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Christina Beach Thielst
Santa Barbara, CA
A former hospital administrator with a passion for improving healthcare!
Interests: The patient experience, health information technology, social media, mobile health, healthy children and families, raising Arbequina olives, Louisiana and my family.
Recent Activity
I have encountered med seeking behavior in hospitals and clinics; and also seen family members benefit and/or struggle with their use of opioids for real pain. My grandmother died of cancer, on morphine managed by her nurse daughter, so her... Continue reading
Posted 5 days ago at Christina's Considerations
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Eating is important to maintain good health, especially if you have been losing weight due to illness. But, sometimes conditions such as peripheral neuropathy or arthritis creates a barrier that leads to frustration. I gradually began to have a hard... Continue reading
Posted Sep 2, 2017 at Christina's Considerations
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Bryson California is home to strands of red, white and coastal oaks. The coastal air that seeps over the San Lucia Mountain Range brings moisture that promotes the growth of several types of natural moss. The area also supports the growth of another air plant, the Tillandsia (bergeri). These are... Continue reading
Posted Aug 29, 2017 at Thistle Springs Ranch
A UA Albany study finds do-not-hospitalize (DNH) orders help reduce the number of hospital stays and emergency department visits for nursing home residents, but only a small portion of residents have one. The authors conducted a cross-sectional study of residents... Continue reading
Posted Aug 28, 2017 at Christina's Considerations
Enterprise and other portals are used to provide access to multiple systems. In a hospital, a patient portal may be used to give consumers access to their medical records, paying a bill, or completing pre admission "paper" work. This avoids a patient having to sign into three different systems.
Guillain Barre Syndrome (GBS) is considered rare, so it is probably not the first thing clinicians think of when assessing a patient. Unfortunately, there are patients who live with the symptoms, and perhaps irreversible damage for years. It only took... Continue reading
Posted Aug 23, 2017 at Christina's Considerations
Going to the hospital can be fearful, stressful, lonely, boring and even, as in the case of a birth, a cause for celebration. While some patients only stay for a few days, others can be hospitalized for weeks or months.... Continue reading
Posted Aug 11, 2017 at Christina's Considerations
It is time for me to move up to the Soft Eggserciser and to build upon my progress. http://thielst.typepad.com/my_weblog/online-store.html#!/Eggserciser®-Resistive-Hand-Exerciser-Soft/p/85359199/category=0
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Neuropathies and the underling causes create challenges and limitations for some individuals. Often, standing up from a sofa, getting into/out of a bed or walking from one room to another with something in your hand is just not possible without... Continue reading
Posted Aug 9, 2017 at Christina's Considerations
Improving the health of any population requires management, policy and technology systems and processes. These can be complex and dynamic. Earlier this year, I read Population Health: Management, Policy & Technology and was drawn to the chapter of HIE governance.... Continue reading
Posted Jul 17, 2017 at Christina's Considerations
My blog has taken a new shift to focus in on the patient experience from the patient's perspective. Since I wrote an article on this for health professionals a couple of years ago, I thought this would be a great... Continue reading
Posted Jul 13, 2017 at Christina's Considerations
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Being outdoors has always been my primary form of stress relief and exercise. Focusing your attention on the needs of a plant, listening to a bird sing or watching a deer and fawn graze are excellent ways to take your... Continue reading
Posted Jul 2, 2017 at Christina's Considerations
A couple of years ago I was working on community-wide disaster preparedness and wrote an article after reading about the impact of a fire on the elderly and disabled. Little did I know I would experience my own functional limitations,... Continue reading
Posted Jun 21, 2017 at Christina's Considerations
As a young hospital administrator I attempted to be empathetic and compassionate when I was speaking with patients. But, I didn't always know how I was perceived. Then I came across the book, What Can I Say? - a guide... Continue reading
Posted Jun 17, 2017 at Christina's Considerations
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Individuals with grip weakness can have difficulty opening doors; and their caregivers can experience disruption and frustration when frequently asked for assistance. In addition, not being able to open door could be a safety issue when the individual is alone.... Continue reading
Posted Jun 12, 2017 at Christina's Considerations
Here is a little musical hospital humor; pre-ZdoggMD. Yes, it can be hard to wake up when the anesthesiologist is nearby. But, it is pretty easy when you are just trying to get some rest in your room! Continue reading
Posted Jun 11, 2017 at Christina's Considerations
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The reality is every gardener is aging. The large bubble of the Baby Boomer generation, who pride themselves on remaining active is no exception. Struck with the same conditions and diseases of those who have gone before, some find themselves unable or simply tired of gardening in the ground. Others... Continue reading
Posted Jun 10, 2017 at Thistle Springs Ranch
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Gardening has always been a peaceful and welcome diversion for me. It is also an important part of my personal exercise and activity plan. So, when one finds that gardening on the ground is no longer a realistic option due... Continue reading
Posted Jun 9, 2017 at Christina's Considerations
Eggserciser® is an ergonomically-shaped product that fits the contours of the hand and relies on resistance to improve strength, dexterity, mobility, motor skills, and circulation. It's designed to provide effective resistive therapy in a wide variety of exercises for the... Continue reading
Posted Jun 2, 2017 at Christina's Considerations
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Golden Barrel Cacti - A slow growing cylindrical cactus requiring little water or maintenance. Can grow almost three feet wide and four feet tall. Width Across Top: 10 inch = $40 12 inch = $50 16 inch = $75 Dracena Draco - An attractive succulent tree that is an excellent... Continue reading
Posted Jun 1, 2017 at Thistle Springs Ranch
Since 2005 I've been blogging here, on Christina's Considerations and more recently on Twitter @cthielst. I've purposefully kept it professional, only sharing a few personal stories for the purpose of improvement. I will continue to do so, but will get... Continue reading
Posted May 27, 2017 at Christina's Considerations
As a healthcare administrator, I manage risk. So, as I look at new "medications" using cannabinoids, I of course wonder about testing and how providers and patients will know the medication is safe. My latest guest post answers the question... Continue reading
Posted May 10, 2017 at Christina's Considerations
Imagine being released from the hospital with a confusing diagnosis, stacks of papers to read and more questions than answers about what to do next. The "REALM-TeenS" tool can quickly assess how well teens understand health information. That is the... Continue reading
Posted May 3, 2017 at Christina's Considerations
Guest Post from Dr. Karen Trollope-Kumar Sometimes my work as a family doctor the days don’t always go as expected. On a busy day, I feel like I’ll never catch up, and it’s frustrating that I can’t give adequate time... Continue reading
Posted Apr 24, 2017 at Christina's Considerations
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In 2016, I wrote two articles, for two different outlets, about research on the impact of state marijuana legislation on Medicare beneficiary prescription medication use. Of course I wondered what the results would be for the Medicaid beneficiary population and... Continue reading
Posted Apr 20, 2017 at Christina's Considerations