Perjudian

Sejarah Perjudian Daring

Judi online adalah praktik yang cukup baru, namun sangat kontroversial. Sejarahnya dimulai pada tahun 90-an, ketika internet mulai meningkat popularitasnya. Salah satu peristiwa pertama yang terjadi adalah ketika pemerintah sebuah pulau di Karibia, Antigua dan Barbuda, mengeluarkan undang-undang pada tahun 1994 yang memungkinkan kasino online untuk bermarkas di sana. Ini disebut Perdagangan Bebas dan UU Pemrosesan. Menyadari kemungkinan menghasilkan uang yang hampir tak terbatas melalui perjudian online, beberapa wirausahawan melompat pada kesempatan yang sekarang sah untuk memulai usaha baru ini.

Perusahaan yang berbeda dibentuk pada tahun yang sama dan lebih banyak terus dibentuk pada tahun-tahun berikutnya. Beberapa perusahaan ini membuat kasino online, dan yang lain merancang perangkat lunak yang diperlukan untuk menjalankan transaksi keuangan perjudian online dan mengembangkan game baru. Ketika kasino online mulai meningkat jumlahnya dan menjadi bisnis yang sangat menguntungkan, dengan pendapatan yang dilaporkan hampir 835 juta dolar pada tahun 1998 saja, berbagai lapisan pemerintah AS mulai memperhatikan. Satu khususnya, Senator Jon Kyl, seorang Republikan dari Arizona, memutuskan bahwa ia akan menjadi pemimpin terhadap kasino online dan memperkenalkan Undang-Undang Larangan Perjudian Internet dalam upaya untuk membatasi aktivitas perjudian di Amerika Serikat. RUU itu gagal disahkan di Kongres, dan perjudian online terus berkembang, mungkin bahkan lebih baik berkat perhatian media yang telah diterima oleh senator Togel HK.

Seiring perjudian online berlanjut, beberapa perusahaan membuat paket perangkat lunak yang dapat disewa oleh situs game online dengan persentase dari pendapatan mereka. Ini membantu banyak situs permainan daring baru muncul. Sekitar waktu ini, Kanada juga mulai mengekang aktivitas game online, merampok kantor dan akhirnya mendenda salah satu server judi online terbesar.

Pada tahun 1999, Senator Kyl menyajikan versi revisi dari RUU Larangannya, dan sekali lagi, gagal mendapatkan dukungan yang diperlukan untuk lulus. Sementara itu, Australia memungkinkan pembuatan kasino online, yang pada akhirnya menjadi satu-satunya yang diizinkan dan saat ini masih beroperasi. Meskipun banyak calon kasino berusaha mendapatkan lisensi di Australia, pemerintah Australia dengan cepat membentuk undang-undang yang mencegah operasi perjudian online baru.

Pada tahun 2000, Senator Republik Bob Goodlatte dari Virginia memperkenalkan Undang-Undang Larangan yang direvisi lebih lanjut ke kongres, dan sekali lagi ditolak. Tahun berikutnya, dua tagihan yang akan membantu memotong judi online disahkan di Kongres. Salah satunya adalah versi terbaru dari UU Kawat, yang membuatnya ilegal bagi individu untuk terlibat dalam bisnis taruhan atau perjudian. RUU lainnya berupaya mencegah pembayaran online ke kasino online dengan melarang lembaga yang berbasis di AS menangani pembayaran seperti itu, sehingga semakin sulit bagi warga AS untuk terlibat dalam perjudian online.

