Intra-Articular Injections For Pain Management

In cases of severe pain, patients often seek medical help and advice on the best possible solution or course of treatment for the pain. One such treatment is the intra-articular injection for pain management. An intra-articular injection is one that is placed within the cavity of a joint. This form of pain relief will most often be administered when the patient has followed other courses of pain management to no avail.

Intra-articular injections for pain management are administered to patients with pain of the joints of the body. Specific conditions indicating the administration of intra-articular injections for pain management include relief of inflammation causing a reduction in range of motion or normal daily activity and administration of corticosteroids to the site of joint inflammation to relieve cases of severe, seemingly untreatable, pain.

Most often associated with joint disorders or conditions such as joint replacements and arthritis of the joint, the anti-inflammatory and pain medications can be delivered to the immediate causal site of the pain as opposed to utilization from the bloodstream or digestion. The injection thus decreases the inflammation of the area and relieves the pain associated with the inflammation.

Intra-Articular Injections For Pain Management

During the administration of an intra-articular injection for pain management, the patient may feel pain and pressure from the needle. In most cases, lidocaine will be injected into the site of the pain along with the pain medication in order to lessen the localized pain from the injection. In cases of severe pain, nitrous oxide (laughing gas) has been used to calm the patient before injection.

Intra-articular injections for pain management have been used for many years, the success rate of the injections depends greatly on the overall condition of the joint and the medication administered during the injection, as well as the accurate placement of the injection into the joint.

The possible side effects associated with the intra-articular injections for pain management include: hypercortisonism, Cushing Syndrome, hyperglycemia and infection. These side effects are very rare and are most often associated with intra-articular injections given too frequently to the patient.

Intra-Articular Injections For Pain Management
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Property Management Fees Explained

When you hire a property management company to serve as the liaison between yourself and your tenants, you want to be sure you're getting the best possible property management services for the money. The services a property management company provides can range from ala carte to an all-in-one inclusive package. Along with that comes an array of fees for each. There is no set in stone fee structure we can provide you. But we can educate you on what common fees to expect and what each is commonly for. In the end it will be up to you to compare company fee structures and choose the best one that fits within your budget. Below are some of the most common fees and what service they provide.

Commission

This is an ongoing monthly fee charged to the owner to compensate the property manager for the responsibilities of overseeing the management of their property. This fee can vary from as little as 3% to over 15% of the monthly gross rent. In place of a percentage some managers may charge a flat monthly amount which again can vary from to over 0 per month. All property management companies generally charge this fee.

Property Management Fees Explained

Lease-Up or Setup Fee

This fee is charged to the owner to compensate the property manager for their initial time invested and resources used in setting up an owners account; showing property and/or other activities resulting in tenant placement. I guess you could look at it as a "finders fee" for placing a tenant in your property. Once a tenant has been placed and first rent income comes in, the property manager will deduct this fee from the rent proceeds. Some property managers have been known to require this fee upfront prior to tenant procurement. Usually this fee is non-refundable once the property manager has started the process of tenant procurement or any legwork has been initiated with the property. This fee can vary from none to as much as the first months rent, and usually is a one-time fee per tenant.

Lease Renewal Fee

This fee is charged to the owner when a property manager renews a current tenants lease and covers the costs of initiating paperwork or communication involved in implementing the new lease document. A property manager may also justify this fee if they perform a year end inspection of property. This fee can vary from none to 0 or higher, and may be charged every time a lease renewal is implemented.

Advertising Costs

Depending upon the property management company's contract, either they will pay the advertising costs or the owner or they could split the costs. If the manager is willing to cover this cost, most likely they will charge the lease-up or setup fee as outline above. If the management company covers this cost make sure to find out what type advertising or marketing of your property is included. If it's placing your listing on their own web site and other free online classified sites you may not be getting your monies worth. They are many good rental or tenant resource online web sites that bring in qualified tenants for a reasonable fee and you will want to consider these. And don't forget about print media, yard signs, listing on the MLS or even an open house. Nothing is worst than having your property vacant, bringing in no money only because you or your property manager skimped on advertising.

Maintenance Mark-up Charges

This is one of those costs you may never really of known about or had it disclosed to you. A "Mark-up" is a charge over and beyond the final bill on maintenance and/or repair work done to your property initiated by your property management company when using their vendors or in-house maintenance staff. This should be disclosed in your Manager/Owner contract which usually will state the markup as a percentage above the final invoice from vendor. For example, your manager had to call a plumber to replace the dishwasher in your rental property. Total charges for completing the job: 0. If your property manager contract states you will incur a 10% markup on all maintenance work the actual cost to you will be 0. Just one of those things to be aware of as these all eat into your profits.

