Laguna Honda Hospital Resident

Laguna Honda Hospital Resident

Tuesday, December 30, 2014



---We the people of Laguna Honda (staff, residents and volunteers) in order to give the taxpayer his fair shake in all-of-this provides that we will all do the best job possible to create a therapeutic environment that bespeaks ‘’wellness’’ at every turn.

---Our objective is to get the best from each resident as they are maintained in our hallowed halls. We realize that each patient/resident is equipped differently and brings his own set of needs and preferences with him, for better or for worse. He/she is pointed toward improving the quality of his/her life…no matter what that may be.

---It is understood and accepted that the staff and volunteers are here to best make that happen (for the resident/patient) in a way that brings results and that are agreed upon by the parties concerned. That includes the resident/patient himself unless a different course of action is in play (conservator, etc.)

---We understand and accept that a certain amount of funds are set aside for this purpose. The funding is used to create that aforementioned therapeutic environment.

---The purpose of this document is to clarify our purposes for being here in the first place and to make a harmonious environment through our interactions that has ''therapeutic'' as a common goal.


Wednesday, December 17, 2014


Where Does Frustration/Stress
Come From?

---Frustration/Stress does NOT happen when the events of our life give us meaning, satisfaction or an enjoyable experience. If we've spent a certain amount of time with someone/something very special and we enjoyed quality time...then we probably have a pretty stress free relationship. If this is going on then we undoubtedly feel very good about things.

---When it is NOT this and the excess energy that is produced by the interaction finds a place that affects us negatively...we may say that we are acting stressed or frustrated. When the energy produced by our relating to someone/something is negative it causes frustration/stress and can be known as a stressor. An energy is negative or positive depending on its affect on our demeanor.

---It once again must be said that negative or positive comes from how we view what it is that we are interacting with. We usually have a good time with things we like and a bad time with things we don't like.

---To work on our perspectives and how we view things...we go to our values, attitudes and behaviors. These govern the way that we see things. Be Well.

Monday, December 15, 2014


''First-Hand'' Experience

---FRUSTRATION is something that I'll bet EVERYONE knows about from a First-Hand experience. It seems to be one those things that we, as humans, deal with much or most of the time. Who hasn't dealt with some sort of FRUSTRATION?

---I've done a lot of thinking on the subject lately, and I see it is potentially there in ALL situations. You have one ''plan'' while someone has ''another.'' When they meet, someone is not going to be satisfied. FRUSTRATION. Since both expected their plans to work, someone is going to have to compromise. How well one ''Compromises his Expectations,'' seems to play a part in it. This is a part of the ''give'' and ''take'' of everyone's life. We learn from these experiences. We soon see which cards to hold and which to fold.

---We set out to go from point A to point B. Something gets in the way-a Roadblock. We can NOT go from A to B, smoothly. Something ''frustrates'' the situation. The Roadblock.
---A ROADBLOCK Hinders Smooth Travel.
---Much Depends On Relationship With ROADBLOCK.
---If we have a ''good'' relationship with the Roadblock, then the problem is less. If we can't stand the Roadblock, then the frustration is more. It seems to work like this in all our frustrations- big to small.

---For example, you sit down to a hot meal. A to B is to eat the meal hot. Telephone rings-Roadblock. How you deal with the Roadblock in this case is how well you deal with this particular A to B. Your level of frustration will reflect this. If the ''call'' goes well or not is seen in how frustrated you are. Some of us are frustrated before the meal even enters the picture. Maybe better days were put on hold a long time ago.

---Improve Relationships To ROADBLOCKS That Occur.
---It seems that if we want to be less frustrated that we should ''improve'' our relationships with the Roadblocks that come up. Or, maybe it is time to make right roadblocks that have come up in our past. If we see the same ones a lot, maybe we should look at our A to B, and be sure we are going with the ''best'' A to B, the ''best'' situation, we can. Be Well.


I Talk About The STROKE,

--- A Dictionary Definition of ''Frustrate'' is - To make worthless or nullify. To thwart. This is very important to me and I think to many others, and it seems to be one of those situations that governs the other things that we do. I see where it applies to my own situation and I will share it with you.

