Christina's Considerations

Comfort in A Healthcare Facility

Since my post on Comfort in the Hospital, I've collected some new ideas and want to share them along with some new insight as a caregiver, as well as, a patient and former hospital administrator.  With Easter and Mothers/Fathers Day celebrations coming, a little something can go a long way to making an assisted living, skilled nursing, rehabilitation or hospital stay a bit more comfortable.

My list comes from samples I've received and tested over the last few months.  Each makes one feel more comfortable in their own unique way.  Links to where you can learn more and find these items are included as hyperlinks.

Arm Warmers - I get colder now and do layer, but sometimes just need periodic warmth on my arms.  In addition, I find that arm warmers provide a bit of compression to help my arms feel a little less fatigued as the day goes on.  I've tested a couple, but the ones I like best are  from Derivative; mostly because the don't slip.  They are a soft cotton blend; and as a more conservative dresser, I like the solid colors.  I can put them on in the morning and easily slip them off as the day warms up.  Or, keep them on if I need my arms need some extra support throughout the day.  Besides, their models make me feel like I'm one of the cool people!

Compression Socks - Like the arm warmers, compression socks are a must have for those with circulation issues.  They are excellent for long trips, but also for those who may be sitting and not moving around for long periods of time in a facility or at home. The compression socks from Comrad have a comfortably tight feel, without being too challenging to pull on or off - especially for those who already struggle with hand strength and coordination.

Airborne Particle Blocker - Healthcare facilities can have questionable air.  NasalGuard provides an invisible barrier against contaminated air, virus-size particles, pollen, dust mites, smoke and more.  Those with significant allergies or suffering with air pollution will really appreciate the electrostatic technology that reduces the inhalation of airborne particles.  All it takes is a drop rubbed under your nose every 4 to 6 hours.

Denture & Partial Spray - The EverSmile FreshDent is a portable cleaner and that kills bacteria for denture and partial wearers - even while they are in the mouth.  As a long time retainer wearer, this is certainly a welcomed product for those on the move, as well.

Blue Light Blocking Eyewear - Patients and residents of healthcare facilities don't have control over all lighting.  And, sleep is really important and valued.  SafetyBlue offers two styles of glasses for wearing before bed to signal your body to produce melatonin naturally.  Some will need to work up to wearing them for longer periods, since it is an odd feeling at first.  But, after a few nights you will be wearing them for a couple of hours  before bed and sleeping better.  On style even allows you to wear them over your regular glasses.

If you have tried any other products and want to share what you have found, leave a comment for all to benefit.

Firearm Safety and a Dementia Diagnosis

The US Census Bureau estimates that  older people will outnumber children for the first time in US history by 2035.  So, it makes sense that we will see a corresponding increase in the more common “older people” conditions over the next several years.  This includes Alzheimer’s and other dementias that impact cognitive functioning – including the reality they may no longer recognize close family and friends.

In prior blog posts I’ve addressed gun violence restraining orders, as well as, personal safety planning and want to bring these two together today.  Why?  Because I’ve been reading in social support groups about the struggles caregivers are facing as they remove guns, or attempt to remove them, from the homes of parents, grandparents, spouses, and others with dementia.  It occurred to me that we are more focused on the safety of older loved who are still driving.  But, what about those who own guns?  Just as someone may no longer be considered a responsible/safe driver, they might also no longer be considered a responsible/safe gun owner.

The Alzheimer’s Association has produced a fact sheet that provides some tips to help caregivers with the conversation and process, but it isn’t always going to be easy.  Family caregivers also need help from physicians and other professional caregivers; who should at least ask about the presence of guns in the home during the assessment process.

Friends and family members, as well as, healthcare providers need to assess risks and focus conversations on safety during care planning activities.   For example, the Veterans Health Administrations recommends that clinicians and care teams ask about firearms during safety screenings of those with a suspected or definitive diagnosis of dementia.

The American College of Physicians has also established policy positions based on a public health approach to support caregivers.  They recommend medical professionals speak out on prevention of firearm-related injuries and deaths, just as physicians have spoken out on other public health issues.  They encourage physicians to counsel patients on the risk of having firearms in the home, especially when “children, adolescents, people with dementia, people with mental illnesses, people with substance use disorders or others who are at increased risk of harming themselves or others are present.” 

In an NPR article, one psychologist who promotes the idea of talking to patients about the presence and location of guns, also addressed ways to guide the conversation to make it more acceptable.  Dr. Joleen Susman suggests a more successful approach -- talking about “retiring” from driving and using firearms  – instead of taking these privileges away.

