heron ASN, RN

Hospice

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All Content by heron

  1. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Of course there's a difference. The question is whether you know how to tell the difference. It was not apparent from your OP that you
  2. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Great answer, LadysSolo. I noticed that you never mentioned "clock-watching" or failure to exhibit the same s/s as someone having acute short-term pain. Which is what many of us have been trying to...
  3. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    So, LadysSolo, as an np dealing with drug contracts, you must be familiar with the concept of differential diagnosis. So how do you differentiate between an addict actively trying to force you into...
  4. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Google pseudoaddiction. So ... How do you differentiate between poorly managed pain (including withdrawal) and manipulation to get high or obtain stock to
  5. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    I would say challenging a deficient knowledge base, incompetent assessments and a distinctly unprofessional approach to coping with one's personal revulsion with a given patient's behaviors. ETA:...
  6. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    @LadySolo ... Since you see manipulative addicts so clearly as manipulative addicts, could you please describe how you differentiate them from patients with chronic severe
  7. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Guys, it's not a zero-sum
  8. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    I agree that the ICU nurse definitely flirted with malpractice in her failure to assess her patient. You'd think she'd know better as a critical care nurse. But I think calling her a monster is a tad...
  9. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    See what I mean about sucking the oxygen out of the room? We've heard from posters who are living with chronic severe pain. They've been pretty clear about how it feels to have their pain - the lived...
  10. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Sorry, but if they are upset at being held professionally responsible for the quality of their care, they should
  11. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Are you referring to the posts expressing anger at the treatment some posters received at the hands of medical professionals? Our jobs are hard, yes - but that doesn't make shaming our patients ok,...
  12. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Although it could be argued that the addict also "needs" medication. Withdrawal is neither fun nor
  13. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    OK, let's get real here ... we all have dealt with substance abusing patients. We have all been steamrolled by their drive to get their substance(s) of choice. I remember when mouthwash disappeared at...
  14. heron

    Fetal demise

    heron replied to IamSecond's topic in Ob/Gyn

    When in doubt, I ask. In general I think it's fine to let the family see your tears. I think that honest empathy is generally a good thing. Just be careful of being distracted from your job as a...
  15. heron

    Firearms

    heron replied to cracklingkraken's topic in General Nursing

    No - not sarcastic, just confused. I don't have the greatest writing style (I could fill a page with a single sentence), but my grammar is usually fairly ok. So ... carry on. Just not where I
  16. heron

    Firearms

    heron replied to cracklingkraken's topic in General Nursing

    'Scuse
  17. heron

    Firearms

    heron replied to cracklingkraken's topic in General Nursing

    So ... are you saying that what I don't know won't hurt me? Besides, the OP was pretty specific about cc on hospital grounds, not grocery stores or movie theaters. Also, I have a choice about going to...
  18. heron

    Firearms

    heron replied to cracklingkraken's topic in General Nursing

    I've said it before, the difference is that I have no choice about being at work ... as I said, to and from work or in a parking lot where I'm not, y'all can have a party since I'm much less likely to...
  19. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Just be aware that this is also how people with chronic severe pain get trained to act like "drug-seekers". Beware the self-fulfilling
  20. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    It's perfectly normal to have an emotional reaction to being bullied or manipulated. Having worked for 11 years exclusively with AIDS in-patients, most of whom were active addicts and/or...
  21. heron

    Drug seekers

    heron replied to russianbear's topic in General Nursing

    Don't let it come as a shock to y'all, but needing narcotics for a long enough period to develop physiological dependence is not - repeat NOT - the definition of
  22. heron

    Do we "just give meds"?

    heron replied to theviolinist's topic in Geriatric, LTC

    No, you're not "just a pill pusher". You need to be an expert at all those "independent" functions you learned about in school. Things like coordination, delegation, supervision and advocacy. Pushing...
  23. heron

    Hostage situation

    heron replied to ClaraRedheart's topic in General Nursing

    I wonder if people are getting hcahps confused with Press-Ganey
  24. heron

    What is up with these Sickle Cell Patients?!

    heron replied to BrandNewbieNurse's topic in Patient, Colleague Relations

    Which means that the professional psych practitioners here ought to be able to offer some insight on dealing effectively with her behaviors. Have you tried sharing your situation on the psych nursing...
  25. heron

    What is up with these Sickle Cell Patients?!

    heron replied to BrandNewbieNurse's topic in Patient, Colleague Relations

    By PD do you mean peritoneal dialysis? If so, she must have pretty advanced disease. And she's "pretty smart". That means she's been been living with a fatal disease since birth, is now dealing with a...