Monday, November 25, 2013

"Be still, sad heart, and stop repining; behind the clouds is the sun still shining."



Like the dreary day that it is today....gray,cold and gloomy...
such is my life with illness.
My mantra for now>

by Longfellow...

"Be still, sad heart, and stop repining; behind the clouds is the sun still shining."

The Rainy Day

by Henry Wadsworth Longfellow (1807–1882)


THE DAY is cold, and dark, and dreary;
It rains, and the wind is never weary;
The vine still clings to the mouldering wall,
But at every gust the dead leaves fall,
And the day is dark and dreary.

My life is cold, and dark, and dreary;
It rains, and the wind is never weary;
My thoughts still cling to the mouldering Past,
But the hopes of youth fall thick in the blast,
And the days are dark and dreary. 



Be still, sad heart! and cease repining;
Behind the clouds is the sun still shining;
Thy fate is the common fate of all,
Into each life some rain must fall,
Some days must be dark and dreary.

Friday, November 22, 2013

Medical Emergency Information I.D. card..................

I am working on designing a 'calling card' for myself to give to other people that I meet that includes general information I wish to share as it is increasingly more difficult for me to communicate verbally.

A 'calling card' can be  VERY helpful to those of us with ALS and other medical conditions.....

BUT...

I am thinking it may not hurt to have a separate identification card that I  can carry upon my person to show to other people.....that contains more pertinent information (beyond just a list of current medications)... related to medical issues...
This would be in addition to the medical information bracelet that I already have.  
The cards would be good for my family members to carry...in case we are together when a medical emergency may occur  and I cannot communicate .
...something for them to have handy to present to the medical provider etc. when it may become difficult to pass along information due to stress etc..

Here is a website I found quite helpful:

http://www.wikihow.com/Maintain-Emergency-Medical-Information  

an example of a medical emergency I.D. card>


I like the idea that I can have personalized cards made like a business card....
with the information I want on it 
as well as being able to pick a decorative style / design that is appealing to look at as well.....

vistaprint >>>>
http://www.vistaprint.com/vp/ns/default.aspx?GP=11%2f22%2f2013+10%3a16%3a06+AM&GPS=3018397140&GNF=1


^^just happens to be one example of the many online website business that sell this type of product.

Wednesday, November 6, 2013

today 4pm Hospice / Palliative Care visit to our home for consultation...

later today 4pm  Hospice / Palliative Care visit to our home for consultation... 
as was recommended by Ohio State Medical Center

NHPCO's  (National Hospice and Palliative Care Organization)
Standards of Practice for Hospice Programs describes palliative care as:
Treatment that enhances comfort and improves the quality of an individual’s life during the last phase of life. No specific therapy is excluded from consideration. The test of palliative care lies in the agreement between the individual, physician(s), primary caregiver, and the hospice team that the expected outcome is relief from distressing symptoms, the easing of pain, and/or enhancing the quality of life. The decision to intervene with active palliative care is based on an ability to meet stated goals rather than affect the underlying disease. An individual’s needs must continue to be assessed and all treatment options explored and evaluated in the context of the individual’s values and symptoms. The individual’s choices and decisions regarding care are paramount and must be followed.

additional link for information on this subject:

http://www.getpalliativecare.org/rightforyou/

What Is Palliative Care?

Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis. The goal is to improve quality of life for both the patient and the family.
Palliative care is provided by a team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support. It is appropriate at any age and at any stage in a serious illness and can be provided along with curative treatment.

Improves Quality of Life

Palliative care treats people suffering from serious and chronic illnesses such as cancer, cardiac disease such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), kidney failure, Alzheimer’s, Parkinson’s, Amyotrophic Lateral Sclerosis (ALS) and many more.
Palliative care focuses on symptoms such as pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, difficulty sleeping and depression. It also helps you gain the strength to carry on with daily life. It improves your ability to tolerate medical treatments. And it helps you have more control over your care by improving communication so that you can better understand your choices for treatment.

