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behavioral health
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iwanna specializes in behavioral health.

iwanna's Latest Activity

  1. I often wondered if there was an addict that did not have an underlying mental illness diagnosis. I suspect that all addicts have substance abuse/addiction as a secondary issue. I believe the majority of addicts have dual diagnosis. One hospital rehab that I worked at, would get transfers from the psych ward, once they were stabilized there. I agree with Saiderap. It is not a one size fits all. You will have SA that are quiet, withdrawn, depressed, and you can have other patients that are abusive. There will always be some type of mix, including MR patients. Some are disruptive and can be physically abusive. And, you will have axis II patients. In an acute hospitalization, it is difficult to separate them.
  2. iwanna

    Did I shoot myself in the foot by disclosing?

    I am sorry that you have to disclose that information. It truly does not seem fair, if they do not ask for other disclosures for other illnesses!! That is quite intrusive, especially if you have been stable. I was looking at life insurance application for my adult children. One of the questions was being treated for mental illness, in the last five years. I wondered if that would increase the premium? There are many that should be treated and are not. Shouldn't be penalized for getting treatment. Sorry, I strayed from the topic here. You did the right thing! Best wishes to you!
  3. iwanna

    Someone help:(

    I think that you should check with BON to check the scope of LPN in your state. IMHO, I think that nursing homes are grossly understaffed with the nurse/patient ratio. I just don't see how residents can get quality care, when nurses have so many to care for. The med pass without any extra complications thrown in.(falls, medical emergencies, admissions, etc.) Even with aides, they seem understaffed. I have so much respect for an LPN that can handle the large patient load in nursing homes! I worked in a psychiatric hospital, and the most geriatric patients I ever cared for was 15. And, we had two techs on the unit.
  4. iwanna

    Trying to get a job 6 years after graduating

    So, how was your interview? If you recently took boards and passed, then you have reviewed theory. Your skills will come back to you. Congratulations on passing the board after a 6 year hiatus!
  5. iwanna

    Does suctioning trach's ever get easier?

    I have only had one trach patient. It did not bother me. I have had two tracheostomies myself before becoming a nurse. I have empathy for the patient with a tracheostomy. I was able to tolerate feces. I have a hard time with vomit, especially with undigested food. That is really rough for me!
  6. I can recall a night when most of our unit geri patients had a case of "code brown". I don't know what it was, but we cleaned one up, then another patient had an explosion. And, the last patient we had cleaned up at the end of our shift took three tries. We thought we were all done - washed him up, changed his bedding, gown, put him back in bed, then he had another mess. Then cleaned him up, putting another brief on him, and he had another mess. This last time, right after we cleaned him up, he went again. All we did that night was clean up poop, change bedding the whole shift. Funny thing is that we had a good time that night. It sure stunk, but we could not help but laugh. It was just unbelievable!
  7. I am a very per diem nurse for DD patients in group home setting. I just give insulin to one patient. When I first started, two additonal patients.However, I am down to one, as the other residents no longer need injections. I work an average of 20 hours a month. They are just one hour visits and not shifts. I feel some of the questions on this self evaluation do not even apply to me. However, it says that all questions must be answered. One question that really has me stumped is how changes since my last evaluation have affected my job performance. And, what do I need to address these changes beside additional training. This is a tough one, as I have only one patient and work minimally. I would like to put not applicable. However, I am wondering if that would really be frowned upon, since it says they all must be answered. I think they are looking for ways to improve. I don't think anything negative should be stated. The only thing that I can think of is that my client changed residence, and I needed to make sure that house staff was aware of his diet guidelines. But, that has not affected my job performance. So, would it be okay to say that this situation does not apply to me, as I only have one client. I am a caregiver for my mother, so this job was what fit my needs at the time. However, things have changed, and I have help with my mother. I am looking for additional work, as at this compnay there are no other positons for LPN opening anytime soon. But, I would like to continue with this job, too. I don't want to shoot myself in the foot. Or, maybe I am overthinking this too much?
  8. Yes my son contacted the ombudsman. I told him that he has no proof, so he can not say that he suspects that she stole the money. He did report how she made herself POA. That is a fact. I told my son that he can report only fact, and leave out the emotion. So, I guess they are going to investigate it. I am letting my son take care of it, as I am no longer related to her. I just hope this poor woman gets the proper care. Thanks for reply. I just did not know where to start. I would hate to see my ex SIL try to take her out of nursing home, and abuse/neglect her.
  9. My ex-MIL is in nursing home. She had a stroke in Jan. She had a biopsy and was off her Coumadin and not bridged. By the time, she was discovered it was too late to give her anything. A little background here. Her daughter lives four hours away. My ex- was staying in her late sister's house. However, as soon as she had a stroke, her nephew jumped on chance to move her out and sell the house. Her daughter came up to stay at the house for 12 weeks. Then her plan was to move her to the state where she lives. Her insurance would not pay for another state, so she needed to wait for new enrollment period to change. (I think she may have been looking at her SS check) Her daughter appointed herself POA.(illegally) She was a notary in another state, and made herself POA. Once upon a time, she was actually her POA. Ex-MIL removed her as her POA, as she basically lost her house. Her daughter took a second mortgage out against the house(behind her mom's back) She quit making payments, the house went into foreclosure. My ex-MIL was essentially homeless. She moved in with her sister. The sister just died last fall. My exMIL remained in home until she had stroke. My ex-Sister-in-law moved back home. My daughter and I went to visit my ex- mother-in-law, yesterday. I assumed that her daughter checked on her frequently. The social worker at the home told us that they left numerous messages with my ex SIL, and she never calls. They are not allowed to give us any information. I am on the list for medical information, only. I am concerned what is going on with her. How do I get any type of info? eg Would they move her to another home, if the bill is not being paid? My ex SIL allegedly took 4000 from her mom's purse when she went to hospital. Also, sold her car for $5000. I know there is something shady going on. My only concern is that my exMIL receive adequate care and have an advocate for her. My ex husband had a stroke a few years ago, and is not mentally competent. Currently, I am caring for my own mother with dementia, so I am not in a position to help her. I know this is not a nursing issue, but I was wondering if anyone that works in SNF can steer me in direction to find an advocate for my exMIL?
  10. iwanna

