E Flamboyan y Colibri
The Flametree & Hummingbird VBA
Continuous Improvement;
Your Goal, Our Mission
E Flamboyan y Colibri
The Flametree & Hummingbird VBA
Continuous Improvement;
Your Goal, Our Mission
E Flamboyan y Colibri VBA
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Bon dia, Bon tardi, Bon nochi!
Care & Facility Management Solutions
At The Flametree & Hummingbird company both Nienke and Remo are dedicated to providing you with personalized services that cater to your unique needs, either care management and/or facilities management
About Us
Who We Are
Our Services
Our Mission
It's all in the name. The Flametree & Hummingbird logo elements and name stand for the embodiment of the owners of the VBA.
DR NIENKE SMITS
Dr. Nienke Smits was born in Tanzania, daughter of two doctors specialized in tropical medicine. The Flametree stands for the national symbol of Tanzania. She spent the better part of her first decade
It's all in the name. The Flametree & Hummingbird logo elements and name stand for the embodiment of the owners of the VBA.
DR NIENKE SMITS
Dr. Nienke Smits was born in Tanzania, daughter of two doctors specialized in tropical medicine. The Flametree stands for the national symbol of Tanzania. She spent the better part of her first decade as a child living in Africa. The flametree is engraved in Dr. Nienke's core being, a part of the dark continent, where she is from.
Dr. Nienke is always thinking how to help her clients in the best way possible, using her extensive network to get it done.
REMO KOCK
Remo Kock was born in Aruba, lived in Holland and Curacao, is an INTJ and even though sometimes he seems quiet and distant, his mind will be all over the place, working out several scenarios at a time.
These constant brainstorms are typical of Remo and remind some people of him being like a Hummingbird, a colibri. Colorful, the bird seems to be suspended in mid-air, until you notice the wings fluttering a thousand times per minute, giving you the illusion of stillness. And with every minute a solution, or new idea is born.
So, there you have it, the Flametree & Hummingbird.
Together, always much stronger then apart.
E FLAMBOYAN Y E COLIBRI, HUNTO SEMPER MAS MIHOR, CU ARIBA NAN MES...
Our Mission
Our Services
Our Mission
CONTINUOUS IMPROVEMENT
Our mission is to help any client with specific operational (care) and facility's needs go forward, with quality assurance processes in mind.
Dr. Nienke helps people to get the healthcare they need, at home.
We also support small businesses or foundations to continuously improve their service, to reach their goals. W
CONTINUOUS IMPROVEMENT
Our mission is to help any client with specific operational (care) and facility's needs go forward, with quality assurance processes in mind.
Dr. Nienke helps people to get the healthcare they need, at home.
We also support small businesses or foundations to continuously improve their service, to reach their goals. We do this by providing comprehensive consulting services that are tailored to the unique needs of each client.
Continuous improvement is a very big part of this vision. Our team is committed to delivering top-notch results that exceed expectations.
Our Services
Our Services
Our Services
We offer a wide range of services at The Flametree & Hummingbird Care and Facilities Management VBA, including, but not limited to:
* care (management) services,
* operational management,
* strategy alliance,
* finance and cost analysis,
* Loss Prevention management,
and more.
Our team has the expertise to help businesses across various ind
We offer a wide range of services at The Flametree & Hummingbird Care and Facilities Management VBA, including, but not limited to:
* care (management) services,
* operational management,
* strategy alliance,
* finance and cost analysis,
* Loss Prevention management,
and more.
Our team has the expertise to help businesses across various industries and foundations achieve their goals.
We can even help set up your webpage, if necessary, for marketing purposes.
Browse our services to learn more about what we offer.
Our Approach
Our Services
Our Services
At The Flametree & Hummingbird Care and Facilities Management VBA, we take a collaborative approach to consulting.
We work closely with our clients to understand their needs and develop solutions that are tailored to their unique challenges. Our approach is transparent, results-driven, personal, up close, and designed to help businesses succeed.
Chamber of Commerce
KVK Aruba # H56670.0
Geriatric Medical Services dr. Nienke
Availability Dr. Nienke
What can Dr. Nienke help you with?
What can Dr. Nienke help you with?
DR. NIENKE'S PRACTICE
The doctor's practice is reachable through the contact form or by phone. Dr. Nienke is available from Monday to Friday, during office hours. Every client is treated according to their care needs. Every package is different. The practice of dr. Nienke is a private practice. Fees are based on an hourly rate. We offer packages based on care needs and requests.
WHO IS DOCTOR NIENKE?