Beberapa tuntutan hukum terjadi pada tahun-tahun berikutnya, dan pada tahun 2006, beberapa penangkapan CEO judi online dilakukan. Pada saat yang sama, AS memberlakukan sanksi terhadap perusahaan perjudian lepas pantai, yang mengakibatkan Antigua dan Barbuda mengajukan kasus kepada Organisasi Perdagangan Dunia, yang mengatur bahwa tindakan A.S. diskriminatif dan melanggar hukum.
Meskipun demikian, pada bulan Oktober 2006, Undang-Undang Penegakan Perjudian Internet Melanggar disetujui oleh kongres, meskipun banyak yang mempertanyakan integritas cara yang digunakan untuk melewatinya. Kasino online terus beroperasi dan berupaya mengubah hukum sesuai keinginan mereka; Sementara itu, sebagian besar beroperasi di lepas pantai, meskipun penduduk AS masih merupakan bagian besar dari pelanggan mereka.

Home Health Care vs Assisted Living

Home Health Care in Los Angeles

Home health care is health care that is provided to patients inside their home, and usually by either health care professionals or family and friends. The term “home care” suggests that the care provided is non-medical and more of a custodial nature, whereas “home health care” may suggest licensed staff members. The differences here are similar to the differences between assisted living facilities and nursing homes. Much like assisted living facilities, home health care lets seniors enjoy a good measure of independence. An elderly individual or couple will appreciate having privacy as well as assistance in daily living needs.

What Home Health Care Provides

What kind of services does home health care provide? Home health care may help seniors with daily living needs such as bathing, dressing, house keeping and cooking and dining preparation. Depending on the needs of the resident, there may be special provisions such as transportation services and errands, volunteer programs, exercise and walking, and toileting assistance. More extensive forms of home health care would also provide rehabilitation programs, including visits from physical therapists and nurses. Other qualified home health care professionals may include respiratory nurses, occupational nurses, social workers, mental health workers and physicians.

Who pays for home health care? This type of outside assisted living program can be paid by private resources from the resident or family, by public payers such as Medicare and Medicaid or by employer-sponsored health insurance plans. Medicare will usually not pay for home health care on a long term basis while Medicaid is more likely to help low-income families with little or no assets. Employer-sponsored home health care is likely to be on a short term basis unless the insurance plan is very generous. Most of the time home health care will be paid for by a family’s own resources.

Comparing Home Health Care with Assisted Living

How does home health care compare with in-house stays at nursing homes and assisted living facilities? Most seniors would prefer home health care, of course, as people always do value their privacy. However, there are also circumstances that would necessitate constant supervision of the resident at an assisted living facility, and not only occasional visits. Home health care is basically assisted living, but with even more independence. Therefore a resident that cannot be left alone for long periods of time would be better suited in a nursing or board and care type home.

It might appear that home health care would be cheaper than a stay in a nursing home. However, home health care costs can be just as expensive, depending on the number of hours aides work. Some residents have admitted that full time home health care usually costs twice as much as a stay in a board and care or assisted living home. Most home health care agencies will charge about $20.00 an hour or over. If the resident is relatively independent then the fees associated with the service can be controlled. However, don’t forget that if your needs are minimal to begin with, you could hire a trusted individual to perform the same tasks and save money from paying an agency fee.

Home health care is ideal for seniors who feel well and can easily get around but who need occasional doctor visits and help with housekeeping. It is also a preferable choice if a senior needs full time care but does not want to become a resident in a public nursing home. Full time home health care provides the most privacy and personal attention possible. If you are looking for this type of senior assistance, you should always be mindful of the qualifications of workers, as opening one’s home to a stranger could always be a security risk. The best home health care agencies have screened workers who are well qualified in their field.

How We Can Help You

ElderHomeFinders is a company dedicated to helping seniors locate assistance in the southern California area. We inspect assisted living facilities and retirement communities in the area so that our clients will find the perfect home at a price they can afford. Can ElderHomeFinders also help seniors find home health care? Yes. Our company can put you in touch with the right home health care agency, according to your special needs and budget limitation. We can also advise you on the differences between home health care services and assisted living and board and care facilities and which choice would better work for you. Seniors have worked hard all their life and surely deserve the best health care possible – whether in a senior living facility or in their own home.

How to Become a Home Health Care Nurse

Home Health Care Nursing Information and Overview

Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health problems, permanent disability or terminal illness.