Early Cancellation Fee

The dreaded "3 months and no tenant". Your property manager insist he or she's doing everything they can to find you a tenant. But here it is 3 months and still no tenant; what do you do. Well, look at your Manager/Owner contract and that might be your deciding factor. I am not a fan of this fee, and believe it to be an unnecessary fee and for you manager out there this could be the deal breaker. I'll tell you why; if a property manager is doing their due diligence and keeping the owners in the loop as far as decision making, market conditions and communication lines open an owner will not be second guessing his property managers abilities. The odds of this scenario happening is unlikely but you must be prepared for it. A cancellation fee can range from none to over 0. To be fair, some managers legitimately deserve this fee especially if they have pocketed advertising costs, incurred lots of legwork and time invested in your property.

"You've Got To Be Kidding Me" Fees - These are ones I have personally had the pleasure of running into.
Your property is vacant, but we still will charge our monthly commission or a small flat fee. "A For-Rent Yard Sign Fee". I believe this was /mo. "Preventive Maintenance Fee". This was to cover the "just in case" and changing out A/C filters. If "just in case" never happens they still pocket the money. I believe this was /mo and I still was charged for filters.

In Summary

Read your Manager/Owner contract, understand what you are signing, ask lots of questions and know what the fees will buy you in services. A good real estate lawyer can help in negotiating the terms in a contract that suit both parties. These contracts are not set in stone. If your property manager will not negotiate, there are other property management companies that are eager to earn your business.

Property Management Fees Explained
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Karen McDaniel
Principal
Property Management Profile LLC dba pmvnetwork.com

PMVnetwork offers the most up-to-date listing of full-service property management companies and property service pros nationwide. We have become a wealth of information and resource for the first-time landlord as well as the seasoned investors.
For any property management company or home repair professionals that is looking to gain national exposure by capturing the attention of out-of-state investors or be found by local clientele, http://www.PMVnetwork.com/property-management-leads is the place to showcase their business model and expertise to these prospective clients. We offer an opportunity for all property management companies and home repair service professionals to list their company on our website, whether you specialize in residential, commercial, vacation or community association management. We accept small to corporate size management companies. We are the most affordable lead generation service out there today.

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Risk Management

What is Risk Management?

Without referring to the millions of websites and documents knocking about that talk about Risk Management, I want to try and give a simple view from the perspective of someone who has to manage risk day to day across major projects. This is real risk management, hands on.

Of course, "Risk" and "Risk Management" will have variations of the same general meaning depending on the circumstances or context to which it is applied, but in principle, all risk management will follow more or less the same process.

Risk Management

So, what is a Risk? A risk can be any influence on an expected or planned outcome that changes that outcome. In child-talk, it's anything that could stop you getting what you want or expect.

Here's an important note: Risk hasn't happened yet. If the outcome has already changed as a result of a risk "happening" then it's no longer a Risk, it's an Issue and has to be managed differently.

So basically - A risk is something, anything, that could happen that will impact or change a desired or planned outcome. There are so many different ways to state this that, as simple as the concept is, it can easily get confusing. Let me give you an example;

"If it rains today then the field trip has to be cancelled" - the risk is that it may rain. The impact is that the planned trip will have to be cancelled. Risk Management is recognizing the risk potential analyzing the probability and impact and either mitigating it or preparing alternative options that will allow the original plan to succeed.

Risk Management 101

On some of my projects in Asia I've had to seriously consider the impact of rain on project outcomes. I was on one job in Korea, Seoul, where we had a limited time to move a banks' trading office from an old building that had been sold off, to a new building. The old building owner declared bankruptcy and sold off the office block. The new owner, the government, kicked everyone out on short notice. We had 3 months to find a new building, fit it out and move 200 staff including 120 trading positions.

This really tested my teams Risk Management ability. This was a working business, the only window to move the 200 staff was over a weekend - after trading stopped on Friday evening and before it started on Monday Morning. Guess what, we had a Typhoon heading in, and for those that don't know how things work in Asia - Typhoons are given warning signals as they approach by the local authorities.

Each signal indicates a level of "threat" and or probability of a direct strike. As the signal rises in strength the threat (and danger to life and property) becomes imminent and public services shut down. People are told to go home or stay off the streets and, for several hours to several days, everything grinds to a halt.

