Jason Let’s go see your room. What do you think? We kept it a little spare, so you can decorate it how you like. Dinner! Here you go Excellent Yeah I …
Jason Let’s go see your room. What do you think? We kept it a little spare, so you can decorate it how you like. Dinner! Here you go Excellent Yeah I saw you guys out there. I thought you were on my team?
Scottish fold cat is a very special breed. These cats are “folk”, they have a good temperament, and, in general, are cute, quiet and easy to use. Scottish, or as they …
Scottish fold cat is a very special breed.
These cats are “folk”, they have a good temperament, and, in general, are cute, quiet and easy
to use. Scottish, or as they are also called British lop-eared cats, require minimal care
and can be a real treasure in your home. Breed history; The emergence of a new breed of cats often
depends on a natural genetic mutation that occurs unexpectedly in an ordinary cat. This
is exactly what happened to the Scottish fold cat. All cats of this breed came from the
white cat Susie, who had unusual bent ears and caught mice in an ordinary barn in Scotland. Susie could continue to live in obscurity
if she had not been spotted in 1961 by a shepherd named William Ross, who was interested in
raising cats. When Susie gave birth to kittens from an ordinary cat, Ross acquired one of
them, a kitten girl named Snux. Further, kittens from a British Shorthair cat were born at
Snooks. Thus, the development of a new breed began, which was initially called the “lop-eared
cat”, but later added the “Scottish”, indicating the country of origin as a defining characteristic.
Due to its origin, this cat is also sometimes called the British fold. Other breeders were also keen on Scottish
fold breeding, and it was found that the gene mutation was dominant, which means that if
one of the parents had the gene for folded ears, the kitten would also have folded ears.
The longhair gene was yet another Susie gift that was passed on to her descendants. The
longhair species is known as the Scottish longhair cat. Ironically, these cats are still not recognized
as a breed in their country of origin, in Scotland (England). This is due to concerns
that folded ears may lead to ear infections or deafness due to a problem with cartilage.
The nature of the breed; After the ears, the first thing you notice
about Scottish fold is their habit of lying on the floor like little frogs. And although
it can be assumed that their ears are less mobile than other cats, but this is not the
case. They use them to communicate effectively enough, adding emphasis to their quiet and
cheerful voice, if necessary. These are smart, moderately active cats. Scottish
fold love a variety of toys – teasers that test their dexterity, as well as various puzzles
that challenge their mental abilities. Their favorite pastime is any activity that involves
interacting with a person. There is nothing that Scottish fold would
love more than being with her family and participating in what she does. These are cute cats that
love attention. The last thing they want to be left alone for several hours in a row,
so that they will not be the best choice if you do not have anyone at home during the
day, otherwise you will need to provide them with at least a second cat company . But be
calm, she will always wait for you to play when you return from work or school, or at
least curl up next to you while you watch TV.
Health Both purebred and mixed cats can have various
health problems that can be genetic in nature. The life expectancy of Scottish fold cats
is average, about 15 years. The main health problems are as follows: Degenerative joint disease, especially in
the tail, causing pain and decreased mobility. Hypertrophic cardiomyopathy, a form of heart
disease that is probably hereditary. Care and maintenance of Scottish fold; A Scottish fold cat will need weekly hair
care to remove dead hair and massage their skin. Longhair fold may need to be combed
out a couple of times a week to prevent the formation of tangles. Brushing your teeth will help prevent periodontal
disease. Daily brushing is better than weekly, but weekly is better than nothing. In Scottish
fold it is important to regularly check the ears, preferably once a week, especially if
they are tightly folded. If your ears look dirty, wipe them with a cotton swab or a soft,
damp cloth moistened with a solution of apple cider vinegar and warm water in a ratio of
50 to 50. Keep the Scottish fold litter box clean and
spotless. Cats are known for their hygiene!
It’s about listening to the person, in whichever way that person communicates. You have to be a good listener, and understand the person. We’ve got Dirty Dancing at the theatre, Cats …
It’s about listening to the person, in whichever way that person communicates.
