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connectionterminated13 · 11 months ago

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Blood

This story takes place in my AU death swap, Basically a lot of the deaths are swapped Charlie is alive Sammy is dead, Michael gets his self grabbed by circus baby and Elizabeth does Michael's role in sister location and gets herself scooped. Now Evan who survived the bite and became a murder guy just like his dear old dad. Is tricking Charlie and Cassidy who Are trying to hunt down scrap Michael who's a giant metal fox because it's cool, Into thinking Michael not just a scared wet cat But actually a killer monster. You know to help his dad with evil stuff!!

This is for the prompt haunting not actual haunting more like haunted by your past kind of haunting :3 @and-stir-the-stars

TW: blood, animal death, manipulation, implied human death, hallucinations

God did Evan hate blood. Sure yes, when it spilled everywhere and the person screamed it was fun. but then after that when the blood was dry and all over his clothes he hated it.. If Evan ever got to talk to God, he would have a long discussion on why Blood was a terrible idea.

But of course Evan did not believe in God..

God did not come to comfort him in those horrible hours before operations or another month or four in the hospital. God did not come to banish the thoughts of blood and death from his mind no matter how many times he begged him.

And now God wasn't going to help him with the gruesome task of spreading this stupid dead Rodent’s, stupid Blood and Guts all over the place.

Honestly it would have been so much easier if Michael had just mauled something…

But Michael, despite shoving Evans' 6-year-old head inside of a mouth filled with sharp spring locks and sharper teeth, couldn't seem to stomach actually killing something. So Evan had to fake the evidence of Michael being a monster. Which was going to be harder.

For example he was going to have to change out of his now blood covered clothing into fresh one before Charlie or Cassidy woke up. Then he would have to lead them back to this spot and be all sad and dramatic about his brother killing something so brutally.

Sure he was good at faking emotion, he learned that from his father but it was harder when he liked the people he was doing it too.. And he likes Charlie and Cassidy. They were nice to him but.. Michael was a liability. A liability that needed a bullet through the head and a good place to rust at the bottom of the river

Evan shouldn't call it Michael, it would be harder that way. No it was the insides of circus baby turned into some horrible mangled monster thirsting for the blood of poor innocent stupid Utah People. It was easier to think of Michael like that, easier to just think of him as the monster that made his life a never-ending Hospital trip..

Don't think of the good parts of Michael, don't think of when he was nice, think of the Mask, of the blood, of the doctor saying you only have a week left to live. Evan stopped, well lost in his thoughts he realized that he had done a pretty good job making the Rodent look like it had been torn apart by an animal. He cared for Charlie, she was like a big sister to him but she didn't know the first thing about animals.. Or the mechanical beasts his father created

“You're going straight to hell when you die Everett” Evan muttered the words under his breath staring down at his handiwork. There was a light snowfall. The poor creature's blood soaked brown fur tainting the snow that fell around it a sickening red.

Something wild had done this. something that wanted blood, something that would wear his own sister's skin, something that would hang two technicians, Something that was a giant metal and a wire trash fox that still thought it was Michael Afton

“You're doing bad things again” And of course there was something else wild out here. Evan turned around, he was right fredbear laid on the ground snow Falling on his faded body. Of course Fredbear wasn't there.

The original plush that he had carried around until he was 10, had been burned for the agony by his father. This was a hallucination brought on by brain damage, some mental illness undiagnosed or weird ghost things. And a frustrating hallucination at that.

“I know you're supposed to be a conscience, but could you be a conscience later I'm doing something” Evan grumbled looking away from the plush as he pulled coils of wire out of his backpack. “You could still fix things with your brother. You could help him. You know he won't hurt you, you know he's scared and sad and lonely. Why won't you help him?��

Oh and there was another reason why Evan hated blood so goddamn much. Every time even a drop of it spilled, this stupid bear came to lecture him…

“Because I'm not fixing things with the giant walking murderous liability that tore out my sister's insides! Now, If you would please leave I'm faking a monster attack.” Evan granted, looking down at himself. There was only a little bit of blood, mostly coating his hands and arms with small splatterings on his shirt.

Honestly he might not even have to go through the trouble of changing clothes… Maybe he just ran into this creature and tried to help it… it wasn't dead yet and he had tried to save it but failed.. He would cry, Charlie would comfort him and tell him it wasn't his fault. This would be good!

“Why won't you help him? Why do you lie?” Evan rolled his eyes as the little fredbear looked up at him seemingly transported directly to his feet.

Evan pulled out his flip phone beginning to dial Charlie's number.

“Why do you hurt people Evan? Why do you hurt innocent little animals? Why are you like this? Why don't you get help? Do you think this will make Dad love you? He only sees you as a tool. You're nothing but a Killer Beast on a leash to him” Fredbear's Voice seem to come from everywhere Evan ignored it looking down at the dead rodent.

“Hi..oello..” Charlie's sleepy voice muttered through the phone.

“Hey Charlie I found something in the woods.. Hurt rodent.. really badly hurt. I'd say it was mauled. I tried to help but it was beyond saving… Charlie I can see its organs.. I-I saw it's little oh God” He let out a pitiful little whimper as Fredbear stared up at him judgingly.

He cared for Charlie. She was a good kind woman but she still saw him as that same scared little kid, something he could take advantage of.

“Damn! Sure it wasn't a Coyote or something?” She was awake now her voice was panicked, he could hear Cassidy stirring in the background.

“Why are you doing this? You know she loves Michael, you know you're just hurting both of them so much..?” Fredbear's voice made him momentarily stop sniffling before immediately going back hoping that Charlie wouldn't catch the mistake.

“No Charlie there's wires, it's The fox thing..” Now a full fake sob came from Evan's throat. He hated this, he liked Charlie, he hated that he had to do this. Why couldn't Michael have just stayed down in the facility?

“Okay if you could tell me where you are we'll be there in a couple minutes!” He could hear the commotion of the two women getting up in the hotel room.

“I'm about a 20 minute walk south in the forest. You'll probably see my trail.” Evan spoke quickly he wanted to get the call over with. So the stupid hallucination, of a stupid bear, he owned when he was stupid and small to stop staring up at him.

“All right, see you in a couple minutes.” The call hung up.

“It's not too late,” Fredbear spoke again. “You can still be a good man Everett, you don't have to keep on doing this, you could leave anytime you want..”

“It's not that easy” Evan muttered kicking a rock looking at the dead animal on the ground that he had mutilated and killed. “Father would come after me..”

Fredbear did not say anything else that seemed to have finally shut him up. Or technically speaking Evan had shut himself up. So he sat on a nearby Fallen Tree and waited for Charlie to come. He also waited for this whole situation to be over so he could be away from the blood that stained his clothes and hands.. Which even if everything went exactly to plan and they killed Michael and fixed Elizabeth's zombie situation he could never ever truly, Escape

#fnaf death swap #Crying child weekend Bash #fnaf Death swap

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xhudgenssistersconfessions · 2 months ago

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hey y'all so i read the hsm chapters on disney high haha so y'all don’t have to! honestly… it’s nothing crazy at all. For anyone who’s curious, I wanted to post the only other main Zanessa bit. I don’t know how to insert an image so I’ll just copy the text so you guys can read it and then i’ll put in my two cents at the end.

So basically the HSM stuff is in two chapters and the Zanessa stuff is a bit in both. The second chapter is basically verbatim from that teen vogue article but for the first chapter here are the deets:

One night, during the two weeks of intense dance rehearsals at the start of production, members of the various posses gathered in Klapow’s hotel room for a rare wild night of intermingling as the Bacardi Razz and Cherry 7UP on ice flowed. The chemistry that Zac and Vanessa had at their final audition had continued to escalate during rehearsals. Vanessa was, by now, head over heels. But Zac had a girlfriend back home, and he had thus far not entertained his co-star’s advances.

“Hey, can I talk to you for a minute?” Zac asked Klapow, as he pulled the choreographer out into the hallway. “I don’t know what to do, man. Vanessa is super into me, and I have feelings for her, too. I don’t want to do the wrong thing with my girlfriend. But I also don’t want to shut Vanessa down and ruin the chemistry in the movie.”

Klapow encouraged Zac to explore things with Vanessa. They were so young, and what happened in Utah would probably stay in Utah. If Zac’s other relationship wasn’t that serious, he should just end things with his girlfriend and test the waters here, Klapow advised.

When the two guys went back into the hotel room, the part vibes had devolved into melodrama. Vanessa was in tears, crying in the locked bathroom with Ashley. It seemed as if the tipping point of her unrequited love had been reached. Corbin tried to console her from the other room until Zac knocked on the bathroom door, and Ashley left the two of them to talk alone.

“I remember the moment that Vanessa and Zac were talking in the bathroom, and then they came out holding hands,” Lucas said. “I mean, it was so high school. It was like, ‘He broke up with his girlfriend and we’re together now.”

From that day on, Klapow said, “Zanessa was born.”

My thoughts:

“He had not entertained co-star’s advances” is CRAAAAZY. Lol. They make her seem like this predator like DAMN. It really was not like that in my opinion. There’s so much evidence that they were both attracted to one another. Do you guys remember there was an interview with Zac’s friend back home and Zac gushing about Vanessa to him and being like she’s amazing and then the dude meeting her and approving. I think it was Booboo something? I dunno. But to pose this as a one sided unrequited love thing on her part or a PR thing is NUTS. I can’t believe they’re still trying to push that angle. Like 5 years of a relationship (and 2 of those years were post HSM) of a PR thing makes NO sense. Also, yeah, he may have had a gf at home but I highly doubt Zac would be like aww my costar likes me let me date her cause I feel bad?? Also I highly doubt he said “I don’t want to ruin the chemistry in the movie.” Maybe he felt that way in general like getting into a relationship with a costar and was just expressing his concerns but yeah I think they twisted Chucky’s words on that part. I still feel uncomforatble with Lucas kinda being like they were so high school and dramatic and basically she was a victim with the “poor girl” thing. Like… hmmm…I dunno. There are quotes from Corbin in the book about random stuff and he never mentioned any of this. Nor does Kenny. Which says a lot.

On the flip side, I do think there was pressure that if their relationship failed the movie might fail (as Vanessa said in that podcast once when kenny was so concerned) and while i’m sure there was emotions on set (because they were teens duh!) I don’t think they stayed together for the sake of the movie… I think they had their down moments like every couple does which is then 100x exaggerated as a teen because of hormones lol and childhood stardom but other than that they were okay. I mean - if ALL anyone has to say after all these years is that they were a bit emotional at times and can recount one major fight on set…. that’s pretty incredible since 99% of their stories are about them being cute and super in love with one another.

Either way, take everything this book says with a grain of salt. Remember, journalists ALWAYS want a juicy back story. Literally the promotional article for this book is all about this Zanessa “fight” but I just love how at the end of the day they were like nope there’s nothing to tell here but good luck trying. We stan our unproblematic king and queen. :)

#answered #submission

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funtomb · 1 year ago

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diane notes.

born in manchester in the uk in the early 40s, went to uni in america where she met her husband ( william ), settled in utah.

went to school for dance, but was slightly above average at best. wild success socialising, though -- very popular, very queen bee. she dropped her accent fast, adopted american fashion, and started networking. her boyfriend / husband was a pet project for her -- see how she can transform a greasy antisocial nerd into a passable, datable member of society!

bloberta mor/al or/el coded.

also amy go/ne gi/rl coded.

she is not ballora. she is not in ballora.

she was not a good mother. she was, at best, absent, and at worst, accepted william's abuse of their children as part of running a normal suburban household. ( an ode to the fridged women and also to their children who have to hear them talked about as madonnas and saints regardless of who they were in life, can we not speak honestly of the dead? )

she isn't dead. she isn't divorced, either. she simply vanished. this is a woman who came out of a situation where playing the social ballgame was essential, and she was a big swinger. she was not going to go through a divorce in mormon utah. it would have ruined her life. she took advantage of the 'trend' of missing people and staged her own disappearance. she took off, changed her name, moved to california. she is missing, presumed dead, but she's very much alive.

she had children for the reason a lot of women in communities like hers have children -- because being pregnant is a status symbol, and she liked fitting in. if you weren't pregnant, if you stopped at just one child, something was assumed wrong. it was also a great way to keep her husband close. she had a child every four years, or whenever she perceived their marriage as slipping. they did not fix it, and in fact made it worse, but it helped to maintain the image of domestic perfection that she was so obsessed with.

she ran a dance school in town. despite being a frankly brilliant businesswoman and marketing director for her own business, she was not a good dance instructor. she ran that place like the military and in the same way that her husband ruined lives at freddy's, she gave those little girls complexes that would last forever.

of course, with a restaurant, the metric of success is selling enough food ( and games, and merch ) to turn a profit, whereas dance instruction is a little more ephemeral. getting enough students to sign on and keep the business open was essential, of course, but it was difficult to track accomplishments the same way william could track his on a sheet. and given the state of freddy's -- the incidents, the police investigations, the poor hygiene, all of it -- she often felt that her husband was failing upwards while she was spinning her wheels, and especially thought that this was unfair since she gave him the social boost that put him in contact with henry in the first place. she played a role for investors, she showed up at press events, she was once again social where he was not. to see her dance studio... not quite crumbling, but not going anywhere ( those girls were in the TRENCHES ) while freddy's failed and thrived made her want to eat cement.

if you can't fix him and can't divorce him and don't care about the kids, DIP.

she's fat and she's desirable. you don't have three children without forming hips and she has more than that.

