Tuesday, August 31, 2010

Critical Care

Hey y'all!

Right now, I am writing my second to last profile...EVER!! I am very excited, and I am actually (surprisingly) kinda of enjoying writing my profile. It is fun to read about a disease process in one - or more - of my nursing books and then connect what the book says with the treatments, meds, and procedures that my patient has had. So far, my profile is 19 pages...and I still have a lot left! I have already written several pages on small bowel obstruction (lovely topic, I know..) and am now starting on COPD - chronic obstructive pulmonary disease. My patient is in the end-stages of COPD and would most likely not be able to even breathe if it were not for all the breathing treatments and inhalers that she takes. While it sounds really bad, I can't feel too bad for her because she smoked a half pack for most of her life, and smoking just happens to be the leading cause of COPD, so it could very well have been prevented - if only she hadn't smoked so much!

Other than writing profiles, I have been having fun running and am trying to get back in shape. Not running since February makes it a little hard to get back into shape, but I am getting there! It is really hot right now in VA, so yesterday, a small group of us girls ran to Camp Hydaway, a camp that Thomas Road Baptist Church (Jerry Falwell's church) owns. At the camp, there is a lake...with a really cool BIG slide!! Even though the trails to Camp Hydaway are very hilly, we decided a quick dip in the lake would feel really good! As we came around the corner to the camp, I saw a bunch of guys already swimming and going down the slide. A lot of Liberty kids like to hang out at Camp Hydaway so I just thought it was a bunch of 'normal' students. Nope, it was about half of the guys cross country team. Then more showed up...and then even Coach Scott showed up!! We all went down the slide a couple of times and then put our shoes back on and headed back to LU, feeling very refreshed and cooled down. Then, today, because it is supposed to be close to 100 today, we decided to do our workout in the morning. The only problem, was that a lot of people have class at 7:40, which means REALLY early in the morning...like 5:50! However, it was a beautiful morning, a great workout, and I am so relieved that it is OVER with, and I don't have to run in the heat (my absolute least favorite thing to do). Now I am back home, already took a nap, just working on my profile until I have class at 2:00. I have a hard life, huh?! =)

I hope you all have a glorious day!

Monday, August 23, 2010

Senior year has begun

How crazy is it that I have started my SENIOR year of COLLEGE?!?!?! It is so strange to me! Today, I had my first day of school and it was a very long (but could have been longer) clinical orientation for Critical Care nursing. It went very well except for the overwhelming fact that I will be writing a crit care profile this coming weekend. EEEK! And I start clinical on MONDAY!!! I do not think I am ready for this, but regardless, HERE I GO!!!!!!!!!!

So, as a senior in college, I have noticed that many things have changed. Especially from the typical junior nursing student who can only think about the clinicals, profiles, AND tests that are all coming up way too soon. So, here are the main topics of conversation today at lab....

1) So, what are you doing when you graduate??

2) Oh, you're engaged?? Congratulations! Let me see your ring! Have you picked a date for the wedding yet? (seriously, just about the whole nursing class, except for me that is, is either married, or got engaged this summer)

3) How was your summer? Did you do anything fun? (ok, so this is happening among students of all ages, but I thought I better include it since that has been heard a lot lately...)

Ok, so that was about it for conversation among us SENIORS, but many other things that changed as well.

The PROFESSORS treat us DIFFERENTLY!

"oh, you're a senior now, you know this stuff"...as I'm thinking "I do?!??!"

the professors seem to be MUCH MORE CHILL with us....it's kinda nice :-)

Other exciting things that happened on the first day of school was getting our NEW lockers in our NEW locker room. It is a beautiful place, let me tell you! We are quite spoiled here at LU! We also got to meet our NEW distance coach! How exciting to finally have a distance coach again! Coach Tolsma is an amazing man and did a great job as a coach, but being in charge of over 100 athletes is a lot...so now he has a little less to do.

While I'm talking about all the new things this year, I would like to mention my NEW roommate! She just moved in last night. She is from New Jersey, and though I don't know her very well yet, she seems very cool and I am excited to get to know her more!

