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I trained as a Mental Health nurse in the UK, and moved to Australia to be with my wife in 2000.

StuPer's Latest Activity

  1. StuPer


    I too have a poor opinion of Abilify, not least of which was the test trial data submitted to the FDA which showed it destroyed the cornea of albino rabbits, the company was ordered to do post approval testing to look at any implications for humans, but as far as I know it hasnt been done. I had an opportunity to attend a sponsored meal at the end of a valauble conference a few years ago, and had great pleasure in laying into the Abilify presenter about the poor wabbits StuPer
  2. StuPer

    New RN and stressed out!

    Hey guys, This is an issue every where it seems, and there is no easy answer, however admiting terminally ill people to a psych ward because they are depressed is just in one word a 'dump'. Good god have they not heard of palliative care, that is their field, being depressed in that scenario is a 'normal' function of the grieving process, pally care assist individuals and families to come to terms with this and to help them prepare for 'the end'. Putting people like this in a psych ward is an absolute injustice, no wonder you are struggling to cope. Frankly if your administration see's no problem with this practice I'd be looking for alternate employment. Take care of yourself because under that kind of stress your own mental health could suffer. Ohh and we to do not admit people with IV's for the same reasons JentheRN05 stated, no mental health facility I know does. regards StuPer
  3. StuPer

    Psychiatry in UK

    Thanet, Sorry for the late response, but I trawl these threads a little too infrequently. Could you highlight the changes please, there has just been a review of the MHA here in NSW, wonder if the new Act will be as similar to the UK one as the old one here was. regards StuPer P.S. On arriving in Oz I worked in Forensics as well, its how I got my work visa here.
  4. StuPer


    While I dont doubt that some people have the belief that demonic possession is possible, I don't believe there is a place for that in a clinical setting. If you acknowledge demonic possession as a possibility, then you either acknowledge every other religion's versions of 'demonic possession' or you are infact invalidating any non-christians religious belief's. That could be a big problem in a multicultural society where as a clinician you will inevitably have to deal with someone who has differing religious views than yourself. I personally have never met anyone who was 'possessed', but I have met a few who felt they were, but only until they recieved treatment and their psychosis resolved. regards StuPer
  5. StuPer

    How to become a psych nurse...??

    Hi lavarn, I cant speak for Vic, but I imagine it won't be much diferent from NSW, you shouldnt need a diploma to start working in the MH field, particularily in ward work. Some specialist units may make a requirement of a post grad diploma, because of the nature of the work. In any case if you have applied and been accepted for a post grad MH diploma, that would be in most cases proof of interest I would imagine. regards StuPer
  6. StuPer

    Antisocial Personality disorder....

    Hi I guess I would say no I havent seen anyone successfully treated with this diagnosis, but I would measure that against the fact I havent worked in any specific programs/facilities that cater for this client group. The other thought is that, as with many personality disorders, until the person themselves see the impact and consequences of their behaviour AND want to change it, your chances are virtually zero. When the defining characteristic of APD is a lack of ethical and moral consideration for others, frequently with violent and criminal behaviour, its difficult to see how best to approach this group. It appears to peak in the early 20's and by age 35 most people are in remission, but still have problems. Much of what I've read indicate that it is the natural progession that finally puts a stop to the behaviours rather than any formal treatment/programs. Sorry I couldnt be of much help. regards StuPer
  7. StuPer

    Psych Nurse ="not a REAL nurse"?

    Hi All, I am grateful to see many non-mental health nurses acknowledging our practice. But I need to tell you this is reciprocated, I work in C/L psych in an ER mainly, and when I see the nurses in there dealing with major trauma I am amazed and impressed at the skill and teamwork involved, this equally applies to the med/surg nurses too. In all area's of nursing we are skilled and should be valued. One of my 1st introductions to the skills of psych nurses was my 1st rotation on an acute admissions ward, I was doing the right thing I thought as a student and takling to a patient and trying to help. Scattered around the room were psych nurses engaging other patients. Then as 1 they all got up and headed for one part of the room, they had all picked up on increasing tension with one patient and they responded to deal with it.. crisis averted. Ohh and for anyone wondering the response was a quiet chat and some ventilation, rather than meds. I never forgot that and although I was already goign to do psych, that was a cementing moment. regards StuPer
  8. Hello All, Here is a link to a BBC News story in relation to this. http://news.bbc.co.uk/2/hi/health/4830448.stm regards StuPer
  9. StuPer

    Antidepressants and Sex Drive??

