MsEisBack

off the subject ---- what about culinary arts and nutrition? mixing a nutrition degree with a diploma or associate degree in culinary arts? ALSO isn't nutrition closely related to medical science especially when you have patients on soft diets or specialized diets due to illness?

I think we are going to get a better understanding of some of the islands mysteries and unanswered questions on the complete series dvd's...they've got to give you some reason to buy series dvds. Jack was not particularly close to Walt and was especially out with Micheal after his betrayal of the group to Ben. Plus Micheal (as a ghost) told Hurley that he was stuck on the Island. Remember that the church scene is from "Jack's" perspective, the people that mattered most to him. If we were looking at this from Locke's perspective, I'm sure Walt would be there because they were "tight" Ben has issues...and probably will still have issues in the afterlife. I think he's just not ready to accept forgiveness or compassion so when he eventually dies he will choose to stay in "pergatory." That's why he didn't go in the church. At the very end we were looking at Jack's death... a dream state that dying people may enter as they are passing away.

I think that there were some important truths about CONNECTIONS in this show. I think the ending was absolutely perfect; it gave concrete answers about what happened to the people you cared about but it also left alot to interpretation and developement of your own philosophy, which is why I think it would make a great theraputic tool in some cases. Sure I know some of this was intentional and made to generate advertising and product revenue (like having Matt Fox cry like a baby during the first 10 mins jimmi kimmel), but all and all I think they developed a quality product that could be useful in a discussion about life and death and CONNECTIONS which ultimately bring meaning to life. I am a student, but I'm sure you experienced nurses have dealt with people who have no connections or incomplete connections...I'm sure some of you have had to be that "connection" for someone. In your experiences would you say that people who are in that situation, with few or no connections, die easily or peacefully? I can't imagine they do.... So Again, I think it could be useful at least in getting people thinking about and actively working on their relationships and the things about them that are timeless and that they want to leave behind.

Well Ladies and Gents---I don't mean to be rude or break etiquette by discussing things not officially related to nursing-- But I was blown away by the finale of LOST last night and was thinking that the entire series would be a great theraputic tool in palliative care... AND YES, I hope this starts a long and thourogh discussion of the show LOST on all nurses...

I think DoGoodandGo did a good job of explaining the extreme liability involved in labor and delivery and what a tremendous responsibility working in this area is. THE ENVIROMENT SHE DESCRIBED IN NEW YORK EXPLAINS WHY MIDWIVERY IS IN DANGER IN NY. I've been looking at midwifery and the common belief is that pregnancy is not a disease therefore the medical model is often a hinderance and not necessary in the majority of pregnancies as pregnancy is considered a natural process. The use of epiderals, other medications, lichthetomy(sp) position make labor risky, lenghty, and demoralizing for the women...according to some. As long as the woman recieve consistent pre-natal care and is not found to have high risk factors her labor and delivery need not take place in a hospital...so i've been reading. The midwife recieves education in the nataural and medical models. Each state have different regulations and regulartory boards for midwives. The main difference is betwen the nurse midwife and lay midwife, ones a nurse and one studied under another midwife and did an apprenticeship... There is also an emphasis on entreprenuership in lay midwifery...

Have you considered midwifery? Direct Entry or apprenticing with a Licensed Midwife?

you ladies are awesome!!!!!!thank you for the wonderful feed back!!!

The only issue I would be concerned about is her swallowing difficulty - has that been addressed by her physician? Many people with swallowing difficulties are not underweight because they alter their diet in some way. Please have her seen by someone ASAP. Her doctor is taking a very Laisse-faire (-sp?) attitude toward her dysphagia. She has had a number of test colonoscopy, uppper gi endoscopy, modified barium swallow established that she has narrowing in the pharynx also diminshed motility so its a mechnical problem. She does best with soft soupy non sticky food, "nectar" consistecy. But her last barium swallow was 2-3 years ago and she sees the doctor every three to four months. I'm concerned because i read her record recently and she had intestinal metaplasia... I'm not a nurse yet, but I know what metaplasia means... So I'm gonna make sure she gets those test done... She has lost alot of weight. 5'3 100 lbs clothed.... not good. Question now is What IS CAUSING THE WEIGHT LOSS, RULE OUT CANCER!!!!! I hope that's not what we are looking at.. I think given the metaplasia he should have been more hypervigilant IMHO. No he wants to give a 90 year old woman a mammagram (-sp), I don't understand the reason for that.....

She is actually my grandmother.

Hey everyone: My mother is 90 years old. She has some health problems like swallowing problems causing her to be under weight, hypertension, heart disease and she has a pacemaker. But mentally she's a 20 year old. She holds numerous offices in her community organizations, makes decisions and is consulted by her many friends, family and members of her community. She does use a cane, has some muscle weakness, walks slowly, and has some shortness of breath when walking long distances. She likes to go out and is specially involved in her religious organizations. I love her very much, but I am not interested in belonging to any of these organizations. I feel confident that her health problems have not reached the point where she always needs someone with her all the time, so I let her go by herself. She is actually never by herself because the organization she participates in has a van, they pick her and others up, and they go together as a group. But sometimes I feel like i'm neglecting her because I do not participate in some of the things that she does. I am a young woman (30 years old) and I am the only family that is here helping her, everyone else is living their own life and they really don't give a damn! I don't mind, but part of the reason I don't participate is because I need to separate from her sometimes and I'm just not into the things that she is. Sometimes I get very tired of playing "nurse maid" and always having to be the one to have to "represent" our little family. Mothers day is coming up, she just reached a big milestone by reaching her 90th birthday, and these organizations have a tendancy to make a big deal about occassions like that, are family oriented, and I'm the only family here!!!!! I find these events stressful and emotionally draining... so I just stop particpating. And I feel awful, I feel bad, and neglectful. I have been dealing or not dealing with depression for the last five years and i just don't want to deal with the stress of making a big production out of everything!!!! MY QUESTION IS, as nurses would you consider my behavior to be emotionally neglectful???? I hope not!! I really don't mean to be, but I just need a little space. I just don't have the ability to be all things to everyone... your advice and comments would be appreciated.... i feel like screaming..

Thanks Ladies for your comments on this discussion thread. I am printing them all out and taking them to class. CONFIDENCIALITY/DISCRETION, RESPECT, AND GOOD PATIENT CARE ARE GOING TO BE MY DAILY GOALS AS A NURSE. :)THANKS AGAIN LADIES.

P.S. Sorry for all the grammatical errors. I was typing in a hurry. Hope you understand the question I'm trying to ask!!!!!!!!!

Hello: My classmates and I have been having an interesting conversation about a topic I'm sure has popped up here before, but I'm going to reintroduce the topic with this question: What if your working and some man that you have an association with in your community comes in for care and you have an attraction to him not necessarily sexual yet, but potentially under other circumstances. WOULD YOU FIND IT HARD TO PROVIDE CARE TO HIM? I'm 33 years old, but some of my classmates are younger like in their twenties, one is 17 years old. My response was no, I would have no problem caring for him and not only that communicating to him that I am there with him in a professional compasity thru my facial expression, intonation, voice, and if I had to, telling him straight up that I'm not playing "that" game with him at this time. A grown, mature man should understand that, HOWEVER If he doesn't I hope that I have the type of charge nurse or colleagues that will accompany me into his room while i'm giving care. I also said that that the likelihood of encountering a problem like this that you would be able to work thru with your patient. If a man is sick enough to be in the hospital, most likely his main focus is getting well. On the flipside, if I were the patient and I had a male caregiver that I know well, I may be a little uncomfortable!!! I might request a female caregiver BUT MAKE IT CLEAR that this person did NOTHING to harm me and I would discuss it with him first and TELL HIM to bring in the charge nurse. WHAT DO YOU GUYS THINK????????:stdnrsrck:

I'm replying to your signature...the song you are quoting in the signature...my grandmother loves that song... she's 90.