Wednesday, February 1, 2012

Valentine Project for your Patients

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Hey, there!

The Christmas decorations have been down for some time. It's been time to take down the winter theme on the bulletin board in the rehab department.

In December, we had made a "wave" of intricate winter snowflakes created by patients and myself. We're right on the Ocean, so we thought that a wave of snowflakes was fitting, even if they get snow once every 20 years.


This was done by the patients!! And each patient was so happy with the outcome.

I turned my patients' attention to Valentine's Day. What could we do to share our creativity and address some occupational therapy components (fine motor coordination, strength, balance, functional mobility, visual perception, visual motor skills) by re-dressing the bulletin board?


This bulletin board is 4 feet by 3 feet, so it isn't a tiny Valentine!! Inside the Valentine are items that can be visually identified by the patients (photo search, if you will)....among other things, a car, a BBQ, flowers, an IPod, a fish, a recliner, fruit, curtains, a bed, C&H sugar, and christmas ornaments.

We gathered red, pink and purple from ads in old magazines and a bunch of old cards donated to us by Activities.

Yep, pretty cool! The "bling" which may be hard to see on the photo is the reflective red wrapper of two Nutter Butter packages, compliments of Dan, the PT, who was getting ready to put them in the trash.

"Stop!  We can use that!"

We both laughed as the cut-up shapes of Nutter Butter stapled up on the board really brought out some personality.

Do you have an old board in your department that you are not using?

Dress it up!

It gets everyone involved and excited in a project,
engages components of the therapy process
and makes them proud at the end product!

Monday, January 30, 2012

Our Patients Are Our Teachers

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I was finishing up the work day when Marnee walked into the rehab department. She walked up beside me and handed me a small white envelope.

"Don't open it now. Open it when you get home."

It was stuffed.


On the outside back of the envelope she had hand written a beautiful saying by Kahlil Gibran, one of my favorite poets.

"Your living is determined not so much by what life brings to you as by the attitude you bring to life; not so much what life brings to you as by the way your mind looks at what happens."

Inside, this beautiful woman had written a card to me.



Dear Tre,
You are a beautiful young lady.
A gift from God
to so many of us
who need you.
Your smile
warms everyone's heart
and your expressions of confidence
and words of encouragement
are a blessing to this world - -
Thank you, thank you -
May God bless you
with peace of heart
and mind
and love of all -
Your grateful patient,

Inside the card was a beautiful olivewood rosary made in Jerusalem.


Tonight, I think about this wise woman who has taught me so very much. She has taught me more, I think, than I have taught her. Marnee has been my teacher. She has encouraged my spiritual growth.

I work in a setting in which many therapists are embarrased to admit they work. I am not only happy to work in skilled nursing facilities; I prefer to work there because of the quality of the relationships that are nurtured during our time together as patient and therapist.

It's like Kahlil Gibran wrote, Your living is determined not so much by what life brings to you as by the attitude you bring to life...

As therapists, it's the attitude we bring to skilled nursing. If you don't want to be there, don't take the assignment. You give yourself and your potential patients the gift of allowing someone who really wishes to serve this population if you choose to go somewhere else.

Getting Prepared to Bloom Somewhere New

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We've all heard this adage:

Bloom where you're planted.

My friend, Debbie, gave me a framed picture of this which I hung near my front door in my house. She has always known how itchy I get to "go places and do things."

By the way, blooms from my garden at my permanent home.

I believe in following its instructions wherever I am, even if it takes a couple weeks to get the roots in at a new place. I want a building to feel and act as if I am their permanent therapist.

I find it easy to become "one of them" if I learn their culture (every place has a different one!), try their cuisines, hike their trails, cycle their roads, visit their museums and explore their downtowns. I learn the relationships among the employees and the residents - so many connections!

I found out Friday that the building may have found a permanent OT, which makes me really happy. Happy and sad at the same time!

I've come to really enjoy this assignment. Soon comes the process of turning my sights to the next assignment. I'm mentally gathering the gardening tools and getting ready to dig....

Where to plant next?

Friday, January 27, 2012

Peace

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Peace is something many of my patients cannot capture.

I see several reasons why people can't reach this place:
  • Pain
  • Lack of sleep
  • Psychosocial or behavioral issues
  • Impaired cognition (decreased insight/attention/high distractibility)
  • A general lack of self awareness.
  • A simply "bad day!"

It's a difficult task for each of us at times to be peaceful. It was especially so for Tom yesterday. He arrived the day I returned to work last week following a total knee replacement at the smacking young age of 93.


Most of the time we don't see total knee replacements done in the 90's unless the person is very active with good physical strength and sharp cognition.  This guy checked out out fine on all the above.

