My best to your friend and recovery. Also, it is good to know that she was able to reach out to you, come clean with you, and move forward in treatment. It is good to have friends such as...
Thunderwolf replied to nerdtonurse?'s topic in Psychiatric
Consider placing him on suicide precautions. If your facility provides inpatient counseling for patients, get him hooked up and processing while he is still inpatient...he needs support now. Have...
Rural Native American communities are tackling declining tourism and unstable business that come with the increased cost of fuel. Travel and excess spending are no longer luxuries many can afford....
Thunderwolf replied to lizzlebizzle's topic in Psychiatric
As a new grad, they do not expect that you would have had alot of experience, if any at all. So...relax...they know...and places of employment are often willing to provide the training that you will...
You stated your point very well. I too am considering the option, possibly next year, in returning back for a Doctorate--> for teaching. Yes, I could do it now, but I also like being that student...
Thunderwolf replied to inthesky's topic in Psychiatric
Inthesky, your efforts and desire for something better is laudable. However, it appears that you may be caught in a system that allows little flexability for you as a nurse. The milieu sounds...
Some folks may think or even believe that culture has very little to do with health or even health care. As one who lives and works in the predominate culture, much of which is very blended, I can...
The Cherokee Nation's tribal council will consider a resolution that would implement parts of the Adam Walsh Act. The act, which was signed into law in 2006, requires a sex offender registry,...
Thunderwolf replied to inthesky's topic in Psychiatric
Again, pain management is not your focus....this needs clearly explained for chronic pain suffers RIGHT AT ADMISSION. You do not treat chronic pain. You can help him/her with acute depression and to...
Thunderwolf replied to inthesky's topic in Psychiatric
At this stage of the game, I would totally be focusing with him discharge and referrals....and emphasizing, treatment here is essentially done and over. I would also emphasize that treatment is an...
Thunderwolf replied to inthesky's topic in Psychiatric
Totally agree. Thank you. The worst DT's I had ever witness was from Xanax...the person nearly died. Totally agree with you regarding Benzos and detox....and risk of lethality. Ativan really has no...
Thunderwolf replied to inthesky's topic in Psychiatric
Thanks for reply. The 20 day stint in the hospital is sort of diagnostic of the treatment approach (if any)...and begs the questions: What are you treating? What is the objective criteria warranting...
Thunderwolf replied to EMSnut45's topic in Psychiatric
Excellent post, ruralnurs. No flame at all is warranted for what you have shared. It IS best for a patient to be seen several times before a genuine diagnosis is made. Prior to this, it all just...
Thunderwolf replied to kamakasigirl's topic in Psychiatric
Absolutely. This is where the marriage between psych and medical nursing can genuinely pull all things together. In many ways, this type of unit makes great sense. And your being able to wear both...
Thunderwolf replied to indigo girl's topic in Psychiatric
Delayed reactions or responses after the event are as well very common. This too happened to myself. The tough nurse in me dealt with the situation at hand (as I had done in many past events)...in all...
Thunderwolf replied to indigo girl's topic in Psychiatric
PTSD is a very real phenomenon among health care providers...often undiagnosed and left untreated...and we as providers often suffer in our silence. Depression is not uncommon afterward. It is time to...
Thunderwolf replied to indigo girl's topic in Psychiatric
Expect a state of fugue or numbness (alternating with high states of emotion...similar to what you are feeling now) among staff after such an event. It is a normal state when folks are in shock....
Thunderwolf replied to indigo girl's topic in Psychiatric
Indigo girl, you have my heart. Suicide is never easy. In a very great way, it becomes a selfish act (despite the hopelessness) because everyone surrounding that person dies in a small or large way...
an excellent article that discusses (each are links below): • how many individuals have substance use disorders? • what are the latest advances in addiction treatment? • can you treat addiction...
Thunderwolf replied to JerseyGuy2's topic in Psychiatric
Psych patients are NOT without physical ailments/diseases. The better prepared you are to wear BOTH hats (psych and non-psych) actually serves you and the psych patient best.
Thunderwolf replied to EMSnut45's topic in Psychiatric
Bipolar disorder aka Manic Depression is a difficult illness for many who have it. It is even more difficult on the family. Family is often the ones who have to pick up the pieces...sort of like...