Telemarketing Principals of Commercial Real Estate Today

The process of telemarketing does not work well in commercial real estate if you follow the typical model of ‘pitch and process’. The people that you call do not like to be subjected to a 1 minute sales pitch and questioning process over the telephone. You have to change the rules and develop some real systems to make cold calling or telemarketing much more effective for you. In one word you have to ‘connect’.

Firstly, and before I go further into this subject I would like to say that all commercial salespeople and agents should be making their own prospecting calls wherever possible. They are the best people to connect with their market because they understand what to say in a relevant way when hard questions are created through the telephone conversation.

When it comes to commercial property sales and leasing, there are really only two targets out of making cold call connections and telemarketing. They are:

1. You want to know if the person you are calling has a need or interest in commercial property sales or leasing or property management.

2. You should seek to create a face to face meeting where the person you call qualifies from the previous point, so that you can take matters further.

When you look at these two factors simply, you can see that you should not be meeting with people who have no genuine interest. Your prospecting calls should therefore be based around a conversation or connection and not a sales pitch or presentation.

The only thing that you are selling in the call contact process is an appointment, and you only do that when you know that the person really does have a need. Protect your time and only meet with the right people that qualify as ‘active’ or ‘interested’ in commercial property.

So the telemarketing or cold call process centres on questions and conversation. Through the conversation you can come to understand if the prospect really does fall within your criteria for a prospective client or prospect. On that basis you can then arrange a meeting as appropriate.

Here are some rules that should be merged into your prospecting scripts:

  1. The people that you talk to want to be involved in the conversation. On that basis you need to ask sensible and realistic questions related to the property industry. Be sensitive to the fact that the person you call will not open up completely with you until you have established a degree of trust in the conversation. It is important that they feel relaxed and not threatened by a pushy salesperson. Professional salespeople create good connections over the telephone.
  2. Approach the first cold call or prospect call on the basis of a simple survey questioning process. The call should be about them and not about you. This is where the right questions will help you establish rapport. The reason for your call is to identify their potential property needs. Do not push for a meeting until you understand that they have a genuine need or an interest.
  3. Be prepared to introduce yourself and your business. Be honest through the conversation but allow the prospect to talk at least 50% of the time. It is of great benefit to have a simple script to get the conversation going. Beyond that starting point, Uncategorized conversation should flow and the script should be irrelevant. Your target is to get conversation moving inside of 20 seconds. A good conversation leads to information and potentially a productive meeting.
  4. If the person is unwilling to talk to you or be open and frank in the discussions, then thank them for the ability to speak with them today and then move on respectfully and politely. There are plenty of people to talk to and on that basis you need to move to the next person or the next opportunity.

There is a real skill to the prospecting and calling process. If you diligently adopt the discipline behind the task, you will find that progress will be made within about two or three weeks of making calls.

Internet Marketing Strategy

Bayshore is the Internet Marketing solution, providing a complete Internet marketing strategy, promotion of a nationwide advertising. We can help you create a website, get the results or upgrade your existing site’s functionality. Bayshore Solutions can help you effectively combine network marketing, promotional and advertising strategies, customer conversion visitors web design.

Internet marketing is the same as traditional marketing, others are not. Here are seven things you need to know your online marketing is successful. When you write Xu copy, you should take the time to understand what works and what does not. There are two mistakes almost every amateur search engine copywriting.

Successful non-profit organizations use the Internet to market charitable program.

To help companies improve their digital marketing results, I also had in-depth, widely praised and won the AOP Award for best practice, publisher e-consultancy Guide.

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Internet marketing is still essential to any business’s overall marketing strategy. Mentioned before with all the benefits of internet marketing, people still buy magazines, billboards went out to check to see their mail, watch TV, and shopping. No matter how fast-paced and wide internet of communication, people go out together, talking about going to the gym. Thus, while Internet marketing is absolutely valid and important, demising certain value of the cost of traditional marketing any business, many potential customers. Another thing, when we say that internet marketing, it is not only figures we choose to click on ads. The list also includes security, advertising, advertising social networks, groups, discussion boards and many others. Accordingly, the online marketing activities can effect the number of people exposed. However, one disadvantage is that people started to become one of the, and would even read the advertising information advertising or know (even people in the security list), and delete without opening them. When someone on the Internet, they would like to read / write e-mail, chat with friends, read and post / reply comments, play fun games. As a internet marketing goal is to build a top priority for Internet users. Also, try and spam and unsolicited e-mail and advertising, more and more people away from Internet advertising in general, unless they are some specific content. A variety of Internet marketing strategy is free and paid online marketing can make more money. 12-month Internet Millionaire Review – Russell Brunson is a 12-month millionaire fraud?. As the market one of the most controversial books, and now the Internet millionaire’s 12 months still constitute a major buzz everywhere. A great professional internet marketing make money online. Internet marketing can be a lucrative industry, if some big Internet-related skills and knowledge development to do so successfully. Must also identify and develop the necessary strategies to make money online. Pay per click advertising, online advertising and link exchange programs, is marketing, can be used to make the Internet industry to make money online there are some important programs.