Tom came in planning to leave on day #2. However, a team meeting with him and his daughter delayed his departure because of impaired posture, balance and activity tolerance, all of which put him at risk for falling and doing more damage. When he would go from sit to stand, you could hear a chorus of crepitus throughout his body.

crepitus: a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints (thanks, Wikipedia).

My dear Lizzie had been on an all night performance of byyyyy-by-by-by-byyyyyy up and down the halls of the nursing facility. Poor residents. This happens occasionally when she stays up for about 24 hours and then sleeps 24 before getting back on track.

Tom, of course, got no sleep. He was new and every sound was unfamiliar, including that of a 99 year old lady singing all night. The natural progression of not wanting to be in a place like this,  listening to noise all night, terrific knee pain and overall frustration was the inability to participate in meaningful treatment.

"I can't do a thing. I want out of here. I can't take a shower until the staples are out, and it's making me crazy!"

Plans to take him to the gym for exercise? Out.

"I'll tell you what. You want to feel clean and fresh - I'm going to get some warm, soapy water and some linens. I'll be right back."

He gave himself a great clean up, just the way he does at home. (Many seniors can't make the step over the tub to take showers later in life.) I rubbed some lotion on his back and did a little manual therapy on his neck and shoulders (full of spasm which, I'm sure contributed to his feeling "out of sorts.")  I had the ability to assess his independence in bathing and dressing, his sitting balance edge of bed, his upper body range of motion and strength as well as his memory, sequencing, and safety awareness.

During this process, he began to talk. He was from the Midwest, too. He had loved to travel and spend time outdoors. He had built his own fishing boat. He was a terrific man!

Freshly bathed and dressed, his temper had softened. He smiled. He even felt up to some exercise.  He had returned to a place of peace.

I left him feeling peaceful as well.

How lucky that we, in our service to others, help transport others past their times of turmoil and reach a personal peace that sweeps us through our day.

Tuesday, January 24, 2012

Lesson of the Day (Thanks, Syn!): "Enjoy the Funk"

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So, today, I had a tough time being positive. At moments that I had to fight being a real bitch! I'm sure that Dan, the PT, would agree with me. He has to put up with me all day long.

I had posted a note to friends on Facebook this morning:

Needing to look for the positive today,
the negative wants to seep in!!

I spent the day trying to close my ears to the crazy activity outside the rehab department. They moved all the "yellers" to the the two rooms closest to the rehab department. The three former yellers I wrote about last fall aren't really yellers anymore! These are new yellers. Two of them have alcoholic dementia. One is a woman who has lived like a princess, and she's not used to having to wait a bit for service.


I was beleaguered by the time I got home. After checking email, I found a few lovely replies to my morning post on Facebook. I want to share this one with you (compliments of Syn, thank you, girl!)
 
It gave me a different perspective of feeling this way:
 
"Rather than battle difficult personalities, I have come to accept that some people are just good examples of bad examples. Similarly, I have come to believe that a lot of good may be gained in allowing a funk room to be itself, to run its course. I am a big believer in allowing ourselves to feel what we feel (good or bad) and simply be discerning about how we interpret the feelings. I am not a proponent of forcing our minds to focus on the positive when a helpful lesson may be gained through a bit of stewing about the negative. Sometimes a negative inner voice has an important point to make. In my view, authenticity and quiet discernment trump positivity. So enjoy the funk and the lesson it may be trying to communicate. :)"
 
So, let it run its course.
 
That makes me feel better already.

Monday, January 23, 2012

Goodbye, My Friend

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Phone calls have quite a power. In less than a few minutes, a phone call can change your life. It can make you feel excited, upset, glorious, distraught or full of grief.

I got one of those calls tonight. Actually, it started as a text from my friend, Rose, from my last assignment. I had the great fortune of staying there for a whole year, so I connected not only with my co-workers, but also with a number of the residents at the SNF.

Rose texted me a message that concerned me immediately.

How are you doing? Did you hear the sad news at _____ Healthcare? Not sure if you talked to (the DOR) or (the tech)?

(DOR = director of rehab)

I immediately thought about Joan. Oh, no!

Hi, Rose! I haven't heard anything....please tell me.

...Are you sure you are okay with a text?

Okay...then I knew I needed to call her. I just picked up the phone and dialed.

It wasn't Joan. It was Brendon.


Noooooooooooooooooo.....

I feel crushed. Brendon passed away this morning. I logged out of my documentation on Casamba. I was finished. I could do no more. I needed to go home.

Oh, Brendon...

Many thoughts cross my mind tonight....memories of our interactions, discussions we had, goals he wanted to reach despite his quadriplegia, my hopes for him to lead a full life. Relief that I stopped in to see him last time I drove through the area.

Brendon changed my life. He really did. His case made me think outside the box. He stretched me as a professional. He made me a better patient advocate. He also brought me joy and laughter. He taught me about living gracefully within life's limitations, whatever they may be.

