When a doctor or Advance Practice Provider (like a Physician Assitant or Nurse Practitioner)issues a verbal order, the person taking the order is usually supposed to read it back to confirm understanding. Clinicians often feel its unncessary: We’re in a hurry.We’ve got things to do.
Verbal order readback (VORB) is an invitation. It’s an invitation to reduce confusion or dispel doubts. With VORB, the person receiving the order and the person giving the order have the opportunity to dance. Do you understand what I want? Do I understand what you’re reporting? We get to do this before we step on each other’s toes. Or, more importantly, before we hurt the patient or family.
Cassie, our dog responds more slowly than usual. She usually gets to the door first. She’s feeling lazy this morning. Finally, at another beckon, she arises. But, as she does, she takes a long, deep stretch. Her body lengthens. She twists like her body is a towel being wrung out. Then, she releases a full-body shake.
Now, she was ready to go. Our walk could begin. Our day could officially begin.
This post originated with the creation of a blog post on New Year’s Resolutions. I’m trying to keep my blog area focused on inspiration. So, instead of posting this in that area, I’m adding it to my website’s opinion section.
Yesterday, on my blog, I suggested some reasons that resolution brain lets us down:
It fixates on our failures, deficits, and weaknesses
It promotes suffering by triggering loss of hope and depression when resolutions fail
It highlights our sense of not enough: we don’t have enough, we aren’t enough, and incites the Hungry Ghost of wanting more.
Today, I want to highlight a few of the more insidious ways that resolution brain can betray us.
Wait before you make any resolutions. If you don’t, your resolutions make may cost you time, vital energy, money, and hope about your ability to change.
The making of resolutions is a time-worn transition marking the beginning of a new year. Usually, we focus on our deficits, and then create a grocery list of needed changes. If we listen to advertisers, it almost literally turns into a shopping list. Who we are wasn’t good enough. So, voila, we’ve bought a laundry list of things or apps we’ve been told will help us feel better about ourselves.
Imagine you’re asked to fetch a ball. Without arms or legs.
I’m sorry. I can’t. In fact, the very fact that you ask is is insulting and cruel.
But, is it possible we could, at the very least, contemplate working it out: how could I fetch a ball without arms or legs?
We’ll come back to that in a second.
Do animals play?
Yes, it seems some do. But, you have to take into account the definition of play. If an animal does something once, it’s likely a fluke. If the animal does it multiple times on it’s own, it’s possibly play. If the animal does it on request, it might also be play.
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