Show Battling Depressive Behavior Blackburn Administrator Richfield Care Center By Elaine All too often in the care of the elderly we hear statements like "I don't know why I keep living I'm too old and sick to do anything" or "I wish I could just die and be nd of all my misery" Statements such as these are frustrating to caregivers and are a very challenging aspect of longterm care How should we respond to a person who is being treated for depression or grieving the loss of a loved one or who has developed a pattern of pessimism or despair? Following are some suggestions that acknowledge emotional needs and may be helpful in changing the patterns of depressive behavior Allow the person to express loneliness anger or despair without contradicting or ignoring the statements Be a concerned listener and validate his right to share his emo- tions Expressing painful feelings sometimes helps to resolve them Use statements or comments that express concern: "I'm sorry you’re upset" "Talking about it may help you feel better" Encourage individuals to express themselves Asking questions can Koosharem News New At Sorenson's School LaVee Hatch New at Sorenson's Ranch School Cunningham from Brigham Young University who will live with his wife and son in the house next to Clarin Hatch English teacher Bill Carlton who is replacing Larry Frost and will commute from Salt Lake City and Allen Pearson for Sorenson's Ranch School Participating in LDS sacrament Junction with a horse program The Piute wrestling team was at Pine View in St George where Kyle Bell and Todd Sorensen took second place and Ryan Baglcy took fourth Sidney and Britt Nielsen are parents of a son who joins a sister at home Grandparents are Dan and Evelyn Nielsen and are Newel and Mildred Nielsen Greenwich Visiting RG and Norda Rose Torgerson were daughter Martha Hendrickson Salina and Ronald and Janna Torgerson Ncphi meeting were Shyanne Burr Willie Talbot Chiystal Hatch Tcri Hatch returned missionary Lance Dclange Paul Lewis and Charles DcLange Tarvel and Louise Torgerscn have a new grandson bom to Mike and Joann Savage who joins a sisare ter at home Opal Torgerscn and Mr and Mrs Shane and Jill Sorensen attended a Jazz basketball game in Salt Lake ts ts Harold Sorensen Rolland and Elsie Bagley at- things easier for you?" "Do you feel better talking about it?" Asking questions about the details of an experience demonstrates your willingness to share your client's concerns When a person begins to repeat the same negative statements in a the fosingle conversation cus with neutral ct subjects ie sharing personal news community events current Just Arrived Huge Shipment Of New GMC Trucks fads or fashions weather etc If an individual is unwilling or unable to sustain a conversation avoid demonstrating frustration or disapproval express your concern ie through personal attention and touch perform tasks remain with the person as long as time permits Do not compare an individual with others who have a positive outlook The depressed person is and considers usually such information irrelevant to his particular pain Encourage the person to begin an activity on any level: completing a small chore taking a walk joining non-hurri- they were girlhood friends in Antimony RG and Norda Rose Torgerson watched their son Jason play basketball in Ephraim Marion Hatch and son Jeff Hatch went to Ontario Ore to pick up a student help this process: "What is the hardest thing to accept?" "Is there something we can do to make non-vcrbal- ly w horn are physical education teacher Craig Wednesday February 2 WSi TIIE RICHFIELD REAPER 9 B Ordained elders were Mike DcLccuw son of Gary and Michel DcLccuw by his father Brian Torgerson son of RG and Norda Rose Torgerson by his brother self-absorb- ffitp 055© fflftjiD any group visiting another resident Try to develop a routine to (foam Oto© establish structure in the day This prohelps in the decision-makin- g cess (making choices is difficult for depressed individuals) and it de- (jtmn? (Avoid activities which require high concentration or complicated Opal Torgerson accompanied Melinda Torgerscn to Cedar City regularly to show continuing concern Encourage them to share additional thoughts and feelings Always act on any promises you make Promises that are kept reinforce feelings of worth UL Don't anticipate immediate or BUCK City Burnell and Carrol Sorensen visited in Provo with their daughter Sharicc Sorensen and other family members 'nil l pro- jects) re- to & qaa (ta rrcfcrJi creases the person's isolation Ronald Torgerson and Tyler Torg-erse- n son of Shcril and Shelly Torgerscn by his father and St George Lindy Torgerscn turned home with them Ohd ©558 4!G Maintain relationships with pressed clients once you have gained their trust — seek them out de- PONTIAC OLDSMOBILE 275 NORTH MAIN Joe Jorgensen Scott Miller Robin Henrie CENTER AUTO visible appreciation for your efforts Those with depressive behavior are slower to acknowledge efforts on their behalf John Lloyd CMC CADILLAC RICHFIELD UTAH 84101 tended funeral services in Lyman for her stepmother LaPrcal Chappell Kelly Hopper Aberdeen Wash was baptized at the Circlcvillc LDS Ward She is living in Circlcvillc with the Rick Daltons and is a student at Sorenson's Ranch School o Oil Qi) ffltj fflll (Dh I Lisa Baglcy is back working at Sorenson's Ranch School since the birth of her son Mclonic Baglcy and Richard T N R 0 M 11 N T A I III N 11 mi II t A ri L 111 T II flQQO o CART part-tim- e In Health Care High Quality Costs Less Bury were marred at the school followed by a reception Another reception was held in Emery County home of her parents Lorenzo and Nolen Baglcy Brett and Linda Ncbckcr kept a medical appointment up north for his back Charles Dclange and Lance attended funeral services in Dc-lan- Gallop NM for Herman Liv- ingston foster son of LaBcth and the late Lcland DcLangc Dc-La- Garth and Evelyn Bagley helped their daughter moved into an apartment in Logan She is attending Utah State University Charles and Karen Dclange and family attended funeral services in Santa Clara for Karen’s father Frances Taylor Graveside services were held at the Koosharem Cemetery Cecil and Irene Fillmore visited than the patients themselves Fnends