Thursday, February 28, 2008

Considering Masters in Nursing or Masters in Public Health

Considering Masters in Nursing or Masters in Public Health?
I can't believe I'm considering my next degree, I feel like I've been in school forever. I am a fairly new nurse, my interest is maternal child health, ob/gyn surgeries, babies, possibly NICU, L&D. I picture myself helping women and children, would love to work in a clinic setting also, really enjoy teenagers, std clinics, planned parenthood, WIC, that sort of thing. I had considered the CNM (Nurse Midwife) but lately was pondering just the Masters in Nursing (MSN) or even Masters in Public Health (MPH). Given what I've said about my interests, does anyone in the medical field have any recommendations for me? Not sure which way to go, or which degree goes the farthest.? Edited to add: Also have my Certified Lactation Educator (CLE) to augment my current job as a postpartum nurse and would like to be a Lactation Consultant (IBCLC) as well when I've gotten enough hours and taken the test, so that's definitely an interest as well. Also - not really interest in being one of the "chiefs" at the hospital. Enjoy working odd hours and three days a week, not thrilled about the traditional 9-5 job. Nursing instructor (esp clinicals in OB) is a possibility but I hear the pay isn't very good.
Higher Education (University +) - 5 Answers
 

Random Answers, Critics, Comments, Opinions :
1 :
I have a BS in Biochem, an MBA and an MHA (Masters in Health Administration) and I have taken several public health courses. Given your interests, I would definitely go for the MSN over the MPH. An MPH deals more with health policy and research, and less with clinical aspects of healthcare. Hope that helps!
2 :
Become a lactation consultant to promote breastfeeding. My wife works for WIC as their Breastfeeding Coordinator and deals quite a bit with lots of women that need support in breastfeeding. Med and nursing schools don't discuss breastfeeding too much and unfortunately don't promote it as much as they should.
3 :
A masters in Nursing will only help you if you want to be a nursing instructor. There is no reason to get it other than that. I used to be an admissions counselor for the University of Phoenix's nursing program. You should get at least 3-5 years of work experience as an RN before you even consider your MSN. It will not help you at all until then. You could complete an online MSN while you work as an RN if you are able to do this much work. A masters in Public Health might allow you to work in hospital administation, but you will need 5-7 years of work experience before you will be able to get that job.
4 :
You might also look into schools with a dual degree MSN/MPH. It is a great combination and in some schools, such as Emory University, many of the courses you take in one program can count as electives in the other. This allows you to complete the joint degree in a shorter period of time. It's a versatile combination that will allow you much flexibility in the future. Good luck to you!
5 :
I like The Professor's answer. Getting a dual degree would be a pretty sweet deal. But if you *must* choose between the MSN and the MPH, well, I'm biased. I have a MPH, and I like it. Public health is not all about health care admin or policy. We have a lot of nurses where at my office who have MPH degrees and work as supervisors. On the health care end of it, the BSN, MPH folks do a lot of epidemiology and disease surveillance. At many hospitals, either a nurse practitioner or RN MPH works as the infection control practitioner. I don't know what more you can do with a MSN besides earn a little more pay or teach. But I know with a MPH, you can have access to a lot of other kinds of nursing work.




