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FranEMTnurse, LPN, EMT-I Pro 48,150 Views

Joined Jun 7, '02. Posts: 14,530 (24% Liked) Likes: 7,803

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  • Dec 8

    Had a great one a few days ago. She asked 'Do you like working here?' - in this authoritative voice that she doesn't usually use. I said 'yeah, kinda' :^), and had no idea where this was headed, but then she said 'Do you want to stay here?', followed by "I'm taking over! And I want people who aren't afraid to get their hands dirty"... the 'job interview' was on. I told my CNA's a bit later, and one said oh yeah, that she had offered her an 'executive position'. Great stuff... I'm sure she really was some kind of manager somewhere.

  • Dec 3

    Quote from FranEMTnurse
    I remember life without TV, (we listened to stories on the radio) video games, computers, cell phones, cars with computers in them, bullet trains, & Roombas.
    It's funny how life continues to change around us each and every day. There are so many changes that we have no choice but to roll with the punches. I'm in my 40's - mid-life everything! - and it is funny to tell me kids about life with cell phones that were in bags, dial-up internet and tv's with no remotes! Can only imagine what stories I will have for my grandchildren (way in the future, of course!).
    Thanks for your thoughts and the trip down memory-lane. ~Melissa

  • Dec 2

    We need protein in our diet to keep us strong and healthy. New research presents the idea that a diet rich in protein is good for IBS as we will see in the article, "Protein-rich diet may help soothe inflamed gut," by the Washington University School of Medicine. Protein is within all living organisms and plays an important role in cells such as metabolism and transporting molecules.

    For patients with IBS - bloating, diarrhea, constipation, and abdominal pain are a part of life. With the exact cause not being known, they are left with recommendations to treat the symptoms. To make sure that foods are the irritant, the patient should make a food diary for a week. This will show a correlation between which foods cause what symptom, or any symptoms at all.

    Along with de-stressing as much as you can, experts recommend finding an eating routine that allows a relaxing atmosphere. Take the time to chew properly, and drink plenty of water. Exercise is important for these patients as well. Actually, these recommendations are good for everyone.

    Also, it is suggested that limiting caffeine, alcohol, and fizzy drinks such as soda is beneficial. Some starches can irritate IBS patients and can lead to bloating and diarrhea. Fatty foods, soluble and insoluble fiber, fructose can all lead to IBS symptoms. That is why a food diary is important.

    Most of us have heard of the FODMAP diet in helping with IBS symptoms. There is a lot of information out there available to patients.
    F - Fermented - Oligo
    D - Di
    M - Mono-saccharides
    A - And
    P - Polyols All of these represent short chained carbohydrates that aren't absorbed well in the colon. Some examples are wheat, onion, garlic, cabbage, legumes, apples, apricots, avacados, plums, and watermelon. This is a small example of a much larger list.
    Now there is new research that can give hope to patients with IBS . Our body in it's amazingness, has a protective mechanism in which immune cells defend the stomach. When the inflammation balance tilts in the wrong direction, that is when patients end up with IBS. The study conducted by the Washington University School of Medicine shows that there is a bacteria present in some mice that are, "a kind of tolerance-promoting immune cells." But that isn't all, the specific bacteria - Lactobacillus reuteri, needs tryptophan (a building block of protein) to trigger it's appearance. This bacteria is a normal part of the gut, and the "more tryptophan the mice had in their diet, the more of these immune cells they had."
    The researchers found that while the mice were genetically the same, that when raised in alternative environments made a difference whether the mice had the cells or not. That is how the researchers found that when L. reuteri was introduced to mice who had none, their immune cells rose in number.

    Most of us just ate a bunch of tryptophan, but it can also be found in eggs, seeds, poultry, yogurt, cheese, chocolate, and nuts. Vegetarians need not worry about not being able to obtain tryptophan in their diets.

    Although most of us have L. reuteri in our system, some do not. It is not known for sure if the bacteria has the same effect in humans as in mice. There may be a defective gene in regards to tryptophan in IBS patients. Since the bacteria controls inflammation, it can make a difference in the GI health.

    Because there is no proven relation of IBS to food allergies, it not treated as such. The popular gluten free diet has led many people to remove gluten from their diets. However, in the article, "Diet in Irritable Bowel Syndrome," by El-Shaly, Magdy, they say that after 30 years of research including small bowel biopsies and a gluten challenge, patients have not had any relief in their symptoms.

    One day it may be possible to find a more permanent relief for IBS patients. As they do further research and find a way to give people the right balance of bacteria in their gut, IBS symptoms can be decreased. Until then, diet and exercise remain the most important factors in controlling symptoms.

    Share what has worked with you or your patients regarding control of IBS symptoms.

    References

    El-Salhy, Magdy and Gunderson, Doris. 2015, April 14. "Diet In Irritable Bowel Syndrome." BioMedCentral. 4 August, 2017. Web.

    Sambrook, Jan Dr. 2017, Jan. 11. "Irritable Bowel Syndrome Diet Sheet." Patient.info.health. 4 August, 2017. Web.

    Washington University School of Medicine. 2017, August 3. "Protein-Rich Diet May Help Soothe Inflamed Gut: Mice Fed Tryptophan Develop Immune Cells That Foster A Tolerant Gut." ScienceDaily. 4 August, 2017. Web.

  • Nov 24

    I was taught there are only four things an LPN cannot do that an RN could do

    Give Blood or blood by products

    Do Bolus med pushes (except heparin)

    Give chemo drugs

    Administer tube feedings..not peg tubes..that we do

    While I agree..BSN. RN are more schooled..it all depends on what you want to achieve in your nursing goals! Do whatever makes you happy!

  • Nov 24

    I Love this post. I believe that we are all nurses despite our educational path. I began as an LPN. The LPN school I went to was so tough. It prepared me for my ADN and my BSN.
    I wish you luck in all your endeavors.

  • Nov 19

    I recently spend a couple weeks at a relative's hospice bedside and fell in love with the nurses who were working with him. Thanks for giving me a glimpse into what their day must be like.

  • Nov 16

    I used vacation time to have this surgery, is it okay if I take a souvenir scalpel?

  • Nov 16

    You wouldn't mind trimming down on my nose area as well would you

  • Nov 13

    I was called to a code. The floor nurses were dropping an NG tube. Another nurse was doing CPR
    The chest compressions caused the NG tube to emit this huge gust of coffee ground emesis that flew all over me. It was in my hair, all over my clothes, everywhere. Yuck.

  • Nov 11

    Pardon me, do you have any Grey Poupon Dijon mustard...

  • Nov 11

    " This doesn't start until Sean from the Good doctor gets here "

  • Nov 8

    I agree I was always first to volunteer to work as a CNA on my unit when they were short, because my 8 hour nursing shift frequently took 10 after charting was done, but working as an aide I could breeze out the door within 15 minutes of my scheduled end of shift. I no longer work with CNAs but they never seemed to realize that every person I stopped to change, toilet, or help transfer added on to the overtime that I would get lectured on accruing, because as the only nurse on my wing there was no one there to help me with my work, which actually takes longer than my scheduled shift even without breaks. Although they frequently did thank me for helping.

  • Nov 8

    Quote from FranEMTnurse
    I saw the following post by Brooke Varner, RN on Facebook today. She wrote tyhe following-

    Tonight I went into work thinking I was working my usual nurses cart but to my surprise I wasn't on the schedule to work. I offered to work as a CNA because we were short handed. Wow. I really believe EVERy nurse should be required once or twice a year do do this. CNA probably have one of the hardest jobs. Over worked and underpaid is an under statement! It really humbled me to be on the other end of the spectrum! Nurses help your aids out!! We are a team! You see a call light, answer it. If a resident needs assistance, assist. This is nursing 101. No nurse is not good enough to do these things, every little bit helps. The time that it takes to look for your aid to tell them "Room 2 needs to be changed" you could have done it! TThank you aids for all that you do! I appreciate you. and look forward to getting my hands dirty again!
    I work as the CNA once in a while ....compared to nursing, I find it very low stress- like a night off. Most of us "help" CNAs as often as we're able to. I'm not sure this facebook post is anything profound??

  • Nov 6
  • Oct 29

    Thanks to all for the responses, I appreciate your time and feedback. I am well aware that I wouldn't single handedly end the opioid crisis by suggesting that my little old ladies not get dilaudid (wouldn't that be awesome), I was very interested to hear what my ER colleagues take on the pain control protocols are.


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