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When Does Healing Begin? Grief Reconciliation

griefWhen you are in the throes of grief you think you will never be happy again. Your world is a narrow, dark tunnel. You do not see any light, yet glimmers exist, and they are signs of healing. Watch for these signs, for they give you the courage to move forward with life.

Healing begins when you feel a real smile.

I did not smile after four loved ones died in the span of nine months. In fact, I forgot what a smile felt like. Then one day, I smiled a tentative smile, and it felt good. Bob Deits writes about recovering in his book, “Life After Loss.” He thinks “the first step on the path to renewed joy and vitality after a major loss is the most difficult of all.” Smiling was my first step and it may be yours.

Healing begins with the first laugh.

There was nothing to laugh about, so I did not laugh for months. I used to be known for my sense of humor and one day I laughed spontaneously. Though it was a rusty laugh, it told me healing had begun. Laughter heals. Do not be afraid to laugh when you are grieving.

Healing begins when you forget about loss.

Grief was all I thought about. I could not escape it. Judy Tatelbaum details the grief process in “The Courage to Grieve.” “We can see we are moving closer to recovery from grief when the deceased is no longer our primary focus,” she writes. It takes longer to recover from multiple losses. Still, I continued to do my grief and do the things I loved — writing, reading, cooking. These activities gave me a break from grief. Be glad when you forget about loss for a moment. You are healing.

Healing begins when you start to see hope.

Multiple losses robbed me of a future. I could not imagine life without my loved ones. Because I had grieved before, read about grief, and written about it, I knew I had to watch for signs of hope. I found hope in a robin’s song, a baby’s laugh, buds on apple trees, and smiles on my grandchildren’s faces. Look for hope and you will find it.

Healing begins when you plan a new life.

After a loved one dies you have two options, give up on life or live it. I chose the second option and planned a new life. Planning this life took more than a year. Alan Wolfelt, PhD, writes about planning in his article, “Reconciliation.” The article lists reconciliation criteria. One criteria is “the capacity to organize and plan one’s life toward the future.”

Healing begins when you act on your life plan.

I am living my new life now. Does it contain any joy? The answer is a heartfelt yes. Keep doing your grief work and you will create a new life, too. Grief is work and so is life. Artist Grandma Moses described life in a few words, “Life is what we make it, always has been, always will be.” This is your truth, this is your healing.

Copyright 2009 by Harriet Hodgson

http://www.harriethodgson.com

Harriet Hodgson has been an independent journalist for 30 years. She is a member of the American Society of Journalists and Authors, the Association of Health Care Journalists, and the Association for Death Education and Counseling. Her 24th book, “Smiling Through Your Tears: Anticipating Grief,” written with Lois Krahn, MD, is available from Amazon.

Centering Corporation in Omaha, Nebraska has published her 26th book, “Writing to Recover: The Journey from Loss and Grief to a New Life.” The company has also published a companion resource, the “Writing to Recover Journal,” which contains 100 writing prompts.

Please visit Harriet’s Website and learn more about this busy author and grandmother.

Identifying Dementia Symptoms in an Aging Parent

senior-manDealing with dementia symptoms in your own parent can stretch the limits of your sanity. Sometimes you may not even notice the first symptoms of dementia — the slow decline of your aging parent’s memory. The symptoms of dementia may continue until your aging parent starts exhibiting signs of other mental disorders, such as paranoia or delusions, which frequently piggyback on the effects of senile dementia. These symptoms may keep reappearing, until you can’t ignore them and you’re forced to take action like I was. Hopefully, this article will help you identify dementia and other mental problems in your aging parents and help you deal with the problem by getting their condition assessed by a professional.

