Podcasts about ppag

Ever stopped to wonder what's in the air you breathe? From invisible pollutants to visible smog, air quality affects us all—whether we realize it or not. Host Ally Richardson from Pikes Peak Permaculture sits down with activist and Peak Environment cohost Konrad Schlarbaum, alongside Pikes Peak Area Council of Government's Air Quality Outreach Specialist Kenzie Courtney, to discuss air quality in the Pikes Peak region. In this episode, we're diving into the challenges we face, the risks we can't ignore, and the steps we can take to create cleaner skies for generations to come.Mentioned in this episode:Pikes Peak Area Council of Governments https://ppacg.org/Find the Air Quality Index here https://www.airnow.gov/CDPHE Air Quality Division - Colorado Air Quality Summary https://www.colorado.gov/airquality/colorado_summary.aspxCDPHE's Air Quality Division daily reports https://www.colorado.gov/airquality/The latest ways to get around in the Pikes Peak region https://ppacg.org/transportation/Free Energy Audits for Businesses https://www.csu.org/business-efficiency/request-an-auditFood To Power https://foodtopowerco.org/PPAG will provide info through https://Pikespeakair.comBike Routes and Safety Information https://coloradosprings.gov/bikemapAdditionally, mark your calendars for Bike To Work Day on Wednesday, June 25th, where free breakfast will be provided at several bike stations throughout the city. Find more details here: https://coloradosprings.gov/biketoworkThanks to these Peak Environment sponsors:Pikes Peak Permaculture. Visit pikespeakpermaculture.org for opportunities to learn more about sustainable organic living through permaculture – workshops, classes, field trips, and networking.The following environment/sustainability organizations in the Pikes Peak region collaborate to produce the Peak Environment podcast about environmental stewardship, sustainable living and enlightened public policy in the Pikes Peak Region.Peak Alliance for a Sustainable Future https://peakallianceco.org/Pikes Peak Permaculture https://www.pikespeakpermaculture.org/https://350colorado.org/GrowthBusters

Após passar por Caratinga, Itaobim, Itamarandiba, Montes Claros e Varginha, as discussões participativas terminam na Capital Mineira entre os dias 5 e 8 de novembro.

Evento nesta 2ª feira (4/11) discute metas e programas previstos no planejamento do Estado para 2025.

Greetings Glocal Citizens! This week is the final installment in our collaboration with Bisi Bright's Livewell Initiative and the Women of Africa Post-Pandemic Empowerment and Advocacy Programme with support from Gilead Sciences USA. In a fitting conclusion, Aggrey Aluso, the Director, Africa Region and global policy lead for the Pandemic Action Network, driving strategic advocacy efforts in Africa and globally joins the conversation. Born, raised and currently based in Kenya, Aggrey also serves as the incoming Executive Director of Resilience Action Network Africa (RANA), PAN's networked advocacy partner, where he is mobilizing advocates to champion an Africa-centric, globally-facing resilience agenda. He brings over 15 years of experience in advancing intersectional justice, using citizen-led, rights-based approaches in Africa. Previously, he served as an Open Society Initiative for Eastern Africa's (OSIEA) Health and Rights program senior manager. He also coordinated the Open Society Africa (Pan Africa) Vaccine Justice to advance Africa's vaccine-related research, development, and manufacturing. He served as the University of Manitoba's Global Institute for Public Health's East African Policy and Advocacy Manager. Beyond the COVID-19 Pandemic, Aggrey offers excellent insights into the current M-pox crisis as well as a thoughtful discussion on the glocal policy landscape around elevating health as a human right for all. All are invited to join this week's PPAG program on Thursday, October 31st at 1PM WAT using this link (https://us06web.zoom.us/j/85846014227?pwd=yy9uV1BDt0xefbDsQ4ZbXVmvrWxp9m.1) Where to find Aggrey? On LinkedIn (https://www.linkedin.com/in/aggrey-aluso-108a89130/) On Instragram (linnk https://www.instagram.com/aggreyaluso/) On Facebook (https://web.facebook.com/aggrey.aluso/?_rdc=1&_rdr) On X (https://x.com/aggrealuso) What's Aggrey reading? As a Man Thinketh (https://www.goodreads.com/book/show/81959.As_a_Man_Thinketh) by James Allen 21 Lessons for the 21st Century and other books (https://www.ynharari.com/book/21-lessons-book/?_gl=1cbq9a_upMQ.._gaNDYxMDg1NjIyLjE3MzAwNzE0MTY._ga_3VXWK7L4ZR*MTczMDA3MTQxNS4xLjAuMTczMDA3MTQxNS4wLjAuMA..) by Yuval Noah Harari Whats Aggrey watching? The Lincoln Lawyer (https://www.netflix.com/gh/title/81303831) New Amsterdam (https://www.netflix.com/gh/title/80241181) Other topics of interest: Nyanza, Kenya (https://en.wikipedia.org/wiki/Nyanza_Province) More on Mpox (https://www.who.int/news-room/fact-sheets/detail/mpox) and zoonotic diseases (https://my.clevelandclinic.org/health/diseases/zoonotic-diseases) UN Summit of the Future (https://www.un.org/en/summit-of-the-future) The Global Fund (https://www.theglobalfund.org/en/) Kenya Finance Bill Protests (https://www.africanews.com/2024/06/26/kenyas-finance-bill-this-is-what-led-to-the-protest//) About Wangari Maathai (https://www.greenbeltmovement.org/wangari-maathai) About the Mpox Joint Action Plan ([https://www.afro.who.int/news/african-cdc-and-who-launch-joint-continental-plan-scale-mpox-outbreak-response#:~:text=Priority%20actions%20are%20outlined%20for,comprising%20members%20from%20key%20partners.&text=About%20Africa%20CDC-,The%20Africa%20Centres%20for%20Disease%20Control%20and%20Prevention%20(Africa%20CDC,prevention%20and%20control%20of%20diseases.](https://www.afro.who.int/news/african-cdc-and-who-launch-joint-continental-plan-scale-mpox-outbreak-response#:~:text=Priority%20actions%20are%20outlined%20for,comprising%20members%20from%20key%20partners.&text=About%20Africa%20CDC-,The%20Africa%20Centres%20for%20Disease%20Control%20and%20Prevention%20(Africa%20CDC,prevention%20and%20control%20of%20diseases.)) The Man Died (https://youtu.be/9nHTlAgL1SM?si=zUHR1lsPkyPIy4xe) Film Special Guest: Aggrey Aluso.

