migraines and nursing

vamclouky3 · Feb 26, 2005

02/25/2005

In response to this thread:

Many employees supervisors don't listen to their employees at all just want to save that little money in the budget, first!!! When (we) inform your supervisor that we need to see the company nurse its always ...well maybe or not at the moment too much paperwork...Its a jip!!! See, the employers find the weak ones then they find ways to get rid of them and the strong ones become their "pet/favorites" because they believe that they will become their friend -- favors and whatnots, kiss ***, suck ups, etc...Okay wrong way to go about this but it does happen. So the ones you treated down in ER didn't lose no time off from work did they? If not, then good. As far OT for you taking care of them you should have gotten your PAID time in logged. No excuses.

Migraines and anyone's job goes hand in hand. You either let the crap go or make some restitution to fix the error with your employer. Nurses work long, shameful 12hr shifts (which is alright) but you end up making up time for Mandation the next day. MICU,CICU,SICU,NICU's,ER,L&D all have these tumultious hrs that unfortunately human beings are always getting sick or having babies or GSWs, ESRD,CHFs,Diabetics,Heart patients,hypo-/hypertensives all come back to the hospital in some sort of fashion. We all have our ways of dealing with stress and (we) nurses have to decide how much we really want to stay in school and miss our life in between cause in the end its you that has to be happy with what you can put up with.

True? or not? WBS :coollook:

Knew I shouldn't of responded to this thread as this week have treated two hospital employees for migraines (1 from OR and the other from Trauma Unit) after hours in the chamber. Since we cannot charge for the treatments as the insurance will not pay for I usually do not clock in, but both were back to work in 45 minutes without any discomfort. Just wish they would of called earlier in the day when still there as both stated had been hurting since after lunch.

lifesaverwv · Feb 26, 2005

What is MICAS Profile? :rolleyes:

vamclouky3 · Feb 26, 2005

this is er mica's:

emergency room visits micas/profiles

emergency room visits documentation

the diagnosis categories used in this mica are based on the principal diagnosis which is submitted as the first of 23 possible diagnoses coded on the emergency room visit record.

for purposes of the data provided in the community data profiles and missouri information for community assessment (micas), the term emergency room visits refers to episodes of care provided to missouri residents at hospitals that have emergency room facilities.

the source of these data is the patient abstract system (pas) data file, which is compiled from hospital discharges, emergency room visits, and outpatient surgery records that are reported to the department of health and senior services by state law. the reporting requirements for the pas have been in place in missouri continuously since 1993.

in some instances, certain data values in the patient record are missing or miscoded. visits with missing or miscoded data values are included in the statewide totals, but may not be included within the displayed categories of certain variables (e.g., race, county of residence). thus, a total of all categories of a variable may not equal the statewide total for that variable. patients with a missing state of residence were deleted from the analysis file. those visit records identified as missouri residents, but missing a county identifier, are included in the statewide totals only.

emergency room visits definitions

diagnoses and procedures associated with emergency room visits are classified in accordance with the ninth revision of the international classification of diseases (icd-9). this classification is the result of close collaboration among many nations and non- governmental organizations, under the auspices of the world health organization. its original use was to classify causes of mortality. later, it was extended to include diagnoses in morbidity. for example, the "clinical modification" of the icd is used in categorizing hospital diagnoses. in practice, the icd has become the international standard diagnostic classification for all general epidemiological, as well as health management, purposes. the ninth revision of the icd has been used to classify disease and procedures beginning january 1, 1979, to the present.

clinical classification software

the diagnostic groupings used in the emergency room visits profile and mica are based on the clinical classification software (ccs). ccs is a tool for clustering patient diagnoses and procedures into a manageable number of clinically meaningful categories. it was developed by the agency for healthcare research and quality (ahrq - formerly known as the agency for health care policy and research (ahcpr). the tool is updated periodically. it was originally named the clinical classifications for health policy research (cchpr). the ccs compresses the 12,000 diagnosis codes of the international classification of diseases, 9th revision, clinical modification (icd-9-cm) into 259 mutually exclusive categories. in its multi-level mode, the system further categorizes these 259 into some 26 broader groupings. the system can be used with any data that are coded using the icd-9-cm. it has been shown to be helpful in understanding and analyzing patient data by managed care plans, insurers and researchers.

further information on the clinical classification, as well as the list of diagnoses and procedures utilized by ccs, can be found at http://www.ahcpr.gov/data/hcup/ccs.htm.

if this is not what you was seeking then recheck the web that is where this came from. hope its helpful. :coollook: :rotfl: :

what is micas profile?

Rhoresmith · Feb 26, 2005

My daughter suffers from migraines she had 30-60 a month. She goes to Diamond Headache clinic in Chicago it took 5 years and many many many combinations of drugs to get the headaches under control. Best advice find a doctor who Number one believes in your pain and wants to be AGGRESSIVE in the treatment. YOU need to research go to the Diamond headache web page follow links there try the national headache foundation. and BE LOUD AND VOCAL WITH YOU DOCTOR ABOUT YOU HEADACHE AND PAIN many doctors only treat migraines like you have a mental problem. They think of you like Darin Stevens mom on Bewitched you have a "sick headache" because of a little stress. You can also go to Yahoo groups there are many support groups out there online Please feel free to PM me and I will help you all I can I have spent hours and hours of research on this and after 5-6 different doctors telling me my 13 yo daughter was a spoiled overweight child who didn't want to go to school I found doctors who believed her and finally helped her... KNOWLEDGE IS POWER!!!!!!

pediatriclpn · Feb 27, 2005

I am 36, have suffered with migraines since age 6? Would just go to quiet, dark room to sleep for hours when I was a child, no health insurance, no money in family. Then had family MD prescribe darvocet, used that for years, but couldn't work when taking it. About 5 years ago, saw neurologist for neck injury, had increase in migraines due to this, given Maxalt, what a wonderful drug! But Thank the Lord I had insurance! No way I could have afforded it otherwise. Also had trigger point injections, and botox injections. I was pain free, and migraine free for a year! Had another round of injections, migraine free for a year! Yipee!!!!!!!!!! It is expensive, and you need a doc who knows what he is doing. Thank God that insurance paid for it. I also took Celebrex for about 4 years, off and on. Stopped taking that when I got funny bruises, but boy did it help the arthritis! Now take 800mg Ibuprofen, and have to take Zantac too. Best of luck to you. You do need to find a way to somehow destress. And totally stay away from artificial sweeteners!

pediatriclpn · Feb 27, 2005

Oh, and, pediatric home care, one patient all day, was the best for me! I miss it very much, (dealing with severe back injury, headed for surgery soon) Best of luck again!