Its Easy to Get In But Harder to Get Out Post Hospital Syndrome or PHS

Bad for your health?

When the Disease Management Care Blog was told by the intern, the hospital social worker, the VP for Medical Affairs or the family that an inpatient "was ready for discharge," it had a favorite test to see if it was really true.  The DMCB would walk into its patients room and ask her to do what she had easily done before she was admitted to the hospital: swing your legs out of bed, stand up and walk across the room.

The DMCB was impressed by how often elderly patients were unable to perform that simple but telling task.

Of course, the best approach was to not let the patient become that debilitated in the first place.  Thats the point of Harlan Krumholzs article on "Post-Hospital Syndrome" that was recently published in the January 10 New England Journal.

In it, Dr. Krumholz shares an important secret: being in the hospital can result in starvation, sleep deprivation, muscular deconditioning, confusion and myriad poly-pharmacy side effects.  In fact, its probably those issues, not the original medical problem that led to the hospitalization, that account for much of the infamous 20% 30-day readmission rate for Medicare beneficiaries.

Dr. Krumholz recommends that hospitals be more attentive to assuring better nutrition, provide a less noisy environment, promote early activity and keep the use of sedative, pain and hypnotic (i.e., sleeping pill) drugs to a minimum. The DMCB seconds that motion and suggests that many of its more savvy colleagues think of this as discharge planning that begins the minute the patient is admitted to the hospital.

And when patients are ready to go home, its not a matter of continuing outpatient treatment for the initial diagnosis.  These patients need comprehensive assessment and planning.  While the author doesnt come out and say it, the DMCB will: these patients need nurse-led care planning and management that addresses the full spectrum of needs that are too often ignored by hospital personnel in the rush to collect on the DRG and minimize length of stay.

Last but not least, the DMCB recommends adoption of the term "post-hospital syndrome" and wonders if it may not deserve the "PHS" acronym.

Anyone who has ever witnessed a previously well person be unable to stand up and walk will know exactly what it means.

Diet Plans Are Easy With A Menu Planner

The very mention of a diet plan can make people give you a wry smile or maybe let out a sigh of exasperation meaning to say, “been there, done that”. Well, things arent all that bleak. Some help from a menu planner can provide you with a different perspective altogether and give you a surge of confidence while you take efforts to stay in shape by eating healthy.

Healthy eating does not mean being stringent about what to eat and what not to, by depriving yourself of your favorites. It is about having the right food at the right time in portions of the right size to make you feel great, stay energetic and remain healthy. A diet plan doesnt just monitor what you eat but makes sure that you eat smartly. Here are some points that will give you a clear idea of how to go about your diet plan and accomplish your mission with the help of a menu planner.

Set yourself an attainable target

When you set yourself a goal that is likely to be reached in a short time, say 3 months, the chances of you working towards it are high. Have realistic expectations and dont expect a miracle without putting in efforts to watch what you are eating. Remember that crash diets and binge eating are a strict no-no.

Calculate your calorie requirement

Each person has different calorie requirements based on their age, lifestyle, activity level and other factors. Finding out how many calories you should consume to maintain, reduce or increase your weight is a prerequisite to draft the ideal diet plan.

Plan your intake based on your lifestyle

Calorie consciousness, healthy eating and sufficient physical activity need to go hand in hand. The kind of lifestyle you lead, your level of activity and your work routine are the criteria that you need to consider while planning your intake.

Flexibility is the key to sustain

For a diet to be effective, it should be simple and incorporate a certain degree of flexibility. Even well-structured plans cant always be followed to the letter. There are sure to be occasions when you just cant resist an extra helping or dont feel all that hungry. Swapping plans now and then is acceptable.

Prioritize on nutrition

Plan for a variety of healthy and delicious recipes which have plenty of whole grains and the right amount of fresh fruit and low-fat dairy products that provide all the nutrition you need while you are on a diet. Prepare a list of quick and healthy alternatives that you can have on days when you just cant adhere to your plan.

