Family Matters

Tips on How to Have a Cute Baby Pics

Taking your baby’s photos can be hard and miss. Here are some tips to help you get the perfect shot.


    This allows the baby to be the center of attraction.


    Crying and yawning is often cute and memorable.


    In order to have a good shot, play with them. Give them toys applicable to their age and you will see the different expressions on their faces.  Sometimes getting down to their level is best needed.


    Make sure that the camera is ready because you’ll never know when is the ideal  time to take a photo. If you keep on taking pictures you’ll eventually get a good one.


    Experiment on changing the backgrounds of the your best photos like black or white- just like grandma’s time.  You can change it through your computers at home.

    Healthy mind

    Trouble with Teens

    Despite all the warnings, it can still be a big shock when little angels turn into moody adolescents

    One minute you’re getting on, the next it’s war. But it’s vital to remember that parents are supposed to set rules and teenagers are meant to rebel against them. So what can you do to ensure you both survive these difficult years?


    When you’re told you know nothing, look ridiculous and are the worst parent in the world, it’s hard not to take it personally. Try to remind yourself your kids are just seeing you through adolescent eyes.


    Teenagers often think everything they do is wrong. Praise and thank them when merited.


    The older and bigger they get, the harder it is to stop them walking out the door. It’s more effective to0 stop doing everything for them. If they won’t help at home after you’ve asked them to, don’t do their washing. Stop driving them and doling out money.


    Be willing to compromise on trivial matters. Focus on safety. Letting a 14-year-old go to a party where there’s alcohol is not safe. Nor is letting them hang out in a park at night.


    Adolescents love to divide and conquer their parents. If they ask if they can go somewhere or have people over, say you’ll talk to the other parent and get back to them. It gives you time to work out a joint response.


    During meals, discuss any domestic issues, reinforce values and set house rules. Consider suggestions and complaints objectively.


    If a discussion gets too heated, end it. Try not to react too strongly to bad language and name-calling. Say you’ll need to talk about the issue when you’re both feeling calmer.


    Don’t tackle teenagers as soon as they come home or leave. Address serious concerns on long drives or after watching a film together.


    If you yell, swear or slam doors, it’ll be hard to insist your child doesn’t.


    Our job is to set our kids up for life, teach them life skills and encourage them to form opinions and make decisions.


    New Idea Magazine

    Healthy Mind with The Morning Show Clinical Psychologist

    Jo Ramble


    Site news

    Nurse saves a baby left in car for 7 hours

    A nurse who happened to be in a parking lot at the Coastal Crossings apartments Monday is credited with helping to save the life of a 3-month-old girl left there unattended in a car for seven hours.

    The baby, who was left in the Chevrolet Impala of a baby sitter who lives at the apartments, was not breathing when she was found at 2:40 p.m., Van Buren County Sheriff’s Sgt. Wayne Polomcak said.

    The nearby nurse performed cardiopulmonary resuscitation on the girl and revived her before emergency medical personnel arrived at the scene in South Haven Township, Polomcak said.

    The baby may have died if she had been left in the parking lot much longer, police and fire officials said Tuesday. The girl was suffering from heat exhaustion, dehydration and lethargy when she was found, and was taken to Bronson Methodist Hospital in Kalamazoo.

    South Haven Area Emergency Services Director Ron Wise stressed how dangerous it is to leave a child, especially a baby, in an unattended car.

    “It was into the 70s Monday, and if the car hadn’t been under a (carport) roof that baby would have been baked,” Wise said. “You can’t leave any kids unattended, especially a baby. There’s no ventilation, and it heats up very quickly.”

    The girl was listed in good condition Tuesday afternoon at Bronson and was expected to be released today, he said.

    “She’s doing great. She’s alert and smiling,” Polomcak said.

    Police Tuesday were not releasing the names of those involved because it is an active criminal investigation, Polomcak said.

    The nurse heard the baby sitter screaming when she discovered she had left the baby in the car, and rushed over and performed CPR, Polomcak said.

    Police will forward a copy of the incident report to the Van Buren County prosecutor’s office for possible charges against the baby sitter, Polomcak said.

    The baby sitter had driven the baby’s mother to Covert High School, where she attends school, and agreed to take care of the baby because the regular baby sitter was not available, Polomcak said.

