Brain elevation,organizing work tasks,ways to get organized in 2014 - Reviews

admin | to meditate in silence | 30.07.2014
After facilitating two fun-packed days on consumer psychology last week, I picked up the latest edition of Newsweek which had a lead article on the very same topic written by Sharon Begley (link below). Barry Schwartz has also shown that our decisions can also make us less and less happy, when we are confronted by increasing numbers of choices and options. So if more information leads to objectively poorer (and less satisfying) choices, what can we do?
Every piece of new information presents us with choices: whether to pay attention or ignore and whether to use the information to support our decision making. Our brain’s have a limited capacity for new information, which is typically held in working memory before being filed away.
Thus, the constant flow of information is training us to make quick (perhaps hasty) decisions rather than considered ones, leading to more bad decisions.
Our unconscious mind can help us make better decisions as long as we give it time to think. Sharon Begley’s article is a great introduction to some of the latest discoveries in psychology. Once a month, he revisits the ENTIRE Spark File from top to bottom, revisiting old ideas and potentially combining them with newer ideas.
Once a month (or any time I wish), I revisit my Spark File notes and look for patterns and clues. This has been especially useful while developing material for my now in session course on Mastering Community Building. Read through your entire Spark File it every few weeks (but not every day) looking for links and patterns.
Alex Hillman is the co-founder of Philadelphia’s Indy Hall coworking community, one of the most respected coworking spaces in the world, and a pioneer of the global coworking coworking movement. I've been doing this for a fair while now, I tend to just email myself and add it into my currently very large file. Yesterday, Google unveiled Android N and all of its cool new features, like multi-window support and bundled notifications, but after digging into the developer preview we found even more coming in the new version that Google didn't bother to mention. Coming up with creative ideas is tough enough as it is, but coming up with good ideas is even harder. The weekend's almost here, so you have time to relax and check out a free game (or three) on your smartphone.
Conducting a thorough patient assessment is critical for ensuring that we get the most clinical information from our patients. As mentioned above, you can get a free resource on the subject of conducting a medical assessment that is still very valid for nurses as well as doctors.
The books cover the reasons why we assess a patient, factors that affect patient assessments and how to perform one. We go in-depth into neurological assessments and include topics such as mental status, cranial nerves and their assessment, motor function, reflexes, sensation, arousal, attention and concentration, memory, language, visual spacial perception, praxis and much more. Here at E Advanced Healthcare we believe that healthcare education is a right and should not be made either complicated, inaccessible or expensive.
As you have read this far down the page, I am going to give you a sneak peak of the book itself.
My experience in healthcare is mostly within critical care, however I also have extensive experience of working in ward environments. Patient assessments are necessary to gain a baseline evaluation of the patient’s clinical condition in order to aim our treatments towards a positive change, improved care and an expedited discharge from our care. Patient assessments are the most important skill any healthcare professional can learn as these assessments are the basis of all the decisions that we make regarding the care we provide for our patients. By undertaking patient assessments we are able to prioritise our care so that the most urgent need  gets attended to first. These assessments start very generalised, but as issues are identified the assessments begin to focus in greater detail on the smaller and more precise issues that the patient is presenting or complaining of. This can be improved upon by providing education and mentorship into how to prioritise care.
Assessment education is also often needed, which again is normally learnt during our training, however when working in new environments clinical supervision and mentorship will help the clinician thoroughly assess their patients.
There are many risk scoring tools that we use in our industry, for example in the nursing field there is the Waterlow score for the risk of pressure areas developing with the patient. Communicating and handing over care effectively will help us relay our assessments onto the rest of the multidisciplinary team so that our observations can be attended to by the necessary personnel.
There are many other assessment tools available in the workplace regarding patient assessments. Australia has recently been working very hard to establish the correct number of nursing staff for patients they are caring for.
Medical opinion has always been regarded as superior to any other speciality in healthcare, however times are changing and more emphasis is being put into the value of other members of the multidisciplinary team. Performing a thorough patient assessment needs to be completed in a systematic manner, so that all areas are covered and nothing is missed. Before entering the patient’s area we need to adhere to what is commonly known as the “five moments of hand hygiene”.
In keeping with the five moments of hand hygiene: putting on personal protective equipment is also necessary. To assess the patient we need to approach them, however as with advanced life support training it is essential that we assess if it is safe to approach.
Once we have approached them we need to explain to the patient that we are going to perform an assessment.
Medications such as opiates, benzodiazepines, anti-psychotics, antidepressants or other sedatives.
