Down at the bottom left is my exercise ticker. The ladies on the Leslie Sansone forums were keeping these tickers, allowing 1 mile for every 15 minutes walked (1 1/2 if you used "boosters" but I didn't do that). I set up my goal as the distance between our house and our former apartment in Kissimmee, Florida, a distance of 1200 miles, give or take. I'm ending 2011 at the total of 1087, only 113 miles to go!
Ah, how I wish that was real life and we WOULD be going back to Kissimmee early this year. That wish is on hold until after the aunt in the nursing home dies, and since her father lived to age 95 and only died because he fell off a stretcher when he went to be examined for an enlarged prostate, even in her current state of health at age 93 we know she's going to be around for quite a bit longer, even though she's been praying for death for 26 years now. Remember, only the good die young, as the great sage Billy Joel once sang.
Saturday, December 31, 2011
Why I'm No Longer Working in My Chosen Profession
This article is about New York, but it's already an unwritten law all around this area. Every ad for a Registered Nurse demands a minimum of a Bachelor's Degree, some demanding a MSN degree for jobs like head nurse or supervisors, a job I did for years with only an Associate Degree in Nursing (and almost 20 years' experience). I still have my nursing license, but keep it inactive, because otherwise I would have to pay for 30 hours of continuing education credits out of my own pocket every year. I can find courses on-line or magazines, usually a credit or 2 here and there, but it would take a few hundred dollars to get all thirty, money I don't have when there's no chance in hell I'd get hired anywhere.
Also, the article states there's a nursing *shortage*, but there really isn't. Hospitals are closing, leaving hundreds of nurses out of work. The remaining hospitals and other institutions that employ nurses are constantly laying off nursing staff to save money, leaving units dangerously understaffed. My son has friends that are in nursing, and only one is working right now and that's not even full time. The rest had gone from full time, to part time, to per diem, and now all but that one have been laid off for over a year now with no job prospects in sight.
And if hospitals would drop the BSN requirements there's an even bigger pool of nurses to choose from, nurses like me who originally went to nursing school based in hospitals, not universities, where we worked on the units form 7am until 3pm every day of the week (Weekends included) and had our classes scattered throughout the day and nights. I know a few university trained nurses, who had more hours in a classroom than giving hands-on patient care, who don't even know how to take a temperature. My own sister-in-law is one of them. She has multiple college degrees and one year decided to add MSN to her curricula vitae. She never did one day of clinical work, yet *she* will be hired before me, if we both applied for the same jobs. More doors have opened for her than ever did for me.
And as for the "BSN in 10" the article espouses. Not gonna happen. I tried to get my BSN in less than 10 and was told in 3 different schools that I would have to retake courses I had taken just a few years earlier, that the credits were only good for 3-5 years, depending on the school. Now what busy nurse is going to want to retake courses when she already has at least 2 years of classwork already ahead of her - and that's if she goes full time? Going part time it she'll already need all of those 10 years to get the classes - and practicum - in around her work schedule, and if she has a busy family life, too, 10 years may not be enough.
NY bill would require bachelor's degrees for RNs
Dec 30, 6:56 AM (ET)
By MICHAEL GORMLEY and GEORGE M. WALSH
Also, the article states there's a nursing *shortage*, but there really isn't. Hospitals are closing, leaving hundreds of nurses out of work. The remaining hospitals and other institutions that employ nurses are constantly laying off nursing staff to save money, leaving units dangerously understaffed. My son has friends that are in nursing, and only one is working right now and that's not even full time. The rest had gone from full time, to part time, to per diem, and now all but that one have been laid off for over a year now with no job prospects in sight.
And if hospitals would drop the BSN requirements there's an even bigger pool of nurses to choose from, nurses like me who originally went to nursing school based in hospitals, not universities, where we worked on the units form 7am until 3pm every day of the week (Weekends included) and had our classes scattered throughout the day and nights. I know a few university trained nurses, who had more hours in a classroom than giving hands-on patient care, who don't even know how to take a temperature. My own sister-in-law is one of them. She has multiple college degrees and one year decided to add MSN to her curricula vitae. She never did one day of clinical work, yet *she* will be hired before me, if we both applied for the same jobs. More doors have opened for her than ever did for me.
