I can provide things like med set up or vs. I could have used someone like this to help me manage my own home, family needs and need for respite when my dad moved in with brain CA. My husband use to joke and say I needed my own Brady "ALICE" to get through it. Any suggestions? Thanks Dee