LuxCalidaNP 5,734 Views
Joined: Feb 22, '09;
Posts: 229 (43% Liked)
; Likes: 268
More training hours, advanced anatomy & physiology, lab pathology, introduction to radiology would be a nice replacement to current courses like introduction to adv. nursing practice, adv role and policy, community health, nursing theory/ethics etc.
One word: Buprenorphine. It's a magical magical drug...turns our crabby, opiate-hookde patients whose pain is NEVER in control to pleasant, relieved, non-doped up humans.
i agree that those addicted need specific intervention, which is not more of the very drug for which they are addicted. doctors are becoming smarter and prescribing far fewer narcotics through the er, and many hospitals in my area have developed new policies with stringent rules on the type, quantity and uses for certain narcotics in the emergent setting.
i completely agree that pain is subjective. as the matter of fact...patients don't have to say a word. as part of a study i did in a statistics class, we evaluated patients coming into an er with complaints of pain. statistically, regardless of the type of complaint approx 90% of patients told the er md their pain was a 9 or greater using the 0-10 pain scale when asked. when flacc was used with these patients, the average score was a 4 or 5. when the smiling to crying faces were used the average number decreased further to a 3 or 4, with almost no 9 or 10's. (duh... i'm not crying or grimacing...i'm smiling... the doctor can see that...i better not choose the grimacing or crying face or they might know i'm lying!!" this study shows there are issues with a 0-10 scale. other evaluators tend to be of higher accuracy with use in the adult general public. still subjective. pts are saying what their pain level is. they are just using a different type of communication. they can still indicate they have pain and whatever their "pain is"...we just need to provide these adults with a more accurate way to do so.
It's a beautiful day and sometimes we get so caught up with finding what's wrong that we never stop to appreciate each other. I think we do a darn good job!
So I'm spreading the love to all my colleagues. Why don't you spread some yourself?
PS- Ruby_vee here's to you.
Let any nurse who did not commit a single mistake cast the first stone.
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