Josie K

CEO. Following my RGN (Registered General Nurse when I did my training 1975 now referred to as RN I believe) I worked in OBS/Gyn, before doing RHV (Registered Health Visitor & Diploma Higher Ed. Community Nursing. Therefore it's 'Community' where Ive the most experience. Acute med, would take a huge re-learning curve and at my age!!! I expect not profitable if that is where the shortage is.

Celia M. I trained and worked at MRI & St Marys but left for Community early 1980's. Have since moved on to other things and have lost touch. The building has changed (on the outside) beyond all recognition. The front of the hospital A&E is now sited on Upper Brook St, opposite rows of new high rise student accomodation - very fashionable. I have been to your part of the USA a few times (family there) lovely place.

My son and family are moving to OZ (Perth) next year and my husband and I are uncertain whether to go also. Son will be OK as has established a business where he will be employing locals. I will be retiring age in 8 years, husband 3 years. My background is Health Visiting (10 years ) plus 8 years as school nurse. I have MSc in Public and Environmental Health and currently doing secondment in Public Health field as a H grade - one below high'st UK nurse grade. If I went to OZ as a visitor would I get a job? What job? I have attempted to 'immegrate' only using the OZ page on the web and was rejected. Is this to do with age?.

I'm all too familiar with this anti-social behaviour pattern described, being involved with the Youth Justice system. Sounds like conduct disorder - with caution. Within this category we find a number of teenage girls with a history of hormonal imbalance, and where there is self harm a high percentage had experienced sexual abuse.

I agree with the replys referring to both the ethical and moral standards for public health care. I see this as abuse - a child protection issue. If it happened in the UK it would hit front page media coverage. Who gives consent to medicate a minor? Do parents have any say? How about if further down the line a kid decides to sue? 'The Principle said' will be no defence for a nurse with professional acountability. Your Nursing Board or supervisor & Teaching Board / Education Dept. need to be informed, as well as child protection agency/ social service dept.

I guess it all boils down to what is in the job description spec, which the 'S.Nurse' applied for. As a professional one should have some guidlines for referrals. If there is none, write them and distribute copy's to relevant teaching staff. And pin them on your door. If you don't TELL them (the teachers), then they don't know. Houskeeping is not a 'nursing' function, it's the schools responsibility. Ask onself - would the same level of referrals be sent to see a Doctor? If you always do what you always did, then you always get what you always got!!!!

Is Manchester not a better idea?. Not as expensive as London. Airport 5 miles from centre, & Tram system. Possibility of even cheep- er, if one books B/B accomodation at either of the 2 Uni's which are walking distance (if necessary) from town.

Silly question. Is there an inspectorate agency for Day Care facilities?

Are the smelly bits age related? Hygiene topics are best acompanied with 'growing up/body changes' Ed. This even goes down well with youngsters, and allows info re-enuresis help and support. Any topic of school health education should be delivered in a non-threatening manner, leaving kids with knowledge for change, & feeling good about themselves. Some kids have caring parents to ensure their everyday well-being, others have to put up with their parents own 'caring needs and deficits'.

My role is Child Health/Child protection (CP) in the UK. Here - if the stated problem was emerging one would usually check with previous schools to determine health history, & patterns of care. Any CP issues would be highlighted in this laison. However I agree with the majority of replies. Info in this instance appears to be CP matter, in which nurse role should be protecting the child. 'Social Services CP Agency' role is investigation. Two issues; Child has divulged 'physical abuse & 'Neglect' - appears to be obvious unless proven otherwise

In the UK, Health Visitors screen new mothers for PND ideally at the 8 week check-up, or between 7-9 weeks, using the EPDNS (Edinburgh Postnatal Depression Scale), and a standardised interview. Mothers who score 14 and above will receive invite to PND group, or 4-6 home visits @one per week for supportive intervention inc., evaluation and investigation of other treatments, such as antidepressant therapy. See British Journal of Psychiatry. June 87. Vol. 150 by by J.L. Cox. J.M.Holden. R. Sagovsky. Also try www,wellmother.com.

Pardon stupid question, but what exactly is 'extended care'?