What I Can Teach You About Communication

How to Select a Communication Service Provider in Oregon.

With communication, you are able to control everything that is happening in your firm but you need to identify the service provider first because this is the biggest determiner of the quality of communication you will have. Since the communication service providers are also in business, you ought to make sure you have enough money to compensate them for their services. If you are a sole proprietor, you are responsible for all the expenses incurred by the business and if the business does not have enough finances to cater for this then you will have to pay from your own savings. You should not be misusing the company resources and finances especially when they are not enough which is why you ought to come up with a budget before you even decide who the communication service provider will be. When you have not thought about the upper limit of the amount you are willing to spend on the process, you might get a high bill than you are able to pay and it also sends a bad picture to the service provider because it will seem like you are not ready to receive the services but rather going with the flow. There are more important things to worry about when you are hiring a service provider than just the price.

Depending on your needs, you have several options to choose from when it comes to outsourcing these services. You can decide to work with a big agency, a virtual team, a smaller agency or just a freelancer. It is important to come up with the objectives you hope to achieve on hiring the individuals so that they can direct your choice. However, you will realize that the big agencies are more costly compared to the rest because they have high expenses in terms of salaries and overhead costs and this is usually transferred to the clients. There are multiple service providers and it is upon you to decide on who you will choose. It is tiresome to get different products from different suppliers which is why you need to make a selection you are assured will not send you back into the job market in the near future.

You can find companies which have specialized in offering specific services while others will offer different kinds. No one should tell you that you have made the wrong choice as long as it is fitting to the company needs. You might come across a company that has every great thing to go on paper but this does not mean you have to ignore what is not included there. This is the information that will let you know what the person does not want you to know or what was left out without knowing that it is relevant to you so that you will enter the contract with full knowledge of what you are getting into. You can click here for more details.

New Year’s Eve at Home

Caring for a senior, whether as a professional caregiver or as the spouse or adult child of a senior who needs care, takes a lot of energy any time of the year. The holidays are no different, so making sure you get the downtime you need and the celebration of the fresh start of a new year are both important. Creating fun New Years Eve festivities doesn’t need to be a highly involved and complicated process. Combining a special occasion with the day-to-day needs of taking care of a senior citizen honors both the holiday and your dedication to care.

Plan the Party

Everyone likes to feel needed, so include your senior in the planning process. Ask him what he remembers from years past, what he liked and didn’t like. Set him to work writing a shopping list for you that includes favorite snacks, beverages, and fun novelty New Years Eve hats. Decide what you’ll wear to add a touch of festivity, and plan to add some sparkle to your senior’s outfit. If possible, enlist help with the actual shopping, whether your helper does the shopping or stays with your senior while you leave for fresh air.

Explore the Memories

New Years Eve is often a time of reflection. Gather old albums and framed photographs from around the house and take your time looking at them with your senior. Listen to the stories the photos draw from her memories. It’s so easy to forget that she used to be a young, vibrant teenager, with her entire life’s hopes and dreams in front of her. If possible, have another person there as scribe to record your senior’s memories. Ask questions, not about dates, but about how she felt when it rained, how the watermelon tasted, what her first kiss was like.

Rediscover the Music

Find a music station on the Internet that plays music from your senior’s favorite musical era. Stations playing every genre imaginable are available on sites such as Shoutcast, Spotify, or iHeartRadio. Playing “Name that Tune” gets everyone into the music and gives your senior a chance to shine.

The Ball Drops

The highlight of every New Years Eve is the dropping of the ball in Times Square in New York City. If it’s not feasible to stay up until midnight, find a video of the ball dropping in years past on YouTube and watch it on your time. Another option is to celebrate New Years with a completely different time zone than yours, so you’re celebrating at 3 pm instead of midnight.

No matter when or how you celebrate, wear your silly New Years hats and raise a glass of champagne, sparkling cider, or other beverage to toast good wishes new year.

New California Employment Law Protects Domestic Workers

In March 2011, a movement began in California calling for increased employment rights of domestic employees – housekeepers, nannies and personal attendants. Now, more than two and half years later, Governor Jerry Brown signed AB 241 into law.

