Latest Comments by swelmorphis

swelmorphis 687 Views

Joined: Apr 20, '06; Posts: 10 (30% Liked) ; Likes: 3

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    neatnurse30 likes this.

    Yes, my boyfriend is a polysomnographer (sleep tech) in the east tn area. I know that on the job training used to be possible, but I thought now prior training and licensure was required. Anyway....I'll ask him questions if you would like.

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    Hey!! East Tennessee, here. Originally from MS but here since Dec 05 and LOVE IT! BLessed to live in the mountains!!

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    danissa likes this.

    I am a nurse manager in geriatric psych. The use of dolls can be part of "validation therapy". Instead of trying to redirect or reorient the patient to reality (which, if it can be done at all, is usually very short lived) it works better to "validate" where/what the patient is experiencing in their mind. Using dolls for patients who are "mothering" is reassuring.

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    How about how axis II diagnosis (borderline, antisocial, etc) impact behavior and treatment for axis I diagnosis (major depression, bipolar, etc).

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    Marjoriemac,
    We have not had much complaint from the GP's when we send the patient back "home". Often they have tried without success to manage the patient and are willing to change what is necessary. It is usually negative behaviors that brings the nursing home to call on us, often very difficult to manage.

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    I could not agree more. This is one of my pet peeves. I work in geriatric psych, and you would not believe the amount of meds our patients are admitted on. Often multiple meds for the same condition, lots of prn's even though the MAR does not indicate that the patient has needed them for some time. This week, our psychiatrist actually wrote to discontinue two of a patients meds to "simplify" the meds! If meds can be dropped just to make things more simple, you wonder if they are necessary in the first place. Often we see patients who are delerious or otherwise impaired simply from the meds, and we often start by looking at what we can subtract before we consider adding. Another pet peeve of mine is when a psychiatric patient is stabilized and returned to the nursing facility, the MD frequently reduces the med, or insurance doesn't cover, so the med is reduced or stopped. Then, the nursing facility is calling for an evaluation because the patients behaviors have mysteriously reappeared! Also...I can't stand when a residents goes inpatient med/surge and returns to the nursing home with the med/surge meds ordered...and no one considers restarting the psych meds. Thanks for letting me "share"!

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    RNSurf likes this.

    It is important, especially with a close knit team of workers, that the new person is a good "fit". Perhaps that is what your manager was getting at. You may want to ask more specific questions about how to be more effective at the social part of your particular team. Oh...and those brownies you described...can't go wrong with those!!

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    I agree, a signed consent is required for any photo purposes, anywhere I have ever worked.

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    I moved from Mississippi to Tennessee and have some thoughts on living in the suburbs. Olive Branch is a very nice place to live, but consider the differences in states when choosing where to live. TN does not require you to pay state taxes, but MS does. Also, I drive a modest mid-line SUV and my license plate in small town MS cost me almost $500, while here in TN I pay the standard $35. These are greats perks I learned about after my "transplant".

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    I have lived near the Memphis area, and though I don't know much about St. Jude, I would not want to raise a family in Memphis.



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