Jamie-Sue
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Hi All, I am currently in my third semester of nursing school, one more to go until I have my Associates. Anyways, I have to write a proposal paper this semester based off of a topic that has two sides to it. Sort of like a argumentative paper I suppose. The topic I chose to write on is pain managment and over sedation of patients with pain medications. I had a 75 yr old patient who had a Thoracotomy for lung cancer that grew into his chest wall. To make a long story short, he kept telling us his pain was a 15 so he kept getting more and more pain medications. I saw him Tuesday and he was doing relatively well, overnight they gave him quite a bit of pain medication and didn't have him out of bed. His lungs started to fill with fluids from not getting up and being oversedated. He wasn't deep breathing and coughing. He was doing really awful when I saw him wednesday, but he was sleeping and not using his dilaudid PCA. He was very obviously comfortable. He kept telling us his pain was a 15, but I had a conversation with his daughter and she said that he was saying his pain was higher then it really was because he was afraid of ending up with pain. Anyways, regardless of all of this evidence that he wasn't really in pain and was just afraid of it, the doctor ordered for us to give him methadone. I refused to give it knowing that if he was sedated further, he was going to die. My instructor gave him 12 hours to live. Anyways, he ended up living because a pulmonologist came and agreed with what I said. Stop oversedating him, get him up to cough, deep breath and use his IS. So my question is, A patients pain is what they say it is, but where do we draw the line? I am just struggling finding articles that I can use for my paper. Does anyone have any ideas of where I can go to get nursing journal articles? Anything that would support or not support the topic? Thanks!!!
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I'm in my second week of nursing school and I am overwhelmed! I have my first exam on monday and I have no idea how to prepare for this thing. I'm losing my mind! Has anyone on here been to Stratham Tech in NH? Does anyone have any advice that might help me?! Thanks
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My status is still undecided here! I REALLY want to goto Stratham but I don't know where I fall on the waiting list as of right now. When I got my letter I was #14! My second choice would be rivier because its a bachelors degree but if I accept there spot and then Stratham opened up I would take that spot. This leads to one problem, If I take the spot in riv, I will be doing all of the other classes required of me over the summer, If I get a call in say June from Stratham saying they have a spot then I will have waisted money and time at rivier and still have 3 classes to do for stratham. If I take Manchester the curriculum is identical. So then I could easily transition from Manchester to Stratham. I don't KNOW! And then there is still Laconia which I am pretty sure I am leaning away from. I just hope I get off of strathams waiting list REALLY soon!
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My first choice is Stratham! But I am waitlisted...figures the one school I want to goto I get waitlisted for I'm thinking I am going to go with Rivier...I was accepted to the bachelors degree program. I talked to one of the women at admissions there and she said if I was to goto a different school and then goto riv to get my bachelors, it is just as hard to get into the bachelors! So If I goto riv I just keep going on until I get my bachelors!
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Yet2bRN - Do they have math tests every semester where you have to pass at least one with a 90% or better or your out? How do your clinical rotations work? I got accepted to Concord and am waiting to hear from stratham and manchester. I've heard that Stratham is slow to teach you things, how do you feel about that? How big are the classes there? Thanks :)
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