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Sunday, February 24, 2008

Steroids in children and health consequences

Steroids in children and health consequences?
My daughter is 6 years old, she has asthma and is on daily inhaler Pulmicort. Could anyone tell me if the prolonged use of steroids will affect her health? my daughter seems to be quite hyperactive lately and has a short temper, is it to do with Steroids?. I have also heard that prolonged use of steroids may cause polyps in her airways which later may lead to cancer. My GP says there are no consequences because the Pulmicort inhaler go straight into her lungs but I am not sure. Sometimes I think that I am pumping my daughter's body with all these steroids and I maybe actually being doing some harm to her, but what other alternatives are?. Thanks for answer.
Respiratory Diseases - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
i would check out this web site and do a search on google.
2 :
your GP sounds a bit off the wall, how does he think this ventilator gets to her lungs? Via the internet. It has to pass through her windpipe as you called it to get to the lungs where the alviolii absorb it into her body, and that is not a good thing either as the lungs eventually get immune to all these steroidal sprays. Have you asked another oppinion from a specialist or ever asked for a pill called coactifed that opens the airways and enhances the lungs absorption of air.
3 :
Well I could start by telling you about me. I have been trained as a pharmacy technician and have completed my first years of nursing school. Additionally, I have undergone steroid treatment and have had an extensive history of health problems. Therefore I feel I can help you with this. First you may like to hear that medications such as Pulmicort are essential to maintaining your daughter's life and therefore, safety. In other words, "she can't live with asthma, unless she has a medication like Pulmicort." There are other medications similar to Pulmicort but with different risk potentials. You may want to ask your physician about other options, and why he thought "Pulmicort" was the best choice for your daughter. Often times you will find that certain patients with similar body types will benefit from the same medication. So maybe your physician has based his decision upon that critieria. Having said that, your concerns on Pulmicort are warranted. She's your daughter, you have a license to worry/fret. Corticosteroids like Pulmicort can cause problems. However the dose is so low that problems are unlikely. There might be a tendancy for a hypersensitivity to the drug to cause your daughter some problems. That might be good reason to mention your concerns to your physician. However, I have many a friends' children who seem to become hyperactive and get a temper, while not on any drugs. That's when we as parents(I have 2 sons), just shrug our shoulders and say, "kids...". You can email me if I have not answered all your questions. Thanks dj
4 :
My 8 year old has asthma as well and she use to be on advair diskus and cingulair but when she started having behavior issues the pediatrician took he off the advair. Then we discovered that it was the allergy med causing the problem.So she switched to Zyrtec same problem.We have also tried an over the counter Clariton and it made her worse. I was at the dollar store just yesterday and found an off brand liquid allergy med.Came home gave it to her an 30 minutes after taking it her allergys cleared up and no bad behavior yay! When it comes to your kids always get a second maybe even a third opinon on things.




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Wednesday, February 20, 2008

Which is best health insurance policy for Income Tax saving in India

Which is best health insurance policy for Income Tax saving in India?
I am 29 years old . I want to take health insurance policy for my self & for my husband & child. The age of my husband is 30 & my Child is 3 years old. I want to buy Health Insurance policy which assist me to save my Income Tax. Is there any policy avilable which matches with my requirement?
Insurance - 2 Answers
 

Random Answers, Critics, Comments, Opinions :
1 :
Link : www.insurancemall.in ICICI Health Advantage Plan is best policy for your requirement . To Know more Details about the policy with claim Procedure Click here Link : http://www.newsandreviews.in/index.php?p=407&more=1&c=1&tb=1&pb=1
2 :
I think there is two aspects in your question. Now there is two types of health related insurance policies are available in India. one offered by general insurance companies and the other offered by life insurance companies. about the general insurance company policies i suggest the reliance heathwise gold policy is more feature rich and competitively priced. the price is what you pay for it and also what you can deduct under medical insurance policy premium. so u have to decide to pay more as premium expenses and to save a percentage of the same as income tax savings. now we can look the life insurance companies. recently LIC and reliance have come up with new health insurance products which are unit linked insurance policies. here the charges for the health insurance cover can be treated as deduction under medical insurance premium and the balance amount as usual investment premium which can be counted along with other eligible investments. if you have any Ayurveda treatment plan in future then only iffco tokio provides for this in their medical policy. so the option is this if you want a real health policy study what is best and buy and if u want the tax savings and no health policy it is better to pay the tax.



