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VickyRN

VickyRN

Nurse Educator
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  1. Excellent advice, Viva, which flies in the face of the "If it feels good, do it" and the "me, me, me, me, me" philosophies so prevalent today. I like your three rules of thumb... true, kind, and necessary... most excellent and thank you! :)
  2. Now that I have reached the fanatabulous age of 56, I feel so much more confident and secure. My advice to my youthful self would be the following You are a much more capable and resourceful person than you know. Don't be afraid to ask big things and dream big dreams. God has great plans for you. Always be yourself. Don't be so impulsive. That first impulse is often an emotional reaction that you will deeply regret later. The easy way is often not the best way. Take the time to count your blessings everyday. Cultivate an attitude of thanksgiving. Sow into others that which you wish to reap in yourself. Everyday, make the effort to be kind. Kindness will get you far in life. Sow mercy. Be an encourager - put some courage in someone. That little bit of caring or concern may not seem much to you, but it can make a world of difference in another person. A little bit of love goes a very long way and can change a person's life. You're extraordinary, so act like it. God has placed wonderful gifts inside you. But you alone hold the key. Invest in yourself. Take the time and effort to develop those gifts. God is able to do way beyond what you ask, think, believe, or even can imagine. Don't limit what God wants to do in your life by your unbelief. Faith is like a muscle. You must exercise it everyday or you will lose it. You are called to be a champion. Champions don't live like ordinary people. Your many adversities in life will only make you stronger and more confident in the end. You really can do all things through Christ who gives you strength. God will always make a way where there seems to be no way. You serve a mighty big God and there is no limit to what He can do. The promises of God are not dependent on your circumstances. Sarah, in her late fifties and from Nashville, has these words of wisdom for her younger self: "Wisdom!! Comes with age but there are ways to absorb wisdom beyond your years by listening to those who have life experiences. Those who are older than me or those who have gone through situations that are challenging can always impart guidance and encouragement if I will just listen and learn. I have prayed to have a teachable spirit and as I learn from others, I always find opportunities to share the wealth of knowledge that I have gained. I believe this is part of the benefit of the circle of life!" Belinda, age 56 and from Cincinnati, shares the following gems: Wisdom in my definition is: Experiencing knowledge. You may know a million things, but until you have experienced them ... you have no wisdom about them. My Grandfather said that you must struggle in life to make you strong, while we were watching the baby sea turtle hatchlings crossing the sand to strengthen their legs so they could navigate the waves and become one of the oldest sea creatures in the ocean. He told me that if we prevented the sea gulls and sand pipers from eating them, that we would be disrupting that part of nature that was the birds food and they would die. He told me that if we helped them and carried them to the ocean that they would die from being weak. This was a good lesson to learn when I was watching my two year old learn to dress herself or ride a bike or other self accomplishments ... she now is a very wise project manager at a major corporation and her sister is a doctor. My Grandmother was a teacher of a one room schoolhouse. She had the kind of love and compassion for people that no one I've ever met in my life has matched. She once lived an example of outreach that I never forgot when I was 5 yrs old. We were traveling by car to Florida (where we spent our summers). My older sister and I were with them. Grandma made it a point to stop at the most devasted house (if you could call a one room shack that) in the middle of the Georgia fields and offered them clothing, blankets and even taught us to give our coloring books and crayons to the children. I remember sitting on the stoop teaching the little ones how to color with my sister. Their eyes were so big when they saw what they could draw. I remember looking in the doorway and seeing a bed frame with just rags covering it to make their mattress. This stayed with me my whole life to remember that we should always be kind to strangers and give away what we know we can replace. Grandma and Grandpa were a kind of Christian example where they "lived" what they learned from the Bible. What choice words of wisdom and advice would you write to a younger version of yourself?
  3. Viva, I so agree with you! Wisdom comes in increments that accrue with each passing day, if we allow it. As I age, I am learning to not sweat the small stuff and to be appreciative. I make it a habit to count my blessings each and every day. I also make it a habit to reflect on each and every life experience and learn what I can to be a better person.
  4. http://www.nytimes.com/2011/07/04/business/media/04aarp.html?_r=1&nl=todaysheadlines&emc=tha210 18 channels aarp internet radio: paul simon, classic r & b, coffeehouse, classic rock, modern rock, oldies, pop oldies, jazz, vocal standards, smooth jazz, fresh sounds, modern r & b, modern hits, country, latin, latin pop, gospel, and classical :yeah: my only question is, with so many great choices, which channel do i choose???:up: aarp internet radio
