Showing posts with label Living. Show all posts
Showing posts with label Living. Show all posts

Sunday, July 8, 2012

Assisted Living Vs Nursing Homes

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Assisted Living and Nursing Homes are two terms often used interchangeably, any way this is a mistake. The two are de facto very different, and a candidate for one is not a candidate for the other. The following are some differences in the middle of the two:

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How is Assisted Living Vs Nursing Homes

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Assisted Living Facilities:

o Individuals in assisted living are more independent and can commonly get straight through most of the day by themselves. They only need normal help with daily activities like bathing, dressing, grooming and establishment food.

o Candidates still enjoy public activities with other citizen and make autonomous decisions about their day. Person who belongs in an assisted living facility would be downright miserable in a nursing home.

o These living facilities want little to no healing care. An ideal assisted living facility candidate would be in good condition both mentally and physically.

o These facilities focus on personal privacy and self-sufficiency more so than a nursing home. Residents are able to enounce their independence in a more obtain atmosphere.

o These facilities offer their clients a comfortable apartment that is luxurious and comfortable. Meals and light housekeeping are available.

o Assisted living facilities offer mature adults an alternative with care when needed and would prefer not to manage their large house anymore.

Nursing Homes:

o Those in nursing homes need a great deal more care. They commonly want 24-hour nursing supervision and are commonly not in good health. Nursing homes are qualified to handle patients who are not mentally or physically well.

o Nursing home patients want help with much more than three or more daily tasks - such as walking or being pushed in wheel chairs, eating, and quarterly healing tests.

o A nursing home is a place for Person who is unable to be cared for at home, but is not a candidate for hospital care. Although, some nursing homes are set up like hospitals to meet state requirements.

o Nursing homes also furnish rehabilitation to help citizen gain back their independence after a serious condition problem, i.e. A stroke or fall.

o Similar to hospitals, nursing home patients have little to no privacy and quite often share rooms.

o Nursing home clients are viewed as patients, not clients. They are there for the sole purpose to get well. If you or your parent is well, a nursing home would not be the ideal place. Possibly you should investigate an assisted living facility near you.

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Saturday, June 30, 2012

How to Get Into Nursing School

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If you are reasoning about becoming a nurse, you will have to find out how to get into nursing school and become certified. There are distinct types of nursing that wish distinct types of schooling, however, so it is critical to first settle what kind of nurse you want to become.

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Most nurses fetch a Bachelor of Science in Nursing to become a Registered Nurse (Rn), which can be completed at most former four year universities as well as a host of specialized nursing schools. There is also a two-year program, the associate of Nursing degree to become a Licensed career Nurse (Lvn). If you are wondering how to get into nursing school, it is best to look into the exact programs at the schools that match your needs and goals, as the admission requirements for distinct nursing colleges vary.

There are a few aspects of how to get into nursing school that should be consistent among all accredited programs, so even before you look into the exact programs at the schools of your choice, you can get an idea of what will be foreseen, of you. Colleges often prefer students who come from the same state, for example, although there are some colleges that prefer Sat remarkable students. Most colleges wish that nurses have been immunized, which is a general prerequisite for incoming students to four-year state colleges and universities. Nursing students must be emotionally carport and physically fit, and should not have a criminal background that might interfere with their ability to custom nursing. And all nursing students in the United States should be fluent in English.

Nursing schools often check their students for criminal histories, and they often wish prerequisite courses in chemistry and biology. Nursing students at four-year universities must also meet all the requirements for acceptance into the university before reasoning of applying to the program. If you have a passion for nursing and meet all these requirements, then it is time to start narrowing down your selection of schools and start applying. And if you don't, you may whether take steps to make sure you do meet those requirements or look for alternative programs.

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Sunday, June 3, 2012

Women's Health Living Room Discussions with Secretary Sebelius (Baltimore, MD)

Nursing Schools In Maryland - Women's Health Living Room Discussions with Secretary Sebelius (Baltimore, MD).

Do you know about - Women's Health Living Room Discussions with Secretary Sebelius (Baltimore, MD)

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How is Women's Health Living Room Discussions with Secretary Sebelius (Baltimore, MD)

Women's Health Living Room Discussions with Secretary Sebelius (Baltimore, MD) Tube. Duration : 26.72 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Nursing Schools In Maryland . HHS Secretary Sebelius gathers with women to hear their stories as the economic decision-makers for their families and discuss changes in health care made available by the Affordable Care Act. Learn more about Women and the Affordable Care Act: www.healthcare.gov HealthCare Blog: The State of Women's Health Video Townhall: www.healthcare.gov Covered Preventive Services for Women: www.healthcare.gov -- HealthCare.gov Take health care into your own hands. US Department of Health and Human Services (HHS) http We accept comments in the spirit of our comment policy: newmedia.hhs.gov HHS Privacy Policy www.hhs.gov
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Thursday, May 17, 2012

The Cholesterol Conspiracy - The Truth About Statins And Nutritional Supplementation

New York Nursing Schools - The Cholesterol Conspiracy - The Truth About Statins And Nutritional Supplementation
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"All truth passes straight through three stages.

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How is The Cholesterol Conspiracy - The Truth About Statins And Nutritional Supplementation

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First, it is ridiculed.

Second, it is violently opposed.

Third, it is approved as being self-evident."

Arthur Schopenhauer

(1788 - 1860)

What is the true cause of heart disease, and how can we truly reduce the risk of death?

Atherosclerosis, or Coronary Artery Disease (Cad), is the prominent cause of death in both men and women. In the U.S. Alone, there are more than one million heart attacks every year, one third of them resulting in death. The majority of men and women currently have, or are actively developing, atherosclerosis. By age 20, most habitancy already have a 15-25% narrowing of their arteries due to plaque formation. By age 40, there is a 30-50% clogging of their arteries.

In the starting of the Twentieth Century, congestive heart disease (Chd) was mostly a ensue of rheumatic fever, which was a childhood disease. Any way by the year 1936 there was a dramatic turn in the main cause of heart disease. Cardiovascular disease caused by atherosclerosis, or plaque buildup, took first place as the original cause of heart disease, making congestive heart failure a distant second.

During the 1950's, the autopsies conducted on men who died of heart disease that revealed plaque-clogged arteries terminated that cholesterol was the cause of hardening of the arteries (atherosclerosis) and coronary artery disease. Cholesterol, not calcium, was carefully the "cause" of heart disease, despite plaque consisting of 95% calcium and a relatively small division of cholesterol. By 1956 there were 600,000 deaths annually from heart disease in the U.S. Of those 600,000, 90% were caused by atherosclerosis, or clogged arteries. In fewer than 25 years, the estimate one cause of death in the U.S. Had changed dramatically ...from congestive heart disease to coronary artery disease.

Because cholesterol was dubbed the "cause" of atherosclerosis, the exertion to lower cholesterol by any means began in earnest. Both the food commerce and the pharmaceutical commerce seized upon this occasion to cash in on a cholesterol-lowering campaign by creating foods and drugs that would supposedly save lives. Diets, such as the thrifty Diet, were established to lower the estimate of cholesterol intake from food. There was no doubt that both polyunsaturated oils and drugs reduced cholesterol, but by 1966 it was also apparent that lowering cholesterol did not translate into a reduced risk of death from heart disease.

As there was so much money to be made from pharmaceutical development, the campaign to yield cholesterol-lowering drugs kicked into high gear, despite the lack of evidence showing that the lowering cholesterol reduced the risk of untimely death from heart disease.

Heart disease kills 725,000 Americans annually, with women accounting for 2/3 or nearly 500,000 of those deaths. After thirty years of cholesterol-lowering medications' failure to significantly lower the death rate from cardiovascular disease, in 1987 a new and more dangerous class of drugs was unleashed upon the world: the "statin" drugs. Cholesterol-lowering statin drugs are now the approved of care that physicians are indoctrinated into prescribing to reduce cardiovascular disease. Are statin drugs the best way to forestall heart attacks and death?

Before 1936 the most base type of heart disease was congestive heart disease (Chd). It rarely caused sudden death and could be treated with the drug digitalis. The incidence of Chd remained stable until 1987, after which the incidence of the disease skyrocketed. Interestingly, the timing of the increased incidence of congestive heart disease coincides with the introduction of cholesterol-lowering statin drugs. Could cholesterol-lowering statin drugs have something to do with the weakening of heart muscles and the increased incidence of congestive heart failure? We will see that lowering the body's co-enzyme Q10 levels, a side ensue of statin drugs, does as a matter of fact growth the risk of muscle damage, together with the muscles of the heart.

Atherosclerosis is a disease characterized primarily by inflammation of the arterial lining caused by oxidative damage from homocysteine, a toxic amino acid intermediary found in everyone. Homocsyteine, in compound with other free radicals and toxins, oxidizes arteries, Ldl cholesterol, and triglycerides, which in turn releases C Reactive Protein (Crp) from the liver-a ticket of an inflammatory response within the arteries. Inflammation (oxidation) is the starting of plaque buildup and ultimately, cardiovascular disease. Plaque, combined with the thickening of arterial smooth muscles, arterial spasms, and clotting, puts a someone at a high risk of suffering heart assault or stroke.

For years, doctors have hyper-focused on cholesterol levels. First it was the total cholesterol; later the focus became the ratio of "good" Hdl cholesterol to "bad" Ldl cholesterol. In other words, how much of your cholesterol was good, and how much was bad? Of the two, the prominent parameter is the level of Hdl cholesterol, not Ldl cholesterol. Hdl, or high-density lipoprotein cholesterol, is responsible for clearing out the Ldl cholesterol that sticks to arterial walls. Exercise, vitamins, minerals, and other antioxidants, particularly the bioflavonoid and olive polyphenol antioxidants, growth Hdl cholesterol levels and protect the Ldl cholesterol from oxidative damage, and therefore do more to reduce the risk of heart disease than any medication ever could.

There is nothing inherently bad about Ldl cholesterol. Ldl cholesterol is critical to speak life. Ldl cholesterol only becomes "bad" when it is damaged, or oxidized by free radicals. Only the damaged, or oxidized form of Ldl cholesterol sticks to the arterial walls to initiate the formation of plaque.

Let us look towards cigarette smoking for a straightforward example demonstrating that we as a matter of fact need to reduce oxidized Ldl cholesterol to forestall atherosclerosis, as opposed to indiscriminately lowering Ldl cholesterol with statin drugs. Every person knows that cigarette smoking increases the risk of many persisting diseases, such as cancer, heart disease, and stroke. Smokers with general levels of Ldl cholesterol are at an even greater risk of developing heart disease than a non-smoker who has elevated levels of Ldl cholesterol. Of course the imagine why a smoker with general levels of Ldl cholesterol is at greater risk of disease is because his Ldl gets excessively oxidized.

Cigarette smoke releases so many toxins and free radicals that the Ldl cholesterol, the triglycerides, and the arterial walls are extensively oxidized. Homocysteine levels are also increased by cigarette smoking which further oxidizes Ldl cholesterol and the arterial lining. Oxidation is the initiating cause of atherosclerosis. Therefore, the more and longer one smokes, the more oxidative damage he sustains and the greater his risk of developing heart disease. The degree of oxidation directly corresponds to the risk of heart disease.

If you are not taking vitamins, minerals, and antioxidants then your Ldl cholesterol is being oxidized, it is sticking to your arterial walls, and you Are developing heart disease Even If Your Cholesterol Levels Are Normal! Ldl cholesterol starts sticking to arterial walls before the age of 5.

Among the many free radicals that damage cholesterol, triglycerides and the arterial lining is homocysteine, a toxic intermediate biochemical produced while the conversion of the amino acid methionine into other prominent amino acid, cysteine. Both methionine and cysteine are non-toxic, but homocysteine is very toxic to the lining of the arterial endothelium. Homocysteine oxidizes Ldl cholesterol, triglycerides and the arterial lining.

Homocysteine is an amino acid ordinarily produced in small amounts from the amino acid methionine. The general role of homocysteine in the body is to operate growth and withhold bone and tissue formation. Any way a qoute arises when homocysteine levels in the body are elevated, causing excessive damage to Ldl cholesterol, as well as to arteries. Furthermore, homocysteine as a matter of fact stimulates growth of arteriosclerotic plaque, which leads to heart disease.

Thyroid hormone controls the level of homocysteine, but numerous factors play a role in the elevation of homocysteine. general aging, kidney failure, smoking, some medications, and market toxins all elevate homocysteine levels. Interestingly, estrogen helps lower homocysteine.

Homocysteine becomes elevated in the blood with a deficiency of the B vitamins-B6, B12 and folic acid. Genetics also play a role. About 12% of the habitancy has an undetected fault requiring higher levels of folic acid than the rest of habitancy to help speak homocysteine levels in a safe range (below 6.5). Therefore if you have high homocysteine levels (> 7.0) even though you are taking supplemental B complex vitamins, then you may be among the 12% who need more than 1000 mcg of folic acid per day. In addition, betaine, also known as trimethylglycine (Tmg) lowers homocysteine.

Homocysteine is second only to cigarette smoking in its oxidative destruction. It causes small nicks or tears in the arterial lining, while also oxidizing and damaging Ldl cholesterol. The damaged, or oxidized Ldl cholesterol sticks to the homocysteine-damaged areas of the arterial lining. The compound of oxidized Ldl cholesterol and a damaged arterial lining is what causes Ldl cholesterol to stick to the arteries, either or not the Ldl cholesterol level is normal.

Cholesterol-lowering statin drugs are the approved for treating high cholesterol. This is dogma, and anyone who states otherwise is committing curative heresy. Many habitancy find it hard to believe that pharmaceutical clubs could ever ensue in paying curative researchers, curative associations, and doctors to suggest something detrimental to our health.

Most habitancy do not know that pharmaceutical clubs fund curative institutions, curative education, curative conferences, and still repaymen doctors and research institutions for providing convenient results on their drugs. Likewise, pharmaceutical clubs often suppress negative results from studies done on their drugs. Money has the power to sweep negative results and serious side effects under the rug. Money has the power to sway the Fda to determine which drugs make it to market and which drugs come to be the "standard" of treatment.

Former editor of the New England Journal of medicine (Nejm), Dr. Marcia Angell, warned of the qoute of commercializing scientific research in her outgoing editorial titled "Is scholastic medicine for Sale?" Angell called for stronger restrictions on pharmaceutical stock rights and other financial incentives for researchers. She said that growing conflicts of interest were tainting science, warning "When the boundaries in the middle of commerce and scholastic medicine come to be as blurred as they are now, the business goals of commerce sway the mission of curative schools in multiple ways." She did not discount the benefits of research but said, "a Faustian bargain" now existed in the middle of curative schools and the pharmaceutical industry. Angell left the Nejm in June 2000 and has written a book, "The Truth About the Drug Companies: How They Deceive Us and What to Do About It."

Two years later, in June 2002, the Nejm announced that it was going to begin accepting articles that were written by biased researchers, as there weren't adequate unbiased researchers left to write articles. In other words, most research institutions were now funded by one or more of the numerous pharmaceutical companies.

An Abc report noted that a seek of clinical trials revealed that when a drug business did not fund a study, convenient results concerning a drug were found only 50% of the time. In studies funded by drug clubs convenient results about the drugs were reported an amazing 90% of the time. Money can and does buy the desired results. This is how most curative research and drugs are now advanced and brought to market.

In 1977, the internationally-renowned heart surgeon, Dr. Michael DeBakey pointed out that only 30-40% of habitancy with blocked arteries and heart disease have elevated blood cholesterol levels, and posed the logical question, "How do you by comparison the other 60-70%?"

Because lowering cholesterol did not reduce the risk of death from heart disease, the Cholesterol Consensus seminar in 1984 advanced new guidelines to lower the "acceptable level" of cholesterol. High cholesterol would now be the determination for any man or woman with a cholesterol level over 200. Doctors had to convince their patients that they had the disease and needed to take one or more costly drugs for the rest of their lives.

However, when lowering total cholesterol levels below 200 did not translate into saving lives from heart attacks, the focus then turned to Ldl cholesterol levels. The "disease" of high cholesterol was refined to the disease of high Ldl cholesterol. The unfortunate inpatient who had an Ldl cholesterol level above 130 was now condemned to a lifetime of costly drugs. Though fully illogical, even when a someone with general Ldl cholesterol levels suffered a heart attack, he would still be prescribed a cholesterol-lowering drug.

As we shall see, statin drugs reduce the risk of death by repeat heart attacks by as much as 30%, but interestingly enough, the mechanism of action in reducing the risk of death after a heart assault is not via statin drugs' potential to lower cholesterol! It has been discovered that statin drugs have a modest anti-inflammatory and antioxidant effect. Yet, there are many natural antioxidants that reduce inflammation and oxidation of Ldl cholesterol and the lining of the arteries, which may soon be discovered to be more effective in reducing the risk of death than "antioxidant drugs," without toxic side effects.

The myth that high Ldl cholesterol is the original cause of heart disease, and that we must be on drugs to protect ourselves is dispelled by the evidence. If the premise were true that habitancy with high levels of Ldl cholesterol get heart disease, then we could assume that habitancy with general levels of Ldl should not get heart disease, or at least very few should get it. However, as Dr. DeBakey observed, almost 60% of those who die from heart disease have general Ldl cholesterol levels!

Furthermore, after over 45 years of doctors prescribing cholesterol-lowering drugs, heart disease and stroke still remain the estimate one cause of death in both women and men. This says that regardless of either you have a high or a general level of cholesterol, you have a 50% occasion of dying from heart disease. If this is so, and it is, then why take a dangerous drug to exertion to lower your cholesterol in the first place?

In 2001, the target level of Ldl cholesterol was lowered from 130 to 100, and overnight the estimate of habitancy carefully to be candidates for cholesterol statin drugs doubled. Many habitancy such as myself bristled at the news, because we knew the effectiveness of vitamins, minerals, and antioxidants in preventing and reversing heart disease. Many of us could see the conspiracy for what it was.

The level at which Ldl cholesterol is carefully general has continually been influenced by pharmaceutical companies, who pull the financial strings of research grants that keep curative schools and curative organizations in business. The lower they can manufacture the level at which Ldl cholesterol is carefully to be normal, the more habitancy automatically come to be victims of the dreaded disease of "high cholesterol." Therefore, more habitancy will be persuaded that they need to be taking a statin drug, and voilà, more behalf for the manufacturers. When you reconsider the size of the profits already received, let alone the potential behalf from statin drugs over the next some years, the cholesterol conspiracy is one of the largest money making schemes ever perpetrated on the world.

