Category Archives: food

EXPIRY DATE

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There comes a time when you have to think about putting your loved one into an aged care facility. This decision is not to be taken lightly. I have been asked numerous times to advocate for a ‘Good Nursing Home’  sorry I cannot do that. I can only say I am not completely happy with any aged care facility I have ever worked in and I’ve been working in aged care for approximately 20 years.

When I began working in aged care, things were so different. If I managed to get a tea break, I would go to the staff room to make a coffee and sitting in that staff room were carers and Enrolled nurses who would all be discussing the care of the residents. These wonderful people (miss them terribly) knew everything about their residents. Off the top of their heads they could give you the run down on their likes and dislikes, allergies, at risk behaviours etc. They would discuss new ways to help their residents. for instance if an elderly person was having trouble with dressing, eating, showering, they would put their heads together to come up with new and inventive ways to address the situation, approach the Registered Nurse with this idea and we would work on it together. From there, it would be taken to an allied health specialist such as Physiotherapist, doctor, nutritionist etc and the life of the resident would be made so much better. These brilliant carers knew about equipment which would make their jobs easier and using it on the resident to make it safer. Safety was a big issue and they understood it and complied with regulations.

Those were the good old days.

Now, walking into a staff room all you see are staff sitting around the tables talking to their friends and relatives overseas. Ask any one of them about a resident and you get an answer like this, ‘Look at the notes’ ‘Look at the care Plan’ or ‘I don’t know’ They have absolutely no idea or any intention of understanding the care of the elderly they are there to care for. Even if the resident had been there for a number of years. They weren’t interested. To the carers these days, it’s just a job and to get through it as fast as possible so they can go home. Now don’t get me wrong. There are a few excellent carers working in aged care facilities. They are the ones who do care. They do their jobs well and will even stay behind to finish doing what they need to do to make it easier for the next shift and to ensure the resident is left the way they are supposed to be left. Clean, well fed, in no pain, comfortable and any issues they have spotted reported to the RN.

If the RN needs to know anything about a resident now, we need to go into the shower to examine the resident ourselves. We are checking for fragile, dry skin. Skin tears, toenail and fingernail length, pressure areas, we check their ears and eyes, nose and a lot more. Ask a carer now and I doubt if they even know who they just showered.

This might sound like I’m bagging carers but it’s the way things are now. Aged Care Facilities cannot run without money, and to make a profit they need to have the least number of staff on the floor at any one time. If there is 35 residents there will be 4 long shift carers for the entire shift and a few short shift carers. The short shift carers are there to help with the showering and meals. They go home early. Meanwhile the long shift carers will remain to assist with toileting after lunch and helping the residents with lunch. They will do a ’round’ which is to check continence pads and to toilet other residents who are able to go to the toilet but just need some assistance. There is no time to sit and talk to a resident. To ask them how they feel or do any little minor thing the resident would like.

Every time I see a commercial showing how wonderful an aged care facility is and how splendid the smiling, cheery staff are I seriously want to barf.. What a load of rubbish.

To see the picture clearly, you need to go there and see staff running their legs off, Sweating under the strain on heavy lifting, carrying, pushing and pulling and count how long each staff member has to attend each resident. I did a count once and it was frightening.

Read my next post for the breakdown.

Aged care facilities are not designed for the happiness of residents, they are there to make money. Full stop. Now I know this is going to sound really disgusting but I was at a facility one day and I asked where all the usual carers were and was told, “They are having an inspection and they only want to see white faces here” I nearly fainted. How racist and bigoted can anyone be??? I wondered who was coming and what sort of people they were to  say this..  If I had called the media over this, there would have been hell to pay. But as I have said before. Nobody wants to know. And it would have been difficult to prove.

I sort of feel fortunate working as an Agency Registered Nurse at times because we get to move around from facility to facility and we see it all.

Every Aged Care Facility has at their front door a charter of rights and responsibilities. These points are a legal requirement and they need to provide evidence to show it. To prove this, they have reams and reams of paperwork and documentation and the staff are required to fill out all documentation to show they are doing the right thing. Ha!