The new law, also known as the Domestic Workers’ Bill, was reintroduced by Assemblyman Tom Ammiano (D-San Francisco) after it was defeated in the California state legislature last year. California is only the second state in the Union to pass a law of this kind, following New York that passed their own version of the bill in 2010.

Domestic workers include individuals who are employed by a private household, or by an employer in the healthcare industry, who are hired to work in a private home. They can either be responsible for assisting, feeding or dressing a child, or for supervising and helping the elderly, or individuals with mental or physical handicaps.

Industry Statistics

Proponents of the law state that domestic workers represent one of the most abused classes of employees in the country. The National Domestic Workers Alliance and Center for Urban Economic Development at the University of Illinois at Chicago conducted a survey in 2012 which revealed the following startling statistics:

About 67 percent of live-in workers are paid below minimum wage;
The median hourly wage of these workers is $6.15;
Only 4 percent of workers receive employer-provided insurance;
65 percent have no health insurance coverage;
In California, almost 70 percent of domestic workers are Latina;
93 percent of domestic workers are women.
Provisions of the Bill

The bill works to ensure the following six rights for domestic employees:

Overtime pay;
Meal and rest breaks;
Three paid sick days;
Workers’ compensation coverage;
The right to use kitchen facilities; and
The right to have some hours for sleep (eight hours recommended, with some possible exceptions).
The new law goes into effect on January 1, 2014, and requires that domestic workers and personal attendants be paid time-and-a-half for any hours worked in excess of nine hours in any single work day, or more than 45 hours in a week.

The previous failed bill included additional benefits including covering the cost of living increases, thirty days notice of termination and certain Cal OSHA protections. However all these have been omitted from the current version out of concern that they could become an unreasonable burden on low-income, elderly or disabled individuals who require full-time care.

The Impact to the “Employer”

It is estimated that approximately 62,000 personal attendants in California will be affected by the new law. While this may be a boon for the domestic worker industry, it may have an adverse impact on the very families and individuals who require these services the most. The increased labor costs imposed by AB 241 will undoubtedly force many families and employers to cut back on the caregiver services they currently utilize, or would force those who require around-the-clock care to employ multiple workers in an effort to avoid the overtime and rest-period requirements. In turn, this may negatively impact the domestic worker industry as employers hire fewer workers. So while this new California employment law may be viewed as a significant win for the industry, the long-term impact may not be felt for years to come.

Process for Earning CNA Certification in New York

Nursing assistants are also known as Direct Care Workers because they are trained in routine entry-level nursing and nursing assistant-related care skills. The other names for nursing assistants are orderlies, nursing assistants, caregivers, geriatric aides, travel nurse aides, school nurse aides, private duty CNAs and personal attendants, and once they are certified with a CNA Certification in New York, they are called “Certified Nursing Assistant.

CNAs provide entry-level nursing-related duties and responsibilities in hospitals, community-based settings, assisted living facilities, adult care centres, long-term care facilities and home of a patient. They offer daily personal cares and assistance, long-term basic cares and activities of daily livings (ADL) to all age patients and residents who have conditions of chronic illness, recovering from a long illness or injuries and disabilities.

In the state of New York, all nursing assistants who wish to perform in licensed facilities and nursing homes are mandated to complete the state-approved Nurse Aide Training Program (NATP) and pass the Competency Evaluation Program (CEP) to earn a CNA Certification in New York. The certification also lists them on the NYS Nursing Home Nurse Aide Registry (NAR) and allows them to perform lawfully throughout the NYS.

NY Nurse Aide Training Program

The state mandated 100-hours NY NATP curriculum is developed jointly by NY Department of Health (NYDOH) and the NY State Education Department (NYSED). The curriculum ensures that nursing aides get the necessary knowledge and hands-on skills training to protect the health of residents with competent cares and fostering respects for the rights and independence of the patients. The training program includes minimum training requirements and nursing education standards included in the OBRA-87 regulations. The training is divided between 30-hrs clinical hands-on experience and 70-hrs theoretical classroom instructions/lab training. The successful completion of the training program qualifies the nursing assistant trainees to challenge the CEP.

NY Certification Exam

NY Department of Health (NYDOH) has deputed Prometric to manage NY Nurse Aide Registry and administer the state Competency Evaluation Test. The exam consists of two independent portions – a Written (or Oral) Test and Skills Test.

