Markdown lines 492–651 · Part 4 of 6
they were having with her on the floor. She's running up, just striking out hitting people. I mean,
she sneaks sort of sneaks up behind them and Whap you know, and I said you can't be doing
that. I said have you been having fun? trouble on the floor. And she laid her a little bit and she
says, Well, they say I hit people. I said, you do. And she's, she's you. I did. She says, but I
really didn't want to. And I said, Well, maybe we can work on that. I said, if you can, when you
go down on your floor, I said, you think about how nice and relaxed you are up here. And you
think about the music. I said, and maybe you wouldn't have the need to go up and hit
somebody. I said, it's always easier to walk and just tap someone on the shoulder if you want
the attention. I said, Do you think it's for attention? Probably. She said. So I think since we've
we've had that talk. And since she's been doing more of the Hemi sync and that she's her true
up behavior is getting better. And she's not anxious at all when she comes up. Murder. She
didn't before children, so but at least physically. Natalie, yeah. Five, holy smokes. Okay, we
had, we have another one that we did on who is about 40 years old. She's in the last stages of
Huntington's disease. She's mostly bed down. In 94, they did a video fluoroscopy for
disclosure study, which is problems, eat drinking and swallowing, swallowing problems. And at
that time, they wanted her pegged, which is the tube through the stomach. And that's how you
get your fed, when we do have quite a few up there like that. And the family still have a lot of
input into her, she does have family, most of our residents don't have any living family
anymore. And they said now that we're not going to keep her alive like that, you're going to
have to go ahead and feed her. So she's gotten to the point now where she's very contracted,
and her arms are like this, to her sides very tight. And she holds them very tight when you
touch her she tones, which means that she contracts even harder, and you can't. And it makes
a really hard problem, you know, for the nursing staff. She also has to lay to eat, she lays in
her head is elevated What 3030 degrees is all higher, we can get her head up to eat. She
doesn't really make eye contact. She at times will look at you. But you know how when you
look at someone you see a recognition, there's no recognition. She doesn't speak. She cries a
lot of times just see tears. And a lot of times she moans which is they have deduced that that
she is in pain. And so they do give her I think she has Tylenol order that she gets. And they the
nurses have recorded that some of those times and you know, she's not learning anymore. So
we got her and brought her down to the multi sensory room. And of course, I put her under the
space mobile with the glow in the dark stars and all this stuff and I say, Oh, we're going to take
a trip to the moon. I said we're going to go to the stores today. You know, I don't know if she
can see them or not. But I kind of think you know, maybe just on the chance that she does.
And I keep talking to her, I talk to her a lot and I touch her. And she's starting to respond where
was the Hemi sync? I noticed that maybe 1520 minutes after she's there if they bring her down
and she's doing a lot of the moaning so she's really restless today. She's you know, she's
crying a lot. While usually 1520 minutes into that there's no more moaning, there's no more
crying. And now when I talk to her, it's sort of like a baby coos, it's sort of a cooing sound that
she can't form the words. But I you know, I want to see this result. So I don't know if it's me, or
if she really is understanding me, but I'm taking it that she does. I started working on her arms
with her the contractures and she's starting to loosen up and this week instead of being like
this, I got the arm out this far. And she can move just this one finger here. Other than that she's
in mobile, she does not move her body. I do some cranial sacral therapy on her too. And I think
it seems to be helping enough. I have a lot of the time now when she comes down. She's not
making a sound. She's not moaning and crying and it's not as frequent on the floors either.
She also started to gain some weight, which she wasn't doing before. And nothing has
changed as far as her regimen with her meals. It's it's exactly the same as what it had been
But she seems to be doing better.
50:04
That's one of the big things we've had to learn as well. Every time we saw changes in
whatever causes we're working with, we're watching the chart for medication change. And so
many people have like anywhere from 10 to 15. Meds when they come in, it's worse. That's the
scary part. So, but most of the time, there has been no change in medication. And that's the
most exciting part about it, is the fact that we're looking for decreases in medication, where
there's no change in addition, or increasing quantity of dosage. That's, that's another wonderful
sign to see what we're talking about what Natalie is what we'd like to go ahead and pursue
next. It regarding a research or regarding documentation, we want to check and review, joint
motion in dealing with contractures and tissue integrity, we want to check to see, pretty much
the way we've been monitoring these people has been clinical observations, number one
number of strikes intensity of strike, changes in behavior, which again, that's very qualitative.
And we know numbers are real popular. So we're interested in checking out individuals that
are difficult because of long term or short term contractures. And we want to do as a
goniometer, and measure the the joint mobility, and also the range. And then after a
corporation Hemi sync with most American therapies, check to see if there to change. A lot of
these people you've seen already have data. Because he worked with him before hitting sync
with manual therapies, we want to go ahead and use this as an adjunct. So we'll go ahead and
see if he'll build more validity for us to go ahead and move him back in for caseload. So that's
our next step is residents in our facility,
52:15
we also would like to maybe have some Hemi sync in the dining rooms, because our dining
rooms are kind of like the school cafeteria in middle school, you know, where somebody says
something and somebody flings things off mashed potato or a pea or being at someone and
then we have frequently have maybe four or five trays hit the floor, and know the staff get food
thrown at them. You know, if they don't like it, they'll toss it. But a lot of it is one gets agitated
and they start grumbling, they start making noise and then the next person gets grumbling, you
know, and they all be quiet, and it kind of gets real catastrophic. And it's not conducive to a
good dining experience.
53:09
But in long term care, you'll find that there are a lot of people for one reason or the other, we
have a lot of problems with in the dining dining rooms and being able to get enough nutrition,
they get all the supplements, they get the ensures they get the promo code, which is a protein
powder, they get everything that we can give them but they just do not want to eat. Or you
know, and um, if I had to sit next to those dining rooms with some of those other people that
are so disruptive, I wouldn't want to stay in there and eat either. I mean, he wants to sit there
and eat was flying around, you know, paper cups and straws and beans and peas or whatever
sometimes mashed potatoes,
53:55
the state in your ideas. It's not that they're not receiving care. It's just that we have such a
menagerie of individuals with different needs. You can't just make Kneisel group groups and
do a recipe book type of set up a setting you can't use all individuals. Again, they all come with
different levels in the form of thing is six for David is quiet. But when you go down to the higher
level, which is fourth and third floor, these are high level individuals, meaning the halo
communication skills, they are more advanced in their mobility. That's where the moon stars so
we want especially in those areas who want to go ahead and get Hemi sync in the dining
room. So ironically, it isn't only full of workarounds, other forms that have been really, for me at
it yet.
55:06
ideally would like to try to is like the little setup there with what his interim we want to try to
establish like a quiet room or like you want to call them meditative defenders of terminology
they want to use in the facility. That so it can be a sanctuary away from me pretty much the
hustle and bustle on the floor, and incorporate Hemi sync and Owen. So anyways, I can go
ahead and say Martha wanted to, or if a direct caregiver sees us persons, very agitated, and
they may not be on the Hemi sync program to the point, they can have a place to take them to,
because they don't always stay at this time, or they haven't been seen by Lt or server services.
And it'll have the equipment and sort of do a little trials, hey, you know, this person really likes
that music. Great. Give us a referral. Make sure we have the, you know, perfect CD or tape,
and then go to me and have them order the tapes and CDs. So I get them set in their rooms as
well. So there's a lot of wonderful cultivation waiting to be done for somebody. And we really
small. Thank you, especially those of you for listening to our story about how wonderful, we've
seen the results of this intervention. And to have any questions or comments please.
56:50
dinner hours or the meal, or set up a little bit.
56:56
Okay. What do you want to tell him? Basically, what we'll go ahead and start your question
first. We started with a small Phillips, CD player, probably about eight or 10 inch space
between the two speakers, and put it just in the therapy clinic. And we sit the resident probably
around anywhere from four to six feet away and work with him. No, just just just a small stare
on a table, we had the resident sit in front. Now back there, we find headphones. So it was
great to purchase a CD standing on the head detachable speakers. So now we're going to
want to place him on the opposite sides of room, we're going to floor speakers, which I heard
all booked on that so that'd be fantastic. So and that way, we can go ahead and have a more
accessibility to resonance of the room then having having something that's blocking being
blocked by their position. So but yeah, small rooms, they have the small stereos to display it at
their bed and works out great.
58:18
I could impose on you know, it's not convenient that we are recording the session if you want
to.
58:30
There is a lot of precedent for doing the dining room things. There are a number of us around
here who've had some input into Central Virginia Training Center down in Lynchburg, which is
a long term facility for the adult cognitively disabled multi handicapped, and they have done a
tremendous amount in the dining rooms, particularly with residents who have a lot of sensory
processing sensory integrative difficulties have seen some very marked changes. And so it's I
think it's a direction that is really important to go. The other thought that I had is that this could
also become a basis for some very measurable results because you can measure weight gain,
you can measure the number of different foods that a resident is willing to take. And simply
from that as a you know as a relaxation of the system and better focus of attention. You are
then measuring it as a behavioral you know with what's happening in the body and through
food choices. So anyway, I would be happy to talk to you more about some of that because
I've had a lot of input into that.
59:51
Travel outside advocate and we're trying to go more facility by Oh, definitely, yeah, that's
1:00:01
no background at all with people with psychiatric issues. But to me, you're still looking at the