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Saturday, February 16, 2008

I have shared custody of my daughter, I have her more, why am I paying child support

I have shared custody of my daughter, I have her more, why am I paying child support?
We were not married, we had a baby. The mother is a mental case. Through mediation, the agreement is, We have shared custody, I have her Tuesday and Wednesday until 9pm. And Saturday, Sunday from 8:30am to 9pm. As you see I have her 4 days and she has three. Currently I agreed to not have overnights because the mother has seperation issues. SO overnights will not happen until January. In January, I will have her overnights. I currently pay 200.00 per month child support, 145 per month for health insurance for her. I have been paying 100% of medical expenses but agreed to only pay half. (mother having a hard time financially). I do make about 10k more than her a year. Can I take her back to court and show that I have the baby more and I pay more and get my child support cut or dropped? I dont think its fair that I pay her when I have her more. She says its for a roof over her head-I told her I need to have a roof too since she is here more!
Law & Ethics - 15 Answers
Random Answers, Critics, Comments, Opinions :
1 :
You are paying child support because the mother does not have the resources to keep the child on her income and because you are the father and that is what they do to fathers.
2 :
She's your child...you should be proud to help support her! If you don't want to support her, give up your parental rights.
3 :
Welcome to the world where women claim they are treated unfairly with les pay for the same job. You don't hear them complaining about this injustice. You can always take her back to court, but it would make sense to wait until you are having the overnights. Even though time is equal or greater with you your daughter is sleeping at her house and this will factor into the decision. Once that changes you will have a good case ONCE is a typical feminist, Where is the mother responsibility? She had a baby too if she cant support the child without the father giving her money then maybe she should give up parental rights. She isnt giving him money for the time that the child is at his house and the time is equal why should she get money. She doesnt pay for insurance or medical what exactly is she paying for. She has to pay rent with or without the baby and utilites the same. So she is paying for food with the 200.00 she is getting what part of her income is going to the child?
4 :
as i have always understood. father pays child support. period.
5 :
The law is not always fair. We may have one of the best systems of government but our legal system is a joke I feel sorry for you but I doubt you can do too much. APPEAL TO ANOTHER JUDGE..but again the innocent is penalized because to appeal it will cost you money for a lawyer. Very unfair system. . And Attorneys make it worse every year. .
6 :
Yes you can take her back to court to have the judgment changed. A few things I see about it is, you are providing shelter during these periods, and also food for 4 days. Also, if you want the child over night at your house, why is it your problem the her mother has separation issues. She needs to get a handle on that. With that being said, maintaining a good relationship with the baby's mother is very important
7 :
It's not entirely fair, no. On the other hand, there's really no way to be fair in divorce situations. Child support isn't a matter of who has the child more, it's about balancing the finances to make sure the child can have a decent life in both places. If your child support is set so high that it makes it difficult for you to pay your rent, then yes, you should complain. Otherwise - going to court will cost you a lot of time and money, and your ex girlfriend a lot of time and money, and make your child stressed and unhappy. Even if she's just a baby and too small to know what's going on, she'll feel the tension (and probably get stuck with nasty sitters while all the court drama is going on!) Once children come into the picture, fair goes somewhat out the window. Because the baby can't take care of herself, the courts will come down hard to try and protect her. In the future, try not to impregnate crazy women? :)
8 :
I would take her back to court. Something is not right about that.
9 :
Ya that sounds about right. Welcome to the world of equality as the lawmakers see it. Women pretty much get a free pass while the males are told to get a job or go to jail. In fairness there are exceptions and the opposite happens but its rare. I had a 50/50 deal evrything split down the middle but when the "new and improved" man run outa money and had to hock the cubic zirconia, she went to CSS and whined for more.
10 :
Good luck to you all- I have a blended family and What you might need to do is go for full custody and with the mom having visitation etc- that is if you are willing to take on the full day to day responsibilities of your girl- and as time goes by they add up to more more more-Look at it from the babes point and go the way it will suit her, she is the main factor and the most important person in this - You have a gift - a little girl- and just put her first and you will be fine! I hope the mom will do the same! I have a older son - when he turned 2 our agreement was that everything was 1/2 - time Alternate each week - any money needed by him or for him is split 1/2 if medical or sports , school etc..so far he is 14 and things are going good! My son is very well adjusted and has 2 homes and 4 parents that love him very much- Takes time to get there and alot of kinks but so worth it! Yes you can take her back to court and if you have proof then they will lower the payments or even drop them!
11 :
When you have shared custody no one should be paying support. I have shared custody with my ex b/f and I have our son more and he doesn't pay me anything. He only has our son from Thursday at 4 p.m. until Saturday at 9 a.m. and when it comes to medical he always gives me hassle even though he was ordered to pay for the medical insurance. In fact, my son needs to go to the dentist and he was supposed to take him but hasn't. He has the dental insurance for him but will not give me the information I need to take him myself. I will probably have to threaten court myself. If you have the child more you will have to have documented proof when you take her back to court. I do have to say this though. She doesn't sound like a bad mom. You mentioned separation issues so it sounds like she really loves her daughter. Don't kick her while she is down. That is what my ex did to me. Sit her down and have a serious talk with her. Try working it out with her first. If that doesn't work then do what you have to. Just don't blind sight her. Make sure she knows what you intend to do. Play fair. My ex never even served me with papers when he took me to court. Out of no where my son was taken from me based on lies my ex told. My son was traumatized all because my ex wanted to hurt me. Our child is the only one to suffer. Sure, it hurt me but it is my son that use to be terrified of the police every time he saw one no matter where we were. Luckily now, our neighbor is a police officer and that has helped my children gain trust where cops are concerned. Nothing will erase what his father did though. The reason he did it. Because he didn't want to pay me child support. I had custody and he was supposed to pay me $100 a month. He hadn't paid it in a year when he took my son though. Go figure, he was the one screwing up but somehow he made me and our son pay the price. I moved to be near my ex and gave him 50% custody and said no more child support. All I wanted from him was to have him not drag our son through a nasty custody battle and traumatize him further.Take care.
12 :
Because the custody sharing was decided by a mediator and the support was decided by a judge. if you think the support should change, you file a motion with the court explaining that you now have agreed to essentially equal custody and ask the judge to modify the decree. However, it seems to me that you ought to be concerned more about the child's welfare and less about the money. That is what parents do.
13 :
You pay it because you do make more money. Once you have overnights, then you can go back to court. The court may or may not change the child support order. I’d suggest discussing it with a local attorney first.
14 :
The time the child is with you is only one of the factors the court will take under consideration when determining child support. The court can and will consider who makes more money, as well as many other factors in making that decision.
15 :
whos paying for the childs clothes - school expenses - and all those things?




