Take Care The Patient With Installation CVP

I. UNDERSTANDING

Central venous pressure (central venous pressure) is the blood pressure in AKA or vena cava. It provides information about the three parameters of blood volume, the effectiveness of the heart as a pump, and vascular tone. Central venous pressure is distinguished from the peripheral venous pressure, which may reflect only local pressure.

II. MONITORING LOCATIONS

a. Right internal jugular vein or the left (more common on the right)
b. Right or left subclavian vein, but lower in the right thoracic duct
c. Brachial vein, which may be bent and develop into phlebitis
d. Proximal lumen of the pulmonary artery catheter in the right atrium or immediately above the superior vena cava

III. INDICATIONS AND USAGE

a. Measurement of central venous pressure (CVP).
b. Blood sample for laboratory examination.
c. Measurement of central venous oxygenation.
d. Parenteral nutrition and administration of hypertonic fluids or fluids that irritate that need immediate dilution in the circulatory system.
e. Vasoactive drug administration by drip (drip) and inotropic drugs.
f. As venous access if all other IV site has been weak.

IV. COMPLICATIONS

The complications of CVP cannulation installation include:
a. Pain and inflammation at the location of the stabbing.
b. Blood clots because tertekuknya catheter.
c. Bleeding: ekimosis or major bleeding when the needle is disconnected.
d. Tromboplebitis (thrombus embolism, air embolism, sepsis).
e. Microshock.
f. Cardiac dysrhythmia

V. ASSESSMENT

Which should be studied in patients who mounted CVP are signs of complications caused by the installation tool.

a. Complaints of pain, shortness of breath, discomfort.
b. Verbal complaints of fatigue or weakness.
c. Respiratory rate, breath sounds
d. Signs redness / pus on the installation location.
e. The presence of blood clots / air bubbles in cateter
f. Suitability infusion set point position
g. Vital signs, perfusion
h. Pressure CVP
i. Intake and output
j. ECG Monitor

VI. Nursing Diagnosis

Activity disorder associated with central venous catheter placement
Assessment criteria focus:

a. Weakness, fatigue.
b. Changes in vital signs, the presence of dysrhythmias.
c. Dyspnea.
d. Pale
e. Sweaty

Log On The Web To Buy P90X Equipment Easily

Men and women alike can take advantage of the P90X home exercise program to shape up. Consisting of several DVDs, workout calendar and diet plan, adhering to the system consistently allows you to burn calories and fat while at the same time build lean muscles. For toning the muscles, it’s important to buy P90X equipment perfect for the program.

It’s easy to find the different gears you will need when you log on the web. Everything you need to stick to the system can be purchased without trouble in cyberspace, from the chin-up bar, resistance bands to the yoga blocks and mat. One of the reasons why buying the right tools is simple online is the fact that the home workout system is loved by many.

Refusing to get the prescribed tools may keep you from completing the 90-day system as prescribed. It’s true that certain routines may be performed without the use of any piece of exercise equipment. However, there are days when the use of various tools will come importantly, such as when it’s time to tone the muscles in your upper back, arms, legs buttocks and core area.

Toning your muscles effectively require some form of resistance. You may simply rely on your own body weight but oftentimes it is not enough. It’s exactly for this reason why the creator of this home exercise program, Tony Horton, recommends anyone to obtain the recommended workout tools so that the muscle toning parts may be performed in the proper manner.

Something as simple as logging on the internet allows you to find everything you need for the 90-day workout system. Keying in something like “P90X gears” is enough for a search engine to point you to various sites in cyberspace where you can get an assortment of workout tools. Ordering sooner allows you to get started with the home exercise program right away.

If you already own some of the required gears, you simply have to obtain the ones you don’t yet have. You may skip buying an entire set which may include certain tools already found at home. For a trouble-free working out, it’s a good idea to look for an internet seller carrying products that are highly compatible with the home workout system.