---''One Time, Pretty Normal.'' - EXPLAINS -

---Not too long ago, I was pretty much ''normal'', whatever that is. By ''normal'' I mean, I could walk around, see properly and had balance without the aid of a wheelchair or any other device. I did have high blood pressure that was untreated, and I did smoke. This was not a good combination as both, probably, contributed to my Stroke. I'm sure. In any case, I'll bet it didn't ward it off.

---In any event, I was doing alright. I could do much of what I wanted to do and I was not being particularly- ''thwarted.'' There was not a whole lot of frustration to deal with. For the most part, things went along fairly smooth.

---June 2, 2002, I had a ''Stroke.'' I was 51 years old at the time, a bit on the

young side to have this happen. A thumbnail view of what occurred is that I bled into the brain-stem area [where the brain and the spinal cord meet]. My mobility changed big time and I have had double-vision ever since.


---This is where the ''frustration'' comes in. It is in the fact that I can no longer do what I could do. I am being thwarted, so to speak. I will also bet, and I'm sure its a safe bet, to say that most of us feel we are in the same boat, at least at times. We can no longer do what we could do. We feel thwarted and frustrated. If we take this a step further, I'll bet many of us can put our ''hopes'' and ''dreams'' into this category, too. The things we wanted to do, but never did. This is also the breeding ground for ''frustration.''

---Feeling frustrated is one of those big ones that we see most people have to contend with much of the time. Think how often it comes into play on a short drive. It is not just reserved for stroke patients or people with an illness. We can see the way it pervades our Society. We make plans to go one way and we go another. Every day-to-day thing we seem to do seems laced with the potential for frustration. We are doing what we want and are interrupted. It leaves us with loose ends that are just ''hanging'', needing to be resolved. Many of us have placed ourselves on ''hold'' and never have quite gotten around to ''fulfilling'' what is still there.

---To BE Jesuit Priest, At One Time.

---I was going to be a Jesuit priest at one time, which, to me, involved this kind of writing and giving retreats. It, in some sense, was a place where this type of thinking and communication was taking place. There is no point in beating myself up over this. Acknowledging the truth-of-the-matter is a very good place to start. I then realize that going another way has yielded a certain knowledge, also, and has had riches of its own. I have learned either way. To go one step further, maybe going the ''other way'' was my path to begin with. Its funny that we learn certain things in spite of ourselves. It sort of happens in ''another way.'' Be Well.

Why Am I So frustrated?

---We must first find out what we mean by frustration? To me, it means this; we want to go and do something, and something gets in the way. We want to go from point A to point B - but something is an obstacle to this. We want to do this and we end up doing that. We frustrate the doing of ''this.''
---Frustration touches our lives in so many ways. When we are interrupted in making our plans, it is there. When we are interrupted in carrying them out, it's there. When someone starts talking when we're talking, it's there. When we are made to wait or make someone wait, it's there. How many times have you been doing something you thought important, and the telephone rings? It's there, too. Anything taking you from where you were and makes you deal with something completely different, it can be there. The situation, point A, is frustrated, unless you would rather be doing point B to begin with. In this case, why did you start at point A? It is in every detour, every speed bump, every time we are told to hurry. We Make FRUSTRATED And FRUSTRATING Choices That Go In Line With The General FRUSTRATION That We Carry With Us. I would guess there are almost infinite possibilities where frustration can rear its head. I'd also like to point out that I am not exempt from any of this, I just happen to be the one writing this essay.

---I myself use humor to make things more palatable to me, but I know all too well that every ''joke'' has a brunt to it. Be careful along these lines. It is very easy to find someone who doesn't find your quip amusing, and you find yourself offending others where you don't intend. It is important to know your audience or have a general feel for the situation you are in. We learn as we go along, but that doesn't excuse hurting someone else. Being sensitive to everyones hang-ups can put a damper on an evening, also, so I guess why it is said, ''don't hurt anybody.'' In a world where political correctness has so much clout, watch out.