Aged Care Facilities also have people (Accreditation Team) come to check on all their paperwork to make sure this ‘Evidence Based Practice’ is being adhered to. (Stop laughing)  I was hired to do an afternoon shift one day and when I arrived, I saw 4 RNs sitting in the Nurses Office completing forms and filling out papers ready for the inspection. They were even signing medication charts where there were many, many signature omissions. Some signatures were from other Agency Registered and Enrolled nurses from months previous. But as long as the tiny little square had a squiggle in it, it was ok.  All care plans had to be updated with the correct information included which should have been done on admission. If and when the facility passes all their ‘standards’ they whoop whoop for days after and throw a celebration. This is a very serious issue. To not pass ‘Accreditation’ is the worst thing for all staff, the residents and the facility not to mention the boss who runs the facility. It doesn’t reflect well on any of them.. The Government will impose sanctions on the facility to prevent them from taking in any more residents until they meet the ‘Standards of Accreditation.’ The facility will only be allowed to have a certain number of residents. Cuts to funding is taken very seriously.

The one thing you need to make sure of if you put your family member in an Aged Care Facility is to be there on admission and make sure they have all the information on your relative/friend. The admission form is paramount to ensuring staff know who is responsible for having the say over financial matters, who makes decisions regarding their health and welfare, are there any toxic relations between family members which could impact on the health and happiness of your family member. Allergies, every aspect of daily living is included and should be addressed. Do they have a funeral organised and with whom? What are the details? Burial or cremation? Who is the funeral Director? Sleeping times, food likes and dislikes, clothing requirements, continence. Do they use continence aids? Do they have enough clothes and shoes? Are they labelled oh and please remember to label their dentures and spectacles. There’s nothing worse than removing dentures or spectacles to find out your family member has been wearing someone elses. Do they have an ‘End of Life’ care form completed? Don’t leave until it’s done. It will save you so much time and make it a bit easier for staff in the case of a death or an emergency. Do they have any old injuries? Do they have pain? There is so much but it must be included. The admitting nurse needs to get baseline readings. This is Blood pressure, temperature, pulse, weight, height, urinalysis and a whole lot more. So if the resident has any health episode the Nurse has the baseline to go by. Any differences will show us there is something wrong. There is a change in their health status and it needs to be investigated further.

Read my next post for the times given for each resident attendance.

 

 

Winter food…..The stuff we love to eat….

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It’s been really cold here in Adelaide and so we’ve been cooking a lot of stuff to warm our bodies and give ourselves energy… and eating highly nutritious foods for health too.

Dieting?  No.. We don’t need to because all the food we eat keeps us healthy and trim.. You can do it too. marilynsplanforweightloss.com.au

Here is a few pics of the meals we have been chomping down on the last few weeks.. Don’t get a lot of time to take pics of all our meals due to our rushing to get things done and by the time I remember to take photo, I have eaten most of it…

Here we go…

IMG_0716 My super salad.. I added a little creamy dressing mixed with some white wine vinegar.. Buy the book and see why I mix it with vinegar…

IMG_0717Hubby’s creation of partially cooked pumpkin tossed in a pan with a little olive oil and with a handful of fruit and nut mix sprinkled into it at the finish cooking time.. Gorgeous…

IMG_0720Beef  hot pot.. Had mushrooms and bacon in it too.. He put too much potato on the plate… Yummy…IMG_0723I love a fresh garden salad.. With raw onion.. I ate most of it…

IMG_0725This was one big hamburger… With all the trimmings… Finger lickin’ dripping good fun…

IMG_0726Apricot Chicken..  One of my favs…. With chips of course….

IMG_0748Have to teach hubby how to make the best Pea and Ham soup… This was nice but he always adds too many peas…. It was so thick…. Tasty though.. I am wondering if he forgot the ham?????

So just looking at all this food we eat.. I can tell you it is wonderful to be able to eat the foods you want to eat, and fresh foods too. Not delivered in toxic plastic containers which cause cancers….

