Published on: 16 July 2018
Last Updated on: 31 March 2022
Youthful skin is probably the most talked thing among women. Getting wrinkles and fine lines prove that you were neglecting your skin for a long time. To be honest, This is every woman’s nightmare.
In this resource article, we speak with leading professionals and experts at Louis Widmer dermatologic products. we request them to help us list down some credible and simple ways to help us take care of our skin. If you are someone that is looking to reinvent your skin care routine, then you should be interested in what we have to say.
To avoid premature aging, you must make sure of getting enough moisture in your skin. You must keep a skincare routine and follow that religiously to prevent aging. These are just a few of the anti-aging trick you can follow. There are endless more tricks you will be amazed to know. So let’s get started.
7 Anti-Aging Tricks and Tips to Get Youthful Skin Like A Teen:
1. Keep Your Pores Clean:
Clogged pore that cannot breathe or open pore that is visible both does not seem to be right. For that keep, you need to keep your pores hundred percent clean. Use good products that cleanse thoroughly. Wash off all the excess oils in your pores. use a cleansing water every day and this also will wipe off dirt and pollution from your pores. With this, your skin will breathe, and it will not produce a lot of sebum. It is required before using lifecell anti-aging cream as well.
2. Use Good Sunscreen:
Sunscreen is a must for anti-aging. Because of ultra-violate rays from the sun we always get sunburn and sun damage. Sun damage makes aging a lot faster. Use sunscreen with at least 30 SPF. Make sure your sunscreen has Mexoryl and helioplex for a long-lasting effect. Long-lasting sunscreen will protect you for a long time, and you do not have to worry about reapplying every now and then.
3. Give your skin more anti-oxidants with Lifecell all-in-one anti-aging cream:
Your best weapon against sun and pollution is anti-oxidant. Because it works as an agent and stops dissolving pollution in your skin. For your anti-oxidant does believe in Lifecell all-in-one anti-aging cream because it has the Ubiquinone known. Ubiquinone is famous for being the best anti-oxidant of all time. It helps the skin to produce collagen and elastin. This helps to get younger-looking skin.
4. Do Not Forget Retinol:
Retinol is hands down the most known and useful anti-aging agent for your skin. Retinol is a kind of vitamin A which rejuvenates skin. Skin rejuvenation is an essential part of anti-aging. It also helps to renew your skin for the better. With all that benefits your skin will become smoother and softer in appearance. Lifecell all-in-one anti-aging cream has retinol in it. This will help your skin with vitamin A and other benefits together.
5. Brighten up the skin with vitamin c in LifeCell anti-aging cream:
When we start to the age we lose the sparkle first. Our skin loses its natural shine. The skin becomes lifeless. At that time the first thing we should do is using something that brightens skin. For that keep faith in vitamin C., Vitamin C has always been known as a glow-boosting agent. It will never disappoint you because vitamin C shows its result in just some days.
Lifecell all-in-one anti-aging cream has vitamin C to add a glow to your wrinkle-free routine. But make sure to use the right amount of sunscreen as vitamin C makes your skin photosensitive.
6. Seriously never smoke or drink:
Do not ever try to smoke or drink. Smoking is injurious to health, this is not new. But smoking is also damaging to your skin too. Toxins that are present there destroys your skin. It ages skin too much early. Drinking alcohol also makes your skin age faster. Even drinking soft drinks that has a pile of sugar is aging your skin more quickly. So stop yourself from all the bad habits if you genuinely love your skin. Do not daydream that taking care of skin just with some product will help.
7. Keep your skin hydrated:
Moisturizing your skin is the best treat you give. Try to find what works for you the best. If you have sensitive skin, then try to find a natural best moisturizer. Hyaluronic acid is called nature’s best moisturizer. It will make your skin appear plumper and hydrated. It will allow your skin to balance the moisture level without making it oily at all.
Lifecell all-in-one anti-aging cream has hyaluronic acid to help you with all the benefits mentioned above. It is better as you are getting all the benefits in just one cream.
Conclusion :
If you have already started getting wrinkles here and there in your skin, do not panic. Try to relax more because relaxing calms down your system and stressing makes you restless. Try doing some little exercises and yoga for maintaining peace of mind. Drink a lot of water. Water is proven for being the best cleanser for skin and body.
Most importantly try to live a happy life with everyone around you as it will let you live without stress and anxiety. Aging is just not about wrinkles and laugh lines. It also comes with life lessons and experience. Be grateful for them.
Content Rally wrapped around an online publication where you can publish your own intellectuals. It is a publishing platform designed to make great stories by content creators. This is your era, your place to be online. So come forward share your views, thoughts and ideas via Content Rally.
A lot of people have been using CBD oil for pain relief. One of the wonderful effects of using CBD is the effective pain relief it can provide for people experiencing various kinds of illness and conditions, including arthritis, multiple sclerosis, and chronic pain.
You can consider CBD like a multivitamin which takes some time and some getting used to for the body to experience its benefits. Also, the effects can vary from one person to another, which is why it is essential to consider the best way to dose CBD.
CBD Dosage for Pain
How little or how large a dosage of CBD to take will depend on a few elements, including your body weight, your body chemistry which is unique from others, the condition or illness you are trying to treat with CBD, and the concentration of the CBD product you are taking, whether it’s in the form of CBD infused beverage, oil, capsule, pill, gummy, or balm.
And while there is no ‘right' CBD dose that can work for everyone, one can set his own dosage instructions with the passage of usage and time.
One of the easiest ways to figure out the best CBD dose to start with, especially for beginners, is based on body weight. If you have an average weight of 150 lbs. to 240 lbs., a starting CBD dose of 15 mg to 20 mg would be enough to relieve pain if you are looking for a variety of ailments. It can be taken either once or twice a day.
The effect of this dose can differ from one another. Some might experience its effect right after taking the dose while some others might take time noticing its effects.
General CBD Dosage Guide
The general CBD dosage guidelines will depend on your body weight and at what dosage range to start and how to progress from that.
1. Mild Range
Taking CBD should be gradual. It will be ideal if you start on a lower dosage, especially if you are considering CBD for the first time. It would be smart to make your body well acquainted with the effects of CBD before taking them in large doses or as you need.
At this range, the recommended dosage for an average weight between 46-85 lbs. is 9mg, 12mg for between 86-150 lbs. average body weight, 18mg for between 151-240 lbs. average body weight, and 22.5mg for average body weight more than 240 lbs.
2. Medium Range
If you need a higher dosage of CBD or if you are not experiencing any benefits or effects with the mild CBD dosage range, then you can move on to taking the medium dosage range for CBD.
At this range, the recommended dosage is 12mg for 48-85lbs average body weight, 15mg for between 86-150 lbs. average body weight, 22.5mg for between 151-240 lbs. average body weight, and 30mg for average body weight more than 240 lbs.
3. High Range
If the medium dosage range still hasn't given you the desired effects, then you can go all-in with the high CBD dosage range.
At this range, the recommended dosage is 15mg for 48-85lbs average body weight, 18mg for between 86-150 lbs. average body weight, 27mg for between 151-240 lbs. average body weight, and 45mg for average body weight more than 240 lbs.
When to Dose CBD?
After figuring out the best dosage to start with when using CBD for pain relief, the next thing is to find your preferred CBD dosing schedule. There are three main dosage schedules you can choose from when taking CBD.
Hourly Micro-Dosing
Every Two to Three Hours
Once or Twice a Day
You can choose what is more convenient for you, as long as you stay with the recommended dosage amount per day.
CBD Edibles Dosage Guide
There are various CBD products you can take, and it doesn't necessarily have to be in the oil form. There are CBD edibles available if that is your preferred way to take CBD. It often comes in capsule or gummy forms.
CBD edibles usually come with a guideline as to how much CBD there is for every serving. Aside from CBD oils, this CBD form produces a more prolonged effect, which is perfect for using in a once or twice-a-day dosing schedule. You can take one or more capsules or gummy depending on your needs or dosage.
CBD Balm Dosage Guide
You will either need to apply very little or a lot depending on the strength or concentration of the CBD balm. Using a small amount of the balm on the affected area is the best way to start and reapplying as needed.
The dosing of CBD mainly lies in the product, its quality, and its concentration. Some companies that produce CBD products provide dosing guidelines, but that is often specific to their product only. If you want to get your desired results, you can make use of this dosing guide, to begin with, and find the best dosage for your needs.
CBD for Pain Safety Concerns
As much as CBD can be beneficial for pain relief, that is only true if CBD is used the right way. Here are some guidelines when consuming CBD.
