Wednesday, May 30, 2012

Utah wheelchair soccer league offers an escape

Utah wheelchair soccer league offers an escape
League lets kids take control of specially adapted chairs to play soccer for an hour or two.
Steve Griffin/The Salt Lake Tribune Youth soccer players line up their wheelchairs as they practice soccer at the Sorenson Multicultural Center in Salt Lake City on Wednesday, May 23, 2012.
Sounds of zooming and clicking filled the air as 10 soccer players in their power wheelchairs sped across the basketball court, moving a soccer ball toward the goal.
The kids spun and whacked the ball with custom racks attached to the front of their chairs as they tried to score on their opponents at the opposite side of the gym.
A taunt from goalie Gidget Winward, 12, echoed across the gym as the opposing team approached her goal.
“Bring it over,” Winward said, leaning forward in her chair. “Bring it.”
The 13-inch ball made its way to her side of the court, propelled forward by a power play from the opposing team, but Gidget quickly deflected the shot with the rack on her chair. A huge grin dawned. Gidget, along with the nine other players who came to Sorenson Multicultural Center to practice and scrimmage the night of May 23, make up the Salt Lake City youth wheelchair soccer league.
With greater hand-eye coordination than most, the players steer their chairs using handheld control sticks, which can propel them up and down the court.
The league, established by Shriners Hospitals for Children, Salt Lake County and Ability Found, offers the opportunity for children ages 7 to 18 to hop out of their everyday chairs and into specially adapted soccer chairs to play for an hour or two.
Shriners refurbished chairs donated by the county, and Ability Life donated funding to help add baskets to the front of each chair.
Program coordinator Ken Kozole said getting the funding to refurbish all the chairs proved challenging and that some of the chairs still do not have official baskets. Instead, some push soccer balls forward with white plastic boxes.
“It’s a minor miracle that we have 10 chairs up and running,” Kozole said.
Official equipment aside, Adriana Ibarra, mother of 14-year-old player Hugo, said the program has created an escape for her son. After fully losing his ability to walk a year ago from muscular dystrophy, Hugo found a way to do something he loves again.
“He gets tired of sitting in the same position all day,” Ibarra said. “So this helps distract his from his reality, from his problem.”
Hugo, one of the league’s best players, said he looks forward to the game each week.
“It’s a sport that I can play and enjoy,” Hugo said.
Nik Winward, Gidget’s 14-year-old brother, said he, too, enjoys the game each week. The only part he felt less than thrilled about was spending time with his sister.
“She pushes my buttons all the time. These buttons,” Nik said, pointing down at the control buttons on his chair. Leisha Roberts, mother to Drew, 14, and Noah, 12, said her sons enjoy the opportunity to improve their skills.
“It’s the only sport they can do themselves,” Roberts said. “It really gives them their independence.”
Ibarra said when Hugo went into his power chair full time, he lost some of his friends because they did not understand what he was going through.
For Ibarra, the diagnosis came with intense emotional repercussions as well.
“The world came down on top of me,” she said.
Changing their family’s lifestyle has been challenging, but the wheelchair-soccer league helps bring some normalcy.
Despite her language barrier (Ibarra speaks primarily Spanish), she has found community with the other parents in the soccer league.
“Every day is hard, everything we face, and there is no how-to book for this,” Ibarra said.
After an hour and a half of speeding around, spinning and socializing for players, and after their parents have gathered to support their children and one another, the game ends.
Game chairs get pushed into a supply closet in the gym. There they charge until the next week’s game.
Outside, the players roll to their vehicles, where many are lifted into their seats or roll up ramps to their designated spots.
They leave looking forward to next week’s game.
Youth Wheelchair Soccer League
The league practices and scrimmages Wednesdays at 7 p.m. at the Sorenson Multicultural Center, 855 W. California Ave., Salt Lake City. For information, call program coordinator Ken Kozole, 435-640-1325.

