paddler

I was told by my doc after being diagnosed with a rare and poorly understood and possibly (they aren't sure) autoimmune disease, to not accept vaccinations anymore. I know my husband and I will probably go to throes about this but I plan to put off vaccinating our kids as long as possible.

That's standard formatting for visit frequencies.

Thank you for the information NurseKarenRN, but the links above no longer work...

Yeah, I don't know either. Thanks for your input, I will look up BPD. If that's the case, there is no changing/helping/fixing it, huh?

Thanks for your responses. Not asking you all to diagnose or to advise me on what to do with this person, just point me in the right direction to get the information I need. Psych is not my strong point and I have no where to start. LOL to some of you, does sound like a teenager. I am most worried about early onset dementia as the behaviours are escalating and becoming more problematic. But, in most other ways it doesn't sound like dementia.

I tried googling it but can't come up with anything or a way to describe this type of communication and what psychological disorder it commonly accompanies, if any. Maybe one of you knows! 1) Someone uses third person to describe things they did/think/feel. Examples: "It was suggested to him to turn the volume on the TV down so others could talk." Instead of a more direct and appropriate way to say, "I suggested he turn the TV volume down so I could talk.". "It could be considered a terrible time in one's life." Instead of a better way, "It was a terrible time in my life." "The things that were said were very hurtful." Instead of, "The things you said to me hurt me." Other characteristics accompany this person's communication style too. 2) She asks questions repeatedly, possibly worded very slightly differently when she gets a response she doesn't like, expect or agree with. It's as if she will not let go of a question until it is answered in the manner she needs. 3) She absolutely cannot accept or discuss the possibility of her being wrong or making a mistake. Being called out on this causes malicious retaliation against the "attacker" and turning the topic on the accusers faults and mistakes. If the "attacker" is not emotionally injured or insulted in return, she becomes livid and decides to have nothing to do with the person. 4) She rejects people who attempt to get close to her that she has not invited or approved, and controls those closest to her that she has chosen as her minions. If her minions manage to squeak out an opinion contrary to hers, that minion is subsequently threatened and verbally abused until put back in their place. She has the last word. 5) She uses frequent threats of suing, or involving law authorities to defend her opinion on a matter, because of course she is right and cannot be wrong and is completely justified by any means possible to right the situation, even if use of the justice system is inappropriate to the situation. 6) She obviously wears her feelings on a sleeve but thinks she is hiding it, and pretends to be unshakable. She cannot tolerate expressing her feelings and is very uncomfortable when others cry and are emotionally and physically expressive. 7) She is masterful at twisting words, implying meanings and manipulating and lying. What kind of person is this!?!? I want to help her and make her better!

I tried googling it but can't come up with anything or a way to describe this type of communication and what psychological disorder it commonly accompanies, if any. Maybe one of you knows! 1 1) Someone uses third person to describe things they did/think/feel. Examples: "It was suggested to him to turn the volume on the TV down so others could talk." Instead of a more direct and appropriate way to say, "I suggested he turn the TV volume down so I could talk.". "It could be considered a terrible time in one's life." Instead of a better way, "It was a terrible time in my life." "The things that were said were very hurtful." Instead of, "The things you said to me hurt me." Other characteristics accompany this person's communication style too. 2) She asks questions repeatedly, possibly worded very slightly differently when she gets a response she doesn't like, expect or agree with. It's as if she will not let go of a question until it is answered in the manner she needs. 3) She absolutely cannot accept or discuss the possibility of her being wrong or making a mistake. Being called out on this causes malicious retaliation against the "attacker" and turning the topic on the accusers faults and mistakes. If the "attacker" is not emotionally injured or insulted in return, she becomes livid and decides to have nothing to do with the person. 4) She rejects people who attempt to get close to her that she has not invited or approved, and controls those closest to her that she has chosen as her minions. If her minions manage to squeak out an opinion contrary to hers, that minion is subsequently threatened and verbally abused until put back in their place. She has the last word. 5) She uses frequent threats of suing, or involving law authorities to defend her opinion on a matter, because of course she is right and cannot be wrong and is completely justified by any means possible to right the situation, even if use of the justice system is inappropriate to the situation. 6) She obviously wears her feelings on a sleeve but thinks she is hiding it, and pretends to be unshakable. She cannot tolerate expressing her feelings and is very uncomfortable when others cry and are emotionally and physically expressive. 7) She is masterful at twisting words, implying meanings and manipulating and lying. What kind of person is this!?!? I want to help her and make her better!