You have to be a good listener, and understand the person. We’ve got Dirty Dancing at the theatre, Cats at the theatre, Grease… We need to communicate about what’s happening in our lives. When Matthew’s got things coming up, we always write it down
into his diary, if he’s going to a concert, if he’s going on holiday, we encourage him to find the correct dates and write it all in.
We make sure that we check it all over that he’s got the right dates, and we encourage him to check that if he’s got anything planned in the week that he finds it in his diary to see what he’s going to be doing. The diaries are kept in the communal area because staff write in and
fill in what Matthew’s done in any day and any trips that he’s been out on. And we also record the menus of the food that they’ve eaten, everything.
And that’s one way that staff can find out what’s been happening, if you haven’t been on shift for a few days you come in, you read up on
the diaries and you see what’s been going on really. Make time to get to know the people you support. Well I do my best to treat everyone as an individual and look at what they want. I’ll be beside myself with glee… Come on, let’s get in. So it’s important to sit and find out about them, and how they
find enjoyment, how they laugh, things that they like to do – – Have I got to hold his hand?
– If you want to. Things that they’ve done in the past that we can sit and talk about.
I was working with past memories of being at the beach. Ailsa’s
registered blind, so we brought shells and sand so they actually feel it. Communication is very important, to be able to sit and talk, getting
to know them, finding out what makes them happy and what makes them sad. We went to the beach every chance we got. Things I’ve discussed with Ailsa over the years. About her family time. I’m trying to think what it is, what is it, what am I going to do. Do I teach? – Well…
– You did teach, didn’t you? – I did teach, but I don’t seem to do anything now. – You’re retired, now.
– I’m retired, yes I’m retired. – Yes, you’re just relaxing now.
– I was a school teacher and I loved it. I treated the children well. I felt a lot of them needed help, they needed comfort, help. Not this sort of thing.
Very important how you treat each other. We must never be little people. – Shall we go downstairs now?
– Just wait one minute till I put yourself into a chair. – We can walk downstairs.
– Well I’ve got your chair here, so it might be a little bit easier for you. – We’re human beings who can walk you know. Yes, but I’ve got a gammy back. – You just sit for two minutes because you have hurt your hip.
– I have hurt my hip, yes. – Are you having your frame Robina or your stick? – Yes, my stick.
– Your stick, let me get your stick. There are so many different types of problems that can arise around
communication. Obviously a lot of our people have got dementia, so if you come up to them and give them a whole list of do you want this this
or this, it’ll be too overwhelming. So sometimes what’s quite nice is just to bring two or three things up and then show it and they can actually visualise it
and they’ll be able to point to what they would like. I’m just going to bring in a couple of things and then you can choose. This is again about getting to know the person and getting to understand
the person. Because basically the more they get to know the person, they will find other ways of communicating
and other ways of reaching out to that person. So sometimes they respond to mirroring, so for example if they are not cooperating with brushing their teeth
for example, you could actually start doing the movement and they may actually pick up on that movement and start doing that themselves. There are so many different ways and obviously there’s no right or wrong
way but it is about getting to know that person and what they respond to basically. – OK Robina, which one of these would you like?
– That one. – John should be here in a minute.
– Yes. My role is to look after people in their own home and to keep them
independent in their own homes for as long as possible. You get to know the particular person, and some people obviously want to
be as independent as possible so if they can do it themselves, they prefer to. And obviously things work very much better when
actually people have a supportive family. Robina is, a lot of it is companionship, I don’t do her personal care. And I tend to provide the activity. So I encourage her to go out
and we sometimes have lunch or a coffee out. Oh that’s really delicious. Oh, look at the rain. Obviously there are handovers and after a while they get fairly routine. John, I think you need some more visit record sheets.
I’ll go to the car and get some more out for you. – I’ve given Robina her medication.
