Laguna Honda Hospital Resident

Laguna Honda Hospital Resident

Tuesday, April 28, 2015


---This anecdote involving lollipops may clear up what I’ve been trying to say. There was a nurse one time who use to come to the General Store on a daily basis. She bought bags of lollipops. At the time we were able to sell 25 lollipops per bag at $0.25...or one cent per pop. A VERY GOOD DEAL INDEED.

---She was in charge of a very difficult unit at the hospital. We knew that. One day we asked her what she did with the pops? She found that dispersing them in a timely manner and using them as a reward for positive behavior, she was able to get the patients on her unit to focus attention and concentrate for increasingly long periods of time.

---She was using behavior modification and found it working very well. She had a happier and satisfied bunch due to using the lollipops wisely.

---The lollipops were doing much the same thing that I see the preferences are able to do. It is amazing what one penny lollipop was able to do. When you swap the lollipop (which has an almost universal appeal) for something that the patient actually wants and desires - one is able to easily get the patient to behave in a manner that may be more civil. Instead of being on the verge of tantrum and panic most of the time the patient is calmer and acts in a more reasonable way.

---On the unit I stay, a man brings one pre-wrapped sugar free chocolate candy for each patient once a week. The mood created by the chocolate for a period of time is something to behold. Everyone smiles and is happy for a short period. The affect is much the same as stated above. I feel the amount of behavior modification possible through the intelligent use of preferences has the ability to make big changes in behavior of the underserved population. Someone has to go into each person and finds what he responds to. In this way, I think that more folks will be happier and more satisfied and this reaps benefits for the hospital as a whole.

---This is just NOT limited to lollipop's + candy!
Everyone NEEDs a point person to be sure preferences are being met.

Monday, April 27, 2015




Make an impatient patient...patient!

Make a patient patient...impatient!

Keep a patient patient...patient!

Keep an impatient patient...impatient!

If you don't already know how to get desired results, it has to do with MEETING or NOT MEETING his/her preferences. Check to see the results. You'll find your answer very soon. The more wisely positive reinforcements are used will be reflected in the experience and behavior of the patient. 

The more regularly + more wisely positive reinforcements are used and preferences met, the more satisfied the patient's experience will be. The patient just acts better because he psychologically feels better.


Wednesday, April 22, 2015



A stream is wandering across the country, experiencing little difficulty in finding new places to go around rocks and through mountains. Then it comes to a desert. The stream tried to cross this barrier in much the same way as it had other barriers, but it did not work. When it ran into the sand, its water just disappeared and the stream had no identity. It tried many times but all attempts failed. The stream asked, could this be the end? Is there no way for me to continue?

Then a voice comes from the wind, “If you stay the way you are, you can not cross the sands. You will remain a quagmire. To go further you must lose yourself to find yourself again.”

“But if I lose myself, the stream anguished, “I will never know what I’m supposed to be.”

“On the contrary,” said the voice. “If you lose yourself you will become more than you ever dreamed you could be.”

So the stream decided to surrender to the sun and it evaporated into the heavens to form clouds, a sort of death. The clouds were carried many miles across the great desert. Then the stream poured from the clouds as cleansing rain upon the earth and formed a new stream that continued on its journey.

Author unknown

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Thursday, April 16, 2015

Friday, April 10, 2015

Kim Silverman Phd. - Apple Research Scientist

Making Magic Meaningful. He has other videos.