Monday, February 28, 2011

Social Networking - Finding Good Healthcare Information on Social Networking sites

Social networking can help you learn plenty about all aspects of your health care, from prevention, through symptoms and diagnosis, treatment options and disease management.

Social networking is exactly what it sounds like: conversations with others on a casual or social basis. Offline (not on the web) it would be like having lunch with a group of friends, chatting in the coffee shop or even going to a party. Online, through the web, it's a way of carrying on conversations with people you know and people you don't know, but with whom you have mutual interests.

Whereas blogs, wikis and websites are one-way communications (they all talk TO you), social networking sites are for sharing in all directions.

If you've ever chatted through an instant message or participated in a forum or support board (like the one here at patient empowerment or at any of the About.com health websites), then you have already participated in social networking, perhaps without realizing it.

Now there are dozens of social networking websites, built simply to help people carry on conversations with each other. You've probably heard some of their names, MySpace, Facebook, Twitter, Plaxo, LinkedIn and many others.

Click on the "via" link for the rest of the article.

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http://nursingentrepreneurs.ning.com/

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Social Media - How to Use Social Media to Choose a Doctor

We patients have only a few tools at our disposal to choose the right doctor for us. Most of those tools provide very cut and dried basics like licensing, board certification, even malpractice.

It has always been difficult to gain a glimpse into a doctor's attitudes or personality without meeting that doctor and getting to know him or her. Friends might tell us a doctor is "nice" - but smart patients know that doesn't mean a doctor is competent.

Along comes social media - Facebook, Twitter, YouTube, LinkedIn and other programs online that allow us to connect with other people - including doctors. Social media allows us to learn more about a doctor's personality and attitudes, his or her approach to their work and more.

With a little detective work, picking up clues here and there, smart patients use social medial to help them research and choose their doctors.

Some might tell you that you can get this kind of information from doctors' ratings sites. But I'm not a fan. They are too restricted, and are too often populated only by disgruntled patients. So give social media a try, hopefully to find more balance.

Click on the "via" link for the rest of the article.

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******************************************************
For Health Information you can use, Follow, Connect, Like us on (Most Invites Accepted):
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Blogger:
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Linked In:
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Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Sunday, February 27, 2011

Mouthwash for stinky feet?  10 surprising home cures - Health - Health care - More health news - msnbc.com

By Amanda Pressner
Prevention
updated 2/25/2011 8:03:22 AM ET 2011-02-25T13:03:22

When minor medical issues crop up (nosebleeds, insect stings, dandruff!), chances are your medicine cabinet already contains some effective—and surprising—fixes for what ails you. Here are 10 common household items that all do double duty, saving you a trip to the pharmacy—and cash in the process!

1. Antacid tablet
It's for: Heartburn

The effervescent type with sodium bicarbonate helps neutralize the acid that causes painful heartburn symptoms.

But try: Soothing insect bites

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"Antacid formulations such as Alka-Seltzer contain aspirin, an anesthetic that can help ease the sting and itch of insect bites," says Howard Sobel, MD, a clinical attending physician in dermatology and dermatologic surgery at Beth Israel Medical Center in New York City.

He recommends making a paste with a crushed Antacid tablet, a pinch of oatmeal (also a skin soother), and water and applying it to the skin. Results are immediate—and this DIY formula has a healing bonus that other anti-itch salves lack. "Calamine lotion contains zinc oxide, which can be drying to the skin," Sobel explains. "Effervescent Antacid tablets provide quicker relief from pain and itching—without the dehydrating side effects."

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Dying is final, but passing on lives forever

by Greg Smith, MD

It is hard to believe that those we love will die.

We can’t bear it. It’s too harsh, too complicated, too fraught with emotional baggage and unfinished business and things never said. It’s too final. Dead is dead, after all. From the moment of our birth, we are dying. Death can be painful, tragic, too soon, too quick, too slow, too easy, or too hard.

So we soften it up a bit.

She is dying, the doctors tell us.

She is passing on, we tell ourselves.

Dying implies finality and the end of the road. We cannot cheat death.

Passing on implies going through, transitioning, skirting the physics and the metaphysics involved and coming out on the other side, changed somehow, better, calmer, whole. Keeping company with the better angels of our nature while shedding the demons like a skin.