My own mom taught school most of her life. She was highly organized and extremely independent. She read constantly and became quite adept at oil painting. At the age of 76 she moved closer to my sister and I, but her canvases and brushes never seemed to make it out of the moving boxes. I bought her a VCR for Christmas, hoping that renting movies could help her shake her newly-found disinterest in life. But the new VCR was never turned on unless I happened to visit with a movie in hand. It became, like the microwave I had gotten her a year earlier, another piece of unused technology. It never dawned on me at the time that my mom had stopped wanting to learn new things, or that this could mean that her aging mind was showing early symptoms of dementia.

Believing that Mom’s depression was a result of her unhappiness with her living situation, my sister and I began a search to find her senior housing. We placed our hopes on a retirement community that offered a full-time social director to rescue her from the depressed mood we were fighting. The retirement home helped her find new friends and subdued the paranoia, but only temporarily. Soon she insisted we change her banking accounts. She accused the banks of stealing money from her safety deposit box. She also became absurdly paranoid about my brother-in-law, who she suspected, had a master key to her apartment. All missing items were blamed on this poor fellow. We never suspected that paranoia could be a symptom of dementia.

The amazing part of all this is that my sister and I continued right on with our lives, denying Mom’s odd behavior while helping her change bank accounts and get new locks for her apartment. We just figured it was normal for our aging parent to become strange when she turned 80 years old. We never suspected dementia was taking her away from us.

Symptoms of dementia are insidious, because they start so slowly. Often they are mixed with periods of what appears to be normal behavior. So just when we thought she was showing symptoms of dementia, she’d return with what appeared to be complete clarity, asking us about our spouses and giving the usual motherly advice we had grown up with and trusted. Looking back, I can clearly see the progression of the disorder. But at the time, senile dementia sneaked in and stole Mom from us without a clue. Because of our busy schedules, hectic lives, and maybe a little denial, we didn’t see it until it was too late.

There was also a strong fear going on. I remember thinking that if my mother was showing symptoms of dementia, I must be showing symptoms of dementia too. She was so close to me that I had a lot of her same thinking patterns. She dictated reality to me when I was growing up. I worried about this a lot. I really wanted her to be “normal” so I could feel normal. I didn’t want anyone to find out my mom was acting crazy. I could just imagine everyone at work hearing the news and moving their fingers in circles around their ear saying “Ah ha! That explains it!”

So we took Mom to doctor after doctor trying to find a cure for her symptoms. Was it low iron, low zinc, or low potassium? They drew countless pints of blood trying to rule out what could be causing her behavior. But eventually, most of the doctors proved worthless in offering real help. Not one seemed to be able to tell us what was wrong. None of her five doctors could give us any advice that would help her. They all seemed to deny there was any problem. Fortunately, we met a geriatric counselor who advised us to take her to a local hospital for a geriatric evaluation. I wish we had done this evaluation five years earlier.

If your parent is acting strange and you’re not getting results or a concrete diagnoses from your doctor, consider a geriatric counselor. You can find them in the yellow pages or on the Web. The small amount of money you’ll pay for their services will help you retain your sanity through the decisions you’ll soon be facing. A geriatric counselor will also relieve you of a fair amount of guilt as you carry out the future decisions that become necessary when an aging parent develops dementia.

William J. Grote is the author of the book “Helping Your Aging Parent — A Step-by-Step Guide”. William cared for his aging mother and made plenty of discoveries along the way. Hopefully his book can help you down the road of care giving — which for many of us who survived the 60’s and 70’s, may be a completely new experience.

You can download a free checklist “Warning Signs of Dementia and Mental Illness” to help you identify unusual behavior in aging parents at http://www.boomer-books.com

5 Things to Keep Handy When You Have a Sick Child

Parents who have an infant keep a diaper bag packed at all times. Parents of a child diagnosed with a chronic condition or newly diagnosed acute illness need to be equally prepared. Here are five things to keep packed in a tote for easy grabbing for that emergency room visit or unexpected hospital admission.

