darrell

darrell

Psychiatric, MICA

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All Content by darrell

  1. How Will Universal Health Care Change Nursing?

    darrell replied to arelle68's topic in General Nursing

    Ask me where I rate my health compared to highway development, education, crime prevention, air traffic control. I'm not working right now. My wife has RA and a compromised immune system. Yesterday...

  2. What factors are important when nursing someone with depression

    darrell replied to davidthenurse's topic in General Students

    While watching the medical model banner wave beautifully in the wind, don't forget the cognitive factors. It doesn't hurt to make the attempt to find distraction, to focus on something other than...

  3. Psych and Holistic care

    darrell replied to IamRN08's topic in Holistic

    I am a DBT skills trainer and used mindfulness and emotion regulation quite a bit in an inpatient locked ward, both individually and in groups. It was very well-received and we got letters from...

  4. Teaching Guided Imagery to Patients

    darrell replied to stellina615's topic in Holistic

    I once had a patient who traveled from depressed and anxious to smiling and relaxed by visualizing a day at the beach. We began with sunlight and I just kept asking her what the next association was,...

  5. considering nursing school at 45 yo

    darrell replied to turtlesrus's topic in General Students

    Glad to hear from you both! I am 50 now and hope to finish my psych NP in 3-4 years.

  6. I hate nursing

    darrell replied to prettylittlenurse2b's topic in General Students

    There are many specialties. I work in psych and I love it. Have you thought about education, management or research?

  7. considering nursing school at 45 yo

    darrell replied to turtlesrus's topic in General Students

    That is amazing and all us younger kids in the 40's and 50's crowd are cheering.

  8. considering nursing school at 45 yo

    darrell replied to turtlesrus's topic in General Students

    Started at 47, graduated at 50, began BS-to-MS program at 50. I hit Level I in a week and I'm having the time of my life. And that life experience really does count in dealing with people.

  9. Pain is subjective?

    darrell replied to lena130's topic in General Nursing

    Yeppers. I work in a MICA unit and addictive behavior - including med-seeking - is the norm. The system works so that the orders taper the availability over time until the person is stabilized and...

  10. Pain is subjective?

    darrell replied to lena130's topic in General Nursing

    Agreed. I would say certainly advocate for a child, but without judgment. The offending parent may also need empathy. Doing the right thing doesn't need to be accompanied by righteousness.

  11. Pain is subjective?

    darrell replied to lena130's topic in General Nursing

    Good point: there is no need to police med-seeking (addictive) behavior. Or to police over-eating in obese patients, or candy consumption by diabetics. Why not teach, instead? Teaching is not about...

  12. Pain is subjective?

    darrell replied to lena130's topic in General Nursing

    Pain is simply a nervous signal. Suffering, the meaning we give pain, is subjective. A person who is med-seeking is suffering, but perhaps not from the pain. Your judgment is important, but remember...

  13. After 15 years - I may be one more nurse to add to the shortage

    darrell replied to BrokenRNheart's topic in General Nursing

    Seems like you must be in a special area. I graduate in May and I have been a tech for over two years. I've seen some of the bad, but more of the good. Advice? Don't set your own limits. Take a breath...

  14. Would you call in because you didn't get any sleep?

    darrell replied to Elvish's topic in General Nursing

    Happy to help. Another thought occurred to me. In the spirit of focusing on the solution rather than the problem, why not approach some of these more efficient and empathetic pros and respectfully ask...

  15. Would you call in because you didn't get any sleep?

    darrell replied to Elvish's topic in General Nursing

    I often tell my patients that a healthy way to express anger is to write it down, venom and all. It's likely your rant has helped drain the emotional buildup a bit! Now, while you are calm, use the...

  16. Would you call in because you didn't get any sleep?

    darrell replied to Elvish's topic in General Nursing

    I assume you did no harm or you would have mentioned it. I'm not sure I could have been as safe were I in your shoes!

  17. Hi, I'm Twinmommy+1 and I am on day one no smokes

    darrell replied to twinmommy+2's topic in Nurses Recovery

    May I suggest tapering? It helped me. An extra benefit is that research correlates success in quitting with the degree of delay between wakening and having the first cigarette. So if you can arrange a...

  18. Stopping smoking? What helps you

    darrell replied to Silverdragon102's topic in Nurses Recovery

    For me, it was keeping the consequences in mind so that whenever I thought about smokes, I also thought about consequences. Writing them down helps. There are reasons for quitting or we wouldn't quit....

  19. Hi, I'm Twinmommy+1 and I am on day one no smokes

    darrell replied to twinmommy+2's topic in Nurses Recovery

    I quit in 1993-ish after years for chain-smoking in bars and football parties. I tapered to half a pack over a week or two, then I stopped. The first week was hard due to...well, you already know that...

  20. What do Psych nurses really do?

    darrell replied to tessa45's topic in Psychiatric

    I'm a student graduating in May and headed for Psych with an intent to work in chemical dependency. I am also getting a certification from the state department that deals with this (OASAS in NY). My...

  21. Please share something GOOD that happened at work!

    darrell replied to RNsRWe's topic in General Nursing

    Two tips from me: 1) Don't capitalize the first letter of every word in your sentences. Same rules of grammar as paper writing. This will be of use to you when you have to write papers for class...:)....

  22. How will our new grad Male RN work in L &D?

    darrell replied to ragingmomster's topic in Ob/Gyn

    Wow, Myeire, that was very eloquently and gracefully written. You have just managed to send me from the room without making me feel like some kind of unprofessional molester. Thank you. You also...

  23. How will our new grad Male RN work in L &D?

    darrell replied to ragingmomster's topic in Ob/Gyn

    Here's where I think the professionalism pays off. For my part, I let the patient know right away I will honor the request as it's all the same to me. There are usually consequences, such as delayed...

  24. How will our new grad Male RN work in L &D?

    darrell replied to ragingmomster's topic in Ob/Gyn

    I have been an EMT for two years, a student nurse for one and a patient care assistant for a year and a half. I am male, 49 years of age and I have worked with female patients from 15 to 95. In a very...

  25. Being Sexually Harrassed

    darrell replied to markymark's topic in General Nursing

    I think another option here is the consideration that the offender in question may never have been challenged. Sex and power can be a heady combination, and I believe a physiologically-directed surge...