And as for the "BSN in 10" the article espouses. Not gonna happen. I tried to get my BSN in less than 10 and was told in 3 different schools that I would have to retake courses I had taken just a few years earlier, that the credits were only good for 3-5 years, depending on the school. Now what busy nurse is going to want to retake courses when she already has at least 2 years of classwork already ahead of her - and that's if she goes full time? Going part time it she'll already need all of those 10 years to get the classes - and practicum - in around her work schedule, and if she has a busy family life, too, 10 years may not be enough.
NY bill would require bachelor's degrees for RNs
Dec 30, 6:56 AM (ET)
By MICHAEL GORMLEY and GEORGE M. WALSH
ALBANY, N.Y. (AP) - New registered nurses would have to earn bachelor's degrees within 10 years to keep working in New York under a bill lawmakers are considering as part of a national push to raise educational standards for nurses, even as the health care industry faces staffing shortages.
The "BSN in 10" initiative backed by nursing associations and major health policy organizations aims to attack the complex problem of too few nurses trained to care for an aging population that includes hundreds of thousands of nurses expected to retire in the coming years. But some in the health care industry worry that increased education requirements could worsen the problem by discouraging entrants into the field.
Currently, most registered nurses have two-year associate's degrees. No state requires a four-year degree for initial licensing or afterward, though New Jersey and Rhode Island have considered proposals similar to New York's over the past several years. New York's legislation died in committee last session, but it has bipartisan support in both chambers this year and could be debated as early as January.
Demand for more skilled nurses is increasing as the population gets older and has more chronic diseases, and as the new federal health care law promises to help 32 million more Americans gain insurance within a few years.
Federal health officials have recommended upgrading nurse education to BSNs for more than a decade, and the idea got a boost in a 2010 report, "The Future of Nursing," by the National Academy of Sciences nonprofit Institute of Medicine and the Robert Wood Johnson Foundation. As of 2008, about a third of RNs had bachelor's degrees or higher, according to federal statistics. The institute recommended increasing that to 80 percent by 2020. Advocates say that in addition to improving patient care, a key reason for requiring more education is to put more nurses in position to move on to jobs in administration and in-demand specialties like oncology, and to teach at nursing schools, where the average faculty age is 53.
"More and more hospitals are looking to hire BSNs, but the catch is that not that many schools offer the RN-to-BSN program or have the faculty to teach it," said Sharon Shockness, an adjunct teacher at Mercy College in Westchester County.
The New York bill's main sponsors, Democratic Assemblyman Joseph Morelle of Rochester and Republican Sen. James Alesi of Monroe County, said the bill is needed to further professionalize nursing. Both serve on their respective higher education committees and represent districts that include University of Rochester Medical Center and St. John Fisher College, which have BSN programs.
In addition to helping provide future teachers, the lawmakers say the added education and critical thinking skills are needed as patient care has become more sophisticated and studies show staff with higher levels of education serve patients better.
In a memo supporting the bill, the New York State Nurses Association cites a 2003 University of Pennsylvania study that found every 10 percent increase in staffing by nurses with bachelor's degrees results in a 5 percent decrease in surgical deaths.
Current registered nurses would be exempt from the education requirement to prevent driving more nurses from the field.
"This bill shouldn't discourage anyone at this point because it doesn't involve anyone even applying for licensure right now ... and 10 years is a long time to get a degree that will give you better pay," Alesi said.
Alesi contends the measure will "improve the landscape of nursing" by increasing the pool of RNs who can go on to obtain master's degrees and teach.
Researchers say almost 900,000 of the nation's roughly 3 million licensed RNs are older than 50, and while there's been an uptick in new, younger nurses, shortages are still expected as the health care industry continues to add nursing jobs. The federal Bureau of Labor Statistics estimated in 2009 that almost 582,000 new RN jobs would be created by 2018.
Federal projections in 2004, the most recent available, forecast a shortfall of 54,000 RN jobs in New York by 2020; the state currently has about 170,000 working nurses. But the state and national shortage estimates have varied greatly as the overall economy and national health policy have changed. A study published this year in the journal Health Affairs reports a surge among younger RNs entering the workforce, pointing to an easing of a national shortage previously forecast to reach 400,000 by 2020.
That shortage concerns New York's health care providers.
William Van Slyke, spokesman for the Healthcare Association of New York State, said the organization representing health care networks and hospitals supports having a better educated nursing workforce, but opposes a four-year degree mandate.
One problem, he said, is the lack of nursing faculty - the same issue advocates say the bill would address.
"If you start the clock and you don't have the educational system, we may find ourselves having to turn away staff and have shortages," Van Slyke said.