Buying a set is highly recommended especially if you don’t own any of the required workout tools yet. In a single purchase, you get everything you will need throughout the 90 days of working out. These days, different vendors are offering different sets. You may come across the likes of basic and deluxe sets, each one perfect for a particular person and budget. It’s important to carefully check what each set contains before making a decision. See to it that the inclusions are perfect for your needs and current fitness level.

There is no need to go through a lot of trouble just to get the workout tools you need to complete the home exercise program. Going online lets you quickly obtain everything necessary to get the system started. The moment the various items get to your home, you may begin with the journey that can transform your life.

Healthy Foods To Keep In Your Kitchen

When we are sick we don’t feel like running all around trying to pick up the things we need to help us feel better. It is so much easier if we keep these things on hand. Many of these foods we use on a regular basis, and it could help you from getting sick or if you do get sick you won’t be sick for long. You can either refrigerate them or keep them in your kitchen cabinets.

1. Fresh Garlic – It’s good for high blood pressure and high cholesterol.

2. Apple Cider Vinegar – Aids in digestion and helps acid reflux or heartburn.

3. Flax seeds or Flax oil – Helps with breast cancer, prostrate cancer, and is good for constipation due to it’s high fiber content.

4. Lemons – Good for coughs and colds adds great flavor to tea’s.

5. Honey – Also, good for coughs, colds, flu, diarrhea if mixed with hot water.

6. Ginger root – Is good for colds, coughs, flu, digestion, cholesterol and is also a natural blood thinner.

7. Black Seed – It is good for many health ailments as Prophet Muhammad (Pbuh) says it is good for everything except death.

8. Turmeric – It’s uses include coloring food. It is also good for cuts, burns and bruises.

9. Molasses – Is a source of calcium, magnesium, potassium, and iron.

10. Oatmeal – Helps lower cholesterol.

11. Cranberry Concentrate – Helps with urinary tract infections.

Healthy Recipes Roasted Garlic

Healthy Recipes Garlic has been used to treat and prevent illness dating back well over 5000 years. Ancient Egyptians and Greeks used it for heart problems and headache; the Chinese used it for a variety of common ailments and to boost immunity. And modern scientific research confirms its curative powers. National Cancer Institute studies show that a diet rich in garlic may reduce risk of colorectal, stomach and prostate cancer by as much as half. Research also shows that garlic has antiviral properties that protect against infection and inflammation, may destroy certain flu viruses, and help kill intestinal parasites.

How can this little “rose” do so much? It contains a powerhouse of nutrients, including vitamins A and C; the minerals potassium, selenium, phosphorus and zinc; and amino acids. It also has an unusually high concentration of the sulfur compound allicin, which is a potent antibiotic and the compound primarily responsible for its healing properties.

If a little garlic each day keeps the doctor away, what’s the best way to get it? Cooked or raw, all forms have health benefits, but raw garlic has the edge. It’s simple to add it to a variety of dishes; for example:

* Top scrambled eggs with it.

* Add it chopped to cooked tomato sauce just before serving.

* Sprinkle it minced on a baked potato.

* Spread it minced on buttered, crusty bread.

And here’s a classic with taste that’s out of this world:

Roasted Garlic

1. Preheat the oven to 400 degrees F.

2. Peel away the outer layers of the bulb skin, leaving the skins of the individual cloves intact. Using a knife, cut off 1/4 to a 1/2 inch of the top, exposing the individual cloves.

3. Place the garlic heads in a baking pan; muffin pans work well for this purpose. Drizzle a couple teaspoons of olive oil over each head, using your fingers to make sure the bulb is well coated. Cover with aluminum foil. Bake at 400°F for 30-35 minutes, or until the cloves feel soft when pressed.

4. Allow the garlic to cool enough so you can touch it without burning yourself. Use a small small knife cut the skin slightly around each clove. Use a cocktail fork or your fingers to pull or squeeze the roasted cloves out of their skins.

I’m Stuck in a Yo-Yo Nightmare! What Can I Do?

I’m sick of struggling to lose weight – and then gaining it right back and starting all over again. How do I lose weight permanently?

