An anorectal abscess, sometimes called a perirectal abscess, is the formation of pus in the soft tissue that surrounds the anal canal or lower rectum. Perianal abscess is the most common form, affecting four out of five patients; ischiorectal (abscess in the ischiorectal fossa in the fatty tissue on either side of the rectum) and submucosal or high intermuscular abscesses account for most of the remaining cases of anorectal abscess. A rare form of anorectal abscess is called pelvirectal abscess, which extends deeply into pelvic regions from the rectum. In approximately half of the cases, fistulas develop without any way to predict them. Anorectal abscesses can lead to anal fistulas, also known as fistula in ano. An anal fistula is the development of an abnormal tract or opening between the anal canal and the skin outside the anus. It should not be confused with an anal fissure, which is an elongated ulcer located just inside the anal orifice, caused by the traumatic passage of large, hard stools.
Perirectal abscesses are usually caused by an infection in an anal gland or the surrounding lymphoid tissue. Lesions that can lead to anorectal abscesses and fistulas can be caused by infections of the anal fissure; infections through the anal gland; ruptured anal hematoma; prolapsed thrombosed internal hemorrhoids; and septic lesions in the pelvis, such as acute salpingitis, acute appendicitis, and diverticulitis. Ulcerative colitis and Crohn’s disease are systemic illnesses that can cause abscesses, and people who are immunosuppresssed are more susceptible to abscesses. Patients who are at high risk are diabetics, those who engage in receptive anal sex, and those with inflammatory bowel disease and immunosuppression. Other causes include constipation, chronic diarrhea, syphilis, tuberculosis, radiation exposure, and HIV infection.
Nursing care plan assessment and physical examination
Ask the patient to describe the kind of pain and the precise location. Determine if the pain is exacerbated by sitting or coughing. Ask if the patient has experienced rectal itching or pain with sitting, coughing, or defecating. Elicit a history of signs of infection such as fever, chills, nausea, vomiting, malaise, or myalgia. Ask the patient if she or he has experienced constipation, which is a common symptom because of the patient’s attempts to avoid pain by preventing defecation.
Inspect the patient’s anal region. Note any red or oval swelling close to the anus. Digital examination may reveal a tender induration that bulges into the anal canal in the case of ischiorectal abscess, or a smooth swelling of the upper part of the anal canal or lower rectum in the case of submucous or high intermuscular abscess. Digital examination may reveal a tender mass high in the pelvis, even extending into one of the ischiorectal fossae if the patient has a pelvirectal abscess. Examination of a perianal abscess generally reveals no abnormalities. Examination may not be possible without anesthesia. Note any pruritic drainage or perianal irritation, which are signs of a fistula. On inspection, the external opening of the fistula is usually visible as a red elevation of granulation tissue with purulent or serosanguinous drainage on compression. Palpate the tract, noting that there is a hardened cordlike structure. Note that superficial perianal abscesses are not uncommon in infants and toddlers who are still in diapers. The abscess appears as a swollen, red, tender mass at the edge of the anus. Infants are often fussy, but may have no other symptoms.
Patients with perirectal abscesses and fistulas may delay seeking treatment because of embarrassment relating to the location, the odor, or the sight of the lesion. Provide privacy and foster dignity when interacting with these patients. Inform the patient of every step of the procedure. Provide comfort during the examination.
Nursing care plan primary nursing diagnosis: Pain (acute) related to inflammation of the perirectal area.
Nursing care plan intervention and treatment plan
The abscess is incised and drained surgically. For patients with fistulas, fistulotomies are performed to destroy the internal opening (infective source) and establish adequate drainage. The wound is then allowed to heal by secondary intention. Frequently, this procedure requires incision of sphincter fibers. Fistulectomy may be necessary, which involves the excision of the entire fistulous tract.
Encourage the patient to urinate, but avoid catheterization and the use of suppositories. Postoperatively, a bulk laxative or stool softener is often prescribed on the day of the surgery. Intramuscular injections of analgesics are given to control pain. Assess the perirectal area hourly for bleeding for the first 12 to 24 hours postoperatively. When open fistula wounds are left, as in a fistulotomy, the anal canal may be packed lightly with oxidized cellulose. Encourage the patient to drink clear liquids after any nausea has passed. Once clear liquids have been taken without nausea or vomiting, remove the intravenous fluids, and encourage the patient to begin to drink a full liquid diet the day after surgery. From there, the patient can progress to a regular diet by the third day after surgery. The most common complications are incontinence (if sphincter fibers were incised during surgery) and hemorrhage.
