How the family doctor helps with behavior changes

An important role for family physicians is helping patients through behavior change. Using change interventions is especially helpful when it comes to addressing lifestyle modifications necessary for disease prevention, long-term disease management, and addictions. In addition, understanding each patient’s readiness to make the necessary changes, appreciating the barriers to change and helping patients anticipate relapse improves both patient satisfaction and lowers physician frustration during the process.

Regardless of what the change is, be it exercise programs, stress management techniques, or dietary restrictions patient motivation is required. Changes in patient lifestyles are necessary for successful management of long-term illness. Moreover, relapses of these ailments are often attributed to lapses in healthy behavior by the patient. While most patients understand lifestyle modifications are important to overall long term good health, consistent, life-long behavior changes are difficult. Therefore, the role of family physicians to assist patients in understanding their health and to help them make the changes necessary for health improvement becomes more difficult.

On occasion, doctors will see a patient who has experienced a medical crisis or has completed a health assessment and was advised to change poor behaviors, readily comply. However, the more common scenario is that physicians encounter patients who seem unable or unwilling to change. Medical practitioners can assist by taking specific action and acknowledging that changes in behavior occur gradually and relapses are almost inevitable and should, therefore, become part of the process of working toward lifelong change.

There are five stages that most people must pass through in order to complete a behavior change. Known as the Stages of Change model, it shows that, most people change their behavior gradually. It begins with the patient moving from being uninterested, unaware or unwilling to make a change in the stage known as precontemplation, to considering a change in the contemplation stage. Next, the person will decide and prepare to make a change before genuine, determined action is taken. Over time, several attempts to maintain the new behavior will occur and relapses are pretty much inevitable and should become part of the process of working toward lifelong change.

In order to do so, a doctor needs to identify a patient’s position in the change process in order to be able to tailor the intervention with skills they already possess. Therefore, the focus of the office visit should not be to convince the patient to change behavior. It should be to help him or her move along the stages of change and the goal for a single encounter is a shift from the getting the patient to change an unhealthy behavior to identifying the stage of change and engaging each patient in a process in order to move to them to the next stage.

In other words, the doctor should view the meeting as an opening health and risk assessment of where patients are in the behavior change process and patient’s response to direct advice can help the doctor plan for the next step in the physician-patient dialog. Therefore, rather than merely educating and admonishing, doctors can tailor interventions to each patient in order to enhance success.

How to start a radon mitigation business

Radon cannot be seen or smelled. However, it is present in every state in the country and is responsible for upwards of 21,000 lung cancer deaths annually. There is only one way to see if the gas levels are too high, and that is to do a test for radon. If it comes back showing that levels are high, then the next step is to hire a company to install a radon abatement system. If you would like to get into the business of installing such systems, there are a number of steps that you will need to take before you can be hired by your first client.

The first thing anyone looking into a new profession needs to do is research the qualifications necessary to become licensed in that particular field. For radon remediation, the best place to start would be the EPA. They regulate radon professionals and set the guidelines that the industry must follow. The state that you live in may also have their own qualifications, so you need to check with them, as well.

Regardless of whether your state requires you to be licensed or not, you should seek professional certification as this is a good way to gain credibility with customers. This is done through The National Environmental Health Association (NEHA) which certifies radon professionals as part of the National Radon Proficiency Program (NRPP). Certified testers, as well as those that install radon mitigation systems are listed on the NRPP’s website. This helps to make your company more visible to potential customers.

In order to become certified, you will need to take a qualifying education course. Once you have completed the When you receive a passing score on the test, you can then apply for NRPP certification. Once you receive your certification, you should check state and local ordinances in order to find out what you must do to legally start a business.

Next on your list is to contact both local real estate agents and local radon testing businesses. Both of these types of companies work with people who may need your services. Since radon is so dangerous and does not discriminate, those looking to either sell or purchase a new home often test for the gas during the home inspection.

Some do it with the use of a kit that is purchased in a hardware store and others call in professional testers. Either way, if the test shows dangerous levels exist, then the next step is to have a system installed to reduce the levels. That is where you come in. Real estate agents that have clients that test on their own can offer up your name, as can professional testers.

However, bear in mind that no one will recommend you with at least a business plan and some experience. So, you may want to work for someone else before venturing out on your own. This will give you more credibility when you do become your own boss and will also give you more connections, as well.