In order to perform skills test, the testing candidates are paired with each other, and both candidates play the role of a resident for each other’s test. The candidates are offered five scored skills, decided by a computer from a Clinical Skills Test Checklist of 22 skills. Indirect Care Skills and Handwashing are two main components of scored skills. Each test skills have Checkpoints, and the test evaluator verify the performance of each candidate with the given Checkpoints. Once the test is completed, the test evaluator feeds his/her observation into a computer system to determine the result.

Nursing assistant trainees must pass both Written and Skills test to get certified. Once they are certified, they also earn CNA Certification in New York, and qualify for listing on the state Registry.

Technology and Caregiving

I’ve just returned from a quick trip to Canada in order to bring my 87 year old Mom back to her home there. She lives alone in an apartment that has slowly developed into a place where many seniors live, but that doesn’t have the designation (or services) that a senior living apartment complex would have.

As such, there is limited security, no monitoring, no one assigned to check the residents, no accessibility features and it is quite an old building. In fact, while my mother was visiting me, we received a report that her sliding glass door had fallen out onto the balcony and shattered. As it was determined not to be the result of a break-in, the manager of the apartment suggested that it was due to “a shifting of the building”.

Before you ask, let me say that no, I could not convince my mother to change residences nor to live with my sister or me. As many senior adults do, she prefers to remain independent.

Having spent the last 6 weeks with her, I see the need to put some safety measures into place if she is to continue to remain in her current residence. Her mind is still sharp but she is having some balance issues and has already “tripped over a blanket” and bruised her ankle quite badly. Because there is no one who regularly checks on the residents, if she were to fall and break a hip, she might lie there for days without help.

There are many new technological advances available that help to ensure the safety of a senior adult in their home.

There are Personal Emergency Response Systems (PERS) which utilize a button that a person can push in case of emergency (some of these systems are also outfitted with fall detectors). There are medication dispensing systems that can be loaded (by a care provider or family member) with up to 60 doses of medication and which will send audible reminders to the senior adult that it’s time to take their pills. There are even elaborate home monitoring systems which have information that the off-ste caregiver can monitor via the interent. These systems can alert the caregiver if, for example, the senior adult did not rise from their bed before a designated time.

According to an article in the New York Times, entitled “The Technology of Monitoring Elderly Relatives” dated July 28th, 2010, one such system is being utilized by Carol, who is keeping tabs on her 79 year old mother who has been disabled by a brain aneurysm.

The article stated that Carol receives cellphone alerts whenever a user-defined set of parameters is breached in her mother’s nearby Daytona Beach, Fla., home.

“I used to call and check on her constantly,” Carol said. “If she gets confused, she wouldn’t remember to push a pendant.”

Carol is automatically alerted if her mother’s front doors are opened before 7 a.m. or after 10 p.m., and a bed sensor alerts her if her mother doesn’t get out of bed by 9 a.m.

If her mother’s home is too hot or too cold, she knows that, too. And if her mother begins to get confused and wanders rapidly from room to room, her daughter also receives an alert.”

To read that full article, go here.

There are also ways that senior adults can be monitored when outside the home. Several companies have devices that are small enough for an elder to carry with them (some can be worn around the neck, wrist or clipped on the belt) and have a variety of functions such as fall detection, cell phone capabilities, and emergency alerts.

While I agree that the development of this technology is a great asset, I have a couple of concerns.

First, if we rely too much on the technology, certain things may be overlooked.

What about nutrition – how do we know that our aging parent or loved one is buying AND eating a nutritionally balanced meal? How do we know how long the thawed chicken has sat on the counter or the luncheon meats have remained in the refrigerator? How do we know how much the senior adult has eaten and how much is being tossed in the trash?

How do we know that the senior adult is bathing and/or performing other hygiene activities often enough? If mouth care is not done often enough, oral disease can occur and can affect the senior adult’s appetite.

Although technology can alert the off-site caregiver to the amount of exercise that is being done by the elder adult by determining movement, the type of exercise cannot be monitored. Senior adults need weight bearing exercises and activities that will help to maintain their balance, not just movement. (I’ve noticed that my mother has become much less mobile since moving to an apartment of her own and

What about scam artists who aim their schemes at the elderly? Can technology protect them well enough?