Get out your knives and cooking pots and pans and go for it….

Weight loss???  ‘Marilyn’s Plan..’ Keeps us healthy and fit…. and trim too….Love it…

Summer is on it’s way and we are ready for it….

 

Insurance for pets and people????

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We have two sweet little doggies who we love to bits.. Ok so one of them got sick last Christmas eve and it cost us a few thousand dollars for the vet bills.. Ugh!  We had been discussing signing up for pet insurance but when I checked the insurance companies who give pet insurance I was surprised to see many of them were underwritten by ‘People’ Insurance companies. Know what that means??

It means they have the best insurance investigators who will try every trick in the book to avoid paying out on an insurance claim if your pet gets sick.. Some of these companies I have noticed have even stipulated a clause to say if your pet is on food which contains artificial preservatives and additives then too bad… They won’t pay.. Now I have been promoting  Raw Meaty Bones and BARF for years and included it in my book (Marilyn’s Plan), knowing all too well the disastrous effects of preservatives and additives in our foods and researching the best way to feed pets.. There are plenty of groups on the net who will tell you how and what to feed your pets to maintain optimal health.  So, if these insurance companies are on the ball with their investigations into foods and their effects on the body then why do we give these foods to our pets?  Beats me.. All I know is they won’t pay for vet bills for sick animals when those animals have been consuming processed foods.   My girls haven’t had processed foods for years now and have been healthier for it..  Back to pet insurance.. If your pet is over a certain age and has no medical history (no illnesses recorded) then you might be lucky enough to get health insurance for them but the pet insurance companies will not pay claims on previous illnesses. They will pay for desexing and that is about it. Gum disease is rife in pets, caused by them eating rubbishy processed foods. Think of it like us eating a packet of biscuits every day for our nutrition. This crap gets stuck in your teeth and you cannot clean it out unless you have a toothbrush. Try to get an older dog or cat to take on a toothbrush.. If anyone has any ideas please let me know.. Ours screams and cries if we approach her with one..This is where the insurance companies make their money. At three years of age, a pet will have rotten teeth. There is a 3 to 4 week waiting period to be able to make a claim so don’t let them get sick in between then. We worked out it would be more expensive for us to insure our pets now as one is not well (food allergy) and the other pet is an older doggie so we would be paying insurance for nothing.. No claims.. So that is it… We are working on some research into T cell behaviours on the human and animal body to try to help our little girl overcome her illness.. Fingers crossed we can get her off the prescription tinned muck she is on..  (Paste).  We work very hard at cleaning her teeth too because she is not able to eat anything to clean them… The vet is querying IBS.. I wasn’t aware animals get IBS… (Irritable Bowel Syndrome)  Big job, but I’m sure we can do it..

So if you are considering getting pet insurance.. Get it for your pet the day they are born…. read their clauses very carefully too.. Either that or start saving now for the vet bills…….

 

 

Blahhhhh!

Blahhhhh!

After 5 years…

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Sitting here at home today, it occurred to me I’ve been thin and healthy for 5 years now. Almost to the day! It’s really so exciting and every day I get a kick out of knowing I succeeded and never have to worry about becoming overweight again.

My niece tried to talk me into joining a gym and I’m considering it but I do have to be careful I don’t over do it because I just get a bit too skinny. Hubby doesn’t like that…The only reason I would go to the gym would be for the music and the company.. It is fun to dance in a room of others and really let your hair down.. Ahhh… doing it with small weights too would be fun.