---I get down to the situation that I seem to go to about every time. To me, the answer is- to Love. Flexibility and Love. Frustration is the problem and Love is the answer. Have you ever noticed that your patience level goes up if you ''care'' about the situation. When a child or Loved one is involved, it seems to be bit different. Love seems to be the thing we are frustrated from. Loving and caring. Caring and sharing. We want to Love and we can't. We want to be Loveable and Loved, and we aren't. We Love someone who doesn't ''feel'' the sameway we do, who would rather be ''friends.'' We find ourselves being Loved by someone we can't seem to Love. We would rather be ''friends.''

---HONESTY Will Always DEFEAT Frustration, EVENTUALLY

---It will come down to communication and relationship. If we were hitting on ALL cylinders ALL the time, we wouldn't have such a problem with this. The more Honest the Communication, the ''better'' and more Loving the Relationship. We would be more Fully Human and closer to our Personal Potential and we wouldn't struggle with frustration as we do. I have been thinking of things like this for a long time, but really have been taken aback two times. The importance that Love plays in our lives, especially the Unconditional Kind, and now, how Frustrated we seem to be in attaining this. It seems to expose another dimension to this thing called Living.
 Be Well.

Saturday, December 13, 2014

Wednesday, December 10, 2014


Values Usually Govern
Attitude + Behavior
---Our values usually govern our attitudes and behaviors. If we have a value system that sees our fellow man as being part of the family of man that we belong to…one tends to want the most for him. ‘’You want him to be The BEST that he can be.’’

---If we find ourselves competing and comparing ourselves with his achievements…we will find ourselves always working on keeping up with the Jones - or whatever ''IN'' EXPRESSION best represents that condition nowadays. It is easy to have jealousy and envy rearing its head in there. We, probably, will spend much time on whatever is trendy as opposed to thinking on your own.

---Values produce attitudes and hence we behave accordingly. As we wrote before - when we don’t like someone, these or this dynamic is what we’re usually referring to. If that person behaved differently he would push different buttons in us and we would undoubtedly have a different experience of him. We would probably be responding to whatever different behavior that he is now using in front of us. Be Well.

Sunday, November 30, 2014


’Residentology 101’’

Dilemma and/or Dynamic

---I’m talking about being a resident…ANYWHERE. It could be a resident in a house, a street, a city, county, state, country or planet Earth…itself. We ALL have the same thing in common. It is the dilemma we as a people, we as a person - HAVE IN COMMON. It is this dynamic...


---If this happens properly, then the being in question can  ‘’move on’’ to his next step. If this doesn’t happen the way it should - ‘’That’s When The HEARTACHES Begin.’’

 ---The bad times begin or continue, because we will spend ALL of our time trying to be heard and/or being taken seriously. The ‘’enjoying living’’ part has yet to kick-in. Ultimately it is YOU that has to be satisfied + convinced that you are heard and being taken seriously. But, here is why other folks are so important in the scenario -


It really doesn’t work any other way.

---This really is self-acceptance. Once this dynamic is in place the amount of worry and grief that one has goes down immensely. Learning how to listen is a great + necessary skill.

Thursday, November 27, 2014

Saturday, November 22, 2014




---Recently…it has been asked of me what do I mean by communication? This was my answer. It is when the two sides have reached a unity of sorts on the subject they are speaking. The two have dealt with the walls that separate both factions and are now more together.

---Usually, we find folks so far apart that a different language may as well be spoken by each. Or, they can be of one mind - connected with very little (or zero) separation. Communication falls within these endpoints.

---The less interference and clearer the signal allows for a clear transmission and receiving of the information. When the information, itself, is copacetic between the two factions…we are ‘in like Flint.’

---The more open-minded we are finds us able to receive the transmission more clearly. The more narrow-minded we are usually means that we will less be able to consider the transmission made to us.

---The more honest that we are finds us to be more able to honestly communicate without trying to manipulate the other with some agenda that we may have. Most folks don’t communicate on that level of honesty. Many times others will try to get you to side with them trying to convince you that they, themselves, are correct. It is rare to find someone who is not selling a point-of-view or something that makes himself be right. Caveat Emptor - let the buyer beware. In this case…if you deal with honesty, a lot, it is easier to see when someone is just trying to sell you a bill of goods or being honest. The more honest and intelligent the TLC involved…the more open the lines of communication. Be Well.