Internet marketing are not the result of a well-defined, integrated internet strategy; rather, they are a response to competitors activities or customers demand. Through the site has existed for more than a year, marketing staff and senior management will Uncategorizedly question its effectiveness. This is usually the point in a coherent Internet marketing strategy needs to become apparent. As a result, starting in the sum of electronic marketing strategy, is when a company’s existing website, which is to review the existing site and its purpose is to improve the effectiveness of the future. There is no evidence that the development and implementation of a strategy to be significantly different approach to electronic marketing. Strategic planning for enterprise development or strategic marketing to comply with the established framework should still be. The framework provides a logical order to follow up to ensure that the strategic focus of all development activities included. It can be said, however, with the e-market strategy for a highly sensitive process of rapid response mode, the events in the market need. Soviet-style five-year planning application does not seem to fit, the best approach is a new process of electronic marketing strategy is a continuous improvement. Check fee (2002) pointed out that e-commerce or e-marketing strategy process models tend to agree with the following features:

There are many ways to market your product using a large number of online with Google AdWords or Yahoo’s Overture advertising network, eBay, members network, cost per click marketing. In addition, there are many second tier cost of sales and earnings per share network. You need to have a good network marketing strategy, using the Internet to provide online marketing tool. With Internet marketing company, will help you to get your website in search engine advertising and optimization services provided by many of the results, but eventually you need to determine what kind of network marketing will give you the best of a product line. It used to be you bought CPM (cost per thousand) in large-scale campaign Web site and hope that the good performance of these ads and get traffic to your website. Now, there are many choices, there is usually a for each event better than the other run. It appears that the use of network marketing the best way to get return on investment cost per click online marketing tool, the strategic point. Google AdWords and Yahoos Overture CPC programs have dominated the world of network marketing in the past two years, they only get bigger and stronger. Network marketing companies have sprung up to help beginners learn how to use AdWords and Overture to the best of their ability to rope. If you want to build a brand, then the cost per click will not be online marketing solutions. Instead of the online brand, you will go to a CPM campaign, is a straight line costs. The targeted ads, and now there’s online advertising spending is due to leave the television and radio have been gradually transferred to the Internet. Why do you want, if you are advertising with the radio or TV, you can actually track the individual results of the work online. We believe that many ad networks and affiliate program will gradually fade out in the next several years, while Google and Yahoo Zhudao even with their own, targeted search results and more per click advertising network. Internet changes quickly, any company want to optimize their online marketing presence needs to adapt and adjust to the latest technology.

Network marketing is the three capacities: transport infrastructure, marketing, application development, marketing methods and permissions. Practical ability of the network in sports marketing when three similar shift manual gearbox, driving a car, both in mechanics.

Internet marketing is the same where you live, because it is a global market.

They do not have banner ads, because they are cheaper than print. In Facebook, because their children that they should be. If you start what you want for your site’s business focus and you concentrate all energy on helping to improve the preliminary results of this goal, Name of the Dong Xi you Keyi try, to see if they are how they work. Or you can look at things, said: “I do not see how it can help me achieve my goal. Now, if you ignore something, it is possible that they will actually become extremely important, and you ‘local employees realize that you
made a mistake. but only the larger error is ignored, since you are overriding, or try to do everything hafway and accomplish nothing.

Network Marketing is not just large budget or the entire company’s IT department. We have developed in Newfoundland and Labrador website, then who can appear in more effective competitors excluded from the market itself. We can do the same for you, to establish an online presence to support your other. This allows you all the seamless integration of marketing activities, you become a better profit growth in your site shooting. With complete Internet marketing strategy and a strong web site design, your company has the potential to become a global player., Kok River, some in Newfoundland and Labrador, or any other parts of the world community, asking them to do, they can help your web site design, as a money-making machines effective. We believe that your answer in Lorne Park and associated companies will seek to get you.

Internet marketing is clear, the next question is usually, “Yes, but where I start?.” For new and existing customers a direct entry point. In the days passed, and when people want to find a business, they turned to the yellow pages. Today, your customers will find you on the Internet, if you are not there, they will turn to the next thing, they did find: 1,

Network Marketing is your competitor doing? How do your competitors in the domestic major search engine rankings? What kind of traffic from their own site? Use the right tools, this valuable information can be found in your competitors.: What is it your product or service for the customer to resolve or do not provide any good? In what ways you can best illustrate this advantage? Clear and consistent information on the positioning of your products in the market based on a solid understanding is very important to all offline and online marketing efforts.: How much money can you get customers and still make a profit? What is each customer, you get the value of life expectancy? This is the answer you need to determine the effectiveness of any network marketing program running on key issues.

Internet marketing is falling over themselves trying to shift dollars from offline to online marketing. I believe the idea is that network marketing will give them better to reduce the U.S. dollar in a tight economic returns. While it is certainly a solid strategy for mobile Internet, it pays to put it a little thought, the first: Verify your infrastructure. Offline dollars in your move to online, to ensure that you can actually use all of the online customer service. Do you have in place of? You can quickly adjust the landing page and website copy? No sense, if you put in to send visitors to a site, sucking money from online advertising. If you are from offline to online money like two weeks to generate a 5:1 return, reducing the Prozac and think twice to come back. The biggest mistake I see their budget, the company’s transformation, is that they think this is a line ‘run and do’ things. Marketers and their bosses think they can create a landing page or start a PPC campaign, and then forget about it for a month. And this cycle works in print or television, it will not work online. Line is highly, highly repetitive, and requires constant attention. So you save a lot of advertising money into the labor force.

Characteristics of network marketing is definitely a good start in the Internet market, but if you do not know how to drive traffic to your site, these things will be wasted.

Search Engine Optimization Senior Account Manager applicants must have at least the search engine optimization, link building, PPC 3 years of experience, and can hit the ground running. Intelligence and ability to work proactively without supervision is necessary, you should be able to work on project management. You also must be able to communicate with customers the highest level of search engine optimization. Sales useful, but not necessary, because this ability is the main strategy and client management role. We are a small busy Swiss institutions and roll up their sleeves and complete the work is essential. The way we work, we are very flexible, but this is a full-time position at our headquarters in Bristol, England, Bristol in the UK so you must be near or on, such as bathing, Swindon, Chelten Burnham, Gloucester.