1. Make Sure You Are Dosing CBD and Not Other ‘Similar’ Oil
There are a lot of oils you can find in the market, and some can be mistaken for CBD oil. If you want to get the best benefits CBD can offer, then you have to choose your products well. If you are going for an oil-based CBD product, then make sure it's CBD oil and not hemp oil. The two are not the same, even if you think they are.
2. Start Slow and Work Your Way Up from There
CBD can have very intense effects, depending on who takes it and how much. As a beginner, it is always recommended to start small and go your way up from there. That way, your body wouldn’t feel the shock of the effects of CBD.
There is no single ‘dosage' that can work for everybody when it comes to CBD. The amount of CBD you take for pain relief will depend on several factors like body weight and chemistry, as well as the quality and concentration of the CBD product you have. The best way to figure the dosage of CBD for pain relief would be to use this starting dosage guideline and enjoy the process of figuring out which amount or dosage range works perfectly to achieve your desired effects.
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If you suffer from dry eyes, it's important to make sure your diet is providing your body with the nutrients it needs. Your optometrist can help you with dietary changes to support your eye health and decrease symptoms.
Certain vitamins and nutrients can improve your tear quality and reduce dry eye symptoms. Some of these include Vitamin A, Vitamin C, and Omega-3 fatty acids.
Vitamin A
Vitamin A is a fat-soluble compound that aids in the growth of cells and tissues throughout the body, including those of the eye. It's found in a variety of foods, including carrots, spinach, and apricots.
The body can convert carotenoids to retinol, the active form of vitamin A. This happens as the body needs it, and it's possible to get this vitamin from food sources or supplements.
A deficiency of this vitamin is associated with poor tear quality and tear film dysfunction, which may lead to dry eye symptoms. The best way to ensure you have enough of this essential nutrient is by eating a balanced diet rich in foods that contain vitamin A, such as carrots and other orange-yellow vegetables.
Another important nutrient that may help with dry eyes is Vitamin D, which decreases inflammation and improves the lubrication ability of the tear film. Some sources of this nutrient include eggs, fish, and fortified cereals.
Finally, Omega-3 fats have been shown to reduce inflammation, which may be helpful for reducing irritation and dry eye symptoms like pain and itching. They also increase the amount of oil in your eyelids, which affects how quickly tears evaporate.
Whether you need to add more nutrition to your diet or want to take vitamins to help treat your dry eyes, it's important to speak with your eye doctor before you start any new treatment plan. With proper care, you can maintain healthy vision and minimize your dry eye symptoms for good.
Fish Oil
Fish oil is considered one of the best vitamins to take for dry eyes. It is high in omega-3 fatty acids, which can help reduce inflammation and soothe your eyelids.
Omega-3 fatty acids can also stimulate the production of oils in your meibomian glands, which are responsible for producing tears that lubricate the surface of your eyes. It can also help prevent dry eyes from occurring in the first place.
Fatty fish, including herring, halibut, salmon, and tuna are excellent sources of omega-3 fatty acids. They can be a great addition to a healthy diet to relieve dry eyes and other symptoms associated with dry eyes such as watery eyes, itchy, irritated eyes, and burning sensations.
It can also help to improve your vitamin D level, which is crucial for your eye health. Studies suggest that a deficiency of Vitamin D may be linked to dry eye syndrome, so adding it through diet or supplements is helpful in reducing symptoms and improving tear quality.
This vitamin is important for your retina, where it plays a key role in the health of your vision. It’s also a key antioxidant that protects your eyes from the sun.
You can also get Vitamin A from foods like carrots, spinach, and tomatoes. Taking vitamin A supplements may be beneficial for some individuals who are deficient in this nutrient. This vitamin is a powerful antioxidant that can also reduce the risk of developing eye diseases and infections.
Vitamin C
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that’s needed to help your body fight infection, heal wounds and keep tissues healthy. It’s available in fruits and vegetables, such as citrus fruit, strawberries, cantaloupe, green peppers, tomatoes, broccoli, and leafy greens.
This vitamin helps lubricate your eyes and prevent dryness. It’s also an antioxidant that helps protect the blood vessels in your eye and prevent cataracts.
It’s best absorbed from foods, but it can be injected into the vein (intravenous) if necessary. Higher doses of intravenous vitamin C can be helpful in treating certain medical conditions, such as cancer.
