Archive for the ‘Caregivers & Nurses’ Category

Behavior modification techniques were not useful for hospital personnel

Monday, March 2nd, 2009

Behavior modification techniques for controlling behavior was an interesting concept when applied to the management of hospital personnel.

The days spent in the long term care facility made me aware of the pros and cons of a very well run floor. I wanted the best run facility on the face of the planet for my son’s sake which coaxed me into studying behavior modification techniques and what really makes for a good hospital.

A recent publication which I forwarded to the director said that these techniques were very beneficial for hospital employees.

Many forms of these techniques are available but the most commonly used is positive reinforcement. Positive reinforcement could be used to create a better job environment which would promote wellness for the patients and employees.

Now I would wait for him to put the guidelines into action.

As written by Saul Kent and William Faloon from the Life Extension Foundation hospital care remains abysmal. The rules in the hospital are fairly basic. The techniques certainly are in order for the staff in many cases. Just imagine:

  • You check in at their convenience and are placed in a room of their choosing.
  • As a result of their controlling behavior, you are disturbed throughout the night
  • You are fed at their convenience with whatever food they choose to give to you. Malnutrition is rampant.
  • You will share your room with a stranger who is sick and may be dying.
  • You are exposed to many harmful bacteria, which could lead to an staph infection or antibiotic-resistant infection that might kill you.
  • The plan is implemented for a very short period of time along with Reiki and Japa .

    The various staff members are praised for a “job well-done” when they extend more kindness to the patients, they wash their hands more often than required, they put their patients above themselves and when they extend common courtesy. The positive reinforcement is fun at first but soon other staff members would begin to sit back with envy. The behavior modification technique which was meant to create a more positive environment was creating just the opposite. The staff became sick with jealousy.

    Can behavior modification techniques be as effective in the brain injury population as cognitive behavior therapy?

    It was obvious that it was time for our son to check out of the hospital which had been his home for the last 3 plus years. Discharge papers were ordered and his belongings packed.

    During Japa meditation and manifesting, you can place your attention on anything you want to attract into your life

    Monday, March 2nd, 2009

    meditation During Japa meditation and manifesting, you can place your attention on anything you want to attract into your life

    Essentially, Japa means “to say the name of God repeatedly.” Japa Meditation has been around for many years. Regarded as one of the most effective ways of meditation, it helps soothe the mind and clears away any problems or worries. It enables you to experience peace and calmness.

    As the road to recovery becomes long and hard, I find different types of meditation and begin the practice of Japa meditation on a daily basis. The commitment to be by our son’s side became a way of life and a full time job. The 1 1/2 hour drive one way to the hospital in Laguna Beach afforded me the time to look into positive reinforcement This is where I found Japa and purchased audio cd’s. With the cd player set to low I could repeat the sound of God for 3 hours a day while I drove.

    Now I know you aren’t suppose to meditate while driving a motor vehicle but I didn’t have any other time and the inevitable road rage disappeared. My time spent at the hospital was totally devoted to my son and his rehab and my evenings found me exhausted.

    Japa meditation enabled me to stay positive about my son’s recovery and kept me strong for what could be ahead.

    An indispensable tool for all, which has been handed down from one generation to another, what does it mean?

    Meditation involves focusing the mind on a certain object or thing by quieting our thoughts. This is where we can be still and know (not know about) God. The practice of meditation takes us on a great journey between our thoughts, where all the advantages of a peaceful, stress-free, healthier, fatigue free life are available, but are simply side benefits. We have the potential to obtain the highest good for all concerned and to be miracle workers in our own lives.

    Valuable guidelines follow:

  • There’s no such thing as a bad meditation
  • With time, your inner talk will stop
  • There’s no right or wrong way to meditate
  • There’s no correct meditation length
  • There’s no correct posture or place for meditating
  • Meditation can be achieved by different ways. There exists three distinct types of meditation:

  • Transendental meditation which is the practice of allowing the mind to experience subtle levels of thought, over time brings those subtle levels to within the capacity of the conscious mind. I spent hours upon hours focusing my attention on one thing. My son’s full recovery
  • Japa meditation and Reiki are simple, natural and safe methods of spiritual healing and self-improvement that everyone can use.

    The vibrations of Japa meditation are extremely effective in creating significant changes in attitudes and mind-set of individuals. It helped me in focusing my energies so as to achieve a sense of calmness within myself.

    There are usually two ways in which individuals can practice Japa Meditation.

  • Audible, also known as Vaikhari Japa, which includes repetition of mantras in whispers and even audible pitch
  • Mental which is also known as Manasika Japa. Manasika Japa is considered to be extremely powerful as it involves the complete focusing of the mind and it tends to obstruct any outside influences from disturbing the mind.
  • Usually the best ways in which one can practice is by sitting cross-legged on the ground, and chanting the name of God by beading the rosary of 108 beads with concentration, perseverance, and dedication.