Dr. Emmy Betz, an emergency room physician, also recommends having these conversations early in the disease and involving loved ones in the planning and decision process.  She encourages use of  written firearms agreements, such as the sample below.

Beyond being non-judgmental and simply asking patients if there are firearms in the home, UC Davis has created guidance for healthcare professionals who need and want to have a focused interventions with at risk patients.  Resources available also include patient handouts.

In some cases, those with cognitive dysfunction can become angry, aggressive and refuse to voluntarily have guns removed from their possession and/or the home.  In these cases, family member must keep safety – to self and others – at the forefront of conversations and reach out to local law enforcement for assistance.

Thirteen states have established “red flag” laws that allow law enforcement, and sometimes family members, to petition a judge for temporary seizure of firearms from those who exhibit dangerous behavior. Both the  NRA Institute for Legislative Action or the Giffords Law Center to Prevent Gun Violence are resources for the status in each state.

We do all have the right to keep and bear arms.  But, we also have a responsibility to recognize when it is time to relinquish that privilege for the safety of others and ourselves.

A Call to Healthcare Professionals: Contrary to what you’ve been taught, use social media

Way back in 2005, I began blogging.  After a couple of years, I got tired of explaining to my hospital administration and physician  friends "what's a blog?" and "why would I want to Twitter?"  Since all of the young people knew these answers, and the correct terminology, I thought I should write a book so that my peers could have more intelligent conversations with young innovative staff and recognize the value of emerging social technologies.  Now, whenever anyone wants to know "what's a tweet?" or "but, what about the risks/HIPAA/etc?", I just direct them to my  first book - published by Health Administration Press.  When they want to go deeper and she case studies of how other healthcare organizations are leveraging social tools I point to my book published by HIMSS.  In both cases, I attempted to educate, overcome fears and and build confidence in healthcare leaders who needed, and wanted, to move beyond "how we have always done it in healthcare."

So, when Dr. Mansour seemed to have a similiar observation on lingering concern among the medical community, I had to share his post.  He believes physicians especially are still timid and many have been consistently taught otherwise in school.  He is correct to share his vantage point as physician to help other physicians reflect upon and address their own concerns.     

Guest Post:  By Joshua Mansour, M.D. is a board-certified hematologist and oncologist in Stanford, California doing work in the field of  Hematopoietic Stem Cell Transplantation and Cellular Immunotherapy. Follow him on Instagram @DoctorJosh_MD

From the beginning of medical school, one of the first things “instructional videos” that we had to watch during orientation was about “social media” and what “not to do”.  There began this stigma and it was frowned upon to use social media if you were a healthcare provider. 

There are the obvious things that physicians should not do, such as post private information about patients, show a patient’s face without their permission, or exploit medically sensitive information.  But no one tells you what you can do and possibly what you actually should do. 

There is a new wave that has now taken over that we as a healthcare community and a community as a whole should support, especially if it is meant to help others. Most recently I have approached social media in a different way and gone out to explore what is available as a tool to help others.  What I’m finding has been mind-blowing and I am very excited to see where it continues to progress in the future. 

People are sharing their journeys, inspiring others, raising awareness.  There is a whole community of individuals working as a team to help others.  It is incredibly inspiring.  Before recently I had thought of social media as being full of people only posting pictures of fun trips or nights out, throwing out their opinions out into the open for people to see.  We now have social impact movements, live videos with question and answers for students, people showing their tough times and how they are overcoming them.  People are reaching out to others for encouragement, collaborations, and progress. Using it to spread the message.  With the busy days of many healthcare professionals, it is difficult for them to find the time to engage with social media and with others.  There are many healthcare providers that are making an impact and finding the time to do it.  

What we need to start teaching in medical school and in other schools in not only what not to do on social media, but how to use social media in a positive light.  This is something that is happening and only continuing to grow.  It is time to get on board but shine the light in a positive manner.  Teach students from early what to do instead of only what not to do.  You never know they may be able to influence people in a way like never before. 

Recently I have recently been able to connect with others across the world and learn new things about medicine and how it is practiced in those locations.  This will help me evolve as a physician as well and has helped my patients. 