The association has proposed legislation that would provide incentives like loan forgiveness to encourage people to become nurse educators, he said, but lawmakers haven't taken up the idea.
Morelle, the Assembly sponsor, said the state's community colleges also have expressed concerns that the requirement will cut into the number of people seeking the 2-year degrees they offer.
"Their classes are overflowing," Morelle said, and there is a "whole host of programs" that allow students to progress from a 2-year to a 4-year program.
A spokesman for the New York nurses association said New York City metropolitan area hospitals are increasingly requiring new RNs to have a bachelor's degree or earn one within five years, creating a disparity in standards between downstate and upstate, where fewer candidates have four-year degrees.
"Even without the legislation in place, hospitals and other medical facilities are making hiring decisions that favor those with BSN degrees over those without them," said Dr. Peggy Tallier, program director and associate professor in nursing school health at Mercy College.
The "BSN in 10" initiative backed by nursing associations and major health policy organizations aims to attack the complex problem of too few nurses trained to care for an aging population that includes hundreds of thousands of nurses expected to retire in the coming years. But some in the health care industry worry that increased education requirements could worsen the problem by discouraging entrants into the field.
Currently, most registered nurses have two-year associate's degrees. No state requires a four-year degree for initial licensing or afterward, though New Jersey and Rhode Island have considered proposals similar to New York's over the past several years. New York's legislation died in committee last session, but it has bipartisan support in both chambers this year and could be debated as early as January.
Demand for more skilled nurses is increasing as the population gets older and has more chronic diseases, and as the new federal health care law promises to help 32 million more Americans gain insurance within a few years.
"More and more hospitals are looking to hire BSNs, but the catch is that not that many schools offer the RN-to-BSN program or have the faculty to teach it," said Sharon Shockness, an adjunct teacher at Mercy College in Westchester County.
The New York bill's main sponsors, Democratic Assemblyman Joseph Morelle of Rochester and Republican Sen. James Alesi of Monroe County, said the bill is needed to further professionalize nursing. Both serve on their respective higher education committees and represent districts that include University of Rochester Medical Center and St. John Fisher College, which have BSN programs.
In addition to helping provide future teachers, the lawmakers say the added education and critical thinking skills are needed as patient care has become more sophisticated and studies show staff with higher levels of education serve patients better.
In a memo supporting the bill, the New York State Nurses Association cites a 2003 University of Pennsylvania study that found every 10 percent increase in staffing by nurses with bachelor's degrees results in a 5 percent decrease in surgical deaths.
Current registered nurses would be exempt from the education requirement to prevent driving more nurses from the field.
"This bill shouldn't discourage anyone at this point because it doesn't involve anyone even applying for licensure right now ... and 10 years is a long time to get a degree that will give you better pay," Alesi said.
Alesi contends the measure will "improve the landscape of nursing" by increasing the pool of RNs who can go on to obtain master's degrees and teach.
Researchers say almost 900,000 of the nation's roughly 3 million licensed RNs are older than 50, and while there's been an uptick in new, younger nurses, shortages are still expected as the health care industry continues to add nursing jobs. The federal Bureau of Labor Statistics estimated in 2009 that almost 582,000 new RN jobs would be created by 2018.
Federal projections in 2004, the most recent available, forecast a shortfall of 54,000 RN jobs in New York by 2020; the state currently has about 170,000 working nurses. But the state and national shortage estimates have varied greatly as the overall economy and national health policy have changed. A study published this year in the journal Health Affairs reports a surge among younger RNs entering the workforce, pointing to an easing of a national shortage previously forecast to reach 400,000 by 2020.
That shortage concerns New York's health care providers.
William Van Slyke, spokesman for the Healthcare Association of New York State, said the organization representing health care networks and hospitals supports having a better educated nursing workforce, but opposes a four-year degree mandate.
One problem, he said, is the lack of nursing faculty - the same issue advocates say the bill would address.
"If you start the clock and you don't have the educational system, we may find ourselves having to turn away staff and have shortages," Van Slyke said.
The association has proposed legislation that would provide incentives like loan forgiveness to encourage people to become nurse educators, he said, but lawmakers haven't taken up the idea.
Morelle, the Assembly sponsor, said the state's community colleges also have expressed concerns that the requirement will cut into the number of people seeking the 2-year degrees they offer.
"Their classes are overflowing," Morelle said, and there is a "whole host of programs" that allow students to progress from a 2-year to a 4-year program.
