Nursing Home Prevention Strategies

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Energy Tokens: Spend wisely to avoid injury and pain

Most individuals are consistent about regularly scheduled maintenance on their cars. If
people ran their cars the way they run their bodies the cars would all be by the side of the
road with smoke billowing out. Commonly we blame genetics when we find that we have the same physical pain our parents and our children experience. Perhaps we should consider behavior first. Many people ignore the warning signs of their body and push beyond-following the examples set by their parents. Unfortunately this is how we are filling nursing homes across our country. These strategies listed will help prevent injury to your body so you can enjoy a pain-free life that should require far fewer visits to the human body mechanics and be able to stay in your own home forever.


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1. Recognize Early Warning Signals. The nervous system is an early warning system with specialized receptors sending signals back to the brain giving information that a part of the body is not functionally normally-such as with discomfort, stiffness, burning, or pain. The brain makes decisions and sends commands back to the part of the body that needs to perform an action in response to the stimulus. Burning or discomfort in a part of the body can be an indication that trauma or tiny micro-trauma is occurring with small shredding of the tendons-called overuse or tendonitis or sprain/strain. Unfortunately accidents can happen but when an early signal shows something is not as it should be the care required to fix the  problem is much less significant. Ignoring warning signals and continuing to use the body part can increase injury causing more shredding of the tendons/muscles requiring substantial care. Pay attention to your body and learn to take action with early signs of trouble. An oil change in the car is much less costly than replacing the engine.

2. Keep energy tokens in the bank. Every muscle in the body has a specific amount of energy it can provide. Muscles that have been built up gradually without injury will have more energy tokens, be stronger and last longer. Muscles that are not kept in good condition will waste away (disuse atrophy) and therefore have fewer energy tokens. If the nerve that sends signals to muscles do not functioning normally the muscle will also atrophy and will have fewer energy tokens to use. Loss of normal nerve function can be from birth, degenerative nerve conditions such as Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrig’s Disease, or trauma to the nerve itself such as a spinal cord injury. By spending only those energy tokens available in your energy bank you can prevent injury from overuse. When you spend more energy tokens than you have in the bank you go into debt causing overuse which can feel like discomfort, burning, or pain. Continuing to overspend energy tokens can eventually rupture the muscle away from the bone. Not paying attention to the warning signals is a behavioral problem. When you make the activity outside of your body more important than your own health this is a leading cause of overuse injury and ignoring these signals can cause you to eventually traumatize all the muscles in your body.

3. Improve energy report card. Each morning tells how well you did the day before. If you wake with discomfort this indicates you overspent your energy tokens and went into debt. Waking without any signs of discomfort or difficulty moving shows you kept some energy tokens in the bank which you can spend today. Like compounding interest financially-energy tokens in the bank will grow by letting the muscles rest after using them which makes the muscle bulk grow. A good rule of thumb to prevent overuse is to increase energy output by no more than 25% every other day. If you cleaned the bathroom sink yesterday and another sink the day before try cleaning the tub today. Waking tomorrow will tell you if you were ready to clean the tub. The problem comes when you keep cleaning all the rooms of the house because they “need” cleaning even though your body indicates it does not have enough energy tokens to spend. Your body is begging you to make healing more important than house cleaning, cooking, shopping, playing video games, or cutting trees. Listen closely to your body to heal with early warning signs by resting well enough long enough. Then build muscles gradually or you will more likely eventually develop enough overuse injury that will make it too difficult to care for yourself and you may need to spend time in a nursing home.

© Loraine Lovejoy-Evans, MPT, DPT

Carlsborg/Sequim, WA