In July 2004, the level of Ldl cholesterol carefully general underwent other change. The new norm plunged from 100 to 70, virtually doubling again the estimate of habitancy who are "infected" with the plague of high cholesterol. Why, it's the epidemic of our time! Many enlightened habitancy howled at this news, wondering if the masses would ever wake up and see who is behind this, and why. Why is the curative preparation ignoring the thousands of published curative studies that show the useful effects of nutritional supplements against heart disease? Why is the curative preparation down-playing the dangerous and deadly side effects of statin drugs?

The "updated" Ldl cholesterol recommendations were published in the July 2004 issue of the American Heart Association's publication, Circulation. A panel from the National Heart, Lung and Blood Institute, a agency of the National Institutes of Health, which is endorsed by the American College of Cardiology, and the American Heart Association, were the ones who as a matter of fact pronounced the new cholesterol level at which drugs should be prescribed. Sounds pretty lawful and reliable if these noteworthy curative institutions are backing up these recommendations, right?

The fact is eight of the nine panel members making the new Ldl cholesterol recommendations were being paid by the statin-producing pharmaceutical companies. The panelists did not disclose their financial friction of interest. This data was uncovered by Newsday, a Long Island, New York
newspaper (D. Ricks and R. Robins, Newsday, July 15, 2004). Seven of the nine panelists have financial connections to Pfizer, the makers of Lipitor®. Five of the nine served as "consultants" to Pfizer. So, what did the other two panelists do to deserve their money? Seven of the nine panelists also received money from Merck, the producers of Zocor®, with four of them serving as "consultants" to the company. Eight of the panelists who made the recommendations that would growth the prescribing of statin drugs have received either research grants or honoraria from Pfizer, Merck, AstraZeneca, Novartis, Glaxo Smith Kline, Johnson & Johnson, Bayer, and many other drug clubs that yield statin drugs.

You would think that with all the advertising and recommendations from curative experts on the benefits of statin drugs, the curative community would possess amazing evidence that the drugs reduce the risk of death from cardiovascular disease. A hint of some of the smoke and mirrors in the pharmaceutical companies' advertising can be seen in their Tv commercials. Read carefully the small print on some of Crestor's® market advertising. Their market states how much it lowers Ldl cholesterol. However, in the same ad you can read, "...Crestor® has not been shown to reduce the risk of heart disease or heart attack." If so, then why take it? Isn't the bottom line to forestall death?

The ideas for reporting adverse effects from medications is tremendously flawed, so much so that many habitancy are seriously harmed or killed by some medications before they are finally removed from the market. Most doctors do not know what symptoms or effects are due to the drug, what should be reported, or even to whom to report adverse effects. They assume that the research that went into developing the drug has already identified all the effects and that a drug brought to market is "safe." However, only one in twenty side effects is ever reported to either hospital administrators or the Fda.

Statin drugs block cholesterol output in the body by inhibiting the enzyme called Hmg-CoA reductase in the early steps of its synthesis in the mevalonate pathway. Cholesterol is one of three end products in the mevalonate chain. This same biosynthetic pathway is also used to generate co-enzyme Q10, or co-Q10, as well as dilochol. Therefore, one unfortunate consequence of statin drugs is the unintentional inhibition of both Co-Q10 and dilochol synthesis.

The drug data insert of a statin drug states that it lowers co-enzyme Q10 levels. Most doctors have forgotten their biochemistry class in curative school, and forgotten about the point of Co-Q10. Therefore they apparently are not implicated about such a statement on the drug labeling data sheet. They may even reassure their patients that lowering Co-Q10 is nothing to worry about, but at the same time warn them that the drug may cause liver damage and to have their liver enzymes checked every three to six months to make sure the drug isn't killing them. They do not comprehend that it is the depletion of Co-Q10 that leads to liver damage and death.

Ubiquinone, or co-enzyme Q10, is a critical cellular nutrient created in the cell's mitochondria, the "engines" that yield energy for the cell. Mitochondria use sugar, oxygen, and water to yield energy molecules known as Atp. Without Atp cells could do nothing. Damaged tissues could not be repaired. Cells could not divide or yield or utilize proteins, enzymes, or hormones. Death of cells, and as a matter of fact of the human body would occur if Atp could no longer be produced and utilized. Co-Q10 functions within the mitochondria as an electron carrier to cytochrome oxidase, our main respitory enzyme, which helps turn oxygen and sugar into energy. The heart requires high levels of oxygen, sugar, and Co-Q10 since it utilizes a lot of energy. A form of Co-Q10 called ubiquinone is found in all cell membranes, where it plays a role in maintaining membrane integrity, so critical to nerve conduction and muscle contraction. Co-Q10 is also vital for the formation of elastin and collagen, which make up the connective tissues of the skin, musculature, and the cardiovascular system.

The most base side ensue of statin drugs is muscle pain and weakness. In fact, many patients who start on the statin drugs almost immediately consideration generalized fatigue and muscle weakness. This is due to the depletion of Co-Q10 needed to withhold muscle function. Dr. Beatrice Golomb of San Diego, California, is currently conducting a series of studies on statin side effects. The pharmaceutical commerce insists that only 2-3% of patients get muscle aches and cramps, when in fact in one study, Golomb found that 98% of patients taking Lipitor®, and one-third of the patients taking Mevacor® (a lower dose statin), suffered noticeable to critical muscle problems.

Some habitancy on statin drugs lose coordination of their muscles. Some manufacture pain in their muscles, some are not able to write due to loss of fine motor skills. Many lose the strength to exercise. Others are falling more oftentimes as their muscles give out, still others have problem sleeping due to muscle cramping and twitching. Even worse, many habitancy are experiencing most of these side effects. The problems are so numerous, it is difficult to list all the symptoms habitancy might experience. These problems do not come from the "disease" of high cholesterol, but the disease of ignorance in prescribing these drugs.

As we age, Co-Q10 levels decline naturally. From the age of 20 to 80, Co-Q10 levels fall by nearly 50%. Along with the natural decline of Co-Q10, comes a natural decrease in energy and an growth in the risk of heart disease, stroke, and cancer. If the natural decline of Co-Q10 levels increases the risk of fatigue, cancer, heart disease, and stroke, would it not make sense that accelerating the decline of Co-Q10 levels with statin drugs would have the same effect? They do indeed!

Demonstrating the point of Co-Q10 to cardiovascular health, in a randomized, double blind, placebo-controlled study of habitancy either taking or not taking statin drugs, supplementation with Co-Q10 reduced the risk of heart attacks and death in those with heart disease and prior heart attacks by 50%, regardless of either they were on a statin drug or not. (Singh R, Neki N, Kartikey K, et al. ensue of coenzyme Q10 on risk of atherosclerosis in patients with new myocardial infarction. Mol Cell Biochem. 2003 Apr; 246(1-2):75-82.)

Additionally, Co-Q10 was shown to growth blood levels of vitamin E and significantly growth the levels of protective Hdl. As low Hdl is a major risk factor for heart disease, expanding it is a exact benefit. Statin drugs were shown not to contribute any advantage beyond that of supplementing with Co-Q10. Let me make this clear - in this study only the co-enzyme Q10 in case,granted any benefit, not the drugs!

Cardiologist Dr. Peter Langsjoen of East Texas University reported the effects of Lipitor® among 20 patients who started with fully general hearts. After six months on a low dose of 20 mg of Lipitor® per day, two thirds of the patients started to show signs of heart failure, as seen by abnormalities in the heart's filling phase. According to Dr. Langsjoen, this malfunction is due to Co-Q10 depletion. Nine controlled trials using statin drugs in humans have been conducted thus far. Eight of these showed critical statin-induced Co-Q10 depletion prominent to a decline in left ventricular function and other biochemical imbalances.

In the United States, the incidence of heart attacks over the past ten to fifteen years has declined slightly. But congestive heart failure and cardiomyopathy have risen alarmingly. Is it a coincidence that statin drugs were first marketed in 1987, and then from 1989 to 1997, deaths from congestive heart failure more than doubled? 38 It scares me that virtually all patients with heart failure are put on statin drugs, even if their cholesterol is already low. In my opinion, the worst thing to do for a failing heart is take a statin drug. The best thing is to take is a full range of potential nutritional supplements, ...vitamins, minerals, fish oil, and other antioxidants, together with Co-Q10.

Various antioxidants work synergistically, each contributing to the fight against free radicals in dissimilar areas and in dissimilar ways. In the blood stream, water-soluble antioxidants, such as vitamin C, and grape seed passage come in perceive with and neutralize free radicals before they damage Ldl-cholesterol. Other antioxidants saturate arterial walls and other tissues, and protect collagen and elastic fibers from free radical damage, reducing inflammation and plaque formation. The fat-soluble antioxidants, vitamin E, beta carotene, and co-enzyme Q10 ride along in the blood fat (triglycerides) and Ldl cholesterol, protecting them and the endothelium from oxidation. Vitamin E sits on the face of Ldl cholesterol, protecting it from free radical damage. Beta carotene, grape seed passage and olive passage lanch deeper inside the Ldl cholesterol and arterial walls, adding more safety from oxidation. Quercetin and alpha lipoic acid work straight through nitrous oxide pathways to reduce high blood pressure, a major risk factor for heart disease.

A report published in the Archives of Internal medicine in 2005 looked at 97 double-blind controlled studies comparing the efficacy of cholesterol-lowering statin drugs to fish oil. They found that cholesterol-lowering statin drugs reduced the risk of death from heart disease by only 13%, and
interesting adequate it was Not due to the ensue of lowering cholesterol. The benefits, although small, were derived from the fact that statin drugs have a petite antioxidant effect.

Even more interesting, the salmon oil was shown to reduce the risk of death from heart disease by 23%, nearly double the advantage of statin drugs. Salmon oil is an omega-3 fatty acid that gets incorporated into cholesterol and triglycerides and prevents the oxidation of Ldl cholesterol. Since Ldl cholesterol is protected from excessive oxidation there is less plaque buildup and less risk of heart disease.

Inflammation is a customary component in the formation of atherosclerosis. To keep it simple, think of inflammation and oxidation as the same process. The immune system's response to inflammation is to
release peroxides that act like acid to break down damaged tissues, so that cells from the immune system, macrophages, can consume the molecules and clean up the site. But peroxides escalate the oxidation/inflammation process, thus damaging more tissue. The arterial walls come to be more inflamed, escalating the formation of plaque and scarring. The downward cycle continues until atherosclerosis is so advanced that the occurrence of a heart assault or stroke becomes imminent.

The liver's response to inflammation is to release C reactive protein (Crp) into the blood. Other inflammatory causes can cause elevated Crp levels, together with cigarette smoking, obesity, insulin insensitivity, diabetes, rheumatoid arthritis, infections, dementia, colorectal cancer, high blood pressure, and aging. Accordingly, elevated Crp levels are a direct indication of inflammation in the body and that atherosclerosis, together with heart disease, is actively developing.

Homocysteine and high sensitivity Crp levels can and should be tested. Dr. Jialal, of the Universtity of Texas Southwestern curative School at Dallas, is well known for his research correlating oxidized Ldl cholesterol as the true cause of atherosclerosis, has also identified high sensitivity C reactive protein as a predictive risk factor for inflammation of arterial walls and plaque formation. Your doctor may not test for these routinely, but you should insist on getting these tests done. Both of these predictive values can be kept at "safe" levels. Vitamins, minerals, antioxidants, and omega-3 fatty acids can lower the levels of homocysteine and Crp. The B vitamins, along with betaine, or tri-methyl-glycine (Tmg), turn homocysteine into safer amino acids and reduce inflammation of the Ldl cholesterol and the arterial lining.

When you receive the results of your homocysteine test, do not accept the answer, "Your test was normal." Ask for the actual number. The doctor and nurse ordinarily know what is general by what the lab slip states as the "normal range." Most lab results report a general homocysteine level as being below 10.4, when in fact, since the early 1990's, researchers have known that a homocysteine count above 6.5 signals a rapid linear rise in the risk for heart disease.

Furthermore, with every 3 point elevation of homocysteine above 6.5, e.g., when homocysteine levels are 9.5, the risk of coronary artery disease (Cad) rises by an further 35%! Yet you may be told that 9.5 is "normal and not to worry." With a homocysteine level of 12.5, the growth in the
risk for heart disease exceeds 70%. The greater the homocysteine level, the greater the oxidation
of both Ldl cholesterol and the arterial lining. The greater the inflammation, the higher the Crp. Is it any wonder that homocysteine and Crp levels are more predictive for risk of heart disease than cholesterol levels and ratios?

I need to emphasize that anyone either they have a curative qoute or not, should discuss this data with their doctor before acting upon anyone written here. The data in case,granted is not meant to diagnose or treat any disease. It is for informational purposes only; and no one should make decisions about their medications without consulting with their physician. No one should come off a cholesterol-lowering statin drug in lieu of nutritional supplements without a approved seminar with their doctor who is keenly aware of all the pros and cons of both medicine modalities.

In summary, I suggest a full spectrum of potential nutritional supplements, along with a wholesome diet and exercise, to help fetch and speak optimal heart and arterial health. I believe all would agree that lifestyle changes are the most prominent factor for optimal health, ...and many believe that potential nutritional supplements are key in protecting against the process that leads to, and accelerates the amelioration of almost all persisting degenerative diseases, that of oxidation. To combat oxidation we need a full range of potential antioxidants.

http://comparativeguide.com

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Does Your State Accept Medicaid For Assisted Living Facilities?

Nursing Schools In Maryland - Does Your State Accept Medicaid For Assisted Living Facilities?
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Before personel state governments passed much-needed legislation, many assisted living facilities were only incommunicable pay situations. Fortunately, for many older Americans facing housing dilemmas, Medicaid waiver programs have taken up much of the slack that Medicare did not. Providing funds for placement in assisted living facilities as well as a whole of other helpful services, Medicaid helps lower-income, elderly individuals receive the care they need.

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All states accept funds from Medicaid waiver programs for placement within a nursing home, which are usually more expensive than assisted living facilities. While many states do not recognize funds from Medicaid waiver programs for assisted living, those that do are settled throughout the country and offer many options to aging Americans needing assistance with daily living activities. After searching high and low, finding a general overview of states that offer the Medicaid waiver agenda for assisted living was rather nonexistent, but my investigate is your gain.

Medicaid Waiver Programs State Line-Up

As of publication, there are no definitive lists that form states with Medicaid waiver programs for assisted living facilities. At best, the government (via the Centers of Medicare and Medicaid Services) has created an online list of all Medicaid waiver programs (1), meaning visitors have to spend time finding the desired information. Although I've outlined the states that do accept Medicaid waiver programs, confident impediments may be in place to securing a Medicaid-covered bed in an assisted living facility. Be aware that some states may offer the agenda on a trial basis, ensue little participation quotas, or are just introducing the agenda to state residents. As always, verify eligibility requirements with the Centers for Medicare and Medicaid Services.

i. Arkansas - Aged and disabled agenda participants are provided with adult residential care, assisted living, and medication assistance and consulting till death.

ii. California - starting in 2003, California began offering Medicaid waiver programs to aged individuals.

iii. Delaware - agenda participants with Alzheimer's, dementia, physical disabilities, or needing assistance with activities of daily living (Adls) are provided with funds for assisted living facilities.

iv. Florida - There are quite a few Medicaid waiver programs for the state of Florida, including a broad waiver for all individuals aged 65 or older; individuals with Alzheimer's disease and dementia; case supervision services; assisted living; incontinence supplies to frail, elderly, and disabled individuals aged 60 or older; and a home and community based waiver that offers reasoning health services to seniors in specific areas of the state.

v. Iowa - Many assisted living facilities over the state accept money from Medicaid waiver programs; however, the whole of residents in a facility using these funds is limited.

vi. Indiana - Aged and disabled individuals are provided with case management, transportation, assisted living, healing equipment, congregate care, home delivered meals, nutritional supplements, and much more. The state also offers a targeted assisted living waiver agenda that focuses on therapeutic collective and recreational programming.

vii. Maryland - agenda participants are assessed and, if deemed eligible, are offered whether services in the home or placement in an assisted living facility.

viii. Mississippi - Medicaid waiver programs for this state cover individuals requiring assisted living services due to disabilities, Alzheimer's disease, and dementia as well as individuals aged 65 and older needing adult residential care.

ix. Missouri - agenda participants aged 65 and older needing assisted living services are eligible.

x. Nebraska - Individuals aged 65 or older who agree to partake in healing and health care evaluations are eligible for home services or can be settled in an assisted living facility (2).

xi. New Jersey - Under the Enhanced community Options waiver (3), individuals can whether remain at home to receive assistive services or be settled in an assisted living facility.

xii. Ohio - The Ohio division of Aging is responsible for determining applicants' waiver eligibility, evaluation of disabilities, prognoses, and financial assets for permissible placement within assisted living facilities.

xiii. Rhode Island - Aged and disabled individuals are provided with assisted living services, case management, and specialized healing equipment.

xiv. Vermont - Eligible Medicaid recipients are provided with assisted living services under Choices for Care, 1115 Long-Term Care Medicaid Waiver, as well as a whole of other care options.

xv. Virginia - This state's Medicaid waiver programs apply only to individuals with Alzheimer's disease or dementia who want the services of assisted living facilities. Depending upon the healing circumstances, age limits may be in effect.

xvi. Washington - The waiver agenda provides for aged and disabled residents at assisted living facilities.

xvii. West Virginia - Aged and disabled agenda participants are provided with adult residential care and assisted living services.

Additionally, some states offer details on restrictions and eligibility that can be downloaded by navigating to each respective state's Medicaid waiver informational link: www.cms.hhs.gov/MedicaidStWaivProgDemoPgi/Mwdl/list.asp?intNumPerPage=all&submit=Go

What to Look for in the Future

State governments decide eligibility based on income, giving lower-income seniors an opening to be settled in a facility that will look after their needs and supervise daily activities. With the baby boomers retiring as we speak and well into the arrival years, will we see growth in the whole of Medicaid-eligible assisted living facilities in other states? maybe the thirty-three or so other states will perceive the imaginable benefits to both seniors and community in general.

Sources
1. Cms.hhs.gov/MedicaidStWaivProgDemoPgi/Mwdl/list.asp?intNumPerPage=all&submit=Go
2. Nenaaa.com/finding-care/aged-medicaid/
3. State.nj.us/health/senior/go.shtml

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Wednesday, May 16, 2012

2010 Largest Assisted Living Providers

Nursing Schools In Maryland - 2010 Largest Assisted Living Providers
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While stormy economic conditions buffeted the company last year, indicators now point to smoother navigation ahead. As businesses in nearly every U.S. Sector struggled to stay afloat last year, assisted living was the buoy in the choppy waters. Steady request for potential services helped keep associates stable-even if accompanied by a hiatus from major mergers and acquisitions.

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As businesses in nearly every U.S. Sector struggled to stay afloat last year, assisted living was the buoy in the choppy waters. Steady request for potential services helped keep associates stable-even if accompanied by a hiatus from major mergers and acquisitions.

Now, as economic forecasters allude to the end of the "Great Recession," associates like this year's Largest Providers are poised for growth, some of which is already underway. Forty-two of those associates (60%) that made the 2010 list record increases in licensed assisted living resident capacity-though much of that increase was in single-digit percentages. an additional one 16 of the top 70 associates maintained their size, while just 12 reported losses.

Here's a look at Assisted Living Executive's 2010 Largest Providers, and the company environment, transactions, and trends that landed each company a spot.

Top Players Hold Steady

In 2009, no assisted living providers merged nor acquired any other faultless company. However, while most deals were small, the year did produce a few large folder acquisitions and requisite reshuffling. The biggest gains and losses were among the biggest players and occurred through simple sales and acquisitions.

For the first time since Assisted Living executive began compiling this annual Largest Providers list, Sunrise Senior Living, based in McLean, Virginia, no longer sits at No. 1. The company, now No. 2, had no new building starts and sold off about 9 percent of its assisted living capacity (about 2,896 units) last year. Its biggest transaction was a folder of 21 communities in 11 states to Milwaukee, Wisconsin-based Brookdale Senior Living for 4 million, but Sunrise also sold smaller portfolios to regional providers, such as Baltimore-based Brightview Senior Living (The protection Group), which purchased two of Sunrise's New Jersey communities.

The Sunrise downsize has made Seattle-based Emeritus Senior Living the nation's largest assisted living provider. Emeritus acquired 2,221 new licensed assisted living units and grew by 7 percent in the past year, and it's very likely that Emeritus will not only enounce the top spot next year, but advance significantly in 2011. The company's partner, Blackstone Real Estate Advisors, is pursuing the buy of 134 communities operated by Sunwest Management, which is in lesson 11 bankruptcy. Under a initial agreement, Emeritus would manage the properties with the selection to invest up to 10 percent of the equity in a joint speculation with Blackstone and Columbia Pacific Management, an entity controlled by Dan Baty, Emeritus chairman and co-Ceo.

Brookdale Senior Living maintained its No. 3 ranking, but also grew by 3,808 residents, or 15 percent, in 2009. Sunwest Management, last year's No. 4 company, comes in at No. 7 this year with 9,186 assisted living residents, a 43 percent drop. The company will disappear fully from the 2011 list if Blackstone or an additional one entity receives court approval to buy the remainder of Sunwest's portfolio.

In terms of division growth, the clear winner is Solana Beach, California-based Senior reserved supply Group, an additional one beneficiary of Sunwest's financial woes. The company picked up supervision contracts for 41 properties in 11 states, under the name LaVida Communities, when institutional investor Lone Star Funds of Dallas acquired the properties in the first big deal of 2009. Senior reserved supply Group catapults from No. 55 to No. 11, having grown its assisted living resident capacity more than 500 percent, to 4,897.

Big Movers

For the next Largest Providers division spike, look to Crl Senior Living Communities, which enters the list at No. 57, thanks to more than doubling its assisted living capacity from 502 to 1,019. Also on the increase path, Frontier supervision expanded by 64 percent, from 828 to 1,358 licensed assisted living units, thanks to seven new supervision contracts and two new buildings. Frontier supervision jumps 15 spots from No. 57 to No. 42. Watch this Western regional supplier to grow added next year as several more new structure open.

The fourth-largest list jumper is Carmichael, California-based Eskaton Senior Residences and Services, rising 12 spots to No. 56. The company reports 1,036 licensed assisted living units (up from 732 last year) due to whether expansions or applications for added assisted living licensing.

Only seven other providers record gains of 20 percent or more in the past year, and among them is Bradley, Illinois- based Bma Management. Because of its focus on the affordable market, the company continues to advantage from accessible financing sources not available to original providers. Bma Management's assisted living resident capacity jumped 27 percent in the past year as the company opened six new communities. In 2010, the company moves up the list by three spots, coming in at No. 21.

Other associates that increased their licensed assisted living capacity include Capital Senior Living Corporation (No. 20), which grew by 25 percent, and Bonaventure Senior Living (No. 23), whose assisted living capacity surged by 21 percent to 2,595. Assisted living capacity for Carlsbad, California-based Integral Senior Living (No. 24) rose 24 percent. Benedictine health theory (No. 41) grew by 20 percent, and Brightview Senior Living (No. 52, up from No. 62 last year) expanded by 29 percent, thanks to the Sunrise deal, which added 240 residents. an additional one chart-jumper was relaxation Living Management, which vaulted nine places from No. 58 in 2009 to No. 49 this year naturally by adding 200 residents (22 percent).

The vast majority of expanding providers, however, had gains of less than 10 percent. But a puny increase can go a long way when nearly 60 percent of associates on the Largest Providers list have fewer than 2,000 assisted living residents.

In an additional one indication of assisted living growth, Independent Healthcare Properties, the smallest company on the list at No. 70, only kept its 2009 rank thanks to an 18 percent capacity gain from 706 to 833. Most of the 2009-ranked associates that did not make this year's list whether maintained capacity or had very small gains. an additional one think for higher numbers at the lowest of the list is attributed to data from five providers not previously listed-Spectrum retirement Communities (No. 28), Mountain View retirement (No. 50), Crl Senior Living Communities (No. 57), Welcome Home supervision company (No. 64), and Elder Care Alliance (No. 66).

Other than Sunwest, the company with the most dramatic drop in licensed assisted living capacity was Northstar Senior Living, which shed 1,068 residents, or 55 percent of its 2009 capacity, falling from No. 28 to No. 67. Again, because of modest broad numbers, decreases were most famous toward the lowest of the top 70 list. Grace supervision saw a 30 percent decline from 1,399 to 979 and dropped from No. 37 in 2009 to No. 61 this year. Carillon Assisted Living, No. 49 in 2009, decreased its capacity by 24 percent from 1,024 to 775, removing it from the list altogether.

