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pattyjo

pattyjo MSN, RN

psych/mental health
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pattyjo is a MSN, RN and specializes in psych/mental health.

pattyjo's Latest Activity

  1. I have a "Do what you love" philosophy on this, so if psych nursing is calling your name, go for it. I've worked in different areas through my career, usually briefly, but always end up back in psych. Now, having said that, I need to respectfully disagree with those who say med surg and psych are totally different and you don't need med surg skills if you are going into psych. You will have patients who have bipolar disorder and type 2 diabetes; major depression and high blood pressure; and yes, schizophrenia and pregnancy. Not only that, the newer medications are effective in helping to manage symptoms, but they also carry a risk of metabolic d/o, seizures, thyroid and cardiac dysfunction. Some increase the risk for various other disorders, like agranulocytosis. If you are going to work with persons who have substance abuse issues, you most certainly will run into co-occurring liver disease, neuropathies, GI problems. You are a nurse: your role will be to assess, advocate, educate, keep your patient safe, help them return to a higher level of functioning. If you are concerned about losing your skills (I'm guessing you mean the tasks like starting IVs, dropping NG tubes etc) then maybe consider a casual position on a med surg unit. Or take a refresher course if the situation dictates. It sounds like you are thinking this through, and that is a good thing! Good wishes to you as you continue on, and make the decision that makes the most sense to you.
  2. Relapse prevention, coping skills, discussion on any local support groups which could be used after discharge (provide meeting times, phone numbers etc).
  3. pattyjo

    PTSD assessment

    Try the VA site; NATIONAL CENTER for PTSD Home There's a section for professionals and persons doing research, as well as information for vets on treatment etc.
  4. pattyjo

    Clinical Instructor site problems...need ideas

    Could you create a clinical scenario or maybe find one on line? Sometimes the text book publishers include these in their online resources. Perhaps your students could work in teams and then come together for a discussion. Good luck with this; I had something similar happen recently and I'm trying to find a replacement experience as well.
  5. If interested, here is the page for DSM V which is due out in 2013. I believe right now APA is looking for comments from interested parties on the changes being made. http://www.dsm5.org/Pages/Default.aspx
  6. pattyjo

    Good books for a beginning psych nurse?

    Anything written by Kay Redfield Jamison, PhD. She is a psychologist who was diagnosed with bipolar d/o in her 20s. An Unquiet Mind (autobiography) and Night Falls Fast (about suicide) are especially valuable, but anything she writes is worth reading. Crazy by Pete Earley about his experience with his young son's illness and the mental health system in general. (The title refers to the system, not his son!) Addictive Thinking by Dr. Abraham Twerski helped me understand a lot about this. He has written much about substance abuse and is known internationally for his work. Agree with jahra regarding APNA; think about joining. Good luck in your new job!
  7. pattyjo

    Need Book Recommendations in Culture and Nursing

    I couldn't agree more, Eric, I recommend this excellent book to my students. It is heartbreaking and extremely valuable. Patty
  8. pattyjo

    medications in the media

    >>Finally, if I were to venture a guess on another potential drug class of Some of the second-generation antipsychotics, such as Abilify, have apparently increased the risk of hyperglycemia in the elderly population. While no definite correlation has been specified due to the tendency of the population to be at high risk for diabetes anyway, a plausible relationship has been noted (www.fda.gov/medwatch/safety/2004/safety04.htm). True, plus further studies have prompted a black box warning on these meds due to unexpected cardiac-related deaths and deaths from infection. Also addresses the "off label" issue since none of these are approved for use in agitation with dementia. (Someone correct me if that has been updated) http://www.fda.gov/cder/drug/advisory/antipsychotics.htm Patty
  9. You can also check out universities in your area; they often have qualified interpreters on staff. My only concern with using hospital lists for non-English speaking patients (including those who are Deaf as was mentioned) is when the information is something like consents or other legal documentation, or specific teaching. I think then you need to have an interpreter specifically qualified in the needed language to be absolutely certain the information is conveyed accurately. We had someone once who said she knew sign language; turned out she knew the alphabet and numbers 1-10! For routine things like baths, meal times etc, someone on staff would probably be sufficient. Patty
  10. pattyjo

    CATS AND SCHIZOPHRENIA/ this is so stupid

    As odd as this sounds, it isn't something that just popped up. I remember sending an article about this to my son several years ago. Couldn't find that one, but here's a link to medscape, an article from a few years ago. This one was also referenced on CDC website. (You may have to register for medscape, but it's free and a good site to have anyway.) http://www.medscape.com/viewarticle/463678 Patty
  11. pattyjo

    Thank you all

    Just a message to all of you who work in hospice care: Last week, my MIL died 13 months after being diagnosed with pancreatic cancer. At that time, she was told she had "6-8 months" Clearly those docs didn't know who they were dealing with!! In the time she had, she enjoyed her family, her faith, bingo and travelling. She crocheted baby blankets for moms who didn't have much, and she worked on accepting her fate. She spent the last 3 weeks of her life here with us and did well until about 5 days prior to her death. We had a nurse from hospice come; she opened the case, got us oxygen, a bed, meds if needed and assigned us "our" nurse. We never got to meet her because my MIL died that night. Her sister came downstairs as my husband and I were getting ready for work, and found that she had peacefully slept away. Why am I telling you this, when it's clear we didn't have that much contact with hospice? Because the "on call" nurse came right to our house, she took the burden of calling our doctor and the coroner from us and let us sit and grieve together. She looked at pictures of our family, listened to some really silly stories, got the priest and a nun (both volunteers with hospice) and was so abundantly kind to my husband's aunt that it took my breath away. She helped us with funeral home calls and she stayed with us until we were ready to let her go. Before she walked into our house, she was a stranger; she became a gift to us. I hope you are all proud of the work you do; I am so very grateful Patty
  12. pattyjo

    BS-MSN Bridge Program

    I am still in the MSN program. Length of time would depend on the area of concentration and how many classes you are able to take per semester.There are 4 required courses for any track you would chose (2 research, health policy, health promotion) then continue on depending on the area you are pursuing. There has been a lot of reading, posting on bulleting boards, projects etc., but nothing unmanageable. You do have to be disciplined though; it could be very easy to fall behind. As far as the bridge program, I challenged out of those classes. Check the site or email the director to see if that is still possible. Also, I had to take a statistics course since I had never had one during my BS program. That was probably the worst part of all of this!!! My undergrad degree is in Health Education, but I graduated from a diploma school of nursing before getting that degree. Hope that helps, let me know if you have any other questions. Have you ever taken an online class before? Patty
  13. pattyjo

    Patient Education

    http://store.health.org/catalog/
  14. pattyjo

    Patient Education

    Have you tried this one? They have educational materials for adults and adolescents; you just need to scroll through the list. Most are free. I have another similar site, but couldn't attach it here; will do so on a separate post. I have seen those series type videos for adults, our unit doesn't accept adolescents so we have little need for that. http://store.mentalhealth.org/publications/ordering.aspx Patty
  15. pattyjo

    BS-MSN Bridge Program

    Hi Annlet I did a bridge program through Drexel Univ. and then went right into their MSN online program. I challenged the 3 exams for the required bridge classes, but I think there were going to be changes made to that aspect of the program. Try this link, if it doesn't work, just go to drexel.edu, click on distance learning and then nursing, and scroll down to RN MSN bridge. http://www.drexel.com/Fields_of_Study/Nursing.shtml Patty
  16. pattyjo

    Tom Cruises' take on Psychiatry

    Just went to CNN.com to look this up; here's the link http://www.cnn.com/2005/HEALTH/conditions/06/29/attention.deficit.drug.ap/index.html It appears that the FDA is going to look at all meds for ADHD; so far the reports aren't conclusive.