    Just thought I'd add my 2 cents worth, you talk about expecting a BIG change on antidepressant meds, well I have to say in my experience that such a change is rare. Antidepressants are not normally so effective that the patient notices a huge change, normally I tell patients to expect a slight increase in their ability to cope with the stressors of day to day living, nothing more. Also it is very common to have to swap a number of different antidepressants till you find one which works for you. This is simply the nature of managing an illness whose symptoms are subjectively felt by the sufferer, but is very difficult to measure clinically. On top of this there are so many factors that can impact on mental wellbeing, that you may start to feel better but not be able to identify any single cause. It maybe irritating having to try different drugs, and the side-effects can be annoying, you have to measure the potential impact of the drugs negatively against the possible benefits to your mood, but if you have expectations of a wonder cure, Im worried you maybe dissappointed. regards StuPer
  10. StuPer

    Add to the story....

    alcohol induced flatulence, the doctors and nurses seem quite unimpressed with me and ordered..........
  11. StuPer

    This would sure make our jobs easier

    It does sound good, I just wish they could make it non-dependancy forming in its pain killing capacity. But at least if the technology is taken up widely it should take 1 drug out of the abusers medicine chest, thanks for the info..... regards StuPer
  12. StuPer

    Ian Noble

    Hello Colleagues, I normally write or post comment in the mental health forum as that is my speciality, however a life story I had been following for quite some time recently came to an end and while I did point my local colleagues to the website I forgot about everyone on Allnurses.com . Ian Noble was a science and technology writer for the BBC and was diagnosed with an aggressive brain malignancy in August 2002. I suppose as a coping mechanism he started an online diary of his trials and tribulations along the way until he died in January this year. The online diary has become an icon of human struggle against the ultimate fear. I would recommend anyone involved in oncology read the diary from start to finish, and if you feel it appropriate to point patients in the direction of the web address. The diary is available at http://news.bbc.co.uk/1/hi/health/4211475.stm regards StuPer PS I checked the previous threads and could find no mention of this, if I missed something I apologise for re-posting.
  13. StuPer

    Why did you choose psych nursing?

    Hmmm.... Not sure about easier.... but definately different. Also love the no uniform bit.. but most of all I love the work, the people you get to meet and help... and finally that sense of achievement you get just enough times to keep you smiling. regards StuPer
  14. StuPer

    That's why they call him "The Streak"

    I just thought I'd throw my tuppence in on this debate, I agree with TitaniaSidhe and Nurse Ratched... a tranq and antipsychotic are a good combination. The fact is despite the behaviour may not be directly harming anyone, it is a symptom of their psychosis, and may be treated. What also needs to be remembered is a ward, particularily a mental health ward is a community of patients, and as with the community at large, no 1 person has the right to behave in a way that disturbs or upsets other members of the community. The theraputic wellbeing of all patients overrides an individual... or as Spock put it "the needs of the many out weigh the needs of the one" regards StuPer
  15. StuPer

    Complex Patients

    Sorry for the misunderstanding, what I actually mean't was a service for patients who have been in acute inpatient facilities long after they need to be there, but because of ongoing issues (eg med compliance, behaviour problems) they cannot be managed in other facilities. This has led to the Area Health Service to look at a service which will look hard at the placement of these patients with a view to developing some form of discharge plan, either through providing another area with the resources to manage that patient or by looking at more creative (read-expensive) options. We are in the planning and implementation stage and are wondering if anywhere else had set up a similar service. regards StuPer
  16. satchmo.... OMG!!! how do you cope... We have a psych admission unit here that has staffing of 5 RN/EN am shift, 4 RN/EN pm, and 3 RN/EN night and thats with 20 patients