 

How to get physical therapy

Physical therapy is a type of treatment used when health problems make it difficult to move around and complete everyday tasks. It is designed to help you move better and relieve pain While it can improve or restore your physical function and your fitness level, the goal is to make daily tasks and activities easier. Your doctor may suggest physical therapy if you suffer from injuries or long-term health problems including arthritis or chronic obstructive pulmonary disease, which is also known as COPD.

While you may contact a physical therapist without a physician’s referral, your insurance policy may require a visit to your primary care physician first or limit your access to a list of preferred providers. Therefore, it is best to contact them before you do anything so that you do not end up with any unexpected bills.

Many physical therapists specialize in treating specific areas of the body or they concentrate their practice on prenatal and postpartum care, sports injuries, stroke rehabilitation, or one of many other areas of physical therapy. Moreover, physical therapists can also be certified by the American Board of Physical Therapy Specialties (ABPTS) in eight different specialty areas. They are orthopedics, sports, geriatrics, pediatrics, cardiopulmonary, neurological therapy, women’s health, and clinical electrophysiology.

In order to find the one that is right for you, begin by asking your doctor, insurance company, and those closest to you for recommendations. You can also go to the website for the American Physical Therapy Association and get a list of names of local practitioners by specialty. Once you have found a few names, either call or check their websites to ensure they provide the services you require.  You also need to double check that the office does, in fact, accept your insurance and whether the physical therapist’s clinic or yourself will submit claims to your insurance company.

Also, bear in mind that some health insurance policies require copayments for services. The amount of the copayment usually depends on whether the physical therapist is part of the provider network. In addition, you may also have to meet your deductible, which is the portion of medical costs you are responsible for before insurance benefits begin. The physical therapy office should be able to help you calculate the amount of your financial responsibilities.

When looking for a physical therapist, be sure to find out who will be delivering the treatment. Physical therapy is treatment provided by or under the supervision of a licensed physical therapist. Physical therapists use the designation PT (physical therapist) and/or DPT (doctor of physical therapy). However, there may be assistants in practice who are responsible for providing the care prescribed by the physical therapist.

Remember, you are the most important member of your health care team, and thus, you are entitled to choose the most appropriate health care professional to meet your goals. You are not obligated to receive physical therapy in any specific facility. However, regardless of where you receive it, physical therapy has been shown to be as effective as surgery in treating a wide range of conditions.

How to run a concession stand

Concession stands can be found pretty much everywhere because people get hungry no matter where they are. In addition, if you get a mobile stand, you can take your business to wherever hungry people are. However, there are a few steps that you should take to ensure that you are successful.

The first thing you need to do is find out if you need any permits or licenses. While you may not need a business license in some areas, you will most certainly need a certificate from the health department. You may also need someone from the fire department to come out and do a fire safety inspection. Be sure to have all of the paperwork done before you open so that you do not have to then close down.

If you are considering forming a corporation, partnership or limited liability company you will have to register your business with the secretary of state’s office in your state. You will also have to apply for an Employer Identification Number through the Internal Revenue Service so that you can open a business bank account and use both business documents and tax forms. You should also look into purchasing business insurance so that you are covered in the event of damage to your equipment including your popcorn machine or other concession supplies. Insurance is also good to have in the event you are part of a lawsuit or need to make a settlement.

Whether you choose to go mobile or stick to a permanent site, the spot wherein you do business should be large enough to put together food plates, store supplies and heat up food. Once you have secured a business venue, your next step is to come up with a menu. You need to decide what it is you will be serving. You could do a variety of different foods, or stick to one or two that you do well.

Once you determine what it is you will be selling, you will then need to find a place to prepare it. This includes cutting and chopping, cooking any meat products, making sauces, and assembling food platters. All of this is done in order to reduce the amount of food preparation needed when selling products at the concession stand. While you can do this at home, if you choose to do so, you will need to contact the health department in order to find out about any additional permits, licenses and/or home inspections that may be necessary.

The last step in the process before you can open the proverbial doors is to purchase the concession equipment that you will need to do business. This includes a popcorn machine if you will be making popcorn, a microwave to reheat foods, a fryer if you are selling fried goodies, and a small refrigerator to keep things cold. You will also need to buy plates, utensils, napkins and a fireproof box to store the money you make until you can get to the bank to deposit it.

