Thursday, August 31, 2023

Mathematics: What Makes 100%?

Forwarded

Mathematics: Brilliant!!

This comes from 2 math teachers with a combined total of 70 yrs. experience.

It has an indisputable mathematical logic.

It also made me Laugh Out Loud.

This is a strictly mathematical viewpoint and it goes like this:

What Makes 100%?

What does it mean to give MORE than 100%?

Ever wonder about those people who say they are giving more than 100%? We have all been to those meetings where someone wants you to give over 100%.

How about achieving 103%?

What makes up 100% in life?

Here's a little mathematical formula that might help you answer these questions:

If:

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Is represented as:

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26.

Then:

H-A-R-D-W-O-R-K

8+1+18+4+23+15+18+11 = 98%

And

K-N-O-W-L-E-D-G-E

11+14+15+23+12+5+4+7+5 = 96%

But ,

A-T-T-I-T-U-D-E

1+20+20+9+20+21+4+5 = 100%

And,

B-U-L-L-S-H-I-T

2+21+12+12+19+8+9+20 = 103%

AND, look how far ass kissing will take you.

A-S-S-K-I-S-S-I-N-G

1+19+19+11+9+19+19+9+14+7 = 118%

So, one can conclude with mathematical certainty, that while Hard work and Knowledge will get you close, and Attitude will get you there. Its the Bullshit and Ass Kissing that will put you over the top.

Now you know why Politicians are where they are!

I’ve never seen a better explanation than this formula.. how true it is.

Ageing: Beyond ‘difficult and dirty’ – what community eldercare workers know that we don’t

Beyond ‘difficult and dirty’ – what community eldercare workers know that we don’t https://www.straitstimes.com/opinion/beyond-difficult-and-dirty-what-community-eldercare-workers-know-that-we-don-t

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Beyond ‘difficult and dirty’ – what community eldercare workers know that we don’t

Singapore will need more workers to care for its elderly. It is not an easy job but it can be truly meaningful and fulfilling.

Nicole Chiang

Human connection is key to eldercare work, and many of the elderly are quite willing to reach out and connect. ST PHOTO: KELVIN CHNG

2023-08-31

Updated

We’ve all heard the statistic – that one in four Singaporeans will be aged 65 and above by 2030. This is partly a result of lowered fertility and increased life expectancy at 84.9 years on average (among the highest globally). On the other hand, a senior spends about 10 years in declining health, plagued by chronic diseases such as high blood pressure, high cholesterol and diabetes. As the risks and rate of dementia rise, a longer duration of patient care is needed. Home and community-based aged care plays a major role in the long-term care support system.

Community-based elder daycare centres host older adults for a duration of six to nine hours a day, under the supervision of trained direct care workers. These are non-healthcare certified caregivers who tend to the daily basic needs of the elderly – such as interaction, personal care, exercise and meals. Unlike residents of nursing homes, the senior clients at these centres do not have acute care needs, though some may exhibit varying degrees of mobility and dementia conditions.

But people have notions about eldercare work that stop them from seriously considering it as a viable career choice. It is commonly perceived as a job that requires low skills, is difficult and dirty, and brings no recognition. According to a Lien Foundation study in 2018, such support care roles in the long-term care sector do not appeal to job seekers due to their low pay and lack of career prospects and social prestige. The report also points out that compensation and career prospects for such roles are less attractive in Singapore, compared with places such as Australia, Hong Kong, Japan and South Korea.

This explains why there is stiff competition for foreigners, who traditionally form the bulk of the support care workforce. We need more locals to step up and take these jobs as more elder daycare centres are set up, but it will not be easy to recruit them. That is because of the grim impressions that many of us have formed about such roles.

Most of us think that tending to frail, elderly people involves backbreaking work such as assisting in toileting, cleaning and feeding. I, too, was convinced that only those with the kindest of hearts and the deepest desire to serve could undertake this demanding job. I had imagined elder daycare as a room bound by drab, silent walls, where forlorn older adults sit under whirring ceiling fans, largely forgotten by their families and the rest of the world.

I am glad I was proven so wrong.

During my internship for a master’s in gerontology programme, I was fortunate enough to be given the green light to conduct ethnographic research on community eldercare work. It was an eye-opener. I managed to speak to many direct care workers, or care associates, as they are now called, as well as the senior people they cared for.

It completely overhauled my understanding of community eldercare work and showed me what made it such a meaningful, even rewarding experience.

Care and engagement

Yes, I was right about one thing. The care associates are often on their feet for most of the day, moving briskly up and down the activity hall, keeping an eye on the elderly who could be at risk of falling and hurting themselves. However, care work is much more than what we imagine it to be.

The daily schedule begins with a morning interaction, followed by engagement activities such as a sing-along to familiar songs, art and craft sessions and basic exercises to prevent falls. It never ceases to amaze me how passionate and multi-talented some care staff are. They share jokes with the elderly, break into dances and strike up animated conversations. The warm responses from their clients become infectious.

The more inventive care staff create thoughtful games with self-sourced materials, with a deep understanding of their clients’ needs. The walls at the centres are not drab and grey. Instead, they are adorned with colourful art pieces done by the seniors themselves. The wall display shelves are filled with well-constructed replicas of vintage objects to trigger reminiscence, which helps those with dementia.

Human bonds

It has been proven that conversations and creative activities help manage cognitive decline and are essential to eldercare work. But such interactions can also be deeply gratifying for the care associates. Many of them told me that their ability to empathise and derive satisfaction from the job developed over time. They grew into their roles as their bonds with their senior clients grew over time.

The human connection is key to eldercare work, and many of the elderly are quite willing to reach out and connect. The more active seniors may form groups to play mahjong or Rummikub. Others prefer colouring, sorting objects or solving mathematical equations as a way to pass time. As an intern, apart from serving food and assisting the seniors to visit the bathroom, I also spent time chatting with them. Many were happy to share stories and form bonds. It is not uncommon for care associates to think of their clients like their grandparents, as the relationships deepen over time.

Meaning and purpose

Many care workers get motivated when the seniors and their families appreciate their efforts.

One care associate told me that when she attended the wake of one of her clients who died, the client’s family members cried when they saw her. They remembered the care she had showered on their loved one. “It is meaningful… because these (old) people need you, and you can help them. When you help them, the family is also helped. They will appreciate you.”

Care worker Teo (not his real name) finds it meaningful to be able to help someone who can no longer tend to his own needs. He feels that one day he will be able to channel this ability to care for others into meeting his responsibilities towards his own family. “The purpose of life is clearer... I can help people who matter in my life.”

Big impact from small gestures

Eng (not his real name), who had been in service for almost a decade, shared a moving story of how a client with dementia was very happy with a small piece of art that the two of them had created together at the centre. When the client died, a family member placed the artwork on his chest as he lay in the coffin. The family told Eng that, before his death, the man used to look at the artwork with joy every day. “So you see, a very small gesture from us can mean a big thing to someone who cherishes it,” said Eng.

Knowing how they touch other people’s lives enables many care associates to ignore comments from those who do not grasp the value of their work.

Outsiders can never understand the satisfaction a care worker experiences. It is true that the job does not pay highly and involves hard work, but it can be very fulfilling for those who value human connection and desire to help others. On the other hand, those who have never experienced it can be deterred from taking up this career by people who know little about it.

Sector reform

Steps have been taken in recent years to make community eldercare a viable career choice. Care roles have been redesigned, salaries improved and clear career pathways established in the field. The Community Care Associate programme, started by the Agency for Integrated Care with the Ministry of Health, is designed to anchor direct eldercare as a healthcare profession. With more skills training and certification, hopefully people will learn to value this job more.

Even so, the salaries in the sector remain modest and that is certainly an area that should be relooked.

Here is a simple question to ask ourselves: If we hold filial piety and parental care in such high regard, shouldn’t we have greater appreciation for those who undertake this duty on our behalf?

Singapore is going to need more and more of such care workers. It is time the public started valuing the work that they do. This may motivate more Singaporeans to venture into a career that can be truly gratifying.

Nicole Chiang recently graduated with a master’s in gerontology from the Singapore University of Social Sciences. She has also done volunteer work as a Silver Generation Ambassador.

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让年长者活得健康快乐

https://www.zaobao.com.sg/forum/talk/story20230831-1428715

2023-08-31

张克敖

人口老龄化的情况逐年加剧，随着年长病患的医疗和药物负担加重，这个问题确实不容忽视。所以，政府推出了健康SG计划，以更好地应付年长者往后的医药开销。计划鼓励他们选定自己的家庭医生，定期检查身体，如发现患病，就能够提早进行预防治疗，避免病情恶化。

年长者要活得快乐，首先一定要有健康的身体，无论生理和心理都要保持健康活跃。所以政府推出乐龄SG计划（Age Well SG），在全岛设立更多活跃乐龄站（Active Ageing Centre），让年长者参与这些乐龄活动中心主办的活动，如卡拉OK、歌唱班、书法绘画、手工艺制作、烘培课程，也能在乐龄活动中心聊天，打麻将消磨时间。此外，他们也可参加行兼跑、种菜种花园艺、早操和跳舞等户外活动。这些活动都能够增进活跃健康生活，使年长者身心愉快。

由于目前世界局势不稳定，造成物流断链，物价水涨船高。人民的生活费负担随之加重，那些低薪的壮龄年长者，如果身体许可应继续工作，好得到政府“共同前进配套”的就业储蓄花红，减轻生活费负担，并有助于年长者保持身心愉快，不必为三餐而烦恼。

政府也积极在社区增建无障碍设施，营造适合年长者的宜居环境，就是要让住在组屋区的年长者和残障者，积极参与社区活动和方便出外工作和购物，保持身心健康活跃。

年长者也应注意自己的饮食习惯。许多年长者都患有高血压、高胆固醇、糖尿病等，所以在饮食方面要少油、少盐、少糖，吃得清淡些，并多吃水果蔬菜和多运动。这样才能保持身体健康。

俗话说“健康就是财富”，有了健康身体，生活才能过得快乐。

Wednesday, August 30, 2023

人生与死亡

转发：

人类灭亡是必然的，这不是概率问题，而是时间问题。因为地球和太阳系都终将消失。

如果你问我人生的意义是什么？我会告诉你，人生没有意义。

99%的人在三代后就会被时间遗忘，他们存在过的痕迹将被抹去。

有一种说法认为，一个人会经历三次死亡。

·第一次是身体死亡，即心跳停止。

·第二次是最后一个记得你名字的人也去世了，从此世上再无你的痕迹。

·第三次是所有关于你的记录都消失了，包括视频、照片等，这时世界上将找不到任何关于你的信息。

人类存在的痕迹只有在短暂的几十年里体验生命，这就是人生的全部意义。

仰望星河，数亿年以后，人类的文明都会消失。

王侯将相、达官显贵、风流墨客在历史的长河中都是微不足道的尘埃。

人生其实只是一场旅程，没有留下任何痕迹的旅程。

在这场旅程中，我们应该为清风明月、为高尚的道德而活，享受生活中的美好。

不要为琐碎的事情烦恼，更不要让别人的错误影响到自己。

品尝每一口食物，聆听每一朵花开的声音，欣赏每一处风景，履行每一项责任，感受每一次爱和喜悦，这就是人生。

便祕: 千萬不能有便祕，那是引發癌症之根源。不管你用什麼方法。一定要把宿便排光。多吃高纖蔬果保健康。

转发：

🎯這篇太值得看了，祝大家身體永遠健康！

不管你的食量如何？不管你的酒量如何？下面那句話是完全正確的。千萬不能有便祕，那是引發癌症之根源。不管你用什麼方法，一定要把宿便排光。多吃高纖蔬果保健康。

🍄萬病之源，都是從你的大腸不能正常排泄開始。

香港伊利沙伯醫院臨床腫瘤科唐志聰醫生編寫 :

⛄《人，只要脾、肝、大腸、腎，四個功能健康，就能永遠離開癌症、糖尿病、心臟病、高血壓。

脾，一定要健康。

如果有病，就先恢復脾的功能。每天三餐，五穀雜糧一定要佔總飲食的 50％，一定要養成這個習慣。

🍚雜糧就是紅豆、黃豆、綠豆、薏仁，這些都是雜糧類，蓮子也很好，有了這個概念之後，脾好肝就好。

🕙脾在造血，一天有兩個重要的時間，就是子時24:00和午時12:00，所以，你該休息的時候一定要休息。

😎現在的人，大部分都是肝不好，為什麼不好？

🌜晚睡、吃油炸的東西、壞脾氣，這三個正是肝的三大剋星。

🐷油包肝，你吃油的東西，油把整個肝包住，肝的人功能完全喪失了，所以說，我們不要吃得太油膩。

🚶當我們身體感覺不適的時候，此時疾病正在糾正人的過失，用身體的痛苦管教他，有痛苦的時候，代表我們要改變自己的生活方式。

🚽每天早上，你上廁所感覺很困難，這個表示什麼？

🍃你身體纖維素攝取量完全不足。

🍄萬病之源，都是從你的大腸不能正常排泄開始。

🍼如果你的大腸很好，那你早上應該不是自己醒過來，而是被大腸的蠕動叫醒，大腸蠕動在叫你了，為什麼？

🍌因為五到七點就是大腸最活躍的時間，所以為什麼我們告訴癌症病人一定要晚上九點睡，因為你的大腸早上六點到七點的時候自然就會蠕動，叫你起床，蹲馬桶了。

💩你一天要上幾次廁所才夠？

請記住：如果四、五天才上一次廁所，叫重度便秘；兩三天上一次廁所，這個叫中度便秘；一天上一次廁所，叫輕度便秘。

🚴食物進入體內十二小時，沒有排出去，就會形成毒素。因為毒素沒有排出去，我們的大腸壁就會吸收這個毒素，吸收以後，透過靜脈又送回肝臟去，糟糕了！造成肝虧損，這個問題就很嚴重了。

💝肝不好跟大腸有直接關聯，只要大腸一通順，肝就會好了，免疫系統也跟著恢復，而且送到心臟的血都是乾淨的，所以什麼病都不容易罹患。

😴當一個人感覺到每天很容易疲倦、很容易累，表示你的肝功能已經出現問題了，血已經沒有辦法回流到肝！

💪你身體健康靠的是什麼？

💤睡眠的時間，脾去收集血液，送到肝臟去解毒，解毒以後，乾淨的血液送到心臟去，心臟再送到全身，就能獲得營養，就能獲得健康。

💨很不幸的是，現代很多人脾已經先出現問題，脾本身就不收集血液。只有一個辦法最養脾，五穀最養脾，可是現代身體為什麼都這麼差，身體這麼多病？

🍗因為都不吃五穀雜糧，吃漢堡、炸雞、牛排、薯條，又吃白米飯，所以你要吃造物主原創的食物，一定要吃五穀雜糧，原始的雜糧，比如糙米等。

⛳恢復四大功能，永遠離開病苦!

😍用心多看幾次！好好照顧自己！》

這週是世界好友週，如果你願意，請把這條資訊發給你所有的好朋友。

😉也包括我 ⋯⋯ 看有多少人會回發給你。

👬當大部分人都在關注你飛得高不高時，只有少部分人關心你飛得累不累，這就是友情。

👯再忙，也要照顧好自己，

朋友雖不常聯繫，卻一直惦念。

👕天涼時記著多穿衣！

❤世界好友快樂！

☕少喝奶茶、不吃剛烤好的麵包，遠離正在充電的電源。

☕白天多喝水，晚上少喝，一天不喝多於兩杯的咖啡。

🍔少吃油多的食物，最佳睡眠為晚上十點至早上六點

🍸晚上五點後少吃大餐，每天喝酒不超過一杯。

💊不用冷水服膠囊，睡前半小時服藥忌立刻躺下。

⛺睡眠不足八小時人會變笨，。午睡習慣的人不易老。

📲手機電池剩一格時不要打電話，剩一格時輻射是平時的一千倍。

👂要用左耳接電話，用右耳會直接傷害到大腦。

👍2021新概念

一個中心：一切以健康為中心。

✌兩個基本點：

遇事瀟灑一點，看世事糊塗一點。

🙌三個忘記：

忘記年齡，忘記過去，忘記恩怨。

👉四個擁有：

無論你有多弱或多強，一定要:

擁有真正愛你的人，

擁有知心的朋友，

擁有向上的事業，

擁有溫暖的住所。

👊五個要：

要唱，要跳，要俏，要笑，要苗

👌六個不能：

不能餓了才吃，

不能渴了才喝，

不能睏了才睡，

不能累了才歇，

不能病了才檢查，

不能老了再後悔。

😎看到了，發給每一個你珍惜的朋友.😎

喻文俊医生 Dr Gabriel Yee - 包青天教会家庭医生的事

喻文俊医生在2022年9月获颁学术医学教育研究所（Academic Medicine Education Institute）的金苹果奖（杰出年轻教师）；2023年4月获颁伦敦皇家内科医师学会院士。

Dr Gabriel Yee 喻文俊医生 - 包青天教会家庭医生的事

包青天教会家庭医生的事

喻文俊医生（观明社区医院后急性与持续医疗护理顾问医生）

发布 /

2023年8月29日 05:00 AM

字体大小:

包拯不可能亲自审理所有案件或单凭一己之力厘清事实，他的专家团队为他提供多方面的支持和帮助。在社区医院里，我们同样需要跨学科的团队，与患者和照护者一起根据个别情况和偏好，制定最理想的护理计划。

我是一名家庭医生，但工作不单单是照顾患者。在公在私，教育都是我的重要职务*。

身为顾问医生，我每天找机会与同事分享多方面的知识，包括门诊、医学、自我照顾以及正念。我也在盛港社区医院以及盛港综合诊疗所指导受训医生。下班后，我的“工作”是耐心教导并照顾两个可爱的女儿，她们今年分别为3岁和5岁。

最近成为我良师的，是以清廉公正闻名于世，明察秋毫的包拯。我利用闲暇时间看了连续剧《包青天》，获益匪浅，其中最让我动容的是他的耐心、同理心，而且不带偏见，精辟地分析问题并反思。

创造安全的学习环境

包拯担任地方官时在衙门设了鸣冤鼓，任谁有冤屈都可击鼓求助。升官后，他对于碰到困难的下属同样来者不拒。他严以律己，对下属的要求也高，但他会解释要求背后的理由，并耐心地指导他们。

包青天对事不对人，他绝对不会批评下属的品格或指出他们审理案件的缺点。为了帮助下属，他甚至留在他们的县城里收集证据，再于幕后提供宝贵建议，让他们继续保有案件的掌控权。

喻文俊医生：社区医院需要跨学科的团队，与患者和照护者一起根据个别情况和偏好，制定最理想的护理计划。（受访者提供）

作为教育者和观明社区医院的医疗组长，我必须确保大家能轻易联系上我（通过电话，而不是鸣冤鼓！），我才能及时回复他们的问题。我认为没有什么问题是愚蠢的，尽快为学员和同事解惑对他们有益，也能帮助病患。

学员完成医生培训后，我们依然保持联系，他们无论是碰上复杂的案例或是生活难题，随时都能找我。这不仅对病患有益；当我们被迫重新审视自己的假设，我们也能一起学习并进步。

除非遇上紧急事件，否则同事因为不确定该怎么做而向我求助时，我首先了解他们如何看待整个情况，再请他们提出评估和建议。答复理想的话，我给予肯定；有改进的空间，我通过提问鼓励他们进一步思考。很多时候，同事重新审视事件后提出非常好的解决方案，而且可能比我想的对策还要理想。

对于两个女儿，我采取同样的原则。有些人可能认为她们还小，教育指示必须明确，但我发现年幼的她们已能在家长的指导下检讨并反思自己的行为。例如妹妹知道抢姐姐的玩具是错的，而且会有负面后果，比如引起争吵，随后会受罚。事后我要求她反省时，她说下一次会更有礼貌地问姐姐，如果姐姐还是拒绝分享玩具，她会要求父母介入。

相信同事的专业

包拯不可能亲自审理所有案件或单凭一己之力厘清事实，他的专家团队为他提供多方面的支持和帮助。王朝、马汉、张龙和赵虎是四大侍卫，连同展昭一起保障他的人身安全；案件涉及医学而且有解不开的谜团时，他咨询师爷公孙策。身为领导人，包拯根据情况委派工作，但出问题时他一定承担后果，得罪皇上甚至被革除职位，被贬为庶民亦然。

在社区医院里，我们同样需要跨学科的团队，与患者和照护者一起根据个别情况和偏好，制定最理想的护理计划。团队合作远远比单独行动更有效：物理治疗师负责复健，社工为患者转介适合的社会服务，护士协助患者培养日常活动能力。我也向初级医生强调：他们必须承担患者的护理责任，并与照护者合作，让患者得到最好的照顾。