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http://nursingentrepreneurs.ning.com/

StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

7 Pains You Shouldn’t Ignore - Prevention.com


Pay Attention to Your Body’s Signals

The everyday aches and pains you’re used to could indicate a health emergency

Usually a headache is just a headache, and heartburn is nothing more than a sign that you rang the Taco Bell once too often. Except when they're not.

Pain is your body's way of telling you that something isn't quite right. More often than not, you have some idea of what's behind it. But when it comes on suddenly, lingers longer than usual, or just seems different, it calls for medical attention--and the sooner, the better. According to our experts, all of the following pain conditions should be considered red flags.

Get your copy of the List Maker's Get-Healthy Guide


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StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
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http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Saturday, February 26, 2011

10 ways you know there's a male nurse on the unit, Scrubsmag.com

So, how can you tell when there’s a male nurse in the house?

10. The Hoyer lift is thought of as the backup option.

9. Someone at the nurses’ station isn’t wearing a print top.

8. You no longer call Dr. Strong at the first sign of need.

7. You find yourself with a box of gigantic gloves and wonder where the smaller ones went.

6. Conversations based on sports have somehow infiltrated the unit.

5. Somebody left a burger and fries on the table, where you struggle to convince yourself a salad is fulfilling.

4. Patient assignments are frequently changed after you have taken report and made your first round.

3. A patient keeps calling your co-worker “Doctor” regardless of how many times she is corrected.

2. This complaint becomes familiar: “There are no XL gloves here and they were ordered just for me.”

1. Someone left the toilet seat up in the nurses’ lounge restroom.

This list, by Jeffrey Bodurka, RN

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For Health Information you can use, Follow, Connect, Like us on (Most Invites Accepted):
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http://nursingentrepreneurs.ning.com/

StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
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http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Why Cats Are Better Than Men, Battles of The Sexes Jokes, Cat-Pet Humor, 4Nursing.com, Nursing & Healthcare Resources

A CAT always hits the litter box.

Better chance of training a CAT.

No matter what your CAT drags into your house, you don't have to pretend you like it.

You never have to spend time with your CAT's mother.

If you ask enough times, a CAT may actually listen to you.

A CAT purrs when you serve him dinner.

You can de-claw a CAT... try to get a guy to clip his toenails.

It's okay if a CAT rubs up against your best friend.

You don't have to worry about your CAT turning into a pig when you host a party.

A CAT knows you're the key to his happiness... a man thinks he is.

If a CAT jumps into your lap, a little light petting will satisfy him.

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25 Year Old Breasts, Battle of The Sexes Jokes, Marriage Humor:
http://www.4nursing.com/humor-battle-of-the-sexes-25-year-old-breasts.html

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Top Ten Reasons Why God Created Eve, Battle of The Sexes Jokes, Top Ten Humor:
http://www.nursinghumor.com/created

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17 Ways To Be A WOMAN.... From A Somewhat Bitter Man, Battle of The Sexes:
http://www.nursinghumor.com/

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The Perfect Man, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.a.divorced.perfect.man.htm

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Name Calling, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.name.calling.htm

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A Real Lady, Battle of The Sexes Jokes, Infidelity Humor:
http://www.nursinghumor.com/lady

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A Woman Thirty Years Younger, Marriage Jokes, Battle of the Sexes Humor:
http://www.nursinghumor.com/humor/marriage.matrimony.wedding.jokes/a.woman.thirty.years.younger.htm

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Mating Bulls, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/humor/battle.of.the.sexes.mating.bulls.htm

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Five Kinds of Sex, Battle of The Sexes Jokes, Marriage Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.five.kinds.of.sex.htm

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Men Are Like . . ., Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.men.are.like.htm

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Following Orders, Battle of the Sexes Jokes, Gallows Humor:
http://www.nursinghumor.com/humor/gallows.dark.following.orders.htm

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Top Fourteen Things PMS Stands For, Top Ten Jokes, Battle of The Sexes Humor:
http://www.nursinghumor.com/pms

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The Escapee, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.the.escapee.htm

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Why Pumpkins Are Better Than Men, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/humor/battle.of.the.sexes.why.pumpkins.are.better.than.men.htm

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The Blind Date, Battle of The Sexes Jokes, Geriatrics Humor:
http://www.nursinghumor.com/humor/battle_of_the_sexes.the.blind.date.htm

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The New Girlfriend, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.the.new.girlfriend.htm

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Pros of Being A Woman, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.the.pros.of.being.a.woman.htm

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If You Love It, Set It Free, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/humor/battle.of.the.sexes.if.you.love.it.set.it.free.htm

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A Divorced Woman's Perfect Breakfast, Battle of The Sexes Jokes, Divorce Humor
http://www.nursinghumor.com/humor/battle.of.the.sexes.a.divorced.womans.perfect.breakfast.htm

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How To Impress, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/humor/battle.of.the.sexes.how.to.impress.htm

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Great Female Comebacks, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/

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His and Her Road Trip, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/battle/

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Generation Gap, Battle of The Sexes Jokes, Parenting Humor
http://www.nursinghumor.com/humor/parenting.parents.jokes.generation.gap.htm

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And You Wonder "Why" It Didn't Last, Battle of The Sexes Jokes, Divorce Humor
http://www.nursinghumor.com/humor/battle.of.the.sexes.and.you.wonder.why.it.didnt.last.htm

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Because I'm A Guy, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/humor/battle.of.the.sexes.because.im.a.guy.htm

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The Gentleman On The Bus, Battle of The Sexes Jokes & Humor
http://www.nursinghumor.com/gentleman

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If Men Got Pregnant, Battle Of The Sexes Jokes, Pregnancy Humor
http://www.nursinghumor.com/pregnant

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A Man, His Wife, and The Cop, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/humor/marriage.matrimony.wedding.jokes/a.man.his.wife.and.a.cop.htm

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If Men Wrote The Rules, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/humor/battle_of_the_sexes/if.men.wrote.the.rules.htm

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What Women Know About Men, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/humor/battle_of_the_sexes/what.women.know.about.men.htm

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All Wives Are Alike, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/humor/battle_of_the_sexes/all.wives.are.alike.htm

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A Woman Thirty Years Younger, Marriage Jokes, Battle of the Sexes Humor
http://www.nursinghumor.com/humor/marriage.matrimony.wedding.jokes/a.woman.thirty.years.younger.htm

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Radar, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/battle_of_the_sexes/radar.htm

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Definitely Warm, Battle of the Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/battle_of_the_sexes/definitely.warm.htm

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Suspicions, Battle of the Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/marriage.matrimony.wedding.jokes/suspicions.htm

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I Just Want You To Hold Me Tonight
http://www.nursinghumor.com/battle_of_the_sexes/i.just.want.you.to.hold.me.htm

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A Dictionary of Dating
http://www.nursinghumor.com/battle_of_the_sexes/a.dictionary.of.dating.htm

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Translating Men, What They Say & What They Really Mean:
http://www.nursinghumor.com/translating

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I am glad I am a man, I am glad I am a woman:
http://www.nursinghumor.com/battle_of_the_sexes/i_am_glad_i_am_a_man_i_am_gla...

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Male Bashing:
http://www.nursinghumor.com/battle_of_the_sexes/male.bashing.htm

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Two Gifts For Adam & Eve, Battle of The Sexes, Nursing & Medical Jokes & Humor
http://www.nursinghumor.com/battle_of_the_sexes/two.gifts.for.adam.and.eve.htm

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Why Men Can't Win
http://www.nursinghumor.com/battle_of_the_sexes/why.men.cant.win.htm

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Why We Appreciate Men, A Woman's Perspective
http://www.nursinghumor.com/battle_of_the_sexes/why_we_appreciate_men,_a_woman's_perspective.htm

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Viagra Funnies
http://www.nursinghumor.com/drugs.medications/viagra.jokes.humor.htm

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See also:

******************************************************
For Health Information you can use, Follow, Connect, Like us on (Most Invites Accepted):
http://www.nursefriendly.com/social/

Twitter!
http://www.nursefriendly.com/twitter

Facebook:
http://www.nursefriendly.com/facebook

What's New:
http://www.nursefriendly.com/new/

Blogger:
http://4nursing.blogspot.com/

Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Military & Armed Forces Nursing on: The Nursefriendly

See also: Military Nursing Books From Amazon.com

Military Nursing, nursingdiscussions.com:"I am an RN and have ten years of prior military experience (enlisted). I am seriously considering going back into the military as a nurse. If you are a military nurse, active duty or very recently retired, let me know. I'm looking for info on what a duty day is like, what shift work is like, how many days a week is a duty week, what is staffing like, is the equipment from the stone ages, etc etc. My interest is really in the Air Force since i could apply my critical care focus in flight nursing at some point. I'd like to hear from anyone with knowledge of the military nurse world, though."
http://www.nursingdiscussions.com/military/