Menu planner is a tool that will help you keep your diet plan on track. Its clearly formulated menus take care of your dietary requirements and save your time, money and effort. Menu plans can be conveniently repeated once you have used up all your menus. After getting started with your menu planning, you will see how beneficial it is in helping you stick to your diet.

Authors Resource Box

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Article Source: Diet Plans Are Easy With A Menu Planner

Author : JamesAndeson

Cheap and Easy Ways For Hair Care

Hair care is something that can be costly and time like going to the salon. But there is an easy and efficient way in beauty treatments hair. One of them, we have to comb my hair preformance more than three times a day, in order to keep hair neat.

The following beauty tips is easy and inexpensive way to treat hair.

1. Reduce the portion of shampoo

shampoo can be diluted by half, this will not affect the ability to membarsihkan hair.

2. baby shampoo

If a family member has a different hair type, try switching to a baby shampoo can be used for all types of hair.

3. protein hair

Blend one tablespoon of lemon juice and 3 eggs. use on wet hair and let sit 15 minutes, rinse with cold water. This treatment helps to damaged hair and makes it glow.

4. Conditioner

Whisk two egg yolks and add a teaspoon of gin / gin (a type of alcoholic beverage). wet hair and coat it with the mixture, cover with a dry towel and scalp massage. Let stand for five minutes and rinse thoroughly.

5. warm oil

Use vegetable oil or baby oil and gently massage the hair roots. cover with a warm towel dried with a new dryer. wait 15 minutes before shampooing. Do not use if for Rambaut colored.

6. Anti-dandruff shampoo

Destroy aspirin tablets to a powder and add it to your normal shampoo, shake until powder dissolves aspirin. Acetylsalicylic acid in aspirin is the same material used for most anti-dandruff shampoo.

Hair care is very necessary to support the beauty and hair health, especially for women. But not all of the hair care should disalon and expensive. Maybe some beauty tips above can help to save the cost of hair care and can be allocated for other costs.

7 Easy Steps Lower Cholesterol

Cholesterol is a fatty substance that provides energy for your bodys cells, which are produced from the food consumed daily. Cholesterol is essential for the body if it remains within the appropriate levels, but it is too much cholesterol can lead to various diseases associated with cardiovascular events such as heart disease, stroke and others. Therefore to help you stay healthy, pay attention to cholesterol levels with seven tips, follows:

1. Stop Smoking
Stopping smoking is an important method in reducing your cholesterol levels. Content in cigarettes may cause the inner lining of arteries, or endothelium getting damaged. Carcinogens and carbon mono-oxide contained in cigarette smoke in the arteries become more susceptible to seizures, thus leading to high blood cholesterol levels.

Smoking can also lower cholesterol levels lipoprotein (HDL) or good cholesterol, and at the same time raise cholesterol levels Low-Density Lipoprotein (LDL) or bad cholesterol. In addition, smokers may also experience heart palpitations that can affect their overall quality of life. If you used to smoke, stop the bad habit now.

2. Many Exercise
Exercise is the best treatment for those who have cholesterol levels high enough. The experts said the exercise for 40 to 60 minutes per day will help reduce bad cholesterol about 5-10 percent and increase good cholesterol levels up to 3-6 percent. To that end, does not matter any type of exercise you do, the important thing is the intensity of exercise each day.

3. Healthy Food Consumption
To reduce cholesterol, the important thing is to keep your food intake. Reduce foods that contain saturated fats and trans fats. You also need to reduce consumption of fatty meats, egg yolks, fried foods, whole dairy products and fried foods. This is because the saturated and trans fats increase LDL (bad cholesterol). The recommended daily intake for saturated fat intake is 20 grams or less, so beware of foods that contain saturated or trans fat levels are high and make sure you stay below the recommended daily level.

4. Avoid Alcoholic Drinks
Consumption of alcohol is normally composed of one to two drinks per day for men and one drink per day for women. However, if you exceed this amount, the possibility of increasing the body to store fat. Waistline will also be widened (beer belly) so that it does not directly increase cholesterol levels.

5. Lose Weight
Try to lose weight if you are obese or overweight body. Begin to exercise every day, every type of additional activity will work well. To begin with, do light activity like walking, weight training, aerobics, cycling and exercise because it helps increase good cholesterol while lowering bad cholesterol levels.

