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  1. 7student7

    Paleo/Primal Diet?

    So many things to address: *"As a student, are you yet familiar enough with "authority" and "government" sources of information available to clinical professionals and to the general public to know the scientific inquiry process that produces the information and recommendations contained within them?" Why yes, I am a nursing student, but I also have a previous science degree (I have the pretty piece of paper! So, am I allowed to speak now? Sheesh...) and more experience with hospitals than anyone should. I am very aware of the source of our authorities, as well as their limitations (which is where you seem to fall off the tracks....). I know exactly what goes into government nutrition guidelines - a bunch of dirty money, misread journal articles, and big corporate lobbying. This comment exemplifies everything I hoped to avoid in this thread. Degrees and titles are no replacement for independent thought. You don't have to be an RN or MD to read medical and nutrition journals. The difference between science and personal experience is very clear to me. I am interested in both, but I do not confuse them. *The Paleo diet is not about eating raw food or playing caveman. It is about avoiding toxins we are not evolved to tolerate. For most of us, what is considered a toxin is determined by science, not by caveman fantasies. The negative effects of grains, excess sugar, the resulting insulin imbalance and resistance, and various other things this diet says to avoid are well documented. These results just don't make it to the media or textbooks until they've been skewed by "conventional wisdom." *I'm not about to preach at someone who has no desire to listen.*If you are truly curious I already posted two links though. PaNu, is the more in-depth one scientifically.* *The paleo diet can be done raw, but it is fairly rare. Raw vegetarianism is much more common. The human body HAS had time to evolve the ability to digest cooked meat over raw meat, raw diets are not supported by good science, and I never said they were. *About supplements: I don't take any, and many people on this diet do not. Vitamin D and fish oil are big in the paleo community, but the average person is not taking anything else. Mark Sisson literally posts every day, people love him to death, and his books are free. His supplements, in my opinion, are geared toward the body building crowd that would be taking then anyway that wish to avoid the junk in conventional protein powder and such. He does not push them on readers. Plus, the man needs to make a living somehow... *Now I see that nurses have little influence over what patients eat. It all comes from dietitians, and it is too risky professionally to give conflicting opinions. I completely understand that alternative nutrition advice is outside of a nurse's scope of practice. I am not trying to step on any professions' toes. And, I have no desire to jeopardize any nurse's career, including my future one, but that doesn't mean I have to turn my brain off, and a blind eye to medicine's shortcomings, when I'm not at work.* *I was very, very sick for years with an autoimmune stomach disorder and everything the doctors did made it worse. I went from being tired, brain-fogged, and in chronic pain to being energetic. I went from so many meds I can't remember the number to none. I went from the fat, hypertensive, stressed, steteotypical American to a much thinner, happy person with perfect lab values. I know my story is not unique, and there are bound to be nurses with similar stories. I would love to hear them.* *I read plenty of nutrition sites and forums, but I am interested in a nurse's perspective at the moment. Paleo dieters: How do you handle looking at the 60% carb/grain hospital meals, then look at all the diseases around you and not constantly feel like something is very wrong?* *Thank you for the Leigh Peele link! Now that is an intelligent response. I don't agree with everything she says and she even admits, "While the dogma behind the Paleo Diet is not healthy, the basic nutritional principles seem to be sound...." I don't follow the dogmatic aspects, and I agree the name "paleo" is stupid. That paper she mentioned has been torn to pieces by multiple writers, supposedly there was some confusion about grass vs. nuts vs. seeds vs. grains in it. I'm not sure, but regardless, for modern man, carbs do cause dramatic insulin responses and cause cells to store fat (this is in most physiology books), and grains are full if antinutrients and terrible for the gut.* *
  2. 7student7

    gastrophy , esophagitis and gastritis ..oh my

    I agree with the dietician suggestion. Docs do not have the patience for this sort of thing.
  3. 7student7

    gastrophy , esophagitis and gastritis ..oh my

    I have eosinophillic esophagitis and gastroenteritis and the bacterial overgrowth that usually comes with it. The things that helped me in the long term were probiotics- I took the pills, ate Greek yogurt, drank kefir, the works. I cut out almost all grains, especially wheat. I also stopped consuming most milk products (some, like Greek yogurt and kefir aren't so bad). Milk and wheat proteins are murder on the stomach. (look up leaky gut if you're curious). I also cut out most sugar bc of the bacterial overgrowth. Honestly, what I tried to follow was the paleo diet from marksdailyapple.com, but I know people on this board tend to dislike "fad diets". Even if you dislike the diet, you can't argue with the science behind probiotics or avoiding gluten at least! I don't know if it's official medical advice and I certaintly am not trying to give medical advice, but this is what worked for me personally. I went from horrible pains and many vitamin deficiencies to perfectly fine and off all meds in about 6 months. Antiacids don't work, and steroids just trade one type of pain for another. You've got to eat right to get healthy.
  4. 7student7

    Work as MHT?

    I would definitely let your employer know you have a license. An LPN was hired as a MHT at my hospital recently without telling anyone about her license, then she mentioned it later and they were very annoyed at her. I think they let her switch to a nurse position, hopeful you could switch too.
  5. 7student7

    Paleo/Primal Diet?

    I understand that many would feel uncomfortable giving nutritional advice. That is a valid point. I was kind of assuming any nurse giving such advice would try to be aware of any odd nutritional needs before they gave it though. From what I have seen, Paleo (unprocessed, low sugar, low carb) is based on a lot of good science. I don't think it quite qualifies as a "fad" diet. Also, I specifically asked for informed advice and/or personal experience for a reason. Simply appealing to big authorities or doctors' orders is probably necessary for work, and like I said, I understand being uncomfortable telling a patient about it. But, when it comes down to actual science/ critical thinking, it's just lazy. So, does anyone out there have some direct experience with this specific diet?
  6. 7student7

    Paleo/Primal Diet?

    Does anyone have any experience with the Paleo diet? Like what you'd see on Mark's Daily Apple or PaNu - PāNu Blog . Did anyone have a positive (or negative) experience with it? Do you see any major flaws? Is this something you would feel comfortable telling a patient about since it is so far removed from the standard American diet? I am looking for scientific information, and/or direct personal experience. I am not interested in vague "common sense" type recommendations or appeals to authority, government or otherwise. Thanks ahead of time for any responses!
  7. 7student7

    Doors to patient rooms: open or closed?

    I've thought about this an abnormal amount - I think my job makes me paranoid, lol. I have to do 15 min checks at night and we have really loud, old doors. I close all of the doors but don't latch them since the hallway lights don't go out at night. I don't want to wake them up with the lights or the sound of the door latch. Some rooms have weird doors that like to swing open and slam into the wall though, so I'll leave those wide open unless they complain. Sometimes I'll purposely keep a door latched if I want to hear if a specific person gets up. I'm just sneaky like that. That trick works with the bathroom door too if you have the good fortune of working at a hospital as old and creaky as mine. :)
  8. You should never restrain after the fact or as a punishment. Seclusion is less restrictive but inappropriate for any patient with self-harm precautions. Specific reasons I've seen for seclusion/restraint: Court ordered forced medication that the patient refuses - only requires holding someone down for a minute for the injection. Self-harm: ripping open old wounds or repeatedly banging their head against something. Violence: If two patients got in a small fight they might be restricted from smoking or activities. If they continue to escalate we might send someone to the seclusion room (sometimes locked, sometimes not). Unstoppable violence: S/R might occur if the patient is psychotic and truly believes they must attack someone. For example, a patient once threatened and chased a staff member out of the room. He was mixing her up with an abusive family member. He went in restraints only because he would not stop chasing her and also needed an injection - not as a punishment. Make sure threats are real - don't restrain for bluffing and showing off. Remember, restraints are always the last resort! Logically, it just isn't all that useful for changing behavior, but more than that it's just plain unethical to do something so undignified to a person without good reason. There's almost always an alternative.
  9. 7student7