Several associates that didn't make this year's list but may show up in 2011 include Trinity Lifestyles Management, which nearly doubled in size to 480 assisted living residents after picking up three Atlanta-area EdenCare properties, at one time operated by Sunrise Senior Living. Wichita, Kansas-based Legend Senior Living has been raising its assisted living component steadily with new construction, expanding an additional one 18 percent to 692 in 2010. And finally, AdCare health Systems, based in Springfield, Ohio, remains a smaller supplier at 231, but that reflects a 38 percent increase over the prior year, and the company recently announced raising .5 million to fund acquisitions.

More garage Times Ahead

"The fact that we'll be able to point to this time period-the worst economic downturn in our lifetimes-and say that our manufactures weathered it pretty well and even prolonged to grow is significant," says Granger Cobb, president and co- Ceo of Emeritus Senior Living.

The past two recessions hit assisted living hard, and many providers at the start of 2009 were concerned that the stalled housing market, depleted stock shop earnings, and high unemployment among the adult children of potential residents could cause occupancy rates to plummet. Instead, after modest 2008 rate declines and a rent increase slowdown to 2 percent from 2.9 percent in 2008 and 4 percent in 2007, the needs-based component of assisted living seemed to trump economic concerns. Move-ins could be postponed but only for so long.

By second quarter 2009, signs of stabilization began to emerge, followed by a slow but upward trend, says Robert G. Kramer, president of the Annapolis, Maryland-based National speculation town for the Seniors Housing & Care manufactures (Nic). While national unemployment still hovered at a troubling 10 percent in January, Kramer says he's cautiously optimistic about the future, especially since the manufactures saw its largest absorption rate in the third quarter of 2009 since the first quarter of 2006- 1,400 assisted living units in the top 30 urban markets and slightly stronger in the top 100 markets.

Those statistics advise that the broad photo is much rosier for assisted living than for other real estate sectors, along with multifamily, hotels, and offices, Kramer notes. "Basically, we are finding operators keeping the line with regard to rates," he adds. "We certainly are finding more concessions out there, but at the same time, those concessions tend to be very much market-specific, property-specific, or even unit-specific."

Still, move-in delays due to economic factors have amplified a trend already developing pre-recession-residents tend to be older and frailer, says Jim Moore, president of Moore Diversified Services and author of "Strategic Forecast," published in Assisted Living Executive's January/February 2010 issue. The result is heightened chance in dementia care, which is even more needs-based than assisted living, he adds. Indeed, a whole of top 70 operators reported having converted independent units to assisted living or assisted living to memory care.

As for new construction, structure already in the pipeline prolonged to open, but few associates launched new developments, and by January 2010, the whole of new building starts had fallen to the lowest point since Nic started tracking senior housing trends. No associates went public in 2009.

Forecast for 2010

Access to capital will remain the original challenge for development in 2010, although new properties financed before the retreat will continue to open through the third quarter of 2010. But the lack of new properties isn't necessarily bad news for assisted living.

"We're going to go through a duration of very puny new product coming online, but if that coincides with pent-up request and a salvage in the economy, all should bode well for occupancies and rent increase in assisted living," Kramer says. "Outside of external economic factors that we don't have any control over, the many risk to assisted living is overbuilding."

Fannie Mae and Freddie Mac will continue to be reliable sources of permanent 10-year financing, but when it comes to building loans, developers have few options. Some very puny Hud 232 financing will be available, but more likely, the few projects that inaugurate will do so because of relationships with local lenders.

Indeed, The Arbor Company, based in Atlanta, lacks the cash to produce properties on its own, but thanks to a partnership with Formation Capital, Arbor will manage two new properties scheduled to break ground this fall, says Coo Judd Harper. "We feel much stronger and more optimistic about the assisted living occupancies in today's moderately recovering economy, but are optimistic about independent living's rebound in the future," he adds. "As habitancy get jobs, they no longer are going to be able to care for a parent at home."

A piquant spot in the acquisitions arena, private equity entities are beginning to eye assisted living as a desirable sector again, and the major Reits in senior housing are well-positioned to invest again, Kramer notes. Emeritus will be a company to watch thanks to the Blackstone deal, and while it only plans one new building in 2010, the company actively will be finding for other acquisition opportunities at piquant prices.

"If a company has liquidity, cash flow, and a reasonably wholesome balance sheet, it will be in a great position because there are opportunities right now," Cobb says. That advantage isn't just for big associates like Emeritus, but also for regional and even small mom-and-pop players with targeted expansion plans, he adds, noting that "interest rates have not changed that much over the last concentrate of years, but the whole of equity and coverage ratios you have to have in place has become more stringent, as well as the underwriting."

Fanwood, New Jersey-based Chelsea Senior Living leveraged a strong association with a local lender to buy a previous Sunwest property in New Jersey last fall and is actively finding for more deals, says Roger Bernier, president and Coo. "Some habitancy are likely to see their debt maturing and be unable to refinance," he forecasts. "Ultimately we'd like to grow by two communities per year, but it has to be the right deal for us to take a look."

Much of the acquisitions operation in 2010 is likely to remain with distressed properties, however, and no one expects lots of high-end properties to come on the shop this year, says Steve Monroe of Senior Care Investor. "High-performing properties are only going to sell if owners can get a good price, although that may start to turn later in 2010."

Still, wise operators should not be blinded by piquant price tags so much that they forget to consider how well the acquisition fits into their existing folder and evolving demands of seniors and their families, Moore cautions. "Senior psychographics are changing," he adds. "It's not so much the World War Ii homemaker widow as 80-year-olds who have been in the professional workforce."

Another area of chance in 2010 may be new supervision contracts for owners and lenders who may be unhappy with their current management, Moore suggests. And for many companies, the wisest move in 2010 may be just to edge internal operations, he says.

Although Greensboro, North Carolina- based Bell Senior Living is open to the right deal within the mid-Atlantic states in which it already operates, the latter strategy will be the company's prime priority this year, says President Steve Morton. "I'd say it's a time to focus on operations, enhance operating results along with supervision and earnings streams, and put together the requisite tools to maximize and run communities in the most sufficient manner possible," he says. "This is something we can do because we don't have five acquisitions or development deals."

Finally, unstable financial markets still make it unlikely that any company will go public in 2010, but if conditions improve, Moore says, the two associates to watch continue to be Atria Senior Living Group (No. 4) and Hcr ManorCare (No. 10).

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