SuesquatchRN 56,033 Views
Joined: Jan 26, '06;
Posts: 13,193 (46% Liked)
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I would be considered a case manager, no I do not job share; on the days I am off, the "on call" nurse covers my patients. Team meetings are included but are infrequent I'm told. I'm only going to see those 8 during my 20 hours but also am required to take call 6pm-2am every other week in addition to my 20 hours a week.
Babies soil themselves and need help eating, too. I definitely think there's room for improvement in end of life care, but confused, incontinent people who need help eating can still have pleasurable lives if they're well taken care of.
I'm totally in favor of voluntary active euthanasia. I mean, we consider in inhumane to let pets/farm animals suffer at the end of life when it can be painlessly and peacefully put out of its misery. Don't humans deserve at least as much compassion as our animals. I firmly believe any healthcare provider who is against euthanasia either has never cared for a terminally ill pt or has no heart. All of us know how agonizing it can be just to watch much less experience.
That being said, I think their needs to be safeguards on euthanasia to prevent abuse. I fully support the Dutch model which requires than only a pt can request VAE, pt must request on more than on occasion, must be terminally ill, 2 physicians verifying dx., totally informed consent of alternatives (palliative care, tx options for condition).
It's about much more than pain. End of life symptoms often include dsypnea (for pathology, meds, or both), dehydration and nutritional problems, incontinence, immobility, depression and anxiety, delirium and/or hallucinations. Sure these symptoms can be managed by good palliative care but why force someone to endure IVs, tube feedings, inconvenience, bed bound, endless meds, and mental anguish when it's totally unnecessary. I'm all for high quality palliative care but I'm also for options in end of life care.
Thank you for your advice! I am on the job hunt and trying to stay focused on the positives of hospice while I do it! I really do feel like I'm out there all by myself with no backup. And I agree, it's definitely a job that needs support and teamwork. It boggles my mind. There's so much more to this story than I can convey...two years worth of it. I wouldn't be the first person to leave this company because of the inept administration and rules that only apply to certain people at certain times. It's sad that I may have to leave a job I love d/t politics.
This has to be the only profession where being more educated is looked down upon.
I think it's a little naive to say that four year degrees in the likes of journalism, fashion design, philosophy, etc. are never a waste. Of course they can be a waste. They can be a huge waste of time and money. For the vast majority of grads, these degrees do not result in gainful employment. How can that not be a waste?
Who are these people investing in four-year degrees simply to "broaden their horizons" or "find themselves"? Trust-fund babies? Not everyone is independently wealthy. For the average Joe a bachelors in most liberal arts studies will make him the most well-rounded fry-cook in a paper hat.
A BSN from an online diploma mill will result in better job opportunities than a four-year journalism degree from a respected university. I'm not saying that's right or nice or pretty, but it's true.
Education for education's sake is a virtue I would hope to see in any clinician.
I liked it when I had a boss who got promoted because she was excellent at the bedside
I think the assessment that quality education is a "waste" if it doesn't lead to some income producing work-a-day job is the saddest thing i have ever read. A "job" is not the purpose of education. Pursuit of knowledge and understanding is the primary purpose of education. Career potential is merely a secondary consideration. Education is about coming to understand ones-self and the human condition, so as to improve circumstances for all. That is it. It has nothing whatever to do with a paycheck. What a sad way to think about it, and with that mindset, it is no wonder so many people never get very far.
"I must study politics and war, that our sons may have liberty to study
mathematics and philosophy. Our sons ought to study mathematics and
philosophy, geography, natural history and naval architecture,
navigation, commerce and agriculture in order to give their children
a right to study painting, poetry, music, architecture, statuary,
tapestry and porcelain." -John Adams
The study of the classics humanities and the arts is the single most important undertaking of any student. No learning is more critical than gaining an understanding of human history, the human heart and the human mind. This is best done through literature and the arts. The most interesting and successful people will always be those that have the best liberal arts education guiding their philosophy. Getting a vo-tech certificate just to get a job is one thing, it will help make a living. It will not help one make an impact on their culture or community. Aim higher people. Life is not about just getting by. What a sad view of one's potential and frankly, a waste of a whole lifetime, if you ask me.
This has to be the only profession where being more educated is looked down upon.
I have a Masters because I wanted to get a masters. Didn't and don't want to leave the bedside, but I fail to see how being better educated hurts my practice!
I'm with llg , diploma mill degrees aren't worth the paper they're printed on, but that doesn't mean the majority of us who studied are ignorant as well.
And, I learned a heck of a lot about the politics of nursing, and those who think to control our profession. If we don't pay attention to the legislation and the criteria used in accreditation, etc., we are no more than factory line worker bees. Our scope of practice is under attack, by use of "trained" but not "educated" techs and assistants. Yes, anyone can learn to put in a Foley or access a central line, with good technique; but have they learned the anatomy, the potential problems, the assessments that go along with it? Nursing is not tasking, it is thinking, while providing care.
I went back to school for my BSN because I wanted it, for myself. I am going back to school for my MSN/MBA because I want it, for myself.
Hi sorry! This was my first time posting and I didn't realize there were responses.
I work in palliative home care and I sent two patients with cancer (2 different occasions) to the palliative tertiary unit in the hospital. They both had abdomen pain that we couldn't manage at home. When they arrived in the hospital, the doctor suspected there was a perforation somewhere (but in the end both chose comfort measures). The doctor felt because it happened twice, I should have better assessment skills to recognize these were emergency situations rather than something less emergent like uncontrolled pain... if that makes sense.
I did end up asking for help today at palliative rounds to differentiate. Another doctor explained it to me that for an acute abdomen pain, it's a term they use for emergency situations that require surgical intervention (eg- perforated viscus). She said the patients normally describe the pain as something different from their "normal" cancer pain, client does not want to be moved/touched due to pain, the abdomen would be firm, distended and bounces back when you palpate, decreased/no bowel sounds, and it's a rapid change from their baseline (eg within hours).
In the end, the palliative team said I did the right thing sending them to the hospital and the two cases were complex (isn't that always the case hah) that masked the acute abdomen pain (eg ascites, pain management issues with their "normal" cancer pain, etc).
Thank you for your help!
What type of electronic charting is your facility using? I may have an idea how that had happened, as some systems can be confusing. I'm sure when you ordered the medications it asked for an order from the physician. Make sure to know that's a red flag if it happens again, as documenting meds by history shouldn't ask for an order. I wouldn't worry about any disciplinary action as it was corrected.
You didn't write an order or a prescription, did you? If not then you're not practicing outside of your scope. It is well within the scope of a nurse to take and document a medication history.
Hi, I have been a nurse since 2008. I wanted to be an L&D nurse, but hospitals stopped hiring right before I graduated. Since then, I have worked in LTC, SNF, Wound Care and now Home Health. I have had anxiety since nursing school, and have been going through a lot of personal issues. I am now so depressed and anxious that I have taken a LOA. I am depressed that I didn't get the job I wanted, although I love nursing and helping people, I don't really like my job. I feel almost paralyzed by the way I feel, heart palpitations, and I cry every day. I feel so let down in so many ways, not just job. I feel like I have had a nervous breakdown. will this affect my chances of ever getting the job I really want? I started taking an antidepressant and anti anxiety (which only last a couple hours). Any advice from anyone? I live in Cali which I know is not the best place to get a nursing job. My husband and I have thought about moving out of state, but I am so mentally out of it right now, there is no way I can muster up the ability to move. I really need help, advice. Has anyone else gone through this and how did you get past it...if you Have?
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