Note: This might seem like a strange topic, but seeing as how that is nothing new coming from the source, I'll go ahead anyway.
As nurses, we are trained to do everything we can to save someone until it's no longer feasible or unless doing so would go against a patient's wishes, such as performing CPR for a patient with a a DNR/DNI.
However, theoretically, anyone of us could "code" at anytime--and this includes at work.
For those who are full codes, this wouldn't create any ethical issues. You would simply perform CPR on your coworker as you would anyone else.
However, for those who have DNR/DNIs, issues could come up if coworkers are unaware such orders exist. How do we ensure that these coworkers have their wishes respected should the need come up?
For example, I am legally a Full Code but am wanting to pursue a DNR/DNI. Based on my age and no apparent health issues, I have a feeling most of my coworkers would automatically assume I am a Full Code should circumstances arise, however.
What is the best way to inform my coworkers that under no circumstances should anyone provide CPR to me?
For the rest of you, how do you ensure your coworkers' wishes for CPR or no CPR are ensured? Have you ever experienced such an ethical dilemma at work?
How is that any more problematic then reposting memes on facebook that are inane?
facebook has a mechanism where you can flag a post or comment if you are concerned about the poster expressing thoughts of self-harm/suicide. The OP has previously made statements about their diet, work habits, and relationships that indicate that they're having a hard time and not coping in a healthy way. A history of those posts, combined with this current thread about not wanting to be resuscitated should the OP keel over at work, seems to be what is causing concern- far greater concern than what would be inspired by run-of-the mill wasting time online rather than addressing real-life problems.
For a while, I was concerned about what this post and subsequent comments meant about the OP's mental health and had even flagged it for review by mods to be on the safe side. This isn't because I don't appreciate eccentric posts, but because there were some things that would have been genuine causes for concern had this been posted on a site like facebook, which has a mechanism for reporting content that indicates a risk for suicide/self-harm.
But the more I look at responses from experienced nurses who've actually worked in psych... this may just be what the OP does to talk things out and receive some form of support (mainly because they keep coming back for said support rather than being resistant or making a controversial post and disappearing into the night).
Specializes in Psych (25 years), Medical (15 years).
2 hours ago, macawake said:
Your point being?
The premise "people with a certain psychological errr... peculiarities... " is a perspective which is presented as being a universally consensual fact.
When debating points, it is facts which are presented and the statement is merely an opinion.
2 hours ago, macawake said:
in order to prove that I or any other poster, would have to get very personal and identify and name certain traits displayed that indicate a certain pathology.
This method of debate infers that in order to "identify and name certain traits" is unethical, therefore, in a polite society, should not be pursued. When, in fact, if a statement by the person in question is quoted as factual evidence, it is not "personal".
In other words, my dear macawake, this is also a method of avoidance. And avoidance is the action of repudiating, nullifying, or rendering void the premise.
Therefore, the statement "people with a certain psychological errr... peculiarities... " inferring that SilverBells is not "normal", is much more a negatively-worded opinion, and is definitely not based on factual evidence.
I’m posting because I suspect that some posters are drawn in and might not see this for what it is.
5 hours ago, Davey Do said:
I too have been accused of having a Messiah Complex.
5 hours ago, macawake said:
?
I’m sure there might be a component of that involved... But it’s mostly the consequence of having experienced ad nauseam, people being hurt or used by other people with certain psychological errr... peculiarities...
5 hours ago, macawake said:
After more then a decade of dealing with criminals and the mind games many of them play, I have a pretty well-developed radar when it comes to people trying to manipulate other people’s emotions.
I’ve quoted the posts that show the context in which the phrase psychological peculiarities was used. As you can probably see they were in response to you implying that I have a Messiah complex. I responded good-naturedly to that and liked your post. I went on to try to explain where I’m coming from. The ”psychological peculiarities” I was referring to are very factual. I was talking about the hundreds (thousands?) of criminals I’ve encountered. Their diagnoses were real and the result of court-appointed psychological evaluations.
So the use of psychological peculiarities was in regard to the criminals I’ve dealt with. Not OP. They were an explanation to why I’m often good at spotting when someone is being emotionally manipulated. If you think it’s important to know the most common peculiarities that the psychologists and psychiatrists diagnosed, they were Narcissistic Personality Disorder and Antisocial Personality Disorder. Does that help in any way? As I said, I was only explaining where I was coming from.
1 hour ago, Davey Do said:
The premise "people with a certain psychological errr... peculiarities... " is a perspective which is presented as being a universally consensual fact.
When debating points, it is facts which are presented and the statement is merely an opinion.
This method of debate infers that in order to "identify and name certain traits" is unethical, therefore, in a polite society, should not be pursued. When, in fact, if a statement by the person in question is quoted as factual evidence, it is not "personal".
In other words, my dear macawake, this is also a method of avoidance. And avoidance is the action of repudiating, nullifying, or rendering void the premise.
Therefore, the statement "people with a certain psychological errr... peculiarities... " inferring that SilverBells is not "normal", is much more a negatively-worded opinion, and is definitely not based on factual evidence.
As far as OP is concerned I’m not about to try to analyze him or her. It is your interpretation that I think that’s something that shouldn’t be done in ”polite society”. I never said that. I simply said that it isn’t something I want to do. And I added that it’s also likely against ToS.
Quoting something a poster has said is as you say, not personal. But offering up ones analysis of what they say, damn well is. I’ve spoken directly to OP about what I found strange or troubling with their posts and that will have to suffice. If you consider that avoidant behavior, there’s not a lot I can or want to do about that.
You must have seen, just as I have, how many posters have been pleading with OP to get help as OP describes their harmful eating habits in great detail and some have reacted with alarm at the way OP has talked about the ex and the ex’s new partner and baby. You appear to view the various threads as fun entertainment? As I said earlier, I don’t find the dynamics 100% benign/healthy. As the old saying goes, we’ll have to agree to disagree.
One last thing, after reading your replies to me in this thread, I’m wondering why you address me as ”dear”? We don’t really know each other and the general tone of your replies hasn’t been positive, which makes the use of the term ”dear” sound condescending.
Alas, it's not legally valid as far as a DNR but since I'm a bit of a practical joker I'd hope to make the post mortem team startle then chuckle a bit.
I'll wait right here for the expected post telling me I need to seek professional help for my mental health. Ya know, I'll do that right after I help some posters around here search for their sense of humor ?
5 hours ago, Emergent said:
❤definitely not with you my friend.
I am, however, calling out whoever it was who suggested that the original poster get Mental Health help.
All of us here that are regular posters are probably a little addicted to the site. An argument could be made that we all need help.
We have all adopted personas online to post on nursing website. Silver Bells is just a little more creative. We don't know too much about her life, or whether her posts are exaggerated or not.
If posting creative questions on all nurses is a good outlet for Silver Bells, all the more power to her.
Of course it's art. In some societies Masterful Trolling is considered an art form ?
I suppose. A well-written case study can also be considered art. When you're focusing on one person, it's a delicate balance- providing enough detail without going down a rabbit hole and speculating on the effects of the client's first-ever mosquito bite as a toddler and how this early exposure to a blood-sucking parasite affected the client's ability to form healthy relationships as an adult.
I think I've given and received change-of-shift reports that face this same challenge.
I'll wait right here for the expected post telling me I need to seek professional help for my mental health.
You'll be waiting a long time. Thoughts of death are not by themselves concerning, and contemplating one's own mortality can even be a sign of maturity. Thoughts of death along with other health factors can be cause for concern, but you don't appear to be famous enough around here to attract that level of scrutiny ?
Specializes in Psych (25 years), Medical (15 years).
1 hour ago, CharleeFoxtrot said:
I'll wait right here for the expected post telling me I need to seek professional help for my mental health. Ya know, I'll do that right after I help some posters around here search for their sense of humor .
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Why is the center dude going all Exorcist with a turned around head? And why is he choking on two marshmallows and his eyes are bulging? ??????