Boletim da ALMG - Edição n.º 6024

Plano Plurianual de Ação Governamental reúne programas a serem executados em um período de 4 anos. O plano atual vale de 2024 a 2027. Encontro é nesta 6ª feira (1/11).

Os encontros fazem parte da programação da revisão participativa do Plano Plurianual de Ação Governamental para 2025.

Nesta sexta-feira (25/10), a população do Vale do Jequitinhonha poderá propôr alterações no planejamento do Estado para 2025.

In today's episode of The Hero of the Hour Podcast, Mark chats with Al Gaburo, Strategic Advisor, and lobbyist for Princeton Public Affairs Group, Inc. Al is a partner at PPAG, NJ's premier government relations firm. Over the past three decades Al has earned a reputation as one of the state capital's most knowledgeable and respected advocates. His practice centers around healthcare, insurance, transportation, environmental and economic development issues. His client roster reads like a “who's who” of business in NJ including industry leading corporations in the pharmaceutical, insurance, hospital, maritime and transportation industries.Al has served as a political strategist and Senior Advisor to countless campaigns ranging from local to county clerk , Sheriff, surrogate, and county commissioner. He has also served as Senior Advisor on US Congress, US Senate and Gubernatorial campaigns.During the episode, they discuss Al's definition of a hero, and the people he's looked up to as heroes in his life, from athletes to statesmen such as Dwight Eisenhower and Winston Churchill.They talk about government work and why businesses that try to succeed without accessing the help of the government often struggle.Al also explains why it's so vital for people to talk to each other, no matter their politica stripe, and try to solve common problems in a bipartisan way that benefits everyone.Join Mark and Al for this fascinating discussion!Enjoy!What You'll Learn in this Show:How public affairs work differs from public relations.The reasons why politics are so important, even in our everyday lives.Al's favorite legislator of all time.And so much more...Resources:Princeton Public Affairs GroupAl's LinkedInNortheast Private Client GroupMark B. Murphy LinkedinMark B. Murphy websiteNortheast Private Client Group Youtube ChannelBooks:Get Mark's Book Here: The Ultimate Investment: A Roadmap To Grow Your Business and Build Multigenerational WealthExtraordinary Wealth: The Guide To Financial Freedom & An Amazing LifeThis podcast is for informational purposes only. Guest speakers and their firms are not affiliated with or endorsed by PAS or Guardian, and opinions stated are their own. Registered Representative and Financial Advisor of Park Avenue Securities LLC (PAS). OSJ: 200 BROADHOLLOW ROAD, SUITE 405, MELVILLE NY, 11747, 631-5895400. Securities products and advisory services offered through PAS, member FINRA, SIPC. Financial Representative of The Guardian Life Insurance Company of America® (Guardian), New York, NY. PAS is a wholly owned subsidiary...

Pirms diviem gadiem uzsāktā Staņislava Broka Daugavpils Mūzikas vidusskolas sadarbība ar Daugavpils teātri vainagojusies ar pirmo jauno aktieru kursa izlaidumu. Tad tika uzsākta izglītības programma „Teātra māksla”, ar mērķi sagatavot profesionālus aktierus, kuri pēc specialitātes iegūšanas varētu papildināt Daugavpils teātra aktieru trupu. Šovasar pirmaja, jeb tā sauktajam "eksperimentālajam" aktieru kursam gaidāms izlaidums. Un pat nesagaidot to, viens no studentu diplomdarbiem jau ir nonācis uz profesionālās teātra skatuves un iekļauts Daugavpils teātra repertuārā. Pirmo reizi Daugavpils teātra skatītājiem jauno Staņislava Broka Daugavpils Mūzikas vidusskolas aktieru kursu uz teātra skatuves bija iespēja ieraudzīt pirms gada. Tad priekškaru vēra eksperimentāls un jautrs  priekšnesums „Vispirms bija…”. Tas, ko rādām, ir jauno aktieru mācību procesa aizkulises, toreiz, pirmo mācību gadu noslēdzot, pirmo reizi visus 12 studiju programmas „Teātra māksla” audzēkņus uz skatuves izveda un pieteica Daugavpils teātra direktors un kursa vadītājs Oļegs Šapošņikovs.   Ppagājis gads, un divu gadu studiju programma  „Teātra māksla” šiem pirmajiem jeb eksperimentālajiem 12 topošajiem aktieriem Staņislava Broka Daugavpils Mūzikas vidusskolā sadarbībā ar Daugavpils teātri noslēdzas. Programmas „Teātra māksla” galvenais mērķis - sagatavot profesionālus aktierus, kuri pēc specialitātes iegūšanas varētu papildināt Daugavpils teātra aktieru trupu. Jauni profesionāli aktieri teātrim ir nepieciešami kā gaiss vai svaigas asinis kopējā organisma asinsritē, atzīst Daugavpils teātra direktors Oļegs Šapošņikovs. Pirmā jeb "eksperimentālā" aktieru kursa studenti pārsvarā arī nāk no Daugavpils apkaimes, mācīties tuvāk mājām un vēl iesaistē ar blakus esošo profesionālo teātri ir liels ieguvums arī pašiem studējošajiem. Par to, ka teātrim ir nākotne, ar savu darbu jau pierāda topošie jaunie aktieri. Vienas no studentu grupas diplomdarbs ir vainagojies ar iestudējumu – komēdija „Vecākais dēls” nupat piedzīvoja pirmizrādi uz profesionālās skatuves un  iekļauta Daugavpils teātra repertuārā. Kamēr pirmā aktierkursa absolventi jau sāks izdzīvot profesionālu aktieru dzīvi, Staņislava Broka Daugavpils Mūzikas vidusskolā tiek uzņemts jauns aktieru kurss. Tas ir kārtējais izaicinājums tiem, kurus interesē teātra māksla, saka Daugavpils teātra direktors Oļegs Šapošņikovs. Iesniegt pieteikumu un dokumentus studijām Staņislava Broka Daugavpils Mūzikas vidusskolā var līdz 28.jūnijam. Izglītības programmas ilgums divi gadi, piešķiramā specialitāte – aktieris.  

A atividade discute o processo de elaboração do PPAG e os caminhos para atualizar as propostas já incluídas, mas que precisam ser reavaliadas.

Ondřej Chybík (*1985, Brünn, Tschechische Republik) ist Mitbegründer des Studios Chybik+Kristof mit Sitz in Prag, Brünn und Bratislava. Er studierte Architektur und Städtebau an der Technischen Universität Brünn in der Tschechischen Republik, an der TU Graz in Österreich und an der ETH Zürich in der Schweiz. Seine Arbeiten wurden im MoMA NYC als Teil der Ausstellung Uneven Growth ausgestellt. Er arbeitete im Atelier Vienne-se, PPAG. Derzeit lehrt er an der Fakultät für Kunst und Architektur der Technischen Universität Liberec, Tschechische Republik. Er lehrte an der Fakultät für Architektur der Technischen Universität Brünn und war Gastkritiker an der Fakultät für Architektur der Slowakischen Technischen Universität in Bratislava, Slowakei, an der Fakultät für Kunst und Architektur in Liberec, Tschechische Republik und am Politecnico di Milano, Italien. Er war Mitglied in internationalen Jurys von Architekturwettbewerben und nationalen Architekturpreisen in der Slowakei und der Tschechischen Republik. Zusammen mit dem Studio hat er eine Reihe von Auszeichnungen erhalten, darunter den AR Design Vanguard 2019, und nahm mit dem Projekt OUT-HABIT an der Architekturbiennale von Tiflis teil.

Deputados também aprovaram a revisão do PPAG.

Em audiência de revisão das ações do PPAG, governo anuncia previsão de entregar 1,5 mil títulos de propriedade rural.

Esse foi um dos pontos destacados na reunião virtual para revisar ações governamentais previstas no PPAG.

Boletim da ALMG - Edição n.º 5000

Sugestões foram entregues aos parlamentares e podem virar emendas ao orçamento de 2021.

Tune in to Episode 30 of the PA Talks series with Ondřej Chybík, a Czechian architect and the co-founder of the studio Chybik+Kristoff. Chybik+Kristoff practice aims to bridge the gap between private and public space while transcending both generational and societal spheres. Chybik has studied Architecture at the Brno University of Technology and Urban Design at ETH Zurich. During his early years, he worked at the Viennese studio, PPAG. His work was exhibited the MoMA NYC as part of the Uneven Growth exhibition. He has been part of international juries of architectural competitions in Slovakia and Czech Republic. The studio works in the fields of architecture, urbanism, research, education, and on a wide array of projects, ranging from urban development to public and private buildings. Some of their notable projects include Gallery of Furniture, Lahofer Winery, and Forestry in the Forest. The studio has been awarded a number of prizes, including the Design Vanguard 2019 award from Architectural Record. In this episode, we discussed about Ondřej Chybík's fast-growing studio and its notable projects. Watch this podcast on YouTube: https://www.youtube.com/watch?v=B98i9E5RvxU&t=492s Listen on: Apple Podcasts: https://podcasts.apple.com/tr/podcast/pa-talks/id1503812708 Spotify: https://open.spotify.com/show/4P442GMuRk0VtBtNifgKhU Google Podcasts: https://podcasts.google.com/search/pa%20talks Support us on Patreon: patreon.com/parametricarchitecture Follow the platform on: Parametric Architecture: https://www.instagram.com/parametric.architecture/ PA Talks: https://www.instagram.com/pa__talks Website: https://parametric-architecture.com/patalks/

HOWDY IT WAS OUR BIRTHDAY ON OCT 29!!! YAYAYAYYAAYY. LISTEN TO HEAR ABOUT LIV AND LIZA’S NEW BRAND, SADTITS!! OK LOVE YOU BYE XOXO PPAG