So, lots of change for my senior year but I believe it is all going to be good! And, what's a year of school without change anyway? I don't think it is possible...especially in college!

Only one class tomorrow, and it's not until 2:00! WOOHOO!

I should probably still get to bed though, so goodnight y'all!

Wednesday, July 21, 2010

Back home in Iowa

I'm sorry I have been so horrible about writing on here. The last week in Costa Rica was very busy and we had limited access to computers.

The final week of VBS went very well. We were told when the last group left the first week that they would be bringing up to 40 kids and they would be between the ages of 10-14 - much older than we had the first week. This meant we had to revamp the VBS a bit to make it geared more towards older kids. Sarah found a couple of new songs that we thought older kids would enjoy more and Rose and I came up with some new crafts that were a bit more challenging.

Picking up supplies from Orosi.



Cutting out crowns - the kids learned about becoming a Child of the King.



I was very nervous for the kids to come Monday morning, but of course, everything went fine. I think we had about 30 kids on Monday and most of the kids were older, although some were younger and there were even some kids that had come the week before!

The most kids we had last week was about 35. It was a lot but the kids seemed to behave much better because they were older so it wasn't problem. It was just hard to plan for the next day because we never knew how many kids would show up. We just had to be ready for 40 even if only 20 would end up coming.

I think one of my favorite parts of the whole VBS was hearing the kids memorize Bible verses! We had a new verse for each day that we would teach them first thing in the morning. We would then review it about 4 times during the remainder of the day. Although we would try to get the kids to say the verse together by saying "uno, dos, tres!" they would all speed through the verse and it would just be jumbled mess. But, the most important thing is that kids learned the verses very well. Hanzel, a Costa Rican who came to help with the VBS, usually led the memory verses and he did a great job.



On Monday, during craft time, I heard a huge crack - it sounds like a tree falling. Sure enough, 3/4 of the huge water-apple tree at the camp broke off. I think it was because of the weight of all the apples. We were very grateful that none of the kids were under the tree picking apples when the tree fell. A bunch of us helped cleaned up the tree which made the work go quickly.
The result of cleaning up was this:



During the last week we went on two hikes. The first hike was halfway up a mountain for a great view of Orosi. It was a very steep hike but the view was amazing!
The second hike was to a waterfall up in the mountains. It took us off the beaten path and through coffee trees and a long a banana plantation (I don't know how those trees could grow on the side of the mountain - it was crazy!). We then had to climb up the side of rocks while holding onto a rope. It was a fun hike! the waterfall was amazing. It was kind of like Dunning Springs only much higher and about straight up. We had fun taking pictures in the water and trying to stand up underneath the waterfall.




The last night we were in Costa Rica Ken took us out for supper so that the cooks could have the night off. We went to a restaurant up on the mountain. Because the Dundon's van was not fixed yet, we took the city bus up the mountain (it cost 410 colones, which is about 70 cents to ride the bus). We then had to walk at least a mile to get to the restaurant. Tico's (Costa Ricans) walk very slow so when we walked back to the rode to catch the bus, Ken, Sarah and I made it to the bus stop first (which was a 3 foot long yellow line on the side of the road) just as a bus was coming. Ken jumped on that bus so he could go pick up his van and we waited for the next bus because the Tico's that had come with us were too far away to catch the first bus. Although we had to wait 30 minutes for the next bus to come, we had fun as we stood in the dark and rain. We were attempting to hitch a ride from people driving past but no one stopped. It was humorous!

When we got back to Orosi, Sarah and I bought some pastries for a trip back. They very large but very tasty! We had to be up at 4:45 in the morning so that we could leave by 5:30. Ken flew out at 9:00 to go back to the States for a couple of weeks to see his new grandson. Sarah and I didn't fly out until 12:50 so we had a lot of time to hang out in the airport. We raided the free coffee samples and ate our pastries.



The first flight was uneventful and in Houston, we made it through customs fine. However, a storm that came through just as we were supposed to be leaving delayed our flight by almost two hours. Because of this, we didn't get into Minneapolis until midnight so we didn't get home until 3 a.m. whew...that was a long day!

