Motivation Management Is the Key of Change

During my career, I have learned that motivation is the most important factor of change.

I have seen people who have overcome their addictive behavior only with the high motivation. In addition, I have many people who continue their addictive behaviors despite the fact that they enjoy the various opportunities, such as professional consultants, hospitalizations, participation in meetings of famous recovery groups, and support by good families, friends, and community.

Their motivation is low for giving up their addiction, and their motivation for doing addictive behavior is high. Motivation determines whether one overcomes addictive behaviors or continues them. Therefore, motivation management is the key to change. This is because habit change requires not only an increase in motivation to quit addictive behavior, but a decrease in motivation to continue the addictive behavior.

I think the motivation management includes two basic principles:

1. Ability to raise and lower motivation.

2. Ability to increase motivation while changing.

Ability to raise and lower motivation Source of the motivation, is the need. When a need is activated, it creates a motivation for extinguishing itself.

Needs are activated by attention, too. The more people pay attention to stress and anxiety and how to get rid of them, and pay attention to the enjoyment drug use produces, the more they feel are motivated for using. In contrast, whenever people pay attention to the costs and risks of long-term addiction, the motivation of quitting drugs or addictive behaviors will increase.

“Selective attention” is a simple act and strong technique that it is used during the thousands years by religions and ideologies for motivating their followers. Today, SMART Recovery benefits from this method and uses the Cost-Benefit Analysis (CBA) for enhancing motivation to change.

The CBA has four categories of questions:

1. What do I enjoy about my addiction? What does it do for me (be specific)?

2. What do I hate about my addiction? What bad things does it do to me and to others (give specific examples)?

3. What do I think I will like about giving up my addiction?

4. What do I think I will not like about giving up my addiction?

Answering these questions develops awareness and increases the motivation for quitting. The more people do this exercise, the more they will tend to enhance motivation for quitting.

Ability To Increase Motivation While Changing

Overcoming addictive behavior is a process, not an event. Many people know how painful it can be to tread the path toward change. They want to change their addictive behavior immediately, with no discomfort and no urges, without changing their beliefs and values. Such people are like those who enjoy having reached a mountaintop, but hate mountain climbing; or like soccer players who get pleasure only from winning, not from playing.

They start with the high motivation, but they lose their motivation gradually and the most of them do not reach to their goal. Few people that reach to the end of the path. They go through the entire path with anger and complaints. In contrast, those who enjoy the way their motivation increase quickly. And reach the goal with joy and lightly. Rumi believes that loving the path not only increases the motivation for us, but also carries us to the goal. He has beautifully expressed this fact in the story of a thirsty person.

On the bank of the stream there was a high wall,
painful thirsty person was on the top of the wall.

His obstacle for reaching the water was the wall;
He was in distress for the water, like a fish.

Suddenly he threw a brick into the water:
the sound of the water came to his ear like spoken words.

The water was making a sound, that is to say, (it was crying), “Hey,
what is the advantage to you of this throwing a brick at me?”

The thirsty person said, “O water, I have two advantages:
I will never give up from this work.

The first advantage is (my) hearing the sound of the water,
which to thirsty people is music to their ears.

The other advantage is that, (with) every brick I tear off this (wall),
I come (nearer) to running water.

Anyone is more thirsty on the top of the wall,
He will tear off the bricks more quickly.

Anyone is more love with the sound of the water,
He will tear off the bigger brick from the barrier.

I think the main task of people who want to overcome addictive behavior is learning motivation management. Recovery groups, psychologists, physicians, and other people and organizations involved with addiction treatment would do well to establish an environment for helping clients/patients learn this skill.

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Motivation by Listening

Listening skills are a very powerful motivation factor.

Hardly any people are actually good at listening, being more interested in what they are going to say next. When you think about how many people you have met who can remember your name or what you said, you’ll find it is very few indeed. That generally seems to be the norm so when you do meet people who you think are good listeners, your feelings towards these particular people are usually more positive.

By that I mean you likely would place more trust and confidence in them. So because most of us find it very hard to listen, we are surprised by somebody who does listen and we tend to endow them with greater capabilities than they may possess.

This is the secret of motivation by listening. If we can learn to listen well, the people we listen to will be motivated and inspired by our attention.