Older adults in long term care may not realize they have rights from ensuring basic personal dignities are respected to choices that frustrate and challenge providers.   How do we weigh self-determination and safety?  What's best for the individual vs the  group?  Ombudsmen step in and offer insight, direction, education and support for both residents and facilities. Aging with Altitude is recorded in the Pikes Peak region with a focus on topics of aging interest across the country.  We talk about both the everyday and novel needs and approaches to age with altitude whether you're in Ft. Lauderdale, Florida or Leadville, Colorado.  The Pikes Peak Area Agency on Aging is the producer.  Learn more at Pikes Peak Area Agency on Aging. Transcript: You're listening to Studio 809. This is what community sounds like.  Michaela Nichols:   Hello, and thank you for listening to Aging with Altitude, a podcast series about how we rise above the day-to-day issues that surround aging. This series is sponsored by the Pikes Peak Area Agency on Aging. Today's episode is "Start with Dessert" about long-term care. My name is Michaela Nichols and I'm here with Scott Bartlett. Scott is currently an ombudsman at the Pikes Peak Area Agency on Aging Ombudsman Program. He has been with the agency and working as an advocate for older adults in the community for fourteen years. He's been nationally recognized for his work in long-term care services and support. So Scott, can you tell us a little bit about what you do in your role as an ombudsman?   Scott Bartlett:  Sure. So what an ombudsman is, we are advocates for residents of long-term care facilities. So when I say long-term care, what that means is state-licensed assisted living and nursing homes. The majority of the residents there are older adults, but there are quite a few young people with mental illness and traumatic brain injuries or disabilities that also reside in long-term care facilities. So what we do is help to increase the quality of life for people in long-term care. We are an intermediary or an advocate when there are problems in care, or rights, or just general. Any areas of conflict, everything from the coffee might be cold to assisting with allegations of abuse and neglect. And so really, just to sum it up in a few words, we are a voice for people that often don't feel like they have a voice. Sometimes this is also for family members. But also we are there to align with the facilities, because we need them to be on board with us and vice versa, to make sure that people have a good quality of life, and they retain their civil rights while in care. And so we do a lot of education and consultation with facilities to help them be better at what they do.  Michaela Nichols:   Can you tell us about some of the most rewarding parts of the position?   Scott Bartlett:  Yes. You know, there are a few cases that come to mind that I think we feel good about. Often, those cases are about either protecting somebody from abuse and neglect or restoring their civil liberties. There was a case where a resident disclosed to us some pretty severe abuse allegations. Ultimately, that place ended up, because of this, having their license suspended and then later terminated because the abuse was substantiated. But the resident that first came forward after she moved out of the home, and was free from this abuse and neglect. Her family took her on kind of a tour of the western states of the United States and sent us postcards and thanked us for allowing the end of her life to be happy and that we had assisted her to be free from this oppressive environment but she was living in. We feel good about those kinds of cases where the resident is satisfied with the results and feels that we help to make their life better. Those are the best cases.   Michaela Nichols:   That's a sweet story. So what are some of the most difficult issues you've had to deal with?  Scott Bartlett:  Difficult issues often are around abuse and neglect is always difficult. You know, personally for the ombudsman, but also professionally, it sometimes becomes frustrating. Other issues might be legal ones around surrogate decision-making. So when I say surrogate decision-making, I'm talking about powers of attorney or guardianship. Often when there's conflict in those areas we see a power of attorney or a guardian exercising their authority in a way that doesn't always promote quality of life. I always talk about how the issues that we see often come down to when we're talking about rights, about what is the proper balance between autonomy and the right to self-determination and safety. Often we see decision-makers with good intent sometimes. It's not always just about power and control, it's about trying to keep the person safe. But there isn't that consideration that not allowing somebody to do, like, have dessert when they're diabetic, that there's harm in that too, by disallowing a person a choice. That's oversimplifying some of the issues that we see. But it's difficult to talk to guardians and powers attorneys and say, "Listen, you, there's dignity in allowing some risk here." And then, you know, there are issues with the power of attorney that are misunderstood. In Colorado, Power of Attorney cannot, well, they have to work alongside the person the power of attorney has sworn. And they're not allowed to override the decisions of the person, they can make decisions alongside them, or make decisions when they can't. But when the individual can't do to whatever reason, but what they're not allowed to do is go against the wishes of the principal, or who the power of attorney is for. So we do a lot of education around there. And sometimes that's difficult. And I think one of the greatest challenges is where, because we're the voice, we have to go with the implied wishes, the stated wishes, the expressed wishes of the person. And sometimes they're asking to assume the risk that, even as an ombudsman office we might be uncomfortable with, but it's not our position to, if we're going to be the voice for the person, then we are not to put our own values and our own thoughts on what the person should do. So there are times that maybe we advocate for things that from the outside look unreasonable. But again, it comes back to we're the voice for the person, we're not a family member, we're not a decision-maker, we're not case management. We might advise the person on if they make this choice, here's the risk. But ultimately, if they want us to advocate for things like leaving the nursing home and returning back to their community home when it's observably unsafe, our mission is to still advocate for that because it is their right.   Michaela Nichols:   So, do you have an example of a time when you had to separate your values from that person and the decisions that you had to make or advocate for them?   Scott Bartlett:  Yeah, I think what I just said often becomes difficult, because we see people that come from community settings and enter long-term care for various reasons. Usually, because there's been something unsafe in the home that has led to a hospitalization, and then ultimately, they end up in assisted living or a long-term care facility. And you often see residents of long term care that are resistant to care, and were resistant to allowing supports in the home to help them be safe and independent in the home, and then they'll want to return back to the very situation that created them going to long term care in the first place. You know, I always feel uncomfortable when advocating for someone to be unsafe. Not always but in some of the cases, I feel uncomfortable about the safety of the person but again, I think the way that balances out in my mind is that we're advocating for their right to assume risk. And the way that I think we try and balance that out is again making sure that that person is getting all the information that they need to make a choice. You know I will be very honest with them that if you don't allow, you know, home health to come in and assist you and help keep you independent as possible that you might come back to long-term care again. But, you know, again, going back to we're the voice. If that person still wishes to deny any help, then that's what we have to do.  Michaela Nichols:   So what are some of the most frequent scenarios that you come across? I don't know if you've already touched on some of them or if you have any other ones?   Scott Bartlett:  Well, big ones are always around things like answering call lights. Many facilities, not all of them in the assisted living world, but most of them in nursing homes, have a system where a button can be pushed when a person needs assistance. Then the staff knows to come to the room and ask what help is needed and then provide that help. We get frequent complaints that call lights aren't answered, or they're not answered on time. You know, we may see call responses being 20 or 30 minutes, sometimes an hour or more. And that's very difficult for a person who might need assistance to the bathroom. And then, because the call light wasn't answered timely, they may soil themselves. And that becomes a dignity issue also. So that's a very common complaint often stems from staffing ratios, maybe there's not enough staff there. Sometimes the call lights are broken. Sometimes residents can't reach the call lights. So they're placed in bed, but the call light may not be within their reach. So call light issues are frequent. Other things are around personal need's money. So residents are afforded some personal need's money to spend on things of their choosing. Often they feel like they need more, or there's an issue accessing those funds. That's another very common one. Also, complaints about dietary. So, dining services, which are sometimes the most difficult to solve, because you're coming from preference many times. You know, someone says, "well, the chicken is too spicy." If you talk to the resident next door, they would say it was just fine. But again, we're the voice. And so we're going to, you know, advocate for that person and say, " Listen, this person says that the chickens too spicy or whatever." Dining complaints can be big, you know, cold food or not enough variety. But yeah, dining complaints, call lights, also medication being timely. Many residents have been on the same medications for years and years and know what medication they're to take, and at what time, and if it's 30 minutes late. They become very anxious, especially when it comes to pain medication. But I would say those are a majority of our complaints. And unfortunately, we do receive a lot of complaints about rights issues or abuse and neglect.  Michaela Nichols:   So I want to go on to a little bit about the editorial that I read about one of your first cases. It was about a facility resident with diabetes who was being denied dessert. And you mentioned it a little bit earlier. Do you want to explain more about that situation and how the person felt and how it went way beyond just getting dessert?   