Isolation could become a problem. Will the use of technology take the place of visitors who used to pop in to check that all is well? (There are currently robots being developed that will aid the senior adult in their daily activities, but can these robots give hugs?)

The off-site caregiver may be negatively affected as well. What if he or she is not in a position to respond when the alarm for help goes off? What if the frequency of alarms is high? What if the alarms continuously sound at night? Will the off-site caregiver become glued to the home monitoring system? All of these situations can cause increased stress to both the off-site caregiver and the senior adult who is waiting for a response.

And lastly, the use of technology can be expensive. Certainly, it is less expensive than an assisted living facility or a nursing home, but do the advantages of keeping the senior adult in their home without human assistance outweigh the chances of isolation, poor nutrition, lack of exercise, possible depression and uncleanliness?

I guess what I’m saying is that the technology is a great tool to be utilized but we must be cautious not to let it be the predominant method of off-site or long-distance caregiving.

Shelley Webb has been a registered nurse for almost 30 years, with experience in the fields of neonatal intensive care, dialysis, case management and eldercare. When her father came to live with her in 2005, the advantages of her medical experience became clear. Due to his dementia and congestive heart failure, her father was not able to care for himself alone any longer and so she took over these duties.

Having experienced the helplessness, frustration, overwhelm and even lonliness that caregiving for an aging parent brings, Shelley is well aware of the emotional and educational support that caregivers need and so she began The Intentional Caregiver web site. With its weekly newsletter, daily news updates and monthly audio interviews of experts in eldercare and supporting services, Shelley strives to encourage and educate caregivers so that they can be empowered to provide the best possible care for themselves while caring for their aging loved one(s).

In her spare time, she enjoys gardening, raising chickens, ballet classes and wine tasting.

How To Hire The Best Sign Company Out There?

A business sign is the immediate identity of your company. It helps create instant awareness about your store and builds up a steady clientele. Choosing the right company to handle your business signs is a crucial task. It is of paramount importance to ensure that a sign company has everything that it takes to create and manufacture signs that will boost your business further.

Choosing the best company can be a daunting task if you don’t know where to start. This article will help you decide the best signage manufacturers in your area. If you are in the process of hunting the most deserving company, try to consider the following:

1. Manpower and Staffing

If you want an indoor or outdoor signage for your new store, you want it to be there the moment you open your business or else it is of no use. Thus, make sure that the company you’re choosing has enough staff to handle the job on time. Besides this, you also need to take a look at their skills and qualifications. Select a company with competent layout artists and graphics designers that will turn your vision for the best sign into reality.

2. Sophisticated Equipment

Monument signs speak a great deal about your business. To ensure that your business sign will be made with the highest quality, assess the facilities and equipment of the sign design company. Old fashioned printers and manual fabrication will not be enough for intricate details of your signage. Companies that use cutting edge technologies in signage making have the edge as they have more flexibility in accepting business signs regardless of materials and layouts.

3. Installation Services

For a holistic service, choose a sign company with the capability to install your brand signage anytime, anywhere. It is recommended to select a firm that offers installation services to avoid spending additional money for installing the signs. Attempting to do-it-yourself is not recommended as any damage to the signage can void its warranty.

4. Check Previous Sign Projects

It pays off to check finished products previously done by the signage company for other clients. Should you feel that the product is not up to par with your standards, continue doing your hunt until you have found the company that suits your taste to get the job done well.

Never allow a second-rate signage represent your business. To ensure that you are not taken advantage of by scam signage companies, make it a habit of taking these tips into consideration in searching for the best manufacturer in your area.

Go on a Shopping Spree in Kansas City

If you are a shopaholic, Kansas City is surely going to be a paradise for you. Kansas City is known to be loved by shoppers from around the world since the city has a unique collection of various kinds of arts and crafts, jewellery, designer collections, apparels and footwear. The first outdoor shopping mall in the US was started here and that was just a beginning of the shopping revolution. Kansas City stores are filled with varied collections for different tastes. They have numerous items that you would love to take back home as souvenirs and if you are fond of collecting world arts, this city will truly amaze you.

