Stop Over for Peace Activists, Organic Gardens, Nature Retreat !!! Dedicated to the propagation of varieties or "designer strains" of Blueberry bushes (Vaccinium) suited to Northern California. William and Lynn McLean, Humboldt County, CA, Ph # (707) 777-1941 (and S i d e s h o w C i r c u s A c t on the Forrest Channel)
Thursday, December 22, 2011
TRUTH <<< ~ >>> ALL i WANT (cont. CBT/MBT Inventory)
Link: Epispcapal Priest & NYC Councilman arrested @ Trinity Church: http://www.democracynow.org/2011/12/15/worker_owners_of_america_unite_will
.............. ~~~ ..............
Namaste, Ishwar eik hai!!!!!!!!!!!!!!
Nav varsh ki shubh kamanayein.
Chuttiyo Ki Shubh kaamnayein.
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Continue with "CBT Therapy, pls see (Brother, Mom) dating below videos, w/ Goal of improved Cognitive Health, Balance/'Stability'/Harmony/Peace increased over Time.
To start with or simple focus now ~!!!~ is "Feed the Good Wolf - starve the bad wolf". This means encourage and take Actions that keep wm's "State of Mind" in peaceful, thoughtful, calm "mode" more Time per in 'Now or moment" and 24 hour Day and per month... >>> then problematic /panic/highstress Mind State that has along with panic, intermitent symtom of "out of control" or "william's has left the stage".
This includes Day's "allocatio of Energy" to be used wisely, efficially and more evenly thoughout every Day. Muchos grasious mi Familia.
Change of Behavior pattern and cognitive functioning WILL !!! improve as this is accomplished. (Right Environment & keeping stress down)
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Smoke Mother Earth ~ Sacred Burning Bush before We die!
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NOTE "VETERANS FOR PEACE" T-SHIRT > william, Member since 2003. http://www.veteransforpeace.org/
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lynn & are called to be Allah's Occupy Warriors!!!
... of the Rainbow. Personal and Global Responsible.
St Pete in 2003, United States Vs william McLean
This ruling is particularly pertinent in the light of Florida's recent
ruling (per NPR)making cameras, masks, protest signs, puppets, and other tools
for demonstrators illegal just prior to the planned demonstrations in Miami,
November 19-21, against the ministerial meeting to continue planning for
the FTAA.
Joanne
----- Original Message -----
From: Michael
Cc: greensweek@gpus.org ; media-states@gp-us.org ; mfeinstein@feinstein.org
Sent: Friday, October 24, 2003 4:26 AM
Subject: Re: [media-states] Press Release: Indiana Green Party Sets
Program for 2004
FOR IMMEDIATE RELEASE
The Green
Party of Florida
October 22, 2003
Contact:
Mark Kamleiter
727-323-2555
William McLean
727-520-9199
Green Party
peace activist wins federal civil rights case
A victory for constitutionally protected free
speech
TAMPA, Florida -- The United States District Court in Tampa,
Florida, has struck down criminal charges filed against peace and justice
activist and veteran William McLean, who was found not guilty of disorderly
conduct and unauthorized demonstration for promoting peace outside the Bay Pines
Veterans Administration Medical Complex in Pinellas County on March 27,
2003. The federal court's fifteen page opinion issued
by US Magistrate Judge Mary S. Scriven was received Thursday, October 16, 2003.
McLean challenged the constitutionality of the regulations under which
he was charged, and in United States of America v. William McLean, the defendant
won. The trial took place in July, and McLean was
defended by St. Petersburg attorney Mark S. Kamleiter, who called the ruling "a
victory for constitutionally protected free speech." Kamleiter serves as
co-chair of the Green Party of Florida and is a Board Member of the Pinellas
American Civil Liberties Union.
After a medical appointment at the VA
Medical Center, McLean and his wife Lynn decided to exercise their free speech
rights outside the entrance to the complex by holding
signs which said "Trust God...NOT BUSH" and "Blessed are the
Peacemakers." VA police officers then told the McLeans they
couldn't stay on that side of the street, and that "the whole street is U.S.
Government property."
McLean said the couple started to cross the street, but were
called back by police to produce identification.
