Paul's Passing Thoughts

A Blog for TANC Ministries

Posted in Uncategorized by Andy Young, PPT contributing editor on February 19, 2016

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The Stolen Election: Reason For Optimism is Yet a Reality

Posted in Uncategorized by Paul M. Dohse Sr. on January 21, 2021

Clearly, the election was stolen, and both parties are totally ok with that. Yes, indeed, it could spell the end of America as we know it, but that is not certain and probably unlikely. I continue to be amazed at the genius of America’s founders. No matter what happens, it would seem they saw it coming, and a stolen election by a one-party system posing as two is no exception.

The key is the balance of powers and the separation of powers. For example, it is unlikely that all states or counties within states would go along with gun confiscation. Some counties have declared themselves, by law, sanctuaries for 2nd Amendment rights.

A good person can have a slow progression of cancer. If cancer is not diagnosed and treated, it will eventually kill the victim. Donald Trump exposed the cancer. The next four years could be the treatment, and America could end up being better than ever. This is not wishful thinking; it’s reality, and likely.

Regarding the strategy of Donald Trump’s populist movement going forward, the relevant question is evident: should he start a third party or continue to reform the Republican party?

First, due to the voter fraud issue, Trump’s endgame may not be the White House. He may conclude that widely accepted voter fraud will make that improbable for him. His focus may be the balance of power in the House and Senate. However, a third party with the following Trump has could change what the swing states are on the electoral map to states that enforce fair elections. If Trump maintains a following of 70 million-plus, that makes his options significant.

Many political pundits, such as Jesse Watters, do not take a third party run seriously, but no third party has ever mustered the massive support that Trump has. And, again, splitting the electoral vote three ways could make the five corrupt swing states meaningless table scrapes to be fought over by the Democrat and Republican dogs.

All in all, Trump has significant options open to him. And if not him, it’s a movement that will produce another outsider who has a model to follow and lessons learned. A third party would transfer the power of the movement’s ideas from an individual to a party.

We would do well to remember how a third party can shift the balance of power; viz, Ross Perot. Clearly, his limited popularity handed the Presidency to Bill Clinton in the 1992 election. He garnered 20 million votes in 92 and almost 9% of the vote in 1996. Nine points is a bunch.

However, Trump could reform the Republican party; perhaps that’s what his foes fear most. He might take some time off to rest, get involved in primarying his political enemies in the Republican party for the next two years, and then run for 2024 in the two years after that. It was announced yesterday, already, that Liz Cheney is being primaried. She is far from being the last. But, that doesn’t deal with the voter fraud issue.

And, is the laugh factor about a third party run for Trump more or less than him running for president, to begin with? Remember this: George Wallace won five states as a third-party candidate in 1968 and Theodore Roosevelt won 88 electoral votes (and 30% of the popular vote) as a third-party candidate in 1912.

There is a first time in history for everything, and a third party’s time may be upon us. Of course, political pundits will reject this idea out of hand as if they have been right about anything in the past eight years.

What will be Trump’s strategy if he survives an onslaught to prevent him from running in 2024 (which is likely)? We will have to wait and see, but America’s slow death was a given until Trump came along and a bright future for America is well within the realm of reality.

paul

Revelation Series Returns: The Six Seals Part 2

Posted in Uncategorized by Paul M. Dohse Sr. on January 17, 2021

Dementia and the Empathetic Nurse Aide

Posted in Uncategorized by Paul M. Dohse Sr. on January 16, 2021

By Paul Dohse STNA/MA-C 

Important news flash: Dementia residents know things, and are right about things; it is the nurse aide’s job to interpret their communications accordingly. Like many different conditions of cognitive decline, Dementia residents will project confusion, behaviors, and a distortion of reality to varying degrees. However, this is not a license to be dismissive towards Dementia residents, especially when the tyranny of the urgent is bearing down on a nurse aide during a shift. And for that matter, a nurse as well.

Furthermore, if a Dementia resident’s communications are not being properly vetted and interpreted, it will most certainly contribute to the resident’s decline. We will begin with the emotional and mental standpoint. Dementia residents are subject to the same emotional challenges that cognitively healthy people are subject to. That includes losing patience, depression, etc. How we communicate with such residents can either add emotional and mental challenges to their existing condition or subtract from it. If we communicate and respond to these residents unwisely or in a dismissive way, we are directly responsible for their subsequent decline. This is a subtle abuse of the worst kind.

In all that I am about to write, there is a major driving principle: they are us. They need more than our sympathy, they need our empathy. They not only need it—it’s our job. A nurse aide without empathy is no nurse aide at all. They are pretend nurse aides. Yes, in every situation with a Dementia resident, it is good to ask, “If I were them, how would I feel or what would I want done?” But, that falls a little short because there is no “if” in empathy, we are them. We put ourselves in their shoes because all of humanity is in the same boat. They are still basically just like you and me with all of the same desires and elements but in a different situation. When you see an aide executing a meal assist (no, the resident is not a “feed,” we are not taking care of cattle), and they mix all of the resident’s pureed food together into one pile on the plate, you can conclude that aide has no knowledge of empathy via this simple question: Do we mix all of our food together before we eat it? “Can I please have my chocolate cake now so I can mix together with my pork and beans?” The possibility of a humanity disconnect can cross many different spectrums of care and will always lead to overall decline in wellbeing. Our goal is the best wellbeing possible in any given situation.

As an agency nurse aide working in several different facilities across the country, I am appalled at some of the conversations I hear between Dementia residents and aides. First of all, as an aide, if you find yourself in an argument with a Dementia resident, you are not only wrong, but posturing incompetence. Shockingly, the one I hear most is an aide correcting a resident about the reality of a family member still being alive. Perception is reality for that resident. And by the way, in many circumstances, for us also. We have our own arguments with reality because of what we want to believe at times. Again, to one degree or another, we are all in the same boat. When a resident says a deceased spouse is coming for a visit, that communication is easy to interpret; it is not in the realm of reality. As aides, we use diversion at that point. In other words, we change the subject. We don’t play along because that’s a dignity issue. We meet them where they are at the best we can according to reality. Diversion usually works. You change the subject to what is being served for breakfast or what they should wear for the day. This prevents an emotional controversy and  refocuses on what is true. I would also add that it is safe territory for the aide. We listen to the same story from them over and over again as if it were the first time we heard it. Correct them if you will, ie, “You already told me that story,” but they will forget that you corrected them.

And we never use delusions to manipulate. These residents are not to be treated like children and besides, it is even wrong to manipulate children with fantasy to begin with. You don’t play along with the delusion in order to manipulate the the resident to do an ADL so your shift will run smoother. “Well, if you want to be ready for your husband’s visit in time we better hurry and do such and such.” No, change the subject to something that is today’s reality; manipulation and dignity do not coexist.

I once was assigned to an elderly gentleman at an AL facility. I knocked, and walked into the room and introduced myself. He was very much like one the guys. We talked about football and several other guy things. I left his room very excited and ruminated about how great it was going to be taking care of him and how we were going to be like friends. Further along in the day, I excitedly returned to his room to check on him. Upon entering, it became evident that he didn’t remember me or my first visit. I was stunned, and crushed. But so it is. When I collected myself, I reinterred his world on his terms, interpreted his communication, and responded in a way that delivers the best care possible. Sometimes, however, we can share in some harmless unreality. While on contract at a facility, I took care of a guy who called me by a different name every day. I rather enjoyed it. Curiously, he remained consistent with the new names throughout each day. There was no need to correct him as I knew who he was talking to. I later found out the names coincided with people he knew throughout his life. I neither affirmed his error or argued with him about it. Aides are not cognitive experts; we do not know whether or not correcting a resident will improve their cognitive condition. Never argue with a resident.

Much more could be said about emotional wellbeing, but let’s move on to some physical considerations. Moving forward, we will look at isolation and activities of daily living (ADL). Facilities are notoriously understaffed and aides are constantly under siege by the tyranny of the urgent. The urgent is whatever makes money for the facility and much of what the residents need does not make the facility money. The aide must be equally concerned with both.

The point I want to get to follows: leaving a resident in bed all day, for the most part, is a low standard of care unless absolutely necessary. It’s isolation. This, we can conclude: less activity always diminishes quality of life. The body is made to work and lack of activity leads to bodily functions shutting down. This includes the cognitive and the physical and both are interconnected. Besides, if an aide is doing what they are supposed to do, leaving a resident in bed all day is nearly as much work as getting them up. I will just tell you the way it is: nurses judge aides by how many people they get up that can get up. Even though the nurse doesn’t say anything and might even treat you with respect, do you still feel like you are being judged poorly? It’s because you are. Why am I parachuting this into the subject? Because activity experiences for those with Dementia is even more important for them than those who are cognitively healthy. The latter are more able to handle it emotionally. In addition, commonsense tells us that less cognitive activity will lead to more cognitive decline.

Moreover, in all cases, too much time in bed can lead to pressure sores, which in and of themselves can lead to significant health problems, and additional issues that Dementia residents do not need. Inactivity can also lead to constipation, loss of appetite, sleep disruption, depression…really, the list goes on and on. Hence, we must remember that whatever is a challenge for the cognitive healthy person is more so for the one who isn’t, especially when there is an inability to describe symptoms to others.

This brings us back to interpreting the actions and communications of those with Dementia. They do know some things definitively and they need to be heard. Complaining about pain is not always a behavior, it may be real. Nurse aides need to recognize the pain and evaluate it (in regard to what we report to the nurse) through verbal and non-verbal criteria. Too many nurse aides conveniently chalk it up to behavior because their pain isn’t our pain. That is, we forget how much we disdain being in pain, and forget they are no different from us. Lack of empathy assumes they are of a different sort of humanity than we are or at least a lesser one.  It should be more like this: “Joe is complaining of bad pain in his legs (Joe is screaming, “My legs! my legs! over and over again nonstop and driving everyone on the hall crazy). Here are his vitals (let the nurse evaluate). I took my hand and pressed lightly on his leg while asking him where on his leg that it hurt. During this time, he stopped yelling, until I touched his knees. His knees look swollen to me. I think he has having some real pain.” This is what we need to do, but the nurse will probably pass out.

Meet Bob, not his real name. He is a dementia resident somewhere in the United States. His agency aide has noted on the care sheet that he is incontinent. Yet, Bob incessantly yells “help, help, help” nonstop for long periods of time. When the aide asks what he needs, Bob insists on being helped to the bathroom. Bob must be transferred with a lift, and the aide just returned Bob to his wheelchair after transferring him to his bed to check his brief. The aide assumes Bob is being behavioral, and tries to divert him to no avail. Finally, after Bob yells “help” nonstop for more than 30 minutes, the aide figures out a way to get Bob on the toilet. Bob then unleashed a massive bowel movement. The bowel movement was also formed, which means it couldn’t have been completely discharged with a brief on. Try it sometime. Perhaps STNA schools should require students to have a bowel movement in a Depends in order to get a passing grade. It would be less abusive because the student could sit up, push some out, and then flatten the formed bowel movement against their bottom a little at a time. The student should then be required to sit in it for at least an hour and while eating a meal as well. Be sure to enjoy the meal.

Though gross to think about, that’s empathy. You enter into another person’s life and try to imagine what it would be like for you. If  you were in that situation, what would you want others to do? Well, that’s what you do because you have empathy. And that’s what you do for Dementia residents because you have empathy, and that means…

…you are a real nurse aide.

History and Recent Events Are the Residual Effects of Core Bible Truth, But We All Need Salvation

Posted in Uncategorized by Paul M. Dohse Sr. on January 3, 2021

Your problem with God is sin. That is what stands between you and God. However, the true definition of “sin” is a bit tricky. Freedom versus slavery is a dominate theme in the Bible. Now, so-called Bible scholars would say the Bible is using the slave/master motif to illustrate man’s slavery to his own sinful will and nature, but that’s not exactly true.

The fundamental problem with church orthodoxy and religion in general follows: it demands a strict dichotomy between the existence of God and humankind. It makes the only true freedom a freedom from this life. Mortals are in slavery whether they recognize it or not. They are, supposedly, enslaved to their own sinful desires by virtue of being mortal. Hence, there is no real freedom in this life—life equals slavery, and the only freedom is freedom from mortality. The church double-speaks on this by adding the phrase “in Christ” to everything. “Sure, oh my, yes, you are free…’in Christ.'” Translation: in reality, you are enslaved by your mortality, which is synonymous with evil. Jesus is merely a ticket to future freedom. We will let you assume we are speaking of the present in order to deliberately deceive you.  

This is Dualism: the material world is evil and the spiritual world is good. And, since mankind is material, he is inherently evil, or totally depraved. This is a core philosophy that drives all religion and politics. This is why the Evangelical church is getting in bed with Marxism. Fundamentally, they believe the same thing. It’s not hard to understand; during WWII, Communism was better than Fascism and the West took advantage of the division between the two. However, leaders like General George Patton recognized that once Communism was used to get rid of Fascism, we should have moved to eliminate Communism as well because both are anti-freedom. The church believes freedom is a misnomer; like Communism, it believes mankind cannot truly be free and too much freedom merely frees men to be more and more selfish. To the church and religion in general, political and practical freedom gives mankind more freedom to live out the unfettered slavery to total depravity. Hence, the church is either overtly Marxist, confused about the issue, passive, or all show and no go.

This also speaks to human value and ultimately, life value. If you value life, justice is important. Trust me on this: justice and life value are synonymous. The lawless do not value life. You may notice that people have an intuitive need to see justice prevail; that is directly related to an intuitive love for life that is infused into most people born into the world until their consciences are retrained by proponents of Dualism. The church is anti-abortion because it is confused about its own Dualism, but to a great degree, that is changing.

So, the rule of law is all about putting a value on life. Lawlessness dismisses justice because it doesn’t value life.

What does the Bible say about all of this? Well, yes, sin came into the world, but the world is still basically a good thing because God created it. The Bible DOES NOT make a strict dichotomy of good and evil being defined by material and invisible. Dualism is a philosophy that defines sin itself; Dualism is sin’s ultimate organizing principle. And, Dualism requires a middleman. Without a middleman, the individual is free to have a conversation with God directly and decide on individual conclusions. This totally upends Dualism by suggesting the individual has ability. We must have…watch for it…additional mediators between God and man because mankind is unable to understand God.

Dualism is the original political religious doctrine presented to Adam and Eve in the garden. “Did God really say?” Was the serpent not saying that he was a needed mediator between the two (Adam and Eve) and God? Of course he was. Am I saying, for all practical purposes, the serpent was the founder of the church, Communism, and the Democrat party? That’s exactly what I am saying. They are all saying the same thing, and any Churchian, Communist, or Democrat who doesn’t understand that is confused. In simple terms, in the final tribunal of God, every case involves one individual, and there will be no attorneys in the courtroom except Christ. But, as we will see, that analogy is good for this paragraph only and is far from the truth we are looking for. Nevertheless, it would be good to add here that this is the fundamental organizing principle that the founders of America understood: the ability of the individual and personal responsibility. Self-rule, if you will. Historically, this principle has been considered metaphysical blaspheme. But, the results speak for themselves.

The danger in this discussion is to devalue the need to be saved because the Bible indeed teaches that mankind is basically good. Humankind is basically good because God created it and everything God creates is “good and should be received with thanksgiving.” Every individual, according to the Bible, is born with the law of God written on their hearts with the conscience either excusing or accusing them according to their works. The human conscience is part of being created in the image of God. Whether or not an individual lives by their conscience is a paramount mental health issue.

So, while everything we see in the news and trending politics connect to Dualism in some way, what does the Bible say you should do? It says you should be born again. This frees you totally in the here and now. Individualism gives you practical freedom, which leads to a much higher quality of life in the here and now, but the new birth gives you complete freedom for eternity. Both saved and unsaved people do good works, but good works will not save you. Even Hitler did good works. The Bible says demons know the truth, but they aren’t saved either. However, with that said, I believe right motives do save you. Look, regarding the theological dark age we live in, what I refer to as the “Protestant Dark Age,” I do not believe God sends people to hell for not having their biblical ducks lined up perfectly. Fact of the matter is, it’s complicated stuff. On the other hand…

…love is about motives and sin is about enslaving others.

There is an interesting verse in the Bible that states the following: everyone who comes to God must believe he exists and is a rewarder of those who do good. The reward is not salvation; the reward is peace in this life and the life to come. The good doing is not to prevent consequences, but because it is the right and just thing to do, or it is how you would want to be treated. We don’t want to receive help from people who are being compelled do we? No, we want to receive help from people who want to help us, right? Right motives flow from a loving heart. Motives matter. I believe a desire to have the right motives is a godly motive as well. Love is closely connected to godly motives if not the same thing. Being born again can be experiential or non-experiential. I do not think perfect theology is the prerequisite for being born again; I think right desires are. In the Bible, a strong desire to control others is intrinsically linked to condemning sin, usually because you think they need to be controlled by yourself because you are better and smarter than they are.

For purposes of this article, we will look at one way the Bible frames sin. Sin is a master that is controlled by a desire to control others. There you have it; that’s how the Bible defines sin. Sin is a slave master utterly controlled by a desire to control others. The Bible then states what sin uses to control people: condemnation. It goes like this: “Since you are totally depraved, and a loser by my definition, you need to salvage what’s left of your miserable life by obeying my wisdom.” Now, it is interesting how “wisdom” is defined by Dualism. True wisdom understands that there is no wisdom. Got it? True knowing is understanding that man cannot know. True knowledge is knowing that there is no knowledge that can be known. Thinking that you can know is the epitome of arrogance in both the secular and religious realm. Definitive knowledge does not exist in the material realm. If you start paying attention, you will see this everywhere you look. Transgenderism, Common Core Math, the list goes on and on.

So, sin seeks to control you by proving that you are a bad person to yourself which leads to you relinquishing self-rule for your own good and survival. This, again, is everywhere you look, whether Critical Race Theory or a myriad of other trending fads. Self-rule is posed as the ultimate danger to humanity. Sin loves sin because it proves the point. Sin rejoices in evil. Where sin falls short, slander fills the void.

According to the Bible, Christ frees us by eliminating sin’s primary weapon: condemnation. No condemnation, no sin. No sin, no slavery. What the Bible refers to as “the law,” is really a very general term referring to all knowledge about salvation. In one respect, the law is good because it upholds life value and the value of what God has created through justice. In another respect, the law is condemnation, which is what Christ died to eliminate. This is not a legal loophole for those who want to use grace (God’s love in action) for a “cloak of unrighteousness.” Those who are born again aren’t looking for a license to sin, but rather desire to please God. Again, it’s about motives. With that said, our assurance comes from the fact that God has no law that can judge us. We are no longer “under law” but “under grace” (under love). I recently had a discussion with a Catholic about all of this. He is hoping that he has obeyed God well enough to make it into heaven.

Full stop. Many times, when the Bible speaks of law, in context, it is referring to what religions say the law is. In religion, the particular laws of a church fulfil the law of God and thereby prevents condemnation that damns one to hell. In other words, mediation through church authority. Only problem is, Christ cancelled all condemnation in all laws. I shared that with this fellow. “What are you talking about? Christ died to remove all condemnation from the law. When you appear before God, he will have no law that can condemn you.” ‘But I don’t keep the law perfectly.’ “Well, do you keep the law at all because you want to please God?” ‘Of course I do!’ “Well, there you go, the Bible says love fulfills the whole law, so, end of discussion.” In other words, all church does (whether Catholic or Protestant) is keep people under the fear of the law’s condemnation for purposes of pseudo-mediation.

The Bible also says that all people born into the world are born into the law’s condemnation. They are born “under law.” They are under condemnation. This doesn’t mean they can do no good; it means the good they do can’t save them. Since everyone is born under law, and Christ died to end the law, he died for everyone. The way the Bible frames this is interesting. The world only has two masters: Sin, and Christ—Christ has already purchased everyone’s freedom from the Sin master through his death. All those who freely except the purchase and flee to the other master who they rightfully belong to are born again. The Bible says we therefore die with Christ and are resurrected with him. This is the new birth. The old us born under law dies with Christ, and like all people who die, can no longer be indicted by law, and are resurrected to a new person who is free to serve the law in the ways of love with no condemnation (Romans 7). Of course, the new birth changes our heart to motives that match those desires. This moment of new birth may be experiential or not. What matters is what you believe and what you want to do. That’s what saves you and you don’t need a church or anyone else but Christ to do it. And, it is a one-time and for all-time event.

The new birth changes your relationship to the law from condemnation to love. What now guides your actions is the following question: is it an act of love? Not a concern for consequences; Christ died to end the consequences anyway. There are no consequences. This truth clarifies motives.

Now, if you make a foolish decision in the present day you may temporarily suffer the condemnation of a civil government. That is a whole other subject not being discussed here.

Another biblical facet of this is interesting. The new birth is a change of slaveries leading to a different direction and not a perfection. This truth can primarily be seen in Romans chapter 6. You are transformed from being enslaved by sin to being enslaved by righteousness.  You were formerly enslaved to sin, but free to do good, but now are enslaved to righteousness, and free to sin. In other words, slavery and freedom are switched leading to a different life direction, not necessarily a perfection. I may not be remembering this correctly, but I believe electrical current flows from negative to positive with the efficiency of the current being determined by the strength or weaknesses of the circuit. It’s kinda like that. The new birth changes the flow of current by reversing slavery and freedom.

In regard to how the new birth changes our relationship to the law, there is a famine in our land. In regard to truth about the new birth, a dark age. I hope this post is helpful in overcoming that. There is a true freedom from fear and condemnation in the present. Holiness is also present. We are to be holy as our Father in heaven is holy. The written code of the law is not the standard for that, the new birth is. We have this treasure in earthen vessels.

paul

 

Revelation Series Returns: The Six Seals Part 1

Posted in Uncategorized by Paul M. Dohse Sr. on December 20, 2020