[In the Kurt Vonnegut story (below) we see that if the Trafalmagorian was able to simply communicate that the house was on fire…it would have produced a much different outcome.]

Friday, November 21, 2014


The Planet Trafalmador -
''Communication Failure''
by Kurt Vonnegut
''Breakfast of Champions''


---Trafalmador is a distant planet. They are a peaceful lot who communicate by tap dancing and barking. They have heard of the problems that we have on Earth and feel they have answers to these.

---They sent a Tralfamadorian down to Earth in a flying saucer to help. He landed on a golf course. When he arrived he found the golf pro's house to be on fire. He lived right off the course and it happened to be at night. The pro was asleep inside.

---The Trafalmadorian saw the plight of the situation and went to awaken the golf pro. He rushed into the house and found the golf pro asleep. He wanted to tell him what was going on, so, he awakened the golf pro by tap dancing and barking by his bed. The golf pro got up and killed the Trafalmadorian with a five-iron BEFORE he realized that the house was on fire.

---Ladies + Gentlemen: this has got to be the most tragic case of failure to communicate that I have ever heard.

---By Kilgore Trout
---CENSOR: Paul H.


''Whew! That example was 'ORIGINALLY' way over-the-top!''

Tuesday, November 18, 2014

Wednesday, November 12, 2014



  1. New patient meets with Care Team, Care Partners, etc.
  2. New patient is assessed by Care Team and most therapeutic approach is decided upon by ALL players.
  3. Using the patients cognitive abilities, needs and preference...the patients first few days are mapped out by the Care Team.
  4. He is assigned a ''Go-To'' person who has very good working knowledge of the facility, itself, and the kinds of things the new patient will encounter in this new (to him) facility... especially – right away. The ''Go-To'' person is responsible to help give the new patient the sea legs needed to stand on his own (figuratively.) The ''Go-To'' person is the new patients contact person (at first) with/to the new facility (LHH.) The communication should always be as current as possible. The ''Go-To'' person is the liaison for the patient.

    1. The patient will be spending much of his time with Nursing Asst. or PCA. He/she is responsible for day-to-day unit life involving ADL's of patient. His daytime Care Partner should know the patient (and facility) well enough to help acclimate patient to his new surroundings. He helps make suggestions as to the kinds of things that may interest the new patient.
    2. The Activities Department provides different creative ways that the new patient can express himself. Everything is geared for the patient to spend his time having the best experience and most therapeutic time possible. It is about getting well and being independent enough to eventually rejoin society on an affective level.
    3. The patient has been schooled (formally or informally,) here, in a way that upgrades his decision-making skills to be more able to negotiate a lifestyle and maintaining it outside the facility (for a long period.)

Sunday, November 9, 2014



---I was asked to make the concept of symbiotic very simple.

In case you don't know, symbiotic – where the staff depends on the resident as much as the resident depends on the staff. To go a step further...the patient needs the staff to lead as normal a life (for him) as possible. The opposite is true for the staff. His job depends on the patient.
---The goal of the Nursing Home is for the patient to reach the highest and truest of himself. The patient should thrive + prosper according to his abilities, needs and preferences. The job of the staff is to make that happen...for the patient. Be Well.

Friday, November 7, 2014

MEANING of LIFE - Sequel (picwise)

''I wonder if they have CATs in space?''

Saturday, October 25, 2014


Patient/Care Partner

---We are finally working on communication between the staff and resident at the hospital where I live. To me it is a longtime in coming.

---The communication should be geared to making, in my estimation, the resident function at his best and highest. That which is truest of himself. The bar should NOT be so high he can't reach it NOR so low it decreases any abilities he may have. Each resident/patient is different so the bar should be set to consider as many traits as possible.

---The three components of communication are 1] The way you see it, 2] the way he/she sees it, and 3] what the two agree upon. These apply to the hospital situation in which I live in this way. The resident is the patient. That is the you that is mentioned. The he/she is his care partner or care giver or the person that the patient happens to be relating to at the moment. Much of the time it is his doctor, nurse or nursing assistant.  The patient spends most of his time with his nursing assistant.

---Here, again, I think the patient and care partner should sit down and hammer out what works and doesn't work in the situation. This is done so one can to get to know the other and NO surprises or false expectations are set up. Everything for the most part is up front and resentment doesn't build up on either side. I don't think that the importance of the nursing assistant (or any care partner) understanding the patient (and vice-versa) where possible, can be stressed enough. The better that this relationship the heart of the facility. It hugely impacts any healing that may take place.

---Summary: The patient and care partner spend time working out whatever is necessary to insure a good working relationship.

---The THIRD PARTY is involved (if necessary) by any discipline that INCREASES COMMUNICATION IN THE RELATIONSHIP. This could be in the form of a quote, reading material, music, psychologist, psychiatrist or anything that both sides agree upon that is facility friendly that enhances the relationship. Be Well!

Monday, October 6, 2014

Dr. LISSA RANKIN: Mind Over Medicine

---I would find it interesting to be at a discussion between Dr. Victoria Sweet and Dr. Lissa Rankin. I think that they would have much in common. It would be a good pairing and make for a good time.

Monday, September 29, 2014


Where Did Satisfaction Go?
---The old adage says that there is NOTHING more consistent than change. Change is really the only thing that we can count on. Of course, we do hope that the changes that are happening are in the general direction that we our self is pointing.

---That will next bring up the point that spending all this time in flux cannot help but have us dealing with a certain amount of discomfort. And, since discomfort of some sort seems to be in the mix…now, more than ever, it makes sense that we be more accepting of some of that discomfort.

---It seems that the ‘’job’’ of Madison Avenue was to be sure that we are constantly seeking pleasure while avoiding pain and television seems to routinely punctuate that fact. People never seem to be satisfied…anymore. Technology moving as fast as it does, doesn’t leave folks with any joy for having an item before the next bigger and better version is available. The art of savoring seems to have gone by the wayside.

---It seems to me that we could ALL do a great favor to ourselves and learn to have (and enjoy) what we already have instead of continually projecting forward to the next big thing that may be looming on the horizon. When we learn to ENJOY things in the present moment we more easily STAY in the present moment. We do ourselves a great service by NOT always projecting away. Be Well.

Sunday, September 28, 2014


What Realization Should Help Us Stop Hating?

---You can have one realization that stops you from disliking other people. It is the realization that keeps others off of any negative list we may have. Realization: You don’t hate or dislike the other person or people, but hate or dislike the behavior that is used.

---When you look into this a bit more deeply we find that it generally the behavior or attitude of other people (or our own) that causes ALL the problems. That’s what we find ourselves reacting to.

---To go a step further into this cave…we find that the values one has, directs what attitudes + behaviors the person uses. If the values change, than usually the attitudes + behaviors change.

---Attitudes + behaviors can be like coats folks put-on or take-off. If someone is doing something we don’t particularly like or saying something we find irritating they are probably wearing a garment from ‘’His Own Values Store’’ that we don’t like. The opposite is true if we find we like something.

---If we want to make changes in our attitudes and behaviors - we have to make changes in the values to insure any lasting changes are made. Peoples values are difficult to mess with as they reflect how they believe life works and are set very deeply inside. Wherever one truly finds himself in this crazy thing we call life and living PROBABLY/UNDOUBTEDLY has a value system that backs it up. And…it was PROBABLY/UNDOUBTEDLY set in place by a deep-seated reason why it is there. If we want the best for others than we will undoubtedly think good thoughts. If we don’t want what is best for others and treat them negatively, we will probably find that the way we have been treating others is the way we ’’are and will be’’ treated - negatively. It will be this way until…we make a positive change in our values…to remedy the situation. That’s why it pays well to treat others kindly or find out why we don‘t. Check your values! This could be the most important thing that you have ever done. Be Well.

(You will find positive values take root much easier than anything negative...if you tend to be positive)

Friday, September 26, 2014

Zig Ziglar - Attitude Makes All The Difference

---You may have heard of Zig Ziglar at one time or other in your life. He has lots of material. Enjoy!

Thursday, September 11, 2014

The GENTLE SMILE by Diane Berke

By Diane Berke
I accept myself completely.
I accept my strengths and my weaknesses,
my gifts and my shortcomings,
my good points and my faults,
I accept myself completely as a human being.

