Tag Archives: nutrition

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.

 

 

Looking outside the square

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Reading the Sunday mail this morning and I saw a two page spread about diet books, the pros and cons etc  and the experts favourites.. Well, that made me mad..

If they are so darned educated then why can’t they come up with a diet to suit everyone?  They learn the basics of nutrition and apply it to their knowledge base and go from there.

Just because they have a degree in nutrition doesn’t mean they can help everyone with a weight problem. There was one overriding factor though, and that was to agree on how diets should be easy to stick to and maintain…

I am a Registered Nurse. I went through university and part of that study was to learn about food and nutrition. So what is it about my book which makes it different to all the others?  I made it easy. I kept the difficulty to a minimum. In fact it’s not difficult at all. I think we are thought of as stupid, dumb individuals who can’t think for ourselves and need to be led by the hand when wanting to lose weight. Honestly, I have tried most of these books and the ones I haven’t tried… well I know what their basic idea is and I wouldn’t touch it with a barge pole because it is too restrictive, and some are just dangerous.  Restricting foods should not be a part of any healthy eating Plan. 
We the people do know what constitutes a good healthy meal. We are not stupid.  We just cannot put it together in a weight loss form… We get hungry, we get bored.

When I wrote my book, I took into consideration the fact that we all know we need to eat good food and we know which foods to avoid..  Don’t we??  Yes of course we do. I just looked outside the square and made it easy. I gave a list of foods you can eat for each meal of the day.. The list is not huge but you might be surprised to know they are foods you already eat.. Hamburgers, roast, spaghetti Bolognaise, sausages,  soups, stews, casseroles,  cold meat and salads, hot meat and salads.  There is nothing different to the food I suggest and your normal type of food you eat now.  I just know what to do with it and when..  It’s all good tasting foods too. There is nothing tricky about it at all. It’s simple to read and understand.. I am not in favour of kids dieting but this is so close to what you and they normally eat, they can do it as well. Food provides the basic building blocks for a healthy body and restricting any healthy choices will just make you sick…..  Sick and tired too hehehe 

So before you go out and spend your hard earned money on something you think you won’t be able to do.. think about it..  Millions of dollars are spent each year on diet books and products.  Doesn’t that make you wonder why?  Does me.. If they work then there should be less spent each year..  I often wonder if they are counting on getting your money with their fancy schmancy adds and not giving a rats bum about you or your ability to stick to it.  Once they have your hard earned cash, they have succeeded and you have failed again!     How many diets have you tried?  Did they work?  How long did you persist with it? Was it successful? Did you write a diary to look back on?

That’s it for me today.. Off to work…  Hope you have a great day.

I would love to hear from some of you to get your feedback on these diets.. so feel free to leave a response. It would be great to hear from you. 

Marilyn xxx

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Good for you!

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I am constantly surprised at the number of people from Queensland who buy my book as opposed to any other state in Australia. I know it’s the “Sunshine State” but we are also in the throws of a gorgeous summer here in Adelaide as well. And we are at the arse end of the country hehehehehe  Way, way down under…

There are thousands of people who now have the secret to successful weight loss using My Plan. How cool is that? 
Half full fruit bowl!

I don’t advertise much although I am on two very large websites which have thousands of followers and word of mouth seems to do the trick. Advertising is a tricky and dare I say a very subtle way of making you believe some fantastic claims and promises??

 

It doesn’t take a Rhodes scholar to work out what they do to convince you to buy their stuff but how often do people do it?  Every time the warm weather comes… Ugh! 

This is just a quick blog today as I’m waiting for the phone to ring with a job for me.  I could do some more writing on the free ebook I’m working on but if I begin, I need to keep going and not stop so I’m just waiting until the work goes quiet and that won’t be long..

I hope everyone who is reading this is having a really nice day and achieving peace and happiness in their lives.  Remember too, be kind to yourself and don’t stress. It’s not worth it. If you’re in a bad situation, it won’t last forever. Things have a way of turning themselves around for the better. Remember the old adage… All good things come to those who wait.

It might help to work on it a little but don’t push it. You could push in the wrong direction and completely stuff it up..

Hugs to all

Marilyn xxx

http://www.marilynsplanforweightloss.com.au

 

I’ve discovered the secret to weightloss

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I really have..  I’m the same as you. I struggled with the weight for so many years and everything I did, didn’t work.. If it did work at all it was a long and arduous process and didn’t last more than a week. Pooh!  The reason I say I discovered the secret to it is, I know how hard it is to lose weight and what you have to go through but you and I did it all wrong. We had to work so hard at it. We had to eat/drink awful stuff and do things we weren’t used to or didn’t like. Everyone is coming up with dumb things to convince you they have the solution but to be totally and brutally honest with you… weight loss is about food and exercise..

Don’t let it scare you though and don’t let it put you off trying My Plan.  I found the easiest and most normal/natural way to do it. We are constantly told we have to exercise for hours on end and limit our food intake, or drink awful drinks, no fresh foods…. and it goes on and on.. Don’t fall for it..  I found out you can eat foods you want to eat and the exercise is minimal.  Your body will thank you for it.. Don’t over do it though… There is no need to..

I had a gorgeous lady ringing me and on one occasion she told me she had to contact the cover of the book because she had read it so many times the cover was getting a little frayed.. Bless her.  The excitement in her voice each time she rang made me so happy for her.. Now I’m waiting for her to call again to see how she is going… I like to keep in touch..

So, don’t knock yourself out. Don’t go to bed hungry, don’t exercise to the max. And stop blowing your hard earned money on fad diets and stuff….

I love food and I don’t go without anything.. Maintenance is easy too. Just eat as per usual…

When you read how easy and simple this is and how you are going to be normal, you will laugh out loud too, just like I did..

You can change your life for $5.00  That’s what the ebook costs.  That’s it.. Five dollars!

A life of food and knowledge to lose and or maintain your weight. I’ve got kids on it too.. They love it and eat really well.  In fact they eat more food now than they used to…

http://www.marilynsplanforweightloss.com.au

Adelaide Credit Union Christmas Pageant

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Have you ever seen it or taken your children to see it?
This Pageant is the biggest in the southern Hemisphere and it’s fabulous! and we have it here in little old Adelaide..

I’ve seen many a pageant but nothing like this one..
The colour, the floats, the costumes over 250 clowns… Dancers from dance schools, Pipe bands, Brass bands.. my favourite is the South Australian Police band.. Excellent.

They even had a ‘Bollywood’ float and it was terrific. Then the two horses ‘Nipper’ and ‘Nimble’ the two pageant horses with very lucky little girls riding on them dressed as fairies. Something every little girl would give her eye teeth to do..
The keystone cops run around a tiny yellow car and joke around… ‘Nellie’ the elephant which has been in this pageant since 1950 and it still rattles and rolls along. The giant worm, huge Christmas tree, octopus garden, ‘Nasty Neville’ the Pirate, ‘Peter Pan’ The music the atmosphere, it’s a wonderful beginning to our summer and Christmas.
The mechanics in the floats are very good indeed and never once did I ever witness a float breaking down although a year or so ago, Santa fell off the sleigh due to over heating… (poor bugga, he wears a satin outfit which doesn’t breath and it was stinking hot that day) He soon got back on his float and continued the parade, not wanting to disappoint the kids.. Robot Christmas, Aussie cricket team, A Indigenous float (lovely and well presented).
Mother Goose, Grandpa’s Christmas workshop, Elves, pixies, gnomes, and fairies. Stardust Castle,The Cupcake Christmas designed by a school. Jazz in the Park with a miniature Elder park rotunda, The Candy Carnival… I could go on and on but you have to see it to believe it.. 3 wise Men riding camels and the Nativity scene float.

Last but not least is the biggest float of all and the most important, carrying the one character every child is waiting to see. Father Christmas.. He rides in a gorgeous float with an enormous sleigh pulled by all the reindeer on a huge float covered in ice and snow, with beautifully wrapped presents in a huge bag in the back of the sleigh. He gets off the sleigh and is welcomed by the Pageant queen and in to the ‘Magic Cave’ they go with thousands of kids and adults squeezing in as close as they can to get a glimpse of him.. This year is the 80th anniversary of the Christmas Pageant.

This brought back a lot of memories of taking my son to see it and then my grand daughter..I would get up at 4 o’clock in the morning and get my pack ready.. Blanket, 2 chairs, coffee, food, sunscreen, book, and numerous other bits and pieces and catch a taxi into the city and get a seat. I would be there by 4.30 in the morning and sit with all the other people and wait for everyone else to turn up. Blankets spread out for the kids, coloured chalk to draw on the road while they waited and a lot of other things the kids needed. I would have the best seat and it was great to see their faces. I always made sure any other kids had a spot on the blanket with their parents standing at the back.. Oh what fun..

So if you didn’t take your kids to this amazing event, they’ve missed something they might not ever see again. It used to be the ‘John Martin’s’ Christmas Pageant, then they didn’t want to fork out for it anymore so the Credit Union took it over. How long do you think this company will keep it up? It would be a crying shame to lose this as it’s part of Adelaide’s History and I hope and pray it continues. I don’t have any photos because I’m sitting here in my loungeroom watching it. Dropped Grand daughter off at her dance studio for dance class and had to take the long way round due to the traffic chaos around the city for this pageant.

Her dance studio was so close to the Pageant and there was no room to drive anywhere with road closures everywhere but I took my time and went really slowly.. Now it starts… The decos, the cooking,, the pageantry of Christmas and making it special for all the kids who come here.. oohh I can’t wait..
Hope you one day got to see this wonderful event with your kids..
Marilyn xxx

After the sh.. hit the fan…

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After yesterdays fiasco at the Orthodontist and little girl complaining her braces were falling off I called them this morning to tell them I want the braces removed and my money refunded.

The Orthodontist got on the phone and was most apologetic, begged us to come in and get them fixed and so on…
Ok so 515 this evening we went in again. He was so apologetic I wanted to slap him to shut him up.. He went on and on about it.
He did however fix the braces and we decided to see only him in future. He did claim he was the one who put the braces on and the assistant only put the wires on. I did go into the room and saw for myself, the other young girl putting the braces on so he did tell a whopper there..
As far as the account goes… he made up all these excuses for the lack of a reducing bill after all the money I paid but I also decided, when I can see all the money Is paid… He gets no more. I do keep accounts, photocopies and such to make sure there are no discrepancies… $6,500 minus $1,653 = $4847. Sound right to you??? He still tells me I owe him just a couple of dollars under the $6,000 mark… Gee what a weirdo! No more money is he getting out of me until he learns to count…and count correctly…
So little girl is home, with a very sore mouth albeit some of my gum remedy… homemade too… effective to say the least. Poor kid came out at 1130 last night due to the pain and discomfort. My remedy fixed it and she slept all through the night..
Well, that’s it for me for now…
Marilyn xxx

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!