A spokesman for the New York nurses association said New York City metropolitan area hospitals are increasingly requiring new RNs to have a bachelor's degree or earn one within five years, creating a disparity in standards between downstate and upstate, where fewer candidates have four-year degrees.
"Even without the legislation in place, hospitals and other medical facilities are making hiring decisions that favor those with BSN degrees over those without them," said Dr. Peggy Tallier, program director and associate professor in nursing school health at Mercy College.
What Are You Doing New Years Eve? by Zooey Deschanel and Joseph Gordon-L...
As for me and my family, hubby and I will be asleep hours before the ball drops and our son will probably be on-line with his buds in battle playing some game on Steam.
Happy New Years, dear readers, and may 2012 be a heck of a lot better than 2011 for everyone.
Friday, December 30, 2011
You Say You Want A Resolution . . .
Hi, boys and girls! It's that time of year again, the time when every adult (And many of you kiddies) make promises to yourself that you rarely keep. Most people resolve to lose weight, exercise more, eat healthier, better their relationships, and all that good stuff. Kids resolve to do better at school, listen to their parents, get a better score in their favorite video game.
I've even seen people resolve to make no resolutions. Three different comic strips this week used that old joke.
So, what will MY resolutions be for 2012? Let's see . . .
Stop weighing in daily. Why bother?
Allow myself to eat some feast meals without feeling guilty.
Ditto eating from mouth hunger (emotional eating) in times of stress. NOT doing so only adds more stress, which eventually leads to a binge.
Watch more videos and read more books.
NOT buy any weight-loss related videos or books. I *will* allow myself the pleasure of purchasing Dr. McDougall's new book when it's finally released this year - The Starch Solution.
Here's the first chapter for those who care.
The only other books I'll allow myself to buy (as opposed to get from the library) are the few cozy mystery series I'm working on and the rest of the Dresden Files books. I still have 3 to go to be caught up.
And that's all I'm saying for now. 2011 has been a very crazy, messed-up year, and although I HOPE 2012 will be better, I'm not too optimistic. Fat-phobia is worse than ever, not just in my own life (doctor, extended family, strangers on the street) but in the world in general. The economy still sucks. My son, who graduated with an engineering Master's degree 2 1/2 years ago, still can't get hired to even pick up dog poop and still has about $30k in student loads to pay off, so every spare penny we have goes towards helping him out. And those spare pennies are getting harder to find as prices go up in every facet of life, from a bag of beans to rent on the apartment, while income decreases as companies cut back and tax and insurance rates rise. Everyone and every thing is getting older and in need of repair or replacment, from hormones to car radiators. Winter iscoming here and snow won't be far behind. Spring is a long way away. I'm just glad we got the aunt into a nursing home (and her house sold) so she won't be left alone when the roads are closed and nobody can get to her house an hour away to cook, clean, and care for her and her shovel her sidewalks and that long driveway.
Okay, so one good thing to look forward to.
I've even seen people resolve to make no resolutions. Three different comic strips this week used that old joke.
So, what will MY resolutions be for 2012? Let's see . . .
Stop weighing in daily. Why bother?
Allow myself to eat some feast meals without feeling guilty.
Ditto eating from mouth hunger (emotional eating) in times of stress. NOT doing so only adds more stress, which eventually leads to a binge.
Watch more videos and read more books.
NOT buy any weight-loss related videos or books. I *will* allow myself the pleasure of purchasing Dr. McDougall's new book when it's finally released this year - The Starch Solution.Here's the first chapter for those who care.
And that's all I'm saying for now. 2011 has been a very crazy, messed-up year, and although I HOPE 2012 will be better, I'm not too optimistic. Fat-phobia is worse than ever, not just in my own life (doctor, extended family, strangers on the street) but in the world in general. The economy still sucks. My son, who graduated with an engineering Master's degree 2 1/2 years ago, still can't get hired to even pick up dog poop and still has about $30k in student loads to pay off, so every spare penny we have goes towards helping him out. And those spare pennies are getting harder to find as prices go up in every facet of life, from a bag of beans to rent on the apartment, while income decreases as companies cut back and tax and insurance rates rise. Everyone and every thing is getting older and in need of repair or replacment, from hormones to car radiators. Winter is
Okay, so one good thing to look forward to.
