Health & Safety Hints

© by Wheel Me On... 2000; 2007


Safety to prevent accidents, disease control with cleanliness, and attitude all contribute to our better health. How we overcome difficulties or learn creative ways to conquer problems bring success with lifestyles that could otherwise be complex. Too often we see the bleak side instead of the bright side and this web page will focus on the brighter side of health and safety tips to keep the wheels turning.
Julia Hollenbeck

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Recommendations for Persons Requiring Daily Medications

Taking into consideration some individuals diagnosed with a mental illness may not want anyone to know about their medical history, it is pertinent the individual has at least one immediately available contact who has agreed to provide medical information on their behalf. Due to legally mandated confidentiality guidelines, the patient must have a valid release of information, signed by him or her, naming the individual(s) to be contacted, and the specific information for release. Written authorization is required for medical information to be released and for the assistance of a private citizen (relative or not) to help provide information in behalf of the person with the disability(s). The following information must be taken into consideration in the event of an emergency:

Any individual who has a mental illness, regardless of the type of disorder, or any other type of medical condition, should always carry the name and telephone number of their treating psychiatrist or physician and written diagnosis on a card in their wallet. Additionally, it is pertinent to carry a letter on their person or in their vehicle from their physician, and contact information of family, friends, or individuals who can assist them in an emergency, including the name and telephone number of their landlord or neighbor if appropriate. Keeping information in a cellular telephone is also a good idea, but if a person is arrested or unable to speak, law enforcement or medical personnel confiscate all personal items and it is highly unlikely any authority would attempt to call individuals listed on a cellular telephone.

It is a Federal law in the United States of America, that Law Enforcement Agencies, (such as county jails), must allow any arrested individual the right to make at least one telephone call. The best call to make is to a trusted individual the arrested party knows he or she can depend upon in an emergency and provide accurate information to the Arresting Officer or Deputy as well as notify family, friends, or other necessary individuals for the arrested person. Individuals without a confidant they can trust, should at the very least, be able to contact their therapist, counselor, or medical provider on an emergency basis. This is crucial for any person with any type of disability, whether arrested, in an accident, or other emergency. Remember, the person with the disability could well have his or her life at stake.

Note: Law enforcement does not notify family members or friends and most people do not have an attorney, so someone who can help them retain one might be the better phone call in the event of incarceration. However, a subject arrested exhibiting derogatory behavior can be refused the right to use a telephone, and therefore written documentation readily available is pertinent.

A person with any disability requiring medication should request his or her pharmacist to provide spare, labeled, pharmaceutical bottles for each separate prescribed medicine, each time he or she has a prescription renewed. The individual with the medical condition requiring medications daily should place at least a five or ten day supply of the medications in each appropriate container, to be used in the event of an emergency.

In order to avoid having a prescription bottle with an expired date, this must be done every time prescription(s) are renewed. The containers can be kept in a plastic bag, (or small travel case), in a safe place the same as a woman's purse or with house keys when entering or leaving one's home. In other words, the "medical emergency case" would always remain with the person who has the disability(s).

Note: Medicines contained in unmarked medicine containers will not be accepted by any Deputy, Police Officer, Deputy Nurse, or any other Law Enforcement Officer, and will most likely not be accepted by a physician unfamiliar with a person's illness.

An alternative to having a ton of prescription bottles is the "blister pack" or "med box" that can be obtained with a up to 30-days of medicines in a foil-type container, separating each dosage per day, from a person's pharmacist in most cases. This container has all prescription information in pharmaceutical form listed on the bottom of the container, with physicians name, expiration, name of pharmacy, etc. This could be a perfect solution for persons needing medications if they must have them during such a period of time that they may not be able to readily obtain them from their home. (i.e. Accident, Incarceration, or other emergency)

Never leave medications in a vehicle for long periods during hot days in a summer, and be certain to remove all medication from a vehicle when returning home, then taking the "emergency medicines" when leaving home. In other words, always have the "emergency supply" readily available and make sure this emergency supply is properly labeled by the pharmacist who provides the patient his or her medications.

Note: A very good idea is to carry a list of needed medications from the pharmacy; even medications carried in a "blister pack" could be destroyed in an accident or lost due to the consequence of the emergency.