They were told - one time, according to McLean's testimony - to keep their signs
down. They were then led from the street over onto VA property. "We were
completely compliant with all requests during this time, McLean said.
"This took about 5 minutes, after which we led back off VA property to the
cross walk to go to the other side of the road. We were never given our I.D.s
back or we would have just left that side of the street."
.
At that time a VA Police officer named
Atkinson told the McLeans that holding up the signs on the other side of the
street would result in arrest. McLean replied by saying in a calm voice,
"There is a Constitution," which visibly angered officer Atkinson, who asked McLean if he
"wanted to be arrested." McLean didn't reply, insteadlifted
his peace sign, which prompted
his immediate arrest. McLean was handcuffed and the police seized the couple's
signs, even though they had been demonstrating outside of VA
walls.
McLean says of his treatment by
the VA police: "He then dragged me by the handcuffs behind my back and knocked
my head in the side of the police car. I was not in any way resisting.
I was then taken to
a 3 by 3 foot holding cage where I remained handcuffed with my wrists swelling
up for three hours. I later returned to the Emergency Room at the VA where these
injuries were documented and treated." McLean says the VA police officers were
not truthful or accurate in their reporting of the
incident.
The Court found that although McLean was
technically on the property of the VA Hospital, his position on a traffic
island/crosswalk outside the boundary walls of the complex was a
constitutionally protected public forum. The Court also found that the VA had
failed to demonstrate a reasonable grounds for prohibiting free speech in that
area and dismissed the "unauthorized demonstration" charges. The Court
found further that he could not be found guilty of "disorderly conduct" if the
conduct in question consisted solely of the constitutionally protected exercise
of free speech. Accordingly, the "disorderly conduct" charges were dismissed.
William McLean is an activist for the homeless and with the Campus
Greens. He is a member of Veterans for Peace, the ACLU
and the Pinellas Green Party, and continues to hold
weekly peace vigils with others in front of the Bay Pines VA Hospital.
>>>Our Friend Scott, and fellow Veteran for Peace, in Oakland:
************ T R U T H **************
Our Friend, Howie Hawkins, below, who lynn and i met in 2004, @the Green Party (Our Nacogdoches/Houston/Austin Texas Friend > Now living, where lynn i are moving>>> N CALI: http://www.humboldtgreens.org/ * , Allah the Trixter willing (He wore Crown of Thorns to Heal my Brain post Hep Virus C, strain 1A, then 1 yr Interferon/Ribavirin Chemo)~~~The Great Neurolologist of his Flock, We are Bhakni devotees of the Prince of Peace, the Light, Truth and Way.
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Green Party of California endorses state and national protests Saturday against the wars in Iraq and Afghanistan; Greens also call for humane treatment, release of WikiLeaks suspect
GREEN PARTY OF CALIFORNIA PRESS RELEASE
SACRAMENTO (Mar 18, 2011) - The Green Party of California endorsed the statewide and national demonstrations March 19 and next month opposing the wars in Iraq and Afghanistan, as well calling for the inhumane treatment of Pfc. Bradley Manning, who is being held incommunicado in connection with the WikiLeaks release of documents to the public.
Demonstrations are scheduled this weekend in San Francisco, Los Angeles, Chicago and other cities throughout the U.S., including many in California such as Grass Valley, Davis and parts of Los Angeles. Sunday, protests urging Manning's release are set in Quantico, Va. Other protests are scheduled next month against the never-ending wars.
"Greens believe every dollar spent on war is a dollar taken away from good-paying green jobs we desperately need," said Barry Hermanson, the co-chair of the Green Party of California state coordinating council.
"Today, we are facing massive cuts to service in our communities. Tens of thousands of teachers and other school employees have been pink-slipped. We believe we should spend our money on education and developing alternative energy - not wars in Iraq and Afghanistan," he said, noting that Republican and Democratic lawmakers voted to fund the wars. Hermanson urged voters to re-register with the Green Party because "together we can build a Green future, independent of corporate interests."
In calling for the humane treatment of Manning, and his release, the Green Party has urged Sen. Dianne Feinstein and Rep. Nancy Pelosi to investigate charges that Manning is being made to sleep naked, isn't allowed to exercise adequately and has been subjected to other subtle modes of torture.
