I often think about my career path. The different schools, research, jobs, people, relationships, all led me to do something that I love. Although I was not doing this right out of college, I was teaching about science, so I guess, in a way, I did start out lucky. Being able now to teach about a topic that is near and dear to my heart just makes my job that much better. The beauty of what I do is that I get to solve problems for people. I get to help make their lives better and improve the quality of those in need. Seeing it from beginning to end is so rewarding. I am in love with the theme of this month, BE PASSIONATE ABOUT YOUR CAREER! If you can achieve this, happiness will truly ensue.
There are many approaches to assisting in having a "great day". Taking time in the morning to plan your day, using essential oils for a targeted benefit, exercising, something that is just for you. These self- care tools will help you to focus on work because you will have filled...
As many of you know, I am a clinical psychologist. I'm also a certified dementia practitioner and an Alzheimer's disease and dementia care trainer. I have been treating those with dementia for about 12 years now. In that time, I created and practiced my own dementia care model and even wrote a book on it, being published by Johns Hopkins in October. I've trained and educated thousands of individuals. I've done podcasts, interviews, and more regarding the field. Some would say I am one of the experts in dementia care.
However, would you believe that I did not have one course on dementia in undergraduate or my graduate years? I remember in a course or two, perhaps a chapter included on cognitive disorders, however, it was never a focus or requirement to understand cognitive disorders. Most everything I learned about the disease of dementia came from my own doing.
Up until 12 years ago, my education and experience was mainly working with those with mental health disorders. When I...
Well, I am not afraid to say that I am grateful that 2020 is in the rearview! I have not quite come to terms with all of the events of 2020, but I do believe that there is a light at the end of the tunnel. The thing that I am going to share with you is that I turned on that light. I do not have time to seek out opportunities, rather, I must make them! It's my personality....I do know that. I am impatient. So, rather than wait around for an opportunity, I usually create things to do and be a part of. This year will be no different.
What I meant by I turned the light on is that I have the need to keep busy right now. I am sad over the loss of my father-in-law to Covid on December 9. It is so raw. He was a wonderful man, father, husband, and most importantly, Papa. Sometimes, we need to turn a light on in the darkness, rather than become a part of it. I am focusing on the beauty of his woodworking, enjoying the little things (as we usually do not as it is so...
Often times when we talk to people about self-care, they are quick to say that they don't have time or they aren't sure what to do. We've also heard that's it's too costly, thinking that self-care means paying for an expensive massage, manicure or pedicure...now, don't get me wrong, those are nice self-care tools, however, self-care doesn't have to cost any money, can be done in less than 5 minutes, and it's all in your mind!
Here's how...
Instructions: Choose a quiet place, if able. Lay down or sit in a chair with both feet flat on the ground. Place your hands to your side. Either have someone read the script below and close your eyes, or keep your eyes open, read to yourself, and imagine in your mind.
"I'd like you to take 3 deep breaths, in through your nose and out through your mouth. You are breathing from your diaphragm, not your chest.
Imagine that you are on a beach. You are sitting on your towel and you scoot yourself to the edge of the towel. You take off your shoes or...
Why do we always find a way to ignore what we need? We usually fall dead last when it comes to our mental wellbeing. As I contemplate the present, which is the strangest of times, I realize that we do not have the ability to continue on like this unless we want to pay for it with our health. Yes, that is what I said. There is a direct correlation between our mental and physical health.
"I'm having difficulty sleeping, doc." Robert's physician prescribed a sleeping aide so Robert can sleep better at the long-term care facility he resides. Then, Robert starts to feel irritable in the morning when he awakes. Subsequently, he is prescribed an anti-anxiety medication to take in the morning and as needed. Roberts starts taking the anti-anxiety medication and then starts to feel more sleepy during the day, less productive and motivated, groggy, and having difficulty concentrating. He's isolating more in his room and not spending time doing the things he used to like to do. And because he is sleeping more during the day, he isn't sleeping much at night, even though he continues to take the sleep aide that his physician prescribed. He lets his physician know that he has been sleeping more than usual, not as sociable as he used to be, is having difficulty concentrating, and unmotivated. His physician then prescribes Robert an anti-depressant...When does it stop?!
A side...
Using non-pharmacological techniques, whether in dementia care, mental health treatment, or practicing self-care, is a step to thinking, feeling, treating, and eventually healing clean. When we heal clean, everyone wins on both sides of those non-pharmacological techniques. How does that happen?
When using non-pharmacological techniques, we have control of what we are doing, when we do it, and how we do it. The 'what' is important to know that the things we are using are healthy for us or with whom we are treating; that we aren't filling our bodies, minds, and brains with toxins, minute killers, carcinogens, or contamination or that we won't have to deal with all these negative side effects. Actually, often times when we use non-pharmacological techniques, there are side benefits to the 'what' we are using. For example, maybe filling out crossword puzzles is stimulating and invigorating, leaving you feeling productive and ready to start the day. But a side benefit is that it is also...
In the effort to think, feel, treat, and heal clean, how does this apply to dementia care. It's pretty typical that as part of the disease process, those with dementia will display a number of behavioral symptoms as a way to communicate. These behavioral symptoms mean something. The individual may be hungry, thirsty, tired, in pain, or needs to use the bathroom. Or the individual might be anxious, sad, angry, scared, or bored. However, sometimes these behavioral symptoms put the individual and their care partners at risk for injury. It's important as care providers that we help to anticipate what the individuals in our care need so they don't have to act out to show us they need something. However, when the individual with dementia does act out we need to recognize what's happening and intervene.
Unfortunately, often times an as needed psychotropic medication is used immediately at hopes to stop the behavior. Essentially it slows down the individual and sometimes even makes them...
It's been our mission since day one to put non-pharmacological tools (or formerly known as coping skills) in the hands of healthcare providers, caregivers, and those with dementia and mental health concerns to help them manage the symptoms of these diseases. Often times you hear, "I just don't have time for that." Others say, "It's easier to just call the doctor." Not having time or only calling a doctor to secure your fate doesn't really seems to help the situation. Think about this...
Not having time means the next easier step may be to pop a pill. Did you know it takes about 30 minutes for that pill to start working? What are you doing during those 30 minutes? Couldn't you be using a non-pharmacological intervention or tool? It takes seconds to minutes for these kinds of tools to work. So if it works, then taking that pill was an unhealthy waste of time on your body or your resident's/patient's body. Why, because all medications have negative side effects. Now, we aren't to say...
What if we told you that you can treat clean faster? This means that non-pharmacological tools can work faster than most as needed, oral medications used to treat anxiety, excessive agitation, and more.
In long-term care, and most other treating entities, CMS requires that healthcare providers attempt to use non-pharmacological interventions first before giving medications to treat symptoms of dementia and mental health concerns - anxiety, depression, agitation, wandering, repetitive behaviors, hoarding, aggression, and so on. Treating clean in this fashion is a Win, Win! Your organization is in compliance, it helps your 5-star rating and increases your reimbursement, while the resident or patient is not dealing with the negative side effects of these medications, like falls, confusion, irritability, and upset stomach.
The other advantage is that you can treat clean faster. Did you know that it can take minimally 30 minutes for as needed medications to start working, and...
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