  1. earache-boy-in-articleKeep a list of current medications and current medical history in your bag. When you are flustered in an emergency situation, you can easily forget to mention an important piece of information about your child, especially if your child is on chemotherapy or other intermittent medication. Write it down.
  2. Keep a change purse with a roll of quarters and a few singles zipped into your tote bag. Emergencies tend to happen when you are low on cash in the wallet. A change purse with at least vending machine money will keep you prepared for that unexpected hospital admission.
  3. Keep a sweater or sweatshirt for yourself. Hospitals are always cooler than you expect and nerves will make you shiver. It is the little things that make a difference and being comfortable eases your stress level.
  4. Keep a favorite comfort stuffed toy or blanket for your child, a book, or other item that helps to distract your child during painful procedures like blood draws and exams. Keep an extra dose of Tylenol or other as needed medications your child may need on an intermittent basis. Children who need anti- nausea medications or seizure medications may need a dose if travel has lasted longer than expected or some other unforeseen circumstance occurs. Keep those medicines in a childproof container in your bag.
  5. Keep a notebook with emergency phone numbers, notes from previous admissions, or any other information you may not always recall immediately. The notes you have made may make a difference in the immediate care of your child in an emergency.

Parents who have a small tote bag packed with these items can survive until family can bring other belongings for that unexpected hospital stay. Have the bag in the car to easily grab if and when it may be needed.

For more information on children coping with illness or death and dying issues, or health and safety tips for children visit http://heartfeltwords4kids.blogspot.com

Visit http://www.freewebs.com/heartfeltwords4kids/ for an interactive website where kids can blog or read articles geared towards them.

Terri Forehand is a pediatric critical care nurse and freelance writer. She has a passion for kids of all ages, especially kids who are fighting against tough illnesses and diseases. Visit her blog and website for more information. She is currently working on fiction for kids.

Global Handwashing Day

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Global Handwashing Day took place on October 15th; the event was initiated by the Health In Your Hands organization.  The Global Handwashing Day website provides important and timely health-related information.  Both the site and the Planning Guide published in conjunction with the event can be viewed at the links provided below.  They each contain a wealth of resource information to raise awareness about the importance of handwashing with soap, especially among children:
 

Global Handwashing Day Website

Global Handwashing Day Planning Guide

Peace and Ease…

…At Assured Healthcare, that’s what we are all about.  Offering peace and ease to our patients, our customers, our employees and our staff.  It’s the philosophy we live by every day, as we go about the business of providing our customers with staffing solutions and our employees with job opportunities.  As we celebrate the return of Spring, we also want to recognize some exceptional people who are specialists at bringing peace and ease into the lives of others.

May 6 - 12 National Nurses Week

2009nurseweeklogoNational Nurses Week is coming up, from Wednesday, May 6 (National Nurses Day) through Tuesday, May 12 (Florence Nightingale’s birthday).  We are pleased to extend our thanks to all the nurses who work with us, and are proud of our association with them and all the dedicated medical professionals who are employed with Assured Healthcare!  Click to learn more about National Nurses Week.

May 10 - Mother’s Day

mothersdaybouquetTime to celebrate the women who have made our lives so much easier!  Raising children means that mothers serve not only as moms, but as nurses, teachers, mentors, homemakers, chauffeurs, coaches, chief cooks and bottlewashers, working professionals, and so much more.  At Assured Healthcare, we count many mothers among our ranks, and wish each of them and mothers everywhere a day of peace and ease to celebrate all the things they do for us.

Copyright © Christine Hammerlund – 2009.  Christine Hammerlund is a registered nurse and the owner of Assured Healthcare, a healthcare staffing service headquartered in Gurnee, Illinois.

Remembering Cherry Ames

There was no one quite like Cherry Ames - at least not to those of us who, as adolescents and teenagers, dreamed of being nurses during the era from 1943 into the 1970s.  The lively pink-cheeked, dark haired young nurse was the star of the Cherry Ames series of books authored by the prolific Helen Wells.    Her sleuthing healthcare heroine traveled from hometown America to exotic locales including jungles, army bases, and anywhere else her enthusiastic bedside manner and crisp white cap were needed.  Though I don’t recall the details of every one of the series’ many volumes, I am relatively certain that the patients all lived, the mysteries were all unraveled, and that Cherry always returned home unscathed by tropical illnesses, war wounds or salacious surgeons.  That girl knew how to get the job done right, and move straight on to the next highly-specialized nursing assignment - and there were plenty of them!

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As an assessment of my own professional skills, I decided to look back over my nursing career and see just how many nursing specialities Cherry and I had in common.  After all, we’re both Illinois natives who kind of grew up around the same time!  The results were interesting - and maybe even motivational:

Nurses I HAVE been:

  • Student Nurse
  • Visiting Nurse
  • Veterans’ Nurse
  • Senior Nurse
  • Private Duty Nurse

Nurses I HAVE NOT been:

  • Army Nurse
  • Chief Nurse
  • Flight Nurse (though I desperately wanted to enlist as a nurse in the Air Force during the Viet Nam era - but my father, a combat veteran, put his foot down on that notion)
  • Cruise Nurse
  • Boarding School Nurse
  • Department Store Nurse

More nurses I HAVE NOT been - yet!

  • Island Nurse
  • Camp Nurse
  • Jungle Nurse
  • Dude Ranch Nurse

Want to learn even more fascinating insights about Cherry?  What was it like growing up in Hilton, Illinois?  Where is Hilton, Illinois?  How did Cherry get her name?  What are the clues to Cherry’s hidden past?  Learn the answers to these and many other burning questions by visiting the wonderful Cherry Ames Page !  Enjoy a nostalgic trip back to the days when nurses wore white (mostly) and no one had ever heard of out-patient surgery or HMOs.

Copyright © Christine Hammerlund – 2009.  Christine Hammerlund is a registered nurse and the owner of Assured Healthcare, a healthcare staffing service headquartered in Gurnee, Illinois.

Four Fave Healthcare Tech Advances

Technology AdvancesAt one of my networking group meetings, someone recently asked what I considered to be the four most important advances in healthcare technology over the past twenty or thirty years.   Considering the huge leaps in knowledge, daily bio-medical discoveries and amazing technology breakthroughs, that would be a very time consuming task.  But, off the top of my head, I did come up with a list of four personal favorites:

Computer software that supports the needs of the staffing industry - specifically, full service medical staffing.  In order to make the best, most efficient and safest matches of healthcare professionals with the people who need them, we process a lot of critical information.  The specialized software programs we now have access to enable us to rapidly query, sort and filter extensive database records to quickly fill a staffing need.  This ability is a far cry from the pull-out drawers of color coded candidate file cards that were still the norm for many staffing agencies well into the 1990s.

New glucometers and sugar testing devices used by diabetic patients.  What a relief and convenience for people who often need to test multiple times a day.  The devices now used can test from various parts of the body, patients can use them on their own, there is less scar tissue and higher accuracy, and these devices are far more specific and reliable than the urine sticks used way back in the past.

public-access-defibrillatorPublically accessible defibrillators.  It may take a while for them to be in common use before we fully realize the value of these devices, but that day is coming.  With the growth of an aging and highly mobile population,  the number of lives saved by defibrillators can only increase.  The technology of these devices has been streamlined and simplified to walk the person providing aid through the process, further increasing the odds of survival for someone stricken with a cardiac-event while in a public or private venue.

The migration to electronic medical recordkeeping, or EMR. Let’s face it, this one is a no-brainer.  Anything at all that helps to minimize risk to a patient caused by illegibly scrawled prescriptions, diagnoses, instructions, chart notes and medical records is a blessing.  Other advantages are the same as the computer software benefits described above - patient diagnostic and treatment records can be queried, accessed, reviewed, and properly routed to the patient and multiple treatment providers quickly and ACCURATELY!

This list is sure to grow with the blog - keep an eye out for future tech faves!