A Partnership of Patient, Specialists and Family

Palliative care is a team approach to care. The core team includes doctor, nurse and social work palliative care specialists. Massage therapists, pharmacists, nutritionists, chaplains and others may also be part of the team.
The team spends as much time as necessary with you and your family. They become a partner with you, your family and your other doctors. They support you and your family every step of the way, not only by controlling your symptoms, but also by helping you to understand your treatment options and goals. Working together with your primary doctor, the palliative care team provides:
  1. Close communication
  2. Expert management of pain and other symptoms
  3. Help navigating the healthcare system
  4. Guidance with difficult and complex treatment choices
  5. Emotional and spiritual support for you and your family

Talking to Your Doctor

If you or a loved one has been diagnosed with a serious illness, you may benefit from palliative care. Speak to your doctor and ask for it. Bring the handout with you,  since not all doctors are familiar with palliative care and its many benefits.
***************************************************************************

Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms including
  • Pain
  • Shortness of breath
  • Fatigue
  • Constipation
  • Nausea
  • Loss of appetite
  • Problems with sleep
It can also help you deal with the side effects of the medical treatments you're receiving.
Hospice care, care at the end of life, always includes palliative care. But you may receive palliative care at any stage of an illness. The goal is to make you comfortable and improve your quality of life.
NIH: National Institute of Nursing Research
***************************************************************************

BROCHURE>>>>

http://www.ninr.nih.gov/sites/www.ninr.nih.gov/files/palliative-care-brochure.pdf

Yesterday was one of the better days I have had for quite sometime 

I had appointments at Ohio State Medical Center to be fitted for a Permobil Power Wheel Chair 
and
met with my Speech Therapist to discuss AAC <> Augmentative and Alternative Communication (AAC)

THEN! 
Brent took me to the Great Cuts salon near to home where I had my first out of home hair cut in a number of years (Brent usually trims/cuts my hair).
My hair was just past shoulder length and is quite thick.
The last several times I shampooed it in the shower....it took way more effort than it should have....to the extent I had to call my  husband to the shower to give me some assistance this last time for the first time.  I had breathing issues as well as balance problems and became tired  too much and too quickly.  That made for an unpleasant experience.


Will get into more detail about all this separately a little later.

Monday, November 4, 2013

part 1 COMMUNICATION AAG <> Augmentative and alternative communication

I own a Kindle tablet.  I also own a Nook (Barnes & Noble).  They both have their positives as well as negatives as to their functions.

At the time these were purchased,,,,,ALS was not in my vocabulary.  I purchased them for pleasure first as I like to read, play some games (Angry Birds and Bejeweled etc.) and also for work/reference....
never, suspecting that I may be using one or both for survival.

What am I referring to?

COMMUNICATION

AAG  <>   

Augmentative and alternative communication


OK, I am getting ahead of myself with the Kindle and Nook.........

for the moment, please look at the following article to get into the definition a little bit more, so that I can then move into the info about the Kindle and Nook...................

click on and go to the following link:




NeuRx™ RA/4 Diaphragm Pacing System

Last week, when I went to my appointment with Dr. Sanderson at OWU we discussed many things and this was just one of them>>>
I may be a candidate for this....

PLEASE read>>>

https://mail-attachment.googleusercontent.com/attachment/u/0/?ui=2&ik=e4835d1ec9&view=att&th=14223aa500fa1323&attid=0.1&disp=inline&safe=1&zw&saduie=AG9B_P-NkpwTwLMhEbc0ysYZitC0&sadet=1383579320062&sads=IDPYyNXWDRhzDE-MFUKCqtuFsGg

NeuRx™ RA/4 Diaphragm Pacing System:
Product technical manual must be reviewed
prior to use for detailed disclosure.
INTENDED USE
The NeuRx™ RA/4 is intended for use in
patients with stable, high spinal cord injuries
with stimulatable diaphragms, but who lack
control of their diaphragms. The device is
indicated to allow the patients to breathe
without the assistance of a mechanical ventilator
for at least 4 continuous hours a day. For use
only in patients 18 years of age or older.
The day I returned from my last visit at Cleveland Clinic 

I found these on the kitchen island from my son Andrew>


:)