© 2012 The Salt Lake Tribune
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Love it! CNA BLOG

These guys (still) like to spike
Men in the tourney’s oldest age division keep competing because they can.
Trent Nelson | The Salt Lake Tribune MAC Magic’s Jake Barkdoll spikes the ball over Rustys’ Gordon Peak on Tuesday in the 73-and-over men’s division of the USA Volleyball Open National Championships taking place at the Calvin L. Rampton Salt Palace Convention Center in Salt Lake City.
They can be found in the back corner of a large ballroom at the Calvin L. Rampton Salt Palace Convention Center, playing with rebuilt shoulders and on creaking knees. Some are bald, others sport shocks of pure-white hair.
And if you’re 73, they call you “kid.”
Meet the guys who are competing in the 73-and-over men’s division at the USA Volleyball Open National Championships, which has descended on Salt Lake City this week with 443 teams in all age groups, professional and amateurs. The tournament began over the weekend and runs through Saturday.
Those competing in the tourney’s oldest age division can’t move with the lateral quickness of their younger counterparts. And age has taken a toll on their vertical lift. Six weeks ago, a member of one of the 73-and-over teams suffered a heart attack. But he still made it to Utah.
“Anything you can think of that’s associated with age, we’ve had,” said Jake Barkdoll, the 78-year old player/coach of the Mid-Atlantic Club from Maryland. With piercing blue eyes and a 6-foot-3 frame, he still looks like an athlete.
“It’s amazing that they don’t have more problems,” said Barkdoll’s wife, Linda Suydam. “This team has been a very healthy team.”
So why do they still play? Because they can.
“It feels good to hit the ball,” said Barkdoll, who founded the Mid-Atlantic Club in 1992. Also known as the MAC Magic, the team has secured an astounding collection of hardware: 45 gold medals, 20 silvers and 18 bronzes over the past two decades.
MAC Magic won its 83rd medal Tuesday in a victory against Midwest (Michigan). In seven matches at this tournament, the team dropped only three sets.
Based in Maryland, Mid-Atlantic’s players hail from all over the country, gathering to compete annually at the National Championships and the Huntsman World Senior Games in Cedar City.
Every other year, the group also teams up for the National Senior Olympics. Spread out from Florida to Ohio, the players do not have time to practice together. Still, they play on their own to keep their game up, usually lacing up twice a week.
The team members’ backgrounds are as varied as their locations.
Barkdoll is a former engineer who also worked as an associate commissioner for the FDA. He currently lives in New Mexico, where he — like his teammates — enjoys retirement and plays volleyball regularly, often with men decades younger.
Bob Quackenbush is a former West Point cadet and military man who uses the gym at the Pentagon. From high school teachers to business owners, their past lives run the proverbial gamut.
What unites them is volleyball, simple and pure. Younger teams at the Salt Palace dared to wear tie-dye shorts or shirts with names like “Iron Man” and “Kal-El” across the back. The Magic, meanwhile, opted for an understated combination of red shirts and blue shorts. Most tuck in the shirts.
National success helped the team branch out from the Maryland area, and they began recruiting for quick reflexes and good instincts. At their age, though, knowledge of the game becomes infinitely more precious.
“Players who have played for a long time, they just have grooves in their head,” Barkdoll said. “They know where the ball’s going to be.”
Steady servers also help, and the Magic have one in Mike Maguire. Down one set to Rusty’s (Oregon) in the semifinals, Maguire opened the second set with a commanding serve, helping his team seize a 9-0 lead.
The key is knowing when to hit hard and when to hit softly.
“When you see a nice floater, you get so busy staring at the label on the ball you forget to play it,” says Barkdoll, who was named Most Valuable Player for 73-and-over division.
There are moments when these older guys still look young. A good play might yield a butt pat or a tongue wag. A bad one might end with the ball being thrown hard into the floor.
Almost all of them are volleyball lifers, and the passion is still alive.
Celebrations, though, tend to be toned down. Gotta preserve those knees.

© 2012 The Salt Lake Tribune
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Students at Centerville Junior High prepare to perform ‘Hello, Dolly!’

Students at Centerville Junior High prepare to perform ‘Hello, Dolly!’
The big time • Eighth- and ninth-graders will be center stage at CenterPoint Legacy Theatre.
Paul Fraughton | Salt Lake Tribune The cast of Centerville Jr. High School's production of "Hello Dolly!" rehearse in the school's music room.
Chaos describes the scene in the dance room at Centerville Junior High School.
Music fills the room. About 70 kids bounce around. Some are singing, others laughing and still others are reading books and doing their homework.
They’ve learned their dances, they’ve learned their music, and they know where to stand. Well, mostly.
Eighth- and ninth-graders at Centerville Junior High have been working for months to learn the play “Hello, Dolly!,” and they’re gearing up to perform it tonight and through the weekend at CenterPoint Legacy Theatre.
All the practice sessions have been held at the Junior High in the dance room or cafeteria. The actual performances will he held at CenterPoint, but due to production schedules, students won’t rehearse there until the last second. Only their final rehearsals will be held on the stage where they will perform.
“We are so lucky that we get to use a great facility. The kids have a good idea what the stage and set are like, but until the last minute, they have never been on it, so we have to over-prepare. To use beginners in this way is scary. It’s a hard thing to be able to think on your feet in the movement and react how you need to, but they always do an excellent job” said drama teacher Ami Swallow.
Students have been practicing during their seventh period class. As the performance looms, they have been practicing every day after school for two hours. “We’ve practiced too many hours, yet not enough,” Swallow said.
The students in the play had tryouts in January. Savannah Moffat, 15 and in the ninth grade, won the role of Dolly. When she found out she was going to play the lead, she was so excited she knocked over a few chairs. Savannah would love to be a professional actress someday.
“I’m definitely nervous about my performance, but it’s more excitement. Learning the lines has been tough. I’m just exhausted every day. I’m tired all the time, but it’s worth it,” Moffat said.
Parents are supportive of the students in the play and have shared responsibility for props, costumes and the sets. They are also helping with sound and lighting.
In addition to the fun of learning new skills, practicing and performing, the cast members have enjoyed the opportunity to spend time with their friends and build new relationships.
Jessie Harrison, 15, performs as a waiter and in the ensemble.
“I love being with friends and being able to dance. I’ve been dancing for 10 years,” she said. “I’m not particularly nervous, just hoping it will run smoothly. The hardest thing has been time management trying to get everything to fit together.”
Swallow has been impressed by her students.
“It’s always great to see how much junior high kids can do. It’s always amazing to me,” Swallow said. “We always put on a wonderful show.”
‘Hello, Dolly!’
Where • Centerpoint Legacy Theater, 525 N. 400 West, Centerville
When • Thursday, May 24 and Friday, May 25 at 7 p.m.; Saturday, May 26 at 2 p.m. and 7 p.m.
Cost • $6.50, available at Centerville Junior High School, 625 S. Main Street, Centerville

© 2012 The Salt Lake Tribune
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Sunday, May 27, 2012

CNA Student Poetry (CNA BLOG)

By Leslee Jones

First Day of School 
May 14, 2012
First day of school
I'm nervous and timid
What do my classmate think?

They all appear younger
Timid and shy
We all just to look at the sky

Some are early
Some are late
Some probably won't even show up today.

Each trying to be cool
To impress with their dress
Each carrying their own distress

All seem young, lack experience
and trust-all just seem to be hoping for good luck

The classroom is filling
We are all willing
We'll see what happen to this
new group we are cheering.

School is Out
School is out
Let's all shout
Some will pass
Some won't last
Those who do
Will scoop up poo
Whose who don't
Well, just can't cope.
Friendships have come and gone
Teachers too
When work time arrive
I hope we will all thrive
May 25, 2012

Sunday, May 20, 2012

Interesting debate

Kentucky weighs politics, medicine in death row inmate’s surgery
Kentucky • Should tens of thousands be spent on hip replacement for a man to be executed?
Louisville, Ky. • A condemned killer’s fight to receive surgery for agonizing hip pain pushed Kentucky officials into an uncomfortable debate over security, politics and even the possibility of inviting scorn from Fox News pundits.
Emails and memos obtained by The Associated Press show corrections officials struggling to reconcile their duty to provide medical care with the political ramifications of spending tens of thousands of dollars for surgery on a man they plan to execute. A key problem would turn out to be security issues that led several hospitals to balk at treating inmate Robert Foley.
“Hip replacement for an inmate who has exhausted all appeals and will soon be executed?” Kentucky State Penitentiary warden Phil Parker wrote in an email on Nov. 22, 2010. “I can see this making Fox News on a slow news day, maybe even on a busy news day. In fact, I bet (Fox News host Bill O’Reilly) would love to put this in his ‘Pinheads’ commentary. Just a thought to consider before it goes too much further.”
Prison officials also made contingency plans to call off the surgery if Gov. Steve Beshear set an execution date, and they considered whether to consult with him about the procedure.
“I think it is that important and all this may have political consequences,” Parker wrote a year before Beshear’s re-election. Ultimately, Beshear’s spokeswoman said he wasn’t contacted about it.
Foley, 55, was convicted of killing six people in eastern Kentucky in 1989 and 1991, making him the most prolific killer on the state’s death row. His status as an extremely dangerous prisoner was a key factor in the state’s difficulty finding a surgeon and hospital, according to the documents obtained through a public records request and a lawsuit filed by Foley.
Foley still hasn’t had the surgery, with Parker lamenting in an email they had no options after an exhaustive search.
State officials deny that politics played a role, and there’s no evidence in the documents that political considerations prevented the surgery.
A spokeswoman for the Kentucky Justice Cabinet — which oversees corrections and law enforcement — declined to comment because of the pending lawsuit.
Foley’s attorney, Jamesa Drake, said the state needs a way to care for condemned inmates, even those with complex needs. Foley, who has been on death row since 1993, is unable to get around without help because he’s at risk of a dangerous fall, Drake said.
“If you’re on death row, it’s just like anybody else,” Drake said. “If you need a new hip, you need a new hip. It hurts.”
The Department of Corrections acknowledged his degenerative hip in a response to the lawsuit, but also said he has been receiving adequate care. The federal lawsuit filed in March is pending.
Assistant Attorney General Brenn Combs wrote to Drake that the Department of Corrections couldn’t enter into a legal agreement about the hip surgery because it would impose requirements exceeding “our legal duty regarding inmate health care.”
“The Department is not interested in doing that and, like me, nobody else here can see a way that it would help inmate Foley,” Combs said in a Nov. 14 email.
It’s not unusual for inmates to receive treatment outside of prison, and Foley has twice left death row for other surgical procedures.
Foley first complained to prison officials about the persistent pain in his right hip in September 2010, saying his leg sometimes “gives out on him,” according to the lawsuit.
Foley initially didn’t want the surgery and tried to fashion his own hip brace out of “flip flops and other everyday items.” Foley said the brace helped with the pain in an affidavit signed in February, but prison officials confiscated it.
After Foley agreed to the surgery, officials searched for a doctor to perform the $56,000 operation. At the time, Foley was under a death warrant signed by Beshear.
“If and when an order is received to execute Foley, I will contact (then-prison medical director Dr. Scott Haas) to try to stop all medical procedures related to his hip replacement,” Parker wrote.
No execution date was set, and a judge later halted lethal injections as the state weighs execution procedures. It’s not clear when executions could resume.
While looking for a hospital, corrections officials increased Foley’s pain medication and looked into the logistics of moving him.
But prison nurse Chanin Hiland wrote in a September 2010 email to Haas that orthopedists in Paducah, Madisonville and Murray had been contacted, and “none of them want any part of this.”
“The farther we have to go, the more security will have to be sent with him; although, it is obvious he will not be running anywhere soon,” Hiland wrote. Foley’s hepatitis C infection was a further risk factor.
In November of that year, Parker and Haas asked Corrections Commissioner LaDonna Thompson for advice on security. Parker also wrote Hass about his concerns about publicity and whether he could be safety housed outside the prison system.
The difficulty in finding a surgeon illustrates the “gray area” between the law’s requirement of treatment for inmates and a hospital’s ability to turn down those patients, said Rebecca Walker, an associate professor of social medicine at the University of North Carolina in Chapel Hill.
“Everyone would probably agree he ought to get his care somewhere. It’s a collective responsibility,” Walker said in a phone interview. “Who does it is the question.”
After finding a doctor to perform the surgery, Foley and corrections officials thought they had found a hospital when Frankfort Regional Medical Center initially agreed. Corrections officials and the hospital set the surgery for Feb. 28, 2011 and conducted preoperative testing.
During a meeting between corrections officials and hospital staff on Feb. 22, 2011, hospital CEO Chip Peal said he hadn’t been aware the surgery was scheduled for less than a week later. A memo by Parker summarized security measures and noted that Peal needed others’ approval.
Peal returned to the meeting after 30 minutes and said the surgery was off.
“CEO Peal stated that they never had a patient at the hospital that required security and that he felt this was too high a profile person to be the first,” Parker wrote.
At that point, corrections officials were left with few options.
“After over a year of exhaustive search for a surgeon and hospital, this was our last hope,” Parker wrote to Thompson and Deputy Commissioner Jim Erwin on Feb. 23, 2011. “I expect future legal action in this matter, however, we know of no other options at this time.”

© 2012 The Salt Lake Tribune
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Does brain injury link NFL players, wounded warriors?

By Stephanie Smith, CNN
updated 3:00 PM EDT, Wed May 16, 2012

Veterans in the study had been exposed to IED blasts, but some had also sustained accident or sports-related concussion.
Veterans in the study had been exposed to IED blasts, but some had also sustained accident or sports-related concussion.