I and many of my co-workers feel this way, yes. Fear of losing my license is based on being overworked, understaffed and having to basically provide crappy care. Not the kind of nurse I want to be! But, I don't have a choice (other than leaving this job for another - which I am in the process of). Also, administration is always cracking down about this and that, and adding more and more paperwork, new processes, etc. The only time you see administration walking down the hall is when something went wrong and of course you are left to worry for a moment if they are coming for you, or a co-worker or just to add more work to your already too busy day. Endless threats of write-ups - for poor performance and various issues that should not occur but do - because of the aforementioned short staffing issues create a threatening environment. If administration walked around the halls patting employees on the back and thanking them for their hard work and APOLOGIZING for them having to mess around with how I attempt to do my job every day instead of having a "No news is good news" approach, I might not feel this way.

Take. The. Job. (and ask for more money)

Nope, doesn't matter at all for employment. It may, however, matter if you plan to proceed with your nursing education through the ranks in the future. What school you went to may affect what school you can get into.

The biggest thing I find is knowing your residents and their habits or at least who they are when you see them. I try to catch residents as they pass my cart in the hall, on their way to meals or other activities. Even if I am working on someone else's med pass, I will set that aside if I see Mr. Smith scooting down the hall in his wheelchair and get his meds all ready by the time he gets to me, after that I will resume the previous med preparations and go track that patient down. If I don't approach it this way I waste a lot of time hunting for patients. Also, I keep my charting minimalist. It usually takes me 30-45 minutes depending on what's going on with whom and how many patients I have (which ranges from 28-34). I feel your pain, it's not the kind of nursing I want to do. No real assessments being done unless something happens (emergency) during which you have to push all the 10,000 other things you have to complete aside. Honestly, if there was adequate staffing and time to do assessments regularly as a preventive measure, I think it would reduce the shipping out of many patients. They, unfortunately, seem to get put on the back burner until something unignorable happens. It's terrible. But, really, there is no other way to get through the day. 30 patients is too many to provide good, sound care and I don't care how long you've been a nurse.

I have a part time job as a patient educator for a certain product. It pays well and wish I could do it full time because I enjoy it too. I do not work for the company from which I receive my referrals, but instead, am a contractor. Anything they pay me I have to pay "self-employment" taxes on at tax time. The outfit you're talking about sounds fishy though, since you'd be an employee and not a contractor. Also, $40 per visit seems pretty low for California. I would ask for $50.

Try this job search engine. https://fortress.wa.gov/esd/worksource/Employment.aspx

I will contribute as I believe my other post today about having decided to start antidepressants for the first time to help me cope with a job I detest (and a long series of undisclosed life circumstances), has probably sparked this conversation. Let me first say I am grateful for everybody's input and it's interesting to read. I can pretty much hear my own words in almost every post, even the conflicting ones. Starting antidepressants was a HUGE step for me. My father is a psychologist and believe me I grew up with "everyone in the family has this or that mental disorder, and needs this or that medication." He used to analyze me, give me tests and inventories and attempt to "diagnose" me. I went to years of counseling to get over my fears that I was all mentally screwed up and have been verified by several counselors and psychologists that I am NORMAL after all. It took me only my entire adult life (16 years) to come to trust that is true. One time, after I moved out of the house and began dating and living my own life which dad didn't approve of, he took me "out for lunch" and instead we showed up at a hospital and attempted to have me committed against my will because he thought I was on drugs and suicidal (NONE of which was EVER true). He kept trying to push medication on me. I always refused. I made it out of the hospital without being admitted and was deemed to not in fact be on drugs or suicidal. It damaged my relationship with him forever. So, yes, everyone has stress. I have been in counseling, and frankly the hours I keep working the job I hate so much prevent me from doing anything but work, drive 2 hours a day to/from work, come home, attempt to wind down, relax, zone out and catch up on the DVR, force myself to fall asleep at a decent time and wash/rinse/repeat 5 days a week. Days off are spent cleaning, chores, shopping, cooking for the week, making time for family and trying to forget about last week and half of my second day off is spent fretting about the upcoming week at work. I have become a bitterly irritable woman and my poor, sweet, supportive husband is suffering because of it. My sex life is suffering, my body hurts, and I am just so far beyond unhappy with my job that I need the extra help. And yes, I TOTALLY agree that I could get a different job. The problem is I recently relocated, and the first job I had for 3 months when I moved here didn't work out (was supposed to be full time but turned out wasn't and I had to quit that one to find a full time job), and the second job I got is more than full time but is not the job I was hired for, and (long story, corporate B.S.) and I have only been there 2 months. I can't just job-hop around like this! It doesn't look good. I have previously been a fairly loyal employee, working for the same company for 2-5 years at a time. And yes, I had had nursing jobs that I loved. So there is hope for me someday... after I do my time again.

You may find that you need to put in a year at a SNF/LTC facility before any doors will open up to you. I hope things go better for you!