    Louisville vs Lexington

    Yup, ESH is still there for now. BCTC is buying the land and they're already started doing stuff - they're letting some archeological people do digs around it getting ready for new buildings (possibly searching for old artifacts and graves? ooh...) They already had the groundbreaking for the new Eastern State farther down Newtown Pike. I can't wait for the new building! It seems that all of my friends have gone to Louisville and they're begging me to come too. Louisville is better for sure.:)
  10. I just got accepted in EKU's ADN program for spring. My acceptance letter said that there will be a drug dose calculation test at the orientation and said to buy this big workbook: Calculation of Drug Dosage by Sheila Ogden. Is anyone familiar with this test? Do I need to study the whole book before orientation? I'm thinking not, but don't want to be unprepared.
  11. 7student7

    Has anyone taken the HESI A2?

    Make sure you know the conversions. I remember a lot of those. Our test had a calculator built in to the test btw. It was tedious, but not too hard. The grammar part was super easy. I remember multiple questions about distinguishing between "there" "they're" and "their" and "form" and "from". Overall it was very simple. I bought the elsevier online review course (that website they talk about in the other hesia2 threads is not available anymore). That online course was full of wrong answers and stupid mistakes. Be careful if you buy it. I got a 98 without stressing much. It didn't take hardly anyone the whole time to do it.
  12. Gragg 1 is ok. The entire hospital has great people, even when situations aren't ideal. If you like the geropsych population, that's great, but I have to warn you that most of us hate being pulled to G1. It's a lot more work and a different type of job than the other floors. You will have to deal with a lot of negativity from mhas that get pulled there. The regular staff on g1 truly love it and are great with the patients though. I see elderly people from regular psych floors get moved to g1 and just flourish all the time. G1 is great at getting elderly people back on their feet. About getting hired: please apply! We need people. It takes a while for the paperwork to go through, but it's not difficult or competitive. Tell them you want to work nights and like g1 and they'll probably throw you a party. :)
  13. 7student7

    Louisville vs Lexington

    I live in Lexington, and I'm not too fond of it. The town is very closed-minded and snobbish. EVERYTHING revolves around uk sports, which I guess some people like, but it definitely cuts down on other hobbies. The nightlife is boring. Everything closes early and it's mostly beer and pool type of places. Everywhere you go there are gaggles of giggly sorority girls. About psych, Lexington is home to Eastern State Psych Hospital. I work there. It's big, old, and falling apart. They are in the process of building a new one, but you can tell they've just given up on the old one. Staffing, upkeep, pay- it's all bad. I've never been there, but I hear that Central State in Louisville is a much better place to work, and they supposedly get extra hazard pay. I can't confirm that though. In general, if you are fashionable, a social butterfly, like sports, and are conservative in every way - Lexington is for you. If you like some diversity, go with Louisville.
  14. I have been been clawed at, swung at, choked, spit at, pinched, chased down the hallway, had various body parts touched or commented on, cussed at, told to "smile" in a condescending manner, etc. I do work in psych, but I think that many have a lack of social skills on top of their actual illness, and that a little lesson in social graces can't hurt. I usually make it a point to say "No, that's completely inappropriate" and explain why whatever they did was counterproductive to anyone liking them or getting their privileges back anytime soon. A few of the times I've seen a patient get really angry at me was when I did something obviously to protect myself, like make smoke break 10 minutes late for a trouble-making patient in order to wait for a male to go with me. When they yell at me for things like that I tell them that their behavior has given me no reason to trust them and it's their job to change that, not mine. Some think I'm a witch, but then again I've never been seriously injured (many of my coworkers have) and I plan on keeping it that way. Some of the patients even like me better for holding them accountable instead of treating them like a child. I would never try to press charges on a someone who truly was delusional or hallucinating, but I would on most others if it were serious enough. And, no matter what the diagnosis, I have no issues with running the heck out of that room and getting some help.
  15. 7student7

    The worn out topic of staffing.

    I have no clue if it gets better, but I can tell you that you're not alone! Good luck.