– Right. You need to read the logs and the most important single one is probably
the medication log. To check that they’ve had their medication. From time to time you get new situations and you have really quite
important judgment calls. Particularly when to call in other people’s help. But yes, there is a lot of support and what you’re encouraged
to do, if in doubt, pass the decision up. We very much empower our staff to feed back to us. So if there’s
something that they’re not sure about or they’ve noticed a change in somebody or they’ve noticed that something
on the care plan for example has changed, we really encourage that communication, that two way process. Care workers, there’s a lot of skills are needed. Obviously
they have to be very empathetic, they have to be very organised, – I don’t think we can get in that way.
– Oh right. I think they have to think a little bit outside the box. I think
when you’re a carer you have to understand that people are not robots and whatever says on the care plan, that might be, that gives you
a general outline but you have to be a little bit flexible and you have to listen to the person basically. It’s
not a checklist of I’ve done this, this and this. I think you have to be very flexible. Use technology to help people communicate We use DVD and iPads that we have now with each of the people who live here to record their support plans. So each person coproduces their
support plan with the key workers, the families, myself. We get together, talk it all through, we’ve got various headings
that we use. Make sure that they’re happy with what’s in there. For example when we’ve updated a support plan with Moira, Moira and I
have sat and discussed progress she’s made, things that she’s really happy with, further progress she’d like to make. So we’ve changed all
that on the laptop, that’s been printed off. And then we sit in her room so she’s got some privacy and we just
video that and then that can be transferred onto DVD so Moira’s got that to access whenever she wants to. And it’s a really good way of just being able to sit and say well,
yeah this time last year you were doing that, but look at what you’re doing now. And also a lot of the progress that she wants to make is actually her ideas now. It’s actually her coming up with ideas and saying ‘I’d like
to be able to do this now’. So that’s really good, it’s a really good way of being able to work, and the ownership of the support
plan is actually Moira’s, we’re just supporting her to carry it out. So then I’ll take this and put it on the DVD, and then you’ll
have it to watch back whenever you want, ok? Each of the people who live here have got their own iPads now, and
we’ve found them to be really good for doing lots of different things on. – Smile!
– (laughs) There it is. – See, he’s watching what we’re doing isn’t he?
– He is. Val’s always wanted to use a computer, but she’s not able to
recognise letters or numbers, so obviously for an iPad, if she knows what she wants to press, if there’s a particular
game that she likes, she can just press on it, she doesn’t have to wait for somebody else to support her to access anything she just knows
how to get onto it straightaway and it’s another form of communication for her. We’ve also used them for Skyping. So, just press on there, press ‘answer with video’. – OK. There’s Peter, he can hear you and there’s Roy.
– Hello Roy. – Hello Moira, you alright?
– Yes. We use Skype at Laverneo for each of the ladies to contact people
that they don’t get an opportunity to speak to regularly. So for example Moira was Skyping some friends that she’s made in another
service that Scope has, which is down in Halifax. – Training on a Wednesday to become a mentor.
– Yes. We also use Skype for the ladies to have contact with
some of our senior management in Scope, so they can all speak to my manager for example. And they’re talking
about their lives, what they like to do. Which is really good, it’s making new connections, so it’s great. And over the other side from where I am, is where the other two staff go. In Leicester we have a very diverse community and it’s important when
we’re placing our staff with the people that we provide services for that we match them as best as possible. So we recruit from that
community, so we’re enabled to incorporate language requirements and cultural needs. We ensure that we listen to people, and their carers and families. And we need to take on board cultural needs and differences, we would listen to and speak with individuals, we’re sensitive and
understanding of religious needs and preferences. It’s definitely beneficial for the people that we care for. They
get a better service, because their confidence in us increases, their anxiety is far less. They feel that their care is
more personalised, is taking into consideration their cultural needs, and enabling them to communicate
effectively with the people who are caring for them. Care workers’ language skills are important for
communication and understanding people’s needs. At Age UK, at interview, we always ensure that the applicants
have good verbal and written communication skills. It’s absolutely vital for the people that we care for that
they are fully conversant and that they can read the care plan and understand clearly what the person requires. I’m Alka, I’m from Age UK, I’m a respite worker, that’s what I’ve
been doing for the past ten years. Anna, I’ve been going there the past three,
four months. She’s a lovely lady. She just needs someone there to reassure her, a bit of company
for her when her daughter Eva goes out to just have a little break, now and again. So we go and step in and just be with her.