Internet online marketing experts found in the blog, webmaster forums and online publications. com, where you can learn about the latest Google updates the new method can make money website. Acetylcholine maravilla is the President and Chief Executive Officer powerhomebiz. One on entrepreneurship, in order to step by step information.

Internet marketing is just too numerous to mention in this article. If you access the Internet value-added services, web savvy, you will see how much of this marketing can increase your business type.

Network marketing is online marketing, network marketing, network marketing. Internet marketing is very important, but the madness of growth with social media, I strongly recommend listening skills is to know how to do twitter, Facebook and YouTube. Many marketing media, relying on the three to take home the bacon only. The building is a long list of network marketing, a necessary component of success. List building simply means that a user list, you can communicate regularly via e-mail. In order to start building a list, you first need to establish what is called a capture page. Pages, your visitors will be asked to provide some free gifts, to share their names and e-mail. It can be a free report, e-books, video or presentation software. Many merchants also offer free electronic can receive daily early bird tips and notifications.

In today’s competitive (and noise) market, we must combine all the right online marketing tools, to create a truly effective and comprehensive marketing program. All, of course, is up and around the central site, but to create opportunities, improve customer response, increased brand awareness, the site of the network through a comprehensive marketing strategy, including search engine optimization, PPC, social media tools to support marketing, and so on.

Linked network marketing ideas and technology and business strategy design, development, Internet advertising and marketing. Search engine marketing, email marketing, display advertising, affiliate marketing, display advertising, blog marketing, display advertising, viral marketing. Internet marketing is the media running along the different stages of customer engagement cycle through search engine marketing, search engine optimization in a specific site, e-mail marketing and Web 2, banner ads. Network marketing has become more and more organizations use to promote the network media key and very effective. ‘The establishment of a website’ or ‘promotion site’ is the foundation, but not the basis of network marketing.

Somewhere behind that website is a real goal, the real organization. Internet marketing strategy includes all of the online advertising products and services, including market research, email marketing, websites, and direct sales.

Payday Cash Loan – A Short Term Solution For Getting Cash Fast

The payday cash loan is for anyone who maybe in an unexpected financial crisis and needs some cash desperately. The lending institution will advance cash that is to be paid back with your next payroll check.

Online No Fax Payday Loan

The entire idea behind the online no fax payday loan may seem very simple, but there are serious considerations that should be dealt with before hand. One of the most important considerations is to look for the best lenders out there. You can simply use the internet and do a personal search for them. There is every bit of information you need about this topic on the internet. Make sure that the people you are borrowing from are reputable and have no underhand dealings in their business. Always read the fine print.

Another important fact before you take the advance payday loan that needs clarification is that the company states in very clear terms the fees, APR and any other cost that will be inferred. The APR is known to go as high as 400% and should be seriously considered before you opt for it. The cash advance will be made to your account despite the bad credit history that you may be having which may be keeping you from borrowing from reputable firms. Payday cash loans are a good way to tide over emergency situations and make life easier for the time being.

Fax Payday Loan

Once you fill in an online application for your payday cash loan you will need to submit your documents. This is generally done through fax. The documents that you will need will vary from your personal identification to your bank account details. This is called the fax payday loan. However, more and more people are opting for the lenders who provide the facility of a no fax payday loan.

Though this form of credit is your best bet if you have an unusually bad credit score, you should realize that this form of borrowing only increases your liability and debt. It should be avoided as far as possible. Payday cash loans is for those people who live from paycheck to paycheck is a myth that has long been exposed.

It is now being universally accessed by many in the USA for various purposes other than paying bills. Before Christmas last year, about 10 million Americans opted for this loan and within a year, the number of outlets lending these loans has doubled.

Get the Best Price For Your Car – Tips on How to Increase Your Car Value Cheaply

When it comes to selling your much loved pride and joy or in some cases simply a means to an end there will always be that niggling feeling in the back of your mind wondering if the buyer of your car will notice some of the little quarks, faults or downsides that we know exist. Hopefully none of these should be too drastic so you should stop thinking about the least price you would accept; instead you should focus on getting the best price for your car using a few simple techniques that will win the buyers heart.

Assuming all the documentation is in order and the car is fully road legal without any bits hanging off or that make the vehicle look unsightly or badly damaged there is no reason why you shouldn’t expect to get the best price for your car.

Firstly and fairly obviously, though there are some that might overlook it, make sure that the car is clean, not just clean as in that will do clean, but a clean car that is worthy of a showroom. Here it is about finishing touches.

Here are some simple finishing techniques that only use a bit of effort, but are free and make a big difference to the overall appearance of the car once the rest is washed, cleaned, hoovered, and hopefully polished.

  • No smeary windows, clean the insides with a 80% – 20% water to vinegar solution and buff dry with a newspaper or antistatic cloth
  • The above also applies to mirrors, internal and external
  • Remove ANY stickers from rear window and clean off residue adhesives using water – vinegar mix
  • For best results on exterior glass use car polish not glass cleaners – wash glass first
  • The front window should only be cleaned with a warm moist chamois leather and wiped over with a newspaper or antistatic cloth
  • Clean and wash any ashtrays if smoking has taken place in the car
  • Clean headrests and tops of seats as this is so often overlooked
  • Clean internal handles and switches and clean any visual cavities
  • Wash and polish the door-shuts and metalwork on insides of doors as well as boot/trunk and inside the bonnet/hood
  • Take everything out of the vehicle that is not relevant to the vehicle. Only the documentation and a box of tissues should remain

These small details will make a big difference and will certainly help you get the best price for your car not only that, but they shouldn’t cost you anything to do.

