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smilesandstickers

smilesandstickers

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  1. smilesandstickers

    Cervical Screening & Aboriginal Women

    Would like to share some information from a recent class project: Did you know that: 1. There is no comprehensive national data source on incidence of Cervical Cancer among aboriginal women in Canada (and I don't think the USA has one either) 2. Cervical Cancer effects more First Nations women that it effects the general population (regional studies 1.8 - 6.0 x more likely to be effected by cervical cancer) 3. There is low participation in cervical screening by many Aboriginal women 4. This is because screening programs are not culturally safe, colonialism has resulted in lack of trust, and practitioners do not take the time to establish client comfort so that aboriginal women have a good experience 5. It is also because some Aboriginal women do not know why it is important to recieve a regular pap test 6. This link provides an article that "uses components of the medicine wheel to develop a conceptual framework for understanding aboriginal women in the context of pap-smear screening" http://www.pimatisiwin.com/online/?page_id=205 7. There are some wonderful information sources that discuss cultural safety vs. Leninger'stheory of transcultural nursing:http://www.naho.ca/english/documents/Culturalsafetyfactsheet.pdf Ramsden, I., M., (2002). Cultural safety and nursing education in Aotearoa and Te Walpounamu. Retrieved from http://culturalsafety.massey.ac.nz/thesis.htm October 27th, 2009***Ramsden's thesis is beautifully written with narratives, and to understand it I recommend looking at the NAHOfact sheet first!
  2. smilesandstickers

    Ativan for Everything?

    This is absolutely the situation that made me begin to question this. There was a conference here with the geriatric psychiatrist from a large city and a geriatric internist. They did case studies regarding people in our community, and they raised the point that in some cases giving Haldol does not "calm people down" (in the context that it soothes their emotions) as it is intended, it knocks them out. Once, I was working as a student in Long term care and there was a demented client who was sitting restrained in a wheelchair who wanted to go for a walk. She required supervision. I was so deep in meds (that were already late). I asked if one of the staff could take her for a walk, and they replied "oh no, she gets Ativan when she gets like that." I was upset but I was a student and didn't want to push it so I gave her the PRN, and she was still upset an hour later! Then someone told me "You waited too long to give her the first, she needs another one now!" Here is where logic kicks in. Did I not give her enough to keep her from being "agitated"? Or is she just a human being who would like to stand? I am left believing the latter.
  3. smilesandstickers

    Ativan for Everything?

    I read a joke about nurses thinking everyone needs "Vitamin A" (Ativan). Now I am not one to knock anyone for jokes that they are not serious about. Absolutely, we all have times where we must have something of a morbid sense of humour to survive. And it seems more appropriate to make those jokes in nursing circles such as this one. In all seriousness though. How often do you see Ativan or other benzos (even antipsychotics such as Haldol) used in situations which make you uncomfortable? Why or why not? If you do, how do you respond to these situations?
  4. smilesandstickers

    What was your inspiration to become a nurse?

    I think nursing is a wonderful career. It is challenging and stimulating in so many ways that you always grow as a person. You work with intelligent and compassionate team members, who are educated. Your employer (in my experience) cares about your well-being (much more than in service jobs), and the well-being of your patients. Instead of encourageing people to buy things they don't need, you encourage them to make healthy life decisions, and make arrangements so that their lives are easier. Nurses get to teach students and clients, as well as other members of their team. Nurses get to learn from everyone! The paycheck is much better than in the days of when my grandmother was a nurse. Now you can support a family if you need to! And if you get burned out, or sick of doing one job, you can try something new. What a fantastic thing that is. Truly the most fantastic thing about nursing is when you have a day where you and your team come together and do what you didn't think was possible.
  5. smilesandstickers

    How do you center yourself before a shift?

    Hello All, I am a third year student, I am about to start another preceptorship, and then an undergraduate position for the rest of the summer. I can get fair bit nervous, distracted, and out of focus (Doing 10 things at once and getting nowhere). How do you start your day focused and relaxed, and maintain that?
  6. smilesandstickers

    UNBC's reputation?

    I am a UNBC student, at the Quesnel regional campus (there are 24 seats her, 100-ish in PG, and 12? in Terrace). The regional campus offers a lot of oppurtuniy for one on one with teachers. The med-surg experience is great, and I was placed in Williams Lake for my third year practicum in a Critical Care role (a rotation between ICU and Emerg). Overall, I am happy with my education. There are still some organizational kinks to be worked out now by the program because the Quesnel Campus program is new, and their has been some shifting of instructors. The instructors for the upper level courses in Quesnel are FANTASTIC (Difficult markers though). The ethics and mental health courses were my favorite. Overall the cost of living in Quesnel is very inexpensive (my downtown apartment is only 450$!!!). It is a pretty small town though, and when I moved here for school it was an adjustment. I do not know a lot about Prince George... If you have anymore questions let me know!