Normally when I arrive at the house at about quarter past six, and then have a little chat
with Anna and Eva, how’s her week been. And then Eva goes out for a little while, whatever she needs
to do. She has a break, and then me and Anna sometimes watch TV together. Care workers should be supported to develop good non-verbal skills. I think with Anna communication is very important, so you have
to give her a rub on the hand to make sure that you’re there.
And she does do eye contact. And now and
again you do get a little smile from her, so then you know that she’s happy with you. To me dignity
means understanding the person’s needs. In my work we have to treat people with dignity, everything
what we do. We have to be a good listener and understand the person.
Cancer Care Ontario Today, we’re going to talk about Person-Centred Care and what it means to all of us working in healthcare. Where we once referred to “Patient-Centred Care”, this has …
Cancer Care Ontario Today, we’re going to talk
about Person-Centred Care and what it means to all
of us working in healthcare. Where we once referred
to “Patient-Centred Care”, this has now evolved to
“Person-Centred Care”. Person-Centred Care recognizes
that patients are people first, and should not be
defined by their disease. A Person-Centred health system
helps people make informed decisions about managing
their own health and care. It recognizes that the person’s
experience also takes into account their family members,
caregivers and providers. It includes deciding when
to invite others to act on the person’s behalf. And most of all,
it acknowledges that a person lives with their
condition 24/7, 365, not just the time they’re
seeing the healthcare team. There are three desired outcomes of a truly
Person-Centric system. They include:
1. A better overall experience with the healthcare system. 2. Greater satisfaction
with the quality of care. 3. Greater likelihood
of better health outcomes. This requires everyone
in healthcare services to work in partnership, to
deliver care responsive to the person’s individual abilities,
needs, preferences and goals. To achieve a person-centred
approach to care we need to promote patient
engagement and activation. Activated patients are armed
with the skills, knowledge, and motivation to participate
as effective members of the care team, to the extent
they are willing and able. An outcome of engaged
and activated patients and caregivers is
an improved patient experience. Now, not everyone in healthcare
works directly with patients. If you don’t, you may
think that Person-Centred Care doesn’t directly
apply to your work. But keep in mind that
in a Person-Centric system, Patient Experience is defined
as the sum of all interactions. These interactions
influence patient perceptions across the continuum of care. They can be classified
into six domains: 1. Respect for
patients’ preferences. For example –
were family members in care? 2. Coordination
and continuity of care. For example – did the
patient know the next step in their care?
Or who to go to with questions? 3. Emotional support. For example – did the patient
receive the information they wanted and needed on emotional
and relationship changes? 4. Physical comfort. For example – was the patient
given enough information on possible side effects
and how to handle them? 5. Access to care. For example –
what was the patient experience with their
wait time for treatment? 6. Information,
communication and education. For example – were tests
and treatments explained so that the patient could
easily understand the results? Did the patient
receive enough information to make informed decisions? So, think for a moment. Does your work have an impact
on any of these six domains? Could a more person-centric
approach in your work take patient preferences
into greater consideration? Could you take steps to improve
the person’s coordination and continuity of care? Are you in a position to
provide more emotional support or physical comfort? Could you provide more
information that the person or their family may find useful? Bringing Person-Centred Care to
life is really about identifying key behaviours that can
be embedded in daily routines. It’s about
breaking down the checklist into a few, manageable items that can be incorporated
into your delivery of services. To be person-centred is the
responsibility of EVERYONE whose role impacts or interacts with
patients and their families. It’s a lot to think about,
knowing how to shape each and every interaction
so that it contributes to Person-Centred Care. This is where our Person-Centred
Care guideline comes in. This guideline has been
developed with the essentials that we must do
with each and every patient. It includes: 1. Knowing the
patient as an individual. 2. Understanding the essential
requirements of care. 3. Tailoring healthcare
services for each patient. 4. Continuity of
care and relationships. 5. Enabling patients to actively
participate in their care. By following this guideline,
you will see a patient as an individual
and focus on the whole person within the
whole healthcare system. We all take pride
in our healthcare system and care about our patients. These guidelines will help us
deliver the type of care we want and make Ontario the best
health systems in the world. Cancer Care Ontario
I had a lot of musical influences growing up, but undoubtedly, one of the strongest was George Beverly Shea. His rich, broad vocals underpinned by a life of consistent loving character …
I had a lot of musical
influences growing up, but undoubtedly,
one of the strongest was George Beverly Shea. His rich, broad vocals underpinned by a life of
consistent loving character made a deep,
lasting impact on me. And having the opportunity
to sing a duet with him was definitely
a highlight in my life. While I was there,
Bev was kind enough to say a prayer of blessing
over me. – Just ask that You keep
Your hand on this dear man… – Jesus. – And this marvelous ministry. We just ask You’ll do that. Why?