First of all, learn to find JOY in the process of becoming and staying healthy. While nothing in this life is truly perfect or permanent, there is a way to manage and maintain your weight. That’s what you want to aim for, a stable and healthy weight.

How? BALANCE! Aim to eat only as many calories as you use up in living. Learn to eat just the right amount of food (moderation is the key), from all six food groups every day. Learn and practice being physically active every day. In other words: eat for nourishment, mainly, and get your pleasure from life in all of its vast variety.

This is all accomplished slowly, over time, with HELP! Help from others who have done it, who care about you and will cheer you on, and most importantly, divine help from God (or whatever you call your Higher Power).

Fad Weight Loss Diet

Overview:

Weight problemsBeing overweight is really a bodily conditioncondition that describes extreme physique body fatbody body fat. Odds are you currently have skilled the frustrations of going on a diet at minimum the moment inside your existencelifestyle, for those who have issues together with your excess weight. Near to some hundred million People in americaUs citizens use a excess weight reduction diet plan in almost any offered yr and as much as 90-5 % of these restorereturn the excess weight they shed inside 5 many years. Even worse, a 3rd will acquire back again much more excess weight compared to what they misplaced, in hazard of “years old-yoing” from 1 well-loved diet plan to an additional. The standard method to excess weight issues, focusing on trend excess weight reduction diet programs or excess weight reduction medications, might depart you with only as a lot excess weight and also the extra load of sick wellness.

Nowadays, an believedestimated 60-5 % of American grown upsadults are overweight or obese. Our tradition obsesses about remainingremaining skinny even while we develop heavier, however this is not about looks. Weight problemsBeing overweight is recognized to become a precursor to numerous debilitating wellness conditions this type of as most cancer, coronary heart illness, diabetes, hypertension, osteo arthritis, and gall bladder illness. Weight problemsBeing overweight adds to as numerous as 375,000 deaths every single yr. Additionally, the community wellness expenses for weight problemsbeing overweight are staggering. In compliance to scientistsresearchers at Harvard CollegeCollege, weight problemsbeing overweight is really a element in 19% of instances of coronary heart illness with yearly wellness expenses believedestimated at thirty billion dollars it is also a element in fifty seven% of diabetes instances, with wellness expenses of $nine billion for each yr.

Established Practical Objectives:

No question you’ve fallen for 1 or much more from the excess weight reduction diet plan schemes more than the many years, promising fast and discomfort-free excess weight reduction. Numerous of those fast excess weight reduction diet plan programs undermine your wellness, trigger bodily discomfort, wind, and ultimately direct to disappointment whenever you begin restoring excess weight, soon following shedding it. Trend or fast excess weight reduction diet plan programs usually overstress 1 kind of foods. They contravene the fundamental theory of great dietdiet – to stay wholesome 1 should eat a well balanced diet plan, which consists of a selection of mealsfoods. Secure, wholesome, and long-term excess weight reduction is what is really misplaced among the 1000’s1000’s of well-loved diet plan schemes.

A few of the excess weight reduction diet plan schemes reign supreme briefly, simply to diminish. Although some wane from recognitionrecognition due to to becoming useless or unsafe, some basically shed the public’s curiosity. Good examplesGood good examples of this type of trend diet programs consist of the South Seaside Diet plan, Atkins diet plan, the Grapefruit diet plan, Lentil Soup diet plan, the Rotation diet plan, Beverly Hillsides diet plan, Breatharian, Ornish Strategy the record goes so on. These trend diet programs advocate a particular method (this type of as getting rid ofeliminating a particular foods, or consuming only particular blends of mealsfoods) with the fundamentalfundamental concept the physique tends to make in the distinction in energy by wearing down and using some component of by itself, basicallyessentially transformingaltering really make a difference into energy. This self-cannibalism, or catabolism because it is known, usually beginsstarts with introduction to savedsaved physique body fatbody body fat.

stress



If stress disrupts body balance and function, then is all stress bad? Not necessarily. A mild degree of stress and tension can sometimes be beneficial. For example, feeling mildly stressed when carrying out a project or assignment often compels us to do a good job, focus better, and work energetically.