 

Tips for Getting Through a Difficult Time

It isn't uncommon for people to make supportive and encouraging comments to me after hearing bits of my GBS story.  I suppose it is partly because I am an optimist, but I explain that I truly am fortunate.  I didn't become completely paralyzed - in a hospital ICU, on a ventilator, for several months, then in rehab and stuck in a wheelchair.  Instead, I truly appreciate what I have because I also wasn't young - just embarking on my college education, new career or have a new family.  I wasn't one of the new moms that didn't get to hold their newborn baby for months, or the young child who didn't understand what happened that they needed to re-learn how to walk.  Instead, I had already finished college, started a family and launched little adults from the nest and had progressed up my career ladder.  I'm on the sunset side of my life and have the time, security and mental strength to fight my disease and re-build my functioning.

The tips below are from one of the young people... those with what I believe are the greater challenges. Go little turtles!

Guest Post:  Blogger Holly Frances of Holly After GBS

One of the most common questions I get asked, is HOW did you get through what you did? And its a tough question to answer. Spending nearly 3 months in ICU, getting off a ventilator and learning to walk again - all with a newborn baby - is something I never thought I would be able to get through. But I did. I persevered and am stronger than ever. 

And that wasn't the only hardship in my life. I've gone through a LOT of awful things. From broken hearts, to financial trouble, to divorce. Plus all the in between; the day-to-day stresses we experience from being an adult, a parent, a human being.  And when we experience these challenging times, its often difficult to believe we are going to get through them. But you will! 

Here are some tips I use when I'm going through a difficult time:

1. 1. Write down the biggest thing that you are struggling with right now. Then brainstorm a list of ANY TINY possible things you could do that might improve the situation. They may not solve your problem but even small improvements can help. Without brainstorming, you may not even realize the options you have.
   2. Make a list of long term goals  you think would improve your life. What do you want to achieve this year? What would you like to be doing? What gives you purpose? What things can you do every day to get you closer to those goals? Taking steps towards these goals will give you a sense of accomplishment.
   3. Every day, write down something you are grateful for. It can be as simple as having a house to live in, or finding a dollar on the ground the day before. On hard days you may have to dig deep, but it’s a good reminder that there is always something to be grateful for. 
   4. Make a list of the things that you love doing (that you are able to do) that set your soul on fire. They can be things that are done daily, like cooking or drawing, or things that can be done periodically; like going to see a play. Just make sure you are doing the hobbies that you love to do! On the flip side, is there anything you are able to remove/change from your life?  Stop doing things you hate to do! 
   5. Make a list of some of the hardest times in your life. Remind yourself that you made it through those times. You are so much stronger than you think you are. And you can get through this too. Say that to yourself as many times a day that you have to. 
   6. At the end of your day, write down three things that you accomplished. On particularly bad days, small things like doing your hair counts, even having a shower or getting out of bed!  Writing accomplishments down, no matter how small they are, reminds you that you are moving forward!  Keep going! 
   7. Make sure you surround yourself with friends and family that you love. Alone time is often needed, but isolating yourself can make you feel worse. Spend time with your favorite people and ASK for support! 
   8. Get your body moving! Exercise is the most underused medication in the world!.You have the ability to increase your dopamine levels (the feel-good chemicals inside us that make us happy) at any point in the day! If you struggle with finding the motivation or the time to get to the gym, then start small! Its amazing how you can feel after just ten minutes of say yoga or a brisk walk a few days a week.   
   9. Pick a charity to get involved with or donate money to. Research shows that donating either your time or money to charity makes you feel GOOD! And it’s good for society too ;)
   10. Watch online videos of inspiring people overcoming devastating tragedies. Not to see that there are others who have it worse than you (because what you are going through is hard too; don’t diminish that) but to remind yourself that there are so many people that have overcome the impossible — and you can too. 
   11. As often as you can, try to change  your view. Positivity goes a long way. Just once, trust that everything is happening for a reason. Trust that everything is going to work out the way you want it to. Rembever, no one expects you to be cheery all the time, but just try to ditch the negative self-talk as much as you can. And no matter how bad of a day you have, no matter how negative you feel when you go to bed each night - start fresh with a positive attitude every day. If it doesn’t go to plan, it’s OK to try again tomorrow.  It doesn't matter how many times you have to start over. You just keep trying. 

Virtual reality: From the OR to the patient bedside

I haven't written much these last few months, because my typing accuracy and speed have not been the best.  But, I'm still trying and just had a new article published after several months. 

Some of you may remember the old Atari game, Pong.  It was the first virtual reality game I ever experienced.  Virtual reality has evolved and is much more sophisticated in 2019.  And, it isn't just fun and games anymore.

