Institution Highlight: Impresif Care Nursing Home

Jun 21, 2017

Our team got to know about this privately-run nursing in a cozy neighborhood of Petaling Jaya. Impresif Home Care is run by a total of 3 nurses, 7 workers and their supervisor. We had the chance to speak to the supervisor, Raja. Raja is a wonderful guy, and based on just a few conversations with him you can really tell that he cares a lot about what goes on in the nursing home and its occupants.

Impresif Care Home is looking to hire staff nurses with minimal experience to help with their workload. Visit their job listing page to apply.

What is the vision behind your nursing home? How did it come about?

The home was a house bought by our founders, En. Mohd Faizal and his wife Pn Zainab. Pn. Zainab was a matron for a big hospital. There she realized that a lot of patients still require care, but since they can’t stay admitted for too long they are discharged.

It was disheartening to see that, so she and her husband founded this home. We have been privately funded ever since, and do not rely on donations.

We have about 30 occupants, with the age range being from 55 to 90 years old. Some of them have children who are not able to take care of them; it is cheaper to send the parents here for nursing care compared to hiring a nurse who comes to the house, which can be very expensive. Some of the occupants here just do not have anywhere to go… but we are grateful we can still support them here.

How is the home culture like?

A lot of people come here to visit, thinking it to be depressed and lonely for the elderly to be here. But it’s actually a lot of fun! Everyone tries their best to be happy. I myself have never been happier in my life, now that I’m working here looking after other people.

It’s a relatively slow working lifestyle. We wake the occupants up at 630am, then prepare breakfast, wash, clean them, and take them out for exercise. Those who need parenteral feeding will be fed by our nurses. We have lunch around noon, and then it’s some TV time followed by an afternoon nap. Dinner is at 7, then it’s free and easy.

Weekends are a bit busier. Relatives and children come over to visit, and will ask the staff questions like “What medication is he/she on?”, or “How has my father been this week?”, things like that.

This is a suitable place for nurses out of nursing school to gain some experience before going on to do their Degrees or Post-Basics. The occupants here are all low-dependency type of patients.

What do you do to make your staff happy and enjoy working here?

It helps that the elderly are all funny and exciting in their own way. I always get “invited” to any one of the uncles or aunties houses. I’ve worked here for 8 years and I still don’t know where their “houses” are. laughs

The location of the home is very nice and quiet. It has easy access to the Federal Highway and the New Pantai Expressway, so staff can easily get here from all over. It can be tiring at times but not as busy as hospital work, and they get paid well too.

What cool pieces of tech do you have in your clinic?

Everyone has their own wheelchair! So they can decorate or personalize it to fit their own characters. Some carry small tokens on their wheelchairs to remind them of people or places they used to meet.

We have fully adjustable beds like the ones in hospitals for our more needy occupants.

Our dispensary is always kept fully-stocked.

What kind of people are you looking to hire as your staff?

We’re looking for nurses who are patient, hardworking, and with a soft heart for the elderly. Applicant must also be willing to work six days a week, especially on weekends. That’s when we’re the most busy.

How does your staff get hired?

Our nurses gets hired by Pn. Zainab. She talks to the nurses that is going to work here. It’s not much of a screening; it’s just to get to know who you are as a person and how you’ll do your work.

We take our staff from maid agencies, so they’re mostly Indonesian.

What does the future of this nursing home look like?

We want to keep doing what we do for a long time. We’re looking to increase the number of nurses that we employ to help the current workforce cope better with the workload. At the moment we are looking to hire any qualified nurses, even ones with minimal work experience. We’ll help to guide you in the right direction.

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source: Larm Rmah 1. Paediatrics 2. History 3. Key differences 4. Ethics 5. Training 6. Job scope 7. Required skills 8. Common Cases 9. Career Opportunities Paediatrics Paediatrics is the branch of medicine that deals with the medical of infants, children, and adolescents. The American Academy of Paediatrics recommends people be under paediatric care up to the age of 21. A medical practitioner who specializes in this area is known as a paediatrician. The word paediatrics can be spelled as either paediatrics , as per British English, or pediatrics , as per the American counterpart. Both spellings are acceptable. The word paediatrics comes from two Greek words: “ pais “, meaning children, and “ iaitros “, meaning “doctor” or “healer”. Paediatric nurses usually work in hospitals, assisting physicians in specialized subfields like neonatology . History Paediatrics is considered to be a new subset of medicine today. Ancient Greek physicians like Hippocrates, Aristotle, Celsus, Soranus, and Galen understood the differences in growing organisms like children; as compared to fully-mature adults. Soranus, a Greek physician and gynaecologist from Ephesus (located in modern-day Turkey) has published records dealing with neonatal paediatrics . source: EIT Mental Health Paediatrics as a specialized field of medicine continued to develop in the mid-19th century. The first generally accepted paediatric hospital is the L’Hopital des Enfants Malades, which literally translates from French as “The Hospital for Ill Children.” It opened in Paris in the month of June, 1802. It accepted patients up to the age of 15 years, and still continues to operate today. Key Differences Between Adult and Paediatric Medicine Maturation of the human body is paralleled by differences in body size. In other words, the smaller the infant, the more different the physiology of the said patient. The smaller body of an infant or a neonate (a baby) provides a greater concern to physicians or nurses in the paediatric ward. Congenital defects, genetic variance, and developmental issues adversely affect children more than adults. Children, therefore, must not be treated as “a smaller version of adults.” Nurses and physicians in the paediatric specialty must take into account the immature physiology of the infant or child when considering symptoms, prescribing medications, and diagnosing illnesses. Ethics Another major difference between adult and paediatric medicine, is that children cannot make decisions for themselves . This is important enough to warrant its own subsection in this article. The issues of guardianship, privacy, legal responsibility and informed consent must always be considered in every procedure. … children cannot make decisions for themselves. Rather than just treating the child, those working in paediatrics often have to treat the parents and the family. Adolescents are in their own legal class, depending on the country, and they have rights to their own health care decisions in certain circumstances. Not only will a paediatric nurse or doctor take into account the desires of a child when considering treatment options, he or she will conform to the wishes of many people. This becomes especially important when dealing with conditions of poor prognosis, and complicated or painful procedures. Training Courses are available to registered nurses who have completed a minimum number of service years. The number of years differ according to country. The qualifications range from advanced diplomas, to PhD research focusing on paediatric care. Many academicians forgo clinical practice in order to pursue research that will improve the quality of healthcare or bring about favourable policies to the care of children and adolescents. source: paediatricemergencies.podbean.com It is very common for paediatric nursing training to be comprised of didactic and clinical components covering the management and treatment of acute and complex child patients. In Malaysia, paediatric training also comprises of management of sophisticated technology, providing nurses with the capability to offer quality care in a variety of situations. Training for disease prevention and recuperative treatment are also common modules in a paediatric nursing course. Core modules of training would include interpersonal skills and counselling , values and ethics , paediatric principles and practice , nursing of children with special needs , paediatric oncology , and some clinical practice. Job scope and responsibilities Typical activites may vary according to the role and work setting of the paediatric nurse. Children with special needs often require a different level of care compared to others. With that said, responsibilities include: assessment and critical reporting of patients preparing patients for pre- or post-op setting up drips, transfusions administering drugs and injections explaining procedures, treatments, to patients or guardians to acquire their consent to treatment support, comfort, and advise the child and family Required skills Children are sensitive, therefore tread lightly when giving care. Paediatric nurses need to display: respect towards the patients and their family’s decisions excellent communication skills be able to communicate on a level that the child would understand (if required) ability to deal with a range of patients at one time emotional resilience, and mentally strong to handle patients under difficult conditions compassion to others’ suffering Common cases Flat feet source: smartlivingnetwork.com Usually happens when the bar ossifies, about 8-12 years old. The tarsal area coalesces and causes rigid and painful flat feet. Operative treatment is not usually needed, unless severe. Usually managed non-operatively. SUFE (Slipped Upper Femoral Epiphysis - also known as SCFE) source: Raymond Liu, MD This is a disease that afflicts adolescents (13-18 years old). The growth plate widens during growth spurt and some factors then predispose to slip. Adolescents who suffer from obesity, femoral neck retroversion, endocrinopathies, and trauma are particularly likely to be diagnosed with this. Bradycardia source: cardiachealth.org Bradycardia is defined by a heart rate less than the lower limit of normal for age. For infants below 3 years, it is 100 bpm. For children 3-9 years, it is 60 bpm. For 9-16 years, it is 50 bpm. Bradycardial abnormalities can be diagnosed using the 12-lead ECG or the 24-hour holter monitor. Exercise stress testing is not needed in the diagnosis, but may be helpful to determine chronotropic competence. Non-neonatal jaundice source: patient.info Jaundice is a yellowish discolouration of the skin, sclera, and mucous membranes due to high counts of bilirubin. It occurs as a result of abnormal bilirubin metabolism and/or secretion. Typically occuring in neonates, jaundice can occur in all age groups. Treatment is done after classifying the jaundice as conjugated or unconjugated hyperbilirubinemia in the older child. Jaundice in older children may be the first clinical manifestation of unrecognized chronic liver disease. Career opportunities Paediatrics is one of those specialties that becomes deeper with more things to explore the more experience you have. Subspecialties in hospitals and community areas include: neonatal intensive care paediatric oncology child protection ambulatory care asthma diabetes counselling special needs A more senior paediatric nurse is likely to have less and less clinical duties as a ward manager or ward sister. A future as a clinical unit manager is entirely within reach. Outside clinical settings, opportunities to work in private healthcare, social services, NGOs, charities, or volunteer organizations are aplenty. Search for high-paying nursing jobs on MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to prevent scams and mistrustful behavior. Our Most Popular Articles Think About These 5 Things Before You Decide On A Specialization 5 Things Nurses Need To Know To Be Paid More 10 Ways Malaysian Nurses Can Increase Their Income

Career Highlight: Paediatric Nursing

source: Larm Rmah 1. Paediatrics 2. History 3. Key differences 4. Ethics 5. Training 6. Job scope 7. Required skills 8. Common Cases 9. Career Opportunities Paediatrics Paediatrics is the...

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