marjoriemac

marjoriemac LPN

nursing home care

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All Content by marjoriemac

  1. Isolating Demented Residents

    marjoriemac replied to SuesquatchRN's topic in Geriatric, LTC

    I think that it is often more orientated residents who cause others to be isolated or our perceptions of what the more orientated residents can put up

  2. I need a vision

    marjoriemac replied to garciadiego's topic in Geriatric, LTC

    My vision would be that the patients get the individulaised and dignified care they derserve whilst promptong the environment as a home from home. To me, patients always come

  3. Isolating Demented Residents

    marjoriemac replied to SuesquatchRN's topic in Geriatric, LTC

    I think many dementia residents shout or use the call bell persistently because they want to tell us something and/or they want the company. I believe therefore that continual isolation is abuse in...

  4. Aged Care Research Project ideas

    marjoriemac replied to Jazzminka's topic in Geriatric, LTC

    I think that sounds real interesting. I have a love for dementia as my gran has alzheimers and some of the loveliest residents I have worked with have had dementia. I think the term dementia is used...

  5. Aged Care Research Project ideas

    marjoriemac replied to Jazzminka's topic in Geriatric, LTC

    When I was at university, I done my thesis (12000 words) on Nurses Attitudes towards the Elderly. It was really interesting and was based in care homes. The results were not great, many people with...

  6. What Is A Shift Like?

    marjoriemac replied to mammaoftwo's topic in Geriatric, LTC

    I usually work days but have picked up a few nights as overtime and for the experience. We got a report, done night meds, helped out with putting residents to bed then done any drug orders. We checked...

  7. unrealistic family of dying resident

    marjoriemac replied to maah's topic in Geriatric, LTC

    I think a big issue is guilt. I have seen it so many times from families who do not visit, when the time comes, they realise that they have done little in life and feel they can make up for it in...

  8. Duty of care

    marjoriemac posted a topic in Geriatric, LTC

    Two incidents I would like to share with you guys to get some advice, both relate to our duty of care and that thin line between giving prescribed care and abuse. 1) Man with eye infection, prescribed...

  9. Duty of care

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    The gentleman to whom the eyedrops refers, is not able to verbally consent to any treatment. However I feel that saying just because he is not competent to give consent does not mean we should do...

  10. When staff accuse resident's of being racist?

    marjoriemac replied to LadyMonteCarlo's topic in Geriatric, LTC

    In my last workplace we had several residents who made apparent 'racist' comments to non-white staff, all of these residents were demented and most got on with the same people at different times. The...

  11. Starting IV's or Insertion in Nursing Homes

    marjoriemac replied to nindot's topic in Geriatric, LTC

    In UK we don't fo IV in nursing homes. Can do sub cutaneous fluids but in 5 years, I have never seen it being used. Starting to get training in using syringe pump drivers (eg for morphine) but in my...

  12. Nurse to Resident ratio

    marjoriemac replied to 4everlearning's topic in Geriatric, LTC

    :uhoh21: Jeez! The worst ratio I have ever worked is 1 nurse to 30 residents and that was bad enough. Now my worst is 1 nurse to 25 on late shift or night shift only, always 2 nurses on in the morning...

  13. Teaching docs a bedside manner!

    marjoriemac posted a topic in Geriatric, LTC

    We all know you get good doctors and bad doctors (most of those that visit our nursing home are well... bad!). I am therefore very greatful to the fleet of future medical students we get working as...

  14. Accucheck procedure

    marjoriemac replied to tiggertoo's topic in Geriatric, LTC

    Education vs practicality! Do diabetics at home use the educational

  15. Festive Cheer

    marjoriemac posted a topic in Geriatric, LTC

    Hi to all you LTC nurses out there, just a wee crimbo message: HAVE A FAB HOLIDAY SEASON! For all you that are working, enjoy the smiles you bring, to all those who were lucky enough to get the day...

  16. Festive Cheer

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    Luv Bobby Burns, will skip the haggis though as I'm a veggie!!! At the risk of sounding all beauty queen, wouldn't it be great if 2007 brought World

  17. Looking at the wider issues

    marjoriemac posted a topic in Geriatric, LTC

    :angryfire We have a man who has recently been very aggressive to care staff assisting him with personal care. I use the term aggressive lightly as personally I have had residents more aggressive than...

  18. Liability issue

    marjoriemac replied to Ms.RN's topic in Geriatric, LTC

    We had a lady recently who was having chest pain not relieved by GTN, her doctor said to call an ambulance and when it came she refused to go. As it happens, this lady is the 'lady who cried wolf' and...

  19. From the residents perspective!

    marjoriemac posted a topic in Geriatric, LTC

    Just had to mention a moment from the other day at work. Dr X (a resident) was sitting in the corridor apparently watching the world go by. He looked sad, I stopped to talk to him, he said he was...

  20. Manual BM Removal

    marjoriemac replied to banditrn's topic in Geriatric, LTC

    I truly feel that a high percentage of those obsessed with their bowels or water works in old age, do so to get attention, to have something to control! When you lose control of everything else, you...

  21. What exactly am I in for?

    marjoriemac replied to emotional_she's topic in Geriatric, LTC

    I agree, as a human we all have different characterisitics and although some are required to be a good nurse (a desire to care for unselfish reasons!), we also have different aspects that suit...

  22. does your facility have 8 or 12 hr shifts?

    marjoriemac replied to ajaxgirl's topic in Geriatric, LTC

    I currently work 7 hr shifts (except nights which are 11) 8-3, 2-9, 9-8. But I have worked 12 hour shifts in the past 8-8's which I preferred as continuity was better, less staff needed overall,...

  23. Work a day on the wild side

    marjoriemac replied to ebony2's topic in Geriatric, LTC

    I LOVE IT! I want llamas in our work? Suppose it's the same principle as dogs and cats coming into the home but on a much bigger scale! I heard of a home where a C/A brought in her pet snake once and...

  24. Need for re-evaluation

    marjoriemac posted a topic in Geriatric, LTC

    Just a thought on an issue that is bugging me just now. My work is a bit like high school ie there are groups of friends who stick together and well I'm the new girl! However, what bugs me is that...

  25. What medication system do you use?

    marjoriemac replied to ns lpn's topic in Geriatric, LTC

    I have used the blister packs containing all medication for a particular time of day which was a pain if you had to withold something as you had to identify it first. I used blister packs where each...