My article reviews the latest in the world of virtual reality and its use in surgery and medical training.  It describes how neurosurgeons can "practice" a procedure they are about to actually perform on a person's brain using three dimensional virtual reality.  But, perhaps, more importantly, I point out the value of these tools to patient education and their understanding for better decision making.   The informed consent process is very important and most patients probably don't truly understand the significance.  This becomes a much more important issue as risks increase; as does the possibility of poor outcomes - serious injury or death.

My important message for consumers, family caregivers and patients themselves is to ask questions, research and appreciate the application of technology to improve understanding and the ability to act and make better decisions.  Technology, if well planned, designed and implemented, can improve the quality and safety of the care we all receive. Be open to trying something new, such as, virtual reality!

Read the article and let me know what you think by leaving a comment.

Patient Caregivers: The Importance of Self-Care

I just returned from a long trip to help my dad care for my mom.  I was able to get my own scheduled treatments shifted over to providers in that state and community.  

Upon arriving at my parents' home; I assessed a serious state and quickly got to work taking steps, as any nurse would, to improve my mom's condition.  My efforts were a ultimately a success and I felt comfortable returning to my own home and family; after having been there through Thanksgiving, Christmas and New Years day.

At first, I was happy to cook, clean, organize, shop, as well as, facilitate and provide care for my mom.  It was my turn and chance to give back.  But, then I started feeling the fatigue coming earlier each day.  I prompted family to help, but old habits were hard to break.  I finally got to the point of having to announce I wasn't cooking or cleaning after meals.  People showed up on New Years day (while I was packing my car to leave the next day) expecting the traditional feast and I brought out leftovers; which weren't so well received.

My family are all aware of my GBS/CIDP and functional limitations, but they were spoiled by mom.  As her health improved, I had her helping to empty the dishwasher and fold laundry to exercise her body and mind.  However, she could not do what she use to do. And, we couldn't sustain doing the work alone.  My children and husband arrived and helped us, but even then it would have been nice to see the whole family involved.

Then, I return home and read an article about George Price, a completely altruistic evolutionary biologist and scientist ... who ultimately died as a result of his selflessness.  The author of the article draws a couple of lessons from the story of such an intelligent man; especially on the importance of self care.

"But the second, broader lesson is that self-care is important. Price’s altruism was all-consuming, to a point of self-destruction and collapse. That wasn’t good for him, obviously. But it wasn’t good for the homeless community he joined and tried to help either. That isn’t a statement on Price’s character, which I do not feel in any real position to judge. But it’s a statement about the value of all-consuming altruism as an ethos."

I have always believed a hospital has to function in a way that allows it to sustain its operations; in order for it to be able to continue serving its community.  Working with so many professional caregivers, I also saw the importance of self-care  for preventing burnout and maintaining staff health.  Now, as a patient what I know was put to the test as I had my own experience with needing to put myself first, so I could continue to focus on my priority (caring for myself and mom) instead of lesser demands (feeding my unhelpful family members).

If you find yourself caring for others, put yourself first so you have the strength and endurance needed to complete important tasks.  Why, because if your health deteriorates to the point that you can no longer care for others, who will take your place... and care for you?  A burnt out caregiver becomes the patient themselves - adding to to the workload.

It is ok to ask for help (family/friends or home care and respite services), prioritize and set boundaries or simply say no when you are being asked or expected to take on too much.  Being strong ultimately benefits all involved.

Bed Rails for Home Care

Those recovering or being cared for at home after an injury, illness or surgery sometimes need a safety feature commonly found in hospitals, nursing homes and rehab facilities.  That most common and effective (if actually used) safety measure has prevented falls in facilities; and it can do the same at home.  

During my research over the last year and a half, I was enlightened and learned that bed rails for the home come in many shapes and sizes... from a traditional long rail to a small handle.  I also found that Stander offers a line that blends in with a home environment, instead of standing out and turning a bedroom into a hospital-looking room.  Don't get me wrong, I like hospitals and their looks are functional.  But, the home doesn't need to look so sterile.

Below are some of my favorite bed rails and one I carry in my little online shop. If you like what you see and have questions, you can contact me to discuss your specific needs.  Each of the bed rails are easy to set up.  The proof is that I have set up a few for demonstrations.  They are also sturdy and well made - important to me.