and family members of patients are also customers of both physicians and hospitals Quality is an elusive goal because customer expectations are always changing Once a standard of excellence has been established people expect even more and the standard is raised Quality is a process not an end result Steve Kohlert Senior Via Primpent Iniirmoi nmin Him hi Care with their Ariz nephews sons of his brother Lain Phoenix Mar Fillmore Opal Torgerscn and Wilma Torgerson attended funeral services in Richfield for Elma Moore with Venice News Strings With The Symphony Julie Cowley Toni Davis played her violin with the Utah Symphony at the Gardner Center on the University of Utah campus in Salt Lake City Melanie ami Anne Ogden daughters of Mr and Mrs Corwin Ogden Richfield also performed Mr and Mrs Charles Cowley visited in Salt Lake City with their Mr and son and daughter-in-laMrs Matt Cowley Kelly Buchanan took third place in his weight division at region wrestling in Price and will continue to state competition in Cedar City The LDS Young Women held their New Beginnings program at the church where the theme was "Every Rainbow is a New Beginrening" A skit was presented and served were freshments Richard Harris visited friends in Las Vegas and attended a cooking school in Scottsdale Ariz Mr and Mrs Syd Griffiths Jr have a new grandson bom to Mr and Mrs Desmond Butts are Mr and Mrs Syd Griffiths Mr and Mrs Sharon Cowley visited in Vancouver Wa with the their son and daughter-in-laBlaine Cowleys Jeremy Cowley and Jared Cowley took second place in the Jr Jazz Basketball Tournament Stephanie Cowley and Cicily Breinholl participated in a piano recital at the LDS Tabernacle in Richfield under the direction of teacher Greg Jorgensen w Great-grandpare- w Most of us think high is always more expensive We expect to pay a premium for the best goods and services Yet tn health care exactly the opposite is often true: the higher the quality the lower the cost Indeed manage housekeeping functions admit patients etc) Improving the quality of Distress Syndrome (ARDS) ARDS is a severe tion which lung condi- usually fatal Because the syndrome can TWO SUCCESS STORIES result from many different One example of the power of causes and can vary dramatically from patient to quality improvement work done is the by patient creating a O the cardiac team at an protocol was very’ Olum IHC hospital challenging The aiCKDJiQ' survival rate at the Applying CQ1 tech- ttOialD hospital for the less severe cases of ARDS has climbed to 63 is never-endin- g percent compared with the expected 50 percent And for the most severe cases - a category that posted nine to 15 percent survival rates in the 1970s and 80s that chance for survival has improved to 43 percent - -- - HOW IS QUALITY IMPROVED? Leading health organizations are using “continuous quality No one questions that health care costs are high but in medicine poor quality is even more expensive The longer a patient requires treatment and the more complicated that treatment is the higher the expense As pressures mount on physicians hospitals and health systems to provide more care the best organizations understand that cost savings can be achieved improvement" (CQ1) theory to improve the quality of both medical care and services CQ1 is a four-ste- p cost-effecti- non-chntc- al process: 1 First you make a detailed study of the processes involved in delivenng health care relating these processes to measurable outcomes This may involve using O computers to help collect and analyze Maura data Quality improvement experts like W Edwards Deming mmamiii believe quality is 2 Then you deterdefined by meeting mine the best way to customer expectations perform the process 100 percent of the You create a time and continuously guide to doing working to improve the nght way the things nght products and services In 3 Then health care there are many you implement the new process eliminating inaptypes of customers besides For propriate variations from the example physipatients established standard of optiof cians are customers many mum care hospital services and they may step-by-st- have more exacting expectations about clinical outcomes way to purchase supplies way of studying the processes physicians have always studied high-tec- h means finding ways to consistently provide the highest quality services which are also usually the most cost effective - &- - tions quality improvement is underway m both clinical areas (e g the best way to perform heart bypass surgenes) and in operational areas (e g the best Quality improvement is search for That customers to satisfy ways the quality improvement holds great promise as a way of cutting costs from our national health care system even as patients receive better care WHAT IS QUALITY? quality has improved In many health organiza- ep 4 Finally you measure the outcomes and document how through quality improvement IHC’s HELP system uses bedside computers as to improve quality health care is consistent with the goal of all players in the medical profession: to provide the best medical care possible to patients Physicians have found that quality improvement techniques are simply a new tool to accomplish a classic professional commitment' the advance of medical science Physicians have always sought to improve the quality of medical care based on the study of CQl techwhich analyze data niques captured by computers arc a effective treatments High quality and reasonable cost are not mutually exclusive contradictory goals Quality need not be sacnftced to cost a tool ntques the team succeeded in reducing the average cost of heart bypass surgenes by about eight percent over a five-yeperiod Average length of stay for heart bypass patients decltned from 1 3 days in 1 987 to 9 4 days in 1 99 1 Mortality rates remained low as these improvements were achieved If you have a question related to health care please call or wnte ar In another example from an IHC hospital researchers used CQl techniques to create a standard treatment protocol a computerized guide to optimum care - for treating pat tents with Adult Respiratory- IHC DIALOGUE ON HEALTH (ARE 36 South State Street Salt Lake Citv I’tuh 84111 SEVIER VALLEY - HOSPITAL - I HC A Smcr( |