Life-Span class is shortening mine. - page 6

I'm just whinning........certainly to a group of intellectuals that can somehow utilize this contradictory load of crap. I'm certain this will be the only useless part of school, but I just can't... Read More

  1. by   live4today
    Originally posted by kardut
    .............And Cheerfuldoer -- no, it's not a generational thing. I'm 40, and have a hard time keeping my eyes open while reading the book for this course. I think the big problem I have with it is that so much of this course is just plain old common sense, especially to anyone who has raised a child....
    Hmmmm...I am 50...not far beyond your age of 40, but that class meant so much to me as a nurse, as a wife, as a mother, as a woman, but Psychology is like that. Some take to it better than others AND in different ways. I'm glad I had the class. I've been a RN for 15 years now, and never once regretted taking that course. I should say that I was a wife and mother of three during the years I was in college to become a nurse, so even though much of that course was common sense to me, it was also great to view it from the perspective of patient care, which is still helpful today...but life defines itself in different ways to each of us...which makes life so unique that way.
  2. by   kelligrl
    :chuckle :chuckle :chuckle

    Thank you for reminding me--I'm sure I would have forgotten and then I would have just kicked myself!!! Seriously though, I'm pretty much of the "just let me get a freakin' C" frame of mind regarding this class...Just let it finish SOON for crap sakes!!
  3. by   Peeps Mcarthur
    I would have just kicked myself
    But then you would fall down, peg-leg!:roll


    Ok here we gooooooo........Cheerfuldoer, give me an example of what I might TANGIBLY use in actual nursing practice short of working with peds patients............which will only happen in clinicals for me.

    It must be tangible, in other words, it must be in my job description, in a document, in the chart and have a section in the progress notes to be relatable to my job.

    Only what is seen not just what you are thinking about the patients needs at the time but how you would actually put theory to work

    Go ahead "operationalize" it for me.

    I'm also 40y/o so your hypothesis is taking on water! I do think that you'll find many more women than men loving this kind of class though.

    Actually.......my numbers are "rigged" since the ratio of men to women in nursing is so lopsided, but they are ready-made findings.

    Nothing agressive meant by this. I just want to share my veiwpoint...........really I'm not trying to be mean, promise.
  4. by   kelligrl
    :roll :chuckle :chuckle :roll
    I just got a mental picture...One-legged me trying to kick my own a$$.....:chuckle
  5. by   live4today
    Peeps...working with people (patients) is more than "black and white"...it's the gray area health professionals see that will often let them know what's going on with their patients. However...I will come back with a situation as soon as I can jot it down to clarify the need for that class. I don't have my Life Span textbook any longer, so bear with me while I research.
  6. by   Peeps Mcarthur
    Cheerful,
    If you don't really use life-span then how about a psychology scenario.

    Don't go to all the trouble to dig around in some dusty books...........unless you really want to. I will still discuss it with you anyway, but if you have to do that wouldn't it be fair to say that you don't really use it?

    Just take an example of how YOU use it and it will be that much easier than trying to explain how I would use it.

    Heck, I wouldn't know that stuff outta that thar book anyhooo.
  7. by   live4today
    Originally posted by Peeps Mcarthur
    Cheerful,
    If you don't really use life-span then how about a psychology scenario.

    Don't go to all the trouble to dig around in some dusty books...........unless you really want to. I will still discuss it with you anyway, but if you have to do that wouldn't it be fair to say that you don't really use it?

    Just take an example of how YOU use it and it will be that much easier than trying to explain how I would use it.

    Heck, I wouldn't know that stuff outta that thar book anyhooo.
    In lieu of the fact that I haven't worked in the last five years, I couldn't just pull this stuff out of my brain as though I were CURRENTLY utilizing it...HOWEVER...it still helps me in my communication with people I come in contact with on a daily basis. So.......just off the top of my brain matter, here goes......

    If I remember correctly, the subject matter IS psychology of human development used by nurses (and doctors) in assessing their patients properly in order to arrive at the appropriate interventions necessary to return the patient to THEIR own optimum level of health based on their need to be nurtured in the environment they are accustomed to without the healthcare worker interjecting their own personal choices in the mix....since our concern IS about and for the patients we care for.

    Knowing as much as possible about human development helped me to do a much better job of caring for my patients when knowing something about their family genetics, their 'family-way' of communicating their needs/wants with others (ie: terminology of terms they may or may not relate to); their ethnic and racial beliefs that clued me in on the patient's type of personality they may exhibit during the period of time I would be caring for them (also useful information to pass on to social services IF they are called in to assess a patient for discharge planning purposes, etc.).

    I liked using Erickson's stage of development with my patients during my nursing days because each of Erikson's stages of development proved accurate in most cases. I did locate my little blue pocket size notebook that I made notes on to carry around with me when I first became a nurse. In it were Erikson's stages of development that were taught during my nursing student days in my Life Span and Human Development Course. At that time, they were as follows:

    Infancy (birth to age one)...Trust vs. Mistrust
    Toddler (ages one to three years)...Autonomy vs. Shame & Doubt
    Preschool (ages 3 to 6 years)...Initiative vs. Guilt
    Schoolage (ages 6 thru 12)...Industry vs. Inferiority
    Adolescence (ages 12 thru 18)...Identity vs. Role Confusion
    Young Adults (ages 18 to 40)...Intimacy vs. Isolation
    Middle Age (ages 40 to 65)...Generativity vs. Stagnation
    Senescence (age 65 and up)...Integrity vs. Despair


    Since the time I learned those stages to apply in nursing care, I have since seen a few changes to the age scale used -- give or take a year or two, but the principals used have not changed. So, the scale will vary in today's textbooks somewhat.

    There wasn't a time that I cared for a patient that I didn't see or hear about Erikson's stage of development fitting each patient's stage of life, which I found to be very amazing. Perhaps I am passionate about this course of study because I was a psychology major many moons ago. It's been fun sharing this with you, and I hope after you complete the course you will have a flashback to the importance of learning this material when you begin your clinicals and analyzing the assessment and intervention phase for each of your assigned patients. Students will get to apply this knowledge as nursing students, so you'll see what I mean when you actually are in your clinical rotations. I wish you well. Happy July 4th to you and your loved ones.
    Last edit by live4today on Jul 3, '02
  8. by   Peeps Mcarthur
    Cheerful,
    thinking back through your years of experience, if you think of a clinical situation in which this could be applied just type it here.

    I will use it in a thread to open up a discussion about the use of life-span and gen. psychology in constructing nurses notes, report, relationship with the patient, care planning(a real one, not the "play" nurse kind).

    I am open to discussing the material's actual use in the conduct of everyday operations, until then it's just a few classes they added to charge 6 credits tuition because they have an ABUNDANCE of psych instructors and enough students that like it to fill up those classes.

    I'm positive I will see this again in the way of papers to write. It is soooo easy for an instructor to have me write abut Erikson's theories instead of the common performance of everyday nursing. Exeryday nursing is just not sexy enough to teach like, what are they going to do with that? Like...."Get the meds passed and your patients cleaned up or the next shift will talk about you behind your back"...A paper about nursing reality by Peeps Mcauthur.

    I say that anything Life-span and gen. psych could tell me, I could observe for myself in my patients without using words like "generativity" and "operationalize" and Erikson's Yin and Yang of crisis. Whatever it is they are saying is lost in the need to sound like they have something new and thought provoking. If they would just speak in plain english,I might even like some of it.

    Pehapse clinicals will unravel the mystery for me.................but I'm not holding out much hope.
    Life-span and gen. psych is ruining my GPA and I'm really bitter about it. It's watering-down the curicculum with practicaly useless information when more suitable subjects could be taught.

    How about a primer for the diseases we'll encounter, medical terminology, cellular biology, first-aid, policy and procedure................etc.

    You love psychology and you couldn't give me an example. You've been out of it for 5 years(good for you),still remember Erikson's theories but not a situation where it could be used. That's because it's in your head. Your thinking about it, not doing it, that's why you have no example. There really isn't one.

    I'm glad you like it, really, but it's impractical for use as a nurse and it is retarding nursing's growth as a profession.
  9. by   Peeps Mcarthur
    It's been fun sharing this with you, and I hope after you complete the course you will have a flashback to the importance of learning this material when you begin your clinicals
    Oh, I'll have flashbacks alright :chuckle :roll
  10. by   live4today
    I appreciate your honesty in regards for your dislike for that course. I agree with your take on Psychology being something one LIVES...not just talks about...but when dealing with patients as healthcare professionals, we need more than "street-psychology" to help us understand them, where they are coming from to where they have been, and what's going on with them that they don't often verbalize to us for various reasons; most of all...what their body language often indicates to us...which is a very strong indicator when something other than their known disease process is going on.

    IF you do decide to continue in nursing, I would love to hear from you...say six weeks into your orientation. Your disagreeance with the necessity of this particular course will have an altered touch to it once you are actually serving our patient population in the role of NURSE. I'd guarantee that statement as sure as I am sitting here saying this to you.

    I'd be willing to bet that if you put all that negative energy that you are using to fight having to take that class into actually applying yourself as a willing subject in that class, you'd be
    able to at least tolerate it long enough to pass it...because there is NO WAY around it. You've got to have it!

    Even though you are only 10 years younger than I, I can read a lot of my "oldself" in your "take" on life. :chuckle You impress me...and that's why I am choosing to have this discussion with you. Now...you want me to give you examples??? Okay brain...let's give it a whirl.

    PATIENT: 10 year old Susie is crying because she wants her dolly and tiger pooh from home. She's been hospitalized all of one night, mommy and daddy are at her bedside...Susie hates being there...wants to go home to her own room and have her own stuff around her...especially her dolls and stuffed animals that she collects from every state her family has visited in her 10 year old life. Susie is a patient because she needed surgery on her right leg for a tumor that was noted, but the docs were able to remove the tumor, save Susie's leg, and give her and her parents wonderful news that the tumor was noncancerous.

    SITUATION - Nurse comes into Susie's room...finds her crying...parents are fit to be tied...can't calm her down...Nurse asked Susie: "Susie, what's wrong? Why the tears?" Susie responds...sobbing through her statement..."I want my dolls and stuffed animals around me. I don't like it here." Nurse replies: "Well..I'm sure you'll be able to go home soon and be with your dollies and stuffed animals." Susie retorts: "You don't understand. It's not the same...I need them with me NOW!" (Parents scold Susie for being rude to the nurse by yelling at her) Susie continues to cry. Nurse says, "Well, I'm sorry you are missing your dollies and stuffed animals a lot right now....blah blah blah...the drama continues to unfold................................

    NURSING INTERVENTION/DOCUMENTATION/CARE PLAN NOTES:...Okay, Peeps...what is REALLY the problem with Susie according to Erikson's stage of development? How could the nurse and the parents have rectified that problem for poor little Susie? How will you ...Susie's nurse...document in her records what is going on with her according to Erikson's theory? After you answer these questions, I'll tell you if you are correct. I have a feeling you will MASTER this with no problem. I just have that feel about you... :chuckle
    Last edit by live4today on Jul 4, '02
  11. by   Peeps Mcarthur
    Cheerful,

    This is very nice of you to extend such courtesy. If more discussions were conducted in such a manner we would all learn more about eachothers viewpoints.:kiss

    The child is simply in an unfamiliar surrounding. That makes the fear of the unknown greater. I would suggest that if she had her favorite stuffed animal she would have a "friend" with her all the time to make it more comfortable.

    The parents are in an unfamiliar surronding also and have not yet thought of threatening you with a lawsuit to get everything they want pronto..................but they will adapt to thier new surrondins soon.

    In the meantime they are reluctant to interfere with the childs course of therapy for fear of altering its course. They know the doll would calm the child down, but they feel akward about what they see as usurping the caregiver's power of discretion.

    I don't know how Erickson fits in here, but I'm sure we could somehow do it.

    Any ideas?
  12. by   Peeps Mcarthur
    Oh yea, the notes.

    Do we have to write it in the notes? Does the oncoming shift need to know why the child now has a doll? Is an order required?

    Can't you just give the kid the doll?
  13. by   Furball
    Peeps..you're killing me!!!!:chuckle In a good way though.... The thought of an MD writing an order for a dolly just about KILLED me hahahaha

    I didn't like the psych gobbledeegook either and I'm female. Fun reading ya'lls opinions. Hope ya'll have a safe and fun fourth!!!!

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