I accept that I am here to learn and grow,
and I accept that I am learning and growing.
I accept the personality I've developed,
and I accept the power to heal and change.
I accept myself without condition or reservation.
I accept that the core of my being is goodness
and that my essence is love,
and I accept that I sometimes forget that.
I accept myself completely, and in this acceptance
I find a ever - deepening inner strength.
From this place of strength, I accept my life fully
and I open to the lessons it offers me today.

I accept that within my mind are both fear and love,
and I accept my power to choose which
I will experience as real.
I recognize that I experience only the results
of my own choices.
I accept the times that I choose fear
as part of my learning and healing process,
and I accept that I have the potential and power
in any moment to choose love instead.
I accept mistakes as part of growth,
so I am always willing to forgive myself
and give myself another chance.

I accept that my life is the expression of my thought,
and I commit myself to aligning my thoughts
more and more each day with the Thought of Love.
I accept that I am an expression of this Love,
Love's hands and voice and heart on earth.
I accept my own life as a blessing and a gift.
My heart is open to receive, and I am deeply grateful.
May I always share the gifts that I receive
fully, freely,, and with joy.


Sunday, September 7, 2014

Dr. Victoria Sweet TEDtalk

---A very good example of how the life-force, the viriditas as Hildegarde of Bingen called it, the chi, the god-force, the cosmic-force, etc.,...will work in the body as it did for Terry Becker. All we must do is clear away those things that get in the way of this happening. We ALL have this within. Staff, resident, volunteer, butcher, baker and candlestick maker. From puppet, pauper, pawn and king. All of us. This means YOU. This means ME. Approach your friends with this kind of knowledge. Approach those in your charge if you are a care partner of any sort. Approach yourself with this knowledge. It has been well-documented throughout the ages. Dr. Sweet gives a beautiful example. We must clear away those obstructions (negatives) - whether ''mind, body and/or spirit.'' Kudos.

Originally Posted - June, 2013

Saturday, September 6, 2014

The Hidden Power of Smiling - Ron Gutman

---This TEDtalk speaks of the power that a smile has. Personally, when I had the stroke in 2002...the muscles that go into action when one smiles were deadened. For all-intents-and-purposes I cannot smile. When someone wants me to smile for the camera, I cannot. Folks immediately think that they catch me as that statement is so absurd to me that I laugh. That is the key for me. I can laugh...but, can't smile. I can feel joy but really can't facially express it. Luckily, the world doesn't depend on my having that ability when it is deciding to spin or not. BUT...if you see me making strange faces as I ride around in my's just my version of a smile. The Spirit is willing, but the flesh is weak.''
---All that being said, this is a great TEDtalk (less than 8 mins.) It left me smiling (SORT OF!)

Thursday, September 4, 2014

HEAD BUTLER - Dr. Victoria Sweet - (Click)

---Some of you may have seen this, but it was new to me. A very positive article from the Head Butler

Quote from Head-Butler - ''The Bad Boys + Bad Girls of LHH...if treated with dignity either sweetened their days or, on occasion, turned their lives around.''

Monday, September 1, 2014

NURSING HOME ETIQUETTE - What the Professionals Say?

Professional Etiquette for Nursing Homes (Click)

---I have been delving into what is being said about Nursing Home Etiquette from other perspectives. This site seems to cover a lot of different topics.

Friday, August 29, 2014


Make a

---That seems to be one of the latest ‘’things’’ to do. It is quite fashionable to make a homeless person…smile. Having been homeless for a time, I think that is a wonderful thing to do. I remember when folks gave me money, meals or directed me to places to stay…how grateful I was. At times a blanket. A bottle of soda, candy bar and a smile…would sometimes do it. Practically ANYTHING! Onetime a woman brought me a KFC meal. It felt great…especially on top of a couple days of NOT eating!

---BUT…I would like to talk about being ‘homeless’ as opposed to being ‘houseless.’ Most times they are confused. Being houseless means that you don’t have a place to stay. It is usually a structure where we keep our stuff. It can sort of be our headquarters.

---Being HOMELESS can designate a different condition. If we think of being at home as that warm fuzzy feeling that has well-being written all over it. A place where you feel understood and accepted at every turn. That’s what I’m talking about. It is, probably, the mindset that the person who wrote ‘’Home Sweet Home’’ had. It, usually, has a mothers-type - LOVE - seal of approval (ideally, of course.)

---If one finds that home within himself/herself…than he has that feeling of being at home…basically, all the time. He brings his home with him/her, everywhere he goes…because he is ALWAYS AT HOME. You may have met people like that. They are usually ‘’comfortable with themselves,’’ all or most of the time. Be Well.

 Reposting from July - 2013

Sunday, August 24, 2014

Amy Van Dyken Rouen speaks to the press June 2014

---Her ATTITUDE is AMAZING! This greatly adds to the fact that she is so fit physically, mentally and spiritually!

Friday, August 22, 2014


---Communication is the cornerstone of ALL relationship. The

rapport created by the interaction is of utmost importance. The

objective of ALL communication is to convey one's message or

thoughts clearly to another in as pleasant a manner as possible.
---The role of the resident is to clearly convey his thoughts and message as clearly + as briefly (to the point) as possible. To be willing to work out (through a kind of compromise) a pleasant solution (for a timeframe the PCA is able to carry out the needs and preferences of the resident.) The commitment is the fact that this is what the care partner's job description says that he/she is hired to the very least. (The quality of the interaction is the measure of the degree of the pleasantness involved.)
    1. Communication - To convey WHAT is necessary as clearly and briefly as possible
    2. Compromise - WHEN the task can be carried out. It is worked out to maintain a copacetic environment. (Remember that that particular resident is NOT the care partner's only patient.)
    3. Commitment - The quality of the interaction is simply the PLEASANTNESS of the exchange.

    1. Resident/Patient isn't many times clear on his/her needs + preferences. He can hem + haw a lot.
    2. Care Partner's turn to hew + haw about how busy they are. Patient usually say that need for item is immediate. The argument between the two can easily last longer than task argued about.
   3. OFTEN enter into dealings with each with MANY ASSUMPTIONS...that are NOT accurate. Neither side is very objective...much of the time.

Notes from a couple of recent meetings.


Thursday, August 7, 2014

Dr.VICTORIA SWEET - I haven't written of her in awhile - Click

---Dr. Francis Peabody quote (1929) - ''One of the essential qualities of the clinician is his interest in humanity, for the secret of the care of the patient is in the caring for the patient.''

Sunday, July 27, 2014


‘’When The State Comes Marchin’ In’’

(I had the opportunity to share much of this with Mivic H., today 7/30)
---When the auditors from the State of California come to Laguna Honda…they are here to basically check on how well the facility as a whole (the staff) is caring for the resident. They have a list of questions that they ask the residents (the patients are called residents) to find this out. When the State talked to the residents this years things were more subdued than they have been at other times.

---The State Surveyors seem to be looking for situations and names (people they can sternly speak with) rather than spending time on concepts and generalities that one may find me focusing on.

---At the meeting…the statement was made - ‘’the staff becomes a whole lot nicer when the State is here. It is like day-and-night.’’ Well…that seems to be true.

---The State comes to LHH to check on business as usual WHILE everyone on the staff is suddenly at-the-top-of-his-game. ATTENTION IS PAID. The environment is much, more therapeutic than it is at other times. (One must remember that I am a long-term resident…so, I don’t doubt that my view is a bit slanted.)

---My wish isn’t much different than it is at other times. I wish that the powers that be would open-up a dialog of concerned patients and staffers and create a situation (for all intents and purposes) that resembles Laguna Honda when the State is here. That would seem a good place to start. What has happened and is still happening - the powers that be PROJECT what things must be like for the patient. They ASSUME that this point-of-view is the only and best pov that exists. If people were ALWAYS on-top-of-their-game…there would be NO PROBLEM. But...that is NOT always the case. (Everyone has the ability. This has been proven.) Be Well.

(I reserve the right to make necessary changes in the article)

Some are always on-top (of their game.) But, others only when the situation calls for it. It seems that if the auditors were always present it would be a different scenario. 

My pov sees that there are some very sick folks at LHH...and NOT attended to correctly, can negatively impact the situation. Some workers would be happier doing something else.