Nienke Kock-Smits is the daughter of two doctors specialized in tropical medicine. She was born in Tanzania. As a child she grew up in different countries, alternating with short periods in the Netherlands. This exposed her to different cultures, and she learned to speak several languages and went to international schools. From here her interest in studying medicine and the desire to eventually work outside the Netherlands arose.
Dr. Nienke did her medical studies at the University of Amsterdam and her training as a geriatric specialist at the Free University in Amsterdam. She worked in somatic, rehabilitation, psychogeriatric departments, and within management functions of various nursing homes in the Netherlands.
Since 2011 she has been living and working as a specialist in geriatric medicine in Aruba. Dr. Nienke has trained caretakers and nurses to accommodate to new forms of caretaking. Dr. Nienke was also involved as a trainer in chronic care within the general practitioner training center, at Imsan and for the VUMC. She has trained and supervised over 80 general medicinal resident trainees in their 3-month chronic care internship.
QUALITY
VERENSO guidelines and protocols are the starting point of Dr. Nienke's work. VERENSO is the professional association for specialists in geriatric medicine the Netherlands. Dr. Nienke is registered as a specialist geriatric medicine in Aruba and the Netherlands.
Dr. Nienke is:
RELIABLE-RESPONSIBLE-TRANSPARENT-VERIFIABLE
What can Dr. Nienke help you with?
What can Dr. Nienke help you with?
What can Dr. Nienke help you with?
DIAGNOSTICS
Are there any problems with memory or daily activities? Does your father or mother wander off? Is your auntie not aware anymore what is happening around her? Are there dementia related issues involved?
Diagnostics is a big part of knowing where to look for answers to help your loved one.
MENTAL COMPETENCE (COMPOS MENTIS)
Are there any doubts about somebody's capability to handle their own business? Can they still take correct decisions, comprehend relevant information, and take the right decisions for their situation? Can they think logically and see the difference between right and wrong?
Is there a case of a loved one with actitud and behavior which is incomprehensible or difficult? Are they not willing to accept the care given? Are there coping problems? Which role does the environment play in this?
PROBLEM BEHAVIOR
Is there a case of a loved one with actitud and behavior which is incomprehensible or difficult? Are they not willing to accept the care given? Are there coping problems? Which role does the environment play in this? Do you have a diagnosis?
TRAINING AND PRESENTATIONS
Do you have a need to have more information regarding demencia or how to cope with a family member? Or more in-depth knowledge regarding geriatric medicine or chronic diseases?
Dr. Nienke can help!
Facility Management Services
Facilities Management Services
The Flametree & Hummingbird VBA provides a wide range of management consultancy services.
- We specialize in elderly care management, in a home environment.
- We are a management company ready to help existing care related businesses grow and we can help to set up your business from start to implementation.
- We provide services for Facilities management, Security Management, web presence and Quality assurance.
The Flametree & Hummingbird is pleased to be able to offer (onsite) facility management services related to long term chronic care & hospitality facilities.
Remo Kock has both extensive knowledge and executive management experience related to the hospitality sector, security & safety management and healthcare sector in Aruba. The combination of the two as F&H consultants, can help any start-up long term care facility to become operation and profitable.
Dr. Nienke Kock-Smits has decades of experience as a qualified ((Aru)BIG registered) doctor specialized in elderly care, nursing home management and dementia related care, both in the Netherlands and in Aruba. Dr. Nienke has filled many positions in the last 25 years as a managing medical director and geriatric doctor in nursing homes, and also as the coordinator/trainer for the ‘Centro di Memoria’. She also has guided over 80 general practitioners in training, from both universities in Holland and the Imsan for a 3 Month period of geriatric/long term care related traineeships.
Our services include care management consultancy services and/or FACILITY consultancy service. we are able to manage nursing facility operations completely, including recruitment, training and daily operations or (interim) operational management. To meet all standards The Flametree VBA will take into account all national (AW) and international (NL/WHO) regulations of both healthcare and facility management (HSE) operations.
With decades of expertise in geriatric medicine and extensive experience in the facilities management of hospitality, security, and quality assurance management related services, we can help you manage your company or consult on care-related, loss prevention or facilities-related projects and/or issues.
CARE Companies & Institutions
DR NIENKE: Management support for Care Related Institutions
Dr. Nienke is available for companies and care institutions for f.e. consultations, short-term observations, workshops, trainings and projects that require specific expertise (general geriatrics, palliative care and dementia).
GERIATRIC EXPERTISE
Dr. Nienke is available for companies and care institutions for consultations (contracted or in-call), short-term observations, workshops, trainings and projects that require specific expertise (general geriatrics, palliative care and dementia).