    Death Is A Journey

    Beautiful article!!! We had hospice for my brother. I would love to be a hospice nurse. However, I really don't have any med/surg experience. I did not become a nurse until I was 40. I worked in behavioral health. I worked in drug rehab an psychiatric hospital. Currently, I work prn for group home. I am a caregiver for my mother. She is 88 and has some dementia. I believe that it is radiation induced. (chemo and radiation to brain in 2012) My mother was diagnosed with lymphoma in Sept. 2011. She chose to have the chemo and radiation. I would have chosen palliative care, but she had a fear of dying. I believe that she is over her fear now. She has verbalized that she is ready to go now especially since my brother died. I would like to get into hospice nursing, when my mother no longer needs me. Although, I think that my chances of getting a hospice position are slim. I know that some people have told me that would be such a depressing job. I disagree. Death is a part of life. My brother went quick, but it was so violent. I was glad when his suffering was over. He chose to die after we took a short break from hospital. I was so upset that we weren't there, but nurse told me that happens a lot. They wait for people to leave. My desire to be a hospice nurse was before my brother was a hospice patient. Again, beautiful article!
  11. iwanna

    lovenox injections

    I have a patient that gets lovenox injections. As ordered, I must waste 5 mg of his pre-filled syringe. So, the lovenox is on the needle prior to giving the injection. I know this is very irritating. I can recall switiching needles when we drew up heparin from a multi-dose vial. The patient appears to tolerate injections well. However, I know they are uncomfortable. I would like to ease the pain as much as I can. Any suggestions on the pre-filled syringes?
  12. iwanna

    Thank you for all your comments over the years

    ventmommy, I am so sorry for your loss. You were/are an asset to nurses. In fact, I thought that you were a nurse at one time. What a positive contribution you are making for other parents. It would be scary when your child has a trach. And, it's great that you will be able to help these parents. You have my deepest sympathy. May God bless you,
  13. My elderly mother has lymphoma. I moved in with her to help her. I was hoping to return to work on a part time basis. I am on disability. I was attempting to return to work, then my mother became sick. I know a director at a methadone clinic, and I have a good chance of getting a job. However, my mother does not think that she can be alone for that may hours. I would work 15-20 hours a week. The hours are 5-1. So, I was wondering if i could get paid to care for my mother. I called the local agency on aging, and they told me there is a three year wait. My mother does not qualify for medical assistance. Although, she does sorta have low income, only making $1300 a month. The aging agency said that I could apply to local home health agency. Calling them and tell them that I am an LPN, and ask if they would hire me to care for my mother. But, I don't think her medicare would cover it. Is there any way that I can get paid to care for my mother? She does not have the money to pay me.
  14. iwanna

    I gave two weeks,,,but I dont want to finish

    BTDT. Please hang in there! I worked almost two months and quit. I handed in my two week notice, but left after three days. Also, had a family crisis going on at same time. I wish that I would have done things differently and worked out my notice. Please try to suck it up and after every shift, you can say another one down.
  15. iwanna

    I really need some advice ASAP

    Resident definitely needs a behavior consult done. This is a behavior that needs to be dealt with. His behavior is abusive to staff. This took away time from other residents that were truly in need. Has anyone done a one-on -one with him as to "why" he does this. Definitely a psych consult needed! How is this allowed to continue without being addressed? For the aide - hmm... I can understand her frustration. I truly sympathize. I am sorry there is a, BUT it is so unprofessional. Is it okay for a parent to call their little children names when the behavior is appalling? It is not cool to ever call someone a name. When name calling starts it is time to get into some therapy to control that.
  16. iwanna

    insulin help!!

    Always follow your parameters. They should be listed on the mar.

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