jem09

Well I have been in hospital having a baby so I have only just logged back on and it is great to see more people posting, Ilovemylife...that is a great summary..

Hi, said I wasn't going to post again, but the question has been answered...I don't know what else can be said. My last post really wasn't a reponse to your question..I don't normally post on forums so I see now that I should have quoted the person I was responding to if that makes sense. In any case llg, I think your question has been answered, perhaps someone else can articulate it better and give a more satisfactory answer for you. I am not really trying to convince anyone to do it I was just trying to support the orginal post..

Okay, well this is the last thing I am going to say about all this because I do not have the energy to respond again. The truth is that when pepole want to find the negative for something they will. Did you know that alot of medical information..is not actually written by medical people at all but by journalists? shock horror!!!!!!! and even more shocking...that many of the best seller books are ghost written...I shall never buy another book again. You obviously do not understand what elance is, it is simply a platform for professionals and experts in their field to contract and tender for work to be written usually by freelance journalists who are categorised by their specialty.. so obviously you would not send anyone to elance to get information because there is no information on there for people. Did you know it is quite possible that information you see on websites, even those for health associations etc is written by journalists, not medical people. So anyway, that is it from me...I really thought people posting in the 'nurse entrepreuners' thread would be somewhat more open minded, guess I was wrong..

I would suggest that the patient may need to be changed to a different medication, there are other effective alternatives for treatment of bi polar disorder such as epilim

Okay, yes I did see that in your previous post about purchasing of papers but I just wanted to see if there was any other unethical activity you were concerned about. The only thing I can say about that is that a student would fail if they purchased papers that are written for the lay person, for a start they are too short and secondly they are not referenced according to 'harvard' style etc.. When you work on E lance, you have no by line, it is ghost writing. If you were to want to keep control of your work then you would not freelance on e - lance. I should say though, that I have not written for elance myself and I am no means an expert but I have placed a tender for work to be done to build a website. I do agree that it probably would take more than 15mins to write an article but you also have to remember that the articles are not exhaustive and are for the lay person. They might be the equivalent of something you might see in a health information brochure. As far as the end user knowing if the information is credible, well this is the business of the end user, it is the case with all information on the web.

I have to say that 50 is definately not too old to do your RN's training. By the way 50 is not old!! One of the best ways to stay young is to keep the mind active anyway, go for it! Good luck, it might be just what you need after a diffult time, a new challenge for you! Best wishes

When writing articles for money most people use a platform such as E lance - jobs are posted to the site and and then the writers may bid for the work. You can view the writers portfolio of work and the writer can ask questions etc through this platform and you can also view detailed feedback that people have received, so before agreeing to write an article for someone you could verify information via this platform. Unethical behaviour can also be reported using this platform. Out of curiousity, when you speak of unethical companies, is there a particular practice that you would be most concerned about as being unethical? I ask this as I may have missed the mark with my response..

You could also contact the company that makes lithium, they should have medical department that could help you and probably send you to the full prescribing information.

Great information, I have become involved in internet marketing and it is great way to make money be it using your nursing knowledge or not. Unfortunately alot of people when told about it view it as 'shady' as has been stated on this forum, however, internet marketing is a very lucrative and legitimate business. Often the people who cannot see the opportunity have an employee mentalilty and not an entrepreneurial mentalilty which is a shame for them. On the other hand, it leaves more work for those who think 'outside the box' and have strong business accumen. You have provided a wealth of money making opportunity in you dot points above...good luck with your writing and may you have many successful e - books etc.. Best wishes

Writing health articles and selling them is a legitimate way to work from home and to make money from your nursing knowledge. Are you suggesting that this is not legitimate??

Hi, Hope this helps you, I have cut and paste it from the prescribing information. It is hard to say what the most common is as it all depends on the serum levels of lithium, also, some side effects are very common but transient whilst establishing therapy and some are common with normal serum levels. Hope this makes sense. The occurrence and severity of adverse reactions are generally directly related to serum lithium concentrations as well as to individual sensitivity to lithium and generally occur more frequently and with greater severity at higher concentrations. The most frequent adverse effects are the initial postabsorptive symptoms, believed to be associated with a rapid rise in serum lithium levels. They include gastrointestinal discomfort with mild nausea and diarrhoea, vertigo, muscle weakness and a dazed feeling, and frequently disappear after stabilisation of therapy. The more common and persistent adverse reactions are fine tremor of the hands, fatigue, thirst and polyuria. These do not necessarily require reduction of dosage. Nausea is usually transient. Adverse effects occurring at therapeutic serum lithium concentrations include anorexia, constipation or diarrhoea, epigastric discomfort, metallic taste, headache, vertigo, fine tremor, polyuria with polydipsia, oedema, hypermagnesaemia and hypercalcaemia. Reversible ECG changes, e.g. T wave flattening or inversion, cardiac arrhythmias and electroencephalogram (EEG) changes have been reported. Exacerbation of skin conditions (e.g. acne and psoriasis) and leucocytosis are relatively common side effects of lithium therapy. Significant weight gain is also observed in many patients receiving lithium. Long-term administration of lithium carbonate may precipitate goitre requiring treatment with thyroxine, but this regresses when treatment is discontinued. Hair thinning and mild cognitive impairment may occur. Rarely, hyperthyroidism, hyperparathyroidism and nephrogenic diabetes insipidus have been reported. Toxic effects may be expected at serum lithium concentrations over 1.5 mmol/L, although they can appear at lower concentrations. They call for immediate withdrawal of treatment and should always be considered very seriously. Signs of toxicity include increasing diarrhoea, vomiting, anorexia, severe abdominal discomfort, polyuria, muscle weakness, lethargy, ataxia, lack of coordination, tinnitus, blurred vision, dry mouth, dysgeusia and impotence/ sexual dysfunction, coorifice tremor (marked) of the extremities and lower jaw, muscle hyperirritability and twitching, agitation, hyper-reflexia, choreoathetoid movements, dysarthria, disorientation, psychosis, drowsiness, seizures and coma. At higher concentrations, ataxia, tinnitus, blurred vision, giddiness and increasing polyuria are seen. The following reactions appear to be related to serum lithium concentrations. Adverse reactions can occur in patients with serum concentrations within the therapeutic range (i.e. below 1.5 mmol/L or lower in the elderly).