It’s important to remember that quality of life is more important than quantity, especially when dealing with geriatric patients. This is a sample quality of life score. I used it with Lex to help me decide when it was time to say goodbye.
Today I had a patient who wrote his age on his screening form as 73 and 11/12. He was in the office for a calf injury that he sustained while doing high-intensity interval training on the track at the local high school.
“You gotta do the things you did when you were young if you want to stop getting old!”
You go old man. I want to be as awesome as you when I am 73 and 11/12.
It was an amazing day, tough in some aspects and lots to take in since I’m new but it was great. Wonderful nurses, techs, secretaries. They even had a pot luck (by chance it was today) and wouldn’t let me eat the lunch I brought from home because “you’re part of the family now, baby.”
I know I’m not perfect and no where near ready to do this on my own but I’m so thankful for the opportunity and for all my nurse had to teach me today. I thank God for her patience because while I was hustling, there’s a lot to remember and she worked with me every step of the way.
To any nurses out there, I’d love advice for a new grad. I’m in the psych unit dealing with adolescents, adults, and geriatric patients but no kiddos.
Doctor, I just tell you, doctor – you are best doctor. You talk to my husband like person, you touch him like person, you explain. Every other doctor, they touch him quick, like they afraid to get sick from him. You… Oh. If you on the Got Talent show of doctors, I give you golden buzzer.
Little old Polish lady, spouse of a demented old man with edema.
Probably the finest compliment I have ever received.
Tips for writing an autistic character in a psychiatric hospital? She's not a main character, but she's someone the main character gets to know pretty well.
This is a very broad question, and there are a lot of factors to consider. If you want to ask again with more detail you can. It’s worth thinking about the following - the answer to each of these questions will have a big impact on how your character reacts to being in hospital:
About the character:
Why is she an inpatient at the hospital?
How long has she been an inpatient at the hospital?
Has she been an inpatient before?
In what ways does her autism affect her when she is not in hospital?
Was she admitted voluntarily?
How old is she (is she a minor, is she a geriatric patient)?
About the hospital:
Where is the hospital (which country/state)?
What type of psychiatric hospital is it?
How long is the typical stay at this facility (and does the character know how long she will be there)?
I also have some general notes about being autistic and staying in a psychiatric facility:
Psychiatric conditions are likely to exacerbate the character’s autistic traits - for example, they may have an even harder time than usual interpreting non-literal language, be less likely to mimic neurotypical social interactions, and
their sensory differences may be more extreme than they usually are. They will be exposed to unaccustomed sensory input,
both from hospital environment itself, and from living in close proximity to other patients.
Routines in the hospital are likely to be very fixed - meals
and medication being provided at the same times every day - which is likely to be beneficial for the character. However, depending on the hospital, the character may find themselves with a lot of unstructured time. There may also be a lot unexpected changes if there is no notice
of other patients leaving or new patients joining.
Many autistic people struggle with transitions, and the move from life “outside” to a hospital environment is significant. Given the fact that most people who are admitted into psychiatric hospitals are in crisis, there might not be time to do any preparation work with the autistic character in order to help them cope with the change. The character might not know how long they have to stay at the hospital, and they may not understand why they can’t go home.
I hope this helps. If you have any specific questions I am happy to answer - bare in mind that there are big differences between different types of psychiatric inpatient facilities and medical guidelines vary depending on the country.
Bai Guo Ginkgo Ginkgo Biloba Ginkgo Nut Maidenhair Tree Yin-hsing
The famous herbal plant the ginkgo biloba L. or the gingko tree is the only extant member of the Ginkgoaceae family of plants, which used to contain many other species - that are all extinct now. The gingko herb existed in the Chinese mainland for more than 200 million years; it has a long historical and traditional use as an herbal remedy in the Chinese system of medication. Europeans were first introduced to the ginkgo plant in the year 1730. In the west, the gingko attained its fame as a popular ornamental tree in parks and gardens, where it is still used in this role in cultivated gardens all around the world. The gingko is a rather hardy plant and its hardiness such that wild populations of the plant are even seen along heavily trafficked streets in some major cities of the American continent. Since at least 2800 B.C., the Chinese have valued the fleshy seeds of the gingko for their medicinal properties; traditional Chinese medication used the seeds in many remedies for a wide variety of conditions. The plant can be considered a living fossil as it belongs to an ancient family of plants, this extant fossil plant has gained a reputation in western medicine during the past forty years - remedies made from the leaves of the gingko are gaining recognition in the west. The gingko is mostly taken in a highly processed form, contrary to the way the majority of herbs are used today, ginkgo leaves are almost always used in the form of a concentrated and standardized ginkgo biloba extract or GBE in short - the fresh leaves are almost never used. Europeans have popularized the use of this standardized gingko extract in treating circulatory system related disorders. The beneficial effects of the gingko gauged by the fact that physicians in Germany, in the year 1988, prescribed approximately 5.4 million prescriptions for GBE to patients - this number is higher than the prescription for any other medication. Germany has also permitted the sale of GBE as an over the counter or OTC medication in drug stores around the country.