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Thunderwolf MSN, RN

Med-Surg, Geriatric, Behavioral Health
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Thunderwolf has 32 years experience as a MSN, RN and specializes in Med-Surg, Geriatric, Behavioral Health.

An average Joe who lives with his cat. And she says, "Meow."

Thunderwolf's Latest Activity

  1. Thunderwolf

    Patient's "right" to abuse nurses...I need your opinion

    No person has the right to abuse another. Not even a patient.
  2. Thunderwolf

    Hostile work environment - Violent Doctor

    This physician reminds me of OLD School medicine. Hostile Work Environment is often, in my mind, from my 30 years of nursing, a code phrase of bullying physicians in the work place. In my first 15 years of nursing, it was more common than not to witness physicians being totally disrespectful and unprofessional towards nurses. Sexist, rude, profane, aggressive, immature, you name it, you saw it. Physicians cursing ten times worse than sailors in front of or at patients and nurses. Physicians picking up charts and throwing them at nurses and clerks. Physicians having very loud temper tantrums in the hallways. Yes...this was common...back then. Administration did nothing and tended to look the other way. Whistle blowers were often retaliated against by Admin. Later on...thanks, I'm sure, to lawsuits and patient satisfaction scores impacting the administrative dollar, administration began to step in and intervene. Nowadays, that same physician would get hospital security called upon him/her in many hospital facilities. In fact, for myself, if a physician did become hostile and I felt unsafe, I would not hesitate to call security...even if just to begin a paper trail on that physician. If he/she becomes hostile towards you, it may very well occur again with another staff member. In the past, many nurses had to put up with a lot of poor physician behavior...because THAT was the norm and you were expected to suck it up or leave according to most Admin back then. Nowadays, such behavior is totally unacceptable by anyone, including a physician. In saying all of this, I truly believe from being a nurse for so long and by working in different hospital settings, much of physician behavior in the hospital is directly related to what the work philosophy is in Admin. It all starts and ends in Admin on high. If they permit it or turn the blind eye to it, then poor physician behavior would certainly return. If a physician threatens you harm, that is assault. If he/she actually lays hands on you, that is battery. In either case, security needs called and the paper work needs to begin....before even contacting your manager. Next, you begin looking at your options.
  3. Thunderwolf

    Who HATES the term MURSE?

    More professional....I agree.
  4. Thunderwolf

    New psych RN as charge nurse?

    Ditto
  5. Thunderwolf

    The Medicine Wheel in Recovery

    Interesting, you are correct. That was the link then...but since from then to now, it links elsewhere to that other site. How odd. Any way, the info on the original post remains informative and relevant. Thanks for the update.
  6. Thunderwolf

