The Prescribing Cascade

"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...

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Clean Faster

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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Treat Clean

We've talked about thinking and feeling clean, i.e., swapping out toxic, quick fixes for long-term, effective, clean strategies for managing cognitive, mental, and emotional health. These are individual choices, however, what about if you are a professional treating patients or residents. What are their choices? Often in medical settings, it's quick to prescribe or give a pill to fix these very concerns. Like, a dementia patient starts to yell out, is repetitively talking, and wandering around, often they are given a PRN medication to calm them down. Why? What else could have been done? It's our due diligence to inform the patient, resident or their family on alternatives to medication - non-pharmacological interventions. What are those alternatives?

Great alternatives for mental and emotional health are essential oil use, like lavender for relaxation or agitation, peppermint to focus and socialize, or lemon or wild orange to boost mood. Other alternatives might be journaling,...

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The Next Pandemic: Post-Traumatic Stress

From the beeping of machines to patients gasping for air, from seeing your loved one for the last time on FaceTime to making funeral arrangements, from working in your office at work to filling your full-time hours at home while homeschooling your children, from socializing in your community groups to being isolated at home, from working on the frontlines to then developing symptoms and isolating from your family, from going to regular Tuesday BINGO group to being in your room all the time in a nursing home  and watching through the window young kids playing in their pool across the street, this pandemic has affected all of us in some way. All of our experiences might be different but what is common is the realization that this has been a traumatic, trying time etched in all of our minds. 

I believe our next pandemic will be suffering from post-traumatic stress.

Trauma is experienced differently from one person to the next. Someone may be coping well while another may feel...

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My Oil Regimen

I’ve been managing COVID symptoms for about 2 weeks. My symptoms have been mild but yet odd. Parts of the day I feel no different than a usual day and other parts of the day I experience symptoms. Additionally, my symptoms change, alternate if you will. My symptoms fluctuate from hot flashes and cold chills, moments of headaches nausea, aches and pains to severe body pains, much fatigue and tiredness, intermittent night sweats, and a fluctuating sore throat and cough. I’ve put together an oil regimen to keep my symptoms more or less under control, or at least to not progress. 

With rest, relaxation, a good book, and binge watching TV shows, I put 1 drop of Clove in my coffee in the morning to clear my throat. Three times a day I take in a veggie capsule, 2 drops each of Frankincense (Frank), Lemon, Oregano, OnGuard, and Tea Tree oils with a few drops of coconut oil to manage symptoms related to the flu. I take 2 capsules of Deep Blue supplements to manage muscular...

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