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sharona97

sharona97

IM/Critical Care/Cardiology
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  1. sharona97

    Does Methadone really help prevent relapse?

    That's right all over again. Your last statement nailed it. Unfortunetly an addict's experience and years of use somewhat defines the recovery road when the addict quits using his DOC. I don't think anyone starts out with anything to become an addict.......That is why I am so powerfully full of hope for D, that now we see an underlying problem that D recognizes and is working diligently to fix. It is a long road just for that reason alone. I think at this point the good news is that D knows he has an option to taper. He just doesn't want to fool himsef again when he last tapered at an unresonable rate. He has so many good people around him, helping him, and he is trusting them. They are committed to him, thank God. Jack, I can understand the terror of walking into the hospital. When D had to go meet a client at a show in MPL, he was terrified. We talked about it in depth. And he agreed he needed to make this step, the worst he could do and stay straight is to turn around and come back home. Good for your daughter. Stay Cool!!! Sharona
  2. sharona97

    Signed up for ACLS...what to expect?

    I received the books needed. At the class we broke up into smaller groups to discuss the different waveforms and one group was on intubation. Then the last half was rotating through the stations being able to identify what you see on the monitor and what would you do. What drug would you give. Then for a final there was 6 stations set up for full code. I waited until my name was called and went into a station manned by a real doc and nurse. They asked where I had been working, told them the cardiac cath lab, so he says, ok let;s go with that. I had to watch the monitor shout out changes, order what drug i was going to give. I had to shock twice. I was nervous but I could see that they were trying to keep me somewhat comfortable in what I have expereinced. It wasn't easy, it was good learning. I had a couple of work pals there and we quizzed each other alot. Wrote lots of notes when the verbal teaching was going on. They had alot of abbbreviations put together to help one remember the drugs in order. Intubating was the toughest part. But I did it! Good Luck, I'm sure you'll find it interesting and motivating. Sharona
  3. Hi Wheels, Isn't it the truth that when we have chronic diseases and recurrent problems that the last thing we want to do is "burden" someone else. The concept of burden here is a mute point. You are an individual who needs help, when you do by Dr.'s and nurses. Your chronic pain has to be so tiring for you and maybe makes you feel like you would be a burden, I don't know. But what I can tell you is that nurses do care. They can't read your mind and would welcome the types of conversations others have posted here. Are you totally independent? Do you have help or support in your daily life? I wish you well Wheels, you sound very sincere and honest. We are here as nurses to take care of you that is our job. We are nurses because we want to give care to those who need us. Hang in there. I hope this has made you feel a bit better about seeing us in the hospital! Sharona
  4. sharona97

    Does Methadone really help prevent relapse?

    Hi Jack- Good to see your post. As I mentioned to SillyRn D does not know when that time might be. His cravings at 90mg were significant and then the perfuse sweating. He was pretty bummed out when he finally agreed to go up in dose to see where a dent could be made in the withdrawal sx's. He is at 120mg now. Doing better with sweating, and for the most part cravings. However he had a "pretty bad craving the other day ", "with the phone in my hand", and he made it through. He believes when the underlying problems in mental health are fully discovered and treated he and his doctors will be able to make an informed decision. One current theme concerning Methadone I'm seeing is that the stigma for it's use is almost as rempant as the stigma for an active user drug user using. I have come to believe that the underlying factor(s), if any, and most times are, need to be discovered, corrected or treated. With treatment for the depressiona and anxiety and any other DX and maintenace, I believe that D will come to the day where he will say I'm ready now. The psyche is so powerful and the potential of the good things a psyche can do is lost so easily with this drug use. At first it was very frightening to me, because I didn't get it. I'd think what's up now, he's off the drugs, but who is this guy? And in a very candid conversation with D he told me Mom I know there is something else going on and he has a 2 hour psyche appointment coming up. There is still alot of shame instilled in his thinking, as well as lower cognitive reactions and thinking. I see improvement weekly. All of the outside professionals helping him have bben a blessing. As D is on MA for insurance reasons, he is allowed only 26 visits a year to his psychologist. She is going to see him on a comp basis. She feels he will need at least another year to year and a half. So Good to hear from you!!!!! Take Care Sharona:redbeathe
  5. sharona97

    Does Methadone really help prevent relapse?

