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Until recently, people used a technique called symmetric key cryptography to secure information being transmitted across public networks in order to make care shopping more secure. This method involves encrypting and decrypting a care message using the same key, which must be known to both parties in order to keep it private. The key is passed from one party to the other in a separate transmission, making it vulnerable to being stolen as it is passed along. With public-key cryptography, separate keys are used to encrypt and decrypt a message, so that nothing but the encrypted message needs to be passed along. Each party in a care transaction has a *key pair* which consists of two keys with a particular relationship that allows one to encrypt a message that the other can decrypt. One of these keys is made publicly available and the other is a private key. A care order encrypted with a person's public key can't be decrypted with that same key, but can be decrypted with the private key that corresponds to it. If you sign a transaction with your bank using your private key, the bank can read it with your corresponding public key and know that only you could have sent it. This is the equivalent of a digital signature. While this takes the risk out of care transactions if can be quite fiddly. Our recommended provider listed below makes it all much simpler. care
care Chatrooms are simply places on the Internet that people who have an interest in care get together and share what they know. These are simply small VIRTUAL COMMUNITIES and provide a place for group discussion on care. The care chatroom in most cases will not be private and you don't need to pay anything to join or participate. Many people that visit chatrooms never say a word but just listen, This is known as LURKING and is not bad. They simply listen to what others are taking about to learn more about care. ths You Should Know Before Choosing Elder Care by: Phyllis Staff, Ph.D.
Myths associated with selecting quality nursing home care suggest quick and easy ways to identify quality care. In fact, relying on these myths can lead to disastrous results. I have identified a few of the most common myths in hopes of helping you avoid some of the problems commonly found in many nursing homes. 1. The Smell Test You've heard it repeatedly: "The best way to determine the quality of care a nursing home provides is to be alert to bad odors when you visit the home." It seldom, if ever, works. Why? Nursing home administrators have heard the very same advice. As a result, they are particularly sensitive to unpleasant odors in any area that might receive visitors. Almost all will do their best to remove offensive odors as quickly as possible, even when it means avoiding their primary responsibility to their residents. 2. The Personal Recommendation Recently, I heard a guest on a radio talk show state that the very best way to find great nursing home care is to get recommendations from a friend. Like other myths, there is a grain of truth here, but you must check whether your friend has had extensive interactions with the nursing home recommended. Often that is not the case. Last weekend I dealt with an emergency call from Jim, a friend who had placed his mother in a nursing home recommended by a friend. Although she was recuperating from a stroke, no nurse or aide checked on her condition for more than 14 hours. Jim discovered her in the morning with many cuts and bruises, her bedsheets soaked in blood. He was astonished that anyone would recommend such a poor care facility. "My friend said her grandmother was in this particular nursing home," he reported. "So, I thought it would be good care." "How often does your friend visit her grandmother?" I asked him. "I didn't think to ask," he responded. "And did you check the latest survey for that nursing home?" "No," he answered. "I thought a personal recommendation was all I needed." Jim's mother is now back in an area hospital. No one knows yet how much damage this experience caused to her recovery. 3. You Get What You Pay For Nowhere is this statement less applicable than in nursing home care. In fact, I'd replace it with another shibboleth -- "Buyer Beware." Our own research, encompassing more than 6000 nursing homes and more than 100 assisted living facilities shows no relationship between cost and quality of care. You may find quality care in an expensive facility, or you may not! Similarly, the fact that a facility is low-cost does not indicate whether you'll get poor, average, or quality care. You have to do your homework. Relying on price as the sole indicator of quality care can lead to disastrous results. 4. Adequate Staffing Equals Quality Care A recent report by the Senate's Special Committee on Aging indicated that quality care for a single nursing home resident requires more than three hours each day of nursing and nursing aide time. However, statistical analysis of the latest federal database on nursing home deficiencies indicates no relationship between quality of care and staffing levels. This finding is consistent with a number of university studies. What should you look for, then, in nursing home staffing levels? There is a level below which nursing homes are so understaffed that quality care can not be provided. I'd suggest that you not consider any home providing a level less than two hours per day per resident. For levels greater than this, I'd focus not on the number of hours available for care but on the motivation of staff available to provide care. Those who are motivated to care for the elderly will do so. Those who are motivated only by a paycheck will probably provide shoddy care regardless of their numbers. 5. A Well-Known Chain Will Provide the Best Care This is another myth that can lead to tragedy. Sometimes, well- known companies do provide top-quality care. In other instances, however, a quick review of newspapers and magazines will show you other companies with long records of legal troubles stemming from accusations of neglect and abuse. One such company has been sued simultaneously by several states' attorneys general. How will you know? The company is not likely to tell you, so you won't know unless you take the time to look into the company's historical performance. There you have it -- 5 myths exploded! What does work? There is no substitute for your own personal investigation. With a little research, with personal visits to nursing homes before you sign anything, you can avoid many of the difficulties that have come to those who relied on such myths.
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