Monday, December 26, 2011
Tao of Joy Every Day
I've been following the Tea House forums of Derek Lin's for a number of years now, and in the past bought every book he's put out. Last week I got this new one, Tao of Joy Every Day. Lovely book of Tao daily affirmations. So far it's a pretty fantastic book.
Here's the reading for today. I read this after a night of tossing and turning trying to decide what to do about my weight, since the food plan I've been following isn't giving me the results originally promised (The typical promise of 4 or more pounds a week. Oh, wait a minute, that's only in the beginning, that most people should expect a pound or 2 IF they stick to the more restricted version and get an hour of aerobic exercise daily AND they have no medical condition such as hypothyroid that would affect their metabolism) and I was thinking of switching to an even more restricted food plan, one that allows you to eat about a thousand calories of green and yellow veggies a day with a bare minimum of starchy foods. Sure, I would be hungry all the time, and yeah, I would be spending most of my days and nights in the bathroom, but won't it be worth it to finally lose this weight?
What idiotic thinking!!
Then I read this and decided to just take a deep breath and relax:
Day 360
The Great Vessel
Chapter 41 of the Tao Te Ching says: "The great vessel is late in completion." The meaning of this is the same as our familiar expression "Rome was not built in a day." A big, worthwhile goal takes time to accomplish and cannot be rushed. If you push yourself too hard, you will end up with not a great vessel but a leaky container.
This is why Tao cultivators do not stress themselves out. It is quite all right if they are not as successful as they want to be. They never stop taking meaningful steps toward the goal, but their attitude is one of relaxed optimism. This is contrary to our success-obsessed society, where people compare themselves with one another and feel upset of they think they are lagging behind.
In life, we see evidence of leaky containers all the time. They are the hard-charging, aggressive personalities who keep pushing themselves for the bigger paycheck at the expense of health, family, relationships, and peace of mind. By the time they realize the frantic rush does not work, their container of life is already broken into pieces. By then, it is too late.
The Tao Today
Heed the words of Lao Tzu and avoid the mistakes of others. Do not beat yourself up if you get to where you want to be more slowly than your peers. The important thing in life is not doing things quickly, but doing things correctly. Relax and take all the time you need to complete the great vessel of your own creation.
Here's the reading for today. I read this after a night of tossing and turning trying to decide what to do about my weight, since the food plan I've been following isn't giving me the results originally promised (The typical promise of 4 or more pounds a week. Oh, wait a minute, that's only in the beginning, that most people should expect a pound or 2 IF they stick to the more restricted version and get an hour of aerobic exercise daily AND they have no medical condition such as hypothyroid that would affect their metabolism) and I was thinking of switching to an even more restricted food plan, one that allows you to eat about a thousand calories of green and yellow veggies a day with a bare minimum of starchy foods. Sure, I would be hungry all the time, and yeah, I would be spending most of my days and nights in the bathroom, but won't it be worth it to finally lose this weight?
What idiotic thinking!!
Then I read this and decided to just take a deep breath and relax:
Day 360
The Great Vessel
Chapter 41 of the Tao Te Ching says: "The great vessel is late in completion." The meaning of this is the same as our familiar expression "Rome was not built in a day." A big, worthwhile goal takes time to accomplish and cannot be rushed. If you push yourself too hard, you will end up with not a great vessel but a leaky container.
This is why Tao cultivators do not stress themselves out. It is quite all right if they are not as successful as they want to be. They never stop taking meaningful steps toward the goal, but their attitude is one of relaxed optimism. This is contrary to our success-obsessed society, where people compare themselves with one another and feel upset of they think they are lagging behind.
In life, we see evidence of leaky containers all the time. They are the hard-charging, aggressive personalities who keep pushing themselves for the bigger paycheck at the expense of health, family, relationships, and peace of mind. By the time they realize the frantic rush does not work, their container of life is already broken into pieces. By then, it is too late.
The Tao Today
Heed the words of Lao Tzu and avoid the mistakes of others. Do not beat yourself up if you get to where you want to be more slowly than your peers. The important thing in life is not doing things quickly, but doing things correctly. Relax and take all the time you need to complete the great vessel of your own creation.
Sunday, December 25, 2011
Bye, Clara, and Thanks for Everything
Clara Cannuciari, who has done the Great Depression Cooking Series, has finished filming episodes. She's now 96 years old and deserves the rest.
Thanks, Clara, for many wonderful recipes - and stories - that have helped us all through these tough financial times.
Thanks, Clara, for many wonderful recipes - and stories - that have helped us all through these tough financial times.
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