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Yaschica Stewart, BSN PMJ Medical Solutions:"Medical staffing agency providing permanent, temporary to permanent, per diem nurses, cna, other medical personnel to all medical facilities."
1019 Old Monrovia Rd Suite 186
Huntsville, Alabama (AL) 35805
Phone number: 256-536-8076, Fax: 256-759-1873
pmjmedicalsolutions@yahoo.com
http://www.nursingentrepreneurs.com/stewart

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No Time for Fear: Voices of American Military Nurses in World War II by Diane Burke Fessler, Dianne Burke Fessler:"No Time For Fear summons the voices of more than 100 women who served as nurses overseas during World War II, letting them tell their story as no one else can. Fessler has meticulously compiled and transcribed more than 200 interviews with American military nurses of the Army, Army Air Force, and... Read more."

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July, 2001: Recruitment And Retention Strategies For Nurses, Veterans Health Administration:"Registered nurses comprise the largest segment of health care workers within the Veterans Health Administration (VHA). Currently, VHA employs over 35,000 registered nurses and nurse anesthetists. VA nurse employment is stable at this time. VA enjoys a lower turnover rate (9.5 percent in 2000) than the national average of 15%. However, VA is experiencing difficulty in recruiting nurses with certain special qualifications such as intensive care, nurse practitioners or nurse anesthetists. While the difficulties are occurring nationwide, the types of nurses for which there are shortages vary by geographical region. Certain VA medical centers also report difficulties recruiting Licensed Practical Nurses (LPNs) and nursing assistants (NAs)."
http://www.va.gov/OCA/testimony/svac/14je01TG.asp

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Angels of Mercy: Nurses' Tales:"During every major battle of World War II, the D-Day invasion of Normandy and the Battle of the Bulge included, American nurses stationed near the front lines were charged with mending the wounded bodies and spirits of fighting soldiers. Their effectiveness and devotion to duty contributed greatly to the success of America's military forces. Here are a few of their stories."
http://www.pbs.org/wgbh/amex/bulge/sfeature/sf_dispatches.html

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Bibliography of Military Nurses in Viet Nam:
http://www.illyria.com/nursebib.html

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Civil War Nurses "The Angels of the Battlefield":"William Ludwell Sheppard's watercolor In the Hospital, 1861 (above) pays tribute to those women of the South who labored ceaselessly to care for the war's wounded. "I have never worked so hard in all my life and I would rather do that than anything else in the world," declared one weary attendant."
http://www.civilwarhome.com/civilwarnurses.htm

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Military Nursing Resource Guide, Medi-Smart's Directory of Military Nursing Resources:"Although the tradition of alleviating the sufferings of soldiers is an old one, military nursing had its beginnings in the Crimean War when Florence Nightingale began organizing battle nursing and the dispatch of women as nurses. Military nurses have served as bright examples in courage and leadership. Nursing in the military has its good points and its added risks, but having been there and done that during Vietnam and Desert Storm, I have to say that the rewards far exceeded the drawbacks in my opinion. A military nurse has much more scope of practice than allowed by any state's nurse practice acts and the opportunities to further one's education are beyond compare. Here are some links to sites & information you might find useful."
http://www.medi-smart.com/nursing-articles/nursing-careers/military-nursing

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Program for Research in Military Nursing: Progress and Future Direction, Committee on Military Nursing Research, Institute Of Medicine:"High-quality nursing care is essential to obtain favorable patient outcomes. Military nursing research has the capacity to prevent health problems, improve patient care, and contribute to appropriate and desirable outcomes that are cost-effective in many situations. In the last 45 years, considerable progress has been made in wide-ranging applications of research in military nursing. Unarguably, however, further evolution and programs of military nursing research will depend on enhanced scholarly inquiry by military nurses and on the dissemination and application of research results."
http://search.nap.edu/html/nursing/

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Air Force:

Air Force Nursing Specialties:"The Air Force Nurse Corps offers a variety of specialties from Anesthesia to Pediatrics. You may enter with specialized experience or you may get experience after joining our health care team. Each program offers you an opportunity for certification or an advanced degree."
http://www.airforce.com/opportunities/healthcare/careers/nursing/

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International Military Nurses:

Vivian Bullwinkel, AO; MBE;ARRC; ED; FNM; FRCNA:"Vivian Bullwinkel was the sole survivor when the Japanese massacred 21 army nurses and one elderly civilian woman on Banka Island, now part of Indonesia. She was taken POW and survived the hell camps of Sumatra, going on to become one of Australia's most distinguished women."
http://www.angellpro.com.au/Bullwinkel.htm

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Medicaid chief: Single payer may be better than ‘devil-may-be’ market

A senior Patrick administration health care official said Friday that a single payer system may work more effectively and efficiently than Massachusetts’s existing insurance market, a high-profile endorsement that raised eyebrows at a legislative hearing.

“I like the market, but the more and more I stay in it, the more and more I think that maybe a single payer would be better,” said Terry Dougherty, director of MassHealth – the state-run Medicaid plan that insures nearly 1.3 million Massachusetts residents – when lawmakers asked for his “personal view” on a single payer system.

Dougherty’s comment, made during a budget hearing at the Boston Public Library, prompted his boss, Secretary of Health and Human Services JudyAnn Bigby, to interject: “That’s his personal opinion.”

Dougherty noted that MassHealth, by far the largest program in state government, spends just 1.5 percent of its $10-billion-a-year budget on administrative costs – compared to about 9.5 percent by the private market, according to studies by the state Division of Health Care Finance and Policy. That figure won plaudits from several lawmakers on the panel, including some who have supported implementing a statewide single payer system.

After his remarks, Dougherty told the News Service that he’s learned to appreciate “elements of single payer” during his 30 years in health care.

“It’s got to be better than this devil-may-be marketplace,” he said. “We don’t build big buildings. We don’t have high salaries. We don’t have a lot of marketing, which makes, to some extent, some of the things that we do easier and less costly than some things that happen in the marketplace. Overall, my point is, we have individuals who work in state government in MassHealth ... who are just as smart, just as tactile, just as creative as people who work in the private sector, but they work for a lot less money.”

A single payer system would replace the state’s patchwork of nonprofit and private insurers with a single, public insurer through which all health care dollars would flow to hospitals, doctors and other health care providers. Supporters say it would eliminate administrative waste and ensure that all residents receive adequate coverage.

But while supporters point to single payer models used by other countries and tout the idea as a cost saver, critics warn the system would result in government bureaucrats deciding what services to cover and how to pay for them, would reduce the quality of care and would disrupt relationships between doctors and patients.

Hundreds of thousands of Massachusetts residents have endorsed the approach. In fact voters in 14 House districts –including five that backed Scott Brown for U.S. Senate – voted overwhelmingly last year to support a non-binding ballot question that asked, “Shall the state representative from this district be instructed to support legislation that would establish health care as a human right regardless of age, state of health or employment status, by creating a single payer health insurance system like Medicare that is comprehensive, cost effective, and publicly provided to all residents of Massachusetts?”

A similar question passed in 10 other House districts in 2008.

Although last session 50 members of the Legislature supported a single payer model, the issue has lacked support from the upper echelons of the Legislature and the Patrick administration.

A single payer plan would scrap Massachusetts’s landmark health care system, which relies on the private insurance marketplace, and that backers have credited with helping insure about 98 percent of the population. Backers of the existing structure, while acknowledging that health care costs have continued to climb, note that the state has covered about 430,000 residents since the inception of health care reform in 2006. Individuals are required to purchase health insurance, and low-income residents without access to health care through their employers may obtain partially or fully-subsidized care through the state’s Connector Authority, an exchange that pairs consumers with private plans, or through MassHealth.

This session, only 32 members signed on to the single payer proposal, although the sponsors include several high-ranking lawmakers: Rep. Stephen Kulik, vice chair of the Ways and Means Committee; Rep. Martha Walz, assistant vice chair of the Ways and Means Committee; Reps. Ellen Story and Byron Rushing, members of Speaker Robert DeLeo’s upper leadership team; and eight House committee chairs. The bill’s lead sponsors are Rep. Jason Lewis (D-Winchester) and Sen. James Eldridge (D-Acton). Last session’s lead sponsor, Rep. Matthew Patrick (D-Falmouth) was ousted at the polls by Republican David Vieira.

Benjamin Day, executive director of Mass Care, a single payer advocacy group, noted that only six of the lawmakers in the 14 House districts whose voters endorsed single payer health care signed onto the bill. He asserted that many members of state government’s health care hierarchy support single payer health care but keep it to themselves.

“Everyone is making political considerations, tactical considerations,” he said.

Day said supporters of a single payer system are eyeing Vermont, which recently elected a Democratic governor who ran on a platform that included a single payer system.

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