Additionally there are also some tips that can be used on how to increase your car value cheaply and without a lot of effort on your part.

Not all of the below will be relevant to your car, plus the outlay for some of the below items should be added to the value of your car and you should be able to recoupe within the sale. This will mainly depend on age, overall value, and type of vehicle you are selling.

  • Ripped or damaged seats should be covered by car seat covers
  • Rips, burns, or stains on carpets should be covered by suitable rubber or material mats throughout
  • Boot floor damage should also be covered with moulded boot/trunk mat
  • Replace old tax disc holder for new round magnetic type – circles have cleaner lines
  • Highly clean tailpipe of exhaust or buy and fix on a tailpipe chrome cover or covers
  • If there is something internally missing such as a cigarette lighter or such like, try and replace it
  • Where possible make sure all bulbs and switches work
  • Any rusty nuts etc in engine bay should be sprayed with WD40

For some reason a car tends to look better overall when the windows and wheels are immaculate. We have already focused on the windows so now it’s time to spruce up the wheels and tyres.

  • Buy and fit mud-flaps or get them fitted by your local tyre fitters
  • Buy and fit chrome dust covers, car type where possible
  • Buy and fit new wheel center caps stylish and current where possible
  • Jet-wash wheels to clean inside as well, unless they have any flakey paint then hand clean only
  • Wash and clean tyres, when dry apply some tyre paint using a paint brush not spraying on and only use sparingly as will fly onto car bodywork when driven. Do not drive for a couple of hours after application

All these things will certainly increase the value of your car and get the best price for your car, but there is no substitute for regular care and upkeep of your car. This alone will maintain good value throughout the vehicles lifetime. The longer cars and car parts are left un-cleaned the harder it will always be to get clean and achieve a desirable finish.

Above all else, be sure that the car smells nice on the inside, this includes the boot/trunk…

Home Based Business Trends In A Fragile Economy

Home based businesses are many with some that are truly legitimate and others that are out to put a deep hole in your wallet. With today’s fragile economy, millions of people out of work and a shrinking middle class, there are those of us seeking ways to increase our financial means to make ends meet or to simply keep food on the table for our families. I’ve been a victim of the scams and have invested hundreds (if not thousands) of dollars seeking out the latest home business trend. But I have also learned a lot along the way and have acquired some tools to success that I would like to share with you to avoid any pitfalls you may experience in your search for the right opportunity.

#1. Product. You need to choose a product that literally most everyone needs. Think long and hard about this. Not everyone needs or likes healthy chocolate (I personally know someone who is allergic to it). The market is also flooded with many nutrition supplements claiming to be the next big trend. There is liquid form, pill form, shake form, juice form, etc. So which do you choose? Not to mention the expense and investment in such a venture. Don’t get me wrong. There are many fine health and wellness opportunities out there but they require a large financial commitment and again isn’t necessarily something most everyone wants or needs (we are in fact one of the most obese nations in the global market). Consider something such as cell phones. Nearly everyone has them everywhere you look and nearly everyone needs them. Even my 10 year old son is begging me to get him one since many of his friends already have them. The cell phone industry is exploding and more and more companies are popping up on the market.

#2. Affordability. As I mentioned earlier there are many legitimate home based business opportunities but they require a large financial commitment on your part and with a fragile economy this just isn’t an option. So along with the right product you need to have the right price. Opportunities that are too inexpensive (such as an opportunity for only $97) require hundreds of people in your downline just to make a few hundred dollars. Home based business opportunities that are too expensive are simply that-cost prohibitive and you don’t stand a chance at seeing a return (such as those opportunities that cost $1995-$3995). I’ve found that the latest legitimate home based business trends are priced between $300-$500. These are reasonably affordable even in a fragile economy and can get you up and running in no time. It will have you seeing a return on this investment within a few weeks to a few months.

#3. Team. I can’t stress enough how important it is to have a strong support system in place. Too often we are left to fend for ourselves after signing on with an opportunity and spend months trying to figure everything out ultimately ending in failure. A duplicatable, automated selling process, turn-key system that can run on auto pilot is vital to being successful with a home based business opportunity. These duplicatable systems can be achieved through websites and lead capture pages (which are generated by the company and given to each of their reps to build their business), DVDs explaining the opportunity and most importantly a way to market your business through offline methods (such as postcards and sales letters) in addition to online methods such as pay per clicks or cost per clicks. There are other online methods such as blogs, social media, articles and more but these systems are not easily duplicatable by everyone and requires a great deal of research, practice and trial and error to be successful with these methods. With the flood of online advertising, offline old-school mailbox methods such as postcards promoting an opportunity are becoming the trend among home based businesses.

#4. Leverage. The fourth and final point is leveraging a powerful system with the right opportunity that allows you to:

1. Make a lot of money

2. Make a lot of money quickly (and I don’t mean within 48 hours-let’s be reasonable here). You could with the right system be making money within a few weeks to a few months.

3. Be able to work from home only a few hours a week on a schedule that YOU decide

4. Have a business working for you even when you are not-translates to a 100% automated sales process from the moment your prospect sees your offer. This means:

-No personal selling
-No phone calls
-No hotel meetings
-No emails
-No sharing with friends and family

There is a lot to consider when seeking out the next home business trend. What I can tell you is from my experience, by using the tips I have mentioned as tools for researching and crafting a home business opportunity that’s right for you, it will greatly increase your chances for success.