    The baby sitter had just finished working a night shift when she agreed to the last-minute arrangement, he said.

    Polomcak said he wasn’t sure whether the nurse who came to the rescue lived at Coastal Crossings or was just visiting.

    Source on net:
    Medical Surgical


    Constipation refers to an abnormal infrequency or irregularity of defecation, abnormal hardening of stools that makes their passage difficult and sometimes painful, decrease in stool volume, or prolonged retention of stool in the rectum. This types is referred to as colonic constipation. It can be caused by certain medications; rectal or anal disorders; obstruction; metabolic, neurologic, and neuromuscular conditions; endocrine disorders; lead poisoning; connective tissue disorders; and variety of disease conditions. Constipation develops when people do not take the time to defecate as the result of dietary habits (low consumption of fiber and inadequate fluid intake), lack of regular exercise, and a tress-filled life.  Perceived  constipation is a subjective problem that occurs when an individual’s bowel elimination pattern is not consistent with what he or she perceives as normal.  Chronic laxative use contributes to this problem, particularly in elderly people.

    Clinical Manifestations

    • Abdominal distention, borborygmus (intestinal rumbling), pain and pressure
    • Decreased appetite, headache, fatigue, indigestion, sensation of incomplete emptying.
    • Straining at stool; elimination of small volume of hard, dry stool; fewer than three bowel movements per week
    • Complications such as hypertension, hemorrhoids and fissures, fecal impaction, and megacolon

    Assessment and Diagnostic Methods

    • History
    • Physical examinaiton
    • Possibly a barium enema
    • Sigmoidoscopy
    • Stool foroccult blood
    • Anorectal manometry (pressure studies)
    • Defecography
    • Bowel transit studies

    Medical Management

    Treatment should be aimed at the underlying  cause of constipation

    • Discontinue laxative abuse; increase fluid intake; include fiber in diet; try biofeedback; exercise routine to strengthen abdominal muscles.
    • If laxative is necessary; use bulk-forming agents, saline and osmotic agents, lubricants stimulants, of fecal softeners
    • Specific medication therapy to increase intrinsic motor function (eg. cholinergies or cholinesterase inhibitors)


    Handbook for Brunner & Suddarth’s

    Textbook of Medical-Surgical Nursing 11th edition

    Joyce Young Johnson

    Lippincott Williams & Wilkins pp.279-280

    Site news

    San Jose: Nursing home fined $80,000 in patient’s death

    A San Jose nursing home was hit with an $80,000 fine and “AA” citation, the most severe penalty under state law, after a state investigation determined a nurse’s failure to perform the Heimlich maneuver on a patient resulted in his death.

    Homewood Care Center, at 75 N. 13th St.,”failed to provide the necessary services to prevent harm when staff failed to promptly respond to a life-threatening situation involving” a resident, according to a report issued by the state Department of Health and Human Services. The state announced the fine and citation Friday.

    A spokesman for the state health department would not reveal the man’s name or age. Officials from Homewood Care Center could not immediately be reached for comment.

    According to the report, the man’s medical record indicated that he was admitted to the facility with diagnoses including Alzheimer’s and dysphagia (difficulty swallowing).

    On Aug. 24, 2009 at 5:20 p.m., a certified nurses’ assistant was feeding the man his dinner of puréed food when he suddenly began coughing, according to the report. The man began gasping for air and became distressed. Although staff members thought the man was choking on food, no immediate attempt was made to perform abdominal thrusts to clear his airway.

    The facility failed to promptly call 911, according to investigators. Though staff told investigators they called emergency dispatchers at 5:30 p.m., records indicate the call was received at 5:49 p.m., a delay of about 19 minutes, according to the report.

    A police report indicated the man was already dead when paramedics arrived. He was pronounced dead at 6:09 p.m.

    The man was assessed as a high risk for aspiration (the entry of secretions into the trachea and lungs) due to difficulty of swallowing. The report also indicated the man had a no CPR order, meaning he did not want any cardiopulmonary resuscitation, according to the report.

    However, state investigators wrote that a no CPR order did not preclude the performance of abdominal thrusts as done during a Heimlich maneuver.

