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15.12.2014
About fifteen years ago, I stumbled upon a life-changing habit that transformed my home and life for the better. I really tried hard to follow all the complicated systems for keeping up with a house and I failed at every single one. I desperately needed to get control of my home because I wanted to more fully enjoy and be able to focus on more important things.
I still laugh sometimes (to myself) about how challenging I found housekeeping to be before I realized this life-changing truth: the best way to have a pretty, put-together and clean (enough) house is to practice simple, daily habits.
The trouble with daily clutter is it doesn’t go away with the one big decluttering frenzy never to return again. Find more about how to have a clean enough house by starting a morning routine over at (in)courage, I hope you’ll go take a look! My daily routines changed everything about my perspective and practicing them continues to empower me to this day to live the life I really want to live.
I wrote more about creating daily routines, the story of my own home-creating journey and how daily habits impact our home in my book Love The Home You Have, which is a New York Times Bestseller (still can’t wrap my mind around that but thank you to everyone who supported it!). I’m all about daily routines – they are absolutely imperative to keep my house running smoothly! Daily routines that are simple to maintain for all who dwell in my house keeps me sane and focused on my interior design business.
For my privacy notice and full disclosure of blog policies, advertising, copyright, sponsored links, and trademarks, please see my blog policy page!
In the second year of my Ceramics degree at Uni, I told my tutors that I would not be coming in on Tuesday afternoons and that I would instead be volunteering at an art programme for the homeless in the crypt of St. It was whilst helping out here that I first truly witnessed the transformative power of art. The programme, run by a big-hearted, inspirational artist from Colombia, gave people who previously felt like they had no hope in life a purpose and a focus. Art enables me to express things I cannot in words and process things I don’t understand. There is little joy for me in copying these days, but I am regularly inspired by other artists. Art is something that comes naturally to me; something I let go of for a while and have invited back in and since doing so on May 1, 2012, I feel closer than ever to the creatively free me of my teens. 1. I have found the courage to create no matter what the end product looks like and take pleasure in the creative process. 2. I have connected with so many wonderful new friends through my art and my journey back to creativity.
3. I now have the privilege of teaching art to children and I am paid to support artists in their personal creative journeys. 21 Days of Creative Freedom is an online course to kickstart your creativity and get you making art in just ten minutes each day. However, the concentration on that aspect of patient care during the nurse practioner’s training makes me wonder otherwise.
I needed to bring more order to the chaos, so I could be the kind of person I wanted to be. In my new book I share my simple secrets to daily habits and practical tips for decluttering and organizing. Make Room For What You Love is available now! This morning before leaving for work I folded and put away a load of laundry, put another in the washer, and another in the dryer.
Keeping my house neat and some what organized is crazy hard in a house with two small kids.


Twice a week there was space for them, materials at hand and no teaching as such, just a safe and supportive environment in which they were encouraged to truly express themselves, perhaps for the first time. The freedom to follow my heart and pick up any materials, from a piece of chalk to a piece of string; from a handful of shells to pages ripped from a magazine, and turn them into something, puts a song in my heart. Many reported that what little formal education they had received on the subject had seemed perfunctory, and perceived it as having little practical value. I suspect taking it more seriously as an important piece of medical education would be more effective than trying to remediate providers who are found to lack this skill after the fact. That's why we're here 365 days a year finding and posting funny pictures, funny videos, funny cats doing their cat things and other random humor for your viewing pleasure.
You’ve got more important things to worry about than chasing dust business and doing dishes! I get it.
I work 4 days a week and if not for my Mom who lives with me (she does the dishes, and laundry and takes out the dog) we would be naked.
I felt drawn to this place and I cannot recall now how I stumbled upon the programme there, but my interest in art outside of the mainstream had been bubbling for a while and this embodied all of the things I was interested in and believed in. An annual exhibition showcased the art which was as diverse as the people who made it, showing beauty and pain, courage and talent. There is always so much to discover even from just observing the methods and output of others.
What could you do today that would make you feel creative, but take just ten minutes of your time?
What did seem of more value to them was similar to what I had benefitted from, which was being brought along when an instructor met with patients to deliver this kind of news in person.
Presenting it early as an equally important part of medical care to being a competent diagnostician strikes me as a change worth trying. All those little extra things I do in the morning make my return home from work a little more relaxing. Anything that can be accomplished in the morning to help ease our busy evenings is time well spent in my opinion.
But even then, after observing for several weeks, I saw grown men pick up a pencil to draw for the first time since school. As a pediatrician, you’d think it would be the holiday I most looked forward to, with its potential for goofy fun. Not all of these witnessed conversations were good ones, but even the bad ones offered lessons in how not to do it.
At very least, it is essential that medical training include consistent exposure to this immensely challenging but essential aspect of patient care.No medical provider is going to be adept at everything (I’m not a surgeon for a reason). And that is precisely why I came to the conclusion that I needed to make a change in my approach. One routine I’ve implemented is creating a weekly menu and having my kids suggest a meal they would each like (I have veto rights). I felt a little nervous that doing so may change the spirit of creation for him, but trust it did not. But other than an easily-removed item like a funny hat or silly pin, I don’t wear a costume.
Others reported that their schools seemed to take this aspect of medical education much more seriously. There are specialties where interpersonal skills can take a backseat without harm to patient well-being. Many schools seem to include both didactic sessions and practice sessions with simulated patients.