Copyright © Christine Hammerlund – 2009.  Christine Hammerlund is a registered nurse and the owner of Assured Healthcare, a healthcare staffing service headquartered in Gurnee, Illinois.

Stroke Identification - Important Clues Everyone Should Be Aware Of

The information below is excerpted from an email that I recently received, and could be very helpful in the case of an emergency such as the one described.

STROKE IDENTIFICATION:

During a BBQ, a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics).  She said she had just tripped over a brick because of her new shoes.   They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening

Ingrid’s husband called later telling everyone that his wife had been taken to the hospital - at 6:00 pm Ingrid passed away. She had suffered a stroke at the BBQ.  Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don’t die. They end up in a helpless, hopeless condition instead.

It only takes a minute to read this…

One neurologist says that if he can get to a stroke victim within three hours he can totally reverse the effects of a stroke…totally.  He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within three hours, which is tough.

RECOGNIZING A STROKE

Remember the three steps, STR . Read and Learn!

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

Now doctors say a bystander can recognize a stroke by asking three simple questions:

S *Ask the individual to SMILE.
T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently, i.e. It is sunny out today.)
R *Ask him or her to RAISE BOTH ARMS.

If he or she has trouble with ANY ONE of these tasks, call the emergency number immediately and describe the symptoms to the dispatcher.

AN ADDITIONAL SIGN OF A STROKE - Stick out Your Tongue

Another ’sign’ of a stroke is this: Ask the person to stick out his tongue.  If the tongue is ‘crooked’, if it goes to one side or the other, that is also an indication of a stroke.

Copyright © Christine Hammerlund – 2009.  Christine Hammerlund is a registered nurse and the owner of Assured Healthcare, a healthcare staffing service headquartered in Gurnee, Illinois.

Home Care for the Elderly or Ailing - 7 Tips for Choosing a Qualified Provider

web-senior-lady-doorwayAs the nation’s population ages, more Americans are being confronted with the need to seek assistance with in-home care of elderly or sick parents, or extended family. Couple that fact with the ever increasing trend toward same-day, out-patient surgical procedures, and assessing the qualifications of private duty home care for recovering patients of any age takes on an even greater urgency. 

It’s a difficult task for a lot of people. Because it is not pleasant to think about parents or family members becoming ill or needing medical help, many persons avoid planning in advance for those possibilities. When they suddenly have a need for home care, they don’t know where to start in choosing a private duty provider. 

Given the rise in reports of elder abuse and the potential for unknowingly retaining illegal or unqualified workers, there is valid cause for concern. However, there are several key inquiries that can be made to help in selecting a qualified provider.  Be sure to ask the same questions of each prospective service. You can then compare responses “apples-to-apples”, and that should help in making the right choice. The seven questions below address some of the most important areas of consideration:

  1. Experience of principals - Who owns the staffing service and what background does the owner or owners have in the healthcare or medical staffing field?
  2. Length of time in business - When was the service established?
  3. Licensing and professional associations or organizations - Is the service licensed in your state, and is it affiliated with any recognized healthcare, private duty or home care staffing organizations?
  4. Screening of employees - How are the service’s employees screened for appropriate medical skills and certifications, and what type of background checks are conducted?
  5. Tenure of employees - On average, how long have its private duty workers been employed with the staffing service?
    Testimonials of private duty clients - Can the service provide testimonials or references attesting to the quality and level of service they have provided to other clients?
  6. Client intake process - How are the needs of the patient assessed and what type of care plan is prepared to record shift activities and make sure there is clear communication with patient and family throughout the term of care?

 These are important questions that any reputable service should be happy to answer - and during stressful times, it’s important that you feel as comfortable as possible with the persons who are providing in-home care.

Copyright © Christine Hammerlund – 2008.  Christine Hammerlund is a registered nurse and the owner of Assured Healthcare, a healthcare staffing service headquartered in Gurnee, Illinois.