mercurysmom 4,255 Views
Joined Jul 25, '11.
Posts: 144 (71% Liked)
I would also ask the resident's family about his/her usual showering/bathing routine. I worked in a NH as a NA in the 80's. One particular resident had every single shower marked "refused" for several years. She would only allow a nightly "bird bath" and she had her hair washed and set once a week. She wore long-sleeved shirts and pants every single day, and would wear the same clothes about 3 days in a row. (She wore a nightgown to bed, and carefully folded her clothes and put them in a drawer each night.). She was alert and oriented and required very little assistance with ADL's; NA's only helped her with her feet, legs, and back and she did the rest. She spoke Polish and very little English.
Her son was able to explain everything. She was a Holocaust survivor, and bore unimaginable physical, mental, and emotional scars from her ordeal. Her care plan should have been changed to reflect her bathing and other preferences, rather than documenting shower refusals for years on end.
My LPN program was a hospital program that had included dorms up until about 5 years prior, so a student who was even less than 5 minutes early to clinical was met with gasps and horrified expressions.
My RN (ADN) program had its share of late arrivals, which really blew my mind. Unfortunately, since there are so many nursing schools in my area, there's a major fight for clinical sites, and my school apparently drew the short straw one year when it came to psych rotation. The site was in a hospital a good 70 miles from the school. The school was also famous at that time for being the only college to keep campuses open, even when the local universities with on-campus housing closed. So, one morning I woke up to a good foot of snow with a couple inches of ice on top of that, and left home at 4am to get to my 7am (6:45) clinical. Wouldn't you know it, the school canceled classes...but everyone showed up for clinicals, on time! We worked through the day and had an informal "study day" at the end of the semester. [emoji4]
Ruby, I love you! But I bet you are not really fat, old, ugly, or a biter.
I've never participated in a successful code. However, since most of those codes werepatients like the 92 y.o. vent dependent LOL with end stage everything and the granddaughter who calls the floor to ask when Nana will get better because she watches her 4 young kids for free and child care is sooo expensive that she doesn't even have enough money to go bar hopping more than once a week...
I guess it depends on your definition of "successful."
I agree it must be annoying to have him for a teacher. But think of it this way: he probably had to learn to speak, read and write proficiently in English to be able to get the job. Is he articulate? Compare his English language skills with post-secondary students who speak English as a first language, but have no concept of grammar, punctuation, capitalization, etc. And ask yourself if he's so annoying because he might be right about some things.
If anyone else is interested in grants for home modification, accessible transportation, grants to cover DME, medical treatment, consumable supplies, adult wish programs, medical transportation, or other needs, I can provide you with information.
I'm definitely risking "outing myself" here if this thread pops up on a Google search, but I think it's worth it. [emoji4]
I, too, have a progressive illness. In fact, I'm several years past my "anticipated expiration date." My illness has cost me my hearing and mobility, and I am technology-dependent for ventilation and nutrition/hydration. However, I feel like there's got to be a pretty good reason for me to be here, and I am holding up my end of the bargain by providing support to people in similar situations. Please PM me. I can provide you with resources that could help you and your family during this frightening and uncertain time.
UGH! Quote feature didn't work.
I'd say a lot of it depends on the skill level of the person inserting the foley.
I disagree with the claim that classes are harder than they used to be. Has there been such an enormous change in human anatomy that classes have had to revamp their objectives? When I took A&P in 1990-91, "way back in the day that it was easy," I recall memorizing muscle names and their origins/insertions, names and functions of cranial nerves...exactly the same info that is required in my son's A&P class. I work on contract at the local CC, tutoring D/HH students in everything from ESL to GED prep to 100-200 level gen-ed classes, as well as guest lecturing single classes, 6 week rotations, capstone advising, and more. I love what I do, and I've met many amazing students who have fought their way into programs that essentially serve as tickets out of poverty.
However, a concerning trend I've noticed is that students who attended at least HS following NCLB and high-stakes testing don't always have the basic reading and math skills required per placement exams. These students end up taking developmental English and Math courses before entering 100-level courses, which is fine...until it's not. Students who squeak by with a C in 080-095 level English and math courses will eventually pass into the prerequisites, but they're at a disadvantage before they even start.
In addition, many students who have been exposed to the "chew and spit" learning method that works pretty well for earning passing grades on high-stakes testing may be quite proficient at "being taught," but don't always have the foundation skills necessary for truly independent learning. Obviously, most of the students do develop these skills, but it comes at a steep cost. It's becoming very common for students to take 6 years to complete a 4-year degree. I searched through the community colleges in my state and was unable to find a single direct admit ADN program. My sister and I work at the same community college. She is the director of the [blank] program and has seen students struggle with independent learning, as well. She's received complaints because some members of the [blank] program faculty don't provide review sheets outlining every concept that will be addressed in an exam. (All PPT's are available on Moodle, and she offers open sim lab hours every week. Guess which students show up?). Last semester she had a very angry student complain that she received a B- in clinical because "The CI was only a "B" instructor, so there was no way for her to earn an A, which wasn't her fault!"
The son I mentioned earlier? He has Autism plus a form of muscular dystrophy. He can't write by hand, and he uses a Dynavox or laptop to communicate. Hubby and I have invested countless hours teaching him that he owns his work, both the good and the bad. He's withdrawn from 3 online classes, because he didn't have the self-discipline to complete assignments by forming his own deadlines. He earns A's or F's; no middle ground with him. He's not alone, though. If you're ever looking for excellent info about study skills, pacing, self-learning, social mores in college classrooms, check the MIT website. They've got it all! (I don't know whether I should take that as a sign of encouragement, or feel even more frightened! [emoji33][emoji33][emoji33])
Barking spiders? Love it! 🕷
I have an ileostomy, so gas does what it wants to do, and never consults my social calendar or work schedule before it happens. Pooping and farting into a bag really cuts down on the smell factor. As for the sounds...maybe that's why I work with Deaf teens and adults? [emoji13]
By the way...Deaf people can usually tell when someone's in fart suppression mode by body language alone. And believe me, sometimes it looks so painful that we'd be happier of you just let it rip and felt better! [emoji33]
There's a difference between "learning" and "being taught." One requires you to depend on yourself, and the other requires you to depend on other people. Are you prepared to spend the rest of your life looking for dependable people?
Good judgement comes from experience. Experience comes from poor judgement.
And the classic Dr. Seuss quote:
"Be who you are and say what you feel, because those who mind don't matter, and those who matter don't mind."
Aaaaaand, just because I'm a Mom to 17 and 18 year old kids...
"Who owns the problem?"
"You knew the rules before you broke them. Go ahead and get mad at me. I'm your Mom, not your friend. I have plenty of grown-up friends, I don't need any teenage friends."
My Mom is looking down at me, watching her words come out of my mouth, and is definitely laughing her butt off! [emoji33]
I worked nights FT from 1990 to 2000, and Per Diem from 2000-2005. It turned out to be the absolute best schedule while I was pregnant, and then while my two back-to-back breastfed babies (14 mos apart...surprise!) were little. My son was pretty easy, took a bottle when I pumped and formula when I had to stop BF'ing due to PTL. I ended up on bed rest just before he turned 1. My daughter, baby #2, was a total show-off of a 32 weeker, and she was home by week 4 and I was back to work by week 6. 100% breastfed, tandem nursed for over a year. ( My MIL freaked out about that!). Daughter decided that she didn't like her milk any way but straight from the tap, and she started sleeping through the night at 8 weeks old. I slept with her and she "power nursed" all morning. An elderly neighbor took my son for the morning until Hubby got home at 3 (HS teacher at the time.). I stayed up till 6:30, then slept/power nursed till 10:15, and left for work. It was a crazy time and Hubby and I were like ships passing in the night. Sometimes I wonder
How we ended up with baby #2! [emoji6]
My Mom was a nurse and she worked nights while I was growing up. By the time I was seven, she was a single parent with 3 kids, and put herself through RN school in 2 years while working full time nights as an LPN. She graduated when I was 10, and my sisters were 6 and 7. She passed away in 2010. I'm extremely grateful that I had the opportunity to understand, just a little bit, the sacrifices she made in order to improve our lives. Working is hard. School is hard. Having little ones is hard. Managing all three, alone, at the same time? That's beyond comprehension.
My sisters and I started a scholarship in her memory, for second year RN students who are single Moms. This May, we'll be able to offer scholarships to two students. Heaven knows, they deserve it.
Strangely enough, I remember my first day of LPN school, but have absolutely no recollection of most of RN school or my Ed program. Heck, I remember more details of that day than I remember from the day Mercury's dad and I were married, so it definitely had to be one of my largest developmental milestones, in a way.
It was a hospital-based program. We had picked up our books and uniforms the previous week.
It was July 5, 1989. Our first week wasn't a full week, for which I'm eternally grateful. We had our first uniform inspection, but no one received points for dress code violations " as a gift." We toured the hospital, went over program rules for everything under the sun, received the syllabus, etc. we had been given a packet of abbreviations and symbols to memorize, including apothecary measurements like grains and drams. ("Double bounce to the ounce!" [emoji6]). However, those activities were not particularly meaningful and most likely hitch-hiked their way into my long term memory along with this one (paraphrased, of course. My memory is good, but not THAT good):
"This door, right here, leads to the hospital. That door, over there, leads to the parking lot. When you pass through this door, your number one focus becomes your patient. When you pass through that door, every detail that you have learned about your patient's life, public and private, does not follow you. Many of you may believe that we live in a homogenous community. We don't. You will encounter people of all shapes and sizes, young and old, rich and poor, well-educated and illiterate. You will encounter people of all cultures, races, belief systems, sexual orientations, and health status. You will be seeing them at their worst; they will be uncomfortable, angry, frustrated, impatient, overcome with grief, or perhaps in denial about what they're experiencing. It is your job to provide all of them with the same, high-quality, competent care. If you are unable to do so for any reason, you now know which door you should be using."
Yup. That's when everything "clicked" for me.
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