The first is the one I wish I had before I began my treatments for GBS.  But, I didn't yet know it was available.  It is a mobility bed rail with a pivoting arm to aid those who need help not just staying in or getting out of bed, but also support taking those first couple of steps.

 

 

Next, I really like two small bed canes.  The first is a reversible bed rail or support handle (pictured left) for those who don't need a traditional or full bed rail.  It also comes with a little pouch to hold a few important items; minimizing the need and risks to lean over to reach items on a bedside table.  To the able-bodied, this may not seem so important. But to those with balance, coordination and strength functional limitations, this is a valuable feature. The other option is the event smaller PT bed cane (pictured right) for support and keeping items, such as a cell phone or medical alert/alarm, within reach. Both of these bed canes aid in sitting up and getting in and out of bed.

 

Some will need a full size bed rail for the greatest fall protection while in bed.  The EZ Adjust Bedrail is similar to the size of those in a hospital when fully extended.  But, it can also be
shortened for a more personalized fit.  It also folds down, and out of sight, when not needed.  It is the most popular for the frail elderly or anyone at risk from falling from a bed.

To learn more about each of these bed rails, and other safety features for the bedroom, visit the Bed and Bath category of my little shop focused on the needs of those with functional limitations due to injury/illness and wanting to live and age in place in the comfort of their home. 

Micro Communities and Dementia

Not long ago I finished a book on the power of micro communities - The Courage to Go Forward . It posed the question of how do we support populations of individuals in ways that achieve what is most important to each person.  The book uses stories to demonstrate how small, passionate tight knit groups come together to fill gaps society simply cannot (or will not) fill on its own with its broad brush approach.  This reminded me of my work in disaster preparedness; and my advice to build self sufficiency, because you may be on your own for a while when first responders are overwhelmed.

I actually finished the book upon arriving to aid someone with dementia.  Over the last few weeks I find myself trying to pull together a micro community to support this person; after I leave and return to my own family.

For those who find themselves in a similar role, or who want to support this population, I've prepared a few insights from my lessons learned.  They will help promote dignity and respect when the stress and frustrations of being a caregiver are overwhelming.

1.  Build an engaged micro community of supporters for both the person with dementia and primary caregivers. Both will need a respite from each other periodically.  These can include friends, community volunteers and paid caregivers.  Let each individual know what is needed and assign roles.  For example, a neighbor may be ideal for taking an individual for brief walks in the neighborhood or "visiting" to allow the caregiver to  run quick errands.  A therapist can address functional limitations that impact activities of daily living and friends/family can show up to prepare meals.

2.  Working with this population means understanding the need to respond appropriately, guide and re-direct the person with dementia.  Arguing over fine details, making fun of and belittling the person with dementia do nothing to advance goals and activities of daily living.  A person with dementia may really have no memory of how to find their bedroom, use their washing machine, where they keep their dishes/pajamas/xxx or that they have a son-in-law.

3.  Build physical and memory strength by encouraging the individual to perform simple tasks, such as, emptying the dishwasher, folding clothes, setting the table, etc.   This provides some exercise to individuals who are likely losing weight, sleeping often, and without memory, stop pursuing their interests.  A person with dementia may also begin to retreat inside of themselves as they find following and participating in conversations difficult. Combined, this all increases the risk of depression.

4.  Simplify, organize and clear away clutter and items that are no longer relevant to the individual; such as clothes that no longer fit, is worn or unlikely to be used again.  Replace clothing with comfortable mix and match items to make self-dressing easier.  Too much "stuff" can be confusing and overwhelming for the person with dementia.  Now is the time to embrace a more minimalist environment.

The ultimate goal is to reduce stress and improve the quality of life for the person with dementia and their primary caregivers.  The contributions of a micro community can truly lessen isolation and transform lives to make aging in place, for a longer period of time, possibile.  The four items above are just starting points for the micro community as it envisions the possibilities and sets its goals to work with populations impacted by dementia. 

Where would you like to start, and for whom?

 

 

Autoimmune Disease? 6 Tips for a Healthy Holiday Season

Guest post by: Dr. Chad Larson is a doctor in both Naturopathic Medicine and Chiropractic. He is also a Certified Clinical Nutritionist and a Certified Strength and Conditioning Specialist. His interests include advanced developments in the fields of endocrinology, orthopedics, sports medicine and environmentally-induced chronic disease.

 

Holiday indulgences aren’t always autoimmune friendly. A healthy diet, adequate amount of rest and an overall balanced lifestyle are recommended for all of us. But for those living with autoimmune disease, a season marked by decadent meals and running around visiting family and friends can make getting through each day a physical and mental challenge far superior to that of an average healthy person. The most common holiday rituals can be the crux of falling victim to this.

The U.S. National Library of Medicine points out that there are over 80 different autoimmune diseases and the American Autoimmune Diseases Association puts the number at more than 100. Yet there is one common denominator when it comes to the symptoms of most of them: inflammation. The body can fluctuate between flare-ups, where symptoms get worse, and remission, where the symptoms get better or go away. The state of an autoimmune disease can be affected by inflammation, which can cause redness, heat, pain and swelling.

So, what is causing the inflammation that aggravates the symptoms of their autoimmune disease? You guessed it – the wrong food choices, inadequate sleep and elevated stress, to name a few. The hustle and bustle of the holiday season, with all its joys and guilty pleasures, comes with physical consequences that can be especially detrimental to anyone living with autoimmune disease.

However, in my years of treating patients with autoimmune disease around the holidays, I’ve found there are some general steps and guidelines for navigating the holiday season with an autoimmune disease. With this in mind, the following six tips will help those with autoimmune disease to enjoy a healthier, more feel-good holiday season:

• • Get adequate rest and sleep. This can be easier said than done during the hustle and bustle of the holidays but it’s important as fatigue is one of the most common side effects of autoimmune disease. If you don’t listen to your body when you’re tired you can exacerbate your condition. Losing sleep can trigger the key cellular pathway that produces tissue-damaging inflammation. Make it a point to set limits for gatherings. You don’t need to be the last one at the party and don’t overcommit yourself.

• • Keep your stress at bay. Chronic stress alters the gene activity of immune cells before they enter the bloodstream so that they're ready to fight infection or trauma – even when there is no infection or trauma to fight. This leads to increased inflammation. So again, set limits for yourself and communicate them to your friends and family. We often set high expectations for ourselves that we can’t always realize. Your loved ones will understand. Health and happiness come before having the best-decorated house, the most presents under the tree, or attending the most festivities. Pace yourself!

• • Embrace the delicious holiday fare…carefully. Don’t eat anything that you know you’re going to have an adverse reaction to but try to not limit yourself unnecessarily because of your condition either. Try keeping a record of everything you eat so that if you do feel any symptoms after a big holiday feast you can try to narrow down and identify the offending item. Dairy, gluten, sugar, refined starches and grains, saturated fats and alcohol are inflammatory and should be avoided. At the very least, eat them in moderation.

• • Keep an eye on your kids. Autoimmune diseases are often hereditary so if you have an autoimmune condition your kids are likely at a higher risk for developing one as well. Keep on alert to any behavioral or physical ailments that your kids may display when indulging in holiday treats.

• • See your doctor. Have you been formally diagnosed with an autoimmune condition or are you just guessing? Make sure you and your doctor are on the same page in terms of diagnosis/treatment options so you can properly game plan the holiday season. There are great testing facilities out there like Cyrex Laboratories that offer test panels designed to evaluate your immune reactions using proprietary, advanced technology.

• • Get to know your triggers. Is there a specific food that triggers your condition? Do you know if you are consuming any cross-reactive foods? Are you better off consuming a food in raw, cooked or modified form? Again, there are tests that can help you identify these things. The Array 10 – Multiple Food Immune Reactivity Screening tests for early detection of dietary-related triggers of autoimmune reactivity.

It is important to consult with your doctor if you have or suspect you may have autoimmune related issues; or to discuss testing options.  Good communication, awareness and professional medical guidance are key to good health and feeling your best, especially as we approach the holiday season. Making time for you and your well being is always a worthy investment. Happy Holidays!

Dr. Chad Larson, NMD, DC, CCN, CSCS, Advisor and Consultant on the Clinical Consulting Team for Cyrex Laboratories. Dr. Larson holds a Doctor of Naturopathic Medicine degree from Southwest College of Naturopathic Medicine and a Doctor of Chiropractic degree from Southern California University of Health Sciences. 

Soft Warm Socks and Gloves

Fall brings a change to the color of leaves in trees and a coolness in the air that will only turn to cold; especially on damp days.  For people with nerve damage and neuropathy, these changes also bring about more severe pain.  While CBD or heating can help, warm socks, gloves  and arm warmers can add to feelings of warmth and comfort. 

