appropriate

Francesca Rubulotta talks about disproportionate care in ICU. Disproportionate care is disproportionate in relation to the expected prognosis. Moreover, this can lead to moral distress among clinicians who think they are offering inappropriate care. There is mounting research and evidence pointing to the existence of disproportionate care. Furthermore, stress and burnout cause increased miscommunication and lead to low performance and concentration. Stress leads to absenteeism or in many cases, presenteeism. Presenteeism is when someone just shows up for work but does the bare minimum. Francesca shows the financial burden caused by absenteeism across various countries. Francesca points out that only 14% of employees feel engaged in their jobs. Moreover, data shows that companies which keep their employees engaged have higher rates of performance. Such companies have managers who are more engaged and approachable. Francesca discusses various studies that look at the appropriateness of care in ICU. She talks about the CONFLICUS, APPROPRICUS and DISPROPICUS studies, all of which point to the moral stress experienced when clinicians are forced to give inappropriate care. We must ask whether inappropriate care occurred and why. The three major factors influencing the perception of inappropriate care are client related situations, work characteristics and personal characteristics. 27% of healthcare providers (HCP) report at least one of their patients are mismanaged per day. Furthermore, 63% say that inappropriate care happens all the time. There are multiple reasons for disproportionate care taking place. Studies show that nurses associated inappropriate care to interpersonal factors while physicians ascribed it to prognostic uncertainty. Francesca discusses the methods used and results obtained in the DISPROPICUS study and self-awareness and individual development in ICU. According to her, these future studies will help to find solutions to the problems regarding disproportionate care. Evidently, authentic leaders, who can inspire others, are the need of the hour.

For more like this, head to https://codachange.org/podcasts/ 

We're back with a special Flixwise XXL episode. The length of the episode is due in part to our super-sized panel. Lady P is joined by Flixwise regulars Marya E. Gates, Martin Kessler, Anne Marie Kelly, and Kristen Sales for a countdown of each of their Top 5 2015 releases. Plus, they talk about their favorite scenes, the best performances, and also some dishonorable mentions. Expect lots of shout outs to female filmmakers and railing against the patriarchy. Happy 2016, Everyone!

Note: We had a number of technical issues during the recording of this episode. As a result, there are a few audio glitches in the finished product. But not worry, the content is SO entertaining that you'll barely notice.

All men were born as slaves to sin. God does not demand or expect us to overcome sin in our own strength. God has provided victory over sin for all men through Jesus Christ. This teaching will show you the victory that Christ has won for you over sin and how you can begin to appropriate and enjoy the victory.

Heather and Kate discuss tweenage angst and reclaiming the house from 7 year olds, get biz buzzed with Alli P., power nap on appropriate dress and wrap with a forgetful Nodelman. Enjoy and thanks for listening!

I read a lot of financial advice from many different perspectices. I also frequently am asked about financial advice. "Is this a good idea?" "What do you think about this investment idea?"

Over the years, I have noticed that I have developed a filter that many people don't have: I view all financial advice through a filtering lens of scale.

When I hear advice, I don't immediately accept is a blanket statement; rather, I think, "what type of household profile would this be appropriate for?"

When I talk to someone who's asking for financial advice, I try to ascertain where they are in their financial journey so I can give them the most appropriate advice.

Having this filter helps me to give advice that matters. It also helps me to coach myself more effectively by identifying where I am in my own journey so that I can focus on the things that are most appropriate for me.

In today's show I share with you many examples, including:

• Buying large commercial real estate can be a great investment. But is it right for you? Should you be buying low-dollar mobile homes instead?
• Investing in low-dollar real estate can be great. But is it right for you? Should you be buying larger commercial projects instead?
• Investing in stocks of publicly traded companies can be a great plan. But is it right for you? Should you be investing in the tools of your trade or business so that you can be more effective at work?
• Investing in the tools of your trade or business can be a great idea. But is it right for you? Has it reached the point of diminishing returns and now you'd be better served by investing in the stocks of publicly traded companies to get you closer to your financial goals?
• Etc.

Enjoy the show!

Joshua

(July 18, 2011) Dr J hosts "From the Front Lines of the Culture War" on Catholic Radio of San Diego.  Today she's interviewing Dr Miriam Grossman, author of "Unprotected" and "You're Teaching My Child What?".  Dr Grossman spent 12 years counseling students at UCLA.  They're discussing the problems with and double standards of sex education as endorsed from classrooms to politics to mental health professionals.  It's more like sex ideology, and it certainly doesn't bear close examination.

Dear Friends,

Deer Park has been alive with energy these past weeks with the monks, nuns, and visitors joyfully celebrating Tet, the lunar New Year. Celebrations included thrilling dragon dances, and the making of hundreds of traditional earth-cakes. This dharma talk was given by Thay Phap Hai just before Tet at a Day of Mindfulness.  It was offered as the monthly talk for Order of Interbeing Members and Aspirants but all of us can also find great benefits for our practice.  It is on the topic of Appropriateness: appropriateness in a practitioner’s actions, and in the Bodhisattva vow.

Remember that the public is encouraged to attend these regular Days of Mindfulness at Deer Park Monastery in Escondido California, Blue Cliff Monastery in New York, and at Plum Village in the south of France. There is information at the end of the podcast on how you can attend.