Scott Bartlett:  Yeah. So and that is a good one to talk about because it kind of hits on a couple things I've already touched on. So the situation was I received a call from a gentleman who lived in an assisted living facility. He wanted me to come out and see him and so I did. He told me that the issue was that he wanted chocolate cake, and he was being disallowed. And so I went and talked to the administration, the administration told me that he was diabetic and his daughter was power of attorney and that the power of attorney had instructed the facility not to allow him to have dessert. Now, this gentleman, from what he told me, just having a dessert after dinner was the norm. He wanted to uphold that norm. That was a part of his life that he wanted to maintain. And he told me, you know, "I'm a veteran, I fought the Japanese and the South Pacific, I'm not afraid of a little chocolate cake." And so the issue here, and going back to the administration that I explained, is that it's a power of attorney. She's exercising the power of attorney document in a way that it's not designed to be used for. She's overriding his decision to assume choice and risk. And, you know, going back to that, there's dignity with risk. Taking away the chocolate cake arguably could be more harmful to his social and psychological needs and quality of life than his blood sugar spiking a little bit after dinner. So what I did was I talked to the power of attorney and I talked to the facility about a plan. And that was to get them educated about what the true risk was, for having sweets when he's diabetic. And basically, what the nurse said is that "we'll track it, your blood sugars are probably going to spike, it'd be advisable, maybe to have half a piece of chocolate cake rather than a whole piece." And so, the end result of that was that he got his chocolate cake and because there was a consultation on the medical side, where we could figure out what the true risk was, and then a plan to watch his blood sugar's a little closer. The resident was totally happy with the result, I think that the facility and the power of attorney still had some reservations. Ultimately, you know, this man got his chocolate cake, and he was happy and it increased his quality of life. It was something that continued from his former life. I think what people don't understand is that this wasn't really about chocolate cake. Right? You know, this was about him wanting to maintain the quality of life, some normalcy from his former life. He wanted to exercise his right to risk. And he thought about it, of course, he went with the chocolate cake. And as far as I know, I never heard anything about it again, I don't think he had suffered any harm from having the chocolate cake. So, you know, that's a good one to talk about, it has these elements that we've already brought up.  Michaela Nichols:   So are there any misconceptions that people have when thinking about long-term care that you've come across in your work?  Scott Bartlett:  Yes.  Michaela Nichols:   So, the misconceptions are?  Scott Bartlett:  Well, you know, if you talk to people, and you ask them about long-term care, a lot of them feel that long-term care is a place that you go to die and that life stops. That's not necessarily true. I think, at one time, maybe it was. You know, many years ago. But through regulations and changes of standards of care in the long-term care industry, you're becoming more aware. Patients are their own advocates, and in allowing choice and independence as much as possible, I think we've seen changes there. But misconceptions are, again, that long-term care is a horrible place to be in. Granted, a lot of people that I talked to who are residents of long-term care facilities will say, "I'd rather be at home in my own place." But many of them will say, "you know it's okay. I understand I need this assistance." But, if they're offered these things that we're discussing, if they're offered the lanes of opportunity to make their own choices, such as being involved in their medical care, allowed to have relationships with people including intimate ones, they're allowed to exercise their rights just as they had in the community, they're usually okay. Again, they'd rather be at home. But it's not the place that I think people have in their minds where you don't have any more rights, you're isolated and stuck. And to some degree, that is true in some cases. For the most part, we want long-term care to be seen as part of the community and not that residents are excluded from the community and their rights.   Michaela Nichols:   In your fourteen years in the Springs, have you seen improvements in long-term care in general? I mean, I know you still deal with issues of abuse and neglect and things like that, but do you see more rights for people in long-term care than there were?   Scott Bartlett:  I do. Again, I think fourteen years is not very long in the scope of long-term care, that's just the course of my career. But even in that short time, I've seen a change in attitude about rights and assuming risk. Long-term care is is better informed and educated in promoting the rights of residents. I've seen shifts, they're both systemic, in understanding, but also in individual professionals, who maybe have heard from ombudsman or elsewhere, that these things matter. As far as supporting as much independence as possible, making people feel like they have the right to self-determination. There's a term in the industry that's widely used right now, about person-centeredness. So it used to be that your medical team made decisions for you, and you didn't have a whole lot of say, now, that's all changed towards, we are working for this person to make sure that they are safe, and they receive medical care, but also that their psychological and social needs are met at the same time. Those are just as important and for some individuals, it may be more important than addressing physical needs. So yes, I would say that I have seen an increase, at least in my observation of this region, in my fourteen years, of better understanding of what leads to better satisfaction for people that are living in long-term care.     Michaela Nichols:   So what kind of advice would you give to families and individuals looking into long-term care solutions?   Scott Bartlett:  Well, I deal with those calls frequently to my office. And you know, the first place I normally start is, if it's a family member asking "what does mom or dad want to do?" or an uncle, whatever the relationship is. Do they want to go to long-term care? You know, going back to that issue of who is the decision-maker legally? And, yeah, you know, the risk of addressing only the safety issues and not the social and psychological issues and potential for harm there. So, helping them to decide if long-term care is the right option. Because there's a spectrum of possibilities in between having nothing at home to entering a nursing home. So there are things like home health, you know, what services might be brought into the home. We can get closer to that proper balance of addressing safety and autonomy. And then we'll move into how to pay for long-term care because there's kind of a broad spectrum. I'll just kind of throw out general numbers. It's not exact but say assisted living may cost three to five thousand a month, sometimes more. Nursing homes, you're looking at seven to nine thousand a month. Few of us have that kind of money. It's probably not going to last very long. So talking about how to pay for long-term care, whether that is through private funds, or having to seek Medicaid to help pay for care. And then the next step would be to ask what is the right level of care? Does someone need assisted living versus a nursing home? So a lot of that is determined by how much assistance is needed. And then making choices about what is the right fit for that person? Does facility size matter? Does location matter? Is a person a smoker, because some facilities don't allow smoking at all. And trying to make a match. Going back to if the right fit is found, the better the odds are that the person will be more satisfied with moving into a long-term care facility. And then, we usually try to help them narrow down to three or four facilities to check into, and then they go out and do it.   Michaela Nichols:   Okay, yeah. Do you have anything else you want to share?   Scott Bartlett:  Yeah. So it may be important to understand when to call an ombudsman. So it's appropriate, and I suggest that you call an ombudsman, in a couple different cases. So one is, a lot of people don't understand how to access long-term care. You know, we talked about kind of the scope when family members are considering long-term care and what that looks like in my office. I would encourage people to go out and get information from the ombudsman's office. Also looking at facility performance history. So they're regulated by the state, and they are assessed on a pretty regular basis as to their compliance with regulations. Some are better than others. But it's important for people to understand what that history has been. Most people wouldn't understand where to find that information. So an ombudsman can help with that. So again, in seeking long-term care, and a lot of people don't know how to access the correct information. So it would be advisable to contact an ombudsman on how to do that. Other areas are questions about regulations, say you're a resident in a long-term care facility, or you have a loved one in a long-term care facility, and you are confused about a facility policy or standard of care and want to know if what is happening. Such as is it compliant with regulations. We can answer questions there and help give people the knowledge level to be empowered to solve their own problems sometimes. It is always advisable to contact an ombudsman when a problem persists. Also, when the resident or family member has gone to the administration and feels that they have exhausted all their ability to work the internal grievance policy and they still feel like the problem exists or they weren't heard. Contacting an ombudsman to assist in moving that forward is always advisable. Certainly around issues of abuse and neglect. Most of those probably should go to law enforcement if it's criminal, but it's not out of bounds to contact an ombudsman and discuss the case and get some advisement there. And maybe even, you know, opening a case with the ombudsman office because those are the ones that we really want to be involved in because they can be so detrimental to people. I always say this too; I always get all the bad stuff. But, you know, if people really feel good about the facility, then I would like to hear that too. I don't get a lot of that. I like to know the facilities that are doing well. And so, really, it comes down to if you have questions about long-term care, we're a safe place to come to discuss those and provide some education to help people wrap their head around whatever questions that they have. Hopefully, empower them through gaining more knowledge. But ultimately, we're just here to assist and help improve the lives of people living in long-term care.  Michaela Nichols:   Thank you so much for joining me on this episode of the Aging with Altitude Podcast. I enjoyed being able to learn more about your role as an ombudsman, and I hope the audience did too. For those interested in learning more about the program, you can visit PPAG.org or call 719-471-2096. 

