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debarose, CNA 1,284 Views

Joined: Dec 1, '12; Posts: 13 (46% Liked) ; Likes: 10
Nursing Student; from US

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  • Nov 28 '14

    Do you think Allnurses knows the school you are applying to?

  • Nov 23 '14

    Wow. Your family does not seem to have a realistic grasp of how extensive your cousin's care is. How do they intend on transporting her there, and transferring her? Not to even get started on the ADL and caregiver tasks they expect you to take on.

    I agree with another poster that if they are insistent on this then they need to hire at least one caregiver to take on this trip to care for your cousin. Then the other family members need to help.

    It's selfish of them to ask you to do this yourself.

  • Nov 23 '14

    I currently work on a surgical floor that takes some ortho patients (I am leaving for ED next month). Pain management is huge especially with ortho and GI. Ortho so they can move and GI so they can breathe (and ambulate). That nurse was acting inappropriately. All patients get at the very least a PO narcotic (oxycodone is choice at my facility) a half to 1 hour before CPM. I have given dilaudid and oxycodone and put them on CPM right after. Dilaudid lasts maybe 1 hour. It is inappropriate to continue CPM if the patient is moaning in pain. That means it's time to stop. With or without pain meds. We will wean them off IV by alternating IV with PO. Some patients are afraid to try PO because they are scared we will take away IV altogether. By their day of discharge most patients are managed only on PO if anything. If they are having severe pain with activity IV dilaudid or morphine will be available for breakthrough pain or before therapy sessions (CPM is a therapy too). Esme is right - pain must be managed if you want your patient to ambulate, use the incentive spirometer, and feel better in general. Thank you for caring.

  • Nov 23 '14

    This is such a great article. In my microbiology class we had to do a journal from the viewpoint of being a nurse in the Civil War and how we would do aseptic technique. I did a lot of research on Dorthea Dix and she was an incredible woman. All of the things she brought to nursing was incredible. One of the things I did not know was it was men who were initially nurses. It was Dorthea Dix who started with women. We as women have come a long way in nursing and we have all of these wonderful women to thank for it.