Overall, the trip was very good and I am so grateful I was able to go to Costa Rica and minister to Orphans. Thank you all for your prayers and support as I went on this trip. God Bless!

Thursday, July 8, 2010

Week one: Done!

Hey everyone!

We just completed week one and are having our daily 3:00 coffee break. I thought I would take a few minutes to do a quick update.

The kids continued to come each day around 10:15. We never really knew when they would come, or how many there would be. Yesterday, we only had about 21. Today, we had like 30 some! Some come in pick-up trucks, others take the bus to Orosi and we have to walk to go get them. Because we do not know when they are going to show up or when we are going to start, the schedule that we worked so hard at making kinda went out the window (we wrote that in pen...no erasing! lol!). We did try to follow the time frames even though everything was pushed back about an hour. I was actually glad they did come an hour late each day because we still got everything that we had planned done and I do not know what we would have done if we had another hour!

Yesterday, it rained almost all day. Actually, it was more like a torrential downpour. There was standing water and huge puddles everywhere. Even though it was raining, we still all went swimming since it was not lightning. That was an experience! The crafts went really well and we did not have left over time or anything. However, after the pool time, we had about an hour to kill, and man was it a killer! Because it was raining, we had to keep the kids inside. I guess I will call it organized chaos......

Everything went very well today as well, except it did not rain which allowed for more time to be spent outside. We actually went about 15 minutes over time!

Over all, this week has gone well. It has been very tiring and I think we have all learned a lot - which is good because next week, we have between 25-40 kids ages 10-14 coming! We will have to change a lot of things because most of the kids this week were 4-10 and even a couple of babies.

Tomorrow we are having a work day around the camp and will be cleaning up from this weeks VBS to get ready for next week. Saturday, we will get a chance to sleep in a bit and then will do a bit of site seeing. The oldest still functioning church in Costa Rica is in Orosi, only a 10 minute walk away so I think we are going to go see that. At least that is the plan for now....

I hope you all have a wonderful weekend!

Dacia

Monday, July 5, 2010

a pencil with a big eraser!

Hola!

Today we learned what it means to use a pencil with a BIG eraser! That has become Ken and Sherri's motto since moving here to Costa Rica two years ago. Today was the first day of the VBS. We were supposed to have 25 kids. We were supposed to start at 9:00. We ended up having 10 kids. We ended up starting at 10:30.

There were transportation problems, which is no surprise. The kids ended up riding a public bus to Orosi and then we had to walk about a mile to go get them. The camp is on one side of the river and Orosi is on the other side of the river. There is a walking bridge that cross the river just up the road from the camp, and there is a vehicle bridge about 3 miles from the camp. The kids could have taken a public bus all the way here, but because of an incidence that a few months ago, the buses can't cross the bridges anymore so the people have to get off the bus and walk across the bridge and get on a bus on the other side of the river.

Anyway, once the kids finally got here, everything went really well! The kids were pretty well behaved and we had no problems. It was really hard not being able to communicate with them, but we have plenty of translators so it's not really a problem - just a nuisance. The only thing that went wrong today was a run-in with a bee's nest. Thankfully, it was two of the team members that got stung and none of the kids. But, with my wonderful nursing training, I fixed them up as good as new. Ok, so not really, but they are both fine. :-)

Well, it didn't rain today and we are done preparing for tomorrow so I think we are going to have a bonfire that we have had to take several rain checks on.

Hopefully we will have more kids tomorrow! And maybe they will be on time...we shall see!

Adios!

Sunday, July 4, 2010

Coffee and the Homeless

Hi Everyone!