Most salespeople consider themselves to be good talkers instead of listeners. You hear people saying: “He is a born salesman, he’s got the gift of the gab”. Many people believe that the speaker holds the power and that the listener is meek or docile. Actually you will find that the good listener has much more power in any conversation. The listener is able to gather more information than the talker and armed with information can then produce the desired result.

When two people are conversing, the one who really dominates the conversation is the person who is asking questions and listening carefully to the answers. When we want to motivate somebody to give their best effort, or to follow our direction, we will do so more effectively by listening to their responses to the situation.

Therefore the real job of the salesman is to listen carefully to his customers and understand their needs and concerns. Although they might ask you a few questions first, most successful salespeople will agree with this.

So what steps should you follow to create motivation by listening?

1. Repeat or rephrase so you can clarify the information given

2. Give useful information in return.

3. Listen for the emotions. Selling especially is often based on emotional factors more that objective facts.

4. Look people in the eye and make some reassuring gestures or tones to encourage the speaker.

5. Be careful not to distract the speaker – give them your full attention while they are talking.

6. Show that the discussion is important to you too.

Listening is an essential skill for making and keeping relationships. When you are acknowledged as a good listener people confide in you and trust you; as a manager of people or as a salesperson this is your route to success.

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What Is Motivation

Motivation is the characteristic that is required in order to achieve anything in life; without it you will give up at the first sign of adversity. It means to inspire, instigate and encourage a person to do their best. Motivation will compel a person to think “If I can’t, then I must” and will cause them to do whatever it takes to become successful. If you inspire motivation it can change your life. You will be inspired to get what you want regardless of what people tell you that you can not do. I have personally seen people apply the motivation factors in life to get from poverty to a life filled with abundance.

Do you think you possess the quality? Only you can answer this question. Take a honest look at yourself; do you find yourself pursuing your goals everyday? Are you doing something to work towards them regardless of what is going on in your life? If you are then you; then my friend you do possess this characteristic and you will reach all your goals. I wake up at 5:00 in the morning to get started on my goals. I am passionate about reaching all my goals. Do you find yourself doing this or are you making excuses of why you can not work on a goal?

It will give you the passion to begin exploring what it is you really want to do in life, and give you the courage to follow your dreams. If you do not like where you currently are and are living life everyday unhappy and frustrated; it probably is because you do not possess any motivation for what you are currently doing. It is up to you to find out what you would really like to be doing with your life. What kind of lifestyle do you want? What kind of career do you want? Do you actually know what it is that would make you happy and excited about getting up out of bed in the morning?

This is a strong quality for anyone to possess; and you can only possess it when you set a burning desire to be do have something in life. No one can give it to you. It can change a persons life in many ways. It can change the way you think, and when you become involved with personal development and become a much more positive individual motivation will get you out of your negative environment.

It is the fuel that inspires us to reach our goals and achieve what we truly desire. It also allows us to keep getting up and moving forward when we get knocked down. Getting motivated and staying motivated gives us the energy we require to reach our goals in the shortest amount of time possible. It is required to meet our goals and do anything purposeful in life. Without it you will not want to get out of bed, clean the house, walk the dogs or do anything at all. Being successful in life and motivation go hand in hand. When you learn how to achieve motivation for something you truly desire; nothing can stop you from having it. So think about it; what truly motivates you then take action towards it and watch it become your reality.

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Self Motivation and Its Importance

Self motivation is very important. There are several reasons for self motivation being so important in a person’s life. Everyone needs to be self motivated.

These days, with so many challenges and a lot of competition one needs to survive, self motivation works like confidence enhancer. It boosts once enthusiasm and provides energy to work.

Self motivation is known as the most important factor in your life. If you are looking for success in any area of your life, you need self motivation. Self motivation plays an important role in enhancing your self esteem. It cultivates a desire to do something in life. Experts in the past have believed and even proved that when self motivation is combined with self determination, one can easily move mountains and find water in deserts.

There are several things one can get motivated with. People get motivated by their strong belief in the almighty. They can even get motivated by an experience they have had or by any other factor. These things just encourage you to change your perspective in life. One can change in to a better person or a better business person with self motivation.

People usually go through happy and sad times in their lives. When thing go awry, you need to support yourself, your family and people around you. This needs a good amount of energy force in you. When providing support and encouragement to your family and friends, you need to be really strong.

Some people are lucky to have good support in the times of pathos. However, some are left alone and require a lot of courage to survive tough times. At such times, one need to get motivates or motivates oneself. Lack of self motivation at such times can be damaging and even complicate your life further.

Mentioned below are some strong reasons on why you require self motivation:

o Self motivation is extremely important when it comes to accepting challenges and opportunities in life.

o The force of self motivation helps in planning your life and easing the difficulties.

o Self motivation provides a new sense of purpose and direction to your life.

o Self motivation is important to provide enthusiasm in life.

o Self motivation lets you live a fulfilling life.

o You can empower and encourage yourself to face tough times and competition in life with the help of self motivation.

o Self motivations fill you with positive energy and boost your enthusiasm.

o Self motivation is important for your existence. It provides you an identity for yourself.

Motivation is a kind of driving force that encourages an individual to get going. It is a kind of boost to the self confidence, faith and inner conscience of a person. All of us look for some kind of motivation in life. It is almost impossible to face a competition, achieve success of accomplish a goal without motivation.

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Motivation Theory

The word motivation is coined from the Latin word “movere”, which means to move. Motivation is defined as an internal drive that activates behavior and gives it direction. The term motivation theory is concerned with the processes that describe why and how human behavior is activated and directed. It is regarded as one of the most important areas of study in the field of organizational behavior. There are two different categories of motivation theories such as content theories, and process theories. Even though there are different motivation theories, none of them are universally accepted.

Also known as need theory, the content theory of motivation mainly focuses on the internal factors that energize and direct human behavior. Maslow’s hierarchy of needs, Alderfer’s ERG theory, Herzeberg’s motivator-hygiene theory (Herzeberg’s dual factors theory), and McClelland’s learned needs or three-needs theory are some of the major content theories.

Of the different types of content theories, the most famous content theory is Abraham Maslow’s hierarchy of human needs. Maslow introduced five levels of basic needs through his theory. Basic needs are categorized as physiological needs, safety and security needs, needs of love, needs for self esteem and needs for self-actualization.

Just like Maslow’s hierarchy of needs, ERG theory explains existence, relatedness, and growth needs. Through dual factors theory, Herzeberg describes certain factors in the workplace which result in job satisfaction. McClelland’s learned needs or three-needs theory uses a projective technique called the Thematic Aptitude Test (TAT) so as to evaluate people based on three needs: power, achievement, and affiliation. People with high need of power take action in a way that influences the other’s behavior.

Another type of motivation theory is process theory. Process theories of motivation provide an opportunity to understand thought processes that influence behavior. The major process theories of motivation include Adams’ equity theory, Vroom’s expectancy theory, goal-setting theory, and reinforcement theory. Expectancy, instrumentality, and valence are the key concepts explained in the expectancy theory. Goal setting theory suggests that the individuals are motivated to reach set goals. It also requires that the set goals should be specific. Reinforcement theory is concerned with controlling behavior by manipulating its consequences.

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Automobile Dealerships – Out of Trust Situations – Tips For the Dealer

Almost every financial organization has a workout department. Their names are as varied as Problem Loan Administration; Central Loan Department; or Special Assets Department. A dealer may be assigned to one of these special departments, or a member of the department may start appearing at meeting with the dealer’s regular bank officer.

The courts have consistently upheld the rights of lenders to have workout teams and to have those teams, within broad parameters, take affirmative actions to protect the lenders’ interests.

Matching the average dealer’s experience with work-outs, to that of the lender’s experience, would be equivalent to matching a high school football team against a professional team. The professionals have played the game hundreds of times. They have seen and heard hundreds of presentations, arguments, excuses and reasons for a dealership’s problems, while the dealer, lacking experience, is encountering the trauma for the first time. Realizing the dealer will probably be a neophyte, with respect to workouts, the following rules are provided the dealer, as a plumb line, to be followed throughout the workout procedure:

1. Do Not Confuse Friendship with Business. Factories and lenders have seen and heard most of the workout plans any dealer could suggest. The have probably seen versions of each plan which have been refined over generations by some of the best minds in the business. Their experience, however, cannot help the dealer get the best benefits for the dealer.

Employees of the factory/lender have an obligation to their corporation and in turn to its shareholders, to get the best contract for their corporation. There is nothing wrong with that; they have a legal duty to their shareholders and creditors to protect them, not you.

They will, however, indicate whether or not you workout plan is “acceptable” or “unacceptable” to them. If the proposed plan is “unacceptable”, one of two things can happen. The dealer can keep proposing plans, until one is accepted, or the factory/lender might suggest an acceptable alternative.

If the factory/lender suggests a plan acceptable to them, it means just that: the workout plan is acceptable to the factory/lender. It does not mean, and should not mean, the factory/lender will not approve some other plan, which may be more beneficial to the dealer, if the dealer knows what to request and how to structure it.

2. Do Not Confuse Optimism with Confidence. Optimism means expecting a plan will work. Confidence means knowing what to do if it does not. Never act without confidence.

3. Do Not Value a Dealership by the “SOT + Assets” Formula. The odds against that plan working are about the same as the odds against winning the lottery, except the ante is higher.

4. Do Not Say “SOT”. Sometimes a dealer talks in terms of SOT (Sold Out of Trust) or OT (Out of Trust) with the factory or lender, when the dealer actually has SAU (Sold and Unpaid) units. Once the dealer refers to an out of trust situation, it puts the factory/lender in a precarious position. All sorts of rules then come into play, both legal rules and company rules, which would not have had to take effect if the dealer used the phrase SAU. The factory/lender can’t read minds to know the dealer really meant SAU, instead of SOT. From the moment the phrase SOT is used, the only thing the listener knows for certain is, if there is a law suit and the listener were asked if the dealer said he or she were SOT on such and such a date, the listener would have to answer “yes.” Don’t put them in that position.

5. Do Not Lie. Don’t lie to yourself; don’t lie to the factory; don’t lie to the lender.

Dealers, who lie to themselves about their problems, how they got there, or their ability to solve them, base their entire solution upon a lie and, without exception, compound and complicate the original problems.

A lie to the factory/lender will alienate the only entities which have both the ability to help and the most to gain, besides the dealer and the dealer’s family, in finding a workable solution. When in doubt, remember what Mark Twain said: “I never got hurt by anything I didn’t say.” He also said that when he was ninety, he recollected he had worried about a lot of things in life, most of which never happened.

6. Do Not Panic. There are many challenges in business, and being short of cash is but one of them. Numerous dealers have been there before and numerous dealers have survived.

Analyze the problem as if it were someone else’s problem, and compose a short letter as if you were giving advice to another dealer. The advice should be to get professional help. A storm at sea, calls for seasoned sailors. No one would want a crew with little experience in storms, unfamiliar with navigation, no charts, no radar and no one to call upon for advice. A dealer with a SOT problem is in a big storm, except it won’t go away with time. Without help, the dealer’s family, friends and employees will all be affected. The dealer has to make tough decisions, or time will make them-and the dealer will not like the decisions time makes.

At the time the lender has the second meeting, referred to above, wherein the lender wants the dealer to sign the work-out agreement, the dealer should be prepared to structuring of the work-out plan, the handling of a keeper, the method of repayment and such.

As soon as you know you are OT, your first call should be to us (or someone as experienced as us) and your second call (after visiting with us, your attorney and accountant) should be to the credit company. Telling the credit company you have sold and unpaid units before they tell you, is vital to establishing a foundation upon which to build a work-out plan. At the same time, Automotive Advisors’ experience is vital to the dealer and the dealer’s attorney and accountant, in providing constructive suggestions and in planning and recognizing realistic options.

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National Auto Insurance Company Review

Automobiles have been a part of American society for about a century now and in today’s society, they are an essential part of everyday American lives. Although in big cities, mass transportation systems such as subways, buses and metros have been developed, most average Americans get to and from work through the means of automobiles. It is for this reason that the Federal Government decided to allow each state to design its own automobile insurance laws, so that they could have a say about under which conditions an automobile was to be used within their respective state borders. With the population of the United States growing everyday and more and more people entering this great country, it is imperative that Americans have automobile insurance so they can drive safely and without risk on the roads of this nation.

Nowadays, most people can find an automobile insurance company within a 25 mile radius from their residence. While there are big car insurance companies such as GEICO, Allstate, and others that are trying to get bigger in order to control this sector of the economy; there are some other ones that are unknown nationally and work within their state’s borders. In this article we will only be discussing those “top dogs” in the auto insurance business by looking at their history, what they offer and how they have become well known through the years.

Esurance: Although this company was founded only in 1999 through the Internet, they have progressed much through the years. The company started in four states and it was quickly bought by the White Mountains Insurance Group. Today, Esurance claims to insure about 85% of the nation’s drivers and they are continuing to grow by providing coverage in 28 states. Since they were founded, this company has strived to give customers the best rates in the market with the best coverage. They pride in their customer service techniques and on the fact that their customer service agents are available 24 hours a day, 7 days a week. This insurance is said to be the first one to offer their products entirely online, making it a little easier and convenient for people to get quotes and enroll from the comfort of their own home of office. The company has grown so much that they have expanded to offer not only automobile coverage, but also life, health, homeowner and motorcycle insurance.

GEICO: One of the biggest automobile insurance companies in the United States, GEICO is best known for their little gecko talking in a British accent, or for the caveman commercials that highlight the fact that getting a quote online is “so easy a caveman can do it.” The Government Employees Insurance Company (GEICO) was founded in the 1930’s when the Great Depression was still hitting this great nation. Leo and Lillian Goodwin started the company in the state of Texas because they had a vision of lowering premiums for selected customers. The company became more and more famous around the United States and it was in 1936 that they established operations in Washington D.C. Nowadays, the company is functioning in all the states and its assets have climbed up to a record $21.9 billion. They have an estimated 7 million members, 21,000 associated in 12 major locations nationwide. This incredible growth has been due to three key elements that GEICO focuses on: excellent coverage, low prices and outstanding customer service.

Allstate: With their motto “You are in good hands” this company strives to be the best by giving their customers peace of mind and enriching their quality of life through the excellent management of their risks. The company was founded in 1931 and it only became a public trading company in 1993. Based in Northbrook, Illinois; Allstate is one of the nation’s leading insurers in urban and regional areas and it has offices in all of the states of the nation. They pride in the various numbers of awards they have won through out the years and because they have supported auto and highway safety reforms including seat belts, air bags and teen driver education. A Fortune 100 company with $157.5 billion assets, the Allstate Corporation encompasses more than 70,000 professionals with near 30% minorities and 59% women. The company provides insurance products to an estimate 17 million automobiles and one out of every 9 autos on the road are insured by them

SF Insurance: This Company was founded in 1922 by a retired farmer and insurance salesman by the name of George Jacob Mecherle. He started the company for the sole purpose of lowering automobile insurance premiums for farmers, because he knew they drove way less than the average customer. Today, SF Insurance claims to insure more cars than any other auto insurance company in North America and it is available in all 50 states and in the neighbor country of Canada. In 2006, the company became the first to promote a major film, when they sponsored the Pixar movie CARS and they have extended to life, homeowner and property insurance. The company has over 17,000 agents and 68,000 employers that help over 76 million customers in every single type of insurance imaginable. They are ranked A+ by A.M. Best and they are also 31st in the list of Fortune 500 list of largest companies.

Nationwide: Another “top dog” of automobile insurance in the United States. The company was founded in 1925 by the Ohio Farm Bureau Federation in order to provide excellent low-cost rates for rural drivers in the state and in the span of 80 years Nationwide has been transformed from a small automobile insurance for Ohio farmers to a big company that receives an estimated $157 billion in assets. Nowadays, Nationwide is not only an auto insurance provider; but it offers financial services as well. They are known for excellence in their service simply because their associates have a variety of skills, experiences and backgrounds that make them more compatible to their customers. The company is ranked 104 on the Fortune 500 magazine and has about 36,000 employers. Is also of note to mention that Nationwide ranks as the 6th largest auto insurance company in the United States based on premium ratings as ranked by A.M. Best.

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The DaVinci Surgical Robot, Hospital Budgeting Considerations

In 2000 Intuitive Surgical released the first surgical robot, extending minimally invasive surgery into a new realm. Since its inception the company has sold over 1400 da Vinci surgical systems, and continues to grow the business through system redesigns and procedure expansions. Currently the larger volumes of procedures being done are prostatectomy, hysterectomy, and heart valves.

The benefits of minimally invasive surgery are many; improved patient outcomes, decreased length of stay, and reduced blood utilization; and some feel the addition of a surgical robot further benefits the patient. While the clinical benefits may be debatable there exists a level of demand by both physicians and patients. Physician’s market their robotic skills in an effort to build their business by attracting those patients who feel robotic surgeons are more desirable. Hospitals must have a robot to recruit the surgeons performing these state of the art procedures, which in turn brings higher surgical volumes.

For most hospitals the $2 million investment is a sunk cost, there is no guarantee the robot will attract increased surgical volume. Surgeons can be on staff at multiple hospitals as an effort to expand their own patient base. Without a contractual agreement in place a surgeon can easily move his or her surgical volume to a new hospital, for example East Hospital purchases a robot in 2005 to attract Dr. A’s business, in 2008 West Hospital purchases the newer generation robot and Dr. A moves his entire robotic business to West Hospital, now East hospital as to begin to rebuild that lost volume.

Therefore the debate begins regarding the opportunity costs of the $2 million investment, such as investing in needed Information Technology, updating existing medical equipment, or even expanding bed capacity. Financing alone can be a challenge for some hospitals, if not a member of a larger network, or beneficiary of a trust or donation a capital expenditure of this size may need to be financed. As you will later the opportunity cost of capital must be considered in this decision as well.

It is also important to consider other fixed costs such as the service contract which starts year two and is about $150,000 per year, a hospital doing 150 robotic cases a year will automatically incur an additional $1000 cost per case. Specially trained labor is also required for the surgical team. In this situation administration may have the ability to convert this from a fixed cost to a variable cost if the main operating room functions on a different budget, and staff cross coverage is expected during periods of low robotic volume. One last budgeting consideration is marketing, as discussed if the main driver for purchase is to attract market share it will be important that patients are educated you the hospital’s offerings.

Other variable operating expenses include the robotic instruments, specialty drapes and other accessories that bring the total robot specific variable cost to about $1500 per case, which is above and beyond the standard laparoscopic surgery requirements. It is important to note that at this time there is no additional reimbursement from insurance payers to cover this cost. Therefore there is an estimated $2500 in additional cost to perform robotic surgery (not including the capital investment) to consider, for most hospitals this additional cost will not be covered resulting in a negative contribution margin. When evaluating the opportunity cost of capital it is important to note these procedures will not generate a profit for the hospital, therefore this project will have a negative net present value.

In conclusion the decision to invest in a surgical robot is based primarily on the predicted future need to recruit quality surgeons and the desire to retain or reclaim experienced robotic surgeons who will not only bring robotic cases but non-robotic cases as well. It is these non-robotic cases that some institutions predict will offset the negative investment. By partnering with surgeons in both the decision making process and program design hospitals can hope to retain existing volume as well as grow into the future.

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Kids With Cancer and Energy Techniques in a Hospital – How it Started

This intense, enormous project of working with energy techniques like EFT and kids with cancer in a hospital started when I was invited to participate in a Fundraiser for Kids with Cancer. I went to the fundraiser thinking: "Let's see what happens?" Being open to all possibilities led to a life-long project that continues to expand and fill my heart with love.

It started out with a conversation between the head oncologist and me about Energy Techniques like EFT and the needs of these children beyond the physical treatments they receive. He commented on me trying it in the hospital.

I first showed the nursing staff how to tap because they are in immediate contact with the children on a daily basis. I wanted them to know personally what I was going to do so as not to be surprised by the funny looking "tappings" and "TappyBear" I would be using. I led them through a few rounds of tapping about their work stresses and we ended up laughing and relaxing. This beautiful connection between me and these nurses who care so diligently for these children established a basis of trust. I believe that connecting with the nurses has been "key" to success because they freely allow me to work with the children.

The children's cancer ward environment consists of a waiting room where up to 25 parents and children wait for treatments and two hospital rooms with either 3 or 6 beds.

The first day I walked into the cancer ward, I felt overwhelmed. It was as if I had been hit by a wall of sadness, pain, misery and fear, the emotions that they kids and parents felt. One mother and her child huddled together in a corner. There were about 30 others in the room in a similar state. I felt that their perception was that they were alone, huddled in their own misery. It deeply saddened me, this lonely, isolated and depressing image.

The children and parents who tapped with me began to feel relief on many levels, emotional and physical. With time, and, as more and more of the children and parents tapped, the atmosphere of the cancer ward changed significantly.

