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7student7 3,175 Views

Joined Nov 23, '09. Posts: 62 (31% Liked) Likes: 51

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  • Mar 21 '11

    I have been eating Paleo for about 4 months now. I have lost 30 lbs. My heartburn is completely gone. Never any constipation. My fasting blood sugars are in the low 80s in the mornings. Never felt better. Would definitely recommend this way of eating to anyone, especially if they were diabetic.

  • Mar 21 '11

    The Paleo diet is about as far from "fad" as you can get. It's the way man has been eating for thousands of years before the advent of processed junk, fake food and high fructose corn syrup. I somehow doubt the validity of so called hospital dieticians "optimal nutrition", when typical fare on a hospital menu is processed junk, packaged syrup, white bread, sweetened juice and a plethora of sodas. Even the traditional graham crackers have high fructose corn syrup in them. I'll stick with the Paleo diet, thanks. I actually find the level of nutrition in most hospitals absolutely appalling.

  • Jan 13 '11

    Well, this might be a case where there has to be a lot of experimentation on her part. Generally she needs to find what type of foods upset the cart. She needs to keep a document on what food she trys and if it disagrees, what the side effects were. Then maybe some sort of plan can be put together. I think that there is so much muddling around with people like this that they go along for years without any headway. She probably already has some idea of the offending foods. Foods that cause gas build up, cause reflux, constipation or diarrhea etc. are the big symptom makers. Thing is everybody is different in what foods they do not tolerate well.

    This takes a lot of time and commitment from the patient. I wonder if she can get a dietician referral to help her? Most MDs will frustrate quickly when it gets to this point, because they have no training for this and also do not want to have anything to do with this part of the game so, she needs a dietician.

    She needs to change her sleep environs if she is refluxing... I believe (correct me if I'm wrong) that you are to try and sleep on your left side, and with HOB elevated (use phone books under bed legs, and wedge pillow etc.)

    Also her doc needs to keep changing her acid inhibitor to one that works for her. There are a few out there and they should be changed if she does not experience some relief. Maybe anxiety relief is in order too - but that can be a catch 22 as some of those longer term medications do cause nausea.

    She also needs to get somewhere and walk for exercise, nothing fast and furious, but I have read that this does help for all the old fashioned reasons.

  • Dec 8 '10

    I learnt that if your busy on nights and I'm excluding admissions then dish out the PRN. Having patients up all night drinking tea and coffee watching TV is not promoting recovery as all they do is sleep the next day. Also avoid talking to them on night shift. Sounds counter productive but 2.00am is not the right time to cover issues of feeling picked on when they were at primary school or how old they were when they were potty trained. Plenty of time for such conversations during day and afternoon shifts.
    Just finished a month of nights. Must have tools. A laptop or macbook. Wireless internet connection and a Facebook login and a heap of downloaded TV shows to catch up on. Hey at least I'm awake!! Anyone here sleep on nights. Come on be honest!!

  • Dec 6 '10

    I haven't had a raise since 2004. :shrug: Thems the breaks. I don't see why the fact that the patients are veterans is even mentioned, it is irrelevant.

  • Dec 5 '10

    I converted to a primal/paleo lifestyle 3 months ago and have lost 50 pounds....so I have a much different idea of what healthy is but I thought this quicky and portable would work for you guys too!Omelet Muffins | Marks Daily Apple


    you can really change up the recipe to use what ever items you like, you can then freeze them, or store them in the fridge for a week, plus they are individual so that makes them so easy to grab and go!!

  • Nov 29 '10

    You mean giving you another form to fill out or another drop down menu to click on hasn't improved patient safety? How is that possible?

  • Nov 29 '10

    So I guess that means Joint Commission isn't getting the job done, and well, that means we might as well quit pouring so much money into JC and put it into staffing instead...
    Oh wait, sorry, forgot this was the real world where we're not allowed to use logic....

  • Nov 27 '10

    In my program if you don't get the vaccinations, you don't need to bother with going to clinicals and passing the class. Last year, I did hours and hours of research on vaccinations for a writing class and found lots of good information at the college's library. Maybe you should check out a couple of books. Paul Offit, MD has studied and written on the subject and is a good resource. Most people who question vaccines are parents of small children and tend to find a lot of junk science supporting their beliefs online. As a country, we have become a little lax on keeping up with vaccinations and getting booster shots. Little newborns getting whooping cough (pertussis) is a good example of what happens when those of us taking care of the very vulnerable decide not to get our shots or keep up with the boosters. Okay, off my soapbox.

  • Nov 27 '10

    i had that problem when i worked straight nights. i solved it by actually calling my folks at 2 or 3 in the morning just to chat. dad used to work nights, so i would have thought he'd get it . . . he did get it after just one 2am phone call! i've done the same thing to friends who just didn't get the message.

  • Nov 15 '10

    Quote from ramcda3
    I live in Lexington, and I'm not too fond of it. The town is very closed-minded and snobbish. EVERYTHING revolves around uk sports, which I guess some people like, but it definitely cuts down on other hobbies. The nightlife is boring. Everything closes early and it's mostly beer and pool type of places. Everywhere you go there are gaggles of giggly sorority girls. About psych, Lexington is home to Eastern State Psych Hospital. I work there. It's big, old, and falling apart. They are in the process of building a new one, but you can tell they've just given up on the old one. Staffing, upkeep, pay- it's all bad. I've never been there, but I hear that Central State in Louisville is a much better place to work, and they supposedly get extra hazard pay. I can't confirm that though. In general, if you are fashionable, a social butterfly, like sports, and are conservative in every way - Lexington is for you. If you like some diversity, go with Louisville.
    You're absolutely right; HOWEVER, there is nothing wrong with life revolving around UK! Go Big Blue!!!! hahaha...That being said, you're absolutely right. Lexington is EXTRA lame. Here's the thing, if you're married with kids and/or not interested in nightlife or anything fun, then Lexington is for you. True enough it's all about what you make it but it's awfully hard to have fun in Lexington unless you're interested in Keeneland and this is lame as well. I'm 29. I like a city to have SOME sort of nightlife. Lexington has nothing. It is very conservative. Moreso than Louisville.
    Yeah Eastern State is falling apart I'm suprised it's still there...is it still out in west end? (georgetown rd)
    If I moved back to Kentucky it would be louisville. lexington is just for old farts. but hey, it's a great place to raise kids and to be retired! Otherwise keep looking.

  • Nov 3 '10

    I agree....especially when one works in a facility for psych patients and every whim/demand is met by management. And this management will have your job if you don't go along with it. Our behavior modification programs are a joke and staff is expected to take whatever abuse is dished out. A pregnant CNA was elbowed in the stomach last week by an A&Ox3 resident and management counseled her about using more effective, therapeutic communication with this resident!!! This resident is a nasty, narcissistic individual and was actually bragging to all who would listen about what she had done!! Luckily the CNA and her unborn child are both okay, but it is appalling that management will stand behind the resident. The resident claimed that this CNA had poked her nose in her business, and that was why she elbowed her. The CNA had only asked if resident would prefer to have her shower before lunch or afterwards. There were eyewitnesses to the scene.

  • Oct 31 '10

    If you work in psych, fuggedaboutit.

    (I can just see it now...NURSE!!! There's a devil coming towards me!!!)

  • Oct 31 '10

    Quote from mudd68
    Just imagine this scenario...you are the nurse taking care of pt who takes a turn for the worse or who passes away. Would you be comfortable standing in front of a grieving family or loved one...explaining the situation in your Halloween costume? If you do not expect to find yourself in this situation it may appropriate for you.
    Agreed...probably not the best in some situations. However, festive earrings and/or the headbands w/funny attachments are easy to remove and don't look too unprofessional. I work in chemical detox/psych, and I go in to work on Halloween with minimal seasonal accessories, as I don't want to freak out anyone that's hallucinating.

  • Oct 2 '10

    Quote from audqyee
    The creation of CRNA's were meant as physician extenders, not a replacement. A 2-4 years of masteral or doctoral degree for nurse anesthesia is not equivalent to 4 years of clinical residency in anesthesiology no matter how much nurse lobbyists vouch for this. They have to think of a way of supplying an anesthesiologist to supervise the CRNA's in case anything unexpected happens in the rural areas.

    Don't get me wrong about this comment, I'm a nursing student and I'm all for advance practice nursing, but I think this is just wrong.
    Actually, this is not true. Nurses were the first anesthesia providers and have been administering anesthesia independently since before the first World War. However as the prestige and salaries of anesthesia providers have grown, so has the opposition from physicians. They use "patient safety" as their battle cry but this has nothing to do with the patients and everything to do with $$$$.


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