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Tuesday, February 12, 2008

Do you think if the US had universal health care that fewer women would relinquish

Do you think if the US had universal health care that fewer women would relinquish?
I know of at least two women who would of had their kids if they had health care. Both were working two jobs but part time so they had no health care. One gave her child up and one had an abortion. I don't have a crystal ball but i know that they would of been less likely to do what they did if they had access to health care (PS they made to much to get medicaid and not enough to privately pay)
Adoption - 20 Answers
 


Random Answers, Critics, Comments, Opinions :
1 :
Maybe some. I had good insurance and still CHOSE to relinquish. some yes that would make a difference. Especially if someone will help pay the bills after the baby comes
2 :
We don't need nationalized health care. Or universal health care. Our health care system might not be the best right now but I can assure you that if Obama turns us into a nationalized health care system, it will turn to CRAP (just like Canada).
3 :
sorry, but it is up to the individual to provide health care. How is it you believe that taxpayers sould have to pay?
4 :
Socialized Health Care will raise our taxes from 30% to over 65%, can you afford that?
5 :
Wow, that is so sad that people don't have their children because our country's health care is messed up. I don't think it would make a big difference on whether or not women keep their kids, I've never hears of this before now.
6 :
i know women who didnt even know about medicaid and could not afford an hmo and they still had their kids and survived financially! Women in the US would be the same or worse about pregnancie if there was a universal health care system.
7 :
The UK has the National Health Service and plenty of women still get abortions. They're free on the NHS.
8 :
All I can say is that without universal health care I would have been a lot less likely to parent.
9 :
""We don't need nationalized health care. Or universal health care. Our health care system might not be the best right now but I can assure you that if Obama turns us into a nationalized health care system, it will turn to CRAP "" The above answer really doesn't belong here...so I will answer in likewise, just because. Turn to CRAP??? It's already turned to CRAP! I work a full-time job that offered benefits, including health insurance, that I paid a high premium for and a high deductible. Still the fact remained I had medical insurance. The week before Thanksgiving we were given the news that the company we work for will no longer be providing any more benefits (cutting costs)..not medical, life nor a 401K, to include no raises in the foreseeable future. Madame would you say the same if your medical insurance disappeared from your life?? Can you afford to pay as an 'individual'? Could you afford to pay out of pocket should you need surgery or was hit by a catastrophic illness? I for one would love to be in the same insurance 'pool' with our congresspeople!
10 :
I do not believe that a woman would give up her child solely on the grounds of health care coverage or not. That maybe a contributing factor, but there are facilities that bill on a sliding fee scale, public health, and on payment plans. So my answer would be NO.
11 :
Yes....it would definitely help them.....look at how many people that have insurance that still need to beg organizations/hospitals or have fundraisers just to get adequate health care for their sick kids. Retards that are against universal healthcare don't realize that they already are paying for the un/under insured one way or another. Higher premiums, thru taxes, or being denied coverage. Pull the money out of warfare and put it into the welfare of all citzens. The general public doesn't get that in order to qualify for public aid you have to be pretty much living below the poverty line. Depending on the state if you make a $1 over it you loose your crappy health care.
12 :
1% of my income tax goes to medicare. When it comes to a woman's health and having babies all her medical is covered by medicare in the hospital and doctors in the public system. So when it comes to adoption she doesn't need a PAP to pay for her costs. I feel that contributes to corruption if a PAP is expected to cover all of that. Why should they pay her bills it only opens the door for people who would abuse it.(A surrgate is different again, she volenteered to carry a baby for a couple.) Some people in the US may think thats harsh but i don't. PAP's should be paying only for legal costs and their home studies. There should be other means for a women to be supported throughtout a pregnancy. (Works in other countries that have much lower adoption rates.)