  • Dementia-like disease in brain tissue of NFL players shows up in four veterans
  • Study suggests thread links athletes and IED survivors exposed to traumatic brain injury
  • Can exposure to even one blast result in brain damage that persists and progresses?
(CNN) -- The same dementia-like disease found in the brain tissue of several National Football League players has shown up in the brains of four U.S. veterans exposed to improvised explosive devices and other head trauma, according to new research.
The suggestion made by the research is that a common thread binds those exposed to traumatic brain injury, whether it occurs on the football field or in the war theater.
"We found the same changes (the same damage to the brain) in veterans just as we did in athletes," said Dr. Ann McKee, a study co-author and director of the Neuropathology Service for VA New England Healthcare System. "This is interesting and intriguing."
Two of the military cases, and a group of mice studied concurrently by researchers, suggest that a single IED exposure could instigate the cluster of abnormal protein in the brain that characterizes the disease, called chronic traumatic encephalopathy.
CTE derives some of its notoriety from cases like that of Dave Duerson, a former Chicago Bear who shot himself in the chest in 2011 and was found to have dense clusters of tau protein permeating his brain and spinal cord.
Tau is released by neurons when the brain is rocked inside the skull and, when unleashed, tends to lodge in parts of the brain responsible for memory, judgment and mood.
The same group of researchers at the Boston University School of Medicine who examined Duerson's brain excised thin slivers of brain tissue from four U.S. veterans who died suddenly. Those were compared to tissue taken from two other groups: three amateur football players and a professional wrestler with a history of concussion; and a control group of four young people who died suddenly with no history of concussion.
What tends to confuse these cases is the inability to isolate the effects of an IED blast. Veterans included in the study had been exposed to IED blasts between one and six years before their deaths, but some had also sustained accident or sports-related concussions.
Questions are then raised about whether the blast itself or the history of concussion -- or both -- contributes to CTE.
"It's a little like trying to figure out the plot of a film by looking at the last frame," said Dr. Lee Goldstein, associate professor at Boston University School of Medicine and Boston University College of Engineering. "You have an idea about how the ending occurred, but you don't know the plot line that got you there."
That's where the mouse study comes in.
"What the mouse study does is ask a very specific question lingering in the field, which is, can exposure to even a single blast result in brain damage that persists and possibly progresses?" Goldstein said.
To answer that question, researchers exposed a group of mice to blast winds -- some up to 330 miles per hour -- that mimic what might occur in the wake of an IED blast and compared them to a group of mice the same age, living in the same conditions, that were not exposed to blasts.
The effect of the blast is described by researchers as a "bobblehead effect," the brain rocking back and forth inside the skull, similar to what happens during a concussion, and in some people it leads to brain damage.
Two weeks after exposure to the blast, brain tissue in mice showed evidence of tau protein.
"We were expecting the effect after multiple exposures," Goldstein said. "We were not anticipating this."
"They have definitively shown that blasts and shaking of the head gives you the same pathology seen in sports concussions," said Dr. Jack Tsao, a Navy commander, neurologist and director of traumatic brain injury programs for the U.S. Navy Bureau of Medicine and Surgery.  "The mouse model then gives you a potential for investigating the cause of what's happening.
"It's an important first step in raising further awareness of this issue," Tsao added.
Some military cases were notable for overlapping of symptoms reported by football players later diagnosed with CTE -- including headaches, irritability, difficulty sleeping and depression -- and for a diagnosis of post-traumatic stress disorder before death.
The research also raises questions about a potential subgroup of veterans returning from the war with a diagnosis of traumatic brain injury.
"It's safe to say right now that we're not sure what the overlaps are," said McKee, a professor at Boston University School of Medicine.  "Most people feel there is an overlap, and some cases of PTSD will be accounted for by CTE, but not all."
"The authors speculate that there may be a link," Tsao said. "It is very interesting to think this is going on and certainly well worth looking into, but ... there is no direct evidence yet based on what we've seen."
Study authors acknowledge limitations of their cases series -- published online Wednesday in the journal Science Translational Medicine -- including a small study size and obvious anatomical differences between mice and humans, but they believe they have enough information based on the study to move toward developing therapies to address CTE.
"That is the burning question that needs to be addressed now," Goldstein said.

Why Nurses Need More Sleep

Why Nurses Need More Sleep

By Jennifer Larson, contributor
May 9, 2012 - It’s mid-afternoon, and your energy is waning. You’re sleepy and a little cranky, so you pour yourself another cup of coffee to propel you through the rest of your shift. How many cups have you already had? You’re trying not to think about that.
It’s a scene repeated daily in hospitals, clinics and offices all over the United States. Many of us function on less sleep than we really need, so we adopt survival mechanisms to help us.
In fact, a report in the April 27 issue of the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report noted that about one-third of the U.S. workforce gets six or fewer hours of sleep per night. That’s at least one hour less than the National Sleep Foundation’s recommended amount of nightly sleep, which is seven to nine hours.

