Rehabilitation that Works in Returning You Back to Health

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Posted on http://www.PrideTLC.com, Written by, Samuel K. Burlum, Investigative Reporter
and author, Published by www.SamBurlum.com

Source: After a long surgery, which may include hip or joint replacement, the road to recovery can be tedious, but it does not mean you must do it alone. Outpatient and physical therapy services can be of benefit, however, you may wish to consider an impatient facility that offers all the conveniences and stay, so you can properly heal with all the care and attention you need.

Recovery from a hip or knee replacement can be very overwhelming for a patient, especially when during the golden years. Having a nurse’s assistant to stay in one’s home can cost thousands of dollars, even while the patient still needs to leave their home for physical therapy and doctor’s visits. Rehabilitation centers that are a part of larger facilities that also offer assisted living, nursing home, and memory care units, provide many options for the need of continuity of care for patients in their senior years.

Seniors that have undergone the rehab process and decide they’d rather take residency at an assisted living community because they are uncomfortable residing alone have the option to transfer themselves down the hall when their rehabilitation is complete. This allows for seniors to maintain a desired quality of life, without having to deal with the stress of being on their own.

Rehabilitation is not just for seniors. Although the statistic of the vast majority of patients who utilize rehab care are seniors, these centers are open to many age groups that need more demanding care for their recovery of an injury or surgery.

Rehab centers allow for a patient to receive more intensive recovery and physical therapy on site, while having their recovery monitored around the clock by a qualified staff of nurses and aids; allowing you to schedule your steps to recovery and rest periods throughout the day, without having to stress over travel time and transportation arrangements. Inpatient rehab centers allow for patients to receive one-on–one care, unlike a traditional physical therapy outpatient unit, which offers care and training in a group setting. Inpatient rehabilitation facilities require a recovering patient to participate in several therapy disciplines. While outpatient facilities do not require this regiment, this outpatient recovery can take longer than a patient desires. An inpatient program also allows for a patient to get daily reports of their progress, where outpatient status may only yield a weekly or monthly report.

Within the inpatient rehab center, all the patient’s daily needs are met; meaning a patient that is trying to recover does not have to focus on the stresses of daily chores, including: cooking, cleaning, or laundry; the patient’s core focus is wellness. As an outpatient beyond the rehab facility, a recovering patient still must handle negotiating the hazards of a home environment if they do not have an assistant or family member at home to help them during recovery time.

Samuel K. Burlum is an investigative reporter who authors articles related to economic development, innovation, green technology, business strategy, and public policy concerns. Burlum is also a career entrepreneur who lends his expertise as a consultant to start-up companies, small businesses, and mid-size enterprises, providing advisement in several areas including strategic business planning, business development, supply chain management, and systems integration. He is also author of The Race to Protect Our Most Important Natural Resource-Water, Main Street Survival Guide for Small Businesses, and Life in the Green Lane-in Pursuit of the American Dream.

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Establishing the Rule of Governance for Your Business

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Written by, Samuel K. Burlum, Investigative Reporter and author of The Green Lane, a syndicated column Published   by www.SamBurlum.com

Source: Establishing the rules of engagement is one of the most critical steps in protecting the legacy of one’s business from potential risk. To set the tone of the law of the land for your new venture, you must have an effective operating agreement or company charter. This becomes the place of reference when it’s time to deal with a dispute between business partners, or provide the road map on how to handle financial matters. Having an operating agreement can either save or cost your business financial resources. Other guidelines and standards will also allow management to better grow your business.

In the initial hustle and bustle of establishing a new small business venture, I have found that most small business owners overlook the importance of setting up rules and standards for their business to be governed by. Then later, because the rule of the law of the business was overlooked or never formally established, they are forced to face challenges that put the business at risk. I have seen several small businesses face serious consequences, including litigation from a business partner, employee disputes, relationships with vendors change, all because they did not have key agreements and elements in place.

Every business start-up enterprise has an opportunity to minimize further risk by establishing key agreements in the very beginning. It does not matter how well you know your business partner, or that your investor is a family member; when money and time is involved, each person has a set of expectations that may not be as clearly expressed as they should. Many issues and concerns can be addressed for business owner, investor(s), employees, vendors, and even third parties and clients, through a number of governing tools.

