leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    Question for atheist nurses

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

    i love this part of your post... as i find it pertinent for each person to define their version of spirituality. more often than not, religion and spirituality are used interchangeably and for me,...
  2. leslie :-D

    Desperate for help with Gastroparesis pain mgmt

    leslie :-D replied to NC29mom's topic in Hospice, Palliative

    seriously, i suspect the opioids are worsening his symptoms, as they further delay gastric emptying, delay gi motility, and can/do induce increased pain, n& v. we've used erythromycin with...
  3. leslie :-D

    Can a nurse refuse to participate in a code?

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

    yes, it'd be highly unethical to disregard a pt's wishes, even if the nurse personally/morally disagrees with it. afterall, we ARE supposed to be their advocates. but it becomes much grayer if you...
  4. leslie :-D

    Is a slow code ethical?

    leslie :-D replied to blackvans1234's topic in General Nursing

    thanks for this. i too, have completely disregarded family wishes when i knew the pt's wishes, which were contrary. more often than not however, i have seen pts defer to what their family wants......
  5. leslie :-D

    The right to refuse has so many interpretations

    leslie :-D replied to Alnitak7's topic in General Nursing

    it is evident (to me) that you are struggling... and hope you can forgive yourself, as that is when true healing will begin. in the meantime, i am confident your mom knows how much you loved her......
  6. leslie :-D

    The right to refuse has so many interpretations

    leslie :-D replied to Alnitak7's topic in General Nursing

    i wish families understood this. that yes, even with a low bed, floor mats, bed alarms and continual supervision... that the self-determined pt IS going to walk, whether s/he is able to or not. and...
  7. leslie :-D

    Question on swallowing precautions

    leslie :-D replied to Glycerine82's topic in Patient Education

    i can assure you there are many pts on fdg tubes who are not eligible to eat foods by mouth... unless one's intent was to cause serious harm or death. also, fdg tubes do not prevent thirst, and so, a...
  8. leslie :-D

    Question on swallowing precautions

    leslie :-D replied to Glycerine82's topic in Patient Education

    the bottom line is food is still considered a pleasure of life.... and is always preferable to a fdg tube. the pt still gets to satisfy this most basic need by tasting and swallowing her food. you...
  9. leslie :-D

    The right to refuse has so many interpretations

    leslie :-D replied to Alnitak7's topic in General Nursing

    i think several posts may be overlapping, because of 2 separate continuums that we're referring to: nsg continuum - when residents refuse care, on one end of the spectrum are nurses who shrug...
  10. leslie :-D

    Childhood Obesity

    leslie :-D replied to ParkerRN's topic in Patient Education

    i agree with all that carolinapooh has suggested. the biggest barrier i see however, is getting the parent(s) on board with this. more often than not, the parents themselves are obese and aren't going...
  11. leslie :-D

    Cry for help: I don't think I can do this.

    leslie :-D replied to -MissTake-'s topic in General Students

    i seriously believe your state of mind is the culmination of nsg school stressors. i felt as you do, right towards the very end when i wanted to walk away from it all. a loved one gave me a dopeslap...
  12. leslie :-D

    Why are people uncomfortable talking about mental health?

    leslie :-D replied to wish_me_luck's topic in Nurse Disabilities

    the above (my meds) is one of the major reasons i haven't returned to nsg... don't trust myself because a lot of my memory is shot and my mind is often discombobulated. be careful, sweetie.
  13. leslie :-D

    End stage Alzheimer's

    leslie :-D replied to tnguy31's topic in Hospice, Palliative

    how does anyone live 6+ months without eating and without a feeding tube?
  14. leslie :-D

    Why are people uncomfortable talking about mental health?

    leslie :-D replied to wish_me_luck's topic in Nurse Disabilities

    i *think* those well-meaning friends (who suggested ssdi) weren't/aren't aware of your capabilties at the time you spoke about it. that maybe (and only YOU could answer that) you wouldn't be able to...
  15. leslie :-D

    Why are people uncomfortable talking about mental health?

    leslie :-D replied to wish_me_luck's topic in Nurse Disabilities

    i believe people fear what they don't know or understand. and so, mental illness and death are 2 concepts that remain intimidating to most people. of course there are resultant offsprings of such a...
  16. leslie :-D

    What to do if you disagree with the care of another nurse's pt?

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

    op, i appreciate the angst this situation elicited from you and it sounds like your concerns were plausible. it sounded like a more acute situation, where immediate intervention was warranted. if you...
  17. leslie :-D

    Nurses' perceptions of patients with borderline personality disorder - lit review

    leslie :-D replied to pinkiepieRN's topic in Psychiatric

    it's especially important that all nurses are on the same page re poc, i.e., anticipate attempts of manipulation and/or staff-splitting, or other types of disruptions. bpd IS a tough one to...
  18. leslie :-D

    Making anoymous complaint

    leslie :-D replied to luvmy2angels's topic in General Nursing

    yes i did and yes i was eventually terminated and yes it took its emotional and financial toll on me. but i felt compelled to stand behind my truth and even though i would never want to do it again, i...
  19. leslie :-D

    My heartache and hiatus...

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

    (((cp))), i am truly sorry for your loss. while our beloveds departure result in profound angst and despair... it is our spirit of love and gratitude that keeps us together and eternal. i seriously...
  20. leslie :-D

    PRN narcotics for patients who cant request it?

    leslie :-D replied to EMYrn2011's topic in Patient Medications

    i very much agree with tewdles, that you need to contact hospice nurse stat. and to ensure the (new) poc reflects fewer prns and longer acting, more powerful meds. it doesn't matter if he is an...
  21. leslie :-D

    Foley question

    leslie :-D replied to MomRN0913's topic in Hospice, Palliative

    this is one of those cases where i am amenable to either/or. catheterization is relatively non-invasive, considering the procedure is hopefully done one time only. and even if it happens a couple more...
  22. leslie :-D

    Praying in the work place

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

    i am sitting here with a half-smile, somewhat incredulous that you perceive the above criteria as seemingly peripheral. this is a major consideration as to why many don't embrace Christianity......
  23. leslie :-D

    Praying in the work place

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

    i'm wondering if you recognize how passive-aggressive your post sounds. first you denounce religion, then you "just believe with my heart what Christ did for me". is not Christ a derivative of...
  24. leslie :-D

    Refusing Orders.

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

    oh! i do remember a refusal from a dr, when i was a new nurse in a ltc facility! and i was adamant about it too....not so much some other nurses. lady with gtube, npo (duh) on comfort care. her...
  25. leslie :-D

    Refusing Orders.

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

    lamazeteacher, i agree it gets esp tricky when a non-medical administrator demands totally unsafe and non-sensical orders... and more than once, i had been threatened with termination if i didn't...