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Trishalishus PhD, CNS

CAMHS, acute psych,

Above all, be kind: Love (1) Fear (0)

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Trishalishus has 10 years experience as a PhD, CNS and specializes in CAMHS, acute psych,.

“Nothing real can be threatened. Nothing unreal exists.”

Trishalishus's Latest Activity

  1. Trishalishus

    What to look out for as a PCA in The Psychiatric/Behavioral Unit

    Be real, be humble, be careful. Don’t *** these kids - they’ll write you off if you’re a fake. It’s ok to be nervous. Don’t pretend to knowledge or wisdom you don’t have. If they know you’re new, they’ll understand. But they’ll still try and take advantage of it - coz that’ s what kids do. Set self- and other-respecting boundaries. you are not their friend. You cannot be their friend. Aim for respectful, compassionate adult. Keep your trap shut and listen. Don’t give advice. Listen. Empathise. Listen some more. Offer to play cards or do colouring in or play music with them. Don’t judge and don’t try to pretend a wisdom you lack. Listen. Watch your back and take care not to provide them with a weapon (risk of dsh) eg can lid, other sharp things.
  2. Trishalishus

    Need a psychiatric nurse to interview!

    Are you satisfied with your choice of career? Why? Yes, because it fits with my values. What do you like most about your job? What would you change if you could? I like that I am helping others to improve their quality of life by teaching them psychosocial skills and by providing psychotherapy and family therapy that supports my clients to become more empowered, more personally efficacious, and more able to experience satisfaction, self-esteem and perhaps happiness. I am also intellectually stimulated by the complexity of diagnosis and treatment planning and delivery in a field I find endlessly fascinating. I enjoy the respect of my colleagues and being one if a team of people who give a damn and are working to make the world a better place. I do not like the fact that in public health we are under-resourced and burn-out is an ever-present spectre. Besides experience and education, what would you look for in an applicant for your position? Passion, intelligence, emotional intelligence, compassion, willingness, work ethic Do you see your job being affected by future downsizing, mergers, or technology? Please explain. Downsizing is a happening thing, because demand is growing but resources are not. Govt money in Australia is being siphoned into the private sector by ’celebrity’-influencers. The private sector is under-trained to manage the additional levels of patient-related risk and so calls more on my Service for support. Vicious downward spiral ensues. What is your advice for me as a student in nursing? Don’t let jaded older nurses steal your passion or influence your behaviour. It is their cynical expression of faded dreams and over-worked spiritual bone-weariness. Avoid such nurses and find the ones who are first and second kind to you and kind to their patients. Get advanced training in your speciality as soon and as much as you can so that you can get out of the wards and into the community. Aim for NP. Good luck!
  3. Trishalishus

    Student caught stealing....

    Interesting for me watching how it has been almost unanimous amongst the responders - who all appear to be from the USA - that this young woman deserves a harsh punitive response. There have been precious few posters who have shown mercy, compassion, a lack of self-righteousness, some kind of demonstration that there might be extenuating circumstances etc.... what is shocking to me, as a mental health professional from another country, is: 1) how overwhelming your reverence for the "almighty dollar" appears to be - for the loss of $114 a career is to be lost (and I am not interested in hearing about how dangerous she is to patient safety - that's a furphy to justify your "cut off her hands" responses) 2) what is such an indecisive person doing in such an important position of authority to be coming onto a gossipy site like this to ask how to behave in such a weighty matter? The OP would perhaps benefit from some quiet reflection and some stand-up-and-be-counted decision-making of your own. Use this as an opportunity to grow as a teacher and supervisor: think through the issues yourself and then advise/discuss the matter with your own supervisor
  4. Trishalishus

    Caring nurse turned Raging *****

    Hi Lola I agree with Moogie (Hi Moogie). Here are my suggestions: 1. Time management skills - learn how, fast. 2. See a doc to check for any underlying conditions. 3. Learn how to set boundaries - all that overtime suggests a need, here. 4. Stress management - e.g. relaxation and mindfulness exercises - need to practise daily - if you don't learn to de-stress your cortisol will kill you! 5. Sit down with your best friend or a notebook and figure out a) where/why it is going wrong for you (you then know what else you need to change) and b) where you want to go in your life and in your career in nursing. You can then work to a plan. Take control sooner rather than later, Lola. Best wishes Trish
  5. Trishalishus

    Borderline Personality Disorder on the Behavioral Unit

    Hi Thunderwolf Great article - thanks muchly. I have just discovered two great theoreticians/clinicians on BPD: 1. Dawson, D & MacMillan, HL 1993, Relationship Management of the Borderline Patient, Routledge Taylor & Francis Group, New York, NY Dawson is really big on the tactic of having the BPD solve her/his own problems by deflecting - "I don't know, Sally. What do you think?" This serves several purposes: not getting the therapist sucked in to the current psychodrama; helps to focus the interaction on the BPD as a competent adult; gives practice in objectifying and thinking through issues etc. Dawson also recommends the use of the uncomfortable silence as a place which encourages what he calls "switching" - where the BPD goes from acting out oppositional and other unhealthy needs to beginning to think how she/he can solve the current problem (empowering). Dawson's key theses are summarised in this article. 2) Marsha Linehan's work is illuminating in suggesting ways to work with BPDs. Linehan developed dialectical behaviour therapy (DBT). DBT uses validation and dialectical change-based strategies to help BPDs learn new ways of coping. This reading list was developed by Linehan. Thanks again for a great primer, Thunderwolf. Best wishes Trish
  6. Trishalishus

    Elderly patient left on bedpan for days

    It'sa beatup. I do na believe't.
  7. Trishalishus

    I'm back!

    Congrats, you go-getter you! Wow. That is verrry groovy.
  8. Trishalishus

    I love nursing.. not sure if nursing loves me

    this sentence appears to be the crux of your problem: whoever told you the patient didn't want you for a nurse is NOT your friend. Stay away from this person. You are so upset you're not expressing the problem in terms others can readily understand. Do an SBAR on it OK? (State the Situation; briefly describe the background; briefly give your assessment of the problem; recommend what needs to be done next). By the way, what needs to be done next is to 1) stop beating yourself up. Are you the first perfect humanoid on the planetoid? 2) Calm down. Take a deeeeeep breath. Go for a long swim. Sleep for 8 hours. 3) Get over it. Say "wot the hell, I did my best. Next time I'll do better because I'm a good person." Repeat this enough times until you stop feeling the need to beat yourself up. By what you've written, no great harm was done. Buck up, babe. Chill. ps. where is your spouse? Why isn't this person saying what I'm saying? Where is your best friend, ditto? best wishes Trish
  9. Trishalishus

    Outsiders finding great jobs in health care industry

    Priceless - more proof that it's ok to consume people in the same way we consume stuff: and he's not even just from the retail trade - he's from FMCG - fast moving consumer goods.
  10. Trishalishus

    Have you ever had to supervise your friends?

    Wow! That's brilliant, Diane - so succinct and yet so comprehensive. I am taking a copy of this! Thank you.
  11. Trishalishus

    Have you ever had to supervise your friends?

    Poor you, Scrubby. Bummer and a half. how did you land yourself in this fine mess? I agree with the other poster. Surely you can get out of this awful supervising-of-soon-to-be-ex-friends job? Good luck Trish
  12. Trishalishus

    People you "know "coming to your unit for care

    2ndwind you're a comedy writer! I'm laughing - and oh yeah - I can see it - and Act 2 is where RN rushes off to tell all the other RNs ENs MOs cleaners, kitchen staff and anybody else she sees, her delicious new goss.
  13. Trishalishus

    People you "know "coming to your unit for care

    It's not the face to face meetings that bother me so much.... I guess you'd just be happy to turn the other cheek, eh? having said that, I'd rather my fellow nurses didn't know I was officially crazy ...er... that is, if I was, which I'm not - officially anyway.... you get my drift
  14. Are nursing students paid for their labour on clinical placements in the US? In Australia we "volunteer" our time in exchange for the chance to gain experience under a preceptor. It has a really medieval guild flavour.
  15. Trishalishus

    People you "know "coming to your unit for care

    speaking as a patient I would refuse point blank to be cared for by anyone I knew. I can't imagine much worse, in fact, than being nursed by someone I went to uni with, or was taught by...shudder. No way! I would hope that they had the manners to get themselves transferred to another patient before I had to make a scene about it. OP - can you imagine allowing one of your classmates to attend to your BMs or give you pain meds per rectum?
  16. Trishalishus

    Has nursing in Australia been sold out ?

    How about instead of challenging them to a debate here, you join the union, join the RCNA, go back to uni and do a teaching cert and maybe do a better job of teaching than the people you're criticising (because you have more recent experience? My teachers all still do regular clinical shifts to keep their hands in), start some practice development projects with your team in your work place, go back to uni and do a research masters on your topic and then get it published; go on the conference circuit. Maybe you could switch your specialty - go into learning and development? Lots of options for you - lots of things you can do to promote change and/or debate if you're that unhappy, eh? Speaking as a student with a number of degrees in related and unrelated areas, including a Masters, and doing placements in aged care, rehab and mental health, I have so far found terrific cooperation from allied health, and experienced nurses have been great tutors - I don't think anyone thinks I'm a dodgy dangerous idjit - and I don't think I am either. I take my studies very seriously as do 95% of my fellow students - and I am streamlining my subjects, placements and readings to end up where I want to be. Finally, I haven't gained the us/them impression in any of my placements (and instead, the respected nurses' opinions were valued by all). Good luck ps a holiday first might help - you do sound a bit tired pps I just had another thought - if you've recently had a bad experience - or are currently copping grief from someone here is a website where you might get some tips on how to deal with him/her/them. Best wishes
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