Immediately following the procedure and before the patient enters the postanesthesia care unit, place a dry, sterile dressing on the surgical site. Provide sitz baths twice a day for comfort and cleanliness, and place a plastic inflatable doughnut on a chair or bed to ease the pain of sitting. As soon as the patient tolerates activity, encourage ambulation to limit postoperative complications.
Teach the patient how to keep the perianal area clean; teach the female patient to wipe the perineal area from front-to-back after a bowel movement in order to prevent genitourinary infection. Teach the patient about the need for a high-fiber diet that helps prevent hard stools and constipation. Explain how constipation can lead to straining that increases pressure at the incision site. Unless the patient is on fluid restriction, encourage him or her to drink at least 3 L of fluid a day.
Nursing care plan discharge and home health care guidelines
Teach female patients to wipe from front to back to avoid the contamination of the vagina or urethra with drainage from the perirectal area. Teach the patient to avoid using bar soap directly on the anus because it can cause irritation to the anal tissue. Teach patients to dilute the soap with water on a washcloth to cleanse the area. Explain the need to remain on a diet that will not cause physical trauma or irritation to the perirectal area. A diet high in fiber and fluids will help soften the stools, and bulk laxatives can help prevent straining. Emphasize to the patient the need to avoid spicy foods and hot peppers to decrease irritation to the perirectal area upon defecation. Teach the patient the purpose, dosage, schedule, precautions and potential side effects, interactions, and adverse reactions of all prescribed medications. Encourage the patient to complete the entire prescription of antibiotics that are prescribed.
Thursday, September 2, 2010
Nursing Care Plan | NCP Abdominal Trauma
Abdominal trauma accounts for approximately 15% of all trauma-related deaths. Intra-abdominal trauma is usually not a single organ system injury; as more organs are injured, the risks of organ dysfunction and death climb. The abdominal cavity contains solid, gas-filled, fluid-filled, and encapsulated organs. These organs are at greater risk for injury than are other organs of the body because they have few bony structures to protect them. Although the last five ribs serve as some protection, if they are fractured, the sharp-edged bony fragments can cause further organ damage from lacerations or organ penetration.
Abdominal trauma can be blunt or penetrating. Blunt injuries occur when there is no break in the skin; they often occur as multiple injuries. In blunt injuries, the spleen and liver are the most commonly injured organs. Injury occurs from compression, concussive forces that cause tears and hematomas to the solid organs such as the liver, and deceleration forces. These forces can also cause hollow organs such as the small intestines to deform; if the intraluminal pressure of hollow organs increases as they deform, the organ may rupture. Deceleration forces such as those that occur from a sudden stop in a car or truck may also cause stretching and tears along ligaments that support or connect organs, resulting in bleeding and organ damage. Examples of deceleration injuries include hepatic tears along the legamentum teres (round ligament that is the fibrous remnant of the left umbilical vein of the fetus, originates at the umbilicus, and may attach to the inferior margin of the liver), damage to the renal artery intima, and mesenteric tears of the bowel.
Penetrating injuries are those associated with foreign bodies set into motion. The foreign object penetrates the organ and dissipates energy into the organ and surrounding areas. The most commonly involved abdominal organs with penetrating trauma include the intestines, liver, and spleen. Complications following abdominal trauma include profuse bleeding from aortic dissection or other vascular structures, hemorrhagic shock, peritonitis, abscess formation, septic shock, paralytic ileus, ischemic bowel syndrome, acute renal failure, liver failure, adult respiratory
distress syndrome, disseminated intravascular coagulation, and death.
At least half of the cases of blunt abdominal trauma are caused by motor vehicle crashes (MVCs). These injuries are often associated with head and chest injuries as well. Other causes of blunt injury include falls, aggravated assaults, and contact sports. Penetrating injuries can occur from gunshot wounds, stab wounds, or impalements.
Nursing care plan assessment and physical examination
For patients who have experienced abdominal trauma, establish a history of the mechanism of injury by including a detailed report from the pre-hospital professionals, witnesses, or significant others. AMPLE is a useful mnemonic in trauma assessment: Allergies; Medications; Past medical history; Last meal; Events leading to presentation. Information regarding the type of trauma (blunt or penetrating) is helpful. If the patient was in an MVC, determine the speed and type of the vehicle, whether the patient was restrained, the patient’s position in the vehicle, and whether the patient was thrown from the vehicle on impact. If the patient was injured in a motorcycle crash, determine whether the patient was wearing a helmet. In cases of traumatic injuries from falls, determine the point of impact, the distance of the fall, and the type of landing surface. If the patient has been shot, ask the paramedics or police for ballistics information, including the caliber of the weapon and the range at which the person was shot.
The patient’s appearance may range from anxious but healthy to critically injured with a full cardiopulmonary arrest. If the patient is hemorrhaging from a critical abdominal injury, he or she may be profoundly hypotensive with the symptoms of hypovolemic shock. The initial evaluation or primary survey of the trauma patient is centered on assessing the airway, breathing, circulation, disability (neurological status), and exposure (by completely undressing the patient). Lifesaving interventions may accompany assessments made during the primary survey in the presence of life- and limb-threatening injuries. The primary survey is followed by a secondary survey, a thorough head-to-toe assessment of all organ systems. The assessment of the injured patient should be systematic, constant, and with re-evaluation.
When you inspect the patient’s abdomen, note any disruption from the normal appearance such as distension, lacerations, ecchymoses, and penetrating wounds. Inspect for any signs of obvious bleeding such as ecchymoses around the umbilicus (Cullen sign) or over the left upper quadrant, which may occur with a ruptured spleen (although these signs usually take several hours to develop). Note that Grey-Turner’s sign, bruising of the flank area, may indicate retroperitoneal bleeding. Inspect the perineum for accompanying urinary tract injuries that may lead to bleeding from the urinary meatus, vagina, and rectum. If the patient is obviously pregnant, determine the fetal age and monitor the patient for premature labor.
Auscultate all four abdominal quadrants for 2 minutes per quadrant to determine the presence of bowel sounds. Although the absence of bowel sounds can indicate underlying bleeding, their absence does not always indicate injury. Bowel sounds heard in the chest cavity may indicate a tear in the diaphragm. Trauma to the large abdominal blood vessels may lead to a friction rub or bruit. Bradycardia may indicate the presence of free intraperitoneal blood. Percussion of the abdomen identifies air, fluid, or tissue intra-abdominally. Air-filled spaces produce tympanic sounds as heard over the stomach. Abnormal hyper-resonance can indicate free air; abnormal dullness may indicate bleeding. When you palpate the abdomen and flanks, note any increase in tenderness that can be indicative of an underlying injury. Note any masses, rigidity, pain, and guarding. Kehr’s sign—radiating pain to the left shoulder when you palpate the left upper quadrant—is associated with injury to the spleen. Palpate the pelvis for injury.
Changes in lifestyle may be required, depending on the type of injury. Large incisions and scars may be present. If injury to the colon has occurred, a colostomy, whether temporary or permanent, alters the patient’s body image and lifestyle. The sudden alteration in comfort, potential body image changes, and possible impaired functioning of vital organ systems can often be overwhelming and lead to maladaptive coping.
Nursing care plan primary nursing diagnosis: Ineffective breathing pattern related to pain and abdominal distension.
Nursing care plan intervention and treatment plan
The initial care of the patient with abdominal trauma follows the ABCs of resuscitation. Measures to ensure adequate oxygenation and tissue perfusion include the establishment of an effective airway and a supplemental oxygen source, support of breathing, control of the source of blood loss, and replacement of intravascular volume. Titrate intravenous fluids to maintain a systolic blood pressure of 100 mm Hg; over-aggressive fluid replacement may lead to recurrent or increased hemorrhage and should be avoided prior to surgical intervention to repair damage. As with any traumatic injury, treatment and stabilization of any life-threatening injuries are completed immediately.