13 :
i think it would change a lot of women's minds, my husband is in the army and works full time outside of the army, and we still pay an insane amount for insurance and co-pays, i think the government should provide some kind of health care benefits i also think if they offered a plan where women or men of a certain criteria could become sterile for a fraction of the regular cost it would help a lot, it's very expensive,
14 :
what i think is that if ALL women had UNIVERSAL SUPPORT, adoption would hardly exist.
15 :
i'm glad to be in a country where our 'crap' healthcare means that me abd my family can get help when we need it without going broke. i don't mind paying a few cents more for my eggs or whatever in return for the peace of mind that comes with universal health care, the system is not perfect and there is a shortage of medical proffessionals but it's still better than not being able to afford medical care at all. besides most of the tax money they use comes from gas/booze and smokes
16 :
nope
17 :
No matter what happens to my kids, the hospital is just around the corner and I pay nothing to use the same services as people who make 10 times more than I do. We have one of the best kids hospitals in the world here, and once again, because of Canada's health care system, my son was able to get therapy, and my daughter was able to be evaluated for FREE. Everytime someone buys a beer, my kids get free health care lol.
18 :
Yes, just look at comparisons between Canada and United States.
19 :
ABSOLUTELY!!! Every time i've posted the Q it gets deleted buy the insurance salesmen who are scared of losing business: Here's why it will reduce relinquishment rate for those who wish to parent their children: 1.) Medical bill can't be used as leverage 2.) Parents are more likely to keep children with moderate medical conditions, where now some are forced to put their children in foster care to get certain treatment (particularly mental health) that may not be covered by basic insurance. 3.) Reduced out of pocket medical expenses will reflect in lower child support payment, also making it easier for non-custodial parents to support their children. 4.) Less pressure to return to work, out of fear of losing health care benefits. 5.) Women with substance abuse issues while pregnant can get treatment, and maybe she will be well enough to care for her baby, and hopefully the effects to the child will also be limited making parenting a more appealing option. 6.) Free birth control, less unplanned pregnancies, hopefully free vasectomies and tubal ligations too. 7.) Pregnant women will be less likely to turn to crisis centers for free pregnancy tests, and referred to adoption counselors, they can go to a non bias health professional. Additional benefits related to adoption: 1.) Children with special needs will be more adoptable if the APs knew there was support, should the child need intensive care. 2.) From what I understand, children are REQUIRED to have yearly checkups and pregnant women are REQUIRED to have regular visits and screening while pregnant. This will be a great intervention in many cases that lead to adoption/foster care. 3.) Adoption agencies can't charge what they do, claiming they pay birthing and postnatal care. CPR would probably be covered, as well as physicals. 4.) With a UHC medical records can be accessed better and screened for prior substance abuse or mental health issues. While I think UHC would be great for America as a whole, here are some things I would like to see happen also. 1.) Small copay for those who CAN afford it. I would have no problem paying $20 for a doctor’s visit (which is what I pay now) and $50 for an ER visit (with an out of pocket limit of 1% of one's income). This would detour people from abusing the system, like the people who call 911 everyday because they are bored. 2.) Still allow a private sector to health care, to promote innovation and for those who want certain kind of care and are willing to pay for it. if someone wants to pay top dollar to have a doctor on call and available when they want, then so be it. 3.) I would like to see more PSAs about preventative health care, keeping people from needing emergency health care.
20 :
I've never heard of such a scenario, even though I'm sure it happens more than we are aware of. It's a "catch 22" and I know how it is. I myself do not qualify for medicaid yet I don't make enough to get private insurance. I would like to think there are places that people can get low cost to free health care through charity. Some county's offer county health care, which is not nearly as nice as medicaid but I guess beggars can't be choosy? But it sounds possible, with universal health care there might be fewer.