I know it's very confusing. Welcome to PPAG on our new platform, Anchor! (If you're new and looking for our other 7 episodes, they're on PodBean for free!) In this episode we talk about unnecessary Canadian food, traveling to California, things we're looking forward to, and making movies for our English classes. (Liv still has no idea what happens in Liza's because she doesn't pay attention.) Thanks as always for tuning in and we'll see you next week!

Bob John, PharmD hosts PPAG Conversations, the official Podcast of the Pediatric Pharmacy Association. Dr. John speaks with experts in the field of pediatric pharmacy to discuss current issues in pediatric pharmacy, including pediatric and neonatal critical care, general pediatrics, and hematology/oncology.   During this Podcast, Dr. John and Dr. Diana Yu discuss this year's flu season About our Guest   Diana Yu, PharmD, BCPS, AQ-ID is a Pediatric Infectious Diseases Pharmacist at the Doernbecher Children's Hospital at Oregon Health and Science University in Portland, Oregon.  Previously to her current appointment Dr. Yu was an Adjunct Clinical Assistant Professor at the University of Missouri-Kansas City (UMKC) and University of Kansas Schools of Pharmacy and Clinical Infectious Disease pharmacist and member of the Antimicrobial Stewardship Program at Children’s Mercy. She completed her pharmacy degree at University of California-San Francisco School of Pharmacy. After graduation, Dr. Yu completed a Pharmacy Practice Residency at University of Kentucky Medical Center followed by a HIV Care/Infectious Diseases Residency at University of Illinois at Chicago. She achieved board certification as a Pharmacotherapy Specialist with added qualifications in Infectious Diseases in 2015. She currently participates routinely in the Antimicrobial Stewardship Program at Children’s Mercy Hospital and is a preceptor for both student pharmacists and pharmacy residents. Her current research interests include the role of antimicrobial stewardship in decreasing antibiotic resistance and clinical outcomes, non-occupational HIV post-exposure prophylaxis, and the role of rapid diagnostics and antimicrobial stewardship        About the Host of PPAG Conversations Bob John, Pharm.D., BCPS, BCPPS, a member of the PPAG Board of Directors, is currently a NICU Clinical Pharmacy Specialist at The Children’s Hospital at Saint Francis and the Residency Program Director for his institution’s PGY1. He completed a PGY1 residency at Saint Francis Hospital and a PGY2 residency at The University of Oklahoma College of Pharmacy. He spent his first two years after residency working as the Pediatric Pulmonology Specialist at Children’s Mercy Hospital and Clinics, after which he worked as a Clinical Assistant Professor of Pediatric Pharmacotherapy, Department of Pharmacy at The University of Oklahoma College of Pharmacy. Dr. John has been involved with the development of a pharmacy-driven pharmacokinetic monitoring service, NICU dosing weight protocol, and served on the evidence-based medicine committee, in which he has helped develop clinical practice guidelines at his institutions. Dr. John has been an active member of PPAG since 2007. In addition to being a member of the education committee, he has served as the chair of the webinar committee, and the education committee where he organized the educational content provided at the 2016 PPAG annual meeting. In 2015, he and his colleagues were recognized by PPAG with a Best Practice Award for their development of an outpatient on call service. He was awarded the Presidential Citation from PPAG in 2014 and 2016. He currently chairs the web-based competency committee, working to provide additional educational content in new ways to PPAG members. In addition to his work in PPAG, he served as Chair of the Pediatric PRN for ACCP.   Introduction music credits: "Reverie (small theme)" by _ghost 2010 - Licensed under Creative Commons Attribution (3.0)