    Japa meditation helped me in many ways. The many days of doubt transformed into days of hope. I could sit without worry as I knew that I could be in touch with God at any time. I could be sure that there was a greater plan in this all and in some ways knew that what had happened was not all bad, in fact, in some ways it was good.

    “Getting into the Gap” by Wayne Dyer is a handy little book that can help you learn the Japa way of meditation.

    Meditation enables you to do whatever you want to do; it will work for you. You can place your attention on healing yourself or a loved one and the next breath focus on a more loving relationship. I find staying focused on the connection with God allows my thoughts to diminish and my worries to end. I have practiced Japa Meditation to attract wellness for my son and it always helped.

    Without brain injury rehab the brain has an amazing ability to adapt to and overcome trauma

    Monday, March 2nd, 2009

    Conventional methods of brain injury rehabilitation result in certain mainstay methods and steps.

    For us transitioning from ICU to a sub-acute facility was painful and difficult. Fully not understanding what brain trauma and brain damage really encompasses we stumbled our way through. I can honestly say that many of the accepted establishments were far from acceptable as they were unsanitary and often smelled of urine. We were left with the challenge of finding a facility that could care for our son, who had experienced a severe head injury ,the way that we would. The search for brain injury rehab would begin. After the must needed visit to over 10 so-called high ranked establishments we finally decided on a hospital based home for our son. They had extensive experience with cognitive rehabilitation and brain tbi.

    Entering the 5th floor and exiting to your right you come upon two hallways, each with a two patient room on either side, right or left. The nurses station can be found central to all the patients rooms so that they can monitor the patients who have experienced extensive and severe brain injury. You see, no one really knows what it is like until they’ve experienced it for themselves.  Hopefully they never will.

    Brain injury rehab comes in many forms and this form is, believe me, not by choice. It’s what they call sub-acute where you bring your family or friend after they have been severely injured and had neurological damage until they are ready for acute rehabilitation. Most never are.

    The age of patients is dominated by men ranging from 18+ mostly due to younger men reckless behavior/risk taking and elderly male stroke.

    There certainly is a difference between sub-acute and acute brain rehab. Sub-acute patients rarely are able to participate in the standard 4 hour day of acute therapy. Many are in coma. They are warehoused with a routine of being turned in bed every two hours to prevent bed sores to being placed in a chair for up to four hours.D Very few of the patients have much family support and my guess is that it’s just easier.  They just kind of exist especially after they past the “one year” of possible spontaneous recovery.

    (unless they meet Tom Wisenbaker who has been a very successful strength trainer for brain injury.)

    Range of motion to prevent more contractions is a common daily practice on each patient. There are the constant room changes due to infection control and in most cases the isolation rooms far out number the non-isolation rooms. The patients with the germs are grouped with the patients with the germs. And once you get the germs it is really tough to get rid of them. Yellow gowns worn by the nurses and family members are seen everywhere.

    Brain injury rehab includes a wide variety of exercises and treats a wide variety of brain injuries once the brain MRI is concluded.

    Spasticity is common place in the sub acute unit. It is a condition where various muscles are in a continuous state of contraction. This condition results in constant stiffness or tightness of the muscles. It results when there is damage to the portion of the brain that controls voluntary movement. Symptoms of spasticity can include:

  • Increased muscle tone
  • Exaggerated reflexes
  • Muscle spasms
  • Involuntary muscular contractions
  • Crossing of legs when walking
  • Decreased joint movement
  • Spasticity can vary from mild muscle stiffness to severe painful spasms. Stretching can greatly enhance the brain injury rehab process until muscle is developed.

    You can walk up and down the hall and know that each room has a story of it’s own.

    On the other hand the acute facilities are geared more for intensive therapy. There are routines set in motion for the brain injured (if they are capable) such as breakfast, lunch and dinner at certain times during the day. In between these activities there are main therapy’s that focus on the patients deficits.

    The intent is to return them to society after brain injury rehab.

    Insurance plays a huge role in the brain injury rehab process as most insurance companies don’t believe that there is much benefit to the acute rehabilitation phase so they grant a two to six week stay for most patients. You are then released to either a skilled nursing facility which is ranked below sub-acute or to home with your family. Our son went from sub-acute to home bypassing the acute rehabilitation process for the above reasons. How much progress can be made in that much time? Especially since he had been among the fortunate to have had intensive rehabilitation in the sub-acute facility where he stayed.

    There has been a gap in recovery services for survivors. They would be given immediate acute care followed by short term rehabilitation. If they did not improve within a year, they were not expected to. This is no longer deemed to be true.