Summarize the following:
Stressful life events such as unemployment, divorce, serious illnesses or the passing of a loved one creates anxiety and can cause your mind to race at night, which prevents it from entering into an altered state of consciousness referred to as sleep. Thus, try to deal with your stressors by making positive changes and train yourself to leave worrisome thoughts about your job or lack of money out of the bedroom. In short, make your bedroom a refuge from stress.  Stress triggers the release of hormones that prepares you for a "fight or flight" response, which is the opposite of what's needed to fall asleep. Avoid reading the newspaper, watching the news, dealing with bills or talking about relationship issues just prior to going to bed. All these increase stress levels and can negatively impact sleep. Adopt more calming bedtime habits such as reading books, listening to soothing music and/or taking warm Epsom salt baths. You can also try a relaxation or guided imagery CD/program that is meant for helping with sleep. Maintaining regular work and meal-time schedules allows you to establish a consistent sleeping routine, which promotes better sleep and reduces the risk of developing insomnia. Furthermore, keep your bedtime and wake-up times consistent, even on the weekends. Avoid regularly taking daytime naps, although if you feel a nap is absolutely necessary, keep it to under an hour and start before 3:00 pm.  Shift-work that starts very early in the morning or late-night shifts invariably upset your natural circadian rhythm, which can easily trigger insomnia. These undesirable shifts may pay more, but consider the potential cost to your health. The human body, as well as the vast majority of mammals, is geared to awaking at sunrise and sleeping shortly after sunset. Modern life makes this difficult to follow, but keep it in mind when making your schedules. A common cause of both transient and chronic insomnia is consuming sleep-disrupting compounds too close to bedtime. Caffeine, alcohol and nicotine are well-established as being able to disrupt sleep and their effects can last eight hours or more. As such, avoid caffeine products anytime after lunch, alcohol within six hours of bedtime, and nicotine (tobacco) within a few hours of heading to bed. Caffeine increases the activity of neurons in your brain, which causes more thoughts to pop into your head. Drinking alcohol (ethanol) often makes people drowsy because it acts as a nervous system depressant, but it actually triggers restless sleep and frequent awakenings.  The main sources of caffeine include coffee, black tea, hot chocolate, most soda pop (especially colas) and virtually all energy drinks. Remember that even caffeine-free energy drinks contain other sleep-disrupting stimulants such as guarana, cola nut and/or ginseng. Particularly sugary, spicy or acidic food should be avoided just prior to bedtime as they can disrupt sleep, but some foods that contain the amino acid tryptophan can help promote better sleeps (such as poultry, lamb, pumpkin seeds and bananas). To help prevent both transient and chronic insomnia, make your bedroom or sleeping area as calming and soothing as you can. Make it as dark as possible by closing the blinds or curtains and turning off all light emitting electronic. Your brain releases sleep hormones (such as melatonin) in response to darkness. Make your bedroom as quiet as possible by closing all windows and turning off your radio, MP3 player, TV and computer. Make sure the room's temperature is comfortable (cooler is better) because that also helps trigger sleep. Lastly, limit all potentially disruptive activities while in bed, such as playing with electronic gadgets, video games or pets.  As a helpful guideline, only use your bed for sleeping and sexual activity (which can promote sleep). Avoid using it to work, eat or entertainment yourself. To drown out bothersome street or household noises, consider playing the sounds of nature in your room (rain, wind, birds or chimes).

summary: Reduce your stress levels. Maintain regular schedules. Avoid all stimulants before going to bed. Make your bedroom "sleep friendly".


Summarize the following:
Mix a cleaner into one of the buckets. Make sure to use a cleaner that is safe for all wheel surfaces. Avoid caustic cleaners that contain acid, as well as dishwashing detergents. These cleaners can ruin the finish on your wheels. One bucket will be used for cleaning and the other will be used for rinsing your sponge. Once the sponge has soaked for a few minutes, begin cleaning one wheel at a time from the top down. To clean small crevices, use a soft-bristled toothbrush. If your wheels are very dirty, you may need to apply a de-greaser before cleaning them. Once your wheel is clean, rinse it thoroughly with water until all dirt and debris are removed. Then dry the wheel with a soft cloth. Repeat steps one through three for each wheel.

summary: Fill two buckets with water. Soak a soft sponge in the cleaning solution. Rinse and dry the wheel.


Summarize the following:
It can be challenging to identify emotional and mental abuse, as there may be no physical marks or indications that abuse is happening. Though it can be difficult for the elderly to discuss their abuse, you can try to ask the person if she feels threatened or scared by a caretaker or a person she is in contact with. Do this one on one, out of the vicinity of anyone else, so the elder feels safe and able to discuss any emotional and mental abuse she may be experiencing. Start by asking, “Are you being treated well?” or “How do you like your caretaker?” You can also let the person know you are available to talk about any issues she may be having, noting: “Please know you can reach out to me if there are any issues with your care.” Sometimes the elderly person cannot verbally express their experience of abuse and may instead withdraw from others out of fear or anxiety. She may also appear depressed and refuse to leave her room or go outside to socialize with others. Any negative changes to the person’s demeanor should be taken as a sign that something is wrong and you should consider if the person is being neglected or mistreated. This could be a refusal to go for daily walks, a change in appetite, or turning down visits and contact with others. These disruptions in routine could be a sign that the person is suffering from emotional and mental abuse and is too afraid to let anyone know what is going on. Note if the person appears frightened around certain individuals, with wide eyes, nervous ticks, or a lack of eye contact. These signs could indicate that the person is fearful around someone due to abuse. The person may also express other signs of agitation, such as biting her nails, pulling at her hair, fidgeting with her clothing, or stuttering on her words when she speaks to you in front of her abuser.
summary: Ask the person if she feels threatened or scared. Note if the person appears withdrawn or depressed. Pay attention to any changes in the person’s routine or demeanor. Check for signs of anxiety, agitation, or fear around others.