  5. For King Solomon, obtaining wisdom was more valuable than having a long life, riches, or honor. He knew that if he possessed wisdom - and acted accordingly - all the other good things would naturally follow. His son, Rehoboam, however, did not share his father's quest and reverence for wisdom. When he inherited the kingdom after Solomon's death, a delegation of people approached the newly-crowned king and asked for relief from the heavy tax burden that his father had imposed on them. King Rehoboam asked for three days to make his decision concerning their request. First, he solicited advice from the elders who had advised Solomon while he was king. The older men counseled the young king, "Speak gently to these people and serve them with respect, and they will be loyal to you forever." Then Rehoboam sought the opinions of his young friends who had grown up with him. "You need to show these people who's boss! Don't be such a wimp!" they asserted. Unfortunately, Rehoboam embraced the advice of his peers and rejected the sage counsel of the elders. When the delegation returned on the third day, Rehoboam answered the people roughly, "Instead of making your tax burden lighter, I will add to it. My father chastised you with whips, but I will chastise you with scorpions!" The people, of course, revolted against this hardline stance. Rehoboam's haughty attitude and harsh words resulted in the Kingdom of Israel being divided with 10 of the 12 tribes ripped away from him, and much warfare and suffering in the years that followed. Israel never regained the prominence that it enjoyed while Solomon was king. Not only did Rehoboam suffer for his lack of wisdom and inexperience, but so did the entire nation. One bad decision can hurt many people and even change the course of history. Wisdom, then, is of paramount importance. The following are choice words of wisdom from some of my most trusted older friends: Jeanette, in her early sixties, from Southwest Virginia advises: "Wisdom for me has come from listening to others, and watching the actions of others... and waiting to see the results. Acting on impulse is not what it used to be as it was in my youth. And holding my tongue on trivial matters has served me well." Jeanette, age 76, from Bakersfield, California, writes: "For me, wisdom is, as Jesus said, knowing the truth and then living it! It is wisdom to find out what Jesus has said and the context in which He said it, and then respond accordingly. It is intentional living according to truth!" Ken, in his late fifties, from Arizona, has this counsel from the Bible: "Proverbs 4:5-13 AMP.....'5 Get skillful and godly Wisdom, get understanding (discernment, comprehension, and interpretation); do not forget and do not turn back from the words of my mouth. 6 Forsake not [Wisdom], and she will keep, defend, and protect you; love her, and she will guard you. 7 The beginning of Wisdom is: get Wisdom (skillful and godly Wisdom)! [For skillful and godly Wisdom is the principal thing.] And with all you have gotten, get understanding (discernment, comprehension, and interpretation). 8 Prize Wisdom highly and exalt her, and she will exalt and promote you; she will bring you to honor when you embrace her. 9 She shall give to your head a wreath of gracefulness; a crown of beauty and glory will she deliver to you. 10 Hear, O my son, and receive my sayings, and the years of your life shall be many. 11 I have taught you in the way of skillful and godly Wisdom [which is comprehensive insight into the ways and purposes of God]; I have led you in paths of uprightness. 12 When you walk, your steps shall not be hampered [your path will be clear and open]; and when you run, you shall not stumble. 13 Take firm hold of instruction, do not let go; guard her, for she is your life.' I especially like the Amplified version...Kind of says it all." For our more "mature" members, what are your choicest gems of wisdom or advice for our readers? Thank you in advance for sharing.
  6. Erickson chose "integrity versus despair" as the developmental task of old age (age 65 and above). This final developmental task is balancing the search for integrity or wholeness to avoid a sense of despair. When older people successfully accomplish this task, by carefully reviewing their life experiences, they obtain wisdom. If significant failures or disappointments have occurred in the older person's life, however, this final stage may be difficult to accomplish. Instead, the older person may sink into depression, bitterness, anger, and despair. Wisdom, then, is not a natural byproduct of growing old. It is something that must be cultivated by actively reflecting on each life experience (whether good or bad), adjusting one's attitudes, behaviors, and ways of thinking accordingly, and then applying those precious lessons to other situations that may arise. Often the richest nuggets of wisdom can be distilled from the most painful life experiences. An excellent definition of wisdom is the "ability to use knowledge skillfully." it is one thing to have a plethora of facts or information readily available. It is an entirely different matter to know which bits of information are valid and then having the insight and skill necessary to use the knowledge to bring about positive outcomes. Besides accruing with life experience, wisdom is also something that can be imparted to others through exchange of ideas. A timeless aphorism cautions, "experience is a good teacher, but its dues are heavy." how much better to avoid those painful dues and deep scars in the first place by learning from another person's mistakes! "very few men are wise by their own counsel; or learned by their own teaching. For he that was only taught by himself, had a fool to his master." (Ben Jonson, English dramatist and poet, 1572-1637). Difficult life experiences have a way of producing empathy and tempering the brashness of youth. Contrary to the popular stereotype of the elderly being decrepit, doddering, and demented, older people are often valuable reservoirs of wisdom, knowledge, and understanding. "only when we are so old, only, we are aware of the beauty of life" (Alice Herz Sommer, age 106). A mentor is a wise or trusted guide. For what sorts of life situations should you seek guidance or counsel from a wise elder mentor? Who is your trusted older mentor?
  7. VickyRN