For Jesus’ sake. And to bring others to know Him
as he knows Him. Thank You, Lord Jesus. Thank You.
Thank You. Amen. – Amen. Amen.
– Amen. Love you. – Listen now
to this priceless moment my friend caught on his iPhone of 102-year-old Bev Shea
and myself singing together. both: ♪ Oh, yes, He cares. ♪ ♪ I know He cares. ♪ ♪ His heart is touched
with my grief. ♪ ♪ When the days are weary, ♪ ♪ the long nights dreary, ♪ ♪ I know my Savior cares. ♪ ♪ ♪ – ♪ Does Jesus care ♪ ♪ when I’ve said good-bye ♪ ♪ to the dearest on Earth
to me? ♪ ♪ When my sad heart aches ♪ ♪ till it nearly breaks, ♪ ♪ is it aught to Him? ♪ ♪ Does He care? ♪ both: ♪ Oh, yes, He cares. ♪ ♪ I know He cares. ♪ – ♪ His heart is touched
with my grief. ♪ ♪ When the days are weary, ♪ ♪ the long nights dreary… ♪ both: ♪ I know
my Savior cares. ♪ ♪ When the days are weary… ♪ – ♪ The long nights dreary, ♪ ♪ I know… ♪ both: ♪ My Savior cares. ♪ [cheers & applause]
Accountable Care Organization Pioneers: Connecting the dots between patients and health providers. Health providers are teaming up to provide coordinated and seamless patient care, which reduces medical errors and improves health …
Accountable Care Organization Pioneers: Connecting the dots between patients and health providers. Health providers are teaming up to provide coordinated and seamless patient care, which reduces medical errors and improves health care quality. They’re doing this by participating in Accountable Care Organizations, frequently called ACOs, one of several new models of care made possible by the Affordable Care Act. Medicare patients with multiple chronic conditions no longer have to be their own care coordinators. They now have a health care team that is connecting the dots for them. Here are some inspiring stories from Accountable Care Organization pioneers who are among the first to use this new approach. When the Affordable Care Act came out and we saw the ACO provision, I understood immediately it was a concept that doctors and hospitals get paid for keeping people well, and so we jumped on it from day one just because it seemed like the right thing to do. The ACOs are the heart of the national strategy to reduce costs by keeping people well. ACOs provide the glue between the system’s touch points. The patients will most immediately see an opportunity to have their care coordinated in a way that it’s not now. It’s hopeful that this kind of model will really help to create the glue to put those pieces together so that it really makes sense to patients that all of these touch points in the healthcare delivery system that they are experiencing need to come together in a more coordinated way. ACOs provide wraparound care and peace of mind. The ACO is going to be good on a lot of different levels. It’s good for the patient, the individual. Our goal is to keep them healthy, make sure that they feel taken care of. On another level, it’s really important for their loved ones. Most of us have parents now that are in the Medicare age range. We want to know that they’re part of a healthcare system, a group of doctors and a system, a team if you will, that’s looking out for them and that’s the peace of mind I think for us as caregivers. ACOs do not restrict patient choice. The best thing about the ACO program is that these fee-for-service beneficiaries get these benefits and they have no restrictions. Have no restrictions. No HMO, no managed care restrictions and so it really is a win for the patients and it’s a win for the physicians as well. That’s why we’re excited about doing this. ACOs improve health care quality and save money . Doing the right thing for the right reason actually does result in a better patient experience. It results in better clinical outcomes, and it does in fact save money. And to see that there’s groups all across the country that are having the same experience that we’re having, it even heightens my confidence that this program is going to be successful. ACOs improve communication and coordination between providers, reducing admissions and keeping people healthy. The team approach saves time and dollars and helps guarantee that patients no longer receive too much, too little, or the wrong type of care. Better health care quality. Better outcomes for patients. ACOs are a win for patients and health providers.
Hi, I’m Stan De Freitas, Mr. Green Thumb, for On Gardening. Strawberry plants are great plants to have in baskets, and in your vegetable garden area. The Strawberry plant is an …
Hi, I’m Stan De Freitas, Mr. Green Thumb,
for On Gardening. Strawberry plants are great plants to have in baskets, and in your vegetable
garden area. The Strawberry plant is an easy plant to grow, and of course we’ve had it
growing for just about ever, it seems. Most of the people will think of Strawberries with
straw on of course, but you can also grow them in containers. As has been pointed out,
the Strawberry has its seeds on the outside. Of course, they’re not much of a seed, but
they’re there. You can harvest across Strawberries on a regular basis. Remember, the Strawberries
need about six hours of bright sun a day, and as the name implies, straw used to be
used to cover them during the cold times. If you get a real cold spell, you may either
want to put a coating of ice on them, or you may want to put some straw over them, as well.
The Strawberry plant is a nice addition to the lawn and landscape, as far as it’s an
edible plant that’s a pretty plant, as well. Of course, you have this fruit here. Make
sure you keep harvesting it. Just like you’d take chicken eggs, the more you harvest, the
more it will keep producing. Here, you see we’ve got some Strawberry ready to harvest,
some that’s still coming on, and you’ve actually got a green one, as well. Strawberry plants
are easy to grow, they’re fun to grow, and they’re tasty. For On Gardening, I’m Stan
De Freitas, Mr. Green Thumb.
The world is rapidly changing in many ways. The older generation is growing fast, and relatively fewer people will pay taxes to fund public healthcare. This development also comes with an …
The world is rapidly changing in many ways. The older generation is growing fast, and relatively fewer people will pay taxes to fund public healthcare. This development also comes with an increase of chronically ill patients. Those people in the most need of care – the older and the chronically ill – are increasing the most. This creates a rapid cost increase, burdening the healthcare sector. Meanwhile, another transformation of change is happening. Digitisation is affecting people’s lives more every day. Healthcare is not an exception, which is something I believe we should be glad for. Digitisation brings a lot of opportunities to face the challenges that lies ahead of us. Visiba Care was founded based on personal experiences of a healthcare that was not very available and that did not use digital technology to improve the lives of neither patients nor healthcare providers. We are driven by a strong mission to improve people´s health globally. We believe that the best way to achieve this, is by providing the healthcare providers with the technology required to open a digital practice and integrate it with their physical workflows. In that way, people can see the same doctor whether it happens online or in the clinic. This creates continuity and an unbroken chain of care. The most underused resource in healthcare are the patient. Digital technology enables the patient to answer question and being guided to the right level of care. Together with online consultations and effective automated booking solutions, we can create new improved ways of delivering healthcare more efficiently and with higher accessibility. By handling the patients that can and are willing to use the digital tools, we are able to free uptime for those in most need of seeing their provider face to face. Simply put, the right level of care to every patient. Visiba Care is a leading player in the digitalisation of healthcare. We can help you open your digital practice, whether you are a small GP or clinic but also if you are a large county, hospital or trust In the need of a complete solution for your entire organisation.