Surgical intervention is needed for specific injuries to organs. Diaphragmatic tears are repaired surgically to prevent visceral herniation in later years. Esophageal injury is often managed with gastric decompression with a nasogastric tube, antibiotic therapy, and surgical repair of the esophageal tear. Gastric injury is managed similarly to esophageal injury, although a partial gastrectomy may be needed if extensive injury has occurred. Liver injury may be managed nonoperatively or operatively, depending on the degree of injury and the amount of bleeding. Patients with liver injury are apt to experience problems with albumin formation, serum glucose levels (hypoglycemia in particular), blood coagulation, resistance to infection, and nutritional balance. Management of injuries to the spleen depends on the patient’s age, stability, associated injuries, and type of splenic injury. Because removal of the spleen places the patient at risk for immune compromise, splenectomy is the treatment of choice only when the spleen is totally separated from the blood supply, when the patient is markedly hemodynamically unstable, or when the spleen is totally macerated. Treatment of pancreatic injury depends on the degree of pancreatic damage, but drainage of the area is usually necessary to prevent pancreatic fistula formation and surrounding tissue damage from pancreatic enzymes. Small- and largebowel perforation or lacerations are managed by surgical exploration and repair. Preoperative and postoperative antibiotics are administered to prevent sepsis.
Nutritional requirements may be met with the use of a small-bore feeding tube placed in the duodenum during the initial surgical procedure or at the bedside under fluoroscopy. It may be necessary to eliminate gastrointestinal feedings for extended periods of time, depending on the injury and the surgical intervention required. Total parenteral nutrition may be used to provide nutritional requirements.
The most important priority is the maintenance of an adequate airway, oxygen supply, breathing patterns, and circulatory status. Be prepared to assist with endotracheal intubation and mechanical ventilation by maintaining an intubation tray within immediate reach at all times. Maintain a working endotracheal suction at the bedside as well. If the patient is hemodynamically stable, position the patient for full lung expansion, usually in the semi-Fowler position with the arms elevated on pillows. If the cervical spine is at risk after an injury, maintain the body alignment and prevent flexion and extension by using a cervical collar or other strategy as dictated by trauma service protocol.
The nurse is the key to providing adequate pain control. Encourage the patient to describe and rate the pain on a scale of 1 through 10 to help you evaluate whether the pain is being controlled successfully. Consider using nonpharmacologic strategies, such as diversionary activities or massage, to manage pain as an adjunct to analgesia.
Emotional support of the patient and family is also a key nursing intervention. Patients and their families are often frightened and anxious. If the patient is awake as you implement strategies to manage the ABCs, provide a running explanation of the procedures to reassure the patient. Explain to the family the treatment alternatives and keep them updated as to the patient’s response to therapy. Notify the physician if the family needs to speak to her or him about the patient’s progress. If blood component therapy is essential to manage bleeding, answer the
patient’s and family’s questions about the risks of hepatitis and human immunodeficiency virus
(HIV) transmission.
Nursing care plan discharge and home health care guidelines
Provide a complete explanation of all emergency treatments and answer the patient’s and family’s questions. Explain the possibility of complications to recovery, such as poor wound healing, infection, and bleeding. Explain the risks of blood transfusions, and answer any questions about exposure to blood-borne infections. If needed, provide information about any follow-up laboratory procedures that might be required after discharge. Provide the dates and times that the patient is to receive follow-up care with the primary healthcare provider or the trauma clinic. Give the patient a phone number to call with questions or concerns. Provide information on how to manage any drainage systems, colostomy, intravenous therapies, or surgical wounds.
Abdominal trauma can be blunt or penetrating. Blunt injuries occur when there is no break in the skin; they often occur as multiple injuries. In blunt injuries, the spleen and liver are the most commonly injured organs. Injury occurs from compression, concussive forces that cause tears and hematomas to the solid organs such as the liver, and deceleration forces. These forces can also cause hollow organs such as the small intestines to deform; if the intraluminal pressure of hollow organs increases as they deform, the organ may rupture. Deceleration forces such as those that occur from a sudden stop in a car or truck may also cause stretching and tears along ligaments that support or connect organs, resulting in bleeding and organ damage. Examples of deceleration injuries include hepatic tears along the legamentum teres (round ligament that is the fibrous remnant of the left umbilical vein of the fetus, originates at the umbilicus, and may attach to the inferior margin of the liver), damage to the renal artery intima, and mesenteric tears of the bowel.