But it can also cause negative side effects if it’s taken in too much, so talk to your doctor before you take any supplements.
Omega-3 fatty acids, which are found in fish oil, can reduce inflammation and improve the quality of your tears. They also promote the production of oils in your meibomian glands, which are responsible for keeping your tears moist and preventing them from evaporating too quickly.
These nutrients are found in eggs, fish, dark leafy greens, and other food sources. You can also get them from multivitamins and other supplement products.
It’s important to make sure you get enough of all the vitamins and minerals you need through a balanced diet. However, if you’re unable to achieve your recommended daily intake, supplements can be helpful to ease the symptoms of dry eyes.
Read Also: How To Care For Your Eye In 5 Medically Proven Ways
Omega-3 Fatty Acids
Omega-3 fatty acids are essential nutrients that are found in foods like fish and seafood, eggs, and dark leafy vegetables. They are also available in supplements, but the body can't produce them on its own, so a healthy diet is the best way to get them.
One study shows that consuming omega-3 fats from fish can lower your risk of dry eye. In fact, researchers found that women who consumed the most omega-3s had a 17% lower risk of developing dry eyes.
Aside from reducing inflammation, omega-3s may also help your eye make more natural tears. This is because they improve the quality and quantity of the tear film.
However, if you are looking to supplement with omega-3s, it is important to choose supplements that contain EPA and DHA (docosahexaenoic acid) rather than ALA (alpha-linolenic acid). Although flaxseed oil contains ALA, it doesn't have the same effect on your eyes as EPA or DHA do.
Several studies show that supplements can help improve dry eyes, but it's important to talk to your doctor before you take them. They will be able to recommend the best supplements for you. And they will know how much you should take to benefit your eyes and overall health.
Vitamin D
Adding the right vitamins and nutrients to your diet can help improve the health of your eyes, including those suffering from dry eye syndrome. It can also reduce itchiness, burning, and irritation.
Vitamin D is an important nutrient that can be found naturally in fish, dairy products, and mushrooms. It’s also available as a supplement if you don’t get enough sunlight to reach your optimal level, which is usually 600 IU or more per day.
It’s particularly important for people with darker skin pigmentation, as they produce less vitamin D through exposure to the sun than those with light-colored skin. This means that even if you’re getting plenty of sunshine, you may not be able to get the level of vitamin D your body needs to keep your eyes healthy.
Another way to ensure that your eyes are receiving the nutrients they need is to add zinc to your diet. Zinc is a mineral that helps the liver deliver vitamin A to the retina to produce melanin, a pigment that protects your eyes.
While some studies have shown that taking supplements can help ease symptoms of dry eye, be aware that excessive intake can lead to side effects and toxicity. It’s always advisable to speak with an optometrist or a pharmacist to make sure that any supplements you are considering are safe for you and your unique health situation.
Lutein & Zeaxanthin
Lutein and zeaxanthin are two antioxidants that have been shown to protect your eyes from dry eye syndrome, macular degeneration, and cataracts. They can be found in a wide range of foods, including leafy greens like spinach and kale. They can also be taken as dietary supplements.
These antioxidants help your eyes by reducing oxidative stress and free radical damage. They also help protect your eyes from light glare and UV rays.
They can also slow down macular degeneration, a disease that affects your central vision. It happens when blood vessels in the macula leak fluid. It is a leading cause of blindness in older people.
The best way to get these important vitamins into your body is to eat a balanced diet rich in fruits and vegetables. It is also a good idea to increase your intake of omega-3 fatty acids, which can improve the quality of your tears and reduce inflammation in your eyes.
Zinc is another nutrient that can help your eyes stay healthy. This mineral is needed to transport vitamin A from your liver to your retina and to produce melanin, which helps protect your eyes from infection and injury. It is found in a wide variety of foods, including dairy, nuts, legumes, and whole grains.
Lutein and zeaxanthin can also be taken as dietary supplements, but you should always speak with your doctor before taking any new vitamins or supplements to ensure they are safe for you.
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Any Adult Gerontology Nurse Practitioner (AGNP), or individual considering moving into this booming area, will probably be aware that it involves more than supporting patients through short term illnesses or meeting their needs in a hospital or nursing home.
