Thursday, January 19, 2017

The Best Assistant I Ever Bought for Under $20

Do you work in a nursing home? Or ever provide care in any kind of long-term care setting for any reason? Maybe you're another music therapist like me and have a need to sit at the bedside with patients for an extended period, or maybe you're a nurse practitioner or an MSW who is tired of crouching or bending to visit briefly with patients, wishing they weren't so inaccessible over there in the hospital bed.

Maybe, like me, you've noticed something about these facilities, and it probably gives you just as much trouble as it does me.

Where are the chairs for visitors to patient's rooms?

I frequent a large percentage of the nursing facilities in my area as part of my hospice work and I run into the same problem everywhere I go. Those rooms are not designed to accommodate extended visitors because there is nowhere to sit, and not much to sit on.

You've probably found the work-arounds I did, like crouching on the edge of the AC unit, or scaring up one of the heavy chairs from the dining room, which will have arms on it if you can even find one to borrow. Or maybe you scared yourself silly the first time you sat on the edge of a bed that has a bed alarm. I didn't make that mistake more than once!

This problem bugged me for the first nearly two years of field work. I resisted trying to pack anything else along with me because I already carry a guitar, a nursing bag of rhythm instruments, cleaning and sanitizing supplies, and the tablet with the OnSong library. I didn't want one more thing to cart around.

But then, finally, I found something that met my criteria for riding along.  This delightful "assistant" weighs in at just about two pounds, it's self-contained in that it provides its own carrying strap and closure system, and it sets up and down in one step. It's light and small enough I can toss it on my back along with my guitar and not even notice it's there. It's durable and easy to clean. Now I can position myself almost anywhere I need to be relative to my patients, whether they are in a facility or a private home. And my back thanks me at the end of the day of using the iso-principle.

 Travel Chair shown here with large dog and small cats, for scale (and cuteness!)


I wouldn't recommend this if it hadn't been such a hardworking assistant to me and proved its worth in the field time and time again. It goes for under $20.00 on Amazon and if you're an independent contractor or self-employed music therapist, it's also tax-deductible on your Schedule C. You can get it here.

Please let me know in the comments if you have run into this particular irk and you have found an "assistant" that works for you!



Wednesday, January 11, 2017

A Very Sleepy 2017

Fun fact: More traffic accidents occur during the 2:00-4:00 PM window than any other time. An even better fun fact is that we actually know why. It's all because of our brains.

For something as important as understanding the workings of the human brain, the findings of much of the field of neuroscience are surprisingly murky. So, when the neuroscience community reaches a strong consensus on an issue, and declares a finding to be strongly supported, I listen. I take it to heart. I recently read "Brain Rules" by John Medina, a highly-respected neuroscientist. In this book, he distills the best of the best of neuro research and translates it into principles or "rules" that guide how to best use a human brain in real life.

So why do we consistently crash our cars more during these hours than any other time and what does it have to do with our brains? It's because our brains really, really, really want a NAP.

And by "want," I mean this is a hard-wired, biological drive. A need, like food or water.

What is our brain doing during this time and why does it need to do it so badly? This is where it gets murky again, but the best research suggests that we are doing intensive offline processing and brain de-cluttering during this time. We take all the information we have encountered during the first half of the day and only during a short sleep cycle can we actually make much use of it.

The science gets pretty clear again on this point: the drive for an afternoon nap occurs universally among humans (without serious sleep disorders) regardless of how much you typically sleep and when, whether you are a night owl or a morning lark. It's so universal and clearly defined that researchers have termed this window the "Nap Zone," and believe it's the other piece of a natural human sleep rhythm. The Nap Zone occurs because you have processes in the brain that fight to keep you continually awake, and ones that fight to keep you continually asleep. The sleep forces win out when you go to bed, but eventually give out when you wake up the next morning. When you enter the Nap Zone, these contesting forces flatline. A cease fire. Nobody is really in the lead, but you definitely feel the possibility for sleep coming on. Thus all the car crashes.

When we attempt to fight through this window, we're pretty miserable. Irritable.  Our thoughts feel s...l...o...w...e...r. We might need to have someone repeat what they just said. Worse yet, we suddenly snap to as we hit the rumble strip on the side of the highway.

What happens when we take this nap instead? Per "Brain Rules," we drastically improve our productivity and our thinking abilities. We become sharper, more creative, faster on our feet, deeper thinkers, and capable of solving the problems that were baffling or stressful before lunch.

I resisted this line of thinking at first - the idea that by taking just 20-30 minutes to sleep once per afternoon, I would actually make up for that lost and time and then some in what I would be able to ask of my brain post-nap. But the science is so, so clear here that I might as well argue that I actually see with my ears instead of my eyes because that "seems" more logical to me.

Resisting the idea that humans need this afternoon nap makes as much sense as arguing that your car runs best without ever putting gas in it, or that a surgeon will perform their best surgery by using the same scalpel over and over until it is so dull it's only good for butter. The nap serves the same purpose as trading out for a sharp instrument.

All of this adds up to the only resolution I have made for 2017 so far. Every single day possible, I will arrange my schedule in such a way that I can nap for 20-30 minutes in the afternoon. I resolve to use the nap zone for what nature intended: revving the brain up to do its very best and brightest work. I encourage you to join me in taking that very needed nap. It's already making an enormous difference for me in terms of clarity of thought, emotional stability, and creative brain power.

On that note, I wish you and yours a very sleepy 2017. Happy napping!

PS: If you want to harness the neuroscience for your own health and better therapy for your clients, you can pick up the book here.


The Archive

Hello, you wonderful people!

One life chapter has ended and another has begun. That means all my music therapy musings will now live here, on this page.

You can still access all the previous posts over here.

I can't wait to share my musings with you in the new year!