Personal Kanban and Recovering from Major Surgery

At the end of February my father went into the hospital for a major surgical procedure. You might remember how I made sure nothing was going to be missed when we went to the surgeon for a consult by using a Personal Kanban to track all of the questions we were looking for the answers to right in my moleskine notebook.

My Moleskine Personal Kanban ready to consult with the surgeon.

The difficulty of aiding my father through all of this is that he lives in another state. This means that I was going to have to be highly organized in order to hold my job, hold my family here and help aid my Mom and Dad in another state all at the (almost) same time. I made arrangements for my job, and managed to organize my family here while I was away by making it a family affair.

Our ‘Kitchen Command Central’ Personal Kanban.

My Father though was going to be a very different story.

My parents have had no previous experience with Personal Kanban. That is until I showed up for the surgeon consult that morning and I opened my notebook. While we were meeting with the surgeon I was asking questions and writing the answers down and doing the same for my parents questions. Afterwards we sat in the waiting room and I went over all the questions and answers with them, they loved how the Personal Kanban had worked. They saw that we had every concern addressed and while my Mom and Dad were still trying to take in the answer from the previous question during the consult, I was writing down the question and answer the surgeon was addressing in real-time. So points they might have missed during our consult we covered completely afterwards in the waiting room. They were impressed.

When it was time for my father to be discharged from the rehab center, I knew it was going to a lot to juggle. Boy was I right. It was overwhelming. There were home healthcare nurse(s), Physical Therapists, Occupational Therapists, and Social Workers who would be coming to their home. That was enough to think about but then we were handed the prescriptions. There were 19 in all. That’s right 19 prescriptions. I have to admit, I was not only overwhelmed, I was panicked!

There were two major goals we had and my father had:

  1. His mobility. He needed to regain his strength. He needed to get up and move more and more with each day.
  2. His over all well-being. A big part of this health puzzle was going to be making sure he got all his medicines and all on time.

On the way home my mind was racing. I somehow had to pull all this together and put my Mom at ease, because she was going to be doing most of the work and to put my father at ease by letting him see that little steps in the right direction would lead him to his bigger overall goal of being the healthiest he can be. Helping my Mom and Dad be at ease would in turn help me to be more at ease, especially since I wasn’t going to be able to be there on a daily basis. That all led me to one thought – Personal Kanban.

So I sat down at the dining room table and I began to make a mobility Personal Kanban for my father. I thought if he was able to get up 3 times a day and be mobile (walking or going up and down stairs) this would help him greatly in achieving his goal for overall health. So I set up 3 times a week for a full week.

15 minutes each day 3 times a day.

We knew when he arrived home that stairs were not going to be mastered right away, all we wanted was for him to be mobile as much as he could handle. Stairs would eventually make it into the mix, but we had to patient, and that was understood.

WIP lane and Completed lane

I explained to both my father and my Mom that when he got up his first stop would be the Personal Kanban to move over a sticky note into the WIP lane. After he was up and moving as long as he could handle on his way back to where he wanted to rest he should then move the sticky note into the completed lane. I knew that there would be days that he might not move one sticky note over because he wouldn’t have the strength to exercise, but that was okay. He would be able to in effect grow into this Personal Kanban. Although I knew it was very ambitious to start off with, I had faith and knew he’d eventually grow into it.

Additional Workouts

By adding an additional ‘holding pen’ at the bottom of the ready lane of additional workouts this would be another way to allow him to grow into the Personal Kanban as he became stronger and stronger. If he didn’t get into these additional workouts for a long time, that was fine. I wanted them to be a visual goal for him to reach for.

This is the mobility Personal Kanban all set and ready to go.

Action on the mobility Personal Kanban

Since we set this mobility Personal Kanban up, my father has used it. Although he has not gotten the use out of it that he/we wished for because unfortunately he has been very sick and had several set backs. He has just had a second surgery to correct some complications and will soon be home again and this will be there for him. He has already talked to me about being excited to complete it and have my Mom take a photograph for me. 😀 This Personal Kanban is a huge visual motivator for him. Sometimes when people aren’t feeling well and go through a long period of being sick, they can’t see anything positive, this Personal Kanban has shown him visually that even 15 minutes of mobility (something we take for granted) is a positive step forward.

Now that we had tackled the first part of our overall goal, we needed to tackle the second part. After I arrived back at the house with the 19 prescriptions I knew this was Personal Kanban territory. I sat at the table for 2 1/2 hours sorting through all the prescriptions. Putting them together not only for each day of the week but also for the time of each day that they would need to be taken. As they sorted out it was apparent that the medicines were going to have to be done at 4 times each day. Once in the morning, at 12 noon, at 4pm and after dinner in the evening.

I went right to work designing the Medicine Personal Kanban.

Medicine Tracking Personal Kanban

I set it up with all days of the week listed and then the sticky notes each with the time of day the medicines were due. When the proper container (I had set up containers with the day and time on it and the proper medicines inside) was given to my father and he took them then the sticky note from the ‘med times‘ lane was then moved over to the ‘taken‘ lane.

You will note the orange sticky added, on this day he required an additional medicine added to his regimen.

Even when something unexpected popped up, like an additional medicine added to his regimen, my Mom would then add an additional sticky note in the proper area so that the newly added medicine would not be forgotten.

Almost completed, keeping every medicine on track.

You will notice there is no WIP lane on this Personal Kanban, that is because the taking of the medicine is an immediate task, therefore I decided to skip the WIP lane.

Keeping 19 prescriptions in order and given in a timely fashion is a daunting task. This by far has been one of the most successful Personal Kanbans I have ever designed. My Mom has told me repeatedly that she had no clue how she was going to manage all of the medicines he came home with and that this medicine tracker Personal Kanban has been a Godsend for her and my father. It eased her mind and I know it certainly eased my mind knowing that he was getting all the proper medicines at the proper times.

Going in to this experience I knew that health is not an exact science. But this is a lesson that is sometimes hard to grasp. It was very important to remember especially with the mobility Personal Kanban, this was not going to be like any previous one we had used. This board was going to depend on good health. I’ve been using Personal Kanban long enough to fully expect a board to evolve with my needs . I learned so much from the use of this board. Usually I set up a board, sit down and start tackling and moving tasks into the WIP lane and then over to the completed lane and ta-da I am done. This was not the case with our mobility Personal Kanban. There were tasks in the ready lane but sometimes because of ‘health complications‘ those tasks would not be done, but that was okay. We learned that even moving one sticky note over on a particular week was a step in the right direction. Small steps leading the way to a bigger overall healthy goal.

It is very difficult to help aid your family when they are not in the same geographical area that you are in, these two Personal Kanbans have helped my family immensely. I know that they will continue to do so as my father continues to regain his health back and that gives us a little more piece of mind moving forward.

Follow me on twitter: @topsurf

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Want to know more on Personal Kanban? Visit the Personal Kanban website. I highly recommend purchasing the book: Personal Kanban Mapping Work / Navigating Life by Tonianne DeMaria Barry and Jim Benson.

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