Travel Nurse Jobs

Travel nursing jobs is one of the fastest features of the nursing career, which has stormed the nursing profession and getting popularity with each passing day. Shortage of quality nurses, underpaid, love for traveling, whatever the reason, it has become a huge hit among young women who dare to dream big. If you share the passion of serving mankind and adventure to see the world and feel its diversity, the option is fit for you.

Travel nursing jobs are basically temporary jobs normally for a period of six weeks to twelve weeks. Normally, travel nursing agency, which specializes in providing quality human power, does provide placements for nurses in different regions. The agency is responsible for hiring, accommodating, payments and providing other benefits of nursing jobs. Usually, agency has a cordial relation with various hospitals, nursing centers and other medical practitioners who provide regular need of travel nurses in their area. The agency further processes the required vacancy and call ladies who shown interest in traveling as a part of their jobs.

Once, the hiring process gets completed, travel nursing agency undertakes the responsibility for preparing the contracts, where all the terms and conditions are mentioned. Sometimes, travel nursing agency looks after the visa, passports and work permit matters of nurses too. The agency does everything to satisfy the parties, the recruiter and the job seeker. In case, nurses like to prolong their assignment tenure, agency provides arrangement for that too.

These temporary jobs not only provide experiences of nursing but also give a chance to see the geographical variation. People who like to travel can really find this job useful and learning. Further, the job of travel nursing teaches to adjust according to the situation’s demand. Because of its great advantages, nursing jobs has attracted many young ladies to explore their dream of nursing and to gain experiences of the world.

Ways To Stop Smoking Permanently by sigarette elettroniche

A lot of smokers want to stop and you might be looking for information on how to stop smoking having made previous unsuccessful attempts sigaretta elettronica.

It is not uncommon to be in this position as stopping smoking cigarettes electroniques is not easy and you need to really make a very firm decision to do so. It may help to write down why you to want to quit to remind you when the going gets tough.

The difficulty with stopping smoking cigarette electronique is there are both physical and mental addictions to beat and beating the physical addition is the easy part (relatively).

People smoke because:

• It is a pleasurable experience and relaxes the smoker.

• Smokers have developed an unconscious link between certain activities and environments and smoking elektronisk cigaret.

• They have an addiction to nicotine.

As an alternative to quitting smoking you might think about using electronic cigarettes(elektroniske cigaretter). People have used these to stop smoking although they are not marketed for this purpose but they do make smoking cheaper, cleaner and harmless to others. You can also choose how much, if any, nicotine they supply.

Some of the possible approaches to stopping smoking are:

Cold Turkey

This is the simplest and cheapest method but not the most successful. You pick a date and from that point you no longer smoke. The initial period is very difficult so you need to be very strong minded to be successful. The success rate is estimated to be between 5% and 10%.

Alternative Sources Of Nicotine

Products such as nicotine patches or gum are used to replace that previously received from cigarettes. They deliver a controlled dose into the body to relieve some of the withdrawal symptoms. There is a lot of variation in the claimed success rates but for nicotine replacement used on its own they vary from 7% to 35%.

Stop Smoking Medication

Medications (such as Zyban) help relieve withdrawal symptoms without the use of nicotine but are intended for short-term use only. There are also homeopathic remedies (such as Smoke Deter) which do the same thing.

Various Therapies

You can learn how to modify your behavior to break habits that lead to smoking and how to stay motivated to quit smoking. In fact it is very difficult to stop smoking without help and support and any sort of counseling or organized program will help considerably.

Quit Smoking Hypnosis

When considering how to stop smoking, hypnosis should be taken seriously as it has success rates of up to 50%. Quit smoking hypnosis is based on reprogramming the subconscious mind to stop associating smoking with pleasure and relaxation and to substitute some other behavior. It can also be used to remove conditioned responses so the smoker loses the urge to smoke when in the environments that used to trigger it.

Hypnosis will not work for everyone, but it is well worth trying.

Best Option

Trying to stop smoking on your own is very difficult and likely to fail. Support of some sort will increase your chance of success considerably and it may be that taking something to help with the nicotine withdrawal, combined with hypnosis or behavioral therapy to address the psychological addiction, is likely to give you the best chance to stop smoking for good.

Planning and Design of Behavioral Healthcare Facilities

Behavioral Healthcare Facilities: The Current State of Design

In keeping with most districts of healthcare, the marketplace has seen a boom in the construction of Behavioral Healthcare facilities. Contributing to this increase is the paradigm shift in the way society views mental illness. Society is placing a heavier value on the need to treat people with serious addictions such as alcohol, prescription and elicit drugs. A large percentage of people suffering from behavioral disorders are afflicted with both mental and addictive behaviors, and most will re-enter communities and either become contributors or violators.

These very specialized facilities do not typically yield the attention from today’s top healthcare designers and their quantity accounts for a small fraction of healthcare construction. However, Behavioral Healthcare projects are increasing in number and are being designed by some very prominent architectural firms such as Cannon Design and Architecture Plus. Many are creating state-of-the-art, award-winning contemporary facilities that defy what most of us believe Behavioral Healthcare design to be.

Changing the Way We Design Behavioral Healthcare Facilities

As with all good planners and designers, A+D (along with facility experts) are reviewing the direct needs of patient and staff while reflecting on how new medicine and modern design can foster patient healing rates, reduce environmental stress, and increase safety. This is changing the face of treatment and outcome by giving the practitioner more time to treat because they require less time and resources to “manage” disruptive patient populations.