Where to Shop

Kansas City shopping is filled with options for every shopaholic. You can go to local boutiques, beautiful shops, departmental stores, promotional stores, discount outlets and vintage stores that offer you a traditional shopping experience. If you want to spend a day understanding the shopping culture of this locality, you must visit The Country Club Plaza. It is the entertainment hub of the city and has everything you need to shop till you drop.

From designer labels, to local favourites, awesome accessories to fashionable apparels, you will find everything you need. With over 170 shops in this huge shopping plaza, it is no surprise that this is the most loved shopping destination here.

Few other places that offer an impeccable shopping experiences include the Oak Park mall, Zona Rosa, One Nineteen Leawood, Legends Outlets, Town Centre Plaza and many more.

Availing Discounts while Shopping

If you are a shopaholic, you will surely spend more money on shopping than you should. If you want to indulge in crazy shopping, Kansas City has a variety of discount stores where you can shop at affordable prices and take home much more in a small price. The Legends Outlets in Kansas City is a renowned discount shopping destination where you can get brands like Gap, Banana Republic, Ann Taylor and many more at reduced prices.

Feed your Mind, Body and Soul

Kansas City also has a number of malls that are all-inclusive. You can spend a complete day in the mall with shopping, indulging on delicious food, pampering yourself with spas and massages and enjoying a movie as well. With so many fun-filled activities along with shopping, it is truly going to be a day filled with happiness!

Shopping here is a complete experience filled with fashion, style, design, affordability and innovation. You will take home not just many shopping bags, but also a bag full of delightful memories.

Regaining Top Shape – The Benefits of a Tummy Tuck

Sometimes, no matter how much work you put into exercising, results just aren’t showing up in the intended fashion. This can become especially true for those who are a bit older, where fat deposits tend to find a solid resting place in the abdominal area. While this sort of trouble can impact both men and women, women who have undergone pregnancies are more likely to be experiencing the true frustration that comes along with wanting to lose weight, but feeling out of control when it comes to being able to actually make it work.

The good news is that there are a few different ways to get the help needed that will make diet and exercise seem to have a greater impact. One of the most common procedures in plastic surgery these days is actually a tummy tuck, which makes it possible to remove that excess fat. In addition to getting rid of the source of the problem, a tummy tuck can actually stretch the skin in a manner where there is less of a risk of experiencing any sort of drooping or sagging. This means that weight loss won’t have the unfortunate side effect of the appearance of extra skin, which can cause both men and women to think twice about sporting bare midriffs at the beach.

Whether you’re living in San Diego or Kansas City, a tummy tuck can do wonders towards improving self-confidence and making shopping for clothing easier. Since the look of a “beer gut” or chubby belly isn’t exactly what those on the dating scene might be looking for, despite what people tend to say about being open-minded, deciding to undergo the procedure can suddenly make it considerably easier to get out there and meet the right person. For women who are happily married but whose bodies are showing the wear of childbirth, the decision to get a tummy tuck can be to feel sexy again. After all of the strain of pregnancy, any woman who feels as though something as simple as a tummy tuck could reignite the flames of passion is more than justified in the decision to do something that boosts self-confidence.

It is important, when considering a tummy tuck, to remember that if there is more weight loss in the future, waiting on the procedure might be a better idea. This way, the final results will last longer and have more of an impact. Anyone else who is convinced that this is the right step on the path to a happier relationship with one’s body will find that a tummy tuck is definitely a helpful way to get things moving in the right direction.

Types of Storage Services

There are several types of storage services at Kansas City self-storage. When we say ‘types’, we not only point at the different types of services offered by a facility but also the different types of facilities that exist in this industry. The concept of storing has undergone several changes and up gradation.

It has seen remarkable improvement that is in the favor of end users. Though the shift has been gradual, there still exist the old-fashioned units. Whether it is a modern day unit or a traditional one, self storage has several advantages. Here, we shall discuss the importance and the shift in this industry from a simple storing facility to a technologically advanced facility.

Advantages Of Kansas City Self-Storage Services

Basic unit – As the name suggests, the basic unit provides limited facilities. These units may not have technologically advanced services or adopt fancy measures for enhancing the customer’s experience. They simply provide a facility for storing your belongings and their objective is very clear. They know the purpose of the facility and offer simple storing solutions. The unit may not offer privacy or confidentiality. The owner can access your unit or shift your belongings if the need arises. The unit is maintained with a simple lock and key system.