"We deplore the treatment of PFC Bradley Manning. He has a right to a speedy trial and humane treatment. But he is being punished without trial, and being treated like detainees in Guantanamo, with little or no outside contact, according to his legal counsel. This is not acceptable," said Cres Vellucci, a Vietnam veteran and GPCA press secretary.
Love and Light, Bhavdeev, Aapka, lynn and wm
peace
Truth . . . > Occupy Mother Earth:::
Is it Today?????????????????????????????
WHAT ABOUT N O W ?
####################################
John 15:4-6 New King James Version (NKJV)
4 Abide in Me, and I in you. As the branch cannot bear fruit of itself, unless it abides in the vine, neither can you, unless you abide in Me.
5 “I am the vine, you are the branches. He who abides in Me, and I in him, bears much fruit; for without Me you can do nothing. 6 If anyone does not abide in Me, he is cast out as a branch and is withered; and they gather them and throw them into the fire, and they are burned.
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Sunday, 25 Dec 11:
Phone not working in Mississippi so hope to keep it simple..."Feed the Good Wolf not the Bad Wolf" or as it states in the sheet of the "PLAN pkg." on CBT; "Keep the Good Fires going and put out the bad ones"................>>>>>>>>>>>>>
the following might help as this is what i had to do with all my patients @ the Hospital @ Ft Ord, CA & Ft Lewis,WA:::::::::::::"SOAP NOTES":::::::::::::::
http://en.wikipedia.org/wiki/SOAP_note
(and pls be gentle with me as i have suffered for 8 years 100's of repeated traumatizations since Chemotheray. Pls, if possible, learn about TBI/PTSD w/ associated mental breakdowns or panic attacks when thinking becomes scrambled w/ symptomatic episodes of mental imbalance and even personality changes.
http://www.scatteredminds.com/about.htm
There has also been recent stress/trauma events including Lisa's Death here in Magee, along with Our Friend Steve Ward (i helped produce his album; "Beyond the Blues") and Legal Issues including fear of MS Penitentiary and having to have a collar around my ankle, like a puppet string or animal leash. ... and pee into a cup for 2 years denying me from my Religeous Freedom, as a Rainbow Warrior Hippie, Devotee of the Prince of Peace being led by the Holy Spirit into all Truth.
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What Does SOAP Stand For?
1. SUBJECTIVE — The initial portion of the SOAP note format consists of subjective observations. These are symptoms the patient verbally expresses or as stated by a significant other. These subjective observations include the patient's descriptions of pain or discomfort, the presence of nausea or dizziness, when the problem first started, and a multitude of other descriptions of dysfunction, discomfort, or illness the patient describes.
2. OBJECTIVE — The next part of the format is the objective observation. These objective observations include symptoms that can actually be measured, seen, heard, touched, felt, or smelled. Included in objective observations are vital signs such as temperature, pulse, respiration, skin color, swelling and the results of diagnostic tests.
3. ASSESSMENT — Assessment follows the objective observations. Assessment is the diagnosis of the patient's condition. In some cases the diagnosis may be clear, such as a contusion. However, an assessment may not be clear and could include several diagnosis possibilities.
4. PLAN — The last part of the SOAP note is the health care provider's plan. The plan may include laboratory and/or radiological tests ordered for the patient, medications ordered, treatments performed (e.g., minor surgery procedure), patient referrals (sending patient to a specialist), patient disposition (e.g., home care, bed rest, short-term, long-term disability, days excused from work, admission to hospital), patient directions (e.g. elevate foot, RTO 1 week), and follow-up directions for the patient.
What IS a SOAP Note?
The SOAP note format is used to standardize medical evaluation entries made in clinical records. The SOAP note is written to facilitate improved communication among all involved in caring for the patient and to display the assessment, problems and plans in an organized format.
Other Examples
eMedNotes Psychiatric Note
DocStoc.com Example
Univ of Kansas School of Nursing
Components of a SOAP Note?
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. The length and focus of each component of a SOAP note varies depending on the specialty; for instance, a surgical SOAP note will generally be much briefer than a psychiatric SOAP note, and will focus on issues that relate to post-surgical status.
Subjective component
This describes the patient's current condition in narrative form. The history or state of experienced symptoms are recorded in the patient's own words.