#THIS ONE'S FOR HEGELOCHUS! ( ooc )#C3. THIS WOMAN DOES NOT EXIST! ( diane )#|| I NEED YOU SHIT WOMAN. I NEED YOU WOMAN WHO SUCKS SO MUCH.#W3. HEADCANONS

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brooksidecounseling1 · 2 days ago

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How Couples Therapy in Provo Can Improve Communication

Effective communication is often referred to as the cornerstone of any healthy relationship. Without it, even the strongest bonds can falter. In relationships, especially romantic ones, communication isn’t just about exchanging words—it’s about understanding, empathy, emotional connection, and mutual respect. However, with the complexities of modern life, many couples find that their communication skills start to break down over time. Misunderstandings, unmet needs, and growing emotional distance can strain relationships. This is where couples therapy in Provo can make a significant difference.

If you’re in a relationship and struggling with communication issues, or you simply want to improve your ability to connect with your partner, couples therapy offers a valuable opportunity to explore these challenges and develop healthier ways of interacting. At Brookside Counseling in Provo, Utah, our licensed therapists specialize in helping couples improve their communication and build stronger, more fulfilling relationships. In this blog post, we will explore how Couples Therapy Provo can improve communication, why communication is crucial to a healthy relationship, and how therapy works to address common communication issues.

The Importance of Communication in Relationships

Effective communication is vital in any relationship, but especially in intimate partnerships. It is the foundation for resolving conflicts, expressing needs, and maintaining emotional closeness. Healthy communication helps partners navigate the ups and downs of life together, ensuring that they are on the same page and feel heard and understood.

Here are some specific ways communication affects relationships:

Conflict Resolution: Without healthy communication skills, disagreements can quickly escalate into arguments or emotional withdrawal. The ability to express differences calmly, listen actively, and understand the other person’s point of view is key to resolving conflict.

Emotional Connection: Couples who communicate openly are better able to express their feelings and needs. This leads to a deeper emotional bond and a sense of closeness and intimacy.

Trust and Safety: When couples communicate honestly, they build trust and create a safe space for vulnerability. Partners who feel heard and understood are more likely to feel secure and confident in their relationship.

When communication is not functioning well, partners may feel disconnected, misunderstood, or even resentful. This can lead to frustration and, over time, relationship dissatisfaction.

Common Communication Challenges in Relationships

Couples face a wide variety of communication issues that can affect the health of their relationship. Some of the most common problems include:

Poor Listening: One partner may dominate conversations, interrupt the other, or fail to actively listen, leading to feelings of being ignored or unimportant.

Negative Patterns: Couples can develop negative communication patterns, such as criticism, defensiveness, contempt, and stonewalling (shutting down or withdrawing emotionally). These behaviors can create an unhealthy cycle that’s hard to break.

Assumptions and Misunderstandings: In some relationships, partners may assume they know what the other person is thinking or feeling without taking the time to ask or clarify. This leads to misunderstandings and unmet needs.

Unspoken Expectations: Many relationship issues arise from unspoken expectations. When one partner assumes the other should know what they want or need, it can lead to frustration and resentment when those needs are not met.

Avoidance of Difficult Topics: Some couples avoid certain topics because they fear confrontation, rejection, or emotional discomfort. This avoidance can lead to unaddressed issues that fester over time.

Whether it’s a pattern of defensiveness or a lack of emotional expression, couples therapy can help address these common issues and teach healthier communication habits.

How Couples Therapy Improves Communication

Couples therapy in Provo, Utah, can be a game-changer for couples struggling with communication problems. Professional therapists offer a neutral, safe space where both partners can openly discuss their concerns without judgment or defensiveness. Here’s how therapy can help improve communication in your relationship:

1. Learning Active Listening Skills

A core component of effective communication is active listening. In couples therapy, you and your partner will learn how to listen to each other with full attention and empathy, without interrupting or planning your response while the other person is speaking. Active listening involves reflecting back what your partner has said, validating their feelings, and showing genuine interest in their perspective.

Therapists at Brookside Counseling teach techniques such as:

Mirroring: Paraphrasing or repeating back what the other person has said to ensure you understand.

Clarification: Asking open-ended questions to better understand your partner’s emotions or needs.

Empathy: Acknowledging the emotional experience of your partner and expressing understanding, even if you don’t fully agree.

When partners learn to truly listen to each other, they feel heard and valued, which fosters emotional intimacy and strengthens the connection.

2. Identifying and Addressing Negative Communication Patterns

Many couples fall into negative communication patterns that make it difficult to resolve conflict or express needs in a healthy way. These patterns may include criticism, defensiveness, contempt, or stonewalling—the so-called "Four Horsemen" of communication identified by relationship expert Dr. John Gottman.

In Couples Therapy Provo, therapists work with both partners to identify these behaviors and replace them with healthier alternatives. For example:

Criticism can be reframed into a more constructive request.

Defensiveness can be replaced by taking responsibility and seeking understanding.

Stonewalling can be countered by taking a break and returning to the conversation when emotions have calmed.

Learning to replace these negative patterns with positive communication strategies helps couples break the cycle of conflict and create a more supportive, empathetic dialogue.

3. Teaching Healthy Conflict Resolution

Disagreements are natural in any relationship, but how you handle those disagreements makes all the difference. Couples therapy provides tools for resolving conflicts in a way that doesn’t escalate into hurtful arguments or emotional withdrawal.

A key focus of therapy is teaching partners to:

Focus on the issue, not the person: Attacking or blaming your partner can make them defensive. Instead, the goal is to discuss the problem at hand without turning it into a personal attack.

Use “I” Statements: Instead of saying “You never listen to me,” say “I feel unheard when you don’t respond to my concerns.”

Take breaks when necessary: If things are getting heated, it’s okay to take a break and return to the conversation later with a clearer mind.

Look for compromise: In any disagreement, both partners should strive to find common ground, even if it requires some flexibility.

Therapists help couples practice these strategies so that they can tackle future disagreements with respect and cooperation.

4. Unpacking Unspoken Expectations

Unspoken expectations are one of the leading causes of frustration and misunderstanding in relationships. Sometimes, partners expect each other to know what they want or need without expressing it clearly. This can lead to resentment when those needs go unmet.

Couples therapy encourages partners to be open about their needs and desires. Therapy helps each person identify what they need from the relationship and communicate those needs clearly, rather than assuming the other person will automatically understand.

5. Building Emotional Vulnerability and Trust

In order to communicate effectively, both partners must feel emotionally safe enough to be vulnerable. Couples Therapy Provo helps create an environment where partners can share their true thoughts and feelings without fear of judgment or rejection.

Through guided conversations, couples can express their emotions, fears, and hopes more openly. This process builds trust and emotional intimacy, which are essential for positive communication.

Conclusion

Improving communication is one of the most powerful outcomes of couples therapy in Provo, Utah. By learning to listen actively, identify negative patterns, resolve conflicts healthily, and express needs clearly, couples can transform the way they interact with each other. At Brookside Counseling, our experienced therapists are dedicated to helping couples improve their communication, strengthen their relationship, and build a foundation of trust and understanding.