This list is extensive and is not fully inclusive, it just demonstrates the wide scope of causes for a decrease in level of consciousness[2].


To make a thorough neurological assessment of the patient we need to assess the patient’s Glasgow Coma Scale, which is a scale ranging from 3 – 15. Painful stimuli appears a cruel thing to do to a patient who we are supposed to be caring for, however providing this stimuli if the patient does not respond is the only way that we can really tell if there is a severe problem occurring when undertaking our medical assessments. If painful stimuli is applied peripherally then a spinal reflex may occur, which is when the stimulus passes up the afferent pathway and arcs at the spinal cord, passing back down the efferent pathway without ever reaching the brain. A torch light should be shone into the patient’s eyes to hopefully observe a pupillary constriction.
Assess their ability to comprehend and follow a complex command, whilst not helping them achieve this.
If you like what you have just read, please get your copy of either the e-book version of the patient assessment resource or purchase the paperback version. 20% = the amount of your daily energy that your brain uses each day, the amount of your daily oxygen it uses, and the amount of blood it uses daily. Babe Ruth was tested by two Columbia psychology students and was determined to be working at 90% efficiency compared to the 60% efficiency measured for most people. Does this mean if I smoke, drink, do coke and womanize, my brain will have 90% efficiency too?
The human brain has the same general structure as the brains of other mammals, but is larger than any other in relation to body size.
When I was only in the third grade, a man with his gun shot , close range, shot me in the top part of my brain of the head.
The brain consist of water and billions of nerve cells and nerve fibers.It is surrounded by protective coverings called the meninges. Brain controls our Body .It keepsthe heart,Stomach,lungs,kidneys,and other vital organs working.
Our brains favour more recent information over more salient information, even when the more recent data is irrelevant, and we are quickly fooled by the immediacy and quantity of data, mistaking it for quality of insight. Or maybe ideas come to you and by the time you have a chance to record them, you’ve forgotten?
Truth be told, his last post is nearly a month old but has moved me so hard for the last month that I wanted to share. For eight years, he’s maintained a single document with notes and ideas with zero organisation or taxonomy, simply a chronology of thoughts.
The most astounding part is how often I find myself writing the same thing in different ways. Perhaps more importantly, we tend to either have a compulsion to act on our ideas immediately, or not at all.
I can find inspiration and most importantly, I can find answers, sometimes answers to questions I didn’t even know how to ask while I was jotting down my half-baked ideas. Wordpad's .rtf implementation, an infinite scrolling document, seems good, but I'm not always at my PC. Everyone has their own little system for this, and in a blog post, Amjad Masad shares what he learned from programmer John Carmack, most famous for his work on games like Quake and Doom. It is one of those skills that we need to be concise and thorough with and it is also one of those skills that we are taught when we are training and often forget how to thoroughly and effective conduct an assessment of patients. It is an invaluable healthcare resource that you can keep with you on your iPhone, iPad, Kindle, e-book reader, android phone, mac, pc, laptop etc. Respiratory assessments are explored and reasons for the respiratory compromise are also discussed.
We have put this resource together on the assessment of a patient that is fully referenced throughout with recent journal, government and medical book sources that are trusted in the specialty of healthcare.
As with all the other resources that we have on offer on E Advanced Healthcare the formatting is better in the book itself, this is just for illustration purposes only. As such they are free to be used for any purpose without conditions, unless such conditions are required by law. We constantly assess our patients and as such our assessments need to be thorough, systematic and accurate. Obviously as working in critical care it is imperative that patient assessments are conducted both formally at the beginning of a shift and when significant changes are detected with the patient.
This is done very formally when starting our career, however as time passes this skill becomes a lot more natural and fluent. This skill is generally learnt during our training, however when working in new areas there will be some new challenges that present themselves. There are also moving safely assessment, which help us assess how to best mobilise the patients. An initiative that is being used in Australia to improve communication is known as an acronym “ISBAR”. This book will provide some of that training which needs to be consolidated with practical “hands-on” clinical exposure. In the past the numbers of nurses related to the number of patients has been less than adequate. For team members to gain respect and feel valued we need to be showing that we are able to provide thorough, accurate, appropriate and effective care – consistently. For this to be done it is best that the patient’s body systems, or main organs are isolated and worked though in a progressive and logical order, as described shortly.
As I have mentioned it is best to perform a health assessment in a logical and progressive manner and I advocate performing a “top-to-toe” method.