Bob John, PharmD hosts PPAG Conversations, the official Podcast of the Pediatric Pharmacy Association. Dr. John speaks with experts in the field of pediatric pharmacy to discuss current issues in pediatric pharmacy, including pediatric and neonatal critical care, general pediatrics, and hematology/oncology.   During this Podcast, Dr. John hosts Dr. Nicholas Fusco, who highlights a newly published article in the New England Journal of Medicine, titled, "Shortened Antimicrobial Treatment for Acute Otitis Media in Young Children." About our Guest Nicholas M. Fusco, PharmD, BCPS, is employed as Clinical Assistant Professor, Department of Pharmacy Practice at the University at Buffalo School of Pharmacy and Pharmaceutical Sciences (UB-SPPS), since 2013.  Dr. Fusco earned his PharmD from UB-SPPS (2010) and completed his PGY1 Pharmacy Practice and PGY2 Pediatric Specialty residencies at the University of Maryland School of Pharmacy (2010-2012). He received his Board Certification in Pharmacotherapy (BCPS) in 2011. Dr. Fusco practices and teaches in acute care general pediatrics. Very active in PPAG, Dr. Fusco has served as Chair of the Fall and Annual Conference Planning Committees, and the Education Committee.       About the Host of PPAG Conversations Bob John, Pharm.D., BCPS, BCPPS, a member of the PPAG Board of Directors, is currently a NICU Clinical Pharmacy Specialist at The Children’s Hospital at Saint Francis and the Residency Program Director for his institution’s PGY1. He completed a PGY1 residency at Saint Francis Hospital and a PGY2 residency at The University of Oklahoma College of Pharmacy. He spent his first two years after residency working as the Pediatric Pulmonology Specialist at Children’s Mercy Hospital and Clinics, after which he worked as a Clinical Assistant Professor of Pediatric Pharmacotherapy, Department of Pharmacy at The University of Oklahoma College of Pharmacy. Dr. John has been involved with the development of a pharmacy-driven pharmacokinetic monitoring service, NICU dosing weight protocol, and served on the evidence-based medicine committee, in which he has helped develop clinical practice guidelines at his institutions. Dr. John has been an active member of PPAG since 2007. In addition to being a member of the education committee, he has served as the chair of the webinar committee, and the education committee where he organized the educational content provided at the 2016 PPAG annual meeting. In 2015, he and his colleagues were recognized by PPAG with a Best Practice Award for their development of an outpatient on call service. He was awarded the Presidential Citation from PPAG in 2014 and 2016. He currently chairs the web-based competency committee, working to provide additional educational content in new ways to PPAG members. In addition to his work in PPAG, he served as Chair of the Pediatric PRN for ACCP. Introduction music credits: "Reverie (small theme)" by _ghost 2010 - Licensed under Creative Commons Attribution (3.0)

Bob John, PharmD hosts PPAG Conversations, the official Podcast of the Pediatric Pharmacy Association. Dr. John speaks with experts in the field of pediatric pharmacy to discuss current issues in pediatric pharmacy, including pediatric and neonatal critical care, general pediatrics, and hematology/oncology.   During this Podcast, Dr. John hosts Dr. Jamie Miller, who highlights a newly published article in The Lancet, titled, "Effect of early low-dose hydrocortisone on survival without bronchopulmonary dysplasia in extremely preterm infants (PREMILOC): a double-blind, placebo-controlled, multicentre, randomised trial." About our Guest Jamie Miller, Pharm.D., BCPS, BCPPS is an Associate Professor in the Department of Pharmacy Clinical and Administrative Sciences at the University of Oklahoma College of Pharmacy in Oklahoma City, Oklahoma. Dr. Miller received her Doctor of Pharmacy degree from Southwestern Oklahoma State University College of Pharmacy. Following graduation, Dr. Miller completed a PGY1 Pharmacy Practice Residency and PGY2 Pediatric Pharmacy Practice Residency at the University of Oklahoma College of Pharmacy. Dr. Miller currently practices as a Clinical Pharmacy Specialist in the Neonatal Intensive Care Unit at the Children’s Hospital at OU Medical Center in Oklahoma City. In addition, Dr. Miller is the Residency Program Director for the PGY1 Pharmacy Practice Residency at the University of Oklahoma College of Pharmacy and OU Medical Center.         About the Host of PPAG Conversations Bob John, Pharm.D., BCPS, BCPPS, a member of the PPAG Board of Directors, is currently a NICU Clinical Pharmacy Specialist at The Children’s Hospital at Saint Francis and the Residency Program Director for his institution’s PGY1. He completed a PGY1 residency at Saint Francis Hospital and a PGY2 residency at The University of Oklahoma College of Pharmacy. He spent his first two years after residency working as the Pediatric Pulmonology Specialist at Children’s Mercy Hospital and Clinics, after which he worked as a Clinical Assistant Professor of Pediatric Pharmacotherapy, Department of Pharmacy at The University of Oklahoma College of Pharmacy. Dr. John has been involved with the development of a pharmacy-driven pharmacokinetic monitoring service, NICU dosing weight protocol, and served on the evidence-based medicine committee, in which he has helped develop clinical practice guidelines at his institutions. Dr. John has been an active member of PPAG since 2007. In addition to being a member of the education committee, he has served as the chair of the webinar committee, and the education committee where he organized the educational content provided at the 2016 PPAG annual meeting. In 2015, he and his colleagues were recognized by PPAG with a Best Practice Award for their development of an outpatient on call service. He was awarded the Presidential Citation from PPAG in 2014 and 2016. He currently chairs the web-based competency committee, working to provide additional educational content in new ways to PPAG members. In addition to his work in PPAG, he served as Chair of the Pediatric PRN for ACCP.   Introduction music credits: "Reverie (small theme)" by _ghost 2010 - Licensed under Creative Commons Attribution (3.0)