It will include all pertinent and negative symptoms under review of body systems in addition pertinent medical history, surgical history, family history, social history along with current medications and allergies are also recorded.
A SAMPLE history is one method of obtaining this information from a patient.
If this is the first time a doctor is seeing a patient, they will take a History of Present Illness or HPI. To structure this portion of the note, you can use another mnemonic: OLD CHARTS, as in what would you find if you looked at the patient's "old chart"
•Onset
•Location
•Duration
•CHaracter (sharp, dull, etc)
•Alleviating/Aggravating factors
•Radiation
•Temporal pattern (every morning, all day, etc)
•Symptoms associated
Objective component
The objective component includes:
•Vital signs
•Findings from physical examinations, such as posture, bruising, and abnormalities
•Results from laboratory tests
•Measurements, such as age and weight of the patient.
Assessment
Is a quick summary of the patient with main symptoms/diagnosis including a differential diagnosis, a list of other possible diagnoses usually in order of most likely to least likely. When used in a Problem Oriented Medical Record, relevant problem numbers or headings are included as subheadings in the assessment.
What is a Problem Oriented Medical Record
A Problem Oriented Medical Record (POMR), a method of recording data about the health status of a patient in a problem-solving system. The POMR preserves the data in an easily accessible way that encourages ongoing assessment and revision of the health care plan by all members of the health care team.
The particular format of the system used varies from setting to setting, but the components of the method are similar. A data base is collected before beginning the process of identifying the patient's problems. The data base consists of all information available that contributes to this end, such as that collected in an interview with the patient and family or others, that from a health assessment or physical examination of the patient, and that from various laboratory and radiologic tests.
It is recommended that the data base be as complete as possible, limited only by potential hazard, pain or discomfort to the patient, or excessive assumed expense of the diagnostic procedure. The interview, augmented by prior records, provides the patient's history, including the reason for contact; an identifying statement that is a descriptive profile of the person; a family illness history; a history of the current illness; a history of past illness; an account of the patient's current health practices; and a review of systems.
The physical examination or health assessment makes up the second major part of the data base. The extent and depth of the examination vary from setting to setting and depend on the services offered and the condition of the patient.
The next section of the POMR is the master problem list.
The formulation of the problems on the list is similar to the assessment phase of the nursing process. Each problem as identified represents a conclusion or a decision resulting from examination, investigation, and analysis of the data base. A problem is defined as anything that causes concern to the patient or to the caregiver, including physical abnormalities, psychologic disturbance, and socioeconomic problems. The master problem list usually includes active, inactive, temporary, and potential problems. The list serves as an index to the rest of the record and is arranged in five columns: a chronologic list of problems, the date of each problem's onset, the action taken, the outcome (often its resolution), and the date of the outcome. Problems may be added, and intervention or plans for intervention may be changed; thus the status of each problem is available for the information of all members of the various professions involved in caring for the patient.
The third major section of the POMR is the initial plan, in which each separate problem is named and described, usually on the progress note in a SOAP format: S, subjective data from the patient's point of view; O, the objective data acquired by inspection, percussion, auscultation, and palpation and from laboratory and radiologic tests; A, assessment of the problem that is an analysis of the subjective and objective data; and P, the plan, including further diagnostic work, therapy, and education or counseling. After an initial plan for each problem is formulated and recorded, the problems are followed in the progress notes by narrative notes in the SOAP format or by flow sheets showing the significant data in a tabular manner.
A discharge summary is formulated and written, relating the overall assessment of progress during treatment and the plans for follow-up or referral. The summary allows a review of all the problems initially identified and encourages continuity of care for the patient.
Plan
This is what the health care provider will do to treat the patient's concerns. This should address each item of the differential diagnosis. A note of what was discussed or advised with the patient as well as timings for further review or follow-up may also be included. Often the Assessment and Plan sections are grouped together.
SOAP notes facilitate better medical care when used in the patient's record and provide for far greater review and quality control. SOAP Note Documentation of patient complaints and treatment should be consistent, concise and comprehensive.
Conclusion
The SOAP note is not meant to be as detailed as a Progress Report. Partial sentences and abbreviations are appropriate. However, care should be exercised based on how the abbreviations are used as they can differ for each specialty. The length of the note will differ for each specialty as well.