It is crucial to educate the public to increase the awareness and compassion regarding individuals with mental illnesses. These conditions are real and treatable. While symptoms may not be eliminated in all cases, they can be managed through adherence to a treatment regimen that may include medications and therapy, in addition to ancillary services. Disrupting a medical program or denying a person their medication can be life threatening for that individual and has a small risk of placing others in danger as well.

Symptom control is the object of the medications. It is critical that a person with mental illness not make any decisions about discontinuing their medication without consulting their treating professionals just because they may be feeling better. Once accurately diagnosed, and finding the optimal treatment regimen, the road to complete recovery only lasts as long as the individual continues to remain on their prescribed medications from his or her physician. Often an individual with mental illness must have medications periodically reevaluated and possibly adjusted for continued symptom management.


The above information was prepared by Wheel Me On... with the assistance of Centerstone, a non-profit organization, helping children, adolescents, adults, seniors, and their families who suffer from a myriad of behavioral health challenges. The organization is Tennessee's largest, and the nation's ninth largest, behavioral healthcare organization providing a full range of mental health services, substance abuse treatment, and related educational services for people throughout the Middle Tennessee region.

~ A Seperate Article of the above information is Available for Printing in Members Only of this Website ~
It May Not be Printed or Reproduced other than by Members!


The Incredible Journey with Richard...

A story of an individual with Bipolar is now posted in Members Only.
(Content prevents this article from being posted on the main web site.)


Traveling without Labeled Prescriptions

Just going to the grocery store to shop, an errand across town, a pleasant weekend drive, or travel during a vacation can result in a disastrous situation if you take prescribed medicines and do not have labeled prescription bottles with you. Here is a scenario that can happen to anyone:

You end up in an accident (whether your fault or not), you have a fainting spell, blackout, or a seizure unexpectedly. You are arrested for whatever reason, hospitalized, or unable to speak and what is worse is that you do not have your medications with you in a clearly marked prescription bottle! If you are away from home and are carrying your medications in an unmarked container or even a container that is marked, unless it has a pharmaceutical label on it, most physicians (and certainly not an average citizen or nurse) will not know what the medications are or how they should be administered.

It is just NOT safe to be without your prescribed medications in a properly marked pharmaceutical bottle, and could well mean the difference between life and death!

Susceptible to Germs?

I recommend carrying antibacterial wipes and a squirt bottle of 60% SD alcohol (both). These items are readily available at most pharmacies and come in small sealed packages for travel. Before eating or touching your face or blowing your nose, you should take out a wipe, squirt it with alcohol, and cleanse your hands thoroughly. Take your time: its good for hand-eye coordination. Save the used wipes in a zip lock bag: they are good indefinitely until (even after) they become gray with dirt and squirt in an occasional dollop of SD alcohol to keep them wet. Be careful with the alcohol: it is flammable. Let it dry completely before lighting a cigarette, pipe, cigar, or going near an open flame.

Occasionally, a few people will get a rash on their hands from being "super clean." This effect is because you have killed off some friendly bacteria that were controlling yeasts and molds normally present on the hands. A few days of treatment with Clotrimazole ointment, available over the counter, will usually solve this problem. Unfortunately, if you are concerned about the cleanliness of your hands, you must still have the use of your hands. Many do not.
David T. Killough, CIH CSP CHMM MSIH
Director of Environmental Hazards (ad hoc)

Stems?

Going out to lunch with a friend of mine several months ago was an experience in itself. As usual, the waitress brought me a glass that was large, heavy, and contained no straw. My friend giggled as she knew I could not pick up the glass and asked the waitress for a straw, and then of course, it was the problem of looking awkward with a glass sitting close enough to my plate so that I could easily slide it to sip from the straw. As my friend and I chatted over our lunch, she asked me what I had done with all the stem ware that I had when I moved into a smaller house. "Oh, I still have all that stuff," I replied.

"Well, why don't you use it?" she asked. "What do you think the stems are for, Dummy?"

It suddenly occurred to me that while I had lost a lot of strength in my fingers, she just resolved a problem, and I could hardly wait to get home to try it. Well, she was right! I seldom use regular drinking glasses anymore because I discover I could use stem ware by wrapping my pinky and ring finger around the stem and my other three fingers to control the bowl of the glass. Inexpensive stem ware is available at most department stores. (The lighter, the better!)

Racing Through Life

We heard from a member who felt she was having serious problems with an obsession of trying to accomplish too much at once. The thought occurred that she was not alone, as many of us tend to collect zillions of projects that we try to complete in an unrealistic period of time.

We race for different reasons: To keep busy, feel useful, filling empty time, and occupying our mind accomplishing what we feel we must. We go from one project to another, racing against the clock, leaping from one project to the next and then in the middle of the race, we start a new one. And, all before the clock strikes twelve. Why do we do this? Is it healthy?

It is probably a good idea to have a variety of projects to keep from getting bored, our minds alert and active, but how many of us tend to do the impossible? The line has to be drawn when we become tired and need to rest in order to move forward instead of backward. Allowing our bodies to rest fortifies them and provides better stability and stronger minds. If we allow ourselves to become too tired, we become forgetful and then wonder if we are losing our minds.

Seldom does it seem to dawn on us that we are possibly just overcome by exhaustion, from too much planning on how to keep busy, and trying to stay ahead of ourselves completing too many projects at once. Perhaps self-examination, by just sitting quietly for a few moments each day to consider tasks, would allow constructive production of eventually accomplishing everything. What is the rush?

Racing around in power wheelchairs also seems to be an addiction for many of us. The truth be known, a person using a power wheelchair will accomplish a mountain of errands faster than someone walking, even though we can't reach the greater percentage of items, and have to ask for assistance. When in hospitals that specialize with patients using wheelchairs, we challenge others by racing in corridors until yelled at by nurses or doctors. Let's face it... we have found a way to have a little fun! And, many of us are too old to join the younger wheelers that engage themselves in sporting activities across the nation.

We worry about what ails us and think if we hurry through the process; maybe we will get everything accomplished before we cannot do anything at all. This is perhaps, the basis for which many of us race, but it still will not stop the clock nor will our racing do anything more than just frustrate us because of creating an overload of projects and in many cases, a lack of energy. So we live in a circle instead of a box and no doubt will continue to run our wheels.

Seat belts Not Only for Bumps!

Having caused a hairline fracture in my spine by hitting a low one-inch curb too fast, (well, maybe it was two inches), spending several weeks laying prone, I've become an advocator of wearing a seat belt. The truth is, had I not had the seat belt on at the time, I could have landed on my head!

Of course I became more cautious, but after a few years without any incidents, the seat belt was usually fastened behind my back, squashed between the cushion and backrest. Being a rather energetic individual, at least in spirit and mind, any excuse was a good excuse to go as fast as possible, until I suddenly discovered going downhill could potentially throw me out of my seat. The realization is seat belts are there for a purpose and may not be intended just for a bump!

If your wheelchair is equipped with a seat belt...wear it!

And... What About Coke?

The following article was submitted to Wheel Me On by a reader in Kingwood, Texas. We thought it quite fitting as many of us race through live alone.

1. In many states the highway patrol carries two gallons of Coke in the trunk to remove blood from the highway after a car accident.

2. You can put a T-bone steak in a bowl of coke and it will be gone in two days.

3. To clean a toilet: Pour a can of Coca-Cola into the toilet bowl... Let the "real thing" sit for one hour, then flush clean.

4. The citric acid in Coke removes stains from vitreous china.

5. To remove rust spots from chrome car bumpers: Rub the bumper with a crumpled-up piece of Reynolds Wrap aluminum foil dipped in Coca-Cola.

6. To clean corrosion from car battery terminals: Pour a can of Coca-Cola over the terminals to bubble away corrosion.

7. To loosen a rusted bolt: Applying a cloth soaked in Coca-Cola to the rusted bolt for several minutes.

8. To remove grease from clothes: Empty a can of coke into a load of greasy clothes, add detergent, and run through a regular cycle. The Coca-Cola will help loosen grease stains. It will also clean road haze from your windshield.

9. The active ingredient in Coke is phosphoric acid. Its pH is 2.8. It will dissolve a nail in about 4 days.

10. To carry Coca Cola syrup (the concentrate) the commercial truck must use the Hazardous material place cards reserved for Highly Corrosive materials.

11. The distributors of coke have been using it to clean the engines of their trucks for about 20 years!

(We would be curious of results if any readers try some or all of the above Coke remedies.)

Parting Thoughts

Checking areas of pressure on your body where sores (pressure sores or ulcers) can develop is a daily routine that should never be omitted. If scaling or rash-like skin appear, it is pertinent that the area be examined by a physician or wound care center to prevent the development of a pressure ulcer. If they are not treated, you may be saying good-bye to any travel for a long, long, time.