1 October 2014
Wednesday
I often spend long
hours in bed, sometimes whole days at a time. There are two reasons
for this: 1) Once I am up in the wheelchair, when I grow weary and
tired, it can take an hour sometimes more, to get a CENA to use the
machine to get me out of the chair and back into bed.
The reason that
this is because the venture capitalists who bought the company who
operates these nursing homes are demanding that this facility save
more money (in their expenditures) by hiring less CENAs. The push is
to get three CENAs to do the work that four used to do. While the
cost to me doesn't change the facility is paying less for CENA work,
thus the unseen, unknown overlords receive more money, that which is
now buying one quarter as much labor. Somehow these powers that be
believe they are making more money off a previously inefficient
operation, they win and nobody pays a difference.
And people wonder
why the electorate didn't trust Mitt Romney, another venture
capitalist, you know, the one who thought it was a good idea to put
the family dog on the roof of the car for a long road trip. Must be
chasing other people's money weakens the brain from making other good
decisions.
EXCEPT, there is
no mechanism for measuring the rise in dissatisfaction this causes in
the CENAs or the residents. The CENAs recognize right away that they
have no time between caring for residents. Their tasks are now curt,
short and finished sometimes before everything is completed as they
hear the call lights buzzing and are off in as quick as can be. Lots
of mistakes are made due to this. Some residents believe the call
lights are their personal signal to a maid or butler, or someone to
keep them from getting lonely in this strange place, they hang on the
button constantly. The CENAs have no idea what the problem may be
without going to the room to find out. When there used to be four
CENAs scheduled they would often cover the call lights for one
another, no more. The administration has taken to measuring the
length of time it takes to respond to the call lights, if the number
gets too big a reprimand is in the future. Too many reprimands can
result in fines. In some places this is known as motivation of
employee behaviors.
- Once I am in the wheelchair my hips, legs and feet no longer move. But I still have a limited sensory system. The feelings may be hot, cold, electric, dull, sharp, narrow, wide, pulsing, or a combination of many at once. After a period of time with no movement certain aches begin to grow and take over my senses. About four hours into the chair and the various body parts affected are screaming for relief. A change of position usually does it. Sadly wheelchairs are not designed for wiggle room, and I don't wiggle any more.
When I do spend a
long time in bed, one moment can grow to be quite like all of the
previous ones. I try to keep myself distracted
entertained. My neighbor uses his facility supplied television for
this purpose. I do not particularly enjoy daytime programming; The
Maurey Show, The Price is Right, the noon news – complete with a
cooking segment, Judge Judy, Judge Ross, America's Courtroom all add
up to a pretty sad commentary on the state of the Union these days.
I retreat to the
earbuds and my iPod. The earbuds partially mute the seeping
television as it comes through the door. The rest is blocked by my
extensive collection of music. However after a few years, I have
begun to down load and listen to podcasts. I have heard more
interesting podcasts than I ever had before.
Earlier today I
was listening to NPR's TED hour, there was an episode about privacy
that drew my attention. The old notion of privacy is beginning to
turn slightly, or quickly depending on the circumstances. Some ideas
regarding privacy are pretty stilted. Here in this facility they
won't reveal anything about anyone for fear of HIPPA laws. I used to
help administer security and HIPPA compliance in the clinic I helped
run, I know about HIPPA and the way this place operates is way too
overboard in the failsafe mode to the point of being punitive. We are
all residents here from different backgrounds, thrown in together for
better or worse. Then we are told to get to know one another. First
thing people do when they get to know each other is to exchange names
and the reason that brought us all here. Then we gradually get to
know each other. Except the lawyers who I have met here, they insist
that no one know their names, what brings them here, or anything else
about them. Then they complain about how lonely it is here.
When a woman I
befriended here disappeared for a while no one would say a thing,
citing HIPPA laws. A week later I just happened to see her in a new
room. I was so glad to see her again, and told her so. She was a good
friend, facing cancer and lots of chemotherapy. She had few visitors
and fewer family. A few weeks later she disappeared again. Same as
before my questions were answered with the dreaded, “We can't tell
you, HIPPA laws” response. Everyone played silent for weeks
afterward. Then I found her name listed in the obituaries of the
local paper. When I confronted some of the administrators with this
information, they all knew all about it, and were surprised that I
had found out. Those fools were willing to continue playing games
with the information as to my friend's whereabouts and what state she
was in, even after she was deceased. Says a lot about how they value
me, or any of the rest of the residents here.
These folks
encouraged me to interact with her initially, saying that she could
use some good intellectual stimulation. You know she did. But when
she was out of sight the staff here suddenly played stupid, citing
the HIPPA law for their apparent ignorance. You know that voluntary
lack of intelligence leaves some residue behind each time it is
invoked. The folks that occupy positions of power here often strike
me as not knowing much beyond their limited original knowledge. I'm
afraid they aren't capable of learning very well due to the rules
they follow.
And yet the HIPPA
law is not universally invoked, I am subjected to strange women
coming into my room and performing the most personal tasks on my
body, my private parts and absolutely no care is taken to hide or
protect my privacy. I didn't think that laws could be arbitrarily
invoked, guess I was wrong, or it depends on who has the money behind
them to pay for the biggest lawyers.
Well, back to
noticing the inequities of the situation.
This has been
resident 322b2
No comments:
Post a Comment