beochicken

The food loaf stuff is the most stupid corrections penalty i've ever heard of. We as nurses have a responsibility of ensuring that our patients are getting enough nutrients, and motivate our patients to eat it. Silently sitting by watching inmates get fed stuff not even a billygoat would eat is wrong, no matter how bad the inmate have behaved. If that crap were practised where I live (Europe), the prison staff that served that food loaf stuff would soon end up sharing a cell with the inmate he served it to.

Most of the dangerous elