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May 31, 2013

Weekly Mind Bender

What is black when you buy it, red when you use it, and gray when you throw it away ?

Daily Dose of Inspiration

"Risk more than others think is safe. Care more than others think is wise. Dream more than others think is practical. Expect more than others think is possible. "

Cadet Maxim

May 30, 2013

30 Days of Organization

Are you feeling the spring cleaning itch?  Wanting to simplify and organize your life?  De-cluttering and organizing your surroundings can help your health and give your mood a boost.  This great article from Today's Parent walks you through a month of daily organizing activities that will help you de-clutter your home and your life!
  

Daily Dose of Inspiration

Brothers Conner and Cayden Long, were the recipients of the 2012 Sports Illustrated Kids "SportsKids of the Year" award.  Cayden, a boy who has cerebral palsy, and Conner, his older brother have competed in numerous triathlons together and share a truly inspiring story!  


May 29, 2013

Occupational Therapist Sued Over a Reacher

I am getting increasingly frustrated at the failure of other OT’s to understand the value of education when prescribing equipment.  While it might seem on the surface that use of a reacher, tub scrubber or bath mat are “common sense”, my experience is that common sense is not common, and I don’t want my license on the line. 

Take a reacher for example.  I have seen people use them as a cane.  Or people who have one that is too short and almost fall out of their chair trying to access that item that is “just a little further”.  Maybe they think that reacher can handle the over-sized glass jar of pickles and when it doesn't the jar ends up shattering on the counter in front of them, landing on their lap, or worse, their head.  To send something to someone in the mail, and to indicate that “education is not necessary” exposes the OT to liability and the client to risk. 

Why don’t OT’s hear about stories of devices gone array?  Mainly because when an OT is sued over a piece of equipment, the case can take years to resolve and when it does, the OT is sworn to secrecy about the outcome, otherwise they can be sued for breach of settlement.  So OT’s: don’t think these lawsuits don’t happen! 

In the world of insurance there is funding for equipment and funding for education to ensure that the equipment is appropriate and the client can safely and independently demonstrate its use.  I have had to return many-a-things that I thought looked great on paper to find out they don’t actually work for that client in that case.  As OT’s we need to take our prescription responsibilities seriously and should never jeopardize our education, training or experience under the assumption that someone will properly use an item we consider “low risk”. 


So, when I prescribe devices, and ask an insurer to fund time for an OTA or myself to provide them, it is because that is part of my judiciary duty to my client, my college, my license, my training, and my sense of responsibility.  If another OT feels the device is suitable, but says education is not required, then they can feel free to order those devices themselves and run the direct liability risk of being sued over a reacher. 

Daily Dose of Inspiration

"No matter how much you think you want or need it, the past has to remain just that, the past..."
Phil Collins:  "Can't Turn Back the Years"
Find on iTunes

May 28, 2013

Take Good Care of Your Feet

Never underestimate the importance of your feet.  If you are on your feet all day, or have trouble with foot pain, check out this article filled with easy ways to keeping your feet healthy.

Daily Dose of Inspiration

May 27, 2013

Just Get Er Done

Often I am asked by others how I balance the many aspects of my busy life.  My answer is that I just “get er done”.  In fact “get er done” is a mantra I use regularly to motivate me to knock things off my list.

For example, if I am driving and realize I will arrive at my destination 20 minutes early, often something (or several things) will pop into my head about how I should spend that extra time (stop into the bank, drop by the post office, grab that birthday present, stop at the store for some fresh veggies etc.).  Then, my head starts negotiating with itself (“no, just keep driving and you can check email for 20 minutes in the parking lot”, or “I don’t feel like doing that right now”, or “I don’t need that present until next week anyway”).  Really, we can talk ourselves out of anything (mostly healthy eating, getting out of bed earlier, and exercise), but success comes from being able to hear through the noise to make the best decision. 

In my case, when my head is conflicted by the devil and angel arguing on my shoulders, I apply the mantra:  “Julie, just get er done”.   Every time I say this, it springs me into action. 

I remember watching a You Tube video by Mel Robbins that clearly explained that thoughts are just thoughts and to turn them into action, we need to attach a physical component.  We have five seconds to turn a thought into an action or it won’t happen.  So, when hearing the alarm, we have five seconds to throw off the covers and put our feet on the ground, or the “thought” of getting up will turn into the action of not.  Same with the thought of exercising:  if, within five seconds of thinking “I should go for a good walk” you have not gotten up and moved towards putting your runners on, chances are another thought will tell you to stay put. 

So, turn those thoughts into action.  Use mantras and physical responses to your thoughts to just “get er done”.  

Daily Dose of Inspiration

"You can't stay in your corner of the forest waiting for others to come to you. You have to go to them sometimes."
 Winnie the Pooh

May 24, 2013

Weekly Mind Bender


You have 12 black socks and 12 white socks mixed up in a drawer. You're up very early and it's too dark to tell them apart. What's the smallest number of socks you need to take out (blindly) to be sure of having a matching pair?

Daily Dose of Inspiration

"I think you can destroy your now by worrying about tomorrow."
Janis Joplin 

May 23, 2013

Aches and Pains From Technology

Are you attached to your smart phone, tablet or e-reader? In this "Health Minute" from CNN Health some potential health risks are revealed regarding our reliance on technology.  Ways to reduce the risks are also discussed.  Check this out to ensure you are taking care of yourself while still enjoying modern day conveniences.


Daily Dose of Inspiration

Spencer West, featured earlier on the blog for his amazing climb of Mount Kilimanjaro, has just finished his "Walk 4 Water" raising funds for clean water initiatives cross the world.  Spencer, born without the use of his legs, is a motivational speaker and inspiration to the world.  His "Walk 4 Water" took Spencer on a 300 km journey from Edmonton to Calgary to raise funds and awareness for clean water.  See a recap of his inspirational journey here.


May 22, 2013

Turtle Twins (Part 2) – Treating Auditory Processing Disorder


In my previous post I explained that auditory processing disorder (APD) is like a game of “Operator” where a message is misinterpreted when travelling between the ears and brain.  This causes problems with communicating in noisy environments, following multi-step instructions, and wrongly hearing words, sounds and sentences.    The good news is that APD can be improved organically and through modifications to the functional environment.

Personally, my daughter was diagnosed in Grade 3 (age 8).  To understand her problems, I read several books on APD and copied some chapters for family.  I disclosed fully to my daughter the results of her testing and explained that sometimes her ears and her brain are hearing different things.  I wanted her to understand that at times, when things people say might seem funny, confusing or strange to her, she might have heard them wrong.  She was encouraged to ask questions about her ADP, and to never be shy about asking people to repeat themselves if needed.  

At school, the teacher started wearing an FM unit to help best deliver instructions and teachings to my daughter who wore corresponding headphones.  The teacher and I put tennis balls on the classroom chairs to reduce noise.  My daughter was relocated near the teacher’s desk and away from the busy hall.  The door was closed (reducing background noise) during lectures.  She was allowed to write tests in the quiet resource room.  The teacher was provided a list of other classroom modifications to implement, including ways to breakdown instructions into smaller chunks to improve her retention and follow-through.  I talked to the teacher about the fact that when my daughter was reading in class (when she was supposed to do other things) to tune out classroom noise and / or because she missed the directions.  

In sports, we noticed an issue with her playing basketball.  The sound of the balls bouncing on the floor made it difficult for her to hear her coach and the background noise in the gym during practice was a struggle for her.  At Karate, she would look around to see what the other kids were doing as she would miss instructions.  All of her coaches and Sensei’s were advised of her APD and started speaking more directly to her, asked her to repeat instructions, and tried to reduce background noise when possible.

We also made changes at home.  We took extra time to reduce background noise (difficult in a family with four kids), would reduce the number of instructions we gave her at one time, had her repeat these back to us, and developed a “roger that” mantra that she would say to indicate she got her instructions.  Our audiologist recommended Fast Forward, an online game designed to help improve APD.  While research does not conclusively confirm that this is helpful for APD, we decided to give it a try and she found it very helpful.  Ultimately, and for reasons other than just her APD, we moved her to a small school with very low class sizes and she is now thriving.  We still notice her APD at times, but she is very aware of this and is mature enough to understand that if something sounds wrong (i.e. turtle twins) she should politely ask for clarification.   

Daily Dose of Inspiration

"The good ole days weren't always good, and tomorrow ain't as bad as it seems.
"Keeping the Faith"-- by Billy Joel
Find on iTunes

May 21, 2013

Eat Well, Live Well With Spinal Cord Injury


A new book called "Eat Well, Live Well with Spinal Cord Injuries", written by a nutritionist with a spinal cord injury and an Occupational Therapist specializing in neurological disorders, discusses the connection between diet and spinal cord injury.  Check out this article explaining how a proper diet can help to reduce complications from spinal cord injury and improve overall health.    

Daily Dose of Inspiration

May 20, 2013

Turtle Twins (Part 1) – Auditory Processing Disorder


In recognition of Speech and Hearing Month, I wanted to tell the story of my personal experience as a mom of a child diagnosed with auditory processing disorder (APD). 

APD is best explained using the example of the game “Operator”.  If the first person is the ears, and the last the brain, everyone in between is the channel by which the message travels.  And remember what happens?  By the time the message reaches the “brain” it has been altered.  So, really APD is just that – when a message or sound changes as it travels from the ears to the brain resulting in the brain getting the wrong message.

Signs of APD can include difficulty with: communicating in noisy environments, following multi-step instructions, and wrongly hearing words, sounds and sentences.  As an overlap exists between the signs of APD and other disorders, and this may coexist with other problems, it can be difficult to diagnose. 

Being a clinician, I recognized early that my daughter struggled with “hearing”.  Yet at 18 months her hearing test was “fine”.  When she was three I remember telling her that her “ears and brain were not talking”.  In school she would become easily distracted, would struggle with multi-step instructions, and did much better in classes that were smaller, less chaotic, or when she sat closer to the teacher.  At home the presence of her APD was apparent when my instruction “change your shirt” would be met with the response “I am not wearing shorts”.   Or, when the instructions “brush your hair, grab your lunch and put your coat on” might result in one, maybe two, but rarely three of those instructions being followed.  But my favorite remains when my daughter told her sisters they were “turtle twins” as she had misheard the word “fraternal”.

The diagnosis of APD is made by an audiologist when the child is at least 7 or 8 years old.  However, psycho-educational tests can also be helpful to rule out other or comorbid problems.  In adults, APD also exists, and can be the result of many factors, including acquired brain injury.  Also, some research suggests that men start to struggle with APD after age 35 and women after menopause.  My next blog will focus on ways we managed our daughter’s APD at home, in sports and school, and these same strategies could also be used by others who have, treat, or know someone with APD. 

Daily Dose of Inspiration

"We have to learn to be our own best friend, because we fall too easily into the trap of being our worst enemy."
Roderick Thorp

May 17, 2013

Weekly Mind Bender

What do these words have in common: polish, job, herb?

Daily Dose of Inspiration

"Rain is a good reminder of how our attitude can affect everything. Some folks let it destroy their day; others consider it a blessing."
Judy Ford

May 16, 2013

Are You Getting Enough Sleep?

Sleep is one of the most important determinants of health.  Our bodies need proper rest in order to function properly... are you getting enough?  This article from best health magazine gives some great tips on how to beat insomnia and get yourself to sleep. 

Best Health Magazine-- 5 Ways To Improve Your Sleep

 

Daily Dose of Inspiration

The following shows one man's courageous journey to change his life and realize a dream, while fighting to save the life of his niece and others suffering from cystic fibrosis. 

 

May 15, 2013

Achieve Better Sleep for Better Health


Sleep is one of the most important determinants of health.  Proper sleep helps to restore our minds and bodies so that we are able to effectively tackle another day.  However, it is estimated that 1 in 7 people suffer from sleep problems, and non-restorative sleep is a common complaint I hear from my clients. 

As an occupational therapist there are several strategies I utilize with my clients to help them improve sleep:

Sleep Surfaces – a good mattress can ensure that your body is aligned when sleeping whether you sleep on your side, back or front.  Often when we work with people to replace a bad mattress, they are actually more uncomfortable for the first several days or weeks.  This is often the result of their body being required to re-align when sleeping, when previously it was resting in awkward positions.  If your mattress is too soft, or sagging, and you are not able to get another, consider using a board under the mattress to provide support.  A good pillow is also very helpful, but the purchase of this should be based on personal preference (not on a therapist or sales person telling you which one you should have).  I have a great Ergocentric Pillow, but previous to that enjoyed my Medi-Flow water-based pillow that allowed me to adjust the water volume for different amounts of support. 

Sleep Habits – a consistent sleep routine is essential to teaching your mind and body how to effectively shut down at the end of the day.  Shift workers can have a terrible time with sleep because of the unpredictability of their sleep schedule.  If you consider that you need a certain amount of sleep per day (which can vary by individual), then you should try to get into a routine around those hours.  I read years ago that sleep cycles are 20 minutes so if you need to nap during the day, consider setting a timer for 20 minutes so your nap will be restorative, but not too long that it will impact your sleep at night.  If you are in a routine of napping for long periods during the day, and cannot fall asleep at a decent evening hour, then consider shortening your nap daily by small increments to achieve a better balance. 

Mind Distractions – often it is the mind that won’t shut off and this prevents us from falling or staying asleep.  Counting sheep is not always effective.  Consider using a sleep CD (I recommend Eli Bay), or meditation, relaxation or mindfulness app on your phone to help your mind focus on a restful place.  Some natural remedies like certain decaffeinated teas can also help to make us feel groggy before bed. 

Tracking Sleep – often when helping clients to develop a new routine, I will ask them to track their sleep cycles.  This can be done simply on paper.  Often, through this exercise, I find there is no routine and if we can develop and implement a sleep schedule, improvements in energy, mood, and cognitive function follow.  Personally, I use a Sleep Cycle app (.99 cents) to track my sleep habits.  This uses sensors in my cell, when placed above my pillow, to tell me how many hours I slept for, if I achieved deep sleep, and how my sleep ranks against other recent nights.  But what is even better about the Sleep Cycle app is that when you sent an alarm, it works to wake you up when it senses you are in a light sleep.  This reduces “snoozing” and awakens you when you are more likely to actually get up.  This app helped me develop a new schedule of getting up an hour earlier so that I could achieve my goal of getting my four legged beast his exercise bright and early!

Daily Dose of Inspiration

"And in the end
The love you take
Is equal to the love you make."
 
The Beatles-- "The End"
Find on iTunes
The Beatles: "The End"

May 14, 2013

Are You Sun Smart?

We all know the importance of protecting ourselves in the sun.  Proper clothing, sun hats, and shade all help, but many health experts feel the best way to protect ourselves is by regular use of sunscreen, even in the cold weather months.  But is the sunscreen you use actually doing more harm than good?  Check out the Environmental Working Group's "Skin Deep" which annually rates over 1800 different sunscreens available consumers.  Many of the sunscreens we use contain harmful chemicals and may actually be harmful.  Visit the website and see how your favourite brand stacks up. 

Environmental Working Group-- Sunscreen Guide

Daily Dose of Inspiration


May 13, 2013

Occupational Therapy is Functional Creativity

The profession of occupational therapy is all about creativity in solving barriers to function.  However, often we come across problems for which no solution currently exists.  In those cases we need to customize a solution that works for the client, their environment or care providers.

Personally, I have had great success with the local Tetra Society for developing creative solutions to problems that need a custom approach.  In one situation, my client who suffered from quadriplegia had the goal of feeding himself.  His elbow and shoulder flexion did not allow for his hand to reach his mouth.  With the help of his physiotherapist and Tetra engineer we were able to create a custom splint and modified utensils that bridged the gap between his hand and his mouth.  The material costs were $40.00 and the engineer was a volunteer.  In another situation my client, mobility impaired, wanted to attach his walker to his scooter so he could park his scooter and walk into the places he was visiting.  Tetra was able to custom mold a bracket for his walker at a cost of $10.00.  Another client also used Tetra under my encouragement to develop a bracket that would allow her to mount her camera so she could take photos from her power wheelchair.
Occupational therapy is about custom solutions to sometimes complicated problems.  But I believe that every problem has a solution and that as professionals we need to stay apprised of the options in the community that can help us to create customized solutions.  Take a look online for your local Tetra Society.

Daily Dose of Inspiration

"We must not allow the clock and the calendar to blind us to the fact that each moment of life is a miracle and mystery."
 
 
H.G. Wells
 
 
 

May 10, 2013

Weekly Mind Bender

You have a fox, a chicken and a sack of grain. You must cross a river with only one of them at a time. If you leave the fox with the chicken he will eat it; if you leave the chicken with the grain he will eat it. How can you get all three across safely?

Daily Dose of Inspiration

"Use what talent you possess: the woods would be very silent if no birds sang except those that sang best. "

 Henry Van Dyke

May 9, 2013

Your Health and Where you Live

Money Sense magazine has just released its "Top 200 Places to Live in Canada" for 2013.  Apparently, where you live and corresponding environmental factors can directly impact your health.  Money Sense based their rankings on factors such as crime rate, property tax average, average income, weather, accessibility and others.  Check out the list to see how your city compares to other great spots in Canada. 

MoneySense:  Canada's Best Places To Live 2013

Daily Dose of Inspiration

 
Although this inspiring moment happened over 20 years ago at the 1992 Summer Olympics in Barcelona, it still brings a tear to your eye.  Derek Redmond's incredible finish remains an inspiration to this day.  
 
 



May 8, 2013

Making Martial Arts More Accessible


I previously wrote about Martial Arts and the immense benefits of this for both children and adults. However, in highlighting this, I am cognisant that some people will have physical, financial, and geographical barriers to participating in a Martial Arts program.  As such, I wanted to provide some more information to make Martial Arts more accessible.

From a physical perspective, like all activities, Martial Arts can be modified to meet any level of physical ability.  Personally, I have vertigo so I cannot engage in ground techniques.  So, I stay on my feet working on kicks, punches, forms, and self-defense.  Erik Kondo (http://martialartistwithdisabilities.blogspot.ca/2008/07/erik-kondo.html) has paraplegia and is a third degree black belt.  He has posted several videos online about self-defense from a wheelchair, and has also published an online resource on the 5 D’s of self-defense (http://www.not-me.org/).  Michael Sirota (http://www.sirotasalchymy.com/master.html) runs an entire Martial Arts program for people with disabilities and structures each program individually.  With a creative Sensei and a motivated participant, anything can be done.  Tai Chi is also a Martial Art, but is grounded in slow, sequential movements that can be done in sitting or standing.  My grandmother had Parkinson’s Disease and practiced Tai Chi for years as a way to prevent the decline of her balance and mobility.  There are many local chapters of Taoist Tai Chi (www.taoist.org/ontario).   

Financially, like many organized sports or activities, Martial Arts can be considered expensive.  However, as a parent, I have found Martial Arts to be less expensive than the organized volleyball, basketball, tennis, Cheer and dance my girls have participated in.  In the world of rehab, a one year Martial Arts Program could be easily justified on a treatment plan.  Or, if you are funding this yourself, there are different dojos with different fee structures so calling around can help you to find one within your budget.  Our local YMCA offers Martial Arts as part of the family membership, and a family membership at the Y has multiple benefits for a reasonable fee.  I also believe the Y’s offer membership rates that can be geared to income.  Some dojos offer Martial Arts on a monthly basis, and others require a contract.  You can decide through speaking with different programs which option works best for you.  Also, some community centers offer Martial Arts for very low prices, or again are geared to income.  I have also experienced Sensei’s coming into physical education classes to demonstrate some of the skills and techniques at no charge. 

Geographically there may be barriers to finding a local dojo, or transportation problems prevent easy access the community.  Perhaps looking for videos, online resources, books or even using video games to teach some of the skills could be possible.  Or, perhaps there is a carpooling opportunity with another family in the same area.  Explaining access issues to the Sensei at the nearest dojo may result in some solutions. 

The bottom line is that as with anything, where there is a will, there is a way.  And the benefits of engaging in Martial Arts are so immense that taking some time to research local opportunities and to ask questions to make this accessible to you or your child will be well worth the effort. 

Daily Dose of Inspiration

"I know I was born and I know that I'll die
The in between is mine,
I am mine."
Pearl Jam--"I am Mine"
 
Find on iTunes

May 7, 2013

Do You Know The Signs of a Heart Attack?

 
 
This public service announcement created by Elizabeth Banks for "Go Red for Women" is quite comical, however, teaches a serious lesson on being prepared.  It's National Emergency Preparedness week in Canada.  Be prepared and know the signs of a heart attack.  Doing so could save your life or the life of someone you love. 
 
 

Daily Dose of Inspiration

Source: reddit.com via Katie on Pinterest

May 6, 2013

Martial Arts is All That…


I started Martial Arts at a time in my life when I was discontent with my emotional, physical and cognitive health.  I was unhappy with myself and listed all the reasons I felt that way to come to a very solid conclusion – I was not getting enough exercise.  After having four kids in five years, my exercise and sports were naturally not at the forefront of my time.  My solution?  Karate.  Why?  It would provide me with the physical outlet I needed, would be a cognitive challenge, and would feed my emotional need to do something for “me”.  Also, I considered self-defence, like CPR and First Aid, a tool I wanted in my “just in case” tool box.  But what I found through Martial Arts was much more than I expected.  I always struggled to explain this to others until I read a wonderful post from Sensei Master Michael Sirota (http://www.sirotasalchymy.com/master.html).  Sensei Sirota lives in British Columbia and has created an entire Martial Arts program for people with disabilities.  He is heavily involved in the Para-Olympics and is, in my mind, a pillar in the Martial Arts Community.  I was fortunate enough to meet Michael in person last year.