“We have this idea that we can be a 24-hour society and function well,” said Arlene L. Johnson, Ph.D., RN, a nursing researcher at George Mason University, who has studied sleep and performance in nurses.
“But it’s not true.”
Common signs of inadequate sleep include mood swings and irritability, an increased inability to concentrate, memory problems, weight gain, and of course, feeling drowsy or tired during the day.
“Getting by” on less sleep than you really need isn’t the ideal way to function. For one thing, it could have serious consequences for your patients. You may not be alert enough to deliver the top-notch care that your patients expect from you--or that you expect from yourself. You might even make a mistake.
Chronic sleep restriction affects your critical thinking skills, noted sleep expert Michael Decker, Ph.D., RN, the Byrdine F. Lewis Chair in Nursing and associate professor in nursing, neuroscience and respiratory therapy at Georgia State University.
“As a person suffers reduced sleep, their reflexes become slower and their decision-making skills become reduced,” said Decker, one of only a handful of registered nurses certified by the American Board of Sleep Medicine.
Three studies that provide additional evidence:
  • A 2006 study in the American Journal of Critical Care titled “Effects of Critical Care Nurses’ Work Hours on Vigilance and Patient Safety” examined logbooks completed by 502 critical care nurses. Those nurses routinely worked longer shifts than they were supposed to, and that tended to decrease their vigilance and increased the likelihood of making errors. According to the authors, these findings supported recommendations from the Institute of Medicine recommendations to limit nurses’ work hours to 12 consecutive hours during a 24-hour period and reduce or minimize the use of 12-hour shifts.
  • A 2003 study in the journal Sleep found that sleep loss and drug use can have similar effects on people. The authors of “Ethanol and Sleep Loss” wrote that sleep loss “was more potent than ethanol in its sedative effects but comparable in effects of psychomotor performance.”
  • A 2011 study by Penn State College of Medicine researchers found that a surgeon’s brain has to work harder to learn new tasks when she is sleep-deprived, which could have ramifications if unexpected events occur during surgery. The study was published in the American Journal of Surgery.
But it’s not just your patients who are affected by your lack of sleep. You suffer, too. According to the American Academy of Sleep Medicine, good sleepers have a better quality of life and suffer less depression than people who don’t get enough sleep.
Additionally, people who don’t get enough sleep have a greater tendency toward developing conditions like obesity, high blood pressure, diabetes and metabolic syndrome.
“Most nurses are carers or givers, and we tend to ignore our own body,” Johnson said. “Our body is telling us what we need, and we tend to ignore that, and we try to move forward.”
But, she cautioned, if we want to live longer, healthier lives, we have got to put a higher premium on sleep. “It’s imperative that you take care of yourself now, and one way to take care of yourself is to get a good night’s rest,” she said.
How can you improve both the amount of sleep you’re getting and the quality? For those not working the night shift, experts suggest developing a nightly routine. Try to get to bed a little earlier, and give yourself some time to “wind down” before going to bed, and disconnect yourself from all your electronic devices. And if you need to employ some accessories to help you shut out the world, definitely go that route.
“Whatever it takes,” Johnson said. “If it takes eye covers, if it takes ear plugs, if it takes getting darkening shades for your room.”
Those steps can also be helpful for nurses who work the night shift and need to block out the daylight and the daytime noises when they’re trying to sleep. It is definitely harder to get enough sleep when you’re a night-shift worker, Decker said.
“They need to protect their sleep in the daytime,” he said. “The rest of the world doesn’t know that you’re a night-shift nurse, so the phone still rings in the daytime, people still show up at the door.”
Plus, you are working against your body’s own circadian rhythms, particularly if your job requires you to work rotating shifts. “It’s very difficult to train your body to stay awake at night, and then two weeks later, expect your body to stay awake in the daytime,” Decker said. “So if nurses have rotating shifts, they’re in a state of chronic sleep restriction.”
Other strategies that can enhance your ability to get the sleep you need include dialing back on the caffeine in the later part of the day and getting some exercise. Exercise has been shown to enhance the slow-wave sleep that’s restorative for your body and brain, Decker said, and you need to get enough of that to be well-rested.

