Subby317

In psych we say you can't want it more than the patient. Continue to provide support and offer options, especially a therapist, but ultimately it is on them. Thanks for your response. Supportive care is being provided as well as other available options. You are on point - we can not want it more than the patient. We just need to wait until she is ready.

What are you referring to when you say she is broken? And what kind of assistance is she refusing? Thanks for your response. By "broken" I mean " despondent" She is refusing prenatal although she voiced she wants the pregnancy, refusing housing assistance, although the child's father is "beating" her and she is refusing help for her substance use. Supportive care - when she wants - is being provided.

Thanks much!

I am curious as to how some new APRNs are "unfit"? New APRNs are not " unfit".. They need a foster environment that provides education and mentor-ship. Totally agree that "discipline" is political....... however for continued failure to adhere to guidelines A fellow APRN should not " turn a blind eye". " Discipline " here was a pow-pow while throwing in the word " discipline" as gentle reminders failed.

Thanks for your response. "Discipline" is in quotation. On re-reading my posting I can see why it may be misunderstood. The patient did not suffer " physical or emotional harm" ----- voiced " displeasure ".

Thanks so much for your response. A management role... You are absolutely right "we are all adults". Tried in "the moment feed back" to no avail.

Yikeeeees...........!!!!!!!How do you face a colleague after you discipline them? When a patient suffers and you need to discipline a colleague........ how do you face them the next day?

Pro-student Thanks for your suggestion. Loving the "Motivational interviewing" tactic. Thanks much!!!

Currently providing care for a "broken" client with Fourfold dilemma- Primigravida, domestic violence, substance abuse and refusing assistance. Please...... Any Suggestions