If you're struggling with communication issues in your relationship, or you simply want to improve your connection with your partner, couples therapy can be an invaluable resource. Take the first step toward a healthier, more fulfilling relationship by scheduling a consultation with one of our therapists today. Effective communication is within reach—and it can make all the difference in the world.

#Couples Therapy Provo #health services #utah #provo #therapy #provo therapy #couples therapy #Couples

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daytonicuconsulting · 10 months ago

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How the ABCDEF Bundle Can Help Mitigate RN Burnout

Nurses enter critical care medicine to alleviate human suffering, support patients in their most vulnerable moments, be patient advocates, do no harm, and save lives.

But being a critical care nurse is physically, emotionally, and mentally challenging.

Many factors have resulted in the loss of thousands of expert nurses, creating the staffing crisis we’re currently facing.

Poor support for nurses, lack of career fulfillment, moral injury [18], high emotional exhaustion, and low personal accomplishment [33] all contribute to RN burnout.

Moreover, the current practice of automatic sedation and immobility for every intubated patient has exacerbated the challenge of keeping ICU nurses at the bedside, ultimately increasing RN burnout through increased workload, less team support, and poor patient outcomes.

Other side effects of these outdated practices, such as high rates of delirium and ICU-acquired weakness, are also worsening the nursing crisis.

But now that we have the ABCDEF Bundle, there is no reason for things to continue this way.

The ABCDEF Bundle [35] is a readily available toolkit to help guide clinicians on how to use evidence-based sedation and mobility practices.

Failing to put these practices in place deprives nurses of accomplishing their mission and having the satisfaction of watching their patients have the best outcomes, and I’ve experienced this firsthand.

I started my nursing career in an Awake and Walking ICU, where nearly all patients were awake after intubation and doing their highest level of mobility shortly thereafter.

But after a few years, I started working as a travel nurse and was shocked to find that this was not standard practice throughout the nine other ICUs I worked in.

I was losing my love of nursing and briefly considered leaving the field.

When I returned to the Awake and Walking ICU, I realized that my job was far more fulfilling and manageable because of the changes in the use of sedation and increased mobility afforded by the protocols outlined in the ABCDEF Bundle.

These evidence-based practices helped preserve my patients’ mental and physical capabilities, which reduced their delirium, decreased their length of stay, and increased their participation in their care.

Keep reading if you want to learn more about how these protocols can help to mitigate RN burnout.

But before I continue, I want to give a special thank you to all the ICU nurses who contributed to this article, including Roni Kelsey, Jessica Williams, Liz McQueen, Richard Woods, Tara Arroyo, James Fletcher, Allison Diburro, Tara Dagesse, Sarah Vance, Sean Karbach, Annie, and those who chose to be anonymous.

Delirium and RN Burnout

Delirium is a life-threatening brain dysfunction that increases the psychological burden, risks, liabilities, and staffing demands on nurses [36].

Nurses report high emotional stress, strain [23], and burden [25] when caring for patients with delirium.

Protecting and monitoring patients who are confused, scared, combative, and impulsive during hyperactive delirium is a significant challenge for nurses, and the responsibility to keep patients safe with their lines and tubes intact can be a heavy burden.

Yet they are forced to work in an environment that leaves both patients and nurses vulnerable to the complications of delirium.

Delirium is at the root of many adverse events in the ICU.

For instance, delirium increases the risks of unplanned extubation by 11.6 times [24] and increases the risk of all line and tube removals [42].

The sooner my ICU patients are sedation-free, honestly, the easier my job is to care for them. Even intubated, they are better about caring for themselves, communicating their needs, and they end up protecting their ET tube. − Richard Woods, Utah

Over 50% of falls in the ICU occur in the setting of delirium, delirium increases the risk of falls by 3.85 times [26], and previous sedation and analgesia infusions increase the risk of falls by 60% [45].

Deep sedation is also an independent predictor of mortality and delirium, as it doubles the risk of dying in the hospital [34], and for every one day of delirium there is a 10% increased risk of death [15].

What’s more, delirium not only increases harm to patients, but also increases the amount of violence nurses [21] have to endure, causing them to fear for their safety and suffer from diminished self-esteem and inner conflicts.

Delirium also increases time in the ICU on average by 4.47 days and 6.67 in the hospital [12], doubles the nursing hours required for care [38], contributes to difficulty interpreting patients’ needs, and can increase nurse discomfort [39].

Caring for delirious patients also contributes to nurse burden [2], and delirium severity is actually a predictor of nurse distress [4].

Caring for another human that you just met takes a special kind of energy. But to care for a confused and combative stranger that you are also tasked with keeping safe is even more stressful and requires even more time and energy. − Roni Kelsey, Washington

Hypoactive delirium can be “safer” and “easier” to manage, but patients depend on nurses for turning, toileting, bathing, and nutrition.

In any case, when patients suffer from delirium, nurses lose the opportunity to have calm, compliant, awake, and engaged patients. They are deprived of connection and communication with those they work diligently to serve.

I honestly think losing that connection with patients during COVID was the hardest part for me. I lost a huge portion of the most satisfying part of my job and it hurt. − Tara Arroyo, Salt Lake City, Utah

When patients are sedated for prolonged periods of time, the burden falls on their nurses, who must do the awakening trial to unmask the delirium and agitation the patient is suffering from under sedation.

Nurses are held liable for unplanned extubations and yet they are often left alone with confused, scared, and hyperactive patients. This increases risks for nurses and patients and can contribute to RN stress and exhaustion.

Moreover, nurses are challenged and expected to perform all elements of care from medication passes to activities of daily living, all while patients are unable to participate in their care or voice concerns when heavily sedated and faced with an increased risk of having poor outcomes.

Watching patients suffer and then die despite great effort and care comes at a high price for nurses.

I extubated a patient and transferred them to the floor. I lost it and started crying. I realized at that moment that it had been so long since I had extubated a patient and they got better. − Liz McQueen, Colorado [7]

ICU-Acquired Weakness and RN Burnout

ICU-acquired weakness is the devastating loss of muscle mass and function that occurs in 50% of patients in the ICU [5]. It results in significant limb weakness and is associated with diaphragm atrophy and dysfunction.

This dangerous and burdensome condition rapidly develops as patients can lose 40% of lean muscle mass within one week of bedrest [43].

ICU-acquired weakness leads to more time on the ventilator and in the ICU, higher rates of hospital-acquired infections, and poor outcomes for patients.

The profound loss of physical function and prolonged time in the ICU increases the demand for nurses as patients become dependent on total care. ICU-acquired weakness also increases failure to wean from the ventilator by 15.4 times and time on the ventilator by 20 days in sepsis patients [17].

Patients who develop ICU-acquired weakness also require more nurses and ICU staff to initiate mobility.

