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Tips

1. TAKE THE AGENDA OF THE COMPANY.

Leave personal agendas (what I want to do and how I want it to do). It is necessary to appropriate organizational goals and demonstrate he is committed to them. Enhance the effectiveness objectives and business productivity.



2. LEAVE THE PROTEST:

is not having a servile attitude, but if the company does best not to lay off workers, you must have patience with the new measures and adjustments. Fewer complaints and low morale, greater openness to dialogue and reach an agreement. Be a harmonizer, create good working environment.

3. TAKE THE PROPOSAL IS A CONTRIBUTION:

Solve problems instead of creating them, to propose new ways to reduce time, reduce costs and increase profits. Not just a worker, whether a contribution. Be loyal to the company and its directors, if it grows, you grow.

4. Get training:

A person with new studies, is an essential capital for the company. Acquiring new tools and ways of working, makes a person carrying on the business. Where to train? From reading a book, studying the Internet, to study at places paid, amplifying his career and greater employability, learn more empowering, create new skills. Get a grip professionally, so you can assume greater responsibilities and contributions.

5. Organized:

Work independently, organize your work, arrange and clean the place, explore with your boss done and what needs to be done. See how to improve. Those who do not require supervision or controls Nearby are a great help to the company, lower costs and time in supervisors. At this point it is also compliance with your work schedule, the availability to cover areas that are not being well managed, etc.

6. BEST POWER TO KNOW DO

Analyze their competitive advantage, "you can do things very well, you should recognize, these should enhance the. The weak, should be developed.

Pay attention, there are two skills that should go hand in hand: the technical (do their job, improve time and quality) and the Human (being a good coworker, leave comments corridor, focus on what good of others).



7. DOES ANYONE TAKE IT.

labor in times of crisis, there are many complaints and criticism for the changes. You can do what no one wants to do, be an input and generate positive change. Not add to negativity, we must work with courage, even in the midst of the storm.

8. MAKE AT HOME.

Normally one at home cares for the use of water, electricity, gas, paper ... sometimes in the company they are significant leakage of resources. Learn to take care of business resources, recycle leaves why not print drafts on the back of a photocopy? The misuse of resources, outside activities, phone calls, Internet, chat, etc. Do not be grounds for dismissal?


9. DEVELOP HABITS OF CONTINUITY.

Get creative, I think, participate, be on time, exceed the dynamics of the spikes, follow the policies and procedures of the company. Speak well of your company, work for that to be achieved in better shape. Do not hide, wear the shirt and then you soak worry, sweating permanently.

10. IDENTIFY THE VARIABLES OF DISMISSAL:

If the dismissal is imminent, decode the variables that will cause layoffs. Some companies start reducing its labor liabilities: goodbye to the oldest. Other measure performance, are the most committed and productive. Others choose to leave the charges are vital to the functioning of the enterprise: will the low incidence positions ... if you know this, you can prepare in advance.

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training in geriatrics and gerontology: A LONG WAY

A group of academics has developed a article titled "Aging, the subject was forgotten in the English university: The iceberg of a type of negligence?" we read in the number 1, volume 22, issue Gerokomos.

In the introduction, concern that much of the professional activities that develop many of the graduates performed on the elderly and relate to the possibility of exercising these elderly abuse or neglect by inexperience due to lack of knowledge or specific training for graduates during their stay in college.

The study aims to determine whether in English universities offer courses related to aging.

The results show that only on the qualifications of Nursing and Occupational Therapy in all universities, there is a course on aging. On the other degrees, is varied from 39% in medicine, 22% in Psychology, Physiotherapy 13% and 4% in CC of Physical Activity and Sport. Social Work there is no course that meets the criteria set

Some thoughts we can do after reading this work is that after 80 years of the onset of gerontology and geriatric activities in Spain with the creation of the first Service geriatrics in Barcelona, \u200b\u200b64 years after the first Chair of Geriatrics of Spain and Europe led by Professor Beltrán Báguena, 60 years after the founding of the English Society of Geriatrics and Gerontology , and 33 years of recognition of the specialty of geriatrics , have a long way to go training and development of our specialty in society in general and academics in particular.

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70'89 EUROS PER DAY, THE AVERAGE COST OF NURSING HOME PLAZA

Foundation Age and Life, in collaboration with the Autonomous University of Madrid, has produced a report entitled "Analysis of health costs in private residential facilities for people more " whose main objective is to know the cost of health care in these centers. The study, prepared in 2010, involving nine operators of services with representation in all the autonomies of Spain, there are 180 residences, 26,777 seats with average capacity of 154 beds and an occupancy rate of 83%. Read more

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Hiatal Hernia

hiatal hernia is the herniation of the stomach into the chest cavity through the diaphragmatic esophageal hiatus.

Rarely congenital type, the etiology of hiatal hernias has multiple causes, and are cited including the decreased elasticity and tone of the structures that attach the esophagus-stomach to the diaphragm and increased intra-abdominal pressure.

The prevalence varies considerably, depending on the study, you can get up to 60% of older people affected. In a series of 220 institutionalized elderly have been reviewed, in 20% of them among his antecedents hiatal hernia.

retrosternal heartburn, epigastric pain, and / or chest, bloating, fullness and gastrointestinal bleeding, usually by small blood loss are common symptoms . In many cases the disease no symptoms and is an incidental finding in the study of other pathologies. Alcohol, snuff, obesity, difficulty in chewing, large meals, carbonated drinks and those situations that increase intraabdominal pressure trigger or worsen symptoms .

The diagnosis is made by radiological study with barium contrast in the esophagus-stomach. With a progressive increase in its use, the endoscope broad and comprehensive study of this disease. In plain chest radiographs and CT and MRI thoracoabdominal can also be seen hiatal hernias.

The differential diagnosis be done with heart disease (angina, myocardial infarction, pericarditis), respiratory (pneumonia, pleural effusion, pulmonary embolism and pathology of the mediastinum), digestive (esfofágicas other injuries, gastric, hepatobiliary disease) and psychological.

Add to hygienic-dietary measures (elevation of head of bed 8-10 cm, avoiding snuff, alcohol, fizzy soft drinks and medicines, making frequent meals of small amounts chewing food properly, preventing constipation to avoid an increase in intra-abdominal pressure), prescription inhibitors, proton pump, omeprazole primarily, is the most common treatment. Antacids, prokinetics and surgical treatments are also used less frequently.

The image exposed for the occasional finding, a preoperative study performed on a 85 year old male was going to have an operation for prostate adenoma, an image of lower mediastinum hyperlucency , marked with a circle, corresponds to a hiatal hernia. The old man meant never having had gastrointestinal symptoms.