    Hey SillyRN, Thanks for the post. I'm not sure if there is some confusion as to who has chronic pain and who is "the addict" in our family. I have chronic pain. I am not on methadone. D, is my only son, now 31 and had been using all drugs starting from age 14 to age 30. We (his parents) answered his first distress call to us when he attempted suicide. We found him and did everything a novice to drug addict parents would do. We went everywhere including the ER every Holiday weekend for a year, which ultimately left us with no choice but to ask the Dr to sign a commitment referral and so he did. D was under court commitment for 6 months in a rehab (lockdown) and then was moved to a ERTS facility for another 90 days. Then rather enter a "sober house" for 3 months he asked to come live with us. He lost his house, his car, his job, his wife, and after sitting with the counselors from an ERTS facility we realized his true fear of relapse. Oneof his relpases happpened at a sober house after a previous hospitalization. I started this thread because I wanted to know about Methadone and it's uses for recovering addicts acute and longterm. I disagree with your opinion on all people on methadone will relapse greater than before. I don't disagree with your opinion on methadone in general. D's quality of life has improved from near-death to actively seeing a psychologist, psychiatrist, counselors at the Methadone Clinic, county social workers and support through his NA meetings. Interestly enough the The TV show 20/20 just finished filming a documentary on methadone clinics that will show in about 2-3 months. It was filmed at the Methadone Clinic my son goes to. And the resaon for that they choses D's clinic is because they have the highest success rate for non-relapse patients. Their numbers are supposedly the highest in this country for replacement therapy. D has made all of his own decisions for his recovery. He has followed our House rules (basically you use and you are out) and has now gone back to 120mg of Methadone for his perfuse sweating. The cravings are reduced. Also just as important is the follow-up care he's getting on his psyche. He started at 14, so we have a 31y/o who has the cognitive thinkin of a 14-15 year old. Dr.s have discovered a underlying mental illness of severe depression and sever anxiety that he apparently felt as a teen, that I regret I did not know about. Smokin pot called him down apparently. Then he kept going furter up the ladder until he fell off from street drugs and Rx's of oxycodone. My comment about having to use opiads in the future was a discussion he had with the Dr. at the the Methadone Clinic as D still has the fear of relapse and wondered what would happen if he got into a car accident. How do other's handle it, what if he had to have surgery? How do others handle it. D is very proactive in asking upfront questions. And his purpose is to have an even-keeled life as much as possible without the use of drugs. His heroin habit was $500/day. Everyday is different for him and for us. Some days he's in a panick attack most of the day, some days very depressed, some days not too lucid. It's a slow process but everyone is moving forward. D had never ruled out getting off methadone. He just doesn't know when it would be the appropriate time. There are alot of physical issues we've been able to treat (the Dr.'s). This kid has HTN, Hyperlipidemia An old eardrum surgery will need to be looked at again, he's been to the dentist and has had some teeth pulled and now he's looking at possible prostate surgery for a atypical problem for someone at his age. This could possibly prevent him from having children in the future (after surgery), thank the Lord no cancer. So I'm feeling really good today about things. I pray his cognition will return to full status but that is an unknown. He's always been super talented with music and went to a private music school for college and has worked as a recording engineer with some moderate success. He just received some music beats from a national artist for the next album. This artist is Christian (his gendre in music is not) and when he finally hooked up with D he was right there as a friend and client who believes in him. D doesn't have to many friends left. He tells me today they weren't my friends. Ya think????? So anyway, I am happy that you shared your story here, I really do mean it when I say I take all things in to help MY perspective. But it is really D making the decisions and for the past 18 of 20 months he has been clean from heroin and street drugs. Take Care, Sharona:nurse:
  6. sharona97

    How Can You Tell if a Pt. Is Addicted???

    The nervous system, specifically the nerve endings are all so different per patient, hence the pain tolerance. I find that very interesting in dealing with chronic pain patients and hope in the future there is more discussion on this.
  7. sharona97

    Help with deciding LVN-RN?!

    Personally, I took pre-reqs while attending LVN school in Corpus Christi, TX. I graduated with a AS in LPN as I had my prereqs done and then I was able to go forward with the RN courses. I found that having the pre-reqs done put me somewhat ahead for RN enrollment. Hopes this gives some sort of perspective Sharona
  8. sharona97

    HELP: anaphylactic attack

    Within my scope of licensure I would contact MD in a clinic setting, have the epi already there , (I'm assuming since you know it's a full blown ana shock you've done the ABC's) give it and of course from there continue assessing the ABC's. Also I would have been monitoring vitals post-epi. Clinical settings in an emergency are set up so differently with protocol than say a hospital or I'm guessing a nursing home.....I really don't know. In my case when I have done clinical work I've followed that protocol. In the hospital I've followed that protocol. Sharona
  9. sharona97

    Mandatory reporting of injuries

    The one experience I had with a patient it was the company policy to photograph the injuries in domestic assult. We kept pictures in case we were ever called to court and of course relied on our documentation either way of the person's wishes. I agree to check with the appropriate departments within your facility, and also state law according to the Nursing Board and or state law itself. Sharona
  10. sharona97

    Does Methadone really help prevent relapse?

