12/25/2025
Take a look at my SKOOL site https://www.skool.com/patient-education-3805/about?ref=04272ebf8feb4fb7acea4410aea7700a
and sign up. I will be adding training courses and sharing my half-century of experience as a registered nurse, audiologist, health care administrator and executive, and nurse educator. I want to help as many people as I can learn the science of applied behavior as it relates to cinicians. When it comes to patient care, it is all about behavior.
Patient Care Plan Education
Patient education is essential to patient care. It is also the one area that exposes educators to negligence claims. Our focus in on your skills.
12/15/2025
Why Threshold and why Behavior? Fifty years ago autism was the name of the new kid on the block. There was little known about this orphan disorder, and not enough cases in the literature to help us decide what to do next. As for charlatans and opportunists to pray on desperate families, there were many. Susan was a ten year old and had lived in a state facility since birth. She was an early participant in group homes. We had not named our small company and I took a photograph of her walking in the door. In that photo, we saw a young girl and her teacher crossing through the threshold into a life beyond institutions. The name stuck. As for behavior. In my first post, you read the words of the late Dr. Aubrey Daniels. Aubrey was a pioneer in this field, and is the "Father of Performance Management." We all behave, and people have both behaved and misbehaved since the beginning of time. In those beginning days perhaps we behaved as did all other creatures great and small. Life centered on food, water, air, sleep, and s*x. These are the primary reinforcers. These are the things that drive all creatures.
As I write my thoughts on behavior, and the ways we, as clinicians can learn to be more effective in our efforts, I am reminded of the words of the great 19th Century writer/otator, Mark Twain. "what a great thing Adam had. When he said something, he knew it had never been said before." Why write about behavior, and particularly applied behavior? Emily Dickinson wrote, "Behavior is what a man does. It is not what he thinks, feels, or believes." Applied behavior focuses on "doing." Cognitive behaviorists focus on "thoughts, feelings, and beliefs." Threshold-Behavior focuses on patient education and patient educators. As you read my words, it is likely that someone else may have had a similar thought. Five thousand years ago Solomon wrote, "There is nothing new under the sun." As I sit writing on my 21st Century computer, I am also mindful of the words of Thomas Edison, "There's a better way, find it." Patient education and patient behavior are still in the Garden of Eden.
Follow us as we develop bite-sized lessons to bring out the best in patients and their road to recovery.