Most small businesses are either a sole proprietorship or are a limited liability company. In these cases, a document known as an Operating Agreement, acts as the business’s decree on how many operational and executive decisions can be made, how profits and/or losses are distributed to business partners, or members of the LLC, and dissolution of the business. Some of the most effective Operating Agreements have provisions that address the following areas: assignment of managers (directors); recognition of the capital infusion by each member or business owner; allocation of the percentage of ownership to each owner-investor; establishment of rules on how to treat profits/losses and the treatment of cash flows; members meetings, rights, and voting procedures; accountability; transparency; member-manager compensation for their services provided within operating the business; and additional provisions on how to handle a member or business partner’s request to leave or exit the business. These are key areas of concerns that can make or break a business.

Having an effective Operating Agreement, will help mediate and mitigate disagreements between business partners. Each owner or partner, and/or member must agree to each term and condition within the Operating Agreement as well as abide by upholding the standards of conduct spelled out in this type of document. In essence, the Operating Agreement becomes the law of the land for that business entity.

Once an Operating Agreement is signed by all owners, managers and members of that business, it should be notarized and filed with the business entity’s state of jurisdiction, with the Office of the Secretary of State. In the event of a dispute, the rule of law for the business can be recognized where the issues may result in having to litigate in Court.

The devil is in the detail of an Operating Agreement. A business partner (or partners) who is not fully honest about their long-term intentions, or by counsel of each business partner can poison a business. To avoid or prevent this, there are a few critical areas of an Operating Agreement any business owner should take notice of. When it comes to who can change the terms and conditions of an operating agreement, usually what is standard is the party that holds 51% stake of the business entity or more can change the operating agreement at any time. To avert this catastrophic clause, two business partners can agree that it takes 85% of the voting members to change the agreement. This means that if one business partner owns 49% and the other owns 51%, neither business partner can change the rule of governance without consent or vote of the other party.

Another area to focus on within the Operating Agreement is how to treat cash, profits and losses. You and your business partner should clearly communicate your expectation for how distribution should occur in these areas. Most businesses will issue a quarterly distribution. Usually at the time of filing taxes for the business, losses are distributed equally to individual members based on how much initial investment each member contributed to the business. You may want to consider to set aside a cash allocation for the business so it has its own resources for paying taxes, liabilities, or for future growth funding needs.

An Operating Agreement should have clauses on how to discipline a member or manager that has committed an act against the business, one so harmful that it puts the business in jeopardy of dissolving. Also, if a business partner decides they no longer wish to continue with the business, abruptly leaving another business partner with a host of liabilities, what terms and conditions are in place to protect the other members and business owners from these kinds of early exit decisions? An operating agreement can spell out the step by step process and under what conditions a member may exit the business, without being a detriment to the remaining business owners.

What if you are a sole proprietor? Do you need an Operating Agreement? The answer is yes and here is why. What if down the road your business experiences a change in circumstances that leaves you having to explore the option of partnering up with an investor or operational business partner? You want to have a rule of governance in place that spells out the very terms of that business’s ongoing policy so that the new business partner cannot impose any new self-rule or put at risk your previous years’ worth of financial investment and sweat equity.

The larger your vision is for your business operation, the more time you will want to devote to establishing agreements, rules of governance, guidelines and company policies, to assure the business can function, even when challenges from within arise. It is also wise to consult with legal counsel, an accountant, and a human resource specialist, so that you can take into consideration as many local and state laws and protections as part of your overall agreements.

Samuel K. Burlum is an investigative reporter who authors articles related to economic development, innovation, green technology, business strategy, and public policy concerns. Burlum is also a career entrepreneur who lends his expertise as a consultant to start-up companies, small businesses, and mid-size enterprises, providing advisement in several areas including strategic business planning, business development, supply chain management, and systems integration. He is also author of The Race to Protect Our Most Important Natural Resource-Water, Main Street Survival Guide for Small Businesses, and Life in the Green Lane-in Pursuit of the American Dream.

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