Thursday, March 25, 2010

the Why Technique

Why technique. A simple took used to analyze and approach problem solving. The Why Technique is used to ID potential and preventable root cause or a reoccurring problem

1. Focus on the problem

2. Ask “Why did this problem occur?” , to uncover first-level causes.

3. Repeat asking “Why did this problem occur?” for each cause to uncover a next layer cause.

4. Strive to uncover multiple causes for each level

5. Continue to ask “Why?”, until the root cause is identified

Thursday, March 11, 2010

If you are a non-planner or a risk-chooser, its very possible to end up in the worst nursing homes or become the greatest burden to your children.

The path to long-term care planning is the hardest issue you will face. The toughest and biggest boundary saved for the final days of our lives…tada it’s healthcare! But with proper life choices, it is very possible to position yourself for a fulfilling end-of-life.

End-of-life, if it seems far off, this article is not for you. If you are a non-planner or a risk-chooser, its very possible to end up in the worst nursing homes or become the greatest burden to your children.

Not very uplifting news? Here is one way to overcome healthcare obstacles during our end-of-life. The step to care planning begins with a label. Are you a non-planner, pre-planner, planner or risk-chooser?

First, could DEPENDENCY ever happen to you? Does your care-plan start with a perception of vulnerability?

Second, should you concern yourself now? Those who say yes, have a perception of timeliness.

Third, is it your responsibility? Will you place a burden on your family, others or the government?

Fourth, who has control of your healthcare? Who assumes responsibility for your future care? Is it you or is your fate in the control of others?

Do you have adequate information and is your perception of resources imagined or calculated? Do you have an understanding of options, programs or eligibility requirements?

Do you have the needed resources? Will your burden be shared by your family, church, insurance, government and medical? Or will you place the weight on one of these only?

Areas of planning involve financial, social and comprehensive. Perceiving that one might need long-term care is NECESSARY to begin planning according to Suzanne R Kunkel and Valerie Wellon et al.

Without a perception of personal relevance, all relevant information, ideas and scare tactics, will be regarded as “stories about others.” Not all focus group participants demonstrate a sense of vulnerability to long-term care dependency, BUT ALL ACKNOWLEDGE THEIR OWN MORTALITY.

Non-planners never think about the possibility they might be vulnerable. Many nursing home residents find themselves “surprised” to need long-term care. A good-healthy, active lifestyle and history of family longevity of non-planners, contributes to a sense of invulnerable to dependency

What triggers a sense in pre-planners, planners and even risk choosers? Some planners have witnessed examples of planning now and some have witnessed consequences of waiting until it’s too late. Some think that the responsibility for their care is the family’s and they are unlikely to take personal responsibility. Some say that in OUR family, “every generation” we will never live with our children.

Participate in Pre-planning activities? More tomorrow.

Thursday, March 04, 2010

Bed sores come in stages and always start with a small-red skin breakdown of some type.

Bed sores are also call Decubitus or decubes. Bed sores come in stages and always start with a small-red skin breakdown of some type.

This small-red patch starts from low blood circulation, low activity levels with long periods of bed rest or wheel-chair bound with long periods of sitting. I do not know if medication can increase the chance of skin breakdown.
I do know this, when you see skin irritation on an Elderly person, when you see bright-red marks that resemble folds or pinches of skin, you MUST address the issue or it is guaranteed the skin will breakdown. You have 1-2 days to fix the problem to avoid the bed sore from breaking out or getting worse.


1. Massage the skin around the bed sore. Cream and air are necessary to heal. Air is necessary to dry the sore, since what caused the sore is most likely PRESSURE, DAMPNESS and DARKNESS.

2. Release the pressure, which means often moving the Elderly person and adjusting them to position every 1-2 hours and document. Release the pressure means moving the are or leg constantly to avoid resting directly on the bed sore.

3. Use pillows or foam to create a pocket of air used to alleviate any pressure on the wound.

4. Give the resident plenty of water and though they might not want it, they must continue to hydrate.

A bed sore can tear your skin down but it is also despairing to have a wound on your skin that shouldn’t be there. And too often, the Elderly person is battling many issues and just one small bed sore can take someone to the point of AMPUTATING a leg. It happens everyday. Do not neglect a wound or bed sore EVER EVER EVER.

Tuesday, March 02, 2010

Will YOUR choice be inflicted on you as in many Elderly lives today?

So I wrote an article on bedsores a few years ago and I can’t find it, so this is what I remember. Have you ever sat still while watching TV or a movie and your feet or leg falls asleep. One reason this occurs is due to the lack of blood circulation in the extremities.

Now when you go to bed, do you know why we shift during the night? Its our body telling us to reposition ourselves to better regulate blood-flow, adjusting when necessary.

Before I talk about bed sores, let’s talk about choice. You can choose to exercise or walk during the day more to better regulate the flow of blood. You can choose to drink more water when you have a headache (which sometimes helps).

Now what if your great-grandparent or grandparent was bed-ridden in bed 18 hours a day? How would you give them choice? When you are old, do you want choice? Will you get lucky and get someone like me to help you? Will YOUR choice be inflicted on you as in many Elderly lives today?  to be cont.....