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terrisloanclark

~ "Hard Won Pearls"

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Monthly Archives: November 2013

I love Electronics in Home Care!

25 Monday Nov 2013

Posted by terrisloanclark in Nostalgia

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EMR, home care visit

I can get so much more done with the use of the electronics while doing a home visit.  One of my patients borrowed a walker and liked it. She needed a few different features to make her safe.  Her family had an opinion about what type of equipment she needed and I had my own opinion about the type of walker needed.  My patient and I searched the internet and found a couple of walkers that came close to what we wanted.  I sent the family the links to view for their input.  After choosing a walker that had nearly all features, I sent an email to the Medical Supply company with a photo of the walker she was using and the link to the new walker choice.  They confirmed that they could get all the needed components for the order.  I made an electronic request for an order from her physician and let the office know that we needed to expedite the request…..all while I was there for one visit!  These things used to take so much more time.  I can only imagine what changes will come in the next 20 years. 

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Link for Horse lovers!

24 Sunday Nov 2013

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Horses, safety, Tail lighting

Link for Horse lovers!

This link is for my sisters!  This is so cool!

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movement data capturing device.

24 Sunday Nov 2013

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data collection, Kickstarter

movement data capturing device.

I  love to watch Kickstarter to see if items are invented that could impact my work.  I found this one and think it may have some good applications for research or objective treatment data collection.    I also found a very simple stand for the I-pad that could potentially work in a shelf for resting a hand on while signing the I-pad screen.  I sent an email to the makers of the stand to see if they could modify the design for that purpose.  

Observations on Management

21 Thursday Nov 2013

Posted by terrisloanclark in Nostalgia

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burn out, clinicians, Management, physical therapists

I have worked my way into management over the years. While I love the ability to try many of the things I always thought would work as a supervisor, I get much less joy from my work than when I am working with the patients. I love the interaction with therapists, the problem solving, the work to make the patients better through the efforts of the staff but find the “numbers crunching” to be unfulfilling. I have often thought it would be wonderful if each therapist could “take a turn” at the management position, kind of like the rotations done in hospitals where the therapists take turns working the Orthopedic floor. If the treating therapist could work in management just a few months, it would make them a better clinician and team member. If the managers worked as treating therapists, they would be better managers. It is easy to get burned-out in either role. Perhaps taking a turn at the management spot would be just enough break to revive a passion for the patients. If a manager works in the field, he/she may change the communication style upon return to the supervisory role. I may suggest this in the next year…perhaps a period of management shadowing. This would provide an opportunity to see who has the affinity for the supervisory role and provide a stronger connection with the field and office.

Free Download ends

20 Wednesday Nov 2013

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The free download of “Hard Won Pearls” ended yesterday with 172 sent out to people that chose to try it.  I received a box of 40 books today to give to my coworkers and to send to some important people in my life.

My husband is the real writer in our family.  He has written a novel “An Honorable Endeavor” and we are excitedly awaiting the audible production around Christmas.  His novel “Dragoons/ Sound of Sabers” was very interesting to edit and type.  It is fiction but based on the use of Dragoons – mounted cavalry in battles between the Swedish, Prussians and Austrians in the 1700s.  He has just finished a novel about time travel and it is “way over my head” in physics.

I have always found physics to be mind bending.  I can’t follow the concepts of time travel, shape distortion with speed and other wild theories that scientists grasp.  I can feel my mind shutting down when these topics are discussed.  
Biology is much easier to grasp. I can understand  the fertilization of an egg and the development of a baby from this union.  I can see how some would find that concept mind bending.  Maybe, given time I will be able  to follow the time travel explanation.  Until then I will enjoy his book for the engaging story line.

 

 

Missing My Family

18 Monday Nov 2013

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exploration, RV life, traveling physical therapists

There are some days when it is so much harder to be apart from family.  On those days I just want to simplify my life, sell it all and become a traveling therapist.  Traveling therapists take 13 weeks assignments and get to choose the assignments they take.  They receive a good income, benefits and a tax free living allowance.  I think of what the life would be like to meet people on the road, see parts of the country that are as beautiful as my area, move to the places that need helping hands after a disaster, be near my kids and grand children when they need me, spend money on my family instead of a house, and add pages to my book for the furture.  I am married to a wonderful man who sculpts, writes and entertains the people around him.  Sometimes I feel that we have trapped ourselves into a location and the need to explore is being pushed down.  Perhaps we will finally just make the change we crave.