Signs You Are Not Getting Enough Sleep
Many people don’t realize they are sleep-deprived, said psychologist James Maas, Ph.D., author of the books Sleep for Success and Power Sleep. “They get habituated to low levels of alertness,” he said.
If you are experiencing any of the following signs on a regular basis, you might be experiencing the effects of sleep restriction--which means you’re not getting an adequate amount of rest.
  1. Irritability
  2. Difficulty concentrating or remembering
  3. Mood swings
  4. Dependence on an alarm clock to wake up each day
  5. Drowsiness in a warm room or during a meeting
  6. A regular feeling of fatigue or tiredness
  7. You fall asleep within five minutes of getting in bed

Utah CNA class funny stories

Today's get to know each other game:
A student was accused of planning to assassinate the president. The secret service came in and everything. She was a phlebotomist and a patient with Alzheimer's made the accusation.
One girls mother threw a spoon at her and it stabbed her in the leg.
Skied from Alaska to Canada as part of a glacier research expedition.
Stuck a sponge up their nose when they were two and had infections until the discovered it six years later.

Thursday, May 17, 2012

From classical music to fantasy novel, students think outside the box

From classical music to fantasy novel, students think outside the box
Program • International Baccalaureate aims to develop a peaceful world.
Courtesy Carol Lindsay Gemma Clark displays an enlarged cover of her 25-chapter fantasy novel and Tyler Bayn displays his alien skull painting, both projects for their International Baccalaureate project.
A Bach performance, an oil painting of an alien skull, environmentally friendly green houses, artist, writers and a television series pilot.
The diverse group of projects were presented by Clearfield High School 10th graders as part of their graduation from the International Baccalaureate Middle Years Programme.
Students in seventh through ninth grade at Syracuse Junior High and 10th graders at Clearfield High School were honored on May 1.
Syracuse is the only junior high in Davis County that offers the program.
One of the tangible benefits for students who graduate with an IB is they are able to graduate high school with 30 college credits earned. Students who enroll in concurrent Advance Placement can graduate with twice the credits.
Tenth grade students enrolled in program’s fifth level presented projects at the awards presentation. Many of the projects were the culmination of years of work.
Next year, the students will enter the High School IB program.
Rebecca Reed, Middle Years Programme coordinator, sees the program as a tool to help students focus on their futures and have a global perspective of the world.
“Our kids learn to think outside of the little box they are in,” she said. “They learn to think for themselves and how to apply what they’ve learned.”
Paulette Hopfenbeck, the diploma coordinator for Clearfield High School, believes the program helps students learn how to ask questions. The program is self selective, so students choose to join the program. While Hopfenbeck describes her students as high achievers, she says it’s not necessarily because they are the brightest students, but rather are the hardest workers.
When students from local junior high schools enter Clearfield High School, the IB programme becomes a melting pot of successful students. Hopfenbeck enjoys teaching the students.
“We mix in a lot of our other high achievers, and they are learning how to analyze and ask questions,” she said. “They are familiar with the requirements. They don’t moan as much because they are used to work and in-depth studies.”
Tyler Bayn, 15, said the program has made a big difference in his life.
“This program has made me outgoing. I would probably be the kid in the corner not talking without it. It got me out of my comfort zone,” he said.
Tyler’s mother, Laura, agrees that the program has benefited her son. “It has helped him discover his strengths and weaknesses as a student,” she said. “He is more aware of how he learns and where he needs to study more.”
The projects presented at graduation were chosen totally by interest of the students giving them the opportunity to explore subjects they want to learn more about.
Gemma Clark wrote a 25-chapter fantasy novel based on the Chinese five elements, fire, earth, metal, water and wood.
“The IB program has been most of my life the past year or so because I’ve either been working on my book or one of the other assignments,” she said. “It has definitely made a difference in my life — I’ve learned to prioritize discipline.”

© 2012 The Salt Lake Tribune
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Farmington custodian earns her citizenship with support from staff, students