Home Health Care Basics

Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing phenomenon as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs train nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse’s experience and qualifications. In many cases there is a shared relationship between the agency and the academic institution.

Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place as well. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has lead to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decrease of mortality rate from these technologies and medical care has lead to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.

Home Health Care Nurse Job Description

Through an array of skills and experience, home health care nurses specialize in a wide range of treatments; emotional support, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.

A practicing nurse must have the skills to provide care in a unique setting such as someone’s home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is evident in all nursing positions, but working in a patient’s own living space needs a different level of skill and understanding. There is autonomous decision making as the nurse is no longer working as a team with other nurses in a structured environment, but is now as a member of the “family” team. The host family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include critical thinking, coordination, assessment, communication, and documentation.

Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but still need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the expertise of the family about the child’s condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.

Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct dose, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.

Many advanced practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at least one year of clinical experience before entering home health care. Advanced practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.

What to Look for in a Home Health Care Provider

Anyone in need of home health care deserves non-medical care or in home medical care that is compassionate whether the patient is a child, adult or elder. Home health care services are provided anywhere except for in nursing homes or a hospital. These services may even be provided at an assisted living facility, a school, apartment or house.

As far as care plans go, there are a wide variety of personal care and nursing services that are not just available, they are tailored for the needs of each individual recipient. Customized care plans and follow up assessments should be provided by a registered nurse.

Nursing Supervision and Case Management

The care that is provided by personal care assistants and home health aides is typically supervised by a registered nurse. One of these registered nurses should be on call at all times in order to assist the caregivers as well as to provide medical training and oversight and to implement the plans of care.

Elder or Adult Care

Are you aware of the fact that 75% of the health care costs in the US are incurred by only 12% of Americans? These people generally have some type of chronic illness. The benefits of this type of individualized home care include much more than just being able to keep someone at home for their illness as opposed to being institutionalized or put in a long term care facility. As far as cost goes, home care visits are roughly only 10% of what a single day in the hospital will cost.

Additionally, home health care has a track record that has been proven when it comes to things such as reducing readmissions to the hospital, expensive visits to the emergency room and in managing chronic illnesses. In addition, there is scientific evidence that has proven that patients are able to heal faster when they are in their own homes. Both morbidity and mortality rates are reduced in patients who take advantage of home health care. In fact, 90% of seniors facing long term care in nursing homes prefer to stay home and get the services of a home health care provider.

Private Elder Care Coordination, Planning and Management

This involves both advising and then assisting families when it comes to determining the necessities of an aging adult. These caregivers are able to navigate many of the long term type of care resources that are available in your area. The goal here is to educate and inform the family of what the options are and them to assist them with the implementation of their decision. Typically this is done by an RN who has been certified and specially trained in the area of geriatrics who can provide:

The services of being a liaison for family members who may live a great distance away
Educating and advocating for the patient
Assisting with paperwork and forms that are related to insurance, medical assistant and Medicare
Screening, arranging for and then monitoring any in home help or options for institutional or residential care options
Care planning that is tailored to the patient
In the long run home health care is a compassionate and caring choice for anyone who needs care and wishes to remain in their own home.

Kathryn McDowell is a health writer and believes in the advantages of home health care. She recommends talking to your primary care provider about this care option if you or a loved one is in need of long term care.

Home Health Care, an Alternative to Nursing Homes

More and more people are choosing home health care as an alternative to entering assisted living facilities. There are different levels of care available to individuals who wish to remain in their homes but who need a little extra help. Having these options make it possible for lots of folks to stay in their houses longer and live their own lives. There are several compelling reasons families are choosing this for their loved ones.

Better for the Well-Being of the Patient

Studies have shown that being allowed to stay at home and to maintain some level of independence is better for the patient’s overall health. Feeling “put away” can cause feelings of depression or hopelessness, which in turn may cause increased health problems. If a patient has a say in their own care, they feel much better and their body can recover and heal more efficiently. This is true even if they do decide to enter a nursing home, but simply having the option is a big help.

