tewdles 22,150 Views
Joined Jul 10, '09.
Posts: 4,880 (60% Liked)
I'm a Psych nurse who is BSC with ADHD and a whole lot of personality disorder, but I really get my patients and am just fun to be around! <grin>
no you should be saying: 01001000 01100101 01101100 01101100 01101111 00100000 01001001 00100000 01110111 01101001 01101100 01101100 00100000 01100010 01100101 00100000 01111001 01101111 01110101 01110010 00100000 01101110 01110101 01110010 01110011 01100101 00100000 01110100 01101111 01100100 01100001 01111001
(Use a binary translator to read)
We can educate and make recommendations but it's up to families and patients to make the final decision. And sometimes dementia etc removes the latter option. As they say, we're there to walk beside them.
Every single esoph Ca patient that I have cared for in hospice with a GT regretted having it place...every one.
I never have liked or entirely agreed with the paradigm of a patient being a "customer" and therefore "the customer is always right". This concept might work well in other areas such as selling shoes, cars, groceries, etc. but IMHO it just doesn't fit health care or hospital care very well.
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My oldest son starting a new job Monday moving 4 states away. He paid $54.00 biweekly go health insurance. Tried to get single policy to cover him for 1month till new employer policy kicks in and was denied as overweight and hx kidney stones. COBRA policy was $854: entire months pay at previous employer....still we payed it as just stepping into an ER would be way above that cost.
2015 not here soon enough.
I think it should be legalized and there are companies that do not test for it. As they hire patients that use it. However No one should go to work high no matter what med. etc. it is. As MJ stays in your fat cells you can test positive when not high. I have seen patients it helps quite a bit. I think it should be legal recreationally also. People need to make informed choices. Is alcohol going to be illigal again? People use that to excess frequently. You could get a script for that when it was illegal. For me, my license is too important to risk even as a caregiver until there becomes some firm guidelines. I have been licensed since 1979 and value my license.
It's sick that this is going on. Some of these medications have limited or no similar options. Things happen, but when it's done purely for profit there should be legal or financial consequences for these manufacturers.
The delay will mean congresspeople and governors don't have to run on being anti aca. Meanwhile tens of thousands of people suffer through a crap economy without insurance. All for politics!
In a few years, the aca will go as Medicare itself originally went: every state will eventually join. They just don't know it yet. And it will be hugely popular and no one will know how we lived without it just soc security, Medicare, snap, cobra and hipaa. Thank you democrats.
I have had pts with them and we continued with it until they could not tolerate the food.
the practice of instilling lidocaine into the meatus prior to inserting a catheter in males has been in place for over twenty years. Since there is already concensus among the experts, there is no need to repeat the research over and over. When I research a best practice guideline I look at the professional guidelines for the nursing specialty, in this case SUNA and EAUN have guidelines that recommend instilling lidocaine prior to catheterization. The research was original done on males and since they have longer urethras the original syringes were designed with enough lubricant for the male urethra. Now there are syringes for males and females, and the practice is moving towards using them with females too.
The Society of Urologic Nurses and Associates http://www.suna.org/sites/default/files/download/maleCatheterization.pdf
and the European Association of Urology Nurses
I don't know why the lidocaine gel can't be used on a female---this procedure hurts us too!! But I've never seen it done, or used it on a female myself....does anyone know why this isn't standard practice?
I don't think this requires a PubMed search, simple rationale will do. It's a long distance from the meatus to the bladder in a male, a journey filled with various highly sensitive spots. If you dip the tip in some jelly and then insert that tip will be dry by the time you're a third of the way to the bladder, meaning the rest of the way you're pushing a dry foreign object through someone's urethra. In males at least, always inject the lubricant directly into the meatus, this will advance some of the lubricant ahead of the tip of the catheter, providing lubrication beyond just the first inch. And I also think lidocaine jelly should be mandatory (as a male who has had a catheter placed before). There's no downside to injecting directly into the meatus, but it means less torture for the patient, which is pretty much the whole basis of Nursing.
I've never personally done it, but I've seen a urology PA do it. It's not the big deal you think it is - but it's also not the big deal your instructor is making it out to be. It's all sterile and water soluable. It won't matter either way.
I think that the OP has had a terrible experience and it trying to make us aware that there are some not so nice places/workers out there and some facilities that allow this to happen. education is power.
When we know better we do better....Maya Angelou
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