Download Blue Collar and Proud of It: The All-in-One Resource for by Joe Lamacchia, Bridget Samburg PDF

By Joe Lamacchia, Bridget Samburg

The All-in-One source for Infrastructure Jobs, eco-friendly Careers, trustworthy Blue-Collar paintings, and More!

Not everyone seems to be fitted to a white-collar profession or desires to get the four-year degree
that those jobs normally require. yet that doesn't suggest you need to flip your back
on a very good wage, fascinating paintings, and a career that instructions respect.
Joe Lamacchia is evidence. After graduating highschool, he stated no to college—and found
personal good fortune because the proprietor of a thriving landscaping corporation. He additionally began, a source for those that are looking to locate paintings within the expert trades. Blue-collar employees construct and continue our bridges, preserve our automobiles working, repair our plumbing, and supply important prone to each domestic. That's why Lamacchia
calls those 'necessary jobs.' such a lot blue-collar paintings easily can't be outsourced to foreign
countries and it's usually recession-proof. As child Boomers retire, blue-collar industries
are experiencing group shortages simply because there aren't sufficient well-trained
people to fill all of those jobs. that's, before . . .

Blue Collar and happy with It delivers the knowledge you want to pursue a good, stress-free, well-paying job—one that makes a distinction each day on your community.
Whether you're simply out of highschool, were a sufferer of downsizing, or are trying to find a brand new course, Lamacchia explains all of the innovations, outlines the required education, and gives you precise tales of people that have made their very own approach within the blue-collar global. find a wealth of possibilities, including:

• carpentry • equipment • roofing • electricians • truck drivers • eco-friendly construction
• Broadband technicians • welding • ironworkers • sun panel installation
• water conservation

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Extra resources for Blue Collar and Proud of It: The All-in-One Resource for Finding Freedom, Financial Success, and Security Outside the Cubicle

Example text

Touch Hot? Cold? Painful to touch? Tense or swollen? ■ ASSESSMENT TOOLS AND QUESTIONS There are a number of assessment tools that may assist in this process which may cut down time. This is particularly important with the breathless patient or when fatigue is an issue. Visual analogue scale Where would the patient rate their pain on this simple scale? 0 .............................................................................................................................. indd 32 Severe pain 22/02/2012 10:54 AM 33 PAIN MANAGEMENT Useful questions to ask • Where is your pain?

Little and often, offering fruit juice rather than water if preferred. Fibre How realistic is this with diminished appetite, potential swallowing difficulties? Work with fruit juices, purées rather than high fibre cereal, breads etc. unless this is the patient’s preference. Exercise Exercise or promote mobility. Not always an option. indd 52 22/02/2012 10:54 AM FATIGUE 53 Fatigue Approximately 80% of patients with cancer, AIDS, heart failure, COPD and renal failure will experience fatigue. Fatigue in advanced illness is reported to be unlike that experienced by the healthy person.

Oncology 4(6): 81–88. , Hughes M. Z. (2004) Using the BETTER model to assess sexuality. Clinical l Journal of Oncology Nursing 8: 84–86. indd 27 27 22/02/2012 10:54 AM 28 SYMPTOM MANAGEMENT Other tools • Abbey Pain tool for individuals with cognitive impairment • Wong–Baker Faces pain assessment tool for children or individuals with language barriers • Distress/well-being thermometer Action Make a list of other assessment tools that you have used to assess patient/family needs at end of life Summary Assessment should: • Be holistic, integrating assessment tools as necessary • Adopt a team approach • Address sensitive issues Symptom management ■ COMMON PHYSICAL SYMPTOMS The symptoms below are often prevalent in advanced disease • Fatigue • Constipation • Anorexia • Diarrhoea • Pain • Nausea and vomiting • Dyspnoea • Anxiety • Cough • Low mood or depression • Dry mouth Those symptoms in bold have been identified as possibly the most prevalent in end of life care regardless of diagnosis.

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