Reasons why loose diamonds remain popular

While the song “Diamonds are a girl’s best friend” was created based on an ad campaign to sell more diamonds, there are numerous reasons why women love them, especially when they are placed in a setting and received as an engagement ring.

  • Hold it up to the light and look at it sparkle.  Better yet, look at everyone else looking at it sparkle.  Take care of it correctly, and your custom engagement ring will sparkle for a good, long time
  • Diamond jewelry goes with everything.  Regardless of the fashion or style, loose diamonds can be worn with every outfit and never go out of style.  You can never wear out a diamond or grow out of a diamond.  Also, unlike flowers, they do not die.
  • It is a symbol of his love for you and how much he is willing to sacrifice to make you happy and get you what you want.  He had to save an average of two months’ salary in order to afford the rock he placed on your hand.  That means fewer beers with the guys, passing on a new electronic toy he may have been eyeing, amongst other things.
  • It shows that he can provide and care for you.  No matter how independent a woman seems to be, she likes to know that her man can maintain her lifestyle should the need arise.
  • Holds a promise. As you admire the bling, you know that it holds his commitment that he is with you for the long run and into old age and if he is not, for whatever reason, he will leave you financially able to move on.  However, you may have to sell the ring.
  • Should you end up in dire straits, either with or without him, or even because of him, you can keep your head above water by selling the ring and using the money to pay whatever debts are owed.
  • Level the playing field. Regardless of how big the rock is, it still sparkles as brightly.  There are many to choose from in many different price ranges.  Therefore, even those that only dream of stardom and royalty can afford a diamond that will be envied and shown off.
  • They show what the earth is capable of. Made under conditions of extreme heat and pressure, diamonds are just another example of how wondrous the world is and that nature can do so many different things.
  • While the movie “Blood Diamonds” showed the dark side of mining for the precious stone, the truth of the matter is that many people in Africa would not have the ability to get medical assistance or an education without the income that diamonds bring in.

 

While DeBeers may take credit for instilling the idea in society’s psyche that diamonds equal love, it was there all the time and it would have been seen with or without the diamond company and its advertisers.  They just pointed it out and led the way.

How to find the right gem appraiser

There are four main reasons why people choose to have their jewelry appraised.  The first is because they need it done in order to have it insured.  The second reason why people have their jewelry appraised is because they want to ensure that they got a good deal when it was purchased.  After all, no one wants to get ripped off.  The third is due to taxes and the last reason why people have their gemstones appraised is just plain curiosity.   Regardless of the reason, the first step is to find a professional jewelry appraiser.  This can prove difficult due to the fact that the only appraisers that need to be certified are those that are working in real estate.  Therefore, anyone working in the jewelry business can say they are a gem appraiser.   However, only those that are educated and members of a professional appraisal organization should be considered.  This is a result of the fact that most agencies require their members to take and pass courses and exams in evaluation and valuation, as well as principles and business practices, appraisal ethics, standards and report writing. Furthermore, many of these groups will also require their members to keep up with the standards and changes. In addition to finding out what professional memberships your gem appraiser holds, how they received their membership and how they stand within the association.  Furthermore, you should also question where he or she obtained a degree, and when they were last retested.  This information is important because not all federations are the same and some only require membership dues.  Therefore, it is best to go beyond asking how much they charge and ask what makes them qualified to appraise your jewelry.   Another thing you need to ask before handing your prized possessions over for a jewelry appraisal is what stones he or she is qualified to assess.  No one is an expert in everything and like other professions, those in gem appraisal often find a specialty.  The same way a podiatrist cannot participate in brain surgery, an appraiser that specializes in watches cannot give you the value of your engagement diamond.   Once you have the above information, you should then enquire as to how the appraisal will be done.  This includes what instruments he or she will use and in what lighting.  You can also ask the markets and standards used.  In order to be 100% certain you are getting a reputable appraisal, you can also ask if he or she will stand behind the appraisal in court and if you can check references.   Once the appraisal is complete, in addition to the valuation, you should receive a cover document which explains the purpose and function, as well as the dates and standards used.  Your appraisal should also include an explanation of the grading system used and the appraiser’s background information.  You should also receive the results of any lab work done, copies of pictures taken and any other supporting documents used.