Support groups are currently abuzz with individuals asking others what they use to keep aching feet, arms and hands warm.  my go to are the super soft aloe-infused gloves and socks from Earth Therapeutics. Try them and let me know how they work for you.  Or, purchase some as a holiday gift for someone who complains about the cold and/or pain.  

If you know of anything that works even better, please leave a comment. 

 

Woodworking as Art Therapy for PTSD

Guest Post: Robert Johnson is a woodworking enthusiast whose passion for power tools is expressed through writing. He is the founder, owner, and main author of Sawinery.net, a blog site dedicated to his personal reviews of different types and specific models of saws. Through the years, his interest in woodworking expanded beyond tools, which started his quest to write about woodworking projects and fascinating stories of woodworkers as well.  He recently started to explore the power of woodworking as therapeutic healing art; especially for PTSD/CPTSD.

Some people might think that woodworking is a challenging hobby because of all of the work and tools that are used to perform the hobby. However, regardless of your experience woodworking can be quite beneficial. Not only is woodworking an art, but it is also known to be a form of art therapy for those who have had traumatizing past experiences and need something to keep their mind in a more positive state.

Believe it or not, woodworking can be quite relaxing despite the amount of technique that is used while carving designs and patterns into your choice of wood. It helps a person to work on improving their psychological imbalances in their life. People are able to work towards thinking more positively. It’s quite close to a typical psychotherapy session that one might take, but it is a more fun and interesting way to approach the hardships that you might be facing in your life.

Woodworking in the form of art is truly a great way to reduce stress as well as feel accomplished about the work of art that you have completed. So what are the details of how woodworking can be used as art therapy? Keeping reading for more details.

Crafting a piece that you like

You can actually start your art therapy by admiring a piece of art work that you find in an antique shop or online. Instead of purchasing the piece of wooden art, you can make it yourself. Just think of how good you’ll feel after creating a work of art that you admired. You may think it is impossible to do if you don’t have experience with carving, but patience and working slowly is best to achieve your desired results.

Engaging your brain

When taking part in woodworking as therapy, it has been proven that your brain is actually more engaged in a positive and creative way. This is good practice in helping you to not focus so much on the negative and focus more on the positive. You will naturally improve in your social skills as well as better understand your emotions.

Happiness

The main emotion that is most important when it comes to woodworking for art therapy, is happiness. Although there is a chance that you might become a bit frustrated while working on your wood carving art piece, keep in mind, in the end you will feel happy that you made the effort and you can tell others “Hey, look what I made!” It will be a wonderful feeling, and keep in mind the more you take part in this sort of therapy, the better you will get at carving your works of art.

Increased Self-esteem

Once you’ve completed your first woodworking project, you will find that your self-esteem has increased. When you know you have done a great job on a project that you have completed, you will naturally feel good about yourself. You will also begin to notice that you experience less stress and nervousness from anxiety.

Activities like this can also aid those with any chronic illness and the anxiety it brings; allowing them to be more focused and productive in their home and work lives.  If you have examples of other art therapies, please share them in a comment.

 

 

Adult Child Caregiver - The Sandwich Generation

Last week, just in time for Thanksgiving, I officially became an adult child caregiver of the "Sandwich Generation".  I've made a significant impact to turn things around.  So, this video is particularly and specifically of interest to me as I learn to be even more patient than previously.

 

Cheers to the holidays; and those caring for someone with dementia or Alzheimer's!

Exercise & Peripheral Neuropathy

This guest post comes from the Foundation for Peripheral Neuropathy; a public charity foundation committed to fostering collaboration among today’s most gifted and dedicated neuroscientists and physicians. To support their work, visit https://www.foundationforpn.org/donate/

 

We all have heard that exercise is important for 

everyone, including people with peripheral neuropathy. But have you given thought as to what to include in your exercise program to have the most benefit for your body and your health?

 

A complete exercise routine should try to include four kinds of activities.

