Tuesday, April 12, 2011
Saturday, April 9, 2011
Repetitive Music
I wrote this a while back...I sound like a Darwinian elitist...
This civilization can’t exist without the working class. There’s a pyramid in place where there’s obviously one or a few that make all of the decisions. How then does a broken public high school system that obviously systematically cranks out mindless drones of mass produced students then differentiate so widely? How do we get a forty year old Del Taco employee versus an M.D. who went through the same 14 years of school? Environment plays a monumental role in developing one’s cognitive world view of one’s self and music plays a monumental role in environment.
What kind of music do we listen to and how does that affect us? Music is a form of identity and it can provide entrance to cliques where birds of a feather flock together. Lyrics like “teach my how to dougie” in a painful over repetition could possibly not only limit the people that you hang out with, but maybe create a mental block from letting further information get in. "California girls" bring horny perverts from other countries to spend their money in tourism in California. News flash, one fifth of
First amendment bullshit, this type of music increases our appetite for instant gratification like sex, money, and drugs instead of creating an atmosphere where we could develop our intellect. Some people welcomed this with open arms and made it a part of their day. But wait, not everyone has to develop their intellect do they? We need the working class. Hitler and Stalin couldn’t have done it better than Ludacris and Fiddy.
Monday, April 4, 2011
Sunday, April 3, 2011
Mental Hospital @ Orange
Psych Journal #1
The day started off with excitement and a thirst for a new world and exploring different realities in College Hospital in Costa Mesa. We were oriented through hospital safety procedures for new students and some introductions. The real fun began when Erin (my partner) and I was assigned CSU which meant Critical Stabilization Unit. We didn’t know what we were up against, but we were told that this is the psychotics, schizophrenics, and hypersexuals of the group. Not to mention that the hospital already contracts combative and difficult patients from other hospitals.
It took me about an hour of observing the patients, the medical staff, and how they interacted before I finally felt comfortable to talk to them. I quickly flashed all PMAB training before my eyes, don’t get yourself caught in a corner, never be alone in a patient’s room, make sure you always have line of sight with other medical staff, and try to talk patients down when they escalate.
Some of the interventions and actions that I did on my first week were:
· Attend group discussion about drugs of abuse and psych symptoms
· Interview 5 patients as well as exchange pleasantries with others
· Learn about the daily routine of the patients, and paperwork with the staff
· Teaching on patient dealing strategies
· Look out and reorient patients who have low levels of consciousness that are in danger of falls.
· And do laundry
There were three patients that were interesting to me and here is a copy of my notes for these patients:
S.
Upon interview pt sounded normal. Appearance included shaggy hair, decrepid teeth. Behavior: interested in talking to students upon asked. Cognition: patient denies being abnormal, and doesn’t know reason of hospitalization, but is informed about length of stay. Pt. reports that she wants to go to the “village” where they would “help” her and treat her better than here. Pt. States that she wants to leave and is eager to talk to her nurse or doctor to get better. Further questioning directed from info on chart about trying to kill her mother, pt states “I don’t know. I didn’t do nothin’ to her. Then she called the cops”. Pt. was thanked for her cooperation and sent back to bed.
J.
Pt. states “I am CIA, FBI, and Secret Service” and believes that he escapes from College Hospital by table rocketship or chair rocketship to the moon. He fixes “computers in space to prevent a white out back on Earth. It is important.” Tried to orient reality by asking location, year, date, and name. Pt. knew location and name only.
J.
Pt. appears docile. Established rapport by asking him about his showers which he really liked a lot. States that “new meds weren’t working so they switched it to my old ones to receive anxiety”. Upon asking if the medication was working and if he was still anxious, pt. responded “It’s better and I feel less anxiety”.
Observations:
Patients are dependent on food, smoke breaks, and telephone breaks and staff use this as a way of controlling behavior. Staff was very patient with the patients. I particularly liked C’s and J’s style of therapeutic communication, focusing on the patient’s needs while maintaining structure. Many nonverbal cues seen such as flat affect, constant nodding, lack of eye contact, too much eye contact, pacing, word salad, tremors, catatonia, snapping fingers, and repetition of words.
Overall it was a very interesting night, however 12 hours in Psych ward was way too much to handle because of the intensity and anxiety of always having to watch your back and never really feeling secure. Had to do a couple relaxation techniques in the beginning, however throughout the day, attacks lessened. Fatigue set in after a while, but overall learned a lot of stuff.