leslie :-D

Member

  • Content

    11,191

  • Visitors

    57,551

  • Followers

    0

  • Likes

    140

All Content by leslie :-D

  1. leslie :-D

    Dr.'s orders for feedings/water

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

    esme is 100% correct. no one is questioning whether you should've stopped the fdg or not... but the bottom line is, that it is a dr's order and so, the dr needs to be updated as to how the pt is...
  2. leslie :-D

    How to talk with mom about breast cancer treatment

    leslie :-D replied to Quark09's topic in General Nursing

    i'm not sure op is asking for medical advice...maybe more like anecdotal stories? that said op, i recently experienced something very similar... where a loved one dx'd w/ca, opted not to go through...
  3. leslie :-D

    Why do night shift nurses get paid more when day shift clearly does MORE work?

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

    i've worked days and nights as well. and my rate for nocs, was substantially higher... i mean, my pay was premium. still, i was miserable...MISERABLE, i tell you.:) i couldn't adjust to sleeping...
  4. leslie :-D

    Compassion or reality for obese patients?

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

    also notable, is that society does not treat skinniness with the contempt that it treats obesity. rather, 85 lbs is the ideal to many....the thinner, the better. thus, why so many teen girls struggle...
  5. leslie :-D

    Compassion or reality for obese patients?

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

    i don't 'do' guilt tactics...seriously. and agree that not all have underlying factors....but do believe the majority do. (we're not talking 'overweight'...we're talking morbidly obese, more than 100...
  6. leslie :-D

    What would you do if you were Nurse Ratched?

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

    after billy had sex with that woman, nurse ratched asks billy, 'how you you think your mother would feel about this, billy?" after that, he resumes his stuttering and ultimately kills himself. she...
  7. leslie :-D

    Compassion or reality for obese patients?

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

    imagine how the obese person feels. most of them have enough self-hatred, that more than exceeds the disdain of the gen'l population. yep katie, just a simple matter of "quit chowing". now, why didn't...
  8. leslie :-D

    Compassion or reality for obese patients?

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

    great post, dudette...but wanted to comment on above. i've always maintained that obesity is highly complex and multifactorial. and if it were just a matter of a, b, and c, we, the u.s., wouldn't be...
  9. leslie :-D

    So... how do you deflect family members when you're busy?

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

    i'm with you on this one, ruby. sometimes, we have to throw them 'that look', that tells them now isn't a good time. sometimes, we have to firmly tell them, i will be with you as soon as possible, w/o...
  10. leslie :-D

    2 1/2 liters ascites fluid drained

    leslie :-D replied to Vtachy1's topic in General Nursing

    i've seen a few liters tapped from thoracentesis alone. many more liters from paracentesis. when you see all that is removed, you can't help but KNOW what a palliative measure it is... even if it has...
  11. leslie :-D

    Did I make the biggest mistake of my career?

    leslie :-D replied to SoCalRN1970's topic in Hospice, Palliative

    how about sharing your concerns with the administrator?
  12. leslie :-D

    Profound hypoglycemia after d/c sodium bicarb gtt

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

    how was the pt's k+ level? (thinking that hypokalemia will cause hypoglycemia)
  13. leslie :-D

    Need prayers please

    leslie :-D replied to BSN75's topic in General Nursing

    i'm so sorry to read about your son. but i firmly believe if healing is built on love and other positive energies, then your son will be lifted and cured. my hearfelt, very best to you and...
  14. leslie :-D

    Confused new RN!

    leslie :-D replied to ashalina213's topic in General Nursing

    wow...not sure what to tell you...you may want to check out the massachusetts nsg forum and see what they're saying. also and unfortunately, boston has been maxed out for yrs now... and is NOT a good...
  15. leslie :-D

    Our ADON says that ICU is boring... Is it true.

    leslie :-D replied to NurseLoveJoy88's topic in General Nursing

    heh. i cancelled an important dr's appt tomorrow, when i heard that the cast of roseanne (reunion, yes!) will be on oprah. as in nsg, life is about our priorities.:)
  16. leslie :-D

    Our ADON says that ICU is boring... Is it true.

    leslie :-D replied to NurseLoveJoy88's topic in General Nursing

    i guess i'm seeing it differently... that she's new, sent an email as an introduction, and some background. *shrugs* i wish her well.
  17. leslie :-D

    Becoming a nurse with being bipolar

    leslie :-D replied to luke1985's topic in General Nursing

    personally, i'd like to see you go further in therapy, before pursuing nursing. once you feel you have a handle on exogenous stressors (vs the learning process you're in now), then it'd be more...
  18. leslie :-D

    No Oncology Lecture ADN Program

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

    while i agree with above, so many don't seem to acknowledge or appreciate the psychosocial issues that accompany cancer, or any other potentially terminal disease. it's crucial to understand the meds...
  19. leslie :-D

    Medication Question---Hospice Related

    leslie :-D replied to lar2011's topic in Nursing Student Assistance

    there are many equianalgesic conversion charts out there. here's one that is extremely easy to use. a pt's sensitivity to cross tolerance always needs to be considered as part of the equation. be...
  20. leslie :-D

    No Oncology Lecture ADN Program

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

    keep in mind however, that many schools have a curriculum that require independent learning. many. it's really not a far-fetched concept.
  21. leslie :-D

    calmoseptine

    leslie :-D replied to makes needs known's topic in General Nursing

    i definitely understand it being in the tar. in ltc, a good amt of the residents are incontinent and/or non-ambulatory. maintaining skin integrity, shiould be on the nurse. however, i don't think the...
  22. leslie :-D

    Discharge a patient because they go to er?

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

    hmmm....not sure. his admitting dx was for "end stage heart", so going to the er for unresolved chest pain, could definitely be construed as related to the hospice dx. did he want the pain to stop, or...
  23. leslie :-D

    Really need help with care plan for patient

    leslie :-D replied to schantzy143's topic in General Nursing

    your entire care plan sounds spot on, IF his breathing pattern IS ineffective. what is his rr? is he using accessory muscles to breathe? shallow? if ineffec breathing applies, then prioritize...
  24. leslie :-D

    Fired By Patient Family

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

    i think that all the previous poster was trying to say, is that while drs, mgrs, those in charge, may defend you to your face... how they respond to the family, is often a whole other story. they...
  25. leslie :-D

    Patients families dictating care and treatment

    leslie :-D replied to MomRN0913's topic in General Nursing

    it's not your call...or any other nurses. there is a standard of care that dictates anticoags et al, be stopped at least a few days pre-surgical procedure. your facilty should have a policy about it....