    Hospice - Misunderstood and Underutilized

    So sorry for the loss of your precious brother, Joyful Giver. Hospice is a marvelous program and so grateful your family took advantage of its services during such a difficult time. Glad this article was a blessing to you. By the way, :welcome: to allnurses!
  8. The specialty area of gerontology is complex, because it encompasses three levels of complexity Normal aging changes Chronic diseases Acute exacerbations of chronic diseases (which in turn are the major killers of the elderly, not acute illness) Everyone ages differently and the rate of aging can vary markedly in individuals. Age-related changes in one system are not predictive of changes in other systems. The rate of changes in function of organ systems can even vary markedly within individuals. (An example of this is a smooth youthful-appearing face with little wrinkles topped by a completely gray head of hair.) As a person gets older, changes occur that can be classified as resulting from aging itself ("normal aging") and those that result from diseases. In normal aging, many physiological functions are altered, but do not progress to disease. For instance, some degree of glucose intolerance is thought to be a part of normal aging, but diabetes, though very common, is considered a disease. Some common age-related changes are not considered a part of "normal aging." Instead, we see a high correlation of these conditions the older a person gets, such as osteoarthritis, hypertension, cataracts, osteoporosis, and Alzheimer's disease. These are called aging-related conditions. "Healthy aging" is becoming an issue of increasing importance as the size of the older population continues to grow. It is chronic diseases that can make old age miserable, not the normal changes of aging. Poor health in older life is not inevitable. Much of the illness and disability associated with aging is related to modifiable lifestyle factors that are present in middle age. The rate of physical decline can be drastically modified by lifestyle. Most of the normal changes of aging have no impact on normal functioning. These changes will become apparent when the body is placed under stress (such as acute illness or physical exertion). Respiratory function is one of the best predictors of functionality and mortality in old age. This is because the respiratory system reflects changes in many other body systems, including the cardiovascular, nervous, and musculoskeletal systems. The normal changes of aging reduce the older person's reserve capacity. This makes the older adult more vulnerable to infection or injury. One acute illness or injury can cause a "cascade of health problems" not seen in younger people and can quickly lead to disability, dependency, or death. For example, reduced reserve capacity causes increased vulnerability to respiratory diseases, particularly pneumonia. Older adults need to be cautioned to seek medical help sooner than later - They are at greater risk from mortality from acute respiratory problems. Likewise, aging results in diminished ability to maintain homeostasis and regulate the body systems. As a notable example, older adults are more vulnerable to hypothermia and hyperthermia. One definition of healthy aging Avoiding disease and disability Maintaining physical and mental function Continuing engagement with life What is your definition of "healthy aging?" What strategies are you putting into effect to maintain your health and functionality as you age? References Eliopoulos, C. (2010). Gerontological nursing (7th ed.). Philadelphia: Lippincott Williams & Wilkins. Moody, H. R. (2010). Aging: Concepts and controversies (6th ed.). Thousand Oaks, CA: Pine Forge Press.
  9. Janet, age 65, has been bravely battling metastatic renal cell carcinoma for two long years. By the time the cancer was first discovered, it had stealthfully spread to the bones and brain. Despite having undergone numerous invasive tests, surgeries, and radiation and chemotherapy treatments since diagnosis, Janet has deteriorated into the final terminal stages of the disease. She is weak, pale, fatigued, anorexic, often dehydrated, and constantly disoriented. She has little quality of life left and has become frail and dependent. When not in the hospital, her devoted husband Kenny, age 70, takes care of her day and night at home. Kenny is in denial - He refuses to entertain any thought of