As a rule, the older a patient gets, the more likely they are to experience chronic health complications which interfere with their day-to-day tasks. For much of history, such patients were written off, encouraged to take to their beds and be supported entirely by others, doing very little. They often didn’t live very long. But all that changed on account of one remarkable nurse, Dorothea Orem, whose legacy continues to shape the nursing profession today. This article examines her groundbreaking self-care deficit theory and looks at how AGNPs might use it for their nursing career.
Dorothea Orem
Dorothea Orem was born in Baltimore in 1914 and studied nursing in the late 1930s. This was a time when nursing schools were still a new phenomenon and there was a lot of experimental thinking in the nascent profession. Though she spent time on the wards as a staff nurse, she also worked as an administrator and consultant over the course of her career, spending her later years focusing on theory.
A naturally focused and attentive person, she soon began recording observations about the patients she worked with, leading to her self-care deficit theory of nursing, for which she strongly advocated for her entire life. It was theory which, in its early years, transformed the way nurses thought about patients and their duties. It laid the foundations for nursing today.
Universal Self-Care Requisites
Orem’s theory recognizes eight universal self-care requisites, or SCRs. Here, universal refers to things every human needs, regardless of circumstance. Air is needed for respiration. Water is needed to maintain a healthy level of hydration. Food is needed to maintain healthy energy levels and prevent starvation. Elimination or toileting, a polite way of referring to the expulsion of urine and feces from the body, is required too.
In addition to these four things, Orem posits that every patient needs a balance of physical activity and rest. Everyone needs social interaction, but also some alone time. People need to manage their lives to avoid or remove hazards, and, finally, they need to promote normality. This means that they need to achieve and maintain a way of living and relating to the world which is normal for them as individuals and does not involve psychosis.
Health Deviation Self-Care Requisites
When patients are recovering from injury or illness, or living with a chronic illness or disability, they can be described as experiencing a health deviation. This is not pejorative – it simply establishes that they differ from the norm. Health deviations are more common in older demographics, as they have additional self-care requisites.
These requisites include following doctors’ instructions (taking medicine on time), identifying problems caused by their conditions and attending to them effectively (sitting down until a dizzy spell passes), and knowing when and how to seek help from a caregiver or healthcare professional.
It is also important that these patients can understand and accept that their bodies have changed and can adjust psychologically to cope with it.
What Is A Self-Care Deficit?
A self-care deficit occurs when people are no longer able to carry out basic tasks. This can be because a disability makes them physically impossible to perform, or a number of other reasons. For example, some people get so overwhelmed by the way their bodies have changed that they stop trying to live. This doesn’t mean that they don’t deserve sympathy – it is an understandable response to an extreme situation – but it might mean that there is potential for improvement.
For some people, self-care deficits are permanent or are likely to worsen due to progressive illnesses. For others, however, they can be temporary, even in extreme old age. Self-care deficits stemming from a broken arm, for example, will normally dissipate after the arm heals, but this is less likely if the patient has learned to feel helpless in the meantime.
Assessment, Diagnosis, And Implementation
When using Orem’s theory, nurses have three steps to work through. The first is undertaken during the initial assessment of a new patient and involves identifying any self-care deficits. These are not always obvious from looking at a patient and the process may require gentle but persistent questioning. Some people may be embarrassed and hesitant to talk if they are unable to care for themselves.
The second involves full diagnosis of the deficits, including establishing causes. The third step is to draw up a treatment plan based on these diagnoses. In her work, Orem stressed the importance of recognizing that every patient is a unique individual, so there is no one-size-fits-all approach to this type of planning. In each case, AGNPs will need to work with the patient to establish the most effective way forward.
Five Ways Nurses Can Help
There are five strategies nurses can use to address self-care deficits when establishing patient care plans:
For the most severely incapacitated patients, it may be necessary to perform actions on their behalf, such as washing or dressing them.
Patients struggling mentally or who lack confidence can be guided through actions, ideally to the point of independence.
Patients can be taught new ways of approaching day to day tasks which make them easier to accomplish, such as taking a break to have a shower in the afternoon if it is too hard to find the energy at other times.
AGNPs can focus on the patient’s environment, making it easier for them to carry out self-care activities, such as suggesting kitchen gadgets to reduce the physical effort involved in preparing meals.
Finally, AGNPs can train a family caregiver to provide appropriate support.
