Welcome to the blog at My Silver Diary, an intimate glimpse into the person-centered, or resident-centered perspective that everyone likes to talk about, but few seem to care about.

No attempt has been made to impart a particular point of view in regard to the care nursing home residents receive or do not receive. It is what it is. However, I do hope you at least find some of the entries to be informative, entertaining, and maybe even challenging, and that you are inspired to think more about what it might be like to live in a nursing home.

If you want to contact me, my e-mail address is posted at the bottom of this page. If you want to tell someone else about an entry, just click on one of the small white envelope icons. This blog is probably too long for you to read at any one sitting. You may want to download it to your computer so you can read it when you have more time. Just click on file and save page as.
 

yes
I forgot
my walker

returning from pass
my ankle bracelet sets off the alarm

non-adherent

not
enough
just to be
non-compliant

I attend
activities of choice

naturally

I
just want
to be left alone (again)

let
there
be lytes

my mattress
has a memory

I
want
to die
at home

today's inservice

loneliness
and compassion

mandatory. lunch on your own

resident council

1. c/o food
2. see #1 above

some ideas
for improving
quality of life for
nursing home residents

no bingo
yes hamburgers
suspenders for men
reduce ambient TV noise
silence laundry cart wheels
make wheelchairs comfortable
folding chairs available for visitors

single rooms for all who want or need them
drastically reduce the use of the P.A. system
don't place a big screen TV in the only common area
provide residents with easy access to a telephone and e-mail
deflect heater and A/C vents so they don't blow on sleeping residents
do not let anyone enter residents' rooms without proper authorization
fund nursing homes so that adequate staff can be hired at a decent living wage

I don't mind sharing
but they should have asked

at least here
I'm not a burden to anyone

this
is a good place
for an old man

I bought it
but I don't have it

activiteis 101

1. bread
2. circus

special thanks to Juvenal

visiting ours

and as
I wonder
where you are

I'm so lonesome I could cry

special thanks to Hank Williams

they
make you
take a bath

I
live
in this
chair now

sighs
matter

resveratrol

amazing grapes

I cheek
therefore I.M.

what's
left of me

exercism

I'm exercising
my right to not exercise

my food
has a temperature
but it doesn't hurt

able
to make
needs known

but I keep them to myself

I take medicine
to help me swallow my pills

this too
shall pass

I'm
too young
to be this old

not an MSD original. look it up

abt

we are living
in a bacterial world

and we are bacterial boys and girls

allergens

the
reason
for the sneezin

Myrrhy
Christmas

young ones
come up and take
your place. you've got to move on

1. bingo
2. cookies
3. no exercise
4. price is right

clandestine vending machine

I've
got a friend
in cheez - its

bed
side
manor

obra dee

obra da
life goes on

do the
low commotion

wired for altitude

courtesy
Barry Corbet and AARP The Magazine

(you have to click on wired for altitude above)

CMP

it's
fine
with me

I live here
but it's not my home

dying is easy
living is tough

Jack LaLanne

diet and exercise

the
secret
of niddm

hipaa hipaa soda cricka

we
still
have
work to do

but we won't do it

you can still click on this temporary link

oop

election reflection

I didn't vote

nicorette

the smoking gum

club
medcart

gerd

sixteen tums
and what do you get

cydefex

1. sleep
2. sleep
3. agitation
4. weight gain

I just went

clean catch 22

I dialed 9
but I still can't get out

where's
the punch line

labor day

working hard
at nothing all day

-bachman-turner overdrive

deficiency- n. shortage of a substance needed by the body

deficiency- n. violation of federal minimum standards for patient health care

no fighting

my
hips
don't lie

but
my hipaas do

we
watched
sponge bob today

greatest
generation
bears witness
to the rise and fall
of a once great medium

some nursing home residents watch a lot of television programs that make no sense to them

wait.

bingo warning

category:

sounds goofy

IAU scientists
declare pluto not a planet

MSD is marketing a bingo game (okay it's free)
that uses all 50 states and nobody's messing with it!

in a
time
before
plasma tv...

we
were poor
but didn't know it

didn't
have much

but we were happy

mystery choppers

if the
chew fits

don't
forget
to check out
the all new dieting for tummies blog

the shocking truth behind secret celebrity dieting myths exposed once and for all

hush puppies

the dogs
barked all night

where is
everybody?

now you know how it feels
to be on time to a Q.A. meeting

our
hearts
go out

I should be happy
what's wrong with me
-Big Bird
Follow That Bird

no se

I have no say

just dill with it

is
it a.m
.
or p.m. ?

a nursing home resident may need help with orientation if you have the time

editor's note:

sometimes
access to the parking space you need
is blocked by a stodgy "reserved for employee of the month" sign

that's why we made the My Silver Diary perpetual "Employee of the Month" bumper sticker

comes in two styles
just scroll to the bottom of the page at the My Silver Diary CafePress Store

proof of perches

I thought
the fish smelt

first
chickens
have fingers

now
medicare has
a doughnut hole

I can't
cut this
with a knife

the toughness of meat served
is inversely proportional to our ability to chew it

universal name tag precautions

category:
social skills we either
never learned or forgot after kindergarten:

discretly reading each others' name tags instead of making eye contact and doing introductions

upgrade your staff's social skills for less than the cost of a latte macchiato each, with the new improved

my
house
sits empty

sometimes nursing home residents
think about the house and the home they worked to build

where they raised their family and where they think they still belong

do
you have
a cell phone

mrsa mrsa me

bugs ain't
what they used to be

wash your
hands take vitamin c

also it wouldn't hurt
to wipe your phone and keyboard
and if you haven't yet, stop chewing your pen


read aol article "the filthiest spot in your office"

I want to eat
what I want to eat
when I want to eat it

who
moved
my call bell

they don't know
that they don't know

walker- n.
movable aid
helps provide
stability with walking

walker- n.
texas ranger

big screen TV
where the residents sit

does anyone notice
what's spewing from it*

*no

I get
my grain
from gluten

I just want
to be left alone

just because you live in a semi-public setting doesn't mean you want company

these legs have
a lot of miles on them

birdbath and beyond

aviary as metaphor

national night in

every year we have national night out
where people go outside to meet their neighbors

im•pact- to have an effect on
im•pact- to pack firmly together
-pact•ed, -pact•ing, -pact•ion *

*cross-reference quote by Ernest Hemingway (below)

the food
is really good
I don't know why
everyone complains

just put up with
the inconveniences

boredom: the desire for desires

Leo Tolstoy

I'll
never
get out of here

one day it occurs to a nursing home resident
that this is where she will spend the rest of her life

where's my room

public address

I have no idea
what they just said

public address systems are sometimes loud and not too clear
nursing home residents sometimes think announcements are meant for them
sometimes they are. usually they aren't. but residents can't tell and stay rather confused

fine- adj. of superior quality, skill, or appearance
fine- n. a sum of money imposed as a penalty for an offense

quantity assurance

you
fill up
my census

apologies to John Denver and Annie

they don't care
if you don't get better

I am
fortunate
to have had
such
excellent care

fido nutrients

wanted:
nursing home dog
proficiency in cat scans a plus

how
much
does a
funeral cost

I eat
because
I have to

CMS

if you
billed it
they will come

you get
used to it

at least
my cough
is productive

can't you do something
to stir things up around here?

my
remote
operates
my roommate's TV

lasik

now
that I can see
there's nothing to look at

pleasant
on approach

super sighs

are you
still here
?

full range
of emotion

my room
has no room

they
treat us
like children

independence day

they've been
good to me here

roll out the barrels

hear a rumble on the floor
every morning at a quarter to four

some laundry barrels have special wheel noise amplifiers
they can simulate the sound of a speeding locomotive or a tornado

I miss
the home
I worked to build

are you
my mother's doctor?

I can remember 50 years ago
but yesterday is a complete blank

we need a rule book

shift happens

I don't remember
the paradigm shifting

SNF Unit
no dogs allowed


available on coffee mugs at the My Silver Diary Cafe Press Store

93
y.o. s.f.
non-smoker
enjoys long rolls
down fluoresnent lit corridors
seeks s.m. interested in long-term companionship*

*see alice

the aides come and talk to me
they hug me and kiss me good-night

don't know much
about my history

special thanks to Sam Cooke

no bell prize

I don't think
my call bell works

0% interest

we don't have to
show you any patches

there's a way

is it too late
to change my will

wait till
you turn 85

isolation- lack of contact with other people
isolation- separation of an ill person who has
a communicable disease from those who are healthy

B.S. active

cantaloupe tonight

saved my life

I would have died long ago

I'll have
your license

just about
ready to give up

q.o.l.

I can't
believe
it's not better

do not pass go

I don't
remember
going to court
why am I in jail

they take
good care of us

I used to sleep
in a king size bed

hipaatitis

sometimes people
don't want to fool with you

another
saturday night
and I ain't got nobody
- Sam Cooke

can't someone
make her be quiet?

evacuate- v. to empty or remove the contents of
evacuate- v. to withdraw from or vacate a threatened area

I've never seen
so much hugging

this is
my highest
practicable
level

available on coffee mugs at the My Silver Diary Cafe Press Store

bored again

pimp

my wheelchair
it's my only ride

I'll have to get better to die

boarder security


so many new staff

turnover- replacement of workers
turnover- a piece of pastry folded over a filling

hello walls

welcome
to my space

it isn't much
but it's all I've got

courtesy Willie Nelson

so much
has happened
to me in my life

never enough
parking spaces

parkway- a place to drive
driveway- a place to park

we're here
to help each other

more dopamine please

sunshine almost always makes me high
-John Denver

vitamin D
beats fluorescents
24/7

I've earned
the right to lose it

I've lost
the right to earn it

beechwood 4-5789

telemarketers
why are you calling me
I live in a nursing home

slipped
wearing
my slippers

I'm still alive

those days are gone

one night stand

a chest of drawers
and maybe an extra chair
so people don't sit on my bed

probably
never see
my home again

my address book is shrinking

the price is wrong bob

I think I'm paying too much

we have met the enema

still can't
understand
this setup

american idle

art irritates life

I've had excellent care

how far is heaven?
-Los Lonely Boys

I never have a good day

acTiVity

the tv is my activity

as seen on TV

I have medicare
where's my scooter

be grateful
for what you have

wasting my time

life is passing me by
I should be doing something

culture- n. a growth or colony of microorganisms in a nutrient medium
culture- n. socially transmitted behavior patterns characteristic of a community

bath day

what rights?

bingo

will play
for quarters

wish I could go home

I'm happy
getting strong
gaining weight

I still don't know why I'm here

it's some life

I'm being punished

kept alive so long
everyone I ever knew is gone

my roommate
died last night

take me with you

I never thought
it would be like this

noise "r" us

you can't have
a normal conversation

who
would want me
where would I go
?

I thought it was tuesday

here's corporate

pushin' too hard

I brake
for thresholds

and door jambs

HOH

if I can't hear
look into my eyes
speak soft and slow
don't scream in my ear

or write it down
maybe I can read
and then I will know
what you're trying to say

HUGs
not RUGs

aching in place

thank you very much

for not stealing
I didn't have that
much to begin with

one
life to live
on big screen tv
the medium is the message

respectful thanks to Marshall McLuhan

my toes
sometimes
the most vulnerable
protrude the farthest

spell check

gait: n. manner of walking
gate: n. a movable barrier in a fence or wall

where's my laundry?
yes I wrote my name on it

I've lived long enough

they helped me a lot
I was very sick when I came

dissin' franchise

no more chicken
except maybe KFC

poly
wants a
pharmacy

I still say I'm
taking too many pills

spell check

staph: n. parasitic bacteria (no tattoos)
staff: n. assistants or employees (may have tattoos)

bored certified


coffee mugs available at the My Silver Diary Cafe Press Store

I'll have to will my TV to someone

I'm not going home. I love it here.

fed up

all we do is eat

they wanted me out of their way

I keep myself busy

uti

got cranberry juice?

are you a doctor?

I have nothing to look forward to

you get mad when you
can't do what you used to do

I need something for my nerves

at first I was upset
but now I like it here

pray for me

older is colder

chills the body
and maybe the soul

who can I talk to?

nosmo king and queen

smoking time
neither rain nor sleet
nor a busy city street

how does it look like I'm doing?

now this is my family

someone's been
sleeping in my bed

elderspeak

say it, don't sing it

I'd rather do something fun.
-Red Green

they took my car
they
took my house
they might as well take me

snack time

cookies and punch enabled

K9 P

who let the dogs in?

s.o.a.p.
o.p.e.r.a.

Everything has been figured out, except how to live.
-Jean-Paul Sartre

I hope we aren't alone down here

Lost

what am I supposed to do?
where am I supposed to go?

I see no comfort in outliving one's friends
-Thomas Jefferson

to go somewhere
and to get something
that's what people want

all I can do is remember and be lonely

spell check

ativan
aggressive, aggression
agitate, agitated, agitation

Never confuse movement with action
-Ernest Hemingway.

writing is fighting
-Ishmael Reed

nothing to do
no place to go
no money
no place to spend it

don't be crewel

In the end, only kindness matters.
-Jewel

stella!

I have always depended on the kindness of strangers.
-Tennessee Williams (A Streetcar Named Desire) 1947

I never thought I would end up here

not too many people think they will ever live in a nursing home

I need a hamburg. (hamburger, hamburguesa)

it's my part D

and I'll cry if I want to

that vent blows on me all night

A/C vents are designed to blow cold air on people who are already cold

s.o.b. (med) shortness of breath
s.o.b. (slang) male offspring of nursing home dog-mother

I'm happy here
everyone is nice to me

I am bien

sleeping to pass the time

patient: n. one under medical treatment
patient: adj. good-natured tolerance of delay or incompetence

If I don't write to empty my mind, I go mad*
- Lord Byron

* I don't write

this is my home now

a brief unanounced survey

Do your residents know your facility's name, address, and phone number?
Their doctor's name, the names of the medicines they are taking, or why they are taking them?
Can they name your facility's administrator, the director of nursing, the social worker, the AD?*

*no

do they have a copy of My Silver Diary?**

**no


loneliness helplessness and boredom

Loneliness: the awareness of being alone
Helplessness: dependent; lacking power or strength
Boredom: to make weary with dullness, repetition, tediousness

and finally, finally:

please understand that
in accordance with HIPAA regulations
we are unable to either confirm or deny
that Elvis has either entered or left the building

so there

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