A new University of California, San Diego-led study has interesting findings about diabetes costs, patient care models and medication therapy.
Managed Healthcare Executive – Health Management
Tag Archives: Growing
Growing pains in pediatric dermatology: Workforce shortage
Up to 30% of pediatric primary-care visits include a skin-related complaint, but the longstanding shortage of providers continues, thanks to a combination of factors
Dermatology Times – Dermatology
Learning and Growing
That’s it! Reception year is finished…
School is finally out for summer…
Wow, that year went fast. The once pristine book bag is now looking well used, the hem on her dresses is much shorter and I’ve been praying for a while now that the velcro on her scuffed and tattered shoes would make it to the end of term (it has…just).
The summer holidays seem to have been a long time coming and this past week I’ve seen so many children and families already enjoying their time off. As we had a two week May half term break, we have finished later for summer and get a 5 week break instead of 6. I am sure the weeks will fly by (they will once I’ve planned lots of things to fill the days with them!).
The children have had a more relaxed last week at school and yesterday, their penultimate day as the youngest year group in the school, they had a party day. They were allowed to wear their own party clothes, played party games and the day ended with all the parents coming in to see the children presented with their end of year certificates.
We arrived to find the children all sat outside in the sun playing pass the parcel. After their game had finished we all piled into one of the classrooms for the certificates. It was very packed – they apparently haven’t had so many parents attend before – some of us got the pleasure of sitting on the tiny plastic chairs and for others it was standing room only.
As each child’s name was read out, they were asked to stand as their certificate was awarded to them. There were awards for being a special friend, for helping in the classroom, being happy, making their friends laugh, for improving the most during the year and for working the hardest. A lovely way of acknowledging each child’s non-academic attributes (not every child excels academically) and their uniqueness. There was a lovely atmosphere in the room (and lots of proud tears from mums and dads) as each child was individually celebrated and their special contribution during the year recognised. I did wonder what Ella would be awarded and when it came to it my hunch was correct…
She was given a certificate for her lovely artwork and drawings – very appropriate as that is her most favourite thing to do and is something she has definitely improved in over the course of the year. A lovely end of year gift from the teachers to each child – something for them to be proud of and take with them into year 1.
And with the end of term, comes the giving of gifts from the class to the class teacher or, in our case, teachers.
When there is more than one teacher to buy for (job share, long term supply, classroom assistant) or your child has had support from a Teaching Assistant (TA) or Learning Support Assistant (LSA) then it can very easily become a costly business.
I started pondering this a while ago and trying to find a way to give meaningful and useful tokens of thanks without it becoming too expensive. For Ella, there were presents to buy for her class teacher – Mrs G, classroom assistant Mrs A, two TA’s Mrs S & Miss P and Mrs L the SEN teacher. Six presents in total. Even with a budget of £5-£10 per present that would mean spending between £30-£60.
I was also aware that Ella is only one child of 30 in the class. I knew from consulting a good friend and reception teacher that firstly no teacher expects anything and after that, there is only so many personalised mugs/keyrings they can find use for. Her favourite gifts over the years have been ‘as dull as it sounds’ (her words!) wine, plant/flowers or book/coffee shop tokens. All good starting points.
Thankfully one of the mums in each reception class started a collection for each class teacher so I gave some money to that for Mrs G. The collection has managed to provide a present for her, her classroom assistant plus a little gift for the TA’s.
Mrs L is a Special Educational Needs Teacher who works with the reception teachers and provides support to the 7 children in the year who have additional needs. I thought a collection for her too would be well received and managed to collect a good amount from some of the other 6 parents.
I liked my friends idea of a plant/flowers as a gift and the associated theme of helping the children to grow over the year. I also wanted something homemade that we could personalise and the children could add their own mark to. After a quick search online, I found enough ideas to turn the theme into a present, which consists of:
- A terracotta plant pot (the size I used cost me £1.50)
- Blackboard paint (already had)
- pack of white chalk (already had)
- Packet of seeds £2.20
- online printables – free – see here
- chocolates £3
- special teacher hanging ornament £4
- £25 gift voucher
- card and bag £3.50
Total: £36.20
And this was the finished product…
Following on with the plant/flower theme, I gave each child a printed flower template to colour in/write their name on/personalise and make their own for the card (unfortunately I sealed the card before I thought to take a picture but will hopefully be able to add a picture in soon).
I also wanted to get a little something just from Ella for the 2 TA’s who have worked so closely with her over the course of the year. I loved how well the plant pot had come out that I went and got 2 more and added in the seeds, chalk and bags of chocolate. Ella has written her name on the note for them. Theirs worked out at £4.70 per present. Can’t argue with that. Hopefully they will like them and find them useful and meaningful gifts.
We will be back, before we know it, for another year of learning and growing in September…
September 2015
July 2016
School Is Out!!
How the growing elderly care sector is leading to increased responsibility for nurses
Along with a national nursing shortage, growing debts and the ongoing dispute about junior doctors’ contracts, the UK’s ageing population is often cited as a major threat to our National Health Service. Today, over 3 million people in the UK are aged 80 or over. Incredibly, by 2050 that number is expected to have almost doubled to 8 million. And, as the population lives for longer than ever, we will require ever greater levels of healthcare, much of which will be accessed via primary care facilities, and provided by community nurses. While serious, life-threatening illness will be staved off by many into the eighth and ninth decades (and beyond), it will be ongoing, low-level health concerns of aged people that will put unprecedented strain on the NHS’s frontline services.
Over the last two or three decades, there has been a discernible shift in the roles of GPs and nurses working within primary care. Increasingly, nurses have taken on greater responsibility, undertaking both medical, prescribing and managerial tasks that would previously have fallen to the doctors. However, many experienced nurses have argued that despite being asked to fulfil these much more complex duties, unlike GPs, nurses aren’t always provided with adequate training to complete them with confidence.
At its core, nursing care for elderly patients who are not facing terminal illness is concerned with helping them retain both their independence and a comfortable quality of life. While an elderly person will inevitably be forced to face increased frailty, good community nursing is an important weapon in the NHS’s attempts to make this as pain-free as possible. It seems likely that as ever more people survive beyond their 70s, community nurses will have to upskill, preparing themselves both to prevent disease and illness and to maintain and enhance individuals’ capacity to enjoy life physically, psychologically and socially.
For nurses, this must appear both as an exciting challenge and as a huge undertaking. While once the job of one nurse was much like that of the next, for this and future generations of nurses, the role will become more complex and demanding. A greater number of visits to patients’ homes, a better understanding of geriatric care and, potentially, the requirement to retrain in one or more specialist areas related to the health of elderly people, may arise for many nurses. Contemporary nurses, unlike those who went before them, wear uniforms that tell patients their level of seniority within their teams and they constantly develop their skills through expert training courses; every year nursing is becoming a more complex job.
Right now it’s impossible to say how positive the impact of community nursing will be in the push to improve elderly care. However, it certainly seems that nowadays, particularly when it comes to elderly patients, nursing is no longer ‘just a job’, it is an exceptionally important career.