More Healthcare Humor Needed (Nurse-Patient Research)

This cartoon is an example of a humorous exchange between a patient and a healthcare worker. Whether the patient was pretending to be serious or really was serious, the idea of breakfast with a cocktail and dessert is just funny for many people. While funny stories are not uncommon in the healthcare field, healthcare workers would probably have many more humorous stories to tell if they initiated more humor themselves. 

Research on healthcare humor reports that humorous exchanges with patients are important and should be encouraged. With four patient focus groups participating in interviews, Lancaster University UK researchers explored patients’ perspectives on humor. Conclusions indicated that there is a gap between what patients want in healthcare humor and what they receive. Why is this? Initiating humor involves a risk factor that many healthcare workers may be reluctant to take.

Here are three healthcare jokes for starters:

Patient: "Nurse, I just swallowed my pillow!" 


Nurse: "How do you feel?" 


Patient: "A little down in the mouth"


Nurse in Kentucky to Patient: “How did you like your breakfast this morning?’

Patient: “I really enjoyed it, except for the Kentucky jelly. I‘m not used to the taste.”

Nurse: That’s interesting. Let me see it.

Patient: The man showed her a foil packet labeled “KY Jelly.”

A man walks into a doctor's office. He has a cucumber up his nose, a carrot in his left ear, and a banana in his right ear.
"What's the matter with me?" he asks the doctor. The doctor replies, "You're not eating properly."

Do you know any jokes or stories about healthcare workers and patients that you can share? (Surely, you can do better! lol)

You can read funny hospice caregiving stories here.      

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at booksellers such as Amazon and Barnes and Noble .

Hospice and Nursing Homes Blog

Older Adult Obesity: Marriage, Gender, Diabetes (Research, Video 2:28)

Question: If marriage promotes health and increases longevity, are fewer married older adults obese?

Not according to this research on older adult marriage, gender, and obesity. Using the Health and Retirement Study (HRS) including men and women aged 51-70, marriage is associated with weight gain. Leaving a marriage is associated with weight loss.

What other theories about older adult obesity should be considered?

1)    Shared risk factors, such as social obligations regarding meals, increases weight for married couples, but does not last for marriage duration.

2)    Marital transitions, not marital status, determine differences in body fat. Short-term effects are seen for divorce, but not for the persistent weight gains associated with marriage or the persistent weight loss following widowhood.

Question: Based on marriage and gender, who are the heaviest older adults?

3)    Prominent gender differences in late middle age reveal the heaviest group is unmarried women and the lightest is unmarried men.

4)    Pressures of the marriage market in combination with gendered preferences regarding partner body fat may account for differences found in this data.

Obesity is related to many health problems that reduce the quality of life for older adults. Type 2 diabetes, the most common form, is more prevalent as people grow older and gain more weight.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

Hospice and Nursing Homes Blog

Poem Honoring Naomi Long Madgett, Poet Laureate of Detroit, Michigan

Frances Shani Parker (left) poses with Naomi Long Madgett near the sculpture of Madgett on display at the Charles H. Wright Museum of African American History in Detroit, Michigan.

April is National Poetry Month. I am honored to recognize Naomi Long Madgett, my friend and Poet Laureate of Detroit, Michigan. Naomi will be 90 years old on her July 5th birthday in 2013. She continues to inspire others with her rich legacy of achievements. Join me as I salute her with a poem I wrote about a true experience we shared years ago.

Naomi

She said, “Just call me Naomi”

like that would be easy as breathing,

as if that word could dance

from my mouth doing a solo hustle,

as if I could first-name somebody

whose life poem includes the Roaring

Twenties, the Harlem Renaissance,

and the Great Depression.

My Louisiana roots knew better.

That would be like smelling myself. *

This golden light of a lady

named Naomi Long Madgett,

this awesome oxymoron of petiteness

and greatness doesn’t realize

when she looks up to talk to me,

I still look up to her when I look down.

Generations of word lovers

inspired by her talent use her

as their beacon to guide them

across waters to future possibilities.

Her glowing array of achievements

includes illuminating poetry, publishing,

and teaching. She beams brilliance

on rooftops of human potential,

through windows of curiosity,

anywhere words can ignite minds.

Life’s looming landscape continues

to be enhanced with legacies

emitted from her radiant rays

of kindness, integrity, and dedication.

She said to call her Naomi.

Detroit’s poet laureate can’t be denied.

I stir that word in my mouth

like a vintage Starlite mint, chew

until southern discomfort dissolves,

swallow its savored sweetness.

The next time I see Ms. Madgett,

I greet her like the enlightened

queen elder she is and say,

“Hi, Nnnnnnnaomi!”

© Frances Shani Parker

* “Smelling myself” is primarily an African American idiom for being conceited. 

  

You can read Naomi Long Madgett's biography.

You can read Naomi Long Madgett's review of my book Becoming Dead Right.

Frances Shani Parker, Author
Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.
Hospice and Nursing Homes Blog

Hospice Volunteer Research, Appreciation (Video 3:25)

Iowa City, Iowa Hospice Volunteer Appreciation Photo

Hospice volunteers play a vital role in the success of hospice organizations throughout the country.  During the month of April, these volunteers and many other volunteers will receive tokens of appreciation for their services. In recent years, several research projects have focused on hospice volunteers’ efforts by examining evidence of their work as end-of-life caregivers. The following hospice volunteer research results were conclusions of 54 studies:

What We Know About Hospice Volunteers

1)     We know the various roles hospice volunteers play, the stresses they experience, and the satisfying rewards they receive from their service.