Our summer is on it’s way here again and it’s the time of the year which excites me, mainly because I can dress up in pretty things knowing they fit and look good on me.. Going out to lunch is great too especially when I can eat like a field hand and not add the extra kilos! People do look surprised but, no I don’t really eat like that but I can if I want to. I eat less now than I ever did. I love this Plan of mine so much. I wished I could have discovered the way to do it 30 years ago when I could still wear a bikini…

We all have the most amazing health too. No colds or flu or other sickness because it’s just simple and yummy food.. No artificial rubbish.. Very little processed foods pass our lips. We all understand why we eat now and it makes a big difference to our food choices. Every time I think about the diets I wasted my time and money on and failed I could kick myself… I suffered through all of it and never achieved any goals because they were too strict. Too regimental and the food was awful… All precooked and packaged or frozen or just not good enough…

When I read the Advertiser last week and read about young kids dieting I was horrified.. approximately 50% of young kids are dieting… I’d like to know what the parents are doing in all this? Kids need guidance and help if they have a weight problem. They don’t have the knowledge or the skills to go it alone.. They are also suffering from malnutrition and it will have long term effects on their growth and development..

So here I go, to seek something gorgeous in my wardrobe to wear tomorrow.. Hope it’s a nice day….
Hope your day is wonderful too…
Marilyn xxx
http://www.marilynsplanforweightloss.com.au

Even overweight pets can be on this Plan as well... No starving!

The $5 diet…

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That’s all it costs to get Marilyn’s Plan for Weight Loss.
It’s the e book and there is also a hard copy of it the thing is, you can do it with the food you already have in your kitchen. There is no need to run out and buy foods you don’t like or things you are allergic to etc…

You will have your own recipes and you should be able to stick to eating the foods you want to eat.. I did include a few weeks worth of recipes to get you going and they are simple and easy to make…

What did you pay for your diet last year?? If my guess is right you would have forked out quite a lot of money.. but did it work? This one will and at a measly $5, you can’t go wrong so give it a go and get with the Plan..
http://www.marilynsplanforweightloss.com.au.

The crap is back!

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Portion sizes… weighing food.. measuring food… I’m so sick of seeing these stupid things on TV which are too hard to follow.They also want you to exercise to the extreme. Why???

Overweight people are at risk of a cardiac event if they over do the exercise so I promote about 6 minutes of it per day! Yep.. that’s all.
Now as for the food.. I hate to be told I have to eat specific things. Most of which I despise… I always wanted to eat the things I like which I will encourage you to do, because when you follow the Plan you will learn how to do it and take it from there and do it yourself! Anyone who tells you, you have to follow their silly diet and you’re only going to lose about one kg a week is setting you up for failure… If you need to lose 30 kg then it will take you almost a year to lose it.. Ha! How boring and regimental can you get??? It’s making you think about food too much when you obviously have more important things to think about like kids, home family, shopping, cleaning etc…

I conquered it and came up with the most brilliant weight loss Plan.. Go on.. give it a go.. Once you have this in your head.. you’re off on your way to success and it’s so easy.. I just got home from a day from hell to get a noodle take away and a cheesecake slice for my dinner and it doesn’t worry me at all.. It’s fabulous.. Go on… do it!

Even overweight pets can do it…
http://www.marilynsplanforweightloss.com.au

Summer in OZ

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We had the most beautiful day today. The sun was shining and it was warm.. Oh, it was lovely..I did manage to get some sun too as I hung the washing out!
I heard we are going to have a really hot and dry summer so my mind is now on ensuring the wild birds have enough water by filling the birdbaths, Laying newspaper and bark chips down around the garden and organizing for a new rainwater tank to be installed to help with the watering of the whole garden.

I will never get tired of eating...

The thing I’m dreading is getting my summer wardrobe out and packing my winter wardrobe away! Still haven’t done it..
The one thing I know I don’t have to worry about is weight loss! Yes.. I am thin and I love it. Been this way for years now due to Marilyn’s Plan for Weight Loss..
I wrote it to be easy and if you are keen to do the same then go for it. Learn the principal of the Plan and you will have it in your head forever… never to put it on again! Manage the meals during outings and parties, know exactly what you need to do and yet be able to get enough to eat without worrying about it. No measuring or weighing or cutting a meal short… no more excuses either… “Oh, I’m on a diet and I can’t eat that” Sick of saying it? Then say it no more, just relax and go with the flow! Well, that’s it for me…. for now anyway..
http://www.marilynsplanforweightloss.com.au get with the Plan. xxx