Here are a few changes I witnessed:

– Four children and their parents laughing together over breakfast. It was so noteworthy that even the doctor commented on it.
– On another visit, the children played games, did puzzles, drew and colored, or played ball and constructed things out of Legos, together or on their own. There was laughter and much chatter among the kids.
– Parents had markedly reduced anxiety, stress and fear, which allowed them to be joyful with their children.
– Parents began to talk and share experiences and help each other out. One mother explained that before learning EFT she couldn't help anyone else. She was completely absorbed in her own problems with her son's cancer that she couldn't even think about what was going on with the other children and parents much less help them. After EFT she felt empowered, calm and much more relaxed in the face of her child's cancer. She now enthusiastically goes out of her way to help the children and other parents.
– The nurse's work is more relaxing and enjoyable because interacting with children who are calm and accepting of them and / or their treatments makes their job easier and less stressful.
– The doctor and nurses observed improved compliance in the children as they did miss their appointments at the hospital and took their medications more consistently.

Walking into the cancer ward now is a different experience. The ward feels light and comfortable. The ever present and seriousness of the disease still exists, but the intense fear of it or the inability to manage it is not. Laughter is now frequently heard in the cancer ward. These shifts alone have been worth bringing the gift of energy techniques and EFT to the hospital.

See "The Oaxaca Project" to read more about this labor of love.

Namaste
Deborah Miller, Ph.D.

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Advocacy for the Deaf and Mute Patients

As you nurses go on with your daily tasks of carrying out doctor’s orders and caring for your patients, have you ever wondered what happened to the old fashion way of nurse-patient interaction? How many of your patients today have you actually took time to talk to and learn first hand information on what specific set of behaviour brought them to the hospital today? One? None?

With the nurse-patient ratio existent in many public hospitals today, it is quite impossible to attain this one basic principle you learned from Fundamentals of Nursing. It is not surprising that many people are still unaware how much activity a nurse must finish within her 8-hour shift. Most of the time, spending a quality nurse-patient interaction would be the least of the nurse’s priority because of staffing shortage as well as the tasks that she needs to accomplish within the day. As such, how will a nurse get sufficient clinical subjective information from the communication-challenged individuals, like the mute and deaf? Surely, a private hospital will have an in-house specialist for this type of clients. But how about the government or public hospitals? Would you say public hospital nurses are not up to this type of challenge? Before you make up your mind, here are two factors which, both the private and public hospital will have difficulty in resolving:

Patient’s Communication Skills

Bear in mind that effective communication involves feedback. Regardless of the presence of an in-house communication specialist within the private hospital, if the patient cannot communicate using the tools that the specialist have, there won’t be any progress at all. What will a nurse do if she has a deaf and mute as well as illiterate patient?

A nurse can use illustrations and photos to teach this type of patient, but to get the subjective data necessary to confirm a clinical status would require quality nurse-patient interaction and collaboration with the closest family member of the patient.

Reason for Hospital Admission

It is not surprising for a nurse to receive a patient with symptoms of abuse. She can take note of this from the bouts of crying or tension of the patient whenever the source of abuse is present. However, this may be difficult when the patient is both deaf and mute. It would be a real challenge to prove abuse, especially if clinical symptoms that are verifiable with physical examination in conjunction with laboratory tests provide no clues. The nurse will have to use her senses most of the time with these types of patients.

Being present inside the room every time someone visits the patient would be ideal. She can take note of her patient’s reaction towards the visitor to assess behavior. She can then recommend these observations to a psychologist.

These patients are those kind of patients that nurses need to spend more time to establish rapport. You can expect that individuals with this disability are more apprehensive of strangers.

Of course, nurses would like to get the ideal – a patient who can communicate his needs clearly and effectively. But alas, the situations most nurses are in, were most of the time, far from the ideal.

It’s circumstances like these that makes a nurse want to learn more – to get her communication skills amplified. She can voluntarily take courses on hand communication for the deaf and the mute. After getting these skills, she can gather out of school youth in her locale and teach the basics to these children and teenagers. At the hospital, she can propose a program for the admitted deaf and mute patients to learn the basics of this communication.

The nurse may not be satisfied with these simple altruistic methods, such that she can start to join NGO’s and advocate this in public schools, colleges and universities. In fact, a nurse can do a study on this and have it communicated to the allied health professions as a wake up call. Well, these are just ideas, but hey, human inventions resulted from ideas, right?

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