2)     Less is known about how to successfully recruit, prepare, and retain them.

3)     A small body of information exists regarding the positive contributions volunteers make in the lives of families and in the longevity of patients.

What We Need To Know More About Hospice Volunteers

1)     While we know hospice volunteers play an important role in the lives of patients they serve, more research is needed on their important end-of-life contributions.

2)     Future research should focus more on ways to maximize contributions of hospice volunteers and provide them with needed support.

Thank you to volunteers everywhere for all you do to make the world a better place. “To the world you may be one person. But, to one person, you may be the world. “   Anonymous

        

This Reflections of a Hospice Volunteer video includes a poem highlighting my experiences as a hospice volunteer in Detroit, Michigan nursing homes:

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at booksellers such as Amazon and Barnes and Noble.

Hospice and Nursing Homes Blog

Grandchildren Discuss Dementia, Alzheimer’s (Video 6:30)

So often, we hear views of adults regarding their parents with dementia. But what is dementia like through the eyes of grandchildren? Imagine their emotions when their loved ones forget their names and can’t remember the relationships they have. What about the hurt feelings these young people experience when agitated grandparents with dementia strike out at them verbally or physically, and they’ve done nothing they know of to cause this?

Dementia must be explained to children in age-appropriate ways that support them in their adjustments to dementia of grandparents and others. Listening to these young people’s concerns and encouraging them to express them are important. Family discussions can be helpful for everyone.

Parents should be aware of changes in grandchildren’s behaviors at home and school. These young people need reassurances that they are not the cause of grandparents’ mood swings, that they are still loved by grandparents who have an illness that sometimes interferes with the expression of that love. Children should be reminded of the many good times in the past that they shared with their grandparents.

In this video, young people express their feelings about how their grandparents’ dementia has impacted their lives.

For more intergenerational information about dementia, you can view this post featuring children learning about dementia through school partnerships.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at booksellers such as Amazon and Barnes and Noble .

Hospice and Nursing Homes Blog

Veterans’ Post-Traumatic Stress Disorder (PTSD), Depression: Clergy, Spiritual Counselors (Research, Video 4:42)

My hospice patient Nat was like many men and women who have served our country during wars. He suffered with repressed fear and sadness resulting from his experiences. We had many conversations about his life during my weekly visits with him. His story is typical of many veterans who suffer with post-traumatic stress disorder. These are words he spoke that I remember well:

(Excerpt from Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes)

“I fought in a war years ago. Gave the best I could give. I’ve seen and done things you couldn’t imagine. Some of them were horrible, I mean really horrible. Don’t ask me to tell you what they were. I can’t talk about it. They say time heals all wounds, but it’s a lie. I left Viet Nam, but Viet Nam never left me. I carry it with me everywhere I go. All these years later, I still have nightmares like you wouldn’t believe. The doctor says it’s post-traumatic stress disorder or PTSD. I wake up shaking, gasping for breath with tears in my eyes. In my dreams, I’m always running hard trying to escape. Sometimes my enemies are close enough for me to touch. I almost stop breathing to keep them from hearing me. I’m constantly thinking I’m not going to make it. Some nights they kill me before I wake up. My dreams are so raw, so real they turn my soul inside out.”

Not much research is available about veterans like Nat regarding their search for support from clergy and spiritual counselors for their depression and PTSD. In this Veterans Administration research study, 761 veterans with probable major depression participated in telephone surveys. They were asked about their openness to seeking help and their actual contact with clergy and spiritual counselors during a six-month period. Almost half endorsed this support at some level. Ninety-one participants (12 %) reported actual clergy/spiritual counselor consultation. Others indicated support for primary care providers, psychiatrists and other mental health providers.

Knowing that veterans suffering with PTSD and depression are agreeable to receiving help from clergy and spiritual counselors as well as other providers is important. Including clergy and spiritual counselors, particularly those with specific PTSD training, on care teams for veterans can improve health of patients like Nat.

This video shares the PTSD journey of one marine veteran. Veterans Healing Initiative is a nonprofit dedicated to providing veterans of all eras access to treatment for substance abuse and PTSD. 



Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

Hospice and Nursing Homes Blog

Nursing Assistants’ (CNA’s) Grief When Patients Die (Research, Video 2:05)

As a hospice volunteer in nursing homes, I worked around certified nursing assistants (CNA's) who often provided front-line patient care. Many were dedicated to doing good jobs, even when conditions were stressful. When nursing homes were understaffed, nursing assistants were glad when I arrived to feed my patients. They usually had good relationships with residents, and their lives were impacted when patients died. 

Grief can be complicated, having both positive and negative consequences. For nursing assistants with strong connections with patients, the death of patients can include negative feelings such as depression, or it can include beneficial feelings such as growth in their ability to cope better. 

A study reported in Research in Gerontological Nursing that surveyed 380 nursing assistants confirmed that participants experienced both distress and growth. Those who reported greater distress from grief also reported higher levels of burnout. In addition, they reported lower levels of psychological and physical well-being. On the other hand, participants who experienced greater personal growth from their grief reported “significantly lower levels of burnout, higher levels of psychological and physical well-being, and higher levels of job satisfaction.”

Apparently, how nursing assistants respond to grief can be another indicator of their well-being at the job and a possible factor in how quality care is impacted. The following video highlights the intimate bond with patients that many nursing assistants develop that goes far beyond everyday healthcare tasks:

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog