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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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Anna Henriques, who hopes to one day head back to Jamaica, says, “Rabbi Raskin must be willing to respect what exists in Jamaica. The way to the future is to gently bring in the traditions of the past and at the same time embrace the idiosyncrasies of the Jamaican people.”
The Silver Platter has it all: gorgeous photography, oodles of useful tips and, more importantly, incredible recipes that you will find yourself making again and again.
It is very hard to build a healthy marriage when you do not have good role models.
We tend to justify and idealize this division with pride attributing these tendencies as demonstrating a higher level of kedushah.
Everyone in the kehilla can get involved, she added, and mothers can network with each other.
On her first ever trip to Israel last week, popular radio talk-show personality and clinical psychologist Dr. Joy Browne, whose spirited broadcasts regularly attract millions of listeners across North America, paid a visit to OneFamily headquarters in Jerusalem in order to learn more about the physical and emotional challenges faced by victims of terror in […]
With the famous Touro Synagogue, a variety of mansions, each with its own distinct personality, as well as the beautiful coast, Rhode Island makes for an excellent vacation spot.
To avoid all this waste and unnecessary anxiety, let’s break the task down step by step and tackle each one at a time.
While there are those who insist they need full-color photos to be truly entranced by a recipe, I suggest you get over that particular requirement because the written word here will draw you in and cause you to salivate as you peruse the recipes scattered throughout The Well-Spiced Life (Israel Book Shop).
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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