Likewise, exercising can produce a temporary stress on some body functions, but its health benefits are indisputable. It is only when stress is overwhelming, or poorly managed, that its negative effects appear.

An important goal for those under stress is the management of life stresses. Elimination of stress is unrealistic, since stress is a part of normal life. It’s impossible to completely eliminate stress, and it would not be advisable to do so. Instead, we can learn to manage stress so that we have control over our stress and its effects on our physical and mental health.

Who is most susceptible to stress?

Stress comes in all forms and affects people of all ages and all walks of life. No external standards can be applied to predict stress levels in individuals — one need not have a traditionally stressful job to experience workplace stress, just as a parent of one child may experience more stress related to parenting than a parent of several children. The degree of stress in our lives is highly dependent upon individual factors such as our physical health, the quality of our interpersonal relationships, the number of commitments and responsibilities we carry, the degree of others’ dependence upon and expectations of us, the amount of support we receive from others, and the number of changes or traumatic events that have recently occurred in our lives.

Some generalizations, however, can be made. People with strong social support networks (consisting of family, friends, religious organizations, or other social groups) report less stress and overall improved mental health in comparison to those without these social contacts. People who are poorly nourished, who get inadequate sleep, or who are physically unwell also have reduced capabilities to handle the pressures and stresses of everyday life and may report higher stress levels. Some stressors are particularly associated with certain age groups or life stages. Children, teens, working parents, and seniors are examples of the groups who often face common stressors related to life transitions.

People who are providing care for elderly or infirm loved ones may also experience a great deal of stress as caregivers. Having a loved one or family member who is under a great deal of stress often increases our own stress levels as well.

The Power of Silicon Valley

A few weeks ago one man, named @jack, decided that millions of people will be allowed to use up to 280 characters when expressing themselves on Jack’s public square platform. One man decides how many letters each and every one of us, including the “leader of the free world”, can use when we talk to each other. Just like that. Nobody seemed the least bit perturbed by this notion. Another dude, named Mark, decided to ask people for nude pictures of themselves, so he can better protect them from the bad guys. We shrugged that off too. Then, in a most embarrassing exercise in public humiliation, our democratically elected representatives begged three slick lawyers representing these platforms to effectively regulate what people can say or see on “their” platforms.

So here we are, in the land of the free and the home of the brave, where Jack and Mark decide what you can or cannot say, and what you can or cannot hear or see. This, my friend, is the power of “platforms”. In the old days, it used to be that he who pays the piper calls the tune. In the artificially intelligent technology age there are no pipers. He who owns the pipe makes it play whatever the hell he wants it to play. And as Sean Parker, a Facebook founder, elegantly put it, “God only knows what it’s doing to our children’s brains”. Perhaps God knows, but he is certainly not the only one who knows, because these platforms are built with the explicit intent to get people addicted to and dependent on the platform.

Funded with cash from sexist pigs and harassers, a startup, whose business model is to help other startups “hook” people on trashy little apps, is calling itself Dopamine Labs. “Dopamine makes your app addictive” is their promise. According to the website, they use AI and neuroscience to deliver jolts of dopamine that “don’t just feel good: they rewire the brain’s habit centers” of users to “boost usage, loyalty, and revenue”. “Your users will crave it. And they’ll crave you”. At its rotten core, Silicon Valley is a drug cartel, a very clever and savvy cartel who managed to convince the world that its brand of drug addiction is actually good for you and either way, it’s inevitable.

But just getting billions of people on techno-drugs is obviously not the end game here. After extracting trillions of dollars from addicts who would rather go without food and medicine, than go without an iPhone X that costs more than a full blown top of the line computer, the Capos of Silicon Valley Inc. are now realizing that there is plenty more left to extract from the armies of zombies they are creating. “Because I’m a billionaire, I’m going to have access to better health care so … I’m going to be like 160 and I’m going to be part of this, like, class of immortal overlords. [Laughter] Because, you know the [Warren Buffett] expression about compound interest. … [G]ive us billionaires an extra hundred years and you’ll know what … wealth disparity looks like.”