Comfortable and Convenient

When the time comes when someone needs a little special attention or care, it is important for them to be as comfortable as possible. A big change in their health condition is stressful enough. Sometimes, the best decision is to make sure they can stay in their own home where everything is familiar, so that there aren’t as many drastic changes all at once.

Not having to pack a bag or decide what can stay or go is another benefit to home health care. Everything is as it always was, but now there is someone there to help with the details.

Affordable

The old stereotype about home health care is that it is not affordable except for the super-rich. This is not at all the case. An ever increasing number of health insurance providers are covering this type of care, and certain government programs can offer financial assistance.

Easier on Families

Home health care is a wonderful blessing for couples who need help for one person but not the other. The couple can stay together in their own home, but without the pressure of one person having to provide constant assistance to the other. The strain is off the partner, and the couple can simply enjoy being together. This also has health benefits for the partner.

Kids, grandkids, brothers and sisters might be helping out with the health care needs of an individual just so they can stay at home. With a home health care provider, the patient will receive professional assistance. The family members also benefit, because when they come to visit they can just spend quality time together instead of concerning themselves with all the health issues.

Home health care is a welcome option for many folks who are trying to decide how to plan for the future in light of their physical requirements. While a nursing home is still a very good option for many people, it is reassuring that there are choices out there to fit everyone’s individual needs.

Selwyn St. Louis is the owner of Better Living Senior Assistance Services in Tampa, Florida. Better Living helps seniors live comfortably in their home with professional in-home health care services.

Home Health Care Keeps Seniors Home

There are many things that seniors enjoy. They often enjoy the benefits of their life long work. They also enjoy their independence. As they age, many of their loved ones worry about their ability to stay in their home alone. Rather than give up their independence, they will investigate the options of home health care to satisfy their concerns.

As seniors advance in age, they can sometimes experience age related issues. Sometimes they aren’t able to do things they used to because they don’t have the energy to do them. Families don’t like seeing their loved ones lose the ability to do things and it makes them wonder if they are able to care for themselves in a sufficient manner. Instead of seniors bowing to pressure and moving into a nursing home, they find an agency that specializes in home health care and continue to live in their home.

When seniors look to find a home health care agency, they find there are many agencies that can help them. These agencies have many different services available to for them to choose from. When seniors are ready to decide, they normally will make an appointment to speak with a representative that can guide them through the process.

As the agency representative meets with their prospective client, they listen to the things that are being said. It is important for them to get a clear understanding of what the client needs. When seniors are looking for a home health care professional, not only are they answering questions, they are asking many questions so they can get an understanding of the programs and benefits.

Seniors are normally very honest in the things they need help with. They want to continue to live independently and to have a home health care professional work with them will ensure they are able to do so for as long as possible. These seniors have to consider many different things before they start the service.

Some seniors are in very good health. They are able to live independently and care for themselves very well. They sometimes have trouble doing certain things around their home because of their age but they can still manage their household. For seniors in this situation, having a home health care professional visit once a week may be ideal. They can help with errands that need to be run, correspondence or just to check their health. Seniors enjoy the help and they don’t feel they are being intruded upon.

There are other seniors that need more help from their home health care professional. Some seniors unfortunately have different medical or age related problems that interfere in their ability to care for themselves. Families worry and try to help them as much as possible but sometimes it’s not enough. For seniors in this position, they need a home health care professional to visit daily, helping with basic household chores and ensuring they are in good health. Many home care professionals also assist their clients with basic life skill activities such as bathing, brushing their teeth or even cooking.

Once seniors have decided the amount of help they need, the make arrangements with the home health care agency of their choice. These agencies are familiar with the struggles many seniors face and strive to ensure they are able to continue enjoying life and good health. Their families are relieved that their loved ones are able to continue their independence but allowing a medical professional to help.