Penetrating injuries are those associated with foreign bodies set into motion. The foreign object penetrates the organ and dissipates energy into the organ and surrounding areas. The most commonly involved abdominal organs with penetrating trauma include the intestines, liver, and spleen. Complications following abdominal trauma include profuse bleeding from aortic dissection or other vascular structures, hemorrhagic shock, peritonitis, abscess formation, septic shock, paralytic ileus, ischemic bowel syndrome, acute renal failure, liver failure, adult respiratory
distress syndrome, disseminated intravascular coagulation, and death.
At least half of the cases of blunt abdominal trauma are caused by motor vehicle crashes (MVCs). These injuries are often associated with head and chest injuries as well. Other causes of blunt injury include falls, aggravated assaults, and contact sports. Penetrating injuries can occur from gunshot wounds, stab wounds, or impalements.
Nursing care plan assessment and physical examination
For patients who have experienced abdominal trauma, establish a history of the mechanism of injury by including a detailed report from the pre-hospital professionals, witnesses, or significant others. AMPLE is a useful mnemonic in trauma assessment: Allergies; Medications; Past medical history; Last meal; Events leading to presentation. Information regarding the type of trauma (blunt or penetrating) is helpful. If the patient was in an MVC, determine the speed and type of the vehicle, whether the patient was restrained, the patient’s position in the vehicle, and whether the patient was thrown from the vehicle on impact. If the patient was injured in a motorcycle crash, determine whether the patient was wearing a helmet. In cases of traumatic injuries from falls, determine the point of impact, the distance of the fall, and the type of landing surface. If the patient has been shot, ask the paramedics or police for ballistics information, including the caliber of the weapon and the range at which the person was shot.
The patient’s appearance may range from anxious but healthy to critically injured with a full cardiopulmonary arrest. If the patient is hemorrhaging from a critical abdominal injury, he or she may be profoundly hypotensive with the symptoms of hypovolemic shock. The initial evaluation or primary survey of the trauma patient is centered on assessing the airway, breathing, circulation, disability (neurological status), and exposure (by completely undressing the patient). Lifesaving interventions may accompany assessments made during the primary survey in the presence of life- and limb-threatening injuries. The primary survey is followed by a secondary survey, a thorough head-to-toe assessment of all organ systems. The assessment of the injured patient should be systematic, constant, and with re-evaluation.
When you inspect the patient’s abdomen, note any disruption from the normal appearance such as distension, lacerations, ecchymoses, and penetrating wounds. Inspect for any signs of obvious bleeding such as ecchymoses around the umbilicus (Cullen sign) or over the left upper quadrant, which may occur with a ruptured spleen (although these signs usually take several hours to develop). Note that Grey-Turner’s sign, bruising of the flank area, may indicate retroperitoneal bleeding. Inspect the perineum for accompanying urinary tract injuries that may lead to bleeding from the urinary meatus, vagina, and rectum. If the patient is obviously pregnant, determine the fetal age and monitor the patient for premature labor.
Auscultate all four abdominal quadrants for 2 minutes per quadrant to determine the presence of bowel sounds. Although the absence of bowel sounds can indicate underlying bleeding, their absence does not always indicate injury. Bowel sounds heard in the chest cavity may indicate a tear in the diaphragm. Trauma to the large abdominal blood vessels may lead to a friction rub or bruit. Bradycardia may indicate the presence of free intraperitoneal blood. Percussion of the abdomen identifies air, fluid, or tissue intra-abdominally. Air-filled spaces produce tympanic sounds as heard over the stomach. Abnormal hyper-resonance can indicate free air; abnormal dullness may indicate bleeding. When you palpate the abdomen and flanks, note any increase in tenderness that can be indicative of an underlying injury. Note any masses, rigidity, pain, and guarding. Kehr’s sign—radiating pain to the left shoulder when you palpate the left upper quadrant—is associated with injury to the spleen. Palpate the pelvis for injury.
Changes in lifestyle may be required, depending on the type of injury. Large incisions and scars may be present. If injury to the colon has occurred, a colostomy, whether temporary or permanent, alters the patient’s body image and lifestyle. The sudden alteration in comfort, potential body image changes, and possible impaired functioning of vital organ systems can often be overwhelming and lead to maladaptive coping.
Nursing care plan primary nursing diagnosis: Ineffective breathing pattern related to pain and abdominal distension.