An Anatomy App

17 Sunday Nov 2013

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app, Physical Therapy Student, Pocket Anatomy

Pocket Anatomy App for the I-Pad is wonderful to use as a teaching tool.  I can only imagine how wonderful it must be for the student.  When I was a physical therapy student, I was issued a bone box.  There were real bones that we could take home and study.  It was helpful to feel the bone structure while studying the muscle attachments.  The bones have “landmarks” that help the student visualize the tendon attachment through the bone’s response to the tension.  Do the students still have boxes of bones to spread over their apartment floors?  I use the Pocket Anatomy App to show my patients the areas of concern.  I can pull layers off the body to show the depth of the vertebral bodies and the impossibility of “feeling a disc”.  I can show them that the “hard knot” felt  near the neck is really the first rib.

I would like it if Anatomy app had a age choice in the model so I could learn from an app that showed the changes in the body with age.  It would be nice to see the true size of muscles in a not so perfect specimen.  It would be interesting to make a selection of “total hip” and have the app show a view of the body with that change in the model.  I am sure those apps will come.  It is exciting to see the opportunities for student and teacher.

Invention Idea

17 Sunday Nov 2013

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diabetic, Invention

I think there should be a straw that changes color in the presence of sugar.  I have purchased drinks at the “pull it through the window” restaurants and thought the drink I was given had to be “regular” and not sugar free as ordered.  I didn’t want to drink them because I didn’t want to consume 200+ calories by drink.  The consequence of drinking sugar filled drinks is greater to the diabetic.  

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The Child Within Us

16 Saturday Nov 2013

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Expectations, Fanner Fifty, Holiday Stress, Peer Pressure

The Child Within Us

I once asked our staff to bring in photos of themselves when they were around 10-years-old. We all looked so good then didn’t we, with teeth that looked too big for our still youthful faces. It was a fun meeting. I really looked forward to it because it was a chance to see one another in a different light. We were/are all vulnerable to the criticism of others, to the desires of pleasing our parents, to the challenges of focusing our energy in an increasingly rigid world, and to the pressures of our peers in the complex social communities that surround us. Somehow looking back at our 10-year-old selves is a little nostalgic because the consequence of not succeeding in all of these areas just doesn’t seem so imperative now. Seeing our co-workers in a different way can help us empathize with the similar desires we all have.

My husband gave me a photo of himself from a Christmas many years ago. He said it was his “Best Christmas Ever!” as he had received two of his most desired things – a set of “Fanner Fifty Cap guns” and a football helmet. He recalls going to bed, still wearing all of his new accessories and awakening to find the items laid neatly by his bed. It invokes a tenderness for his heart when I relate to his childhood memory and the precious smile on his young face.

It is that time of year when we can get caught up in the adult stresses of holiday expectations. It is important to recall the simpler times in our lives. If you are like me, the best memories didn’t come from expensive gifts but of simple things like walks in the snow with the family, of drives in the car to see Christmas lights, of quiet time spent with one another and church candle-light services. I feel it is important to turn off the negative news and recognize the simple things we can do to make this season a less stress filled-time for the child within us and within each person in our lives.

Posted by terrisloanclark | Filed under Nostalgia

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stylus for I-Pad

14 Thursday Nov 2013

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Invention, Kickstarter, Stylus

stylus for I-Pad

I have been frustrated with the difficulty of having patients sign the screen with our visit notes while doing home care.  The patient has difficulty getting the stylus to make a mark due to the angle of the stylus in use.  They often grasp the I-pad and place their finger on the Home Button.  They need to place the hand down to stabilize while writing and doing so causes the screen to move.  Sometimes they press too hard and a bubble shows up on the screen.  I have been on the hunt for a better stylus, one with a smaller tip.  I found this stylus on Kickstarter.  It is pricey and I will have to wait until January for it to come in but it is fun to support someone who is inventing an improved product.  Now I need to come up with an I-Pad holder that has a piece that can flip over when used for signing that will cover a portion of the screen – hovering just above the screen, so the patient can rest their hand on the cover while they sign. ..Something to invent!

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