This method of storing may not have state of the art services but has one major advantage, i.e. low rental. The monthly rental charges at such Kansas City self-storage is a small amount. The facility provider can offer lower rates because there aren’t any overhead costs involved. The units are not fancy. They are not staffed well and do not have special security measures. They may not offer protection from theft or natural calamities etc. These are some of the disadvantages of a storage unit. Therefore, if you are looking for a unit to store your not so important or valuable items then an old-fashioned basic unit is good enough.

Advanced unit – As compared to the basic unit, an advanced Kansas City self-storage unit will have several facilities. For instance, it will be equipped with armed security guards, alarm systems, CCTV cameras, bio-metric card system etc. The unit will be staffed well and offer additional customer service through phone and internet. It will be accessible throughout the day or night unlike the basic unit that can be accessed only for few hours during the day. However, all these facilities will come at a premium cost; you have to pay a higher rental for such services.

State of the art unit – The advanced units have gone one-step ahead and offer technologically advanced services. There are several such state of the art facilities at Kansas City self-storage. For instance, the climate-controlled technology is a giant leap in this industry. Temperature controlled units will maintain an optimal temperature inside the unit to safeguard your belongings from humidity or weather damage. In fact, some of them will pump in dry air at regular intervals to ensure that the unit is free of humidity. Indeed, this industry has seen a lot of innovation and development.

Top 10 Fashion Designers on Earth

The fashion world is driven by some of the most inspiring and creative designers whose designs have been appreciated by all and sundry. Check out the top 10 fashion designers in the world, who have given a new dimension to the world of fashion.

Marc Jacobs

A top-notch American fashion designer, Marc is the head designer of famous brands Marc Jacobs and Marc by Marc Jacobs. Previously, he was the creative director of French design house Louis Vuitton and his designs turned Louis Vuitton into a fashion powerhouse from a luggage firm.

Kate Spade

If you love handbags, then Kate Spade is definitely your best friend. Born in Kansas, Kate started her journey in the fashion world by designing handbags and co-founded Kate Spade Handbags along with Joel Franklin in 1993. In 1996, she was awarded America’s New Fashion Talent in Accessories, for her designs by the Council of Fashion Designers of America.

Tom Ford

Tom Ford is not just a fashion designer, but also a movie director. Tom gained prominence after turning the fortunes of Gucci from near bankruptcy. After leaving Gucci, he launched his line of menswear, eye-wear and other accessories.

Donatella Versace

A noted Italian fashion designer, Donatella took the Versace Group to new heights after the death of her brother Gianni Versace. Donatella ensured that Versace has its presence in major fashion centers around the world. Presently, she is the Vice-President as well the chief designer of the Versace Group.

Valentino Garavani

Valentino started his career in 1959 when he established his own fashion house in Rome. Valentino became famous for designing dresses for Jacqueline Kennedy and since then he has designed clothes for many famous and powerful people.

Ralph Lauren

A legendary fashion designer, Ralph is best known for the Polo Ralph Lauren clothing brand. He is credited for inventing the first polo style logo for women’s suit that was designed around the men’s classic style. This became a rage and he is one of the first fashion designers to formulate the short sleeve shirt with the polo emblem.

Giorgio Armani

Giorgio has been in the fashion world for over four decades and he is known for his clean, tailored lines. He began his career as a window dresser and later shifted his focus to menswear. Giorgio is also known for his marketing skills in the fashion world.

Betsey Johnson

A famous American designer, Betsey is known for her feminine and whimsical designs. She designed her first line of clothes way back in 1970 and they became hugely popular among rock and roll musicians. She has also forayed into designing bags, accessories and scarves.

Karl Lagerfeld

Karl is a renowned German fashion designer, whose trademark high starched collars, black glasses and white hair make him easily recognizable in the world of fashion. Karl is also a well-known artist and photographer.

Jean Paul Gaultier

A famous French fashion designer, Jean served as the creative director of Herm├Ęs from 2003 to 2010. Apart from owning several labels, Jean has also licensed a line of perfumes in association with Puig.