The face of Behavioral Healthcare is quickly changing. No longer are these facilities designed to warehouse patients indefinitely. And society’s expectations have changed. Patients are often treated with the belief that they can return to their community and be a contributor to society. According to the National Association of Psychiatric Health Systems (NAPHS), depending on the severity of illness, the average length of stay in a Behavioral Healthcare facility is only 9.6 days.

What has changed?

Jaques Laurence Black, AIA, president and principal of New York City-based daSILVA Architects, states that there are two primary reasons for the shortened admission period:

1. Introduction of modern psychotropic drugs that greatly speed recovery

2. Pressures from insurance companies to get patients out of expensive modes of care

To meet these challenges, healthcare professionals are finding it very difficult to effectively treat patients within the walls of antiquated, rapidly deteriorating mental facilities. A great percentage of these facilities were built between 1908 and 1928 and were designed for psychiatric needs that were principled in the belief to “store” not to “rehabilitate.”

Also impacting the need for Behavioral Healthcare construction is the reluctance of acute-care facilities to provide mental health level services for psychiatric or addiction patients. They recognize that patient groups suffering from behavioral disorders have unique health needs, all of which need to be handled and treated only by very experienced healthcare professionals. This patient population also requires a heightened level of security. Self-harm and injuring staff and other patients are major concerns.

The Report of the Surgeon General: “Epidemiology of Mental Illness” also reports that within a given year about 20% of Americans suffer from a diagnosable mental disorder and 5.4% suffer from a serious mental illness (SMI ) – defined as bipolar, panic, obsessive-compulsive, personality, and depression disorders and schizophrenia. It is also believed 6% of Americans suffer from addiction disorders, a statistic that is separate from individuals who suffer from both mental and addiction disorders. Within a given year it is believed that over one-quarter of America’s population warrants levels of mental clinical care. Even if these statistics were cut in half, it cannot be denied as a serious societal issue.

With a growing population, effectively designing in accordance with such measures is at the heart of public health.

Understanding the Complexity of Behavioral Healthcare Design

Therefore, like Corrections, leading planners and designers specializing in Behavioral Healthcare are delving deeper to better understand the complexity of issues and to be the activist to design facilities that promote treatment and healing – and a safer community.

The following is a list of key design variables that are being studied and implemented:

1. Right Sizing

2. Humanizing Materials and Color

3. Staff-Focused Amneties and Happiness

4. Security and Safety

5. Therapeutic Design Tenants

Right-sizing

Today’s Behavioral Healthcare facilities are often one-story single buildings within a campus size. Often debated by Clients due to costs, this design preference is driven by the demand for Uncategorized light, window views to nature for all patient areas, and outdoor open-air gardens “wrapped” within. All of this provides soothing qualities to the patient, reduces their anxieties, counteracts disruptive conduct and helps to reduce staff stress.

“When you look at the program mix in these buildings, there’s a high demand for perimeter because there are a lot of rooms that need Uncategorized light. Offices, classrooms, dining areas, community rooms, and patient rooms all demand Uncategorized light, so you end up with a tremendous amount of exterior wall, and it forces the building to have a very large footprint.” – James Kent Muirhead, AIA, associate principal at Cannon Design in Baltimore

These design principles are also believed to improve staff work conditions. Unlike a multi-story complex, at any moment staff can walk outdoors and access nature, free from visual barriers, and within a building that more accurately reflects building types that both patients and staff would encounter in their communities.

In addition to right-sizing for the overall building footprint, is right-sizing for internal patient and staff support area. Similar to the move we have seen in Corrections to de-centralize support spaces, Behavioral Healthcare is moving to decentralized nursing/patient units called “neighborhoods.” With mental health facilities there is a large concern with distances and space adjacencies in relation to the patient room and patient support areas such as treatment and social spaces. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, Troy, NY, advocates neighborhoods that average 24-30 beds arranged in sub-clusters, called “houses”, of 8-10 beds. Thus, each neighborhood consists of three houses. Often these layouts will include a common area where patients congregate and socialize, with a separate quiet room so patients can elect to avoid active, crowded areas. In addition Pitts states, “There’s a move away from central dining facilities. So, while facilities will still have a central kitchen, it’s a whole lot easier moving food than it is patients.” However, it is important for the facility to mimic normal outside daily life routines, so patients are encouraged to frequently leave their neighborhoods to attend treatment sessions, and outdoor courtyards.

Humanizing Materials & Color

In all facilities that play a role in rehabilitation, design strives to create spaces that humanize, calm, and relax. Behavioral Healthcare patients need to feel that they are in familiar surroundings; therefore, the architectural vocabulary should feel comfortable and normal. Since these facilities are about rehabilitation (when possible) and encouraging patients to merge back into society, the facility should feel like an extension of the community. Their spaces should reflect the nature and architecture of the surrounding region and thus so, no two facilities should look too much alike.

“Our a
pproach to designing these facilities is to view the facility as an extension of the community where patients will end up when they’re released. Interior finishes also depend on geography because you want to replicate the environment patients are used to. You want to de-stigmatize the facility as much as possible.” – Tim Rommel, AIA, ACHA, OAA, principal with Cannon Design in Buffalo, NY.