Here’s what Tara Dagesse, an ICU nurse from Connecticut, shared about caring for patients with ICU-acquired weakness:

I cared for a VV ECMO patient who had a severe ICU-acquired illness from sedation and immobilization practices at a former hospital. They had been extubated but were previously on heavy sedation.

I organized to get this patient hovered to a chair and set them up with bicycle pedals. I did this when other colleagues were available to help with lines, tubes, and wires during the hover, but the rest I did on my own. I hadn’t consumed much water that day because the break room was far from the patient’s room; I actually went to my own emergency department after my shift for a kidney stone from the lack of access to drinking water during that shift.

It had taken such significant effort and organization because of the patient’s severe neurologic and physical disability from the sedating medications that we gave them. Their lungs were recovering via the ECMO, but we irreparably damaged this person’s brain and body from sedation in the process.

It is not an easy task to mobilize such a patient, and even though I was determined, organized, and motivated, I ended up having to put my own basic human needs last to provide what I felt was a successful physical therapy day for my severely debilitated patient.

I was proud of the result for the patient, but I was unsustainably fighting the impenetrable heavy sedation culture. I had little support for my patients to be successful and have good outcomes from that program, and the oversedation culture directly affected my mental health.

When we would eventually have patients awaken, they had ‘dead eyes’ and were fully dissociated or otherwise neurologically withdrawn from the lasting effects of the continuous heavy sedation.

Families don’t question the need for sedation because ‘they seem comfortable,’ but this was an unfulfilling way to practice nursing. I did not go into this field to harm patients and that’s exactly what we were doing. I considered leaving nursing altogether like so many of my colleagues because I was told ‘the grass isn’t always greener.’

I eventually left that ICU after realizing I could no longer ethically care for patients in that environment.

I now work for a different hospital with better working conditions and unit-wide support for limiting sedation and keeping patients awake and active on the ventilators so they can be part of their own care and interact with their families.

It’s much more rewarding and exciting to care for critically ill patients that actually get better because we utilize the ABCDEF Bundle as it was intended.

RN Burnout and the ABCDEF Bundle

Despite the challenges that delirium and ICU-acquired weakness pose for nurses and patients, the prevailing ICU culture of automatic sedation and immobility drastically increases the risks of these conditions.

Mechanical ventilation is not an independent indication for continuous sedation [14], yet in most ICUs, sedative drips are routinely started after intubation on all patients.

Sedation increases the risk of delirium by 2.268 times [30] and the severity of delirium [29]. In one study, patients who were free of sedation spent 4.2 fewer days on mechanical ventilation and 3.67-9.09 fewer days in the ICU than those who received interrupted sedation [40].

Sedation also causes the quickest and highest rates of muscle loss compared to other causes of muscular atrophy [31].

Nurses have the burden of keeping patients safe from adverse events such as falls and unplanned extubations. However, nurses are also trained to increase and prolong the use of sedation, which ultimately exacerbates delirium and ICU-acquired weakness, increasing these adverse events and the demand for nurses to provide total care.

The ABCDEF Bundle guides ICU teams to avoid sedation, provide prompt mobility, and protect patients and nurses from the risks and burdens of delirium and ICU-acquired weakness using the following tools:

A: Assess, Prevent, and Manage Pain B: Both Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs) C: Choice of Analgesia and Sedation D: Delirium: Assess, Prevent, and Manage E: Early Mobility and Exercise F: Family Engagement and Empowerment

A large study found that, on average, the ABCDEF Bundle decreased delirium by 25-50%, time on the ventilator and physical restraint use by 60%, 7-day mortality by 68%, discharges to anywhere but home by 36%, and readmission to the ICU by 46% [32].

Another study showed that ambulating patients within 36 hours after intubation increased their return to baseline functional status by 24% and decreased the duration of delirium by two days [37].

It’s also been shown that every additional 10 minutes of physical or occupational therapy decreases time in the hospital by 1.19 days [22].

At this point, it’s important to note that the ABCDEF Bundle requires interdisciplinary teamwork from physical therapists, occupational therapists, pharmacists, primary physicians, bedside nurses, respiratory therapists, and family to foster this all-encompassing, patient-centered approach [1].

The ABCDEF Bundle also fosters more team collaboration and improves the workplace environment. For example, one of the key tenets of these practices is mobility, which is a powerful tool for preventing and treating delirium and ICU-acquired weakness.

However, when patients are sedated, physical and occupational therapists are unable to provide meaningful therapy.

The main barriers to early mobility are sedation and agitation [41], which often leave nurses to struggle with agitated, delirious, and deconditioned patients by themselves.

But by allowing all disciplines to work together early on in an ICU admission to keep patients awake and mobile, most patients can remain cognitively and physically intact, which allows for more engagement in turning, mobility, and the care process in general.

Overall, as patients preserve their muscle mass and function at higher rates, less staff and equipment are likely to be required for mobility, and patients are likely to be liberated from the ventilator and transferred from the ICU far sooner.

This kind of collaboration, and the ability to ease workload offered by the ABCDEF Bundle, is demonstrated in the following case study:

A 32-year-old male patient with a history of obesity and polysubstance abuse was admitted to the ICU due to fentanyl overdose and aspiration pneumonia. He was intubated in the ICU and required a PEEP of 16 and 100%. A propofol intravenous drip was initiated at 30 mcg/kg/min. He became agitated and his propofol was then increased to 50 mcg/kg/min and he received midazolam pushes overnight.

The next day, the ICU team collaborated to investigate this patient’s condition and needs through the lens of the ABCDEF Bundle. As a result, it was realized that his agitation may be rooted in opioid and benzodiazepine withdrawal.

Enteral doses of opioid and benzodiazepine were given and propofol was discontinued. Six hours later, the patient was awake. He was given a whiteboard to write with and he remained awake but anxious at a RASS of +1 and CAM negative. While in bed, his oxygen saturations remained between 89% and 90%.

The following morning, the patient sat himself at the side of the bed with physical and occupational therapy. His oxygen saturations immediately increased to 93% while on a PEEP of 16 and 100%.

His anxiety and tension dissipated and he got himself to the bedside chair with the minimal assistance of line and tube management. He spent most of the day in the chair free of restraints and sedation at a RASS of 0 during the following three days before being successfully extubated. He was independently walking around the ICU and transferred from the ICU shortly after.

Unfortunately, the reality is that without utilizing the ABCDEF Bundle approach, this patient likely would have remained on high-dose propofol and would have been at high risk of delirium and ICU-acquired weakness.

The nurses attending to him would have also been saddled with the risks and challenges of turning a 350-pound flaccid body for days or even weeks.

His muscle loss from myotoxic propofol [46] and immobility would have led to severe and prolonged dependence on the ventilator and nursing staff. Delirium he would likely experience could result in agitation, failed awakening trials, more stress and monitoring, and days to weeks longer in the ICU.

The challenging irony is that although adequate ICU staffing ratios are required to practice the ABCDEF Bundle [3], failing to practice it puts even more strain on staffing ratios through increased time on the ventilator, time in the hospital, manpower to care for patients, readmissions to the ICU and hospital, health care costs, and the burnout of nurses.

All things considered, one of the most powerful tools to prevent and treat delirium and ICU-acquired weakness is mobility.

Because of this, many nurses are expected to mobilize critically ill patients, but unfortunately, they are often untrained and unsupported in mobilizing them.

This leaves nurses with the burden of continuing to provide exhaustive total care and monitoring to confused and deconditioned patients for prolonged periods of time without the ability to truly treat and resolve delirium and ICU-acquired weakness.

Luckily, the ABCDEF Bundle offers one of the most effective ways to advocate for adequate staffing ratios, as delirium increases hospitalization costs by 39% [27], ICU-acquired weakness increases costs by 30.5% [19], and the ABCDEF Bundle can also decrease health care costs by at least 30% [20].

A nurse-led early mobility initiative in a medical ICU resulted in a 57% decrease in mortality, a 33% decrease in time on the ventilator, and was projected to have saved $2,070,000 that year [13].

Another ICU found their nursing-led mobility initiative increased mobility by 43% and resulted in a 50-100% decrease in hospital-acquired complications [44].

These stats are useless if the resources needed to mobilize patients are not available to nurses. I don’t doubt their efficacy − but most ICUs just do not have the resources (specifically staff) to safely mobilize their patients.

Why is this? We would never deprive surgeons of soap and water to scrub with before surgery, as we have data that clearly shows the benefits of hand hygiene for infection prevention. If we have data that shows early mobilization in the intensive care setting results in better patient outcomes, why then do hospitals deprive their staff of the resources they need to provide their patients with high quality care? − Allison Diburro, Massachusetts

Still, the fact is many nurses may be unaware of the increased burden of sedation and immobility, and what is “normal” and familiar is often comfortable and accepted as unavoidable.

These practices may even be preferred, but nonetheless, even when unaware of the risks of these interventions, nurses are subjected to dealing with the psychological toll of seeing frequently poor outcomes for their patients.

Patient autonomy and nonmaleficence are core principles of nursing ethics [16], but sedation deprives patients of their voice and their autonomy.

Depriving patients of the ability to participate in end-of-life decision making can lead to prolonged treatments and severe ethical turmoil for nurses.

Nurses often struggle with the idea of providing treatments that they perceive as prolonging suffering or doing harm to patients [28].

We used to do things for patients and now we do things to patients. I used to leave work and had a sense that I made a difference. I missed time from family and friends for a reason, but now I have those moments less and less. We have the technology to do more and so we do more for a prolonged amount of time and we start to see the slow decline of a human into a failing body.

When you add sedation, you remove the patient’s voice, and delirium amplifies this tenfold. The patient can no longer advocate for themselves and families are left in moral distress deciding what to do. − Roni Kelsey, Washington

Nurses that know the harm of sedation and immobility, but lack support from their teams, face unbearable moral injury when unable to provide optimal evidence-based care for their patients.

They are forced to witness and struggle to treat the often preventable harm of delirium and ICU-acquired weakness [10], and when they know the life-long damages and increased mortality survivors will face from these conditions after the ICU, they are left with severe ethical turmoil [6].

I left my critical care training position due to a toxic work culture and my own moral distress of watching patient after patient be put on a pathway to delirium.

My introduction to the ABCDEF Bundle occurred on the final day of didactic training. The only motivation provided for adhering to the bundle was that we had to demonstrate proper charting of the elements or else face consequences – there was no explanation of the inherent purpose or value of the bundle itself.

In practice, I observed patients appearing significantly oversedated, with RASS assessments that seemed inconsistent with the clinical presentation. Spontaneous awakening trials were attempted sporadically and incompletely. When I raised concerns regarding these issues, the responses typically referenced patient comfort, with explanations such as ‘it’s not nice to have a tube down your throat’ and ‘the patient needs to sleep.’ Potential consequences of oversedation, such as delirium or delayed weaning, were not discussed.

I went into the ICU excited about being challenged with complex medical puzzles. But in the end, the moral distress of putting patients down the path of deconditioning, oversedation, delirium, and long-term consequences, such as permanent disability, was too great for me to participate any longer. − Annie, California

I often shared awake and walking concepts with my coworkers and attempted to convince others to remove restraints, use other forms of treatment for agitation, rather than sedation, and advocate for extubation.

Repeatedly my attempts were shut down. I witnessed so much dehumanizing care that caused an amount of moral distress through which I could no longer work in the ICU. My own patients benefited from the removal of restraints, being allowed to be awake, move freely, and make their own end-of-life decisions while on a ventilator. I could not understand why others would not be willing to do the same. − Anonymous ICU nurse from Missouri

Nurses work incredibly hard for their patients, but they need to have as many calm, communicative, compliant, and functional patients as possible in order to ease their workload.

It is time for them to have real human connection and communication with the souls that they are diligently serving, and in order to do this, they must practice the ABCDEF Bundle, which enables optimal teamwork, collaboration, and support of nurses.

They also deserve to know they are giving their patients the best chance to survive and thrive and have the reward of watching patients succeed and walk out of the ICU doors [9].

When we started the ICU Liberation Bundle in our ICU one of the nurses was so excited to help his intubated patient have a ‘normal’ bowel movement in the commode instead of a loose stool in a bed pan. He was able to give his patient back some dignity and felt like while he did more work, it was more rewarding work. − Roni Kelsey, Washington

As we deal with this current nursing shortage, it’s important for us to make use of evidence-based sedation and mobility practices, which can lead to improved outcomes for both nurses and patients [11].

We must support nurses in their quest to master the ABCDEF Bundle so they can better handle their workload, workplace environment, bed flow, human connection, job satisfaction, and burnout [8].

The whole point of doing the ABCDEF Bundle is not to do the ABCDEF Bundle. It’s to facilitate better and more nurse-rewarding outcomes. ABCDEF is not the goal. The goal is what the ABCDEF elements bring.

As someone who has done trauma, ER, MICU, COVID, and now does a lot of surgical heart work, the ABCDEF Bundle gets my patients to where I enjoy the care.

Getting my patients awake so they can get better gives me satisfaction and joy. Getting them awake to communicate with loved ones is hard work but it feels better than just turning every two hours for sedated, flaccid, and atrophying bodies. − James Fletcher, California

Do you want to turn your ICU into an Awake and Walking ICU? Contact us today to find out how we can guide you through the transformation.

References can be found here.

#icu care #ABCDEF Bundle #icu nurses #burnout in nurses #nurse stress #icu patients

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ao3feed-destiel-02 · 1 year ago

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Chances Are You've Made A Very Poor Career Choice

read it on AO3 at https://ift.tt/GrSeAKH by HeartOfStars The year is 2013. Sam has just taken on the trials to close hell, Dean is simultaneously trying to make sure his brother doesn't die and continuing to process everything that happened in Purgatory, and when they need him most, Castiel is nowhere to be found. In the midst of all this, a case springs up in the middle of Utah involving an ancient pizzeria, possessed animatronics, and the realization that the brothers may have been there before. At the same time, as well as twenty years earlier, the year is 1993. Mike Schmidt has just accepted the job of his dreams. AKA the Supernatural-Five Nights At Freddy's crossover that somehow doesn't already exist (at least, not the way this has been written). Is this an absolutely insane idea? Yes. However, it was begging to be written, so here it is. Enjoy. Words: 3017, Chapters: 1/?, Language: English Fandoms: Supernatural (TV 2005), Five Nights at Freddy's Rating: Mature Warnings: Creator Chose Not To Use Archive Warnings, Graphic Depictions Of Violence Categories: Gen Characters: Dean Winchester, Sam Winchester, Michael Afton, Henry Emily, Castiel (Supernatural), William Afton | Dave Miller, Marionette | The Puppet, Mike Schmidt (Five Nights at Freddy's), Classic Animatronics | Five Nights at Freddy's 1 Animatronics, Jeremy Fitzgerald, John Winchester, Original Male Character(s), Original Female Characters (s) Relationships: Dean Winchester & Sam Winchester, Michael Afton & William Afton | Dave Miller, Castiel/Dean Winchester, Castiel & Dean Winchester, Michael Afton & Henry Emily, William Afton | Dave Miller & Henry Emily, Michael Afton & The Crying Child, Dean Winchester & John Winchester & Sam Winchester Additional Tags: Supernatural-FNAF Crossover, yes I understand that that is kind of an insane combination, but also fnaf feels like a thing that could very easily have been a supernatural episode, Alternate Universe - Fusion, Horror, in both the supernatural and fnaf sense, so be careful, Gen or Pre-Slash, honestly you can read the casdean interactions however you want those bitches are weird, Angst with a Happy Ending, Michael Afton is The Crying Child's Older Brother, Sam Winchester Needs a Hug, Michael Afton Needs a Hug, Everyone Needs A Hug, Psychological Trauma, Time Shenanigans, it's confusing but it'll get explained later, Michael Afton Doesn't Get Scooped, Dean Winchester Being Dean Winchester, Season/Series 08, Body Horror, Child Murder, Mike Schmidt Being Funny, really he's a riot, Parent Henry Emily, Hurt/Comfort, Blood and Gore, Springtrap Being Generally Terrifying, good old family bonding time, Bad Parent William Afton | Dave Miller, Bad Parent John Winchester, god these tags are a doozy, Have fun everyone read it on AO3 at https://ift.tt/GrSeAKH

#IFTTT #ao3feed #fanfic #(your tags here)

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romanmarble · 1 month ago

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This is not a coping strat I’m just reposting the op because thank you for making me think of that final again, it’s been so long.

Honestly, I think it’s an exodus. I think there’s no connection afterwards, I think it’s a tale as old as a Shakespearean tragedy. The prodigal son goes off to depart from his family once more, and spend his inheritance in some unforeseen, faraway land. He leaves the younger with a newly-attained sword wound, and a joke about Americans.

Wilbur can’t stop Tommy from writing his ninth symphony—to be slain again, and resurrected again by his smiley-faced enemy. I think if there was anything, I think c!Wilbur would sense he had lost a brother, in that unfathomable realization like a mother to a son. Maybe it’s Mumza who breaks the news, maybe it’s just a feeling.

The dsmp had to end like it began, some man haunted by the symphony of absolute detonation. I think c!wil is off somewhere in a gas station or a motel, getting use to how his hands aren’t just blocks, and how his old world is dead. Maybe he finds relief in that. I don’t know.

I wish it had ended with Tommy and Tubbo running to the sea-like portal where Wilbur disappeared to, to start some underground ring in Utah, make a circle analogy instead of a new start unused. I don’t know, poor guy.

How do you guys cope with the C! Wilbur finale? Do you have headcanons that Wilbur stays in contact with Tommy and other people via letters or phone call after going back to Utah? Do you headcanon that Tommy(and I've also seen Quackity in these headcanons) tried to find Wilbur and actually succeeded?

#dsmp #dsmp lore #c! wilbur #c!wilbur #c!tommy #c!tommy lore

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aristocratic-otter · 2 years ago

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Get To Know Me

Thanks for the tag @cutestkilla, @you-remind-me-of-the-babe and @angelsfalling16. This looks interesting!

Under the cut for length

Relationship status: Married and I just had my 25th wedding anniversary. So married for a long fucking time!

Favorite color: kinda depends on the use! Silver is my first response, but to wear I like jewel tones and for decorating I like ocean colors. So all over the map, but I can definitely say I love color!

Favorite food: My family likes to joke that everything I eat is cheese and bread. Grilled cheese, pizza, quesadillas, macaroni and cheese. I've got the palate of a five year old. I do love popcorn and chocolate though!

Song stuck in your head: If it gets stuck, it's almost always something from Hamilton. Shit's catchy, man.

Last thing you googled: "Jacob's Inn, Oxford" for a fic, but you'll have to wait and see which one.

Time: 11:41 pm

Dream trip: The British Isles. So much of the history I love to explore is found there. I come from a place where the oldest house is probably fifty years old. I want to stand in a place where the history is reckoned in thousands of years, not tens of years.

Last book you read: Just relistened to Boyfriend Material in prep for the new book coming out. There's a lot of that going around, I've noticed 😏

Last book you enjoyed: Same. I mostly read fanfic these days.

Last book you hated reading: I'll probably get a ton of shit for this, but it was Song of Achilles. Not because it's sad. That's a perk, honestly. I just couldn't get into it. The writing style was too dry and unemotional for me. I still have it on my dresser to finish, and I probably will because my daughter got it for me for Christmas, but I'm not looking forward to it.

Favorite thing to cook/bake: I'm not much for householdy things, but I do love cooking pancakes. There's something aesthetically pleasing about waiting for the bubbles to form and pop and finding the exact shade of golden brown on the other side.

Favorite craft to do in your free time: I've been trying to learn origami without much luck. I'm not particularly crafty, but I do love scrapbooking, I just don't have time for it.

Most niche dislikes: Onions. It's a constant trial because nobody believes that I can actually hate onions that much. They hit my Autistic texture squick and I hate the flavor, so it's a double whammy. But most of the people in my life think I'm a drama queen for constantly questioning wait staff about the onion content of the food on the menu.

Opinion on circuses, now and in history: Hmm...I enjoy the idea of them, the circus life. I like reading stories about it. Historically they're pretty horrific, but the idea of a life on the road, free of care except for caring for each other...it's pretty attractive. I've seen both Ringling Bros circus and Ka from Cirque de Soleil, and they are quite the pretty spectacle, but not something I seek out in my life.

Do you have a sense of direction, and if not what is the worst way you’ve gotten lost: I inherited my mother's shitty sense of direction, but I'm self aware and use directions apps constantly, so I seldom get lost. That said, I definitely have a getting lost story, though my husband was driving. We were driving to Bear Lake, Utah in midwinter because that's when I had time off. It started snowing as we drove up the state of Utah from St. George, and never stopped. The roads got slippery and icy, and we're Californian. We don't know how to deal with that. So we drove like snails, and therefore didn't arrive at the turnoff to our resort until one am. Now, the road to the resort was a single lane switchback and it was coated with snow. We couldn't even see the lane lines. We stopped and my poor husband spent half an hour out in the freezing weather to put chains on our tires and then we inched our way down the mountain in utter terror. We arrived at the town of Bear Lake at past two in the morning. NOTHING was open. We drove to our resort; they'd told us there'd be a key waiting for us in the box outside the office. We drove up a driveway covered in unbroken snow and found an office, and a box, but no key.

At this point, we were shivering in insufficient heating in a tiny compact car, me, my husband and our three year old son, and we were facing having to maybe spend the night in the car until something opened. We drove around the property several times until we realized there was a different office and found our key. Then we drove to the block of rooms, and dragged ourselves, our luggage and my kid through the snow, past every downstairs room and couldn't find one with our room number. All of the upstairs rooms appeared to have employee names on them. We circled the building. I was crying, the baby was wailing and we were all exhausted and terrified. Then we found that there were a couple of upstairs rooms that weren't set aside for employees and one of them was ours.

It was the closest I've ever felt to dying, honestly.

Funny thing is, that trip on our return found us passing through a hundred-year flood in Utah, where half the city of St. George was underwater, so this trip definitely gave me years of stories to tell!

Tagging some friends! @artsyunderstudy, @bazzybelle, @carryonsimoncarryonbaz, @fight-surrender, @fatalfangirl, @facewithoutheart, @johnwgrey, @krisrix, @moodandmist, @otherworldsivelivedin, @giishu, @frjsti, @ivelovedhimthroughworse, @penpanoply, @prettylightsbigcity, @palimpsessed, @subparselkie, @tea-brigade

#Tag game

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zonie-az · 2 years ago

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I get that, I do kinda project with a lot of characters. Honestly tho I’m kinda grasping of of little character interactions he had like w/ Florida. It screams sibling rivalry and would make interesting interactions with the chaos duo Florida and Louie. Even more than that, as little as it was, I for some reason couldn’t stop thinking of that one little interaction with him and Alaska. So now I’m thinking of what interactions they would have and everything. But just AZ interactions in general.

I have projected so much onto Ari,

I do think he can cause lots of chaos, I always have him running around yelling.

my boys are the four corners so I usually have Ari with them, I love love love him and New Mexico together.

he throws water bottles at people and yells at them to drink water but then doesn't drink water himself. cause he a desert he doesn't need it (someone probably Utah yelling at him that that's not how that work)

I also have him love all his desert animals while I haven't seen it in the videos much we do have a decent amount of laws to try and keep our desert safe and not hurt it more. He will 100% pick up bark scorpions and move them cause they get stepped on in the road. the poor baby. also hurt his cactus and he will murder you put you in jail

#welcome to the statehouse #welcome to the table #ben brainard #wttt #the table

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alliluyevas · 9 months ago

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One thing that I'm learning a lot more about that I'm finding fascinating is the evolution of Relief Society (the church-run women's organization), and change over time through the different administrations of its leaders, and how Relief Society presidents interfaced with both lower-level leaders (who were typically though not always younger and often with different priorities) and with the external influence of male church leaders (Relief Society President is the highest-ranking position in the LDS church that is held by a woman).

I know a fair bit about the lives and biographies of the first several Relief Society presidents (namely, Emma Smith, Eliza Snow, Zina Young, and Emmeline Wells) but the only later RS leader I knew anything about was Amy Lyman and in that case not very much, and I hadn't really read anything specifically looking at these women's Relief Society administrations and comparing the bureaucratic leadership and general tone of the organization over time.

It was really interesting to track the change in focus--part of which I think was generational but also just based on the personalities and beliefs of the women themselves. Like I don't think it would be fair to Eliza Snow to characterize her as an anti-feminist but I certainly don't think she was really a proto-feminist either and in general she was considerably less interested in women's rights issues and suffrage than someone like Emmeline Wells who was a generation younger, and while EW was definitely still very proud of her Mormon identity and with specifically promoting the goals of Utah women, she was much more willing to and excited about working with non-Mormon women's rights activists around the country and a lot less isolationalist than Eliza Snow was.

But then going into the 20th century, Emmeline Wells is now an elderly woman who is respected as one of the last of the pioneer generation but also definitely seen as a bit outdated by up-and-coming Utah-born Mormon women like Amy Lyman, who is young enough to be her granddaughter and has a dramatically different vision for the Relief Society that moves away from seeing it as a locus of female spirituality and focuses on social work and charitable causes, and which Emmeline Wells feels is too secular.

I also didn't know EW was forced to step down from the Relief Society Presidency by male leaders, I had read that she had stepped down due to age and poor health (she was 93, whereas previous RS presidents had served until their deaths but had died in their 80s) but apparently that wasn't her choice and she was pressured into it. Apparently she was devastated and was basically bedridden and crying off and on until she died only three weeks later, and I honestly do feel horrible for her. I do think she likely should have retired earlier but no one ever had before and it sounds like the way they handled it was pretty cruel and made the last weeks of her life much more emotionally painful than they would have otherwise been. (I also want to point out that none of the male church leaders have ever retired or been forcibly retired, including several prophets who were well into their 90s, several of whom seem to have been experiencing major cognitive decline, and the current prophet is literally 99 years old.)

Then Amy Lyman ends up bringing in a very different, more "modern" and more secular form of Relief Society, but also clashes with male church leaders who are by this point getting much more hardline conservative and disagree with her both about politics around welfare and about what a women's place should be, and then she in turn is practically forced to step down over a scandal involving her husband having a secret second wife (which was news to her too) and replaced by Belle Spafford who was less progressive and worked more in line with male church leader's expectations, and then you get a Relief Society that becomes more of a social club for homemakers and eventually opposes the ERA.

Very interesting!

I've been reading the newly released American Zion: A New History of Mormonism by Benjamin Park, which I would definitely recommend. I had a bit of a hard time connecting with it at first because it's a historical overview and especially when it comes to 19th century Mormon history I already had read about most of what it covers in more depth, but a) I think the target audience of this book is someone with less historical knowledge about Mormonism than I have b) I think it does provide a very solid and nuanced overview of the material for that person who is not willing or able to read 20 different books about 19th century Mormonism c) now that we're in the 20th century, which overall I know much less about in terms of Mormon history, a lot of this is new to me or has details or analysis I didn't know.

#the whole situation with Amy Lyman's husband is Crazyyyyyy too rip.

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