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High expectations; is that to much to ask?

Nov 28, 2017 by Sharon Gauthier 4 min read

I have high standards; I expect everyone in healthcare to also have high standards.  Care should always be first and yet we continue to be challenged when we as a patient or as a family member ask for it. As the healthcare system continues to be challenged to satisfy their "customer" because now they are being paid on the patient experience it baffles me why care is not the center and why the patient is not in control. Rec...

Revolution Healthcare ERadio is Live for our First Show!

Nov 13, 2017 1 min read

Our first radio show is on live right now! listen on WDRC AM 1360 Hartford, WSNG AM 610 Torrington, WWCO AM 1240 Waterbury, and WMMW AM 1470 Meriden. or go online to       Also check out the website 

Stealing Patients

Nov 13, 2017 2 min read

So I'm posting this again because I just had this happen to one of my clients AGAIN she asked for Interim Healthcare and because it was a facility that Hartford Healthcare is involved with they referred her to Hartford Healthcare. What don't they get?? It's a choice not YOUR choice the client's choice. When are people going to speak up!!! Why does this keep happening?? Oh wait I know Because their told to use them "or else.&q...

So You Want to be a Nurse?

Nov 13, 2017 3 min read

I wanted to be a nurse from the time I can remember. I would line up my dolls and pretend to take care of them and always cared about people. How they felt, why they felt that way and when someone was sick I always wanted to help in some way. I believe that was a calling. It seemed, back then, that a calling was what everyone had for the profession they aspired to become. A need to fulfill in some way that we felt within us that we were born to d...

Managing Patients Outside the Hospital

Nov 13, 2017 3 min read

Although accountable care organizations have appeared, I still feel there is little management of patients when discharged.  The concept was to have this umbrella over coordinating care for patients at discharge to keep them from being readmitted, but there isn't enough. Enough of what? Enough nurses, enough information, enough collaboration, enough management, enough questions, and enough accountability!! Enough nurses are w...

Dementia and the Emergency Department

Nov 13, 2017 2 min read

It pains me to meet one of my clients with dementia in the emergency department. If I don't get there quickly I fear that once it is known that the person has dementia and lives in a memory care unit the response from staff is that they cannot have a conversation with that person as well as thinking that the person has no cognitive ability. The truth is that many of those living in those communities can converse quite nicely. They aren&...

Get Out of Bed! Please!

Nov 13, 2017 5 min read

I'M REPOSTING THIS BECAUSE IT IS STILL STILL A BIG PROBLEM!!! Who is in charge when you get sick? Is it your primary physician? The hospitalists? You? It should be a collaboration. Your primary physician won't be in charge.  You would hope that he/she would at least know that you are hospitalized.but not always. So what is the problem? There shouldn't be a problem if in fact everyone communicates. That's the problem. Re...

Why Care Managemnent is so Important

Nov 13, 2017 by Sharon Gauthier RN/MSN/CGM 2 min read

Care management has been around for a long time. Case Managers in the past have been those who were social workers who looked at the social concerns of patients entering the hospital and worked with families to assist with concerns related to finances, housing, food and perhaps some help with coordinating care outside of the hospital. Managed care escalated in the 1990's when costs rose for insurance companies who wanted to get a handle on ut...

Why Doctors Who Care Matter

Nov 7, 2017 by Sharon M Gauthier RN/MSN/CGM 2 min read

We collaborate, we push we ask and we bring information. A good example of that is what happened today.  An elderly client of ours who has 24-hour nursing who just saw his doctor last Thursday; everything was fine. The last few days he has been under the weather. A low-grade temp, a nonproductive cough and a few days of loose stool. Our nurse called his Doctor who is a gerontologist. Dr. Robert Dicks; a well-known physician whom we'...

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