TRAINING AND PRESENTATIONS
Do you have a need to have more information regarding demencia, chronic care management or how to cope with a client's family member? Or maybe more Indepth knowledge regarding geriatric medicine, palliative care management, or chronic diseases? Dr. Nienke is experienced in making custom made training and regularly is asked to talk at conferences.
DEMENTIA Training and workshops
Is offered to anyone who wants to learn how to deal with dementia:
basic theory and practical skills.
Starting point: a positive approach gives a positive reaction!
Every person has the right to health care (WHO) and quality of life, but how are we going to make this achievable?
• Dementia can happen to any of us, how do you deal with it?
• How does it feel to be demented?
• Dementia does not deprive people of their dignity; it is our reaction or the living environment that does!
• How do we make society accessible to people with dementia?
• How can people continue to live safely and responsibly at home for as long as possible?
People with dementia are not responsible for their illness. Their ability to process stimuli is affected. Learning new things is no longer possible, but (deep) emotions remain and the need for social contacts, love and intimacy does not disappear. The control over "one's own being" gradually disappears and gives way to primary and spontaneous reactions. People with dementia go further and further back into the past, new things are no longer recognized and that makes people anxious and insecure. The dependency on the environment is increasing and will eventually consist of a 24/7 need for care.
1½ line care (one-and-a-half-line care)
Dr. Nienke is very busy setting up a private based network of professionals working in the 1st line care section in Aruba. The goal is to have the complex care needs in sight of the chronic care market and come together as a team from areas in medical and paramedical professions, to be able to have treatments, at home, available for both the potential clients and for family and relatives.
Primary care, secondary care and one-and-a-half care: what are the differences?
The terms primary and secondary care are well-known terms within the healthcare industry. You may be familiar with the differences between these terms.
Primary care is characterized by accessibility. Without a referral, everyone has access to this care.
* Primary care includes, for example, general practitioner care, dentists and physiotherapy.
* Secondary care is only accessible with a referral from the general practitioner. This level of care includes specialist medical care, such as care in a hospital.
* A new level of care has been added: one-and-a-half-line care. This level lies between the first and second line and is characterized by mutual cooperation between the first- and second-line practitioners.
What is one-and-a-half-line care?
Due to an ageing population, the number of elderly patients is increasing. Partly because of this, the demand for care is rising. In order to keep healthcare affordable in the future, an intermediate form has emerged between primary and secondary care. As the name suggests, one-and-a-half-line care is located between primary and secondary care. An example is a collaboration between general practitioners and geriatric specialists, in which the medical specialist can give treatment advice to the general practitioner. Just like primary care, primary care is accessible and close to home for the patient.
What does one-and-a-half-line care look like?
This form of care involves a partnership between general practitioners and medical specialists. The intention is for general practitioners and medical specialists to share their knowledge with each other. In addition, the care needs of patients with chronic conditions are also increasing.
The starting point is that the interests of the patient are central. In the case of one-and-a-half-line care, the accessibility of primary care is combined with the specialist knowledge of secondary care. By organizing healthcare in a smarter way, the increase in healthcare expenditure can be limited. Therefor Dr. Nienke can give good service of healthcare at home and can the client remain at home as long as possible.
One-and-a-half-line care is, as it were, in between primary care and secondary care.
In the case of one-and-a-half-line care, there is coordination, cooperation and knowledge sharing between a primary care provider – such as the general practitioner – and a secondary care provider – such as a specialist in geriatric medicine – to give the best service possible, at home. It is therefore an (intensive) partnership between general practitioners and medical specialists.
In geriatric medicine, there is already a lot of use of one-and-a-half-line care;
General practitioners and other healthcare providers involved in the care of this patient group unite with each other to coordinate care and improve the quality of care. Other terms used for similar partnerships are chain care and network care. Dr. Nienke works with medical and para-medical specialists to provide the best service for her customers.
Collaboration between GP & Dr. Nienke
Collaboration opportunities between General Practitioners and a Specialist in Geriatric Medicine
General practitioners have to deal with an ever-growing group of elderly and chronically ill people in their practice. The burden of care and complexity are increasing and increasingly require expertise and time that are difficult to fit into a busy GP practice.
As an experienced geriatric specialist, Dr. Nienke can support this in various areas:
Providing CONSULTATIONS for diagnostic dilemmas
The GP can request (treatment) advice, which can take place by telephone and/or in person. Participation in a multidisciplinary meeting is also possible.
