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Example two: A bed bound patient, recently released from hospital to a family caregiver, is seen by a visiting nurse, who checks blood pressure, blood sugar and so on. Caregiver asks what the blood pressure was; nurse responds “80 over 40; but everything is okay; you have everything under control” and leaves. Caregiver re-checks blood pressure – 80/40 – immediately calls an ambulance. Patient was going into septic shock, and might not have lasted the afternoon. Had the caregiver not asked, not been able to re-check, known what it means and called an ambulance, the patient could have died. So, yes: if you are a caregiver you absolutely must know what everything means: you are responsible. If you don’t know it for yourself (and if you are not a doctor or nurse you won’t and the internet won’t do it), ask the doctor exactly what you should know, and what things mean. If you cannot or will not do the job, the patient should not be in your care. There is no room for a “good idea, but” approach: either you are able to do the job with all that it involves, and willing to do it; or you should, for the sake of the patient, stand aside and let the job be done by someone who is both willing and able. And part of that is getting all the knowledge and skills you need.
B. I stress that if you are responsible for someone you must take the time – under guidance if necessary – to get all pertinent information and skills.
Next week, my response to Dr. G.
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The musical production was beautifully performed by the middle school students.
Greige offered a post of her own. She said, “I was very cautious to avoid being in any photo or communication with Miss Israel.” She contends that she was photobombed.
In the introduction to the first volume, R. Katz discusses the Torah ideal, arguing that the Torah’s laws are intended to craft the perfect man and are not to be regarded as ends unto themselves.
A highlight of the evening was the video produced by the Kleinman Family Holocaust Education Center on the legendary Agudah askan Reb Elimelech (Mike) Tress, a true Jewish hero.
Until recently his films were largely forgotten, but with their release last year on DVD by Re:Voir Video in Paris they are once again available.
Though the CCAR supported the Jewish right to emigrate to Eretz Yisrael, it strenuously objected to defining Palestine as the Jewish homeland.
“Well, you are also part of this class! If someone drills a hole in the boat, the boat will ultimately sink, and even the innocent ones will perish as well. The whole class must be punished!”
I find his mother to be a difficult person and my nature is to stay away from people like that.
Here are some recipes to make your Chag La’Illanot a festive one.
Does standing under the chuppah signal the end of our dream of romance and beautiful sunsets?
We aren’t at a platform; we are underground, just sitting there.
When one is blind one learns to use Braille to read. When one cannot walk, a wheelchair gives mobility. Sign language allows a mute person to speak and ocular implants assist in hearing when one is deaf. These are all compensatory strategies that help a person function despite his disability. But compensatory strategies are not just for physical problems. Understanding our psychological weaknesses and setting up our lives to ensure that we are not tempted to repeat our past mistakes, is as necessary as any aid to the disabled.
Well spouses have often discovered that their friends and relatives, despite their closeness to the situation, often don’t realize the tremendous emotional impact living with chronic illness has on the family. With the best intentions, suggestions, ideas and criticism are offered, based on the non-experience of those with healthy families. Even when the good intentioned get a taste of the difficulties, it is sometimes not enough for them to then identify and understand what the family of the chronically ill must face on a constant basis.
Over the past two weeks I have shared letters from a therapist and a well spouse. Both of the letters gave personal insights into the process of losing hope, how we react when that happens and some ways of coping when test scores, diagnosis and just simple repetitive behavior indicate that change for the better is impossible.
I’ve read your last few articles on psycho-neurological testing (Oct.8-22) with interest. As a therapist who has counseled couples dealing with chronic illness, I’d like to give you another perspective.
Your articles on the Neuro-Psychological Testing were right on (October 8-22). My husband underwent testing twice and your articles explained it things exactly the way they were. Besides the test, we also tried therapy.
Very often when we can’t face our big hurts or big loses we focus on the little ones. We can discuss those. We can cry over the small loses, be angry at the smaller hurts even though it may look trite and sound ridiculous to others.
Over the last two weeks we have been discussing one way in which well spouses can determine whether behavior displayed by their ill partners is caused by their illness or is a way they have chosen to act. We have focused on Psycho-Neurological testing, what it can tell us, as well as its pros and cons.
Last week I discussed a question that haunts many well spouses: not knowing if the difficult and often inappropriate behavior frequently displayed by their partners are caused by the disease and therefore not-controllable, or if the behavior is a choice the spouse makes and can therefore be changed. This doubt can be the source of much frustration and many marital disagreements. One way of alleviating this doubt is by having a psycho- neurological work up done. But that path is not so simple.
Printed from: http://www.jewishpress.com/sections/magazine/a-doctors-perspective/2009/08/19/
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