Therefore, materials and colors within these spaces want to feel familiar to one’s region and everyday life. To soothe the psyche and rehabilitate, they want to feel soft and comfortable, yet visually stimulating. An interior that is overly neutral or hard in appearance is not appropriate. Materials should reduce noise, and colors should lift the spirit. This can help to create an environment in which the patient can learn, socialize, and be productive while easing anxieties, delivering dignity, and modifying behavior. As stated previously, behavioral studies advise the use of softer interior materials-like carpeting, wood doors and tile. Doing so translates directly to both patient and staff well-being, particularly staff safety, and makes for a nicer place to work. In addition, staff have more resources to “treat” instead of manage heated situations. When staff experiences are eased and satisfied, morale is boosted and life-saving rules and policies are more likely to be enforced.

Staff-Focused Amenities & Happiness

While reducing staff stress and fatigue through a healing supportive environment seems like an obvious goal, there are relatively few studies that have dealt with this issue in any detail. More attention has been given to patient outcomes. However, many leading hospitals that have adopted therapeutic tenants into their newly built environments have seen vast improvement through their “business matrixes” and financial reporting.

In one example, the Mayo Clinic, a national leader in implementing healing design in its facilities, has reported a reduction of nursing turnover from a national annual average of 20% to an annual 3%-4%. In another example, when Bronson Methodist Hospital incorporated evidence-based design into its new 343-bed hospital, they cited their 19%-20% nurse turnover rate dramatically dropped to 5%.

Now, both the Mayo Clinic and Bronson Methodist Hospital have had to initiate a waiting list for nursing staff seeking positions. This converts to better-trained and qualified staff, and a reduced error rate. Therefore, more health facilities are investing in staff support areas such as lounges, changing rooms, and temporary sleep rooms. Within these staff spaces and in the hospital throughout, facilities are also recognizing the need for upgrade materials, better day lighting, and an interesting use of color: One soon realizes that the need of patients and staff are interwoven, each impacting positively or negatively the other.

Security & Safety

Without debate, self harm and harm to staff is one of the biggest concerns mental health facilities manage. Often the biggest safety and security concern is the damage patients can do to themselves. “There are three rules I had drummed in me,” says Mark Hanchar; Director of Preconstruction Services for Gilbane Building Company, Providence, R.I. “First, there can’t be any way for people to hang themselves. Second, there can be no way for them to create weapons. Third, you must eliminate things that can be thrown.” Hanchar says that the typical facility is, “a hospital with medium-security prison construction.” This means shatter proof glass, solid surface countertops (laminate can be peeled apart), stainless steel toilets and sinks (porcelain can shatter), push pull door latches and furniture that cannot be pulled apart and used as a weapon. These are just to name a few.

Additionally, removing barriers between patients and nursing staff is a safety consideration. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, says what may be counter-intuitive for safety precautions, “Glass walls around nursing stations just aggravate the patients.” Removing glass or lowering it at nursing stations so patients can feel a more human connection to nurses often calms patients. There is also discussion of removing nursing stations altogether; decentralizing and placing these care needs directly into the clinical neighborhoods and community spaces. Pitt says, “The view is that [nursing staff] need to be out there treating their patients.”

Therapeutic Design Tenants

As medicine is increasingly moving towards “evidence-based” medicine, where clinical choices are informed by research, healthcare design is increasingly guided by research linking the physical environment directly to patient and staff outcomes. Research teams from Texas A&M and Georgia Tech sifted through thousands of scientific articles and identified more than 600 – most from top peer-reviewed journals – to quantify how hospital design can play a direct role in clinical outcomes.

The research teams uncovered a large body of evidence that demonstrates design features such as increased day-lighting, access to nature, reduced noise and increased patient control helped reduce stress, improve sleep, and increase staff effectiveness – all of which promote healing rates and save facilities cost. Therefore, improving physical settings can be a critical tool in making hospitals more safe, more healing, and better places to work.

Today’s therapeutic spaces have been defined to excel in 3 categories:

1. Provide clinical excellence in the treatment of the body

2. Meet the psycho-social needs of patients, families, and staff

3. Produce measurable positive patient outcomes and staff effectiveness

Considering the cost of treating mental illness, which is exceedingly high, and wanting facilities to have effective outcomes, a further practice of incorporating therapeutic design is increasing. The National Institute of Mental Health (NIM H) approximated in 2008 that serious mental illnesses (SMI ), costs the nation $193 billion annually in lost wages. The indirect costs are impossible to estimate.

The estimated direct cost to clinically treat is approximately $70 billion annually and another $12 billion spent towards substance abuse disorders. In addition to the increased need of care and the boom in Behavioral Healthcare construction, it becomes an obligation to make certain that we as facility managers, architects, designers and manufacturers therapeutically plan and design these facilities.

Notably, in 2004, “The Role of the Physical Environment in the Hospital for the 21st Century: A Once-in-a-Lifetime Opportunity,” published by Roger Ulrich P.H.D., of Texas A&M University, was released. In a culmination of evidence-based research, research teams found five design principles that contributed significantly to achieving therapeutic design goals.

The report indicates five key factors that are essential for the psychological well-being of patients, families and staff, including:

1. Access to Nature

2. Provide Positive Distractions

3. Provide Social Support Spaces

4. Give a Sense of Control

5. Reduce or eliminate environmental stress

Access to Nature

Studies indicate that nature might have the most powerful impact to help patient outcomes and staff effectiveness. Nature can be literal or figurative – Uncategorized light, water walls, views to nature, large prints of botanicals and geography, materials that indicate nature and most importantly, stimulating color that evokes nature. Several studies strongly support that access to nature such as day-lighting and appropriate colorations can improve health outcomes such as depression, agitation, sleep, circadian rest-activity rhythms, as well as length of stay in demented patients and persons with seasonal affective disorders (SAD).