Brendon and I were talking one day last summer, and I asked him where he would go if he could go anywhere in the world. What would he do?

"I would take my mom to Hawaii. I haven't seen her for 3 years."

Granted Wish Foundation didn't grant his wish, despite close consideration of the thick packet I submitted with beautiful letters of recommendation. Brendon never saw the ocean, and he lived his whole 32 years less than an hour from it.

Brendon, here is your ocean. Goodbye, my friend.


Thank you for blessing me with your presence.


Sunday, January 22, 2012

Energy 101

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Today, I want to share about the ENERGY that resonates in all of us.



Have you ever been around someone and when you parted, the interaction left you feeling full of energy? In reverse, have you ever left the presence of someone completely exhausted for no apparent reason at all?

What you may have felt but not seen or been aware is that your energies co-mingled. Interaction with some people can enhance your energetic vibration, and with others, it can drain your energy source like a sieve, leaving you almost weak.

People can sometimes be somewhat threatened by that which they cannot see. When the talk turns to energy work or people who are gifted with it, out come silly assertions like, "It's evil" or "dangerous." This could be further from the truth!

“A mind is like a parachute.
It doesn't work if it is not open.”
Frank Zappa

If you read the Bible, a person's ability to assist with healing is even mentioned right in 1 Corinthians 12:28:

Here are some of the parts God has appointed for the church: first are apostles, second are prophets, third are teachers, then those who do miracles, those who have the gift of healing, those who can help others, those who have the gift of leadership, those who speak in unknown languages.

When I offer energy work (in my practice, I use Reiki), I explain it to the recipient and let them decide if they want to receive it. For people who are Christians, another term for energy work is "laying on of hands."

I became aware of the energies of others in 1998, when I was doing OT with patients in the midwest. I did not seek this out!  I was initially taken aback and a little freaked out that I could "feel things." I decided to study energy medicine to understand what I was able to intuitively feel with my hands.

What Did I Feel?

I could feel warmth or cool, tingling, and density when my hands passed within a person's energy field. (A person's energy field reaches approximately as far as their arms will reach in all directions around them.)

A very basic description of what I discovered:

We have seven energy centers called chakras in the human body. They are spinning vortices aligned just outside the physical body along the spine. The chakras run from the base of the spine through the crown of the head. Take a look:

Location of the Seven Main Chakras:


As you can see, they run like ROY G. BIV (remember the colors of the rainbow from school?) Their colors are significant. Their roles are specific. Their names relate to their location.  We'll go over that later. There's too much information to share in one blog entry...

The most basic point I want to make is that if you have an imbalance in your energy centers, you cause dis-ease. 

Disease!

Got it?

All the more reason to keep our energy centers in our body clear and flowing.

What is so important about the chakras?

Each chakra has its own electromagnetic property. Each chakra influences the organs, muscles, ligament, veins and body parts within its energy field. Chakras influence the endocrine system. They are also associated with your moods, personality, and overall health. .

If you understand how energy centers work in each of us, and the symbolism behind illness in each part of the body, you can assist your patients, friends, or family members to participate in their own healing.

For example, when I see someone with chronic stomach or GI (gastointestinal) issues, I am aware that they have probably been in deep conflict within themselves, with someone else or even with a system. This may be someone who has worked for years in a job they hated, someone who has lived an antagonistic lifetime with a spouse or who has fought an ex-spouse, or someone who has an extreme beef with a institution like a government agency (the Timothy McVeigh types).

The solar plexus (stomach area) is the chakra here that is out of balance.

The Solar Plexus Chakra (yellow) is located at the stomach area, near the bottom of the rib cage. This chakra represents your body, mind and emotions and relates to how you see yourself in the world.

The solar plexus chakra meanings relate to self esteem and confidence as well as a sense of self worth. This chakra's meaning is all about the concept of ‘the will’. This chakra is responsible for the effective flow of energy not only to this region but throughout the whole body.

Improving energy flow to the solar plexus may clear problems that have been producing lack and limitations.

This chakra stores energy, be it good or bad – pain, fear and stress as well as positive energy for growth and healing. It controls our will, our issues from the past, our pain and fear as well as our ambition to succeed.  

This great description is from http://energywrap.net/

 The easiest way to become aware of energy is to rub your hands together briskly until you feel heat (energy!)....then pull them apart a foot and right away start to bring them slowly back together. What you will feel is a magnetic pull, almost a density. You may feel tingling.

This is the energy of your own body.

As you become aware of how you feel around others, like an ebb and flow within your system, you will find yourself more present to who you feel good around and who you don't.

You'll become more aware that energy imbalances are what cause illness. With that information, you can begin to manage your own energy for better health.

More on the chakras later....

Check out http://healingmycatholicheart.blogspot.com/2012/01/day-2-understanding-54-day-novena.html   for Tre's insights on the "new project."