    The registered nurse who failed to implement emergency procedures was fired, according to a report filed by state health investigators. The director of nursing at the time of the incident was relieved of his duties, according to the report.

    Whenever the state health department issues a citation or finds a deficiency, the care center must submit a plan of correction. Once the plan is accepted and the health department completes a surprise inspection, the agency issues a fine or citation.

    Homewood’s plan of correction was accepted March 11, 2010, according to the report.

    Until January, Homewood Care Center was owned by Jack Easterday, who in 2007 was convicted of 107 felony counts of willful failure to pay employment taxes owed to the government. Easterday withheld more than $9.6 million in payroll taxes from employees’ checks from 1998 to 2005.

    He was sentenced to 21/2 years in federal prison and $8.71 million in restitution. Easterday, 55, is currently in a medium-security prison near Susanville and is scheduled to be released in March 2012, according to the Federal Bureau of Prisons website.

    Easterday was the sole shareholder of Westline Medical Management, which owns Homewood and seven other nursing homes in the state, according to Ralph Montano, a state health department spokesman. He said recently the US Supreme Court refused to hear Easterday’s appeal. He resigned as a corporate officer on Jan. 14 and transferred his shares to an administrator.

    In April 2007, state health officials fined Easterday’s Cupertino home, Pleasant View Convalescent Hospital, $100,000, the highest fine possible, for poor care that led to the February 2007 death of an elderly woman. A month earlier, officials had levied a similar fine against Easterday’s Homewood Care Center in San Jose for its role in the death of a 67-year-old man.

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    Site news

    Nursing careers essential for Georgia

    Competent, compassionate nurses can make all the difference in our health care. They work in hospitals, clinics, homes and hospices, and without them we’d be lost.

    That’s why I’m glad that The Atlanta Journal-Constitution and recognizes National Nurses Week (May 6-12) with a “Celebrating Nurses” section in Sunday’s paper and special write-up of Nursing Excellence Awards winners.

    After all, if you were introduced to Kristen Earley, Milton High School valedictorian of 2006, who has studied at Berry College and Emory University to become a nurse, you’d want to tell her she’s made a good career decision.

    And if you needed the nursing crew at Emory University Hospital, where my oldest daughter is an emergency department R.N., or the nurses at Grady Memorial Hospital or any other Georgia hospital, you’d thank them all for learning the nursing skills needed to keep you alive.

    And if you talked to science-minded middle and high school students hoping to help humanity, you’d want to mention the benefits of a nursing vocation for both males and females.

    We need all these people — current nurses and lots of new nurses — because our state faces a severe nursing shortage. A study from the University System of Georgia’s Nursing Education Expansion Plan (NEEP) states that while “an adequate supply of registered nurses is essential to achieving quality, accessible health care for all people,” we face a shortfall of 16,400 registered nurses this year and 37,700 by 2020.

    The nursing shortage presents challenges. First, we must reach more students such as Kristen, the graduating nurse from Milton, who says she was teased by bright classmates for “stopping at nursing” instead of wanting to become a doctor. The idea that nurses aren’t as smart as doctors is outdated.

    Indeed, nursing today is a profession seeking intelligent, hardworking students of all ages able to grasp sciences such as anatomy and pharmacology; perform clinical work in areas such as acute care, pediatrics, labor and delivery, psychology, and community care; and pass the NCLEX — a comprehensive exam for the licensing of registered nurses.

    But Georgia nursing also needs people and places to teach and train aspiring nurses. The Georgia NEEP study, submitted by the Nursing Education Task Force in September, notes that faculty shortages, constrained budgets and a lack of clinical training sites are “stressing the health care delivery system” around our state.

    It’s also essential that our best hospitals have enough money to hire and train our excellent new graduates, who may go on to advanced degrees and service in other medical areas, including becoming nurse practitioners, physician’s assistants and nursing instructors.

    New graduates like Milton’s Kristen Earley are the face of Georgia’s nursing future. With coordinated efforts among our educational institutions and governmental and private sector support, we can make our state a preeminent place for excellent health care. Recognizing and appreciating the vital work of our wonderful nurses is a great place to start.

    Veronica Buckman lives in Milton. Reach her at

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