These five strategies involve numerous actions, skills, and tools that nurses can use. Patients may need particular assistance with the following tasks.
Helping With Eating
Patients should always be encouraged to do as much for themselves as is reasonably possible. When it comes to eating, nurses should start with encouragement. Many older people lose their appetite and don’t feel motivated to eat, especially when it requires effort. So, an AGNP can point out that they have more energy when they manage to eat regular meals.
If the patient can get food to their mouth by themselves, nurses should resist the temptation to assist, even if they sometimes drop the food. Instead, nurses can reassure them that this is not uncommon and all they need to do is take a little more time. Nurses should also be alert to the possibility of choking issues and arrange X-rays if concerned. If some food proves difficult to eat, they can discuss the possibility of dietary adjustments.
Helping With Toileting
Nurses should reassure patients that, awkward as they may feel, there is nothing to be embarrassed about. The nurse must ensure they can transfer on and off the toilet safely and consider options like raising the height of the seat or installing grab. If there is a risk of falling, AGNPs may suggest bedpans for use when no caregiver is present. If adult diapers are needed, nurses should ensure that patients know how and when to change them (even if they are not soiled) and how to protect their skin against rashes or bruises caused by wearing them. Finally, nurses can also discuss medical options for softening stools or speeding up or slowing down digestive transit.
Helping With Dressing And Grooming
A balance must be struck between helping patients be more independent in dressing and grooming themselves and enabling them to maintain a style or standard of appearance that is natural for them. Some older men prefer to be clean shaven but end up growing beards because it is easier to trim a beard than it is to shave safely and neatly, for example. Some clothing options can be easier to get into than others, depending on a patient’s particular mobility difficulties. Simple devices such as a stick with a hook on the end can make adjusting the back of a garment or doing up a zip much easier. Nurses should pay particular attention to footwear to make sure patients can stand or walk safely.
Reducing Hazards
Whether a nurse is helping a patient to move around and complete self-care tasks in a hospital ward, a care home, or their own home, they must always pay attention to hazard prevention. Hazards can include mess, a layout created without regard for disability, or other people or pets moving around. Nurses can start by ensuring that the patient is aware of the risks and can recognize dangerous situations.
They should discuss simple measures like installing handrails or changing routines to make it easier to keep the area tidy. Nurses can also ensure that the patient can summon help if something goes wrong, by persuading them to install an alarm system or carry a charged mobile phone at all times, for example.
Care With Communication
Often, older patients who have self-care deficits also have difficulty with communication, whether due to physical or cognitive disability. Depending on their lifestyle in recent years, they may also be unfamiliar with modern technologies, but shy about admitting this. It is important for nurses to make sure that when they are addressing issues around essential needs, the patient understand them properly and vice versa.
It can be helpful to use pictures in communication, which are often available in support materials. When meeting a patient in the place they are going to be living, the nurse and patient can explore it together (in stages, if necessary) so both parties can directly identify issues.
Seeing Each Patient As An Individual
An essential tenet of Orem’s theory is that patients must be treated as individuals. This increases the chance that they will stick to treatment plans, as well as directly improving their psychological wellbeing.
Any nurse that’s interested in Orem’s theory and is considering joining this field will be looking into gerontology nurse practitioner programs online. The best courses place a lot of emphasis on adaptability and on learning how to manage different types of patients in different environments. The program at the University of Indianapolis, for example, encourages students to develop the patience and listening skills essential to getting to know patients and making them a part of the process. This communication and relationship building is essential to developing plans which will really benefit patients over the long term. The course at the University of Indianapolis is an eight-semester program designed for working nurses, involving part-time study and an intensive clinical placement.
The Nursing Profession Continues To Benefit
Thanks to Orem and her self-care deficit theory, patients are no longer left to waste away as they begin to struggle with old age. Generations of nurses who have practiced this theory have observed that, even in later life, patients can often improve and regain their self- care abilities with the right support. Advances in assistive technologies continue to make this even easier.
The right support, focused on facilitating and encouraging independence, enables seniors to go on living satisfying lives on their own terms for much longer. Even when they need extensive practical support, giving them more control helps to maintain their morale and ability to navigate the final chapter of their lives. In the process of providing this support, AGNPs also get what they really want; to see their patients thrive, no matter what they must overcome to achieve it.
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