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Friday, February 8, 2008

The community health nurse is performing a well baby check on a nine month old infant, the child is due for ro

The community health nurse is performing a well baby check on a nine month old infant, the child is due for ro
Community Health Nurse •Autonomy •Beneficence •Nonmaleficence •Justice Mother •Autonomy •Beneficence •Nonmaleficence •Justice Infant •Autonomy •Beneficence •Nonmaleficence •Justice Community •Autonomy •Beneficence •Nonmaleficence •Justice
Other - Pregnancy & Parenting - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
What is the question here?
2 :
how much of ur homework are u expecting us to do?
3 :
Do your own homework.
4 :
huh, thanks for 2




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Monday, February 4, 2008

is health care apart of child support in NYS

is health care apart of child support in NYS?
my mom and dad split up my dad wants to sue my mom for child support. my mom pays about 600 a month for health ins. for herself me my brother and sister and also my dad... when they go to court is the 600 she pays a month going to deduct from the money she would owe me dad for my brother and sister.. my dad doesn tpay and health ins at all...... thanks
Marriage & Divorce - 2 Answers
 


Random Answers, Critics, Comments, Opinions :
1 :
YES and BOTH parents must supply the child with health insurance.
2 :
If it is part of the order, yes it can be. It isn't always. It depends on what the court says.



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Friday, February 1, 2008

How does health insurance work for a newborn baby

How does health insurance work for a newborn baby?
Our future child will be covered by BCBS (group plan). When I called, the rep stated you have 30 days after the birthdate to add the child. I then asked, if the child is born let's say premature and they begin acruing individual medical bills from day one, will the health coverage added within 30 days cover the acrued medical bills?
Newborn & Baby - 3 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Yes, when the baby is born, the expenses are billed under your #s until you add the baby.
2 :
Yes, the accrued bills are covered. In fact, in many states, the first 30 days are covered under the mother's insurance, whether or not the child will have insurance or not with that company. I found this out recently when a single mom had a baby and the father purchased an individual policy for the child. All the bills prior to 30 days after the birth were covered under the mother's policy.
3 :
Yes, the health insurance backdates to birthdate, as long as you register the child within the specified time. In the meantime, the bills go unpaid until the insurance company knows about the birth.



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