Possible consultation questions:
• questions about medication use, interactions and side effects
• advice on wound and pressure ulcer treatment
• advice on specific geriatric diseases
• advice on treatment of intermittent diseases/comorbidities
• advice and guidance on dementia
• questions about medical decisions in case of incapacity or reduced insight into illness
• Support with Advance Care
Performing a GERIATRIC ASSESSMENT (at home or in the general practice) with the aim of gaining insight into the often-complex problems and care needs of the patient.
It is an extensive study of problems in the somatic, functional (ADL), social, psychological and communicative fields, which lead to a downward spiral of loss of function and increased dependence. Depending on the findings, (para)medics and behavioral experts can be deployed for additional diagnostics. The result is a (often multidisciplinary) treatment plan with treatment goals, drawn up in consultation with the patient and their environment. Together with the GP, agreements are made about the implementation and evaluation of the treatment plan.
Possible reasons for further examination and diagnostics are:
• cognitive decline
• misunderstood functional deterioration
• misunderstood falls
• a need to create a total overview in the event of gradual general deterioration, weight loss, abnormal blood counts (anemia, kidney function and electrolyte disorders)
CO-TREATMENT or temporary TAKEOVER OF A TREATMENT following a consultation, if the substantive expertise of the geriatric specialist is desirable for the implementation of the treatment plan.
The duration and division of tasks of the treatment are part of the care treatment plan with care interventions, including consultations and visits, multidisciplinary consultations and policy adjustments. The geriatric specialist is medically responsible for the specifically agreed treatment. The involvement of fellow (para)medics and/or behavioral experts may also be temporarily indicated if there is a case of behavioral change related to demencia.
Advice on POLYPHARMACY (medication review) consisting of:
• a pharmacotherapeutic history
• a pharmacotherapeutic analysis
• consultation and coordination with the pharmacist concerned
• a pharmacotherapeutic treatment plan
• 1x per year a follow-up assessment
Individual clients
Services rendered to individual clients
Do you need an independent medical certificate before the notary or court?
Would you like an independent opinion of your situation by a Geriatric Specialist?
As a caregiver or person involved, do you need information about and guidance in dementia?
MEDICAL ASSESSMENT
Do you want an independent assessment of your medical geriatric health? Dr. Nienke can help you @ home. Not sure what's happening, and you need help from a doctor who is willing to take her time, at your side, in your own time? Dr. Nienke can help. Call for an appointment and more information.
MEDICAL CERTIFICATE AND INDEPENDENT ASSESSMENT
Before passing a notarial deed, a notary must assess whether someone is legally competent. A notary can engage dr. Nienke to draw up an independent medical statement in case of (suspected) memory problems or dementia. For example: the sale of a house or the drawing up of a (living) will. In addition, a declaration of consent must be signed for requesting medical data from the general practitioner and/or medical specialist.
THE COURT
Dr. Nienke can be deployed to prepare an independent medical certificate for an application for mentor, administrator or curator to the court. A medical certificate for mentorship, administration or guardianship is required when applying to the court, when someone is unable to look after their own affairs for medical reasons or can no longer come to court in person.
MENTOR
A mentorship is necessary when someone is no longer able to independently look after their own interests due to psychological and/or physical causes and can no longer decide for themselves about medical treatment, living situation, care and/or nursing. The mentor can be a family member or someone from the circle of friends.
ADMINISTRATOR
A person whose assets are under administration leaves the financial decisions and the management of the finances to the administrator.
CURATOR
In the case of a guardianship, a person is considered to be legally incapacitated or incapacitated and is no longer allowed to perform legal acts. A trustee will then be appointed. The trustee carries out the duties of the mentor and administrator.
Management Consulting Services
Transform Your Business with The Flametree & Hummingbird
At The Flametree & Hummingbird Care and Facilities Management VBA Consulting, we specialize in helping businesses transform their (care) operations and achieve their goals.
Our team of experienced consultants provides a range of services, including strategic planning, financial management, and marketing analysis. We work closely with our clients to identify areas for improvement and develop customized solutions that drive real results. Whether you're looking to improve efficiency, expand your customer base, lower costs or increase profitability, we have the expertise and experience to help you get there.
In need of a webpage to startup, or marketing and branding solutions? We can help. Ask for a quote.
We can even manage your (nursing) facilities at a management team consisting of a general manager and a director of medicine as a management company. If you have a project like a nursing facility, home based elderly care project, or something similar, and you want experienced managers to take a look at it for you, call us at 7321132.
Remo and Nienke are here to support, The Flametree & Hummingbird VBA @ your service.
