joies1

joies1

acute, critical, home, assisted, MRDD

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About joies1

joies1 has 25 years experience and specializes in acute, critical, home, assisted, MRDD.


I have been nursing since 1984. Most of that time was in our local community hospital. 5-6 years of that in critical care and the rest largely med/surg. However I did work in and with patient education, cardiac rehab, home health, new murse orient

Latest Activity

  1. My ! How this thread and topic has caused such a wonderful expanse of thoughts since its arrival !!! The area that I seem to be missing is the lower middle class. Being a 'single' mother when my...
  2. This is an area of nursing that is so dear to me. After years in acute and critical care I had to modify my activity for health and physical reasons. Begrudgingly I began nursing in an ALF. I have...
  3. The Unemployed RN

    Always a day late ! Or, in this case a month...... As sad as it is, I am glad to see that other competent nurses are in my position. At least I know it is not just me ! I started nursing school in...
  4. Retired, now what?

    I so much relate and am empathetic to your concerns. I, along with -I'm sure - many others who have similar concerns share with you right now. We loved being a nurse. We loved the hands on care,...
  5. As usual, I am a bit late to respond - which probably isn't a concern. What is nursing's greatest setback? Well, many of you seem too avant guard for me. I may be old, but I am not particularly 'old...
  6. Hey worldtraveler - - so am I ! (born in Panama, kindergarten in Japan and high school in France) Long time ago because I'm 61 now. Ugh.... Still travel when I can [a month in Peru a couple years ago]...
  7. Not to worry ~~~ Good nurses will always be needed. It just may not be where or how you had in your plans. I know everyone comes through and out of school with 'their plan' and preference. If you...
  8. Dementia care - altercations

    Thank you so much for your concern and direct response. Like the old movie said "Let it be said. Let it be done !" All those concerns have passed. Yes, one was sent to another facility - the most...
  9. Dementia care - altercations

    Surely you jest ! ~ A psychiatrist at hand ! No, I know you are not. But surely must be accustomed to a different environment. As mentioned before, our first resource is the county psyche specialist....
  10. Dementia care - altercations

    Thanks to all that wrote with your responses. I appologize for being so tardy with my return. Just dealing with holidays, work and illness has kept me away. I couldn't agree more about staffing. I...
  11. Dementia care - altercations

    OK ~ I had been in acute and critical care for 20 years. But since 2004 I have been in assisted living. Currently I am in a 'memory care' facility. All residents have significant dementia along with...
  12. High fall risk

    Gosh~ I'm going to jump right in here! Not that I have any great wisdom to contribute...... I work in assisted living and falls are one of the greatest concerns. I always wonder how to deal with a...
  13. Insulin

    So good to see such a discussion. I am new to this forum, so this is my first post. However, I have been an RN in acute and critical care for 20 years and insulin and heparin always required 2...