Ah, yes, health care, the final frontier. When Keytruda (the Jimmy Carter drug) became available, it was considered too expensive at around $150,000, but times are changing. The FDA recently approved the immunotherapy drug Kymriah from Novartis with a price tag of $475,000, although Novartis says it could have charged more, presumably because this drug is a life saver of last resort for small children with cancer.  Next, another CAR-T cell therapy cancer drug, Yescarta was approved by the FDA for adult cancer and Gilead Sciences priced it at only $373,000 a pop (that’s how value-based health care works). At this rate of innovation, it should not be too difficult to project a precise date for the emergence of that immortal class of overlords.

Developing personalized drugs, like immunotherapy, requires mountains of data from millions of people, and this is where the app-addicted public has a crucial role to play. Before the overlords can become immortal, we all need to “donate” our medical data, submit to experimentation, get sick and die, and yes, here and there a few lucky bastards will benefit from therapies their children will never be able to afford. Not surprisingly, Mr. Parker, the aspiring overlord, is now invested in an immunotherapy platform to coordinate research, or something like that. But Mr. Parker is a diversified investor. He has a couple more platforms. One is there to save the world from the AIDS epidemic by providing support to the Clinton Foundation.

The other platform is designed to help us vote. Yes, vote. The guy who promises to show us what wealth disparity really looks like is building platforms, complete with little dopamine jolts and colored pictures of bananas, to teach us all about “civic engagement”, because according to Mr. Parker’s venture buddy “the tools we build in Silicon Valley represent the best hope for fixing our democracy”.  Everything was just fine with “our democracy” until all investments in the Clinton Foundation came crashing down like a house of cards in one fateful night in November 2016, when the overlords were positively robbed by a dopamine-deficient populist mob. In a wholesome democracy, when you pay for a President, you’re supposed to get a President.

Of course “our democracy” has been “broken” in one way or another for upwards of two hundred and forty years, but I think we can all agree that “our democracy” today is less broken than “our democracy” in 1789. There is great utility though, in declaring something to be broken, especially something big and nebulous like “our democracy”, because such declarations are almost always followed by assertions that the diagnosticians of brokenness are uniquely positioned to become the fixers of all broken things. Our health care is broken. Our education is broken. Our justice system is broken. Our economy is broken. Our tax system is broken. Our infrastructure is broken. Our entire goddamn country is broken. Oh, what the hell, the entire freaking world is broken. And Silicon Valley is our only hope.

Silicon Valley has essentially only one product, a very versatile product indeed, but a single product nevertheless. Silicon Valley doesn’t actually make this product. They harvest it by casting gigantic computerized platforms and collecting everything caught in their digital nets, very much like Bubba’s shrimp: “… shrimp is the fruit of the sea.  You can barbecue it, boil it, broil it, bake it, sauté it. Dey’s uh, shrimp-kabobs, shrimp creole, shrimp gumbo. Pan fried, deep fried, stir-fried. There’s pineapple shrimp, lemon shrimp, coconut shrimp, pepper shrimp, shrimp soup, shrimp stew, shrimp salad, shrimp and potatoes, shrimp burger, shrimp sandwich. That- that’s about it.”

Information is the fruit of humanity. You can boil it and broil it to intimidate doctors and manipulate people, to extract immortality (and cash) for you and yours, thus fixing health care. You can sauté it and puree it to terrorize teachers and crush the minds of small children, to generate armies of drones (and cash), thus fixing education. You can sift it, scramble it, steam it, and serve it to nullify judges and juries, to protect property rights (and cash), thus fixing justice for all. You can slice it, dice it, can it and ban it as needed to keep all that cash flowing, thus fixing “our democracy”.