I had a stressful time managing risk by the hour. The decision to roll back the move to the old office or proceed and hope we got everything in before the typhoon hit was a 15 minute review, every 15 minutes for the first half of the weekend. That was Risk Management like I never had to manage before. Risk Management is critically important to project work.

What is Risk Management?

So, the meaning of "What is a Risk" should, I hope, be graphically clear now..? Risk Management is the process of managing risk as it relates to specific circumstances. The techniques, tools and processes used to manage risk are quite pragmatic and common-sense. But we all know that there's no such thing as "Common Sense" so the best way to get a consistent framework around managing risk is to learn some best practices based on industry proven templates and methodologies.

I'm not here to push one methodology or best practice against another. I have my personal preferences based on my industry and experience but I know and have seen many other project managers use varying techniques and tools in Risk Management, all valid and most of them effective at doing the job.

In a follow up article I will talk more specifically about Project Risk Management. I'll share some templates and examples and hopefully stir up some discussions too. There's no one right way to do Risk Management but there is a consistent framework that should be followed and there are some very good industry standards in Risk Management space.

Risk Management
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If you would like to read more on Project Management and some of the Challenges Project Managers face, please go to IT Project Management Singapore for more great information. Here you will also find links to key resources and organisations that can provide first class Project Management services to any business, small or large, local or international. We have a range of professional services partners that have a great track record of services delivery across Asia.
If you'd like to read more articles on key Project Challenges or just learn more, click here for further reading Risk Assessment Matrix.
Best Regards,
Pete

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Span of Management

Also known as span of control, is a very important concept of organizing function of management. It refers to the number of subordinates that can be handled effectively by a superior in an organization. It signifies how the relations are planned between superior and subordinates in an organization.

Span of management is generally categorized under two heads- Narrow span and Wide span. Narrow Span of management means a single manager or supervisor oversees few subordinates. This gives rise to a tall organizational structure. While, a wide span of management means a single manager or supervisor oversees a large number of subordinates. This gives rise to a flat organizational structure.There is an inverse relation between the span of management and the number of hierarchical levels in an organization, i.e., narrow the span of management , greater the number of levels in an organization.

Narrow span of management is more costly compared to wide span of management as there are larger number of superiors/ managers and thus there is greater communication issues too between various management levels. The less geographically scattered the subordinates are, the better it is to have a wide span of management as it would be feasible for managers to be in touch with the subordinates and to explain them how to efficiently perform the tasks. In case of narrow span of management, there are comparatively more growth opportunities for a subordinate as the number of levels is more.

Span of Management

The more efficient and organized the managers are in performing their tasks, the better it is to have wide span of management for such organization. The less capable, motivated and confident the employees are, the better it is to have a narrow span of management so that the managers can spend time with them and supervise them well. The more standardized is the nature of tasks ,i.e., if same task can be performed using same inputs, the better it is to have a wide span of management as more number of subordinates can be supervised by a single superior. There is more flexibility, quick decision making, effective communication between top level and low level management,and improved customer interaction in case of wide span of management. Technological advancement such as mobile phones, mails, etc. makes it feasible for superiors to widen their span of management as there is more effective communication.

An optimal/ideal span of control according to the modern authors is fifteen to twenty subordinates per manager, while according to the traditional authors the ideal number is six subordinates per manager. But actually, an ideal span of control depends upon the nature of an organization, skills and capabilities of manager, the employees skills and abilities, the nature of job, the degree of interaction required between superior and subordinates.

Span of Management
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Author is the writer of www.managementstudyguide.com/organizing_function.htm which explains in detail about the organizing function of management and its important concepts.

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Project Management Steps - The First Step to Starting Your Project the Right Way

It is important to have basic project management knowledge before getting started. For many us, we became project managers accidentally. Whether your project succeeds or fails, however, will be no accident. Successful project managers don't need to know everything, but they know enough to get started and learn as they go. In its essence, project management is preparing, executing, and closing. By the end of this article, you will have the basic foundation on the project management steps.

The first step is preparing. When it comes to preparing, your focus should be on answering the basic questions. Writing a project charter is a great way to get started. The reason is because it answers the important question: why are you doing this project? A project with a weak purpose will go no where. In addition to giving the project a reason, it will also say what are the expected benefits. The most common benefits are making more money, saving money, and saving time (by making things more efficient).

Another tool to help you in preparing is to speak with the people who are affected by the project. These people are referred to as the stakeholders. Getting their feedback will help you focus on what's important. This is commonly known as the scope. It is equally important to write down both what will and will not be achieved. You want to make sure you know what the stakeholders are expecting.