    Hi Dixiecup, Ya know, I hear ya. But thru this crazy process and in my research and in talking with many others, addicts and family members of addicts, I do know this. Chronic pain, which I have myself (which is another story lol) is so individual . Each person has their own tolerance to pain and nerve receptors that it isn't easy to treat or suffer through. Your decision is highly respected by me. All I do know is at the begining of this process, I knew squat about addiction, sx's treatment, codependency issues for an addict ( I specify addict for drugs as I grew up with an alcholoc mom and then married one and I got help, but the codependancy issues involving a heroin addict was so different for me), so that is why I posed this question to begin with. Now after seeing D high,suicidal, hospitalized 6 times in one year through CD-Psych lockdowns and then finally going to the courts to have him committed, I've learned SOME! Not alot alot, but enough to know what was right for D and to believe in his FEAR of relpase and his desire to have a functional sober life. I've seen him on a maintenance dose of 120mg per day for about 4 months. Wanted to return to work, decreased himself at 5mg per day till off and go off to work, going through Methadone reduction withdrawals. Ok, he got his first paycheck and relapsed. SO I socked it to him again and currently he has 4 months sober time from heroin. He returned to the methadone clinic and is maintaining at 90mg per day, still sweating, still having anxiety issues, still having using dreams and cravings. But he is attending meetings, has a great support staff of counselor's and addictionologists and see's a psychologist weekly to get to some underlying anxiety issues. He is not as sedated as he was at the 120mg dose. Yea to be honest he really wanted to feel comfortable without any work outside the methadone clinic work towards his recovery. This is D, not anybody else shoulda, whatever. So for D I see and hear him and understand his true motive. Currently he is back into the production engineering field. This is what he went to school for. He has been blessed in being in the right place at the right time and got an edge for an opening with a national production angency. His very first trip out to the club where this company managed the event he was terrified. He was so afraid of the socializing, being in "THEE ENVIRONMENT", and we really had to talk through some heavy stuff with this VIP pass in his hands. He was home at 2:15am from MPLS, which tells me he left before the event stopped. He was sober and mission completed he was able to talk with who he needed to talk to. So today D was telling me my Dr. asked me: Will you ever need to take speed? "No", will you ever need to take cocaine?,"No". Will you ever need to take heroin? "No". Will you ever have the need to take an opiate? "Well maybe what if I have an operation or a car accident"? The opiate abusers I've learned have a heavier advantage IMO, I haven't researched this, Jack may know, to relapse. But if an opiate is needed for D it will be in a controlled setting. I'm on a run here, so let me shut -up and just say that for D for right now Maethadone is helping him function better along with other help. He poses the question to himself openly, will I be on this the rest of my life?, or will I someday be able to s l o w l y stop the methadone. He's open about it. I really use all of the feedback on this site to keep things in perspective for me. I recently posted I need to take care of me now and that is what I am doing.......But that too is another story!:lol2: Thanks so much, Sharona:redbeathe
  11. sharona97

    LPN role in Clinical Research

    Hi there, In the 90's I was lucky enough to be working for a doc as an LPN who became a clinical investigator and introduced me to clinical research. I was a clinical research assistant. I loved it. I was paid my hourly salary and then negotiated a per patient enrollment rate of $80.00 per patient per visit. Later on when I moved to Florida and then back to MN I found it very hard to get into a research position. Bachelor Degree in Nursing was a minimum requirement. Which is ok and great. I think I had an unusual opportunity and went for it. Lots of detail to paperwork. Strict protocol rules are followed per visit per study. I liked it. During the Levaquin clinical trials I was the 3rd highest enroller in the USA. Other studies I've been involved with have included up to 16 countries. It's a very interesting field and with good investigators, they can recognize a good protocol versus shakey ones. It gave me a greater perspective and respect for doctors in research. Hope the interview went well. Sharona
  12. sharona97

    Does Methadone really help prevent relapse?

    Thanks for the info. D has never heard of vivitrol. He is continueing to do well. Now it's my turn to start healing. Appreciate the prayers and being a mom is the hardest job I've ever had:redbeathe:redbeathe Sharona
  13. sharona97

    What Happens If the Nurse Didn't Aspirate For H1N1?

    With all the news coverage on TV showing flu clinics and patients receiving the vaccine, I have yet to see the nurse, or person injecting aspirate. Just like previouslly said, clean, poke, push, and withdrawal. I would aspirate for the simple reason, you just don't know if you have entered a vein. Precaution saves future problems I guess. The nurse did not aspirate when I received my H1N1. Is the nasal type a live virus, like the seasonal nasal? I've been curious about that. Sharona
  14. sharona97

    A running list of low abuse specialties

    Regarding Dialysis, My son worked as a tech in a dialysis center and one of is triggers for his addictions is needles. So not knowing if "triggers" are an issue for you or not at this point, I thought I'd mention that.
  15. sharona97

    LATERAL Violence. How Nurses treat Nurses!

    Looking back at the hard work everyone went through to become a nurse, being a student is part of the deal. Moving ahead in your career, you may have to take on a student. We all were students at one time right? We may not like or feel comfortable in teaching or training, but then I put myself in the student's shoes. I had to follow some nurses that were not happy to have me tag along. Not for personal reasons, but they were busy, having a student breaks up the routine you might be able to follow that day..heaven forbid it's a wild day and nothing goes right. Then what if something happens in your life, illness, addiction, disability,loss of job and all of a sudden it's gone, taken away? Worse case scenario, you could end up at a gas station and still have to "teach " someone the ropes. Is it right to express lateral violence? No. Is it alright to feel overwhelmed when asked to help someone when we ourselves were helped in this field? Yes! I think it's how we display our attitudes and then do the best you can and keep patient safety in mind. If a patient is compromised then we have a different story. And a different ways to resolve that issue. Sharona
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