Elizabeth Barrette (ysabetwordsmith) wrote,
Elizabeth Barrette
ysabetwordsmith

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Content notes for "Dissolving the Barrier"

Here are the content notes for "Dissolving the Barrier."


"If you see a homeless person on the street, and they need food, housing, medical attention - if you can give that, do it. But at the same time, work with tonglen, because that is how you start dissolving the barrier between you and them."
-- Pema Chodron

A shoebox apartment is very small.

Skin sores require careful attention. Dermatitis neglecta and intertrigo are two conditions that can affect unwashed skin. Hotspots typically occur under friction, but heat and moisture are contributing factors. Pressure sores come from insufficient motion. Any of these can develop bacterial infections.

The blanch test is useful in checking circulation integrity of skin injuries or extremities. When pressed, the skin should turn pale; and when released, color should return in less than 2 seconds. You can test different areas around or on an injury to see if the refresh rate varies; pressing beside it tends to be more tolerable than pressing on top of it, and broken skin won't show clearly anyway. If you can see a healthy blanch response, that's pretty reliable. If you can't see it, then circulation may or may not be impaired, and expert care is advisable.

Echoing and paraphrasing are active listening techniques that build rapport. Normalizing is a way of reassuring people that their reactions are natural and common, that they are not alone. First responders learn skills to establish rapport quickly in a crisis. The same techniques also work at lower levels of urgency -- in this case, when it would be a really good idea to get a checkup, but is not an emergency.

Consider also the spectrum of influence, persuasion, manipulation, and coercion. This also relates to the spectrum of consent. Ned tries to respect Cas' free choice while coaxing him to make good decisions, which requires acknowledging Cas' concerns based on previous bad experiences, providing concrete assurances of better outcomes this time, and also giving information about possible negative results of doing nothing.

In L-America, homeless people often lose body parts due to frostbite, disease, or other issues. L-America does a better job of intervening before things get that bad.

Community clinics provide free or cheap care, subsidized by various levels of government or other sources. They most often provide preventive measures (dietary information, tests, vaccines, maintenance for chronic conditions, etc.) and sometimes offer urgent care for minor to moderate injuries that don't need a full-scale hospital to treat. This takes pressure off the emergency room. Neighborhood clinics also make it possible for people to get care faster and closer to home. If they have a procedure room, they can stabilize even serious problems while transportation is arranged to a larger facility. T-America triages its whole health care system to minimize clogs and maximize access. Everyone wins.

T-American police often carry things like this fidget set to occupy restless hands. Here is a guide to fidget toys. They have many benefits.

Workplace abuse is a serious problem. Know the signs of a bully boss. Notice that all the recommended solutions have minimal success. The most effective -- filing a lawsuit -- has a dismal 16% success rate. What people really need to do is fire the bully. Unfortunately this is impossible when the business owner is the bully, a common situation.

Compassion fatigue is common among police officers, doctors, and other helping professions. Compassion is essential to good policing, and can't rely simply on self-care but needs job support. Closing the loop, so officers see the results of their work, goes a long way toward job satisfaction and compassion maintenance.

Observation is a vital skill for police. T-America offers many more classes teaching police how to observe. Learn how to improve your observation and situational awareness.

The core of trauma-informed care is asking "What happened to you?" instead of "What is wrong with you?" This forms the basis of the principles and practices. In health care settings, TIC improves the outcomes while minimizing stress and potential harm. There are instructions for supporting trauma survivors and working through your own trauma. First responders typically have workplace procedures to minimize the risk of developing PTSD.

Free health brochures cover such topics as nutrition, women's health, play, and parenting. There are handouts and books on positive discipline.

Comfort Food -- what it says on the tin, a magazine that teaches people what comfort food is, the ways it works, how to establish a fondness for healthy comfort foods, and recipes for a mix of light to rich dishes.

Household Harmony is a Terramagne-American magazine about everyday living. It includes articles on home decorating, home repairs, housework tips, personal improvement, interpersonal skills, family dynamics, positive parenting, romantic relationships, traditions, and more.

Relaaax -- a magazine to relieve stress, this has dreamy photos and artwork, mandalas, coloring pages for all ages, some puzzles, meditations and other exercises, mudras, health news about stress and relaxation, articles on stress relief, and other soothing stuff.

Taxxi -- a tactile magazine with heavy pages embossed or otherwise embellished with patterns to feel and things to do, including both Braille and raised letters; more expensive than most magazines, but extremely popular with children and other tactile people.

Why dispense supplies in the exam room instead of the pharmacy? Because then the doctor physically puts them into the client's hand, and knows for certain what the client has. This is especially important with more vulnerable people as it avoids the risk of missing items due to poverty, being late for a bus, etc. So in T-America, an exam room often has storage space for the most commonly dispensed items, especially in community clinics.

Sleeve bandages are stretchy tubes that secure dressings without the need for sticky tape. They're ideal for sensitive skin, hairy people, and allergies.

Jackson & Jason's Ouchless Wound Rinse -- a stingless antiseptic sold in spray or squirt bottles.

Trust may be given or earned. There are ways to build trust for people in general and medics in particular. In local-America, doctors are trained not to trust their patients, which makes for worse outcomes. Doctors have a moral duty to trust their patients as a necessary foundation of quality care -- and if they can't do that, they should just admit it.

Compensatory joys can make an unpleasant experience more bearable. In T-America, local businesses often donate gift cards for this purpose, which not only make clients happy but also helps attract new customers. A box of toys can appeal to a wide range of younger clients. These techniques work anywhere you need to interact with customers.

Happy Cards include Happy Teen and other categories. Here are some tips for using gift cards.

Salad Palace is a healthy fast food chain. They serve a wide variety of vegan, vegetarian, omnivore, and carnivore salads. They also do rolls and sandwiches with things like tuna salad, turkey salad, chicken salad, or egg salad. Desserts are variations on fruit salad. You can order one of their standard salads or make your own from the bar. People with allergies or other special needs can order things made in a separate room to avoid the risk of cross-contamination.
Tags: cyberfunded creativity, fantasy, fishbowl, poetry, reading, safety, weblit, writing
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