    Drums: Heartbeat of Mother Earth

    Dummers welcome dancers for Feast Day at Ohkay Owingeh Pueblo, New Mexico, 2008. Photo by Julien McRoberts. The drum is a powerful instrument. Indigenous people throughout Turtle Island refer to it as the heartbeat of Mother Earth. It is used in many spiritual and sacred ceremonial practices. Some say the beat of the drum has the power to change natural elements, including the weather. It is believed to have the power to heal sickness, and some believe it has the power to send messages both to the animal world and to the spirit world. The drum is broadly considered to be the first musical instrument used by humans. Historians and music ethnologists alike point out that the drum has been utilized by virtually every culture known to mankind for a multitude of purposes. In ancient times, the earliest drums were used for religious rituals, social dances, sporting events, feasts, special ceremonies, in preparation for hunting, and as a prelude to war. However, it is virtually a universally held belief that the original purpose of the drum was to communicate, many times over long distances as a warning or signal. In the Americas, the drum has a history that dates back to pre-Columbian times. Remnants of wooden cylinder drums and small pottery drums found in Central Mexico, Costa Rica, Peru, the Guatemala highlands and other parts of Mesoamerica have been dated back to A.D. 700; older examples most likely existed but succumbed to the elements. From the Inuit people of the Arctic region, the salmon and whaling cultures of the Pacific Northwest, and the Northern and Southern Plains tribes, to the Eastern Woodlands, the Rio Grande Valley and elsewhere, Indigenous people of North America continue to use drums for dances, ceremonies, games and sacred practices. Power Over Illness and Weather The drumbeat evokes many powerful forms of energy and is an aid in helping to focus one’s attention and to see clear intentions. Certain types of beats are said to carry special healing powers into the human body. A sick person’s psychological and physiological states are believed to be altered by the rhythmic drumbeats and accompanying song, and the illness becomes more attuned to other medicinal remedies. Stories about drummers being able to influence weather conditions, such as inducing or dissuading thunder, rain and other elements through the vibrations sent into the atmosphere, are common among Indigenous people. In the springtime, the Menominee of Wisconsin celebrate the return of the sturgeon to Keshena Falls, the fish’s original spawning waters, and summon the sturgeon’s return home with the beat of the drum. Black Elk, an Oglala Sioux holy man made famous by John Neihardt’s book Black Elk Speaks, offers this perspective: “Since the drum is often the only instrument used in our sacred rites, I should perhaps tell you here why it is especially sacred and important to us. It is because the round form of the drum represents the whole universe, and its steady strong beat is the pulse, the heart, throbbing at the center of the universe. It is the voice of Wakan Tanka (Great Spirit), and this sound stirs us and helps us to understand the mystery and power of all things.” Thomas Evans is a citizen of the Pawnee Tribe who works in the curatorial lab with the National Museum of the American Indian’s artifact collections. Although he cannot say so definitively, he believes the oldest drum in the museum’s collection may be an old Delaware drum that was originally collected prior to 1850. He points out that there are other Eastern drums in the collection that are made of whiskey/nail kegs that were also collected at about the same time. Evans believes research shows that many of the Missouri River tribes, as well as Eastern tribes, traditionally used gourd rattles and rawhide bundles for their ceremonial practices and singing, rather than drums, until perhaps the 1880s when the hiduska (powwow) was introduced. In his upcoming book Moving History: The Evolution of the Powwow, Dennis Zotigh, a citizen of the Kiowa Tribe who also works for NMAI in Washington D.C., describes how, in pre-reservation days, Plains singers would unroll a big rawhide, sit on the ground and use ceremonial sticks to drum out a cadence. “With the introduction of the military base drum around the turn of the 19th century, most Plains tribes adopted it, replacing their rolled-out hides. In some cases, it was modified to fit tribal constraints. Rawhides were stretched and tied over the drum to create drumheads. The base is made from a hollowed-out tree trunk or by bending wood panels into a circle or eight-sided frame,” Zotigh writes. http://www.nativepeoples.com/article/articles/326/1/Drums%3A-Heartbeat-of-Mother-Earth
  7. The Indian Health Service (IHS) Public Health Professions (PHP) are responsible for addressing the health needs of over 1.8 million American Indians and Alaska Natives in a network of 48 hospitals, more than 230 clinics, and a system of Tribal and Urban programs. As part of the US Department of Health and Human Services, our mission is to raise the physical, mental, social and spiritual health of this diverse population to the highest level. Learn more about the Opportunity, Adventure, and Purpose offered by IHS Public Health Professions. Learn more about the men and women, and services of IHS Public Health Professions. More about Disciplines Starting your career? Looking for new challenges? IHS has openings for full-time and part-time positions, as well as residency and externship opportunities. More about Positions Commissioned Corps, Civil Service or Direct Tribal Hire - match your professional and personal priorities to the right career path. More about Career Paths & Benefits Information you need to know to apply for an IHS Loan Repayment Program Award. More about Loan Repayment IHS hospitals and clinics are located in 35 states throughout the US - find an IHS Service Area. More about IHS Service Areas IHS has temporary duty (TDY) opportunities available for volunteers interested in serving. More about Volunteers IHS hospitals and clinics are located in 35 states throughout the US - find an IHS Service Area. More about Events Find the IHS recruiter for your profession. More about Contact Us Go to the site: http://www.ihs.gov/JobsCareerDevelop/careers/
  8. A Collaborative Approach to Specialty Patient Care in Cardiology University Medical Center, Indian Health Services, University of Arizona The Native American Cardiology Program was established by Dr. James Galloway in 1994, in recognition of the changing health problems and needs of Native Americans in the Southwest. Prior to the 1960s, coronary artery disease was relatively uncommon among Native Americans. Over the past decades, changes in diet, economics, and lifestyle have resulted in marked increases in the rates of obesity, diabetes, high blood pressure and kidney failure, all of which increase rates of coronary disease, heart attacks, and cardiac deaths. Rates of diabetes and the metabolic syndrome are twice as high among Native Americans compared to the general US population. The most common cause of death for people with diabetes is cardiovascular disease. Unfortunately, these changes in risk factors have resulted in Native American death rates from heart disease that surpass those of the general U.S. population. Cardiovascular disease is the number one cause of death for Native Americans in the Southwest and around the nation. Rheumatic heart disease is another unique problem that affects Native Americans much more commonly than the general US population. High rates of rheumatic fever have resulted in a significant amount of valvular heart disease that has become rare among other populations in the country. The valve disease associated with this childhood illness may present 20 to 40 years after the episode of rheumatic fever and only half of the patients with rheumatic disease remember ever having had rheumatic fever. As a consequence, high rates of mitral stenosis, often accompanied by other valve disorders are seen that require surgical intervention. Diagnosis and management of these difficult cases are worked closely with cardiac surgeons at University Medical Center when surgical intervention is required. This collaborative group understands the unique living conditions and economic limitations that many of their patients face and incorporate these factors into their decisions regarding valve surgery and anticoagulation needs. The circumstances and history of each patient are considered individually in making recommendations regarding surgical or percutaneous interventions. 24/7 Provider Consultation and Patient Transfers: All Health Care Providers who care for Native Peoples 1-800-777-7552 http://www.ihs.gov/Cardiology/
  9. Injuries are the leading cause of death for American Indians and Alaska Natives from ages 1-44 years, and the third leading cause of death overall. Unintentional injury mortality rates for Indian people are approximately three times higher than the combined all-U.S. races rate (IHS, Trends in Indian Health 2000-2001). However, this disparity varies by IHS regional Area and by cause of injury (CDC, Atlas of Injury Mortality Among American Indian and Alaska Native Children and Youth, 2005). The IHS has established a widely-recognized injury prevention program that works with tribes and other partners to reduce the disproportionate impact of injuries on Indian people. http://www.ihs.gov/MedicalPrograms/InjuryPrevention/
  10. Kimberly Teehee is senior policy adviser for Native American affairs at the White House Domestic Policy Council. This is what Kimberly Teehee has written regarding the myths. ___________________________________________ I wanted to record this and write this post to debunk the myth that the Indian Health Service (IHS) is a government health plan gone wrong. It is truly unfortunate that recent press stories seek to scare Americans about health insurance reform by highlighting the IHS system. First, the IHS system is not an insurance plan. And comparing the two is like comparing apples to oranges. IHS provides comprehensive health care services to approximately 1.9 million American Indians and Alaska Natives living on or near reservations in 35 states. Some of these health services include doctor visits and check-ups, dental and vision care, diabetes prevention and treatment, mental health and substance abuse treatment, and home health care. IHS also helps construct hospitals and clinics and provides safe drinking water and sanitation facilities to American Indians and Alaska Natives. Health insurance, by contrast, provides individuals a guarantee to a defined set of benefits for a price. While the IHS accepts insurance payments for care it provides, it is not an insurance plan. Second, national health reform will not dismantle IHS. American Indians and Alaska Natives will continue to have access to their Indian health service facilities. And third, while Indian health has been historically underfunded, several tribes have developed innovative and award-winning approaches to provide health care to their communities. These sites serve as successful models for other rural and public health programs. President Obama supports IHS which is why he proposed a 13 percent increase in the FY 2010 budget, and invested $590 million in the American Recovery and Reinvestment Act of 2009. http://www.reznetnews.org/blogs/tribalog/clearing-myths-health-insurance-reform-and-ihs-38200
  11. Thunderwolf

    sex crazed patients

    In addition to that Jules, it is important to not demonstrate an emotional response to it...which often becomes the secondary gain. So, in a sense, you verbally redirect as well as show emotional benign neglect to the statements...no emotional energy given to them.
  12. The data is supplied to us via this article. They have webpages listed at the bottom as a source of reference.
  13. He also pulls bunches of long weeds in the prairie grass, to dry for use as a firestarter. "I have to be careful," Hale says matter-of-factly as he pulls a few fistfuls. "Sometimes there are some snakes. Rattlesnakes. Nothing to mess around with." He is 54 years old, aveteran of two Army combat tours in Vietnam, a member of the Lakota tribe and part of two stunning statistics, even as communities across America deal with the pain and challenges of recession: The unemployment rate on his reservation runs higher than 80 percent; Ziebach County, where he lives, is the nation's poorest, with just shy of 56 percent of its residents below the poverty line. Poverty among children in the county eclipses a staggering 70 percent. After the Army, Hale worked 16 years as a firefighter. But he began having some back problems in the early 1980s and then, "cancer caught up with me. I have a brain tumor." He says he gets a check for just shy of $17 every week from a tribal welfare fund, and tries to find odd jobs to pay for his food and to help out a diabetic sister. But there's a catch: Tiny Cherry Creek has no such jobs. There are one or two one-room homes like Hale's, but it is mostly a collection of a couple dozen simple modular homes provided by a federal and tribal housing program. It doesn't even have a gas station or general store. So Hale heads out most days toward Eagle Butte -- 17 miles up one road and then 21 miles more up the next. A few more twists and, "It's about 42 to 43 miles, someplace around there." Read more about him and Res life: http://www.cnn.com/2009/POLITICS/08/13/king.sotu.economy/index.html
  14. This is a significant topic. Thanks for raising it. Depression is an illness of various degrees and often impacts the totality of the person involved...mentally, emotionally, relationally, sexually, spiritually...and physically. One of the best ways to conceptualize this and make it applicable is in relation to "energy." Energy in excess, psychomotor excitation/agitation. Energy in depletion, psychomotor retardation. It takes energy to do what we do...from thinking and paying attention, to eating, to brushing our teeth, to relating with others, et cetera. When energy reserves are low and failing, it is not uncommon to see this slowing down in what makes us human or in being alive. Again there are degrees of this. Personally, I have worked with some folks so depressed and so energy depleted that I literally had to be those patients "back up energy generator" for them....providing hands on direction in very basic functioning, like getting them out of bed, getting dressed, performing very basic hygiene, sitting them in front a plate of food and saying, "time to pick up the fork and take a bite and now a drink of milk." When a patient becomes this depleted, a staff member frequently needs to become a human coach for them. For the patient, thinking, feeling, and moving can become a very difficult process. And often it becomes very difficult "to feel good or think well about oneself" if simple things like eating, sleeping, basic hygiene and appearance (stuff we often take for granted when we have the energy) falls to the wayside. This can be seen in significant depressions. So as a nurse, I begin with these basic areas...functioning. Also, the basic act of "taking care of oneself" is often self nurturing...placing value back on oneself...which often takes a major dip during depression. In energy depleted patients, I have the focus start there...keep it simple, basic, self nurturing, and getting back into the routine of being human. Later, this same concept is branched out in connecting with others...relating outward once again. I conceptualize my role as a nurse as being that person healthy enough in my own energy, which permits me in being able to lend that patient some of my own for awhile...until that person is able to kindle up some of his/her own spark and sustain it. It is almost like kindling a brand new fire from twigs...igniting the match, blowing on the sparks, providing additional fuel and oxygen for it to take hold on its own...to become an independent flame providing its own warmth. Yes, depending upon the patient, it can become labor intensive at times...but so worth the effort. Actually, this is one of those wonderful occasions where a nurse can see the fruits of his/her efforts....the transformation of a patient from being almost zombie like into a living, more functioning person. You ask if a therapeutic relationship is enough. My friend, it is everything.
  15. Thunderwolf

    Needing advice about MSW vs RN

    As a psych CNS/NP, in many states, one can perform much of the same duties as a MSW (especially outpt psych) plus med management plus physical assessment. And the pay is much much better.
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