Remember Jack and Mark? Unlike Mark, Jack is allowing users to remain anonymous on his platform. On Jack’s platform, if you see a blue checkmark next to the name of someone, you can reasonably conclude that you are talking, or rather listening, to a “real” person, instead of, say, a Russian bot.  Over time, it became clear that according to Jack, real people are those who are rich, powerful, or have enough “followers” to influence public opinion. Everybody else on Jack’s platform is shrimp. But Jack is an honorable man.

Jack is fixing “our democracy” by revoking the coveted blue checkmarks from some white supremacists. Presumably Messrs. Spencer and Kessler are no longer real.  On the other hand, the multitude of rich and powerful rapists, pedophiles and garden variety perverts, are still very real according to Jack’s superior morality framework.  Mark is fighting the good fight on behalf of “our democracy” in a different way. His platform is pursuing the enemy from without, by tracking enemy advertising paid for with rubbles, not yuans or ryials or euros or dinars or wons or yens, only rubbles, because the legendary KGB masterminds always pay in rubbles (with a return address of Моско́вский Кремль 103073) for all their international spying needs.

Now that “our democracy” is all nice and fixed, the Cartel can apply lessons learned to “democratize” medicine and fix “our health care” too. Health care is rife with old people, old fashioned ideas, and it is scattered all over the place. Nothing a big platform, dripping with dopamine jolts, can’t fix though. Uber for health care. Facebook for health care. Health care is like the iPhone. Information “blockers” will be prosecuted (this one is for real).  Structured data. Metadata. e-Visits. Remote monitoring. Predictive analytics. Population management. This stuff is just begging for a medical platform with hundreds of millions of patients “sharing” their health, their illness and their medical experience with each other, with doctors, researchers and of course the platform overlord and his customers.

You will share your symptoms, your concerns, your treatments, your outcomes. You will “like” CT scans, “star” lab results, and rate doctors, heath insurers, drugs or devices. Perhaps they’ll have a “dislike” button too. You will post videos of your colonoscopy and maybe live stream your telehealth session. You will ask for advice from patients like you and “clap” for the ones you like best. Your cancer remission could go viral. The platform will ensure you see things you care about and shield you from unsettling content. Before you know it, you will feel compelled to check your “health” every 5 minutes, and certainly when your iPhone vibrates with new images from Bertha’s mammogram, or when your Apple “watch” beeps with updates from your fantasy clinical trials league or with an urgent reminder to record your pre-hypertension medication intake so you can receive the coveted 20% discount on Christmas fruit cakes at CVS just in time.

Platformized health care will be cheap, convenient and readily available. And just like communications, shopping, porn, and news, it will be fake, manipulative, addictive and designed to “protect consumers” instead of benefiting citizens, or patients in this case.  Jack doesn’t converse with his buddies on Twitter. Mark doesn’t get his news from Facebook. Jeff doesn’t shop for deals on Amazon. And none of them will be getting medical care from a phone or a watch. You will. Your children will too.

Facebook just introduced a “safe” messenger for children under 13. Parents are supposed to set this up for their babies. Many will do just that. And experts will be exalting the thoughtfulness of the Cartel for creating a less toxic version, suitable for hooking children on the product. Why would a six year old need to message his “friends” online, instead of chasing them in the backyard? Why would a three year old need to watch sickly YouTube videos prepared exclusively for toddlers, instead of playing with alphabet blocks on the carpet? Why would the most powerful 71 year old man in the world self-destruct on Twitter instead of running said world? Why can’t you read an entire book anymore? Such is the power of the Silicon Valley Cartel.

