Latest Comments by SamB12rn

SamB12rn 2,436 Views

Joined May 18, '09. Posts: 8 (25% Liked) Likes: 3

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  • 0

    [font=&amp]hello,

    [font=&amp]i am a bsn student in an online community health nursing course and need some homework help, pleeeeaaase! i am trying to write some nds for the amish community. i have some written, but not sure if they are correct.

    [font=&amp]i only need 4-5[font=&amp] (already have data from part i assignment), but i can think of several problem areas (just not sure of the wording for the nd for part ii of the assignment). for example, i have:

    [font=&amp]1. risk for injury r/t environmental hazards
    [font=&amp]because of their agrarian lifestyle, many injuries to amish occur through farming accidents[font=&amp]. buggy accidents are another source of injury (car/horse and buggy collisions).

    [font=&amp]2. risk for communicable disease outbreak r/t low immunization status
    the amish are susceptible to communicable diseases like polio and tetanus and only 16-26% of amish children have received immunizations against the common childhood diseases.

    [font=&amp]3. risk for genetic diseases r/t inbreeding
    [font=&amp]hereditary diseases and birth defects among the amish are caused by inbreeding (intermarriage).

    [font=&amp]4. altered health maintenance r/t value conflict: ? disinterest in? [font=&amp](cannot find the wording for what i am trying to say here) aeb
    [font=&amp]because of the religious beliefs of many of the amish, different perceptions of health and illness influence many of their health care practices. for example, illness may be viewed by the some of the stricter amish sects as a failure to function in the work role and there may be a delay in seeking medical treatment.

    [font=&amp]5. ineffective management of therapeutic regimen: ? prenatal care r/t ? lack of prenatal care aeb
    it is forbidden for amish women to practice birth control and they generally do not seek prenatal care (except maybe in last trimester).

    [font=&amp]6. knowledge deficit ? r/t aeb ? rejection of most health promotion measures?

    [font=&amp]7. altered growth and development r/t ??? aeb
    [font=&amp]many of the amish reject preventive medicine and most health promotion measures. this is reinforced by their low educational status, which does not surpass the 8th grade, since higher education is discouraged.

    [font=&amp]also, can a nursing diagnosis have more than one "related to" in it (i don't think it can)? thank you so much if you can help me with even just part of this!

    [font=&amp]sam

  • 0

    To all posters to my question:

    Thank you so much for your input...you all made some good points & it was very helpful . I've decided to include the job on my resume. I did my best there, so should not feel bad about it, right? (though I guess I do a little)

    I am a bit frustrated though... I was told that they are well staffed (according to state guidelines) & safe. Yet, from what I've seen, my perception tells me otherwise. I recently researched a website from a link here: http://www.medicare.gov/NHCompare/in...ideCompare.asp. Well, the results simply contradict what I was told at the facility!!!

    How can the decisions for staffing requirements (& other issues) be made by people that don't even work there & therefore could not realistically know what's needed for the delivery of safe patient care in a certain facility (or possibly they never have worked in LTC? are they even all medical people?... the inspectors I mean- well, I don't really know, so I try to refrain from making judgements, but...it does not seem fair or just to the patients or their families )!!!

    Perhaps these last two paragraphs belongs on another thread, because now I am really getting peeved & frustrated about the whole issue! Thanks.

  • 0

    I’m updating my resume & looking for another job :typing. My most recent job was a LTC job that lasted only 3 wks before I quit (not sure if that was the best thing to do , but I did not feel it was a safe place for me, my license, or the patients). It was very overwhelming & I was disappointed that I could not seem to efficiently do what they wanted me to do. Although I felt like I failed (my goal was to work at this job for at least a few yrs to gain some experience & confidence after re-enty into nursing), I have to say that I did my best under the circumstances! I did gain some experience & skills too. Should I include this job on my resume?

  • 0

    I need some resume advice please. I’m really stumped at how to present my work experience on my resume, while still making it accurate & reflective of my present abilities.

    Much of my past nursing experience has been sporadic & has included several different jobs in different areas of nursing... while also raising my 3 kids. I graduated in ‘95, but I feel sort of like a relatively new or inexperienced nurse as far as “putting it all together” or having acquired enough experience or efficiency to feel confident.

    I was out of the nursing field for almost 5 yrs d/t several difficult circumstances where I tried to coordinate a lot of overwhelming issues (loss, a bad divorce, illness, hospitalization, & so much stress that I almost quit altogether ). I worked as a substitute teacher for several yrs, but missed many aspects of nursing & I really enjoy helping & taking care of people :heartbeat. So after getting somewhat stabilized, I decided to take the Nurse Refresher Course. Last year, I completed the NRC (while still caring for kids #2 & #3, as a single mom with no family to help, & working as a sub-teacher). Then, I got a job in a LTC facility (which did not seem to provide adequate enough training & was very difficult, but I liked sone things about it too). I worked p/t & prn for 6 mon (while still caring for kid #3), until they finally stopped calling me (after an inspection, new admin staff had essentially regutted the place). I found another job at another LTC facility that lasted 3 wks. I did my best!!!... but it felt like I was starting all over again. It was very hectic as well & I had trouble keeping up with the pace. I did not get fired, but I felt like it was not a safe place (for me, my license, or for the patients). The orientations in both places were difficult & being p/t, I’d often have a different preceptor on a different hall & little consistency, which made it extremely difficult for my brain to assimilate learning the routine .

    Now I’m looking for another job & updating my resume :typing. I’m not sure if I should include the last LTC (or the one before that), even though I did gain some good experience & skills. I‘m concerned & confused as to what area of nursing to do next . I have to work! I can go back to substitute teaching once school starts up again if I absolutely have to, but I do not want to have too much of a lapse before my next nursing job. It feels like my nursing skills are waning again (although many of them did come back to me when I felt like that before).

    I’d really appreciate any advice regarding resume help, as well as input or feedback regarding getting my career on track (I'm still raising one child too, by myself). Thank you.

  • 1
    Curious1alwys likes this.

    On a resume, how far back should you go? I graduated nursing school in 1995, but spent many of the succeding yrs mostly raising my 3 kids. For much of that time, I also worked in several different nursing areas (sporadic & p/t work according to what allowed me to have time for my kids as a single mom, partly according to what I could do w/ limited nursing experience, & having forgotten alot from nursing school...d/t being a stay-at-home mom for a few yrs).

    I don't regret putting off my nursing career in lieu of raising my kids. I'm just not sure how to effectively prepare (or edit) my resume now. Although I've worked in several areas (mostly peds), I feel like I don't really have ANY long-term, "solid" experience as a nurse (almost jack-of-all trades, but master of none).

    I was out of the nursing field for several yrs, & worked as a substiture teacher, which worked out well for me & raising my kids. I finished the Nurse Refresher course in 2008, then worked in LTC. I'm not sure if I should include nursing work experience before that or not, since I no longer feel proficient in those areas. I can make my resume "look good", & everything on it IS true (but, I don't want it to look like BS either! :icon_roll). I want to include military experience, b/c that's how I got started in the medical field.

    Does a potential employer expect you to still be able to do the things you did yrs ago? Thanks for any feedback.

  • 2
    bcglc5 and Curious1alwys like this.

    wow! it's so great to read these! i'm an rn w/ adhd. the symptoms have been part of my life as far back as i can remember, but the diagnoses came in 1994, when i was in nursing school. it explained a lot of things & i first realized i was not a dummy, but it's been a struggle to keep jobs (& that can make me feel like a dummy). i remind myself that many successful people had adhd, but sometimes it feels like i'm crazy & that no one will understand. i know there must be successful rns w/ adhd in this world that have found their niche. i could use some positive feedback. reading the posts really helps!
    i've had several jobs in different fields of nursing b/c i keep trying to find where i "fit" (one of the best jobs i ever had was in the er, but i was a cna then). after graduating from nursing school in 1995, i worked 8 mon, had my 3rd child, & was a stay at home mom for a few yrs. i eventually went back to work, gained some experience, lost the job(s), found new different types of nursing jobs & kept trying. i became a single parent & worked as much as i could under my circumstances (lots of different jobs & hardships), & somehow managed for a while amidst lots of chaos. i had to try & coordinate a lot of different things, which have been very overwhelming. i lost everything but my kids, but survived the divorce process & left the nursing field for several yrs d/t stress, illness, & disillusionment. between all this, it felt like my nursing skills had gone "kaput". i've had no family here, other than my kids (now only my 12y/o daughter living at home).
    i was taking dexedrine for several yrs, but don't have health insurance now. i've found that, even if people do believe adhd is real, many think that one "outgrows" it in adulthood. of course, that's not the case! i've learned some coping skills, like making lists & breaking things down into smaller pieces. trouble is, things build up & it never seems to end when you're trying to do it all by yourself. sometimes i can hyper-focus on a task & do a good job & sometimes i'm so distractible that every time i get interrupted, i have to start over again. sometimes, i "space things out" that someone might tell me at work, then i feel terrible & embarrassed about it. i've learned that happens though when i feel nervous to begin with, like in a new job & feel unsupported. i can work hard though & be good at multi-tasking when i know how to do something. making my own color-coded report sheets for work has been helpful. i've had to learn not to be too hard on myself, b/c that only makes things worse, & to focus on what i do want, rather than what i don't want. that can be so hard to do!
    i love many aspects of nursing, & i really enjoy helping & taking care of people. so after getting somewhat stabilized after a bad divorce, i decided to give it another shot. last year, i completed the nurse refresher course & clinical to update my nursing skills. i got a job at a nursing home, which was very difficult, but i liked many things about it too. the orientation was hard, b/c i had a different preceptor & a different hall a lot, but most of the nurses were helpful. after the nurse refresher course, & working again, many things came back to me that i thought were gone. i learned a lot & was becoming somewhat confident in my role as a nurse again, though it was very strenuous (physically, mentally, emotionally), & i frequently stayed over my scheduled shift to try & catch up, until my brain was so exhausted i literally could not think anymore.
    well... now i'm back to square one & looking for a job again. i filed for unemployment today but i don't know if it will go thru b/c i do not seem to "fit" into any of their categories. i was so depressed that i had brownies & a root beer float for dinner...yuck! it's been a long, hard road & i'm tired of trying to convince others that i'm not lazy or making excuses. i wish there was such a thing as an iep for employment. i'm a strong & tenacious person, & do not give up easily, but this has been so difficult, that i'm wondering if i should permanently go to another job field (i do not want to).
    i always try my best, & sometimes my best doesn't seem good enough. i've realized that adhd is part of me & that i'm not going to get "rid of" it. i have no health insurance & no job right now! i really want to find a nursing job that i can keep. i know there has to be nurses out there, who have adhd (obviously, aeb these posts), who have found their "niche" in nursing! i want to know what's worked for them & will read more here. if you are reading this, maybe you can identify. thanks.

  • 0

    wow! it's so great to read these! i'm an rn w/ adhd. the symptoms have been part of my life as far back as i can remember, but the diagnoses came in 1994, when i was in nursing school. it explained a lot of things & i first realized i was not a dummy, but it's been a struggle to keep jobs (& that can make me feel like a dummy). i remind myself that many successful people had adhd, but sometimes it feels like i'm crazy & that no one will understand. i know there must be successful rns w/ adhd in this world that have found their niche. i could use some positive feedback. reading the posts really helps!
    i've had several jobs in different fields of nursing b/c i keep trying to find where i "fit" (one of the best jobs i ever had was in the er, but i was a cna then). after graduating from nursing school in 1995, i worked 8 mon, had my 3rd child, & was a stay at home mom for a few yrs. i eventually went back to work, gained some experience, lost the job(s), found new different types of nursing jobs & kept trying. i became a single parent & worked as much as i could under my circumstances (lots of different jobs & hardships), & somehow managed for a while amidst lots of chaos. i had to try & coordinate a lot of different things, which have been very overwhelming. i lost everything but my kids, but survived the divorce process & left the nursing field for several yrs d/t stress, illness, & disillusionment. between all this, it felt like my nursing skills had gone "kaput". i've had no family here, other than my kids (now only my 12y/o daughter living at home).
    i was taking dexedrine for several yrs, but don't have health insurance now. i've found that, even if people do believe adhd is real, many think that one "outgrows" it in adulthood. of course, that's not the case! i've learned some coping skills, like making lists & breaking things down into smaller pieces. trouble is, things build up & it never seems to end when you're trying to do it all by yourself. sometimes i can hyper-focus on a task & do a good job & sometimes i'm so distractible that every time i get interrupted, i have to start over again. sometimes, i "space things out" that someone might tell me at work, then i feel terrible & embarrassed about it. i've learned that happens though when i feel nervous to begin with, like in a new job & feel unsupported. i can work hard though & be good at multi-tasking when i know how to do something. making my own color-coded report sheets for work has been helpful. i've had to learn not to be too hard on myself, b/c that only makes things worse, & to focus on what i do want, rather than what i don't want. that can be so hard to do!
    i love many aspects of nursing, & i really enjoy helping & taking care of people. so after getting somewhat stabilized after a bad divorce, i decided to give it another shot. last year, i completed the nurse refresher course & clinical to update my nursing skills. i got a job at a nursing home, which was very difficult, but i liked many things about it too. the orientation was hard, b/c i had a different preceptor & a different hall a lot, but most of the nurses were helpful. after the nurse refresher course, & working again, many things came back to me that i thought were gone. i learned a lot & was becoming somewhat confident in my role as a nurse again, though it was very strenuous (physically, mentally, emotionally), & i frequently stayed over my scheduled shift to try & catch up, until my brain was so exhausted i literally could not think anymore.
    well... now i'm back to square one & looking for a job again. i filed for unemployment today but i don't know if it will go thru b/c i do not seem to "fit" into any of their categories. i was so depressed that i had brownies & a root beer float for dinner...yuck! it's been a long, hard road & i'm tired of trying to convince others that i'm not lazy or making excuses. i wish there was such a thing as an iep for employment. i'm a strong & tenacious person, & do not give up easily, but this has been so difficult, that i'm wondering if i should permanently go to another job field (i do not want to). i would not like jobs where i would have to sit, like at a desk for a long time. i really like to walk around alot & stay busy or i get board.
    i always try my best, & sometimes my best doesn't seem good enough. i've realized that adhd is part of me & that i'm not going to get "rid of" it. i have no health insurance & no job right now (no meds d/t no health ins)! i really want to find a nursing job that i can keep. i know there has to be nurses out there, who have adhd (obviously, aeb these posts), who have found their "niche" in nursing! i want to know what's worked for them & will read more here. if you are reading this, maybe you can identify. thanks.



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