Bob John, PharmD hosts PPAG Conversations, the official Podcast of the Pediatric Pharmacy Association. Dr. John speaks with experts in the field of pediatric pharmacy to discuss current issues in pediatric pharmacy, including pediatric and neonatal critical care, general pediatrics, and hematology/oncology. During this Podcast, Dr. John hosts Tara Higgins, who highlights a newly published article in the Journal of Pediatric Hematology/Oncology, titled, "Retrospective Evaluation of Palifermin Use Nonhematopoietic Stem Cell Transplant Pediatric Patients," By Liu and colleagues. About the Guest Tara Higgins is an active member of PPAG, where she has served PPAG through numerous leadership positions. Tara, currently serving on the PPAG Board of Direcctors, was membership committee chair elect and chair (2013-2015) and chair of PPAG Fall Specialty Conference- Hematology/Oncology Planning Committee (2016). Currently, Tara serves PPAG as chair of hematology/oncology Special Interest Group (SIG) (2012-present), section lead for hematology/oncology section of PPAG board prep (2016- present), member of PPAG membership committee (2009-present) and member of PPAG BCPPS Recertification Committee (2016- present). Tara also helped start the PPAG student group at the University of Florida and continues to serve as the faculty advisor for PediaGators. Tara is Co-Director of the PGY-2 Pediatric Pharmacy Residency and is a clinical specialist in pediatric hematology/oncology/BMT at UF Health Shands Children’s Hospital. In addition, Tara serves as clinical assistant professor at the University of Florida College of Pharmacy. She received her Doctor of Pharmacy from the University of Rhode Island. Tara completed her PGY1 pharmacy practice residency at Massachusetts General Hospital and a PGY2 pediatric pharmacy residency at the University of Kentucky Chandler Medical Center.     About the Host of PPAG Conversations Bob John, Pharm.D., BCPS, BCPPS, a member of the PPAG Board of Directors, is currently a NICU Clinical Pharmacy Specialist at The Children’s Hospital at Saint Francis and the Residency Program Director for his institution’s PGY1. He completed a PGY1 residency at Saint Francis Hospital and a PGY2 residency at The University of Oklahoma College of Pharmacy. He spent his first two years after residency working as the Pediatric Pulmonology Specialist at Children’s Mercy Hospital and Clinics, after which he worked as a Clinical Assistant Professor of Pediatric Pharmacotherapy, Department of Pharmacy at The University of Oklahoma College of Pharmacy. Dr. John has been involved with the development of a pharmacy-driven pharmacokinetic monitoring service, NICU dosing weight protocol, and served on the evidence-based medicine committee, in which he has helped develop clinical practice guidelines at his institutions. Dr. John has been an active member of PPAG since 2007. In addition to being a member of the education committee, he has served as the chair of the webinar committee, and the education committee where he organized the educational content provided at the 2016 PPAG annual meeting. In 2015, he and his colleagues were recognized by PPAG with a Best Practice Award for their development of an outpatient on call service. He was awarded the Presidential Citation from PPAG in 2014 and 2016. He currently chairs the web-based competency committee, working to provide additional educational content in new ways to PPAG members. In addition to his work in PPAG, he served as Chair of the Pediatric PRN for ACCP.   Introduction music credits: "Reverie (small theme)" by _ghost 2010 - Licensed under Creative Commons Attribution (3.0)  

Bob John, PharmD hosts PPAG Conversations, the official Podcast of the Pediatric Pharmacy Association. Dr. John speaks with experts in the field of pediatric pharmacy to discuss current issues in pediatric pharmacy, including pediatric and neonatal critical care, general pediatrics, and hematology/oncology. During this Podcast, Dr. John hosts Dr. Peter Johnson, who highlights a newly published article in the Journal Critical Care Medicine, titled, "Delirium in Critically Ill Children: An International Point Prevalence Study." About our Guest Peter Johnson, Pharm.D. is an Associate Professor of Pharmacy Practice at the OU College of Pharmacy and Adjunct Associate Professor of Pediatrics at the OU College of Medicine. He also maintains an active practice site in the Medical and Surgical Pediatric ICU’s at the Children’s Hospital at OU Medical Center in Oklahoma City precepting PGY1/PGY2 residents and students. In addition, Dr. Johnson serves as the PGY2 Pediatric Pharmacy Practice Residency Director at the OU College of Pharmacy and The Children’s Hospital at OU Medical Center. Dr. Johnson received his B.S. in Pharmaceutical Sciences and Doctor of Pharmacy degrees from the University of Mississippi School of Pharmacy. Following his tenure at Ole Miss, Dr. Johnson completed his PGY1 pharmacy and PGY2 pediatric pharmacy residencies at the University of Kentucky Chandler Medical Center. Among his professional affiliations, he is a member of the Pediatric Pharmacy Advocacy Group, Society of Critical Care Medicine, American Society of Health-System Pharmacists, American, and American College of Clinical Pharmacy. Dr. Johnson is board certified in pharmacotherapy and pediatric pharmacy. In addition, he was inducted as a fellow of PPAG in 2016. His research/scholarship focuses in pain management, sedation, and drug withdrawal in critically-ill children.     About the Host of PPAG Conversations Bob John, Pharm.D., BCPS, BCPPS, a member of the PPAG Board of Directors, is currently a NICU Clinical Pharmacy Specialist at The Children’s Hospital at Saint Francis and the Residency Program Director for his institution’s PGY1. He completed a PGY1 residency at Saint Francis Hospital and a PGY2 residency at The University of Oklahoma College of Pharmacy. He spent his first two years after residency working as the Pediatric Pulmonology Specialist at Children’s Mercy Hospital and Clinics, after which he worked as a Clinical Assistant Professor of Pediatric Pharmacotherapy, Department of Pharmacy at The University of Oklahoma College of Pharmacy. Dr. John has been involved with the development of a pharmacy-driven pharmacokinetic monitoring service, NICU dosing weight protocol, and served on the evidence-based medicine committee, in which he has helped develop clinical practice guidelines at his institutions. Dr. John has been an active member of PPAG since 2007. In addition to being a member of the education committee, he has served as the chair of the webinar committee, and the education committee where he organized the educational content provided at the 2016 PPAG annual meeting. In 2015, he and his colleagues were recognized by PPAG with a Best Practice Award for their development of an outpatient on call service. He was awarded the Presidential Citation from PPAG in 2014 and 2016. He currently chairs the web-based competency committee, working to provide additional educational content in new ways to PPAG members. In addition to his work in PPAG, he served as Chair of the Pediatric PRN for ACCP. Introduction music credits: "Reverie (small theme)" by _ghost 2010 - Licensed under Creative Commons Attribution (3.0)

Pasión Por Ariana Grande - Ene 8En este programa:-Ganó FAITH el Golden Globe? - Aquí te lo contamos-Side to Side se encumbra como el tema por excelencia de la era Dangerous Woman - te decimos porqué-Más sobre la participación de Ariana en Final Fantasy Exivius-Ariana busca publicidad entrando en este nuevo campo? - aquí lo contestamos-Otras nominaciones de la ardilla - aquí te contamos cuales-Dos fechas del Dangerous Woman Tour que podrían cambiar - te contamos porquéMaafer regresa a PPAG para quedarse, música y mucho más!!!