If we were not to give the painful stimuli then the patient may further decrease their level of consciousness and have a greater risk of other complications, miss treatment opportunities and have an increase risk of mortality. The preferred method is central by either pressing firmly on the supraorbital region, rubbing the sternum or pinching the trapezius.
This is why the preferred method of assessing the patient’s response to pain (if necessary) is by central stimulation.


They can be asked if they feel any difference in hot and cold sensations, or getting objects which are out of sight, for example coins out of their pockets, or knowing which feet are on which pedal when driving. As mentioned this can be obtained for free, but if you are not an Amazon prime member, then it will cost less than a cup of coffee.
The first book of his I read was The Invention of Air, and his most recent Where Good Ideas Come From.
I’ve taken that pattern as a clue to explore a concept further, and see if it merits more investigation.
E Advanced Healthcare can help you with your patient assessment by providing you with a free resource that you can keep at the point of care on any electronic device.
You name the electronic resource and you can view it on there with the help of the Amazon Kindle free reading apps.
A thorough cardiac assessment strategy is given including auscultation of the heart assessing the ECG and jugular venous pressure assessments. We have published these resources on Amazon, which means they are available to you from an outlet that you trust and that you can rely on.
Patient assessments are also performed non-formally during our continual contact with the patient.
As such, we need to be able to react to the situations and respond appropriately, giving the attention to the most urgent need. In the medical speciality there are risk factors that are associated with their past medical history that may have an impact on upon their presenting complaint. This has been supported by a multitude of sources, so Australia and other international areas have been working hard to establish the correct “ratio” for safe and effective patient care. This involves starting the assessment as the patient’s head and progressively moving down to their toes. Sternal pain, to be accurate, is not really central as the nerve pathways enter the spinal cord lower than is necessary to be classified as central in origin. This will help to assess the temperature sensation, fine touch sensation and position sensations. Please feel free and look at the other free resources that we have to offer on E Advanced Healthcare.
Marijuana is good if eaten, not smoked, for brain stimulation ( delta 9 sativa specific) and alcohol, not nasty mikes hard cider or wild feather vanilla vodka but a natural fruit fermented alcohol such as any wine, red preferably, without sulfites and preservatives is good for cholesterol and fatty build up in your vascular system. The gastrointestinal and renal systems are also examined in depth to give you the necessary tools to perform a thorough assessment of a patient. There are also APACHE scores, which aim to help us assess the severity of the patients’ illness. This initiative has helped ensure that there are enough nurses available at certain times of the day to help ensure a safe and effective caring facility.
If we learn a thorough and accurate method of performing a patient assessment and are able to communicate this effectively to members of the multidisciplinary team then we are more likely to be valued with regard to our impression and assessment. Besides assessing the patient’s “systems” or organs, it is also important to thoroughly visualise their skin. Peripheral painful stimuli is often applied by applying firm pressure on the top of the finger nails or by pinching the web between the thumb and index finger.
With the correct number of nurses working on any particular shift it allows for more concise care and greater opportunities to be more thorough and as such provides the time necessary for a thorough assessment of a patient.
Providing a concise and appropriate rationale for our assessment is also another important factor when communicating our findings to team members.
This should follow the “top-to-toe” method of starting from the head and moving down to their toes. Made more money bootlegging and illegalizing all of these things because we all seem to enjoy one or the other. Yes it is true that most of the current patient assessment books are going on sale for about $50 – $100, however you do not need to pay this! For example looking at their head, face, ears, neck, etc., and then assessing their neurological function before moving down to their chest and respiratory assessments. Again E Advanced Healthcare mission statement is to provide you with educational resources that are both useful, informative and accessible. They inevitable get all the profits when drug dealers spend the money they make putting back into white market circulation.
Our e-book is going to cost less than a cup of coffee, so you have nothing to lose apart from some increased knowledge, improved patient care and enhanced professionalism. Should you not want to get the e-book version or the paperback version of this great resource it is still one of the cheapest paperbacks available in the topic of medical assessments. High-protein, low carbohydrate diets may cause quick weight loss, but these diets can affect your brain performance. Recent research at Tufts University showed that a low-carb diet can quickly affect your memory, reaction time, and visuospatial skills. Some may target the vestibular system while others may improve executive brain performance. While most people can use improvement in both areas, I’ve seen a synergistic effect when used together.
If you want to improve your brain performance or just need to address a specific issue, such as memory, look for someone who knows how to play a complete tune.



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