Health Care and Pregnancy Massage

Your Best Health Care: Health Care and Pregnancy Massage

Health Care and Pregnancy Massage

A growing trend in pre-natal
care is pregnancy massage.
Massage
therapy during pregnancy is a wonderful complementary choice for prenatal care,
according to Massage Envy. It is a healthy way to reduce stress and
promote overall wellness. Massage relieves many of the normal discomforts
experienced during pregnancy, such as backaches, stiff neck, leg
cramps, headaches and edema (or swelling).
In
addition, massage for pregnant women reduces stress on weight-bearing joints, encourages blood
and lymph circulation, helps to relax nervous tension — which aids in better
sleep — and can help relieve depression or anxiety caused by hormonal changes.
More information is available at this site:
https://www.massageenvy.com/massage/massage-types/prenatal-massage/ .
If you’re
visiting or living in the UK, here’s a website that can direct you to a local
massage therapist for this type of care:  http://www.bodyworkmassage.co.uk/
.
According
to Massage Envy,
massage therapy during pregnancy is a wonderful
complementary choice for prenatal care. It is a healthy way to reduce
stress and promote overall wellness. Massage relieves many of the normal
discomforts experienced during pregnancy, such as backaches, stiff
neck, leg cramps, headaches and edema (or swelling). In addition, it can
help relieve depression or anxiety caused by hormonal changes.
While a massage can’t promise that your newborn will
sleep through the night, it can provide you with a better night’s sleep both
during pregnancy and afterwards. Regular massage therapy not only helps
diminish anxiety and discomfort but boosts relaxation as well. This ultimately
can lead to improved sleep patterns. In addition, the serotonin, endorphins and
dopamine released by your body in response to massage provide an extra helping
of those natural chemicals. More details on this subject are located at this
site: https://www.massageenvy.com/massage/massage-types/prenatal-massage/
.
According to the American Pregnancy Association,  massage
therapy addresses the inflamed nerves by helping to release the tension on
nearby muscles. Many women have experienced a significant reduction in sciatic
nerve pain during pregnancy through massage. Although most massage training
institutions teach massage therapy for women who are pregnant, it is best
to find a massage therapist who is certified in prenatal massage. The APA
works with some massage therapists who are trained to work with pregnant
women, but it is still important to ask about qualifications.
As with
any therapeutic approach to pregnancy wellness, women should
discuss massage with their prenatal care provider. The best way to address
the risks of prenatal massage is to be informed and to work together with
knowledgeable professionals, as noted by the APA.

Many professionals
consider the best position for a pregnant woman during massage is
side-lying.
Tables
that provide a hole in which the uterus can fit may not be reliable and
can still apply pressure to the abdomen, or allow the abdomen to dangle,
causing uncomfortable stretching of the uterine ligaments. Consult your
massage therapist before your first appointment to verify what position
they place their clients in during the massage. Additional info on
pregnancy massage is available at this website: http://americanpregnancy.org/pregnancy-health/prenatal-massage/
.
During
pregnancy, there are several physiological and endocrinological changes that
occur in preparation for creating the environment for the developing baby,
according to chiropractors who specialize in this type of therapy. The following
changes could result in a misaligned spine or joint:
·        
Protruding
abdomen and increased back curve
·        
Increased
weight
·        
Pelvic
changes
·        
Postural
adaptations, including ligament relaxation due to the increased production of relaxin
(a hormone produced during pregnancy which causes the pregnant woman’s body to
increase its elasticity preparatory for birth)
Establishing
pelvic balance and alignment is another reason to obtain chiropractic care
during pregnancy. When the pelvis is misaligned it may reduce the amount of
room available for the developing baby. This restriction is called intrauterine
constraint. A misaligned pelvis may also make it difficult for the baby to get
into the best possible position for delivery. The nervous system is the master
communication system to all the body systems including the reproductive system.
Keeping the spine aligned helps the entire body work more effectively. More information
is located at this site: http://www.northtexasspinalhealth.com/pregnancy—prenatal-care.html
.
A
trained prenatal massage therapist knows where a pregnant woman’s sore spots
are likely to be and may be able to provide some relief. (She’ll also know
which areas and techniques to avoid.) Still, it’s important to communicate with
her and tell her where you need attention. Let her know right away if anything
during the massage – including your positioning – is causing you any
discomfort.  More material on pregnancy
massage can be found at this site: https://www.babycenter.com/0_prenatal-massage-help-for-your-pregnancy-aches-and-pains_11931.bc
.
According to this site by What to Expect, http://www.whattoexpect.com/prenatal-massage.aspx
,  massage is a generally benign
treatment. Still, some massage therapists are leery about giving therapeutic
massages during the critical first trimester. In addition, there are pregnancy
complications that can make massage somewhat risky. Check with your
practitioner before receiving a prenatal massage if you have diabetes, have
morning sickness or are vomiting regularly, have been diagnosed with
preeclampsia or high blood pressure, have a fever or a contagious virus, or
have abdominal pain or bleeding.
If you are in the second half of your pregnancy, don’t
lie on your back during your massage; the weight of your baby and uterus can
reduce circulation to your placenta and create more problems than any massage
can cure. The good news is that prenatal massage has become so popular that
many therapists and spas provide specialized services just for moms-to-be (always tell your therapist
you’re pregnant). Plus, there are prenatal massage tables and pillows that can
make the experience safer and more comfortable.

Although there aren’t any unusual physical demands for working with pregnant
women, working with women during the labor process can be very physically
demanding, according to the American Massage Therapy Association. This website
is primarily geared toward information for the practitioner who may be considering
or is already offering pre-natal massage therapy to pregnant women: https://www.amtamassage.org/articles/3/MTJ/detail/2419
.
If you are
pregnant and thinking about getting massage to help with some of the physical
and emotional demands you have during your pregnancy, this therapy may be for
you. Always consult your doctor or medical professional before proceeding with
massage therapy, and always let your therapist know about your situation in
every aspect of your health. In cases where the risk may be greater, it is always
best to err on the side of caution. Seek medical attention immediately if any
problems occur. Safety for you and your baby is always the best course of
action.

Do Your Employees Like Your Patients or Customers?

I may seem like I am asking a
silly question, but truth be told, beyond the customer or patient
satisfaction numbers, chances are, your employees may not like your customers
or patients all that much.  I am not
saying that your employees are treating customers and patients with open
disdain or contempt. They may be exhibiting behaviors and using language in
internal meetings that demonstrate a lack of respect in a “we know better than you attitude.”  
The lack of employee concern and caring, communicated verbally and non-verbally
in the workplace, with average to mediocre employee satisfaction surveys, may
be a pretty good indication that leadership behavior is sending a powerful unspoken
message.
When little differentiation exists (a service, is a service, is a service)
to tell vendors, hospitals, doctors, and other providers apart, employees are liking their customers, can set
you apart from your competition. And with little opportunity existing now, and
in the future, to differentiate yourself in your competitive healthcare
vertical, success and growth beyond a simplistic single strategy of the acquisition will only come when attitudes
towards prospects and customers change.
Besides, employees in the office and the field are your front-line
brand ambassadors. The visual and emotional representation of your brand.  And if they behind closed doors speak with contempt
and disdain, then what does that say about your brand, your leadership, and strategy?
Leadership and employees are the best brand ambassadors that exist.
They can do more to create customer evangelists than you may even imagine. But,
if internal attitudes and actions are arrogant, condescending and pejorative, then
growth just got a lot harder. And marketing with all the creativity and tactics
in the world, can’t fix that.

Can’t have one without the other. 

Michael is a healthcare
business, marketing, communications strategist and thought-leader.  As an
internationally followed healthcare strategy blogger, his blog, Healthcare
Marketing Matters is read in  52 countries and listed on the 
100
Top Healthcare Marketing Blogs, and Websites
 ranked at No. 3 on the list by Feedspot.com. Michael is a
Life Fellow, American College of Healthcare Executives, and a Professional
Certified Marketer, American Marketing Association. An expert in healthcare marketing strategy, digital
marketing & social media, Michael is in the top 10 percent of social media
experts nationwide and is considered an established influencer. For inquiries
regarding strategic consulting engagements, call Michael
at 815-351-0671. Opinions expressed are my own.