Farmington custodian earns her citizenship with support from staff, students
Dream job • Co-workers surprised her with the money needed to file her application.
Janet Gundry, a fourth-grade teacher at Farmington Elementary, with Walkiria Martinez at a citizenship ceremony on April 18. Courtesy Janet Gundry
A 2-month-old baby was left alone in Nicaragua — malnourished, unwanted and living in squalor.
The baby’s grandfather, alerted by neighbors, broke down the door and rescued her 49 years ago.
He whisked her away and dropped her off at his mother’s house.
Walkiria Martinez’s life, though, would take several more twists and turns before she found herself in the quiet town of Farmington.
Her great-grandmother raised her in Nicaragua. She attended school, but was unable to complete her education because in 1978 her high school was burned down as the country was ravaged by war.
She married and had children with a man who she says abused her and left her destitute on the streets of Central America — pregnant and with a 3- and 6-year-old in tow.
She said she had no options in her homeland, and decided to make the month-long trek to the United States, where she crossed the border illegally.
She eventually found herself in Utah, where she settled down.
In 1992, she married her husband, Larry, and in 1996, she became a legal resident. Together, the couple has raised six children.
About a decade ago, Martinez began working for the Davis County School District. For the past three years, she has been the head custodian at Farmington Elementary.
Since earning her residency, she has wanted to become a citizen. But she has not had the time or the money to do so.
Her coworkers, though, wanted to make Martinez’s dream come true.
Secretly, they saved up the $800 Martinez needed to file her citizenship application and presented it to her at a Christmas party.
Martinez was shocked by the gift.
“I was, oh my goodness; I was so excited. I was crying. It was amazing. All these people are so sweet, so loving. I love the children, I love the staff,” she said.
Martinez said her heart was pounding when she put her citizenship application in the mail. Then the studying began.
“I was not going to let the children at the school down by failing a test,” she said.
Her coworkers and school faculty and staff helped her prepare.
“I would go in and quiz her and she could just rattle off the answers. It was cute,” said Principal Bryan Tesch.
Martinez passed, and on April 18, Martinez took her oath to become a citizen.
“Heavenly Father had a plan for me. He didn’t let me out of his sight. My great-grandmother always told me keep the faith, and I did,” she said.
Janet Gundry, a fourth-grade teacher, surprised Martinez by attending the citizenship ceremony. Gundry, who teaches her students about citizenship, said she was honored to witness first-hand the work and emotion that goes into the process.
“It was one of the most, amazing, fantastic, sweet, tender and moving experiences of my life,” Gundry said. “It was so fun to watch someone I care for and love, to see her joy. She couldn’t stop crying. She would turn around and wave and she couldn’t wipe the smile off her face.”
Gundry also was touched by the attitudes of all those who took their oaths that day.
“To hear the gratitude the new citizens felt in their hearts to be a part of this great country was so moving,” she said.
Students supported Martinez’s journey to citizenship, too.
They made a book of poetry and cards for her, along with a huge banner declaring her their “Mrs. America.”
Fourth-grader Amberly Morrow, 10, explained what she learned about citizenship.
“You think to yourself it’s not that big of a deal because you were born with it and take it for granted. But to actually see someone do it and how much they want it is cool. You actually get to experience it through other people,” Amberly said.
Travis Barton,9, was surprised when he found out Martinez had to give up her citizenship to Nicaragua to become an American.
“It’s like getting something you really want, you have to give up something to get it,” he said.
Martinez was overwhelmed by the support and joy she felt through her citizenship process.
“I feel so patriotic; my own kids are in the military. This year at the 4th of July, my house is going to be red, white and blue like crazy. It is so meaningful. Never in my wildest dreams did I think I was going to be where I am,” Martinez said. “This is appreciation week at the school, and I appreciate everyone — I feel part of a family. It’s amazing.”
Poems from students honoring Walkiria Martinez
Mrs. America Martinez
Roses are pink
Our floor has no dirt
You are so cool
You play a big part in our school
You just became a citizen
And that is so cool
You went to a big party and
All of a sudden you could vote
You live in the US legally now
You’re the best American in the world.
— Sarah Gregory, sixth grade
You’re wonderful to this school
You’re better than a shiny jewel.
We love having you around
It’s better than the most beautiful sound.
You’re such a great lady,
You’re very far from shady.
You make me want to sing,
And fly like I had wings.
You’re so awesome,
You smell like a blossom.
You’re so sweet,
You’re the woman on the street.
— Amelia Stephens, sixth grade

© 2012 The Salt Lake Tribune
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Tuesday, May 15, 2012


Something different about you:
18 year old: ate six live grasshoppers at girls camp on a dare. Had to chew them. "They taste like raw chicken smells."
Guy ate eight live goldfish for $150 had to chew the last three.
Comes from a family of redheads. Someone dyed their white cat red to be funny. The cats fur stayed pink until it died years later.
Father raises buffalo and kangaroos. (Yes these are where the kangaroos that visit the nursing homes come from)
Walked from Logan to Lagoon. (To see his little brother who had just been diagnosed with a brain tumor)
Arrested in high school for streaking at homecoming.
Bitten by a lion (Nope not the missionary in Guatemala)

Key Ideas in Nursing's First Century

   AJN, American Journal of Nursing: