In regards to the sense of entitlement that these kids have nowadays.
*shakes my granny fist*
For example, the kid that came up that hurt his ankle a few days ago, wasn't wearing his splint, played in PE and now it was hurting. He wants an ice pack.
I wanted to say, "No, you did this days ago, YOU did not wear your splint, and YOU decided to play in PE knowing it would make it hurt worse."
But instead I gave him an ice pack. If I don't sometimes the teacher sends them back or I am afraid of the sue happy parents in this world. "Why didn't you give my snowflake an ice pack for their non-existent injury!!!???"
A girl came in and said her hand was on the ground and the basketball hit it. Not jammed the fingers, but rolled over and hit it. She wants an ice pack.
I wanted to say, "No, shake it off, rub some dirt on it."
But instead I gave her an ice pack.
I feel like this is a placebo effect more than anything, and they'll be satisfied with the little bit of ice. But then it makes me wonder why can't we tell these kids, who have NO redness/swelling/bruising, normal ROM, that they will be okay without an icepack? They always refuse amputation when I offer, so....
Wow...pain is whatever the patient says it is existing whenever the patient says it does...
It's kind of expected by parents that a school nurse, or any type of nurse that cares for their child, do the appropriate thing. Lots of opportunity for education too...directed at both the PE teacher and the parents.
Then the other question that school administrators may ask you -is it part of the care plan if it is a chronic condition (or was this just an exacerbation of a previous injury).
We make the problem worse when we don't manage pain. Yes, it gets frustrating - especially in a hospital setting - when people say their pain level is a 9/10 when they had dilaudid 30 minutes ago. But the job of a nurse when it comes to pain is to manage that pain. Ever try non-therapeutic methods other than just slapping an ice pack on? and that isnt even a drug!
Wow...pain is whatever the patient says it is existing whenever the patient says it does...
It's kind of expected by parents that a school nurse, or any type of nurse that cares for their child, do the appropriate thing. Lots of opportunity for education too...directed at both the PE teacher and the parents.
Then the other question that school administrators may ask you -is it part of the care plan if it is a chronic condition (or was this just an exacerbation of a previous injury).
We make the problem worse when we don't manage pain. Yes, it gets frustrating - especially in a hospital setting - when people say their pain level is a 9/10 when they had dilaudid 30 minutes ago. But the job of a nurse when it comes to pain is to manage that pain. Ever try non-therapeutic methods other than just slapping an ice pack on? and that isnt even a drug!
Are you still a student as it states on your profile?
Do you realize this is in a school setting which is a little different than acute care?
Do you have any idea how often students see the nurse for nebulous or nonexistent issues?
Just curious, and please correct me if I'm wrong. I'm not a school nurse but I understand their environment is very different than a hospital setting and have no trouble deferring to their judgment.
Wow...pain is whatever the patient says it is existing whenever the patient says it does...
It's kind of expected by parents that a school nurse, or any type of nurse that cares for their child, do the appropriate thing. Lots of opportunity for education too...directed at both the PE teacher and the parents.
Then the other question that school administrators may ask you -is it part of the care plan if it is a chronic condition (or was this just an exacerbation of a previous injury).
We make the problem worse when we don't manage pain. Yes, it gets frustrating - especially in a hospital setting - when people say their pain level is a 9/10 when they had dilaudid 30 minutes ago. But the job of a nurse when it comes to pain is to manage that pain. Ever try non-therapeutic methods other than just slapping an ice pack on? and that isnt even a drug!
If I treated every pain in the school as it is reported to me by a student, I would have a line of ambulances ready to take kids to the hospital. I have NEVER had a child report less than 8/10 pain.
A kid who realizes that as soon as they say they have pain or nausea or an earache can get out of class will use that to the best of his/her ability.
Specializes in Addictions, psych, corrections, transfers.
I had a young guy ask for ibuprofen for a zit. It was a tiny zit. I couldn't stop myself from laughing and said, "Seriously, for a zit? Put a hot pack on it and buck up." FOR A ZIT! He realized we was being ridiculous and moved on. I work with addicts so we are supposed to be straight forward with them, which is my forte.
Wow...pain is whatever the patient says it is existing whenever the patient says it does...
It's kind of expected by parents that a school nurse, or any type of nurse that cares for their child, do the appropriate thing. Lots of opportunity for education too...directed at both the PE teacher and the parents.
Then the other question that school administrators may ask you -is it part of the care plan if it is a chronic condition (or was this just an exacerbation of a previous injury).
We make the problem worse when we don't manage pain. Yes, it gets frustrating - especially in a hospital setting - when people say their pain level is a 9/10 when they had dilaudid 30 minutes ago. But the job of a nurse when it comes to pain is to manage that pain. Ever try non-therapeutic methods other than just slapping an ice pack on? and that isnt even a drug!
So it's inappropriate in the school nurse setting to determine the source of the pain? If it's pain, it's warrants attention? I royally messed up with my 3rd grader who came in c/o of pain r/t being bumped on the R 3rd digit with a marker cap.
Dilaudid STAT!!!!!!!!!!!!!!!! Hello, 911? We have another marker cap injury...
So it's inappropriate in the school nurse setting to determine the source of the pain? If it's pain, it's warrants attention? I royally messed up with my 3rd grader who came in c/o of pain r/t being bumped on the R 3rd digit with a marker cap.
Dilaudid STAT!!!!!!!!!!!!!!!! Hello, 911? We have another marker cap injury...
:) Sorry, they are too busy picking up my kid who got a shot when he was a baby and now his arm hurts.
I have a very close friend that works in acute care. The stories she tells me...no names, of course, I wouldn't know anyone where she works anyway...makes me pretty much believe that this way of thinking has already invaded patient thinking, not only the young enns...but the older ones too. Oh my goodness the stuff she has to put up with and do, all in the name of "customer service".
I have been reprimanded because my personal policy is to never give pain meds and other sedatives within 1 hour of each other. I told my patient this and had them make the choice, but within 15 minutes the pt. decided the wrong choice was made. I offered that the second med would be brought in 45 minutes later, but that was not a satisfactory answer. We have made pt. safety secondary to their comfort. I believe we are seeing far less pain tolerance because the wonderful marketing of Motrin and Tylenol and recreational drug use decreasing the efficacy of meds.We are a culture of feeling good all the time.
I have been reprimanded because my personal policy is to never give pain meds and other sedatives within 1 hour of each other. I told my patient this and had them make the choice, but within 15 minutes the pt. decided the wrong choice was made. I offered that the second med would be brought in 45 minutes later, but that was not a satisfactory answer. We have made pt. safety secondary to their comfort. I believe we are seeing far less pain tolerance because the wonderful marketing of Motrin and Tylenol and recreational drug use decreasing the efficacy of meds.We are a culture of feeling good all the time.
I believe we are seeing far less pain tolerance because the wonderful marketing of Motrin and Tylenol and recreational drug use decreasing the efficacy of meds.We are a culture of feeling good all the time.
Not to mention rebound pain....Especially with over use of NSAIDS for headache. Just had this discussion with a parent. She has been giving her son Ibuprofen daily for headaches! Creating a vicious cycle.
zombieghoast
410 Posts