darrell

I know that ACT, too, TerpGal02. My own MI guru work with an ACT team. Acceptance and Commitment Therapy is different, although it does play well with MI. Here is a link to the synopsis. ACT | Association for Contextual Behavioral Science It differs ...

I work in community mental health for New York State. We are undergoing a lot of changes and restructuring right now, and our clinic has been riding out the process pretty well. Part of that seems to be that we are willing to try new things to help f...

I work for New York State in communi mental health and I provide primary psychotherapy and substance abuse counseling. I have a BS in counseling studies and an MA in H&W focusing on coaching behavioral change. I use Acceptance and Commitment Ther...

I am having a discussion with a co-worker about the use of c/o or "complains of" vs. "reports". The general idea is that the c/o phrase has negative connotations associated with the concept of complaining. She says there is an effort to move away fro...

It is one line in the progress note. And it is her right to to take her pills however she chooses. If you had interfered, you would have something to agonize over...:).

Thanks for the chuckle, Sue, although I also empathize with your heartache (headache)! I am reminded of one snafu in which I showed up an hour late for an interview. We never did find out whether it was my mistake or HR's, but I got a second shot a...

Similar experience here, Hey_Suz. The more I learn, the greater the difference I see in the response I get.See ya on the ACBS listservs!

I would love to hear from interested nurses... ...Dismayed, the patient looks up from her dinner, the first in her newly ordered diabetic diet. She glances down again, then asks in a moaning voice how anyone could be expected to eat like this for the...

I hear you, Ctmed. It can be frustrating. No captives, though: ths is about engaging with the clients, not dictating to them. Still, I agree the culture does not always support coaching. Only we can change that...

There are many special interest groups (SIGs) within the*Acceptance and Commitment Therapy (ACT)*Community, but not one for nurses. I am trying to see just how much interest there is in setting up a SIG for nurses interested in ACT and behavioral cha...

Just say no. The stress is a perspective - do you have trouble saying no? D

Early car drivers were likely criticized for their contraptions, phone users for gossiping on party lines, etc. Change scares people. D

You will do fine. Be skilled, be genuine, be human. Do not fall into the trap of trying to be something you are not in order to compensate for what you are. Earn respect because you care, you are competent and you behave skillfully. D

Monroe Community College in Rochester, NY has an outstanding Nursing school. I personally respected all the instructors during my time there, although YMMV. D

In at 50 and doing great in psych. Some issues with schedules at home, but working on that! Keep up with the continuous improvement and have a comprehensive self-care plan! I have a daily workout with Yoga and a meditation regime.

I started in my later 40's. At 52, I am in psych and loving it - and still in school to advance my professional education. I do take care of myself - fitness, Yoga, meditation, rest, diet - but your age is not a factor in my eyes. Regarding whether y...

Skimming replies, the part about learning from past mistakes and experience seems the most productive advice. Being new, you likely had no idea that you could refuse the assignment right at report if it was unsafe. This is facility-independent, altho...

I agree with the spirit of your opinion, but I'll add that there is no privacy. Posting online, including this response, makes the information public. I avoid details about work except the most generic especially because of HIPPA. I will, however, co...

Cultural bias does not always equal bigotry. That being said, however, I think somebody probably had to review her response a few times after this. It seems like one of those knee-jerk responses that could have been better phrased! Were it me (I'm a ...

Yes. Reincarnation and many other beliefs have filtering into various Buddhist traditions on top of the core teachings of Buddha, which center entirely around this life and how it is lived: he advised not wasting time on speculations about the afterl...

I do work in psych. I agree. Most especially about the staff behavior - I've seen more situations escalated by clumsy interpersonal skills than through psychoses. I think some folks are so uncomfortable with the reality of violence or altered mental ...

I am 52, work full time, have had my RN for a couple of years and am attending school for my BS with 16 credits this semester. I suggest that you will only know for sure when you have done it, so it is probably time to tune them out. D

I am a psych RN and our techs tend to sit back and grin at the nurses when such needs arise...:). I am a bad one to help as I don't mind doing it - I decided when I chose Nursing that I would accept all body fluids as equal. In the spirit of that dec...

When I was a tech in acute care, I wore tops with seasonal motifs and had holiday themes my wife put together for me. I brought some smiles to the patients with these, which absolutely justified their use. I dressed to support what worked for them. I...

Sounds like we have similar patients.