In his post “Why Martial Arts”, Sensei Sirota highlighted the benefits:

Self-Defense:  “practice the fight so you don’t have to”.  This speaks to the fact that Martial Artists develop a quiet confidence that is seen but not heard.  This confidence makes them less vulnerable as a target of violence, and teaches them to identify potentially dangerous situations early to promote avoidance. 

Athletic Enhancement and Fitness:  Many athletes combine their sports training with Martial Arts to maintain endurance, flexibility, coordination and swiftness.  Being able to strike, kick and move quickly mimics the explosive, fluid and coordinated movements needed in sport.  There are few other activities that burn as many calories, or result in such an overall body workout. 

Other Health Benefits:  Martial Artists tend to take diet and exercise seriously.  This is part of the intensity of their training and their commitment to wellness.  Martial Arts requires concentration and focus, things relatable to all areas of life.  Martial Arts is a commitment with the built in motivation of moving through belt levels to achieve the goal of Sensei.

Respect and Courtesy: Contrary to popular belief, Martial Arts is about restraint and playing nicely in the sand box.  It has been proven that children (and adults) trained in martial arts tend to be disciplined, composed and respectful.  This is beneficial in all areas of life, especially relationships, school and work.  

So, if you are looking for fitness, emotional strength, confidence, and cognitive stimulation, there are few other activities that will provide more bang for your buck.  And, fortunately, there are many forms of Martial Arts to choose from, making it likely that you can connect with a style and form that aligns with your interests.

Daily Dose of Inspiration

"Don't judge each day by the harvest you reap, but by the seed that you plant."
Robert Louis Stevenson

May 3, 2013

Weekly Mind Bender


The Muller-Lyer illusion:
Do these coloured lines look the same length to you?  
 
 
They are!  The different colours and "framing" from the arrows surrounding the lines make them appear to be different sizes, but they are actually equal length. 

Daily Dose of Inspiration

"It is a funny thing about life... you get back what you put into it."
Catherine Pulsifer

May 2, 2013

Eat For Healthy Bones


It has long been understood that bone health becomes increasingly important as you age - especially for women.  It is also known that the functional impacts of a broken bone (reduced self-care, productivity and leisure) can be massive.  The role of calcium is well known, but what other factors contribute to bone health?  Health magazine has created a list of eleven foods that maximize the strength of your bones.  Check this out and see if you can up your consumption of bone health promoting nutrients
 

Daily Dose of Inspiration

"Never underestimate what you can accomplish when you believe in yourself."   The Arthur Boorman story is a true inspiration to all. 


May 1, 2013

What Behaviors Do You Want to Modify?

One of the best courses I took in university was Behavior Modification.  Our main project was to modify one of our own behaviors over a four month period.  Personally, I had a dog and wanted to develop a better walking routine.  So, over the four months I mapped out several walking routes that increased my time spent walking on a weekly basis.  By the end of the four months, I was walking my dog two hours and twelve kilometers a day.  Research indicates that it takes four months to develop a new habit, so by the end of the course my new walking routine became standard practice and something I did religiously with my dog (and then dogs) until I had my family and needed to develop a new routine. 

Often, when our regular routines are interrupted by disability bad habits develop.  While not immediate, over time days can become more and more unproductive until soon very little is getting accomplished.  This has a drastic impact on mental health and impacts all areas of physical, cognitive and emotional functioning, let alone the impact on those that we live with.

The best way I have been able to help clients to break such routines is to simply have them track how they spend their time.  Once this is documented, people can quickly identify the problems areas and then together we discuss how to fix them.  For example, through tracking for a week, one client discovered that she does not shower, one found that he watches ten hours of TV per day, and another learned that she does not eat during the day, but consumes junk food all evening.  In every case, people discovered something about their routine that drove them into action for change. 
So, if you are concerned that your routine is lacking in productivity, self-care or leisure, or there are activities you would like to resume or goals to achieve, just keep a log of how you spend your time.  After a week, reflect on your log and make a list of the problem areas.  Commit to making small changes (start with the easiest changes first) and over time, you will see huge improvements in how you feel about yourself and your routines.  Or, for a more structured approach, consider hiring a professional to assess your suitability for the Progressive Goal Attainment Program.  This program involves using time tracking over 10 weeks to completely revamp routines to reduce psychosocial barriers to recovery, improve mental health and reduce disability caused by chronic pain.

Daily Dose of Inspiration

"But how many corners do I have to turn?
How many times do I have to learn
All the love I have is in my mind?
 
Well, I'm a lucky man
With fire in my hands"
 
Lucky Man-- The Verve
 
 
Find on iTunes