But for those of us who, routinely or sporadically, must deliver difficult, often life-altering news to patients and their families, it is vital we recognize how important doing so compassionately and carefully truly is.READ THIS.
The more seriously the school appeared to take the issue, the more helpful the students appeared to find the training.What I found particularly striking was the experience of a nurse practitioner in my office. Instruction in how to deliver bad news to patients and support them afterward was very much part of her education. With the possible exception of law enforcement, medical providers are uniquely burdened with delivering difficult or devastating information to people.It is a burden I have tried to shoulder well.
It had been incorporated from the beginning and emphasized repeatedly along the way, which was in keeping with the kind of work more thought to be nurses’ than doctors’ at the time she was training.
Though I believe there has been something of a cultural shift in medicine since the time of her training (about a decade before mine), there does seem to be some evidence that patient satisfaction is better with nurse practitioners when they feel they need more time and support.One colleague who completed her training around the same time as me expressed skepticism that being good at difficult conversations is the kind of thing that can be taught.
As compassionate, supportive, and encouraging as I strove to be on those occasions, I still look back and wonder if I shared that life-altering news as well as I should have.
Indeed, there is at least some evidence that efforts to teach communication skills to doctors don’t produce measurable success.
I hope I did right by them, but I still turn those moments over in my head and worry sometimes. A flash of white appears at the back of a patient’s eye or there is no twitch where a reflex should be, and you’re explaining to a suddenly-worried parent why their child’s routine physical has just stopped being routine. You didn’t expect to be discussing the possibility of cancer or neurological disorders when you looked at your schedule that morning.The incredible importance of this aspect of our jobs was brought home to me by seeing it botched. A few years ago, my closest friend gave birth to a son with a rare (and wholly unexpected) genetic syndrome. In the first weeks of his life, she and her husband had meeting after meeting with all manner of subspecialists, almost none of them evincing the kind of compassion that is the hallmark of truly good medical care. By turns evasive, cocksure, or dismissive, I winced over and over as I heard about each new doctor they met and how badly they had come off. How could members of my profession be so inept at talking to suffering people?To be sure, it’s very difficult to know the “right” way to deliver news of an earth-shattering diagnosis.
On one hand, people go into medicine because they want to help others, and to fix them when we can. On the other hand, we have to be straightforward and honest, avoiding the creation of false hope. Further, there is a great deal more uncertainty about medical care than many physicians know how to express to patients, and threading that gap between hopefulness and realism can be treacherous.
I can see how it would make people come across as cagey or aloof.Yet as important as getting this aspect of our jobs is, I don’t think I’ve ever had any kind of formal training about delivering bad news. The closest I came was watching as instructors brought me along when they assumed that unwanted task, trying to impart guidance to me by example. Perhaps I just ended up lucky in this regard, but those times when I was witness to these conversations (a young family being given their daughter’s leukemia diagnosis, for example) I saw the physician offering clear, understandable information about next steps in treatment.
It was simultaneously reassuring and truthful.Curious if my experience in medical school was typical, I asked several colleagues about whether or not they had received any kind of education about how to deliver bad news to patients. I also asked people I’d known during residency, as well as several current or recent medical students at various schools and in various states of training.



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