Project Management Steps - The First Step to Starting Your Project the Right Way

The next component of preparing involves writing the project plan. This establishes the ground rules. The plan will detail what will be delivered and when, who is doing what, and how will things be done. For example, the communications section will let everyone know when and where they can find status updates. Setting budget and deadlines will give you a target. Remember, a project is temporary. Therefore, every project has an ending and finite resources.

The plan doesn't need to be perfect, because it will change throughout the project. More important is that you have a plan. Once you are done preparing, it's time to execute.

Executing is where the rubber meets the road. All the work done in the preparing step is used to guide you. The key thing to remember is to record everything. Following is a checklist of what should be recorded daily:

Write down how the project is progressing. Review the work completed by the project team and make notes of any quality issues. If there is a problem, write it to a problem log. When new risks arise, write those down as soon as you think of it. At the end of the day, record anything you learned.

The last point may seem trivial, but it will make your life easier in the closing step.

In addition to logging information, you will also conduct meetings. These are essential and an effective way to follow up with everyone and to get things done. Notably, you'll get information from your team and make sure everything is on track. If not, this is when you make adjustments to your earlier forecasts.

Depending on the complexity of the project, the executing step may be longer or shorter than the preparing step. You will know the executing step is over once you present the final deliverable mentioned in the plan. That does not mean the end, however. The last step is the closing step.

Closing is a controlled way to end a project. Specifically, this is where you find out if you did a good job. You will look back at the project plan and see if the objectives were met. Was everything in-scope completed? Just as important is to ask the stakeholders if they feel the project was a success, and why or why not? You will also provide a lessons learned report. What did you feel went well? What could you do to make things better? What steps can be combined or omitted? If you've kept a daily lessons learned log, this step will simply be compiling everything you have already written into a report.

You now know the basic project management steps. They are preparing, executing, and closing. While project management is not easy, you have the basic foundation. The best way to learn how to manage a project is to get out there and start managing projects. Don't forget to have fun along the way. If you aren't having any fun, it isn't worth doing.

Project Management Steps - The First Step to Starting Your Project the Right Way
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ProjectManagementSteps.net

Introduction to Project Management Steps

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More Best Answers For Retail Management Interview Questions

If you are interviewing for a retail management position, you might be curious about some of the job interview questions. Moreover, you might be curious as to what the best answers for those retail management questions are. Keep reading on to get some helpful tips and answers.

Question: How would you handle a problem employee, such as someone who consistently arrives late to work?

The answer to this question might seem a little bit tricky. After all, a good company does not want an employee who wastes company time and money on their payroll. However, an answer such as "terminate them immediately" might be jumping the gun too fast. One of the best answers for retail management interview questions along this line is an answer that involves checking their work history, providing a clear and simple reminder, and then possibly termination if an improvement was not made in a timely matter.

More Best Answers For Retail Management Interview Questions

Question: You walked through the store on the way in and have possibly shopped here before, what would you recommend doing to improve this store?

The answer to this question is another tricky one. Your first impulse is to assume "this company doesn't want to hear I think the store looks like crap." Of course, you don't want to use those exact words, but provide an honest answer. The best answers for retail management interview questions are honest ones. Ideal suggestions include have an employee greet me when I walk through the door, remove bulky displays in the aisles that hinder cart movement, and so forth.

Question: Have you personally shopped here before? Why or why not?

You might think it is best to answer this interview question with a "yes." After all, the best types of retail store employees are those who take pride in their company and actual shop with them. However, don't outright lie to suck up. Once again, this is your chance to shine. Provide honest feedback if you don't shop there (why not and what would change your shopping habits). If you are an avid shopper, state why (whether it be the friendly staff, the quality products, or the good prices).

Question: As a new store manager, how would you delegate tasks to your coworkers?

This type of interview question for a retail management position is designed to get an idea of your method of management. Are you a manager who just goes with the flow? By the way, these aren't the type of store managers that most retailers look for. If you were, your response would include letting each employee perform the tasks they normally do. If you were a take-charge kind of manager who is interested in producing the best results, your answer would involve assessing and communicating with each coworker first. The goal is to determine who is the most productive at what and go from there.

Question: While you are applying for a store management position, can you still work as part of a successful team?

One of the best answers for retail management interview questions like this one is yes! As a store manager, it is your responsibility to manage the entire store, as well as each employee. On that same note, store managers often help with everyday tasks. This is particularly common in small stores with limited payroll hours. Job interviewers want to know that you can not only handle the management aspects, but the team aspects as well, such as helping your stockers unload a warehouse truck.

More Best Answers For Retail Management Interview Questions
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