These and related studies continue to affirm the powerful impact of Uncategorized elements on patient recovery and stress reduction. Thus, it is clea
r that interior designs which integrate Uncategorized elements can create a more relaxing, therapeutic environment that benefits both patients and staff.

Positive Distractions

These are a small set of environmental features that provide the patient and family a positive diversion from “the difficult” and, in doing so, also negate an institutional feel. These can be views to nature, water walls, artwork, super imposed graphics, sculpture, music – and ideally all of these want to be focused on nature and, when applicable, an interesting use of color. Therapeutic environments that provide such patient-centered features can empower patients and families, but also increase their confidence in the facility and staff. This helps with open lines of communication between patient and caregiver.

Social Support Spaces

These are spaces designed partially for the patient but mainly for the comfort and socialization of family members and friends of the patient; therefore, family lounges, resource libraries, chapels, sleep rooms and consult rooms all play a role. When family and friends play a key role in a patient’s healing, these spaces encourage families to play an active role in the rehabilitation process.

Sense of Control

In times when patients and family feel out of control, it is very healing for the facility design and staff to provide it back when appropriate. Although, this cannot always be done suitably in mental healthcare facilities. However, when applicable, these design features include optional lighting choices, architectural way-finding, resource libraries, enhanced food menus, private patient rooms and

optional areas to reside in. A few well-appointed studies in psychiatric wards and nursing homes have found that optional choices of moveable seating in dining areas enhanced social interaction and improved eating disorders. When patients feel partially in control of their healing program and that the building features are focused to them, an increased confidence of the quality of care enters and tensions lower.

As with all therapeutic design, this allows the caregiver to use their resources healing in lieu of “managing” patient populations.

Reduce or Eliminate Environmental Stress

Noise level measurements show that hospital wards can be excessively noisy places resulting in negative effects on patient outcomes. The continuous background noise produced by medical equipment and staff voices often exceeds the level of a busy restaurant. Peak noise periods (shift changes, equipment alarms, paging systems, telephones, bedrails, trolleys, and certain medical equipment like portable xray machines are comparable to walking next to a busy highway when a motorcycle or large truck passes.

Several studies have focused on infants in NIC Us, finding that higher noise levels, for example, decrease oxygen saturation (increasing need for oxygen support therapy), elevate blood pressure, increase heart and respiration rate, and worsen sleep. Research on adults and children show that noise is a major cause of awakening and sleep loss.

In addition to worsening sleep, there is strong evidence that noise increases stress in adult patients, for example, heightening blood pressure and heart rate. Environmental surfaces in hospitals are usually hard and sound-reflecting, not sound-absorbing causing noise to travel down corridors and into patient rooms. Sounds tend to echo, overlap and linger longer.

Interventions that reduce noise have been found to improve sleep and reduce patient stress. Of these, the environmental or design interventions such as changing to sound-absorbing ceiling tiles, are more successful than organizational interventions like establishing “quiet hours.”

Conclusion and Additional Information

The information contained in this excerpted report is intended as a guide for architects, specifiers, designers, facility planners, medical directors, procurers, psychologists and social workers which have a stake in providing improved facilities for behavioral healthcare patients. It is a portion of a report entitled “The Contributions of Color” authored by Tara Hill, of Little Fish Think Tank. Ms. Hill was commissioned by Norix Group Inc., in 2010 to research the role color plays in the safe operation of correctional facilities and behavioral health centers. More in-depth information specifically about the psychological influence of color and behavioral healthcare facility design can be found by reading the full report.

Basic Horse Riding Tips for Beginners

Horse riding is good fun, and a very healthy sport for all ages to take part in, but it should always be kept in mind that riding can be a dangerous activity. So with this in mind I have written these few tips on safety and horsemanship to help you enjoy your sport.

If you are new to riding then you should definitely take some lessons from a good qualified instructor first. Your instructor will teach you all the basics about horse riding and will advise you on all the relevant safety measures that you should take when around horses.

Although this is very basic information you should still follow these rules at all times. Never ever walk around behind a horse. When a horse can hear something behind it and can only barely see some movement, out of fear many horses will kick out, it should be remembered that a kick from a horse can cause serious injury and may even prove fatal!!

Next, wear a suitable riding hat or helmet, there is no fun in landing on your head when you have been thrown or fallen from a horse. Also you should wear appropriate foot ware, riding boots if possible these will help you to keep your feet in their stirrups.

Riding solo is not to be recommended, if you fell and were injured you could be in serious trouble before you were found. Even if you are an experienced rider on a calm intelligent animal and were going into the forest to ride alone you should still tell someone what route you are taking and when you expect to return.

How you handle the reins is crucial to controlling your horse and keeping good balance. Keep your hands low just above the front of the saddle this will help to keep your centre of gravity low and help you to be stable in the saddle.

Now if you have a healthy well adjusted animal to ride, within reason there are few boundaries on what you and your horse can do. Whether you wish to walk, trot, canter or gallop the only barrier is the skill of the rider.

The most important safety skill of riding is being able to stop your horse where and whenever you want. If you have maintained the correct hand position and grip on the reins while riding it should be relatively easy to stop your horse, just pulling your hands back firmly will pull the horse’s head down and bring him to a halt.

Directing a horse is also easy if they are given the proper signals. If you wish to turn to the right just pull back on the right reins and apply pressure to the horses belly with your right boot, and for turning left do exactly the same with the left reins and boot.

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