Tag Archives: planning

Dreams and Goals

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November 25, 2013

One of the amazing things we have been given as humans is the unquenchable desire to have dreams of a better life, and the ability to establish goals to live out those dreams. Think of it: We can look deep within our hearts and dream of a better situation for ourselves and our families; dream of better financial lives and better emotional or physical lives; certainly dream of better spiritual lives. But what makes this even more powerful is that we have also been given the ability to not only dream but to pursue those dreams and not only to pursue them, but the cognitive ability to actually lay out a plan and strategies (setting goals) to achieve those dreams. Powerful! And that is what we will discuss in detail this week: How to dream dreams and establish goals to get those dreams.

What are your dreams and goals? This isn’t what you already have or what you have done, but what you want. Have you ever really sat down and thought through your life values and decided what you really want? Have you ever taken the time to truly reflect, to listen quietly to your heart, to see what dreams live within you? Your dreams are there. Everyone has them. They may live right on the surface, or they may be buried deep from years of others telling you they were foolish, but they are there.
So how do we know what our dreams are? This is an interesting process and it relates primarily to the art of listening. This is not listening to others; it is listening to yourself. If we listen to others, we hear their plans and dreams (and many will try to put their plans and dreams on us). If we listen to others, we can never be fulfilled. We will only chase elusive dreams that are not rooted deep within us. No, we must listen to our own hearts.
Let’s take a look at some practical steps/thoughts on hearing from our hearts on what our dreams are:

Planning

“I find it fascinating that most people plan their vacations with better care than they plan their lives. Perhaps that is because escape is easier than change.”

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“If you don’t design your own life plan, chances are you’ll fall into someone else’s plan. And guess what they may have planned for you? Not much.”
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“The reason why most people face the future with apprehension instead of anticipation is because they don’t have it well designed.”

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The guy says, ‘When you work where I work, by the time you get home, it’s late. You’ve got to have a bite to eat, watch a little TV, relax and get to bed. You can’t sit up half the night planning, planning, planning.’ And he’s the same guy who is behind on his car payment!”

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“Without constant activity, the threats of life will soon overwhelm the values.” – Jim Rohn
Take time to be quiet. This is something that we don’t do enough in this busy world of ours. We rush, rush, rush, and we are constantly listening to noise all around us. The human heart was meant for times of quiet, to peer deep within. It is when we do this that our hearts are set free to soar and take flight on the wings of our own dreams. Schedule some quiet “dream time” this week. No other people. No cell phone. No computer. Just you, a pad, a pen, and your thoughts.

Challenge to Succeed
Think about what really thrills you. When you are quiet, think about those things that really get your blood moving. What would you LOVE to do, either for fun or for a living? What would you love to accomplish? What would you try if you were guaranteed to succeed? What big thoughts move your heart into a state of excitement and joy? When you answer these questions you will feel great and you will be in the “dream zone.” It is only when we get to this point that we experience what our dreams are.
Write down all of your dreams as you have them. Don’t think of any as too outlandish or foolish— remember, you’re dreaming! Let the thoughts fly and take careful record.
Now, prioritize those dreams. Which are most important? Which are most feasible? Which would you love to do the most? Put them in the order in which you will actually try to attain them. Remember, we are always moving toward action, not just dreaming.
Here is the big picture: Life is too short to not pursue your dreams. Someday your life will near its end and all you will be able to do is look backwards. You can reflect with joy or regret. Those who dream, who set goals and act on them to live out their dreams are those who live lives of joy and have a sense of peace when they near the end of their lives. They have finished well, for themselves and for their families.
Remember: These are the dreams and goals that are born out of your heart and mind. These are the goals that are unique to you and come from who you were created to be and gifted to become. Your specific goals are what you want to attain because they are what will make your life joyful and bring your family’s life into congruence with what you want it to be.