Obesity can cause what is known as insulin resistance, a condition where the body can not use insulin properly. Of the pancreas, insulin convert glucose into the blood and then into energy. Insulin resistance can lead to diabetes and increasing cholesterol levels in the body.

6. Eat Spinach
Consumption of spinach on a regular basis will also reduce your cholesterol levels. Spinach contains about 13 flavonoid compounds that keep you from cancer, heart disease and osteoporosis. Consumption of 1/2 cup of lutein-rich foods every day can keep you from heart attacks caused by excess cholesterol.

7. Fish Consumption
Fish contain much omega-3 fatty acids, which helps in keeping the body from heart disease, stroke and high cholesterol levels with the help of nutrient-rich protein. According to medical experts, a diet rich in seafood, especially fish, assist in raising levels of good cholesterol. Other sources of omega-3 foods include soy, canola, flaxseed, walnuts and fish oil.

An easy way to Treat Gout

Health for human | Surely everyone already knows what its uric acid ... for the uninitiated uric acid. Uric acid is a disease of the joints and tendons menyertang caused by deposits of urate crystals. Urate crystals deposited were caused by deposits of uric acid crystals are gradually formed in the affected joint or tendon resulting in inflammation.

These diseases tend to be experienced by men because the hormone estrogen in women there is help remove uric acid through urine disposal, but the men do not have the hormone estrogen, so that a higher uric acid level. So men are more competent to experiencing a gout pain.

However, did not rule on the female menopause also because there is where the women did not produce the hormone estrogen.

Basically, the uric acid will be released in the body through the stool (feces) and urine, but because the kidneys are unable to remove uric acid levels are increased there lead in the body. Another thing that can increase levels of uric acid is that we consume too many foods high in purines. Further excess uric acid will accumulate in the joints, causing pain or swelling.

Symptoms of uric acid that is, the Tingling and rheumatic pain, especially at night or early morning when I wake up joints affected by gout visible swelling, redness, heat and tremendous pain during the night and morning.

Addressing solutions to the treatment Doing Gout uric acid levels returned to normal. Normal levels are 2.4 to 6 for women and 3.0 to 7 for men. one of them, namely:

Control of food intake, drink plenty of water. With lots of drinking water, we can help get rid of purines in the body.

Avoid foods (containing much purine), namely:

Side dishes such as organ meats, liver, kidney, spleen, tripe, intestines, lungs and brain. Seafood such as shrimp, clams, squid, crab. Canned food like corned beef and sardines. Meat, eggs, broth or gravy is thick.

Legumes such as soybeans (including processed products such as tempeh, tauco, oncom, soy milk), peanuts, green beans, bean sprouts, melinjo, chips. Leaf vegetables such as spinach, kale, cassava leaves, asparagus, cauliflower, green beans. Fruits such as durian, avocado, pineapple, coconut water.

Drinks and foods containing alcohol such as beer, whiskey, wine. etc.

Easy Swaps That Save Loads Of Calories

Shaving some calories from every meal, snack, or side dish
is one of the easiest way to reduce your overall intake.
To lose 1/2 to 1 pound a week, aim to cut
250 to 500 calories a day by making
two or three of these swaps:

* 1 can of regular soda for 1 bottle of water save 100 calories.
* Small french fries for apple slices save 270 calories.
* 1c chocolate ice cream for 1/2 c chocolate ice cream with
1/2 c sliced stawberries save 115 calories.
* Big Mac for regular hamburger save 290 calories.
* 1/2 c granola for 3/4 c high-fiber cereal save 110 calories.
* 1 Tabsp mayo for 1 tsp mustard on sandwich save 100 calories.
* 1 lg (4-1/2-inch) bagel for 2 slices light whole grain bread save
269 calories.
* 1 sm bag (1 oz) pretzels for 2c air-popped popcorn saw
47calories.
* 2 slices pizza for 1 slice cheese pizza plus 1-1/2c mixed
salad with 1 tbsp low-fat dressing save 229 calories.