leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    I must make a confession

    leslie :-D replied to abbaking's topic in General Nursing

    gosh imintrouble, i guess being honest doesn't pay. i for one, respect and admire your perspective. and most everyone should be able to speak their truth w/o recrimination. op/abbaking, IF there is a...
  2. leslie :-D

    Munchausen by Internet: The Lying Disease that Preys on the Heart

    leslie :-D replied to tnbutterfly - Mary's topic in General Nursing

    Firstly, thank you tnbutterfly, for this informative and timely article. Much needed, much appreciated. Secondly, I must say that I always feel pity for these storytellers. I've never...
  3. leslie :-D

    my first NG tube insertion

    leslie :-D replied to etymed's topic in General Nursing

    oh my gosh, i don't know how many times an ng tube has coiled on me (and the pt obviously ). bed upright, chin to chest position, and having pt swallow water through a straw (if indicated) will help...
  4. leslie :-D

    Hiccups, Hiccups and more Hiccups!!

    leslie :-D replied to Sweeshynurse's topic in Hospice, Palliative

    much of it has to do with the etiology. here is a page that offers alternative dxs and treatments. www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_081.htm the best to you and your patient.
  5. leslie :-D

    Stay calm dad - possible future nurse :)

    leslie :-D replied to Brian's topic in General Nursing

    i would guess that this young miss was so darned capable and calm, was mostly because of her inabiity to understand the implications and/or seriousness of the situation at hand. and so, the advantage...
  6. leslie :-D

    The good, the bad, and the ugly

    leslie :-D replied to R!XTER's topic in General Nursing

    as i am here for you as well, cp. and thank you, most sincerely.
  7. leslie :-D

    The good, the bad, and the ugly

    leslie :-D replied to R!XTER's topic in General Nursing

    what a timely thread. although this is a personal situation for me, it still pertains to nursing and its ethical standards...or its lack. the good: my father is officially a dnr. the bad: he does not...
  8. leslie :-D

    Nurse with Disdain

    leslie :-D replied to StuckInTheMiddle's topic in Patient, Colleague Relations

    i honestly don't know what specialty would be ideal for you. i just wanted to ask about those who suggested er nursing...really? i get the high pt turnover, but shoo, many of those pts will try those...
  9. leslie :-D

    Not falling for that old trick

    leslie :-D replied to beeker's topic in Patient, Colleague Relations

    yet another reason to develop a thick skin in nursing. and if you are susceptible to guilt trips (generally speaking), you need to recondition your way of thinking. we are no good to anyone until we...
  10. leslie :-D

    Morphine neurotoxicity

    leslie :-D replied to aphillipi's topic in Hospice, Palliative

    www.eperc.mcw.edu has always been an invaluable resource for me. check it out, aphillipi - tons and tons of info about eol.
  11. leslie :-D

    blame the morphine

    leslie :-D replied to pnhopeful's topic in Hospice, Palliative

    this is outright disgraceful. i am really upset to read this ****. sadly, you can present all the educational materials ad nauseum, and it still won't matter (for the majority). you are dealing with a...
  12. leslie :-D

    Expiratory vocalizations at the end of life

    leslie :-D replied to bargainsmarts's topic in Hospice, Palliative

    i've seen this a couple of times, with the dr calling it "contingent vocalization"...which applies to those in a minimally conscious state. it is clearly a neuro deficit, presumably r/t brain...
  13. leslie :-D

    Finally feeling human again!!

    leslie :-D replied to Salisburysteak's topic in General Nursing

    that's awesome, sunny...congratulations! enjoy your new job.
  14. leslie :-D

    Resources?

    leslie :-D replied to jeyre1847's topic in Hospice, Palliative

    i always used EPERC (End of Life/Palliative Education Resource Center) good luck to you.
  15. leslie :-D

    Turning a hospice patient in severe pain?

    leslie :-D replied to IheartICUnursing's topic in Hospice, Palliative

    i'm with tewdles in that many icus/hospitals are ill-equipped in "comfort measures" and/or caring for a dying person. as suggested, the med orders were grossly inadequate, and pt should not have...
  16. leslie :-D

    10th Nursing Caption Contest - Win $100

    leslie :-D replied to Brian's topic in News, Announcements

    you're having a meltdown, mr. boogeyman. i'll notify the psych unit.
  17. leslie :-D

    The Power Of Prayer in Healthcare

    leslie :-D replied to TheCommuter's topic in Spirituality, Religion

    actually commuter, this is a misleading and untrue statement. demographically, yes, the u.s. is a Christian nation... in that the majority of citizens are Christian. but legally and according to the...
  18. leslie :-D

    The Power Of Prayer in Healthcare

    leslie :-D replied to TheCommuter's topic in Spirituality, Religion

    nursing is most certainly not only "science-based". we practice by the holistic model, which entails body, mind, and spirit. it makes sense to me then, that aspects of our nursing care would involve...
  19. leslie :-D

    I snapped at work and... I dont know what to do...

    leslie :-D replied to hazyblue's topic in Patient, Colleague Relations

    i agree with crispy critter...would love to hear from you. you are a person (not a nurse...a person) in crisis and you desperately need help. not facing your challenges, will only add to your feelings...
  20. leslie :-D

    Colon cancer and diarrhea

    leslie :-D replied to mslavender1982's topic in Hospice, Palliative

    if it's straight diarrhea, i'm wondering if only the ascending and beginning of transverse colon is remaining? if so, that is all she'll produce (is diarrhea). you might want to experiment with fiber...
  21. leslie :-D

    Creutzfeldt-Jakob disease

    leslie :-D replied to tolbbk's topic in Hospice, Palliative

    i've only taken care of one pt with cjd, so i am unsure of the trajectory it follows. with my pt, i learned: that as a neurodegenerative disease, mostly what i saw was lots of...
  22. leslie :-D

    Nursing and Emotions - Need advice/encouragement

    leslie :-D replied to NurseSara0214's topic in General Nursing

    if you've cared for many hospice pts, and this was your 1st emotional reaction, i'd say you're doing just fine. it's when those tears become heebee-jeebee (sp) crying, is when it is frowned upon. it...
  23. leslie :-D

    Indiscriminate Empathy?

    leslie :-D replied to tothepointeLVN's topic in General Nursing

    because if you're not with me, you're against me. simple as that - now be gone from my sight. iow, lots of very shallow people out there. be grateful that you are an person that has independent...
  24. leslie :-D

    Inpatient hospice patient on a Med-Surg floor

    leslie :-D replied to IdislikeCODEbrowns's topic in Hospice, Palliative

    there is absolutely nothing wrong with this med regimen. 1 mg mso4 hourly, is likely not even touching her, it is such a nominal amt. and to be satting in the 60's, yes, push that ativan...which as...
  25. leslie :-D

    Experienced Nurses Should Leave Legacies to New Nurses

    leslie :-D replied to jasnms's topic in Patient, Colleague Relations

    i'll agree that having enthusiastic and experienced preceptors would be helpful. but to imply that is the only real problem, is naive at best and dangerous at worst. if we as a profession, are ever to...