1. Aerobic Exercise: Aerobic exercise works your muscles and gets your heart rate going. It also improves circulation, can reduce neuropathy pain, and help control blood sugar levels. Water aerobics, stationary bicycling, walking, and low impact exercise classes are all good low impact aerobic activities. You should aim for about 30 minutes a day, 3-5 days a week. 
2. Flexibility Exercise: A gentle 5-10 minutes of stretching can help your body warm up for aerobic activities. It also can keep your joints flexible and reduce the likelihood of injuries. Check out a few flexibility exercises on our website to get those muscles stretched and warmed up. 
3. Strength Training Exercise: Strength training should optimally be done 2-3 times a week to build muscle and stronger bones. You can go to a gym, or work out at home with light dumbbells or elastic bands. Everyday tasks help build strength as well, like carrying groceries, housework and gardening. The more you do, the more muscles you build and the more calories you burn even at rest. And it get easier the more you do it! We have a few strength building exercises on our website to add to your exercise routine at home.
4. Balance Exercise: Balance training is important for everyone as we age. Older muscles are smaller and respond less efficiently, making a person more vulnerable to falls. In addition, young or old, people who have muscle weakness, joint pain or dizziness, benefit from balance training and exercises. Balance training can help you get back to normal, and overcome feelings of stiffness or unsteadiness. Want some ideas on balance training? We've got some for you here on our website.

Building these activities into your everyday routine can help you feel better and improve your overall health.

 

FPN recommends that you refer to a Physical Therapist or doctor regarding an exercise program that's right for you.

 

Really Support Others Who Are Grieving

As a hospital administrator, I was sometimes called upon to support patients, families or even employees who were going through difficult times in their lives.  I learned fairly quickly in my career to express empathy and support the natural grieving process... not fight it and rush to make things "all better."  Today, I find these skills help me support an aging parent who is experiencing loss of functional abilities and needing to work to recover quality of life.

I truly believe everything happens for a reason.  Seeing this video on Facebook yesterday reaffirms this belief.  Perhaps you too will find value in this video.

 

 

The Burning Question: Who Will Foot the Bill for America’s Increasing Burn-Care Costs?

I think about burn patients when I see the ergonomic tube squeezer I added to my shop as soon as it came onto the market.  Yes, it helps those of us with hand weakness and coordination, but it is also excellent for getting just about every drop of any product out of a tube.  This may not be important for toothpaste, but it is for expensive medications.  This is where burn patients come in and their reliance on expensive ointments, salves and other topicals.

I'm pleased to share a guest post that highlights the cost of burn treatment and the impact of burns on patients.

Guest Post:  Celia Belt, a burn survivor, is the founder of the award-winning Moonlight Fund Inc., a non-profit organization that provides financial and emotional assistance to burn survivors and their families.  She is the author of Remarkably Intact: Angels Are No Strangers to Chains (Broer Books, paper, $18.95).  For more information, visit: www.remarkablyintact.com.

Each year in the United States, half a million Americans will be treated for burns so severe as to require hospitalization.  The “survivors”—including more than three-hundred children each day and a drastic increase in U.S. military members since the turn of the millennium—can be expected to undergo arduous, agonizing surgeries and  painful rehabilitation lasting for years. 

The emotional and physical trauma of these fellow citizens is not a pretty picture. Nor is it an inexpensive one.  According to estimates, patients with severe burns with no complications can expect a whopping $1.6 million bill for treatment over the cost of their lifetime.  For patients who do go on to develop complications as the result of severe burns, hospital bills can run more than $10 million.

Where is that money coming from?  Partly from you and me in the cost of increased healthcare premiums.  But often times from people like me, directly.  As the cofounder of the Moonlight Fund (www.moonlightfund.org), a Texas-based non-profit organization for burn survivors and their families, we’re often tasked with raising funds to help with the costs of expensive procedures in addition to the emotional support and caregiver assistance our organization was founded for. Many times I’ve reached into my own pocket—not because I’m a saint, but because I’ve been there.  As a childhood burn survivor myself, scalded over 32% of my body, I’m well aware that infections resulting from burns—which occur in one out of three cases—add between $58,000 and $120,000 to treatment costs.  Skin breakdown—which happens one out of two times—adds up to $107,000 more.  Disfigurement and scarring?  Up to $35,000 on top of that.  Then, of course, there are the psychological issues associated with severe trauma.  57% of burn victims need help for it, help that costs as much as $75,000 per patient.

It’s no wonder I spend a good deal of my time trying to find scholarship beds for survivors soon leaving the burn unit or negotiating with compression garment companies to give us a break on high-cost wound garments for our patients.  The time we spend writing grant proposals, hosting fundraisers, and digging into our own pockets to help people could far better be spent helping them emotionally recover and fit back in to a society horrified at burned skin.

Burn victims—who are often socially isolated due to their wounds—appreciate you not staring at them on the street.  But that doesn’t mean we want to be invisible.  Today, more than ever, we can’t afford to be.