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This is a wonderful article by the Life Planner, Jim Rohn. I hope you enjoyed it. For those who celebrate Thanksgiving, I pray you have a blessed one with your family and friends. Shirley

Long Term Care, Part 3

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The numerous complaints called into a state office is usually held until survey time unless there has been harm or potential harm to the patient.  One or more surveyors will go to a facility and pick a number of residents including the one the complaint
was about.  Trying to prove a complaint can be very difficult.  Let’s say mom told you they are not changing her at night and she is laying in a wet bed all night long.   First thought  you have is, how dare they do that to my mother.

You go to the Director of Nurses and you tell her the staff is not changing your mother at night.  She then tells you it will be
taken care of.  She instructs her staff in checking and changing the patient’s every two hours.  It is well documented in the patient record.  You go back in a few days and mom tells you the very same thing.  This time you are livid, and you will take care of it, so you call the state and complain.  Unless the patient has a bedsore, the state will probably hold that complaint until the next survey and then look into it.

So now you are frustrated because you think the state doesn’t care and is just blowing it off.  Finally the survey happens and someone from the state calls you and tells you that your complaint is unsubstantiated.  You just can’t understand this at all because you know they are not changing mom at night.

Let me explain a little to you about what has to be looked at, and what has to be there in order to prove your allegation.

1.      Mom’sinitial and subsequent evaluations has your mom coded as incontinent.

2        Does your mom have any skin break down.  Has she had previous breakdown and if so did it heal properly.

3.    Has your mom had any urinary tract infections.  Females tend to develop UTI’s more frequently if not changed.

4.    What is your mothers mental status.  If the evaluation the facility has completed, has her sometimes confused, then that can be one of the factors that will cause a complaint to be unsubstantiated.

5.     What documentation does the facility show on her record.  They have shown the patient is checked every two hours and dried when necessary.  The argument can be, it is not our fault we go in to change her and she is not wet, and then after we have gone she wets on herself.

Unless you can prove beyond doubt that care was not provided.  You can’t substantiate the complaint. On the other hand let’s say mom developed a really deep bed sore from lack of care.  The facility can be given a deficiency.  They would be required to fix the problem for the person named in the complaint, and anyone else who could be affected.  They would have to devise a plan to make sure it doesn’t happen again and who will be monitoring do make sure it doesn’t happen again.  This is all put on a form on sent to the state and the federal government.  Usually within thirty to sixty days someone will go back in and make sure the plan was put into place and everything is done appropriately.  If it is not corrected then fines can be put in place by the government.

If it is never corrected to the satisfaction of the state, then the facility can go into the process of being shut down.  Sometimes, facilities will sell and the name will change and all of the previous problems will be wiped clean.  The new facility will have an opportunity to go through the whole process from start to finish.  If they took care of it, then all is well.

The Nursing Home Association has a very powerful lobby in Washington DC.  They keep a lot of rules and regulations from passing they feel could harm the industry.  As you can probably surmise, the care of our geriatric population is very omplicated.
It is overrun with many problems and it’s a constant struggle.

I don’t want anyone to misunderstand my feelings here.  I know there are some very good facilities in this country that take excellent care of their residents.  They have loving caring staff that does what it takes to provide the needed care.  I also know they are facilities I would not let take care of my dog, much less one of my loved ones.

I am fortunate in that I have a family of nurses and care givers and my parents or one of my immediate family will not go to a nursing facility.  I know everyone does not have that choice.

Be planning ahead, and if you have to find a facility then  look at it very seriously.  The years previous survey has to be posted for public view, that is law.  Look at the survey, go at different times of the day and observe what they are being served at meal time.  If you enter the facility at 9:00 in the morning what does it smell like.  You are always going to have some odor on the hall just because of someone being changed at any given time.  It should not remain in the air consistently.  How clean is the facility kept?  Are people sitting around in wheelchairs parked in front of the nurses’ station?  What type of activities do they have going
on.  Are they appropriate for the mental and physical abilities of the patients.

This is only the tip of the iceberg, and I hope and I have give you some information you can use, as well as educate you a bit.  We have some major problems to overcome, when it comes to the care of our geriatric age group.  It takes a very special person to go into long term care and stay.  We have to do our best and keep striving to make things better for those who can no longer
care for themselves.