Nursing care plan intervention and treatment plan
The initial care of the patient with abdominal trauma follows the ABCs of resuscitation. Measures to ensure adequate oxygenation and tissue perfusion include the establishment of an effective airway and a supplemental oxygen source, support of breathing, control of the source of blood loss, and replacement of intravascular volume. Titrate intravenous fluids to maintain a systolic blood pressure of 100 mm Hg; over-aggressive fluid replacement may lead to recurrent or increased hemorrhage and should be avoided prior to surgical intervention to repair damage. As with any traumatic injury, treatment and stabilization of any life-threatening injuries are completed immediately.
Surgical intervention is needed for specific injuries to organs. Diaphragmatic tears are repaired surgically to prevent visceral herniation in later years. Esophageal injury is often managed with gastric decompression with a nasogastric tube, antibiotic therapy, and surgical repair of the esophageal tear. Gastric injury is managed similarly to esophageal injury, although a partial gastrectomy may be needed if extensive injury has occurred. Liver injury may be managed nonoperatively or operatively, depending on the degree of injury and the amount of bleeding. Patients with liver injury are apt to experience problems with albumin formation, serum glucose levels (hypoglycemia in particular), blood coagulation, resistance to infection, and nutritional balance. Management of injuries to the spleen depends on the patient’s age, stability, associated injuries, and type of splenic injury. Because removal of the spleen places the patient at risk for immune compromise, splenectomy is the treatment of choice only when the spleen is totally separated from the blood supply, when the patient is markedly hemodynamically unstable, or when the spleen is totally macerated. Treatment of pancreatic injury depends on the degree of pancreatic damage, but drainage of the area is usually necessary to prevent pancreatic fistula formation and surrounding tissue damage from pancreatic enzymes. Small- and largebowel perforation or lacerations are managed by surgical exploration and repair. Preoperative and postoperative antibiotics are administered to prevent sepsis.
Nutritional requirements may be met with the use of a small-bore feeding tube placed in the duodenum during the initial surgical procedure or at the bedside under fluoroscopy. It may be necessary to eliminate gastrointestinal feedings for extended periods of time, depending on the injury and the surgical intervention required. Total parenteral nutrition may be used to provide nutritional requirements.
The most important priority is the maintenance of an adequate airway, oxygen supply, breathing patterns, and circulatory status. Be prepared to assist with endotracheal intubation and mechanical ventilation by maintaining an intubation tray within immediate reach at all times. Maintain a working endotracheal suction at the bedside as well. If the patient is hemodynamically stable, position the patient for full lung expansion, usually in the semi-Fowler position with the arms elevated on pillows. If the cervical spine is at risk after an injury, maintain the body alignment and prevent flexion and extension by using a cervical collar or other strategy as dictated by trauma service protocol.
The nurse is the key to providing adequate pain control. Encourage the patient to describe and rate the pain on a scale of 1 through 10 to help you evaluate whether the pain is being controlled successfully. Consider using nonpharmacologic strategies, such as diversionary activities or massage, to manage pain as an adjunct to analgesia.
Emotional support of the patient and family is also a key nursing intervention. Patients and their families are often frightened and anxious. If the patient is awake as you implement strategies to manage the ABCs, provide a running explanation of the procedures to reassure the patient. Explain to the family the treatment alternatives and keep them updated as to the patient’s response to therapy. Notify the physician if the family needs to speak to her or him about the patient’s progress. If blood component therapy is essential to manage bleeding, answer the
patient’s and family’s questions about the risks of hepatitis and human immunodeficiency virus
(HIV) transmission.
Nursing care plan discharge and home health care guidelines
Provide a complete explanation of all emergency treatments and answer the patient’s and family’s questions. Explain the possibility of complications to recovery, such as poor wound healing, infection, and bleeding. Explain the risks of blood transfusions, and answer any questions about exposure to blood-borne infections. If needed, provide information about any follow-up laboratory procedures that might be required after discharge. Provide the dates and times that the patient is to receive follow-up care with the primary healthcare provider or the trauma clinic. Give the patient a phone number to call with questions or concerns. Provide information on how to manage any drainage systems, colostomy, intravenous therapies, or surgical wounds.
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Times Are Indeed Hard
TIMES must indeed be hard in Scottish football - Cumnock Juniors, in a cost-cutting measure, have dispensed with the services of one of the backroom staff.