We had the spaghetti supper for the homeless on Thursday. It was such a neat, humbling experience!! We made TONS of spaghetti - like a whole cooler full. Yes, we just dumped spaghetti into a cooler and filled it full! We also served them bread with butter and some juice. They were very gracious that we had brought them food. After everyone ate, they had a church service. The place were we went is more like a rehabilitation center where the people can come and hear about Jesus and get away from drugs and alcohol. It was amazing watching people who had nothing worship through song. While some of the men just sat in the back, there were many that stood right up in the front of the church singing with all their heart and clapping very loudly - I think we clapped for about 15 minutes straight! After the singing, Sarah, Jason and I gave our testimonies. Sarah gave hers in Spanish, but Jason and I had Kyle and Heather (the Dundon kids) translate for us. The four of us also did a drama for the men. We played the Hallelujah song by Michael W Smith and did a little skit type thing. It was neat. Afterwards, we shook hands with lots of people and because Sarah can speak spanish, we were able to talk to some of them. It was a very humbling and encouraging experience. We didn't get home until about 8:30 and then we had to wash up the huge pots and pans we had used to make the spaghetti. After that, we sat outside out cabin talking and Sarah played her guitar. It was a good day!



On Wednesday, we had a day off and we went to the Britt Coffee Plantation. Some of the best coffee in the world comes from Britt! We had a very good tour with very fun tour guides and then bought a lot of coffee. We learned all about how they pick and process the coffee. The reason why Britt is so much better than anything else is because they hand pick the coffee so there are only ripe beans picked. The beans are ripe from December-February and they pick from each field every day during that time. The coffee is picked in the morning because it has to be processed the same day. They wash the outside layer of the bean off and then the bean has to dry for 7 days in the sun and it has to raked every 30 minutes. The coffee is then roasted in an oven that is 450 degrees for 15 minutes for light roast, 20 for medium, and 25 for dark roast.

They also have decaf, but, as they explained, there are two different ways to decaf coffee - with water, or with chemicals. They do theirs with water - the safer way. They ship it to Germany to have it done. The coffee beans (before roasted) are put in hot water and steamed until the caffeine is "washed" out of the bean. The bean is then roasted, though it takes a bit longer because the flavor is not as strong anymore. I had always wondered how they made coffee decaf.

Yesterday, we cleaned the camp and then played some soccer in the mud. It was a lot of fun! Last night we went to youth group and did our drama there. Today we made the final preparations and ran through what a normal day of VBS should look like. We have the puppets ready and Jason made a puppet stage while Henny, Tamra's mom who came to visit for a couple of weeks sewed the material we needed. The puppeteers do a great job! We have been practicing the Spanish songs and I think we have them all down so that we can sing with the kids. Pray for us tomorrow as we have our first day! Pray that we can keep everything under control. We have been told that the orphans that will be coming can be quite rowdy.

Well, I hope you have all had a wonderful 4th of July!

Dacia

Tuesday, June 29, 2010

Addicted to Coffee

I think that by the time I get home I am going to have a serious addiction to coffee. Like I said before, we have coffee twice a day - which is a lot more than I am used to! Wednesdays are our day off and tomorrow we are going to a coffee place where they grow some of the best coffee in the world! We are going to get a tour, see a drama, the factory where the coffee is processed along with free iced coffee and free samples of chocolate covered coffee beans. We are all really excited about it!

I want to tell you more about the area that I am in. We are in the Orosi Valley, which is about 37 miles from San Jose. It is a beautiful area that is surrounded by mountains. Everything is very green with the rainfalls that come every afternoon. In fact, it is raining right now and has been for about 2 hours now. When we run in the morning, we run past large fields of coffee trees and go all the way up the mountain side. I do not understand how the coffee trees can be cared for on the steep mountains but I guess it is done somehow. Something else we get to see while running is an active volcano that is smoking constantly. It is very cool to see! Just a couple of mountains down from the active volcano is an unactive volcano. From the Valley, it is nothing cool to look at but I guess it is a popular tourist spot.

The Camp where we are working is very pretty with tons of flowers and fruit trees. There are bananas hanging out of trees along with lemons, limes, grapefruit, and oranges and some other fruit. Every day for lunch and dinner the cooks make juice for us with fresh fruit that comes from the camp. I am getting spoiled! The one side of the camp is bordered by a river which is moving very fast and is very pretty. No matter where you are on the camp, you can hear the river. It is pretty neat! The camp is about 5 acres with 3 cabins, a large building where church is held, a kitchen, and an office.

I am hoping to post pictures soon, although I do not know how to do it yet. If I do not get them posted, then I will have them when I get home!

Adios!