Janet passing away. Both the medical and radiation oncologists have fed the family false hope and continue to suggest futile treatment after futile treatment. When approached about hospice and its many benefits, Kenny states he does not want hospice as this would mean "giving up" any hope for Janet's cure from this dreadful malignancy. This tragic case illustrates some barriers that exist to using hospice services. Clearly, hospice needs to improve its public image and dispel widespread ignorance so that its services can be better utilized. An interdisciplinary team (which is composed of a registered nurse, a physician, a social worker, a home health aide, a chaplain, and trained volunteers) helps patients and families meet physical, emotional, social, and spiritual needs. The team develops a care plan tailored to the patient's individual needs and provides all the necessary medical supplies, equipment, and palliative medications and therapies. The nature of the patient's needs determines the level of service that is provided. Bereavement services for survivors are also an important component of hospice care. Hospice promotes the idea of "living to the fullest until you die." The focus is on the quality of remaining life rather than life extension. Hospice neither speeds up nor slows down the dying process, as this type of care accepts the fact that dying is a normal part of life. Unfortunately, this view of life and death is still quite foreign to our death-denying culture. In 1967, Dame Cicely Saunders, a registered nurse who later became a physician, founded the modern model of hospice for the incurably ill in England, when she opened St. Christopher's Hospice. Within a few short years the hospice movement began to rapidly expand to the United States and elsewhere. Since 1974, over 7 million patients and families have received end-of-life care at home or other settings through hospice programs in the US. Hospice is an option for people like Janet with a terminal diagnosis whose life expectancy is six months or less. One of the real advantages of hospice is that personnel are trained to treat pain and other unpleasant symptoms aggressively. The patient should be as comfortable as possible while at the same time remaining as alert as possible. Sadly, most people wait until the last few weeks of life to take advantage of hospice services, and many do not use its services at all. What a tragic underutilization of a marvelous program! What has been your experience in promoting hospice services to people such as Janet and Kenny? Does choosing hospice care really mean giving up hope or even hastening death? What ideas do you have for dispelling these false ideas and promoting its services? References hospice care: the modern hospice movement medicare hospice benefits
  10. VickyRN

    If you could choose, where would you live and why?

    Places I would like to live: Hawaii, Australia, Chile, or Japan :)
  11. VickyRN

    Any gardeners out there?

    I like gardening also, but just getting started! Mostly veggies in my backyard :)
  12. VickyRN

    The BEST Tiller?

    OK, garden enthusiasts, which tiller do you recommend? I need something heavy duty as I have a spacious vegetable garden in my back yard. Already the little electric tiller my hubby bought me for Christmas is kapput. What do you think of the Mantis that is advertised on TV?
  13. Congratulations to President Obama and our military for an outstanding victory in the War on Terror. However, we must remember that this monster, just like a hydra, has many heads. We must continue to be diligent.
  14. VickyRN

    Donald Trump as GOP hopeful: Take him seriously

    Mr. Obama won't be so jovial on January 21, 2013 - just sayin'. BTW, fully agree that Trump is a joke.
  15. VickyRN

    Donald Trump as GOP hopeful: Take him seriously

    If Trump is nominated by the Republicans, then this will virtually ensure Mr. Obama's reelection next year, which could be good or terrible according to your point of view. I personally think another four years of "hope and change" would be catastrophic for America, so I definitely DON'T want the Donald to run. That said, I think Trump is refreshingly honest and has good common horse sense when it comes to financial matters (which we sure could use in our governmental leadership); however, he is simply not a viable candidate.
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