Twenty years ago, when I was working for a local newspaper group in Ayrshire I forecast doom and gloom for Ayrshrie junior football in the 21st century. A contemporary from school, then High-Heid Yin at one of the oldest Ayrshire clubs told me he had a terrible vision of his beloved club playing amateur football come the millennium - thankfully, that grand old club is still functioning as a junior club today.
I forecast closure for one or two of the eternal strugglers in the Ayrshire League, they are still struggling these days, but still going. Of course, I also though that by 2010 the long-awaited Scottish pyramid would be up and running, but, I'm still waiting.
One thing I said then, was that, with the overthrow of King Coal in East Ayrshire, there was a chance that Cumnock would be left to carry the banner of that area at the top level of the junior game.
This (of course) did not go down well in Auchinleck or New Cumnock. Well today, Talbot are perhaps the most-stable of the three East Ayrshire giants; Glens only just escaped possible closure - their cause not helped by indifference which has seen New Cumnock become so-derelict, locals joke: "Welcome to New Cumnock, twinned with Basra".
But I always thought Cumnock would sail on. That town appeared to have an infrastructure of manufacturing and service industries which the surrounding villages lacked and therefore the potential for sponsorship and off-field funding perhaps beynd the others.
But, for all the hard work of their committee, post-recession, they too are now feeling the pinch.
Mind you, I've also said, the way junior football has, since the formation of the West of Scotland Superleague in particular, gone down the route of depending on failed seniors, would lead to financial trouble.
Better I argued to put in place a development programme along the lines of an associated Boys Club with age group teams up to an Under-21 juvenile side, to encourage local lads to identify with the local club.
Better too, to have an amateur arm, for the over-21s who are not good enough for your first team on a regular basis, but, could do a job at the end of the season, when you get into two and three games per week and definitely better to have a team full of locals, playing for the jersey.
I've yet to see a junior team follow this blue print, but reckon, the first that does and does it properly, will cash-in big time.
These never weres from Glasgow and its surrounding areas playing for Ayrshire junior clubs are merely, in my view, allowing hicks from the sticks to pay for their (the Glasgow Boys') hobby.
Of course there is another side to the story. I put this theory to the man who single-handedly ran his local club, to the extent he was known as Lord *********.
"Aye, it would be great to have 11 locals on the park, but, (there has to be a but), not many of the locals that we've given a chance to in recent years has been able to live with the abuse - because he's a local boy, the player who lives locally is judged by a higher standard, expected to give more to the team and take greater abuse when things don't work out - and not many local boys want that kind of pressure - so we go with the Glasgow boys, who only ever see the village on home game days".
That I can understand - "I kent his faither" has hindered more Scots than, lack of money, lack of ambition and lack of talent.
We truly are our own worst enemies.
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Wednesday, September 1, 2010
Peak Moment Interview
Jaydee, Danny and Meghan of SQUAT recently did an interview for Peak Moment Television. Peak Moment is an awesome media project started by Janaia Donaldson and Robin Mallgren that focuses on "Locally Reliant Living for Challenging Times".It is "an online television series featuring people creating resilient communities for a more sustainable, lower-energy future. Programs range from permaculture farms to electric bikes, ecovillages to car-sharing, emergency preparedness to careers for the coming times. As of May 2010, over 170 half-hour programs are available online.
Peak Moment TV emerged out of our desire to find models among grassroots entrepreneurs working to create a sustainable future. From a start in our small-town Northern California community access TV studio in early 2006, we expanded our scope that summer by visiting over 20 West Coast communities and recording more than 140 half-hour Peak Moment conversations. In 2010 we plan to return to the Pacific Northwest to tape updates and new programs."
Sitting around a campfire in the late-summer woods of the Pacific Northwest, we had a fascinating discussion around birth and the future of our world. We were able to relate concepts from midwifery licensure to health insurance and industrial agriculture, it seems that everyone walked away from the conversation feeling a bit inspired.
Although the conversation filmed with SQUAT may not be online for quite some time, Janaia wrote about it in her blog featured here.
Ascaris How I've Missed You
Aside from the fact that I'm about to get my ascaris handed to me on a plate by this next exam (Friday! Yikes! 50% of my grade!)... I forgot how much I LOVE LOVE parasites. Seriously, they are the most interesting things ever.
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