SOAP notes can be flexible and different care providers will often have their own styles as well as different office will have thier preferences. Usually SOAP Notes written by the uninitated will usually be a little longer than those of more advanced staff with more clinical judgment and experience in proper SOAP note writing format. A short, precise SOAP note is often better than an entry that is too verbose.
Documenting patient encounters in the medical record is an integral part of practice workflow. Additionally, Prehospital care providers such as EMTs may use the same or similar format to communicate patient information to Emergency department personell.
Examples
Very rough example for a patient being reviewed following an appendectomy (resembles a surgical SOAP note).
Surgery Service, Dr. Jones
S: No Chest Pain or Shortness of Breath. "Feeling better today." Patient reports flatus.
O: Afebrile, P 84, R 16, BP 130/82. No acute distress. Neck no JVD, Lungs clear Cor RRR Abd Bowel sounds present, mild RLQ tenderness, less than yesterday. Wounds look clean. Ext without edema
A: Patient is a 37 year old man on post-operative day 2 for laparoscopic appendectomy, recently passed flatus.
P: Recovering well. Advance diet. Continue to monitor labs. Prepare for discharge home tomorrow morning.
Note that the plan itself includes various components:
Diagnostic component - continue to monitor labs
Therapeutic component - advance diet
Patient education component - that is progressing well
Disposition component - discharge to home in the morning
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz
* * * a few videos from Our (Part of CBT is "Creative Exercising") Video Cannels:
~~~~~~~~~~~~~~We Hope to continue & do more in Califonia ~LOVE PRODUCTIONS~ i.e, Documentaries on Organic Growing/Feeding/Garden + + +, i.e. Biochestry for Energy and Material/Consumer Products including Carbon (Hemp = "Nature's Solar Panels) Ring proction (w/ 200 - 300 yr. degrading, as not to, like Vynel-dioxens, as GP Vaule of "Future Focus": http://www.gp.org/tenkey.shtml#fut and Music witing and art such as painting:
7777777777777777
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http://blueberrypeacefarm.blogspot.com/2011/06/stress-disease-connection-add-new.html
Wednesday, 28 Dec 11:
hrsday
The impact of a moderate to severe brain injury depends on the following:
Severity of initial injury
Rate/completeness of physiological recovery
Functions affected
Meaning of dysfunction to the individual
Resources available to aid recovery
Areas of function not affected by TBI
The impact of a moderate to severe brain injury can include:
Cognitive deficits including difficulties with:
Attention
Concentration
Distractibility
Memory
Speed of Processing
Confusion
Perseveration
Impulsiveness
Language Processing
"Executive functions"
Speech and Language
not understanding the spoken word (receptive aphasia)
difficulty speaking and being understood (expressive aphasia)
slurred speech
speaking very fast or very slow
problems reading
problems writing
Sensory
difficulties with interpretation of touch, temperature, movement, limb position and fine discrimination
Perceptual
the integration or patterning of sensory impressions into psychologically meaningful data
Vision
partial or total loss of vision
weakness of eye muscles and double vision (diplopia)
blurred vision
problems judging distance
involuntary eye movements (nystagmus)
intolerance of light (photophobia)
Hearing
decrease or loss of hearing
ringing in the ears (tinnitus)
increased sensitivity to sounds
Smell
loss or diminished sense of smell (anosmia)
Taste
loss or diminished sense of taste
Seizures
the convulsions associated with epilepsy that can be several types and can involve disruption in consciousness, sensory perception, or motor movements
Physical Changes
Physical paralysis/spasticity
Chronic pain
Control of bowel and bladder
Sleep disorders
Loss of stamina
Appetite changes
Regulation of body temperature
Menstrual difficulties
Social-Emotional
Dependent behaviors
Emotional ability
Lack of motivation
Irritability
Aggression
Depression
Disinhibition
Denial/lack of awareness
Click below to go to the other Symptoms of TBI sections:
Symptoms of Traumatic Brain Injury Homepage
Glasgow Coma Scale For Diagnosing Traumatic Brain Injury
Ranchos Los Amigos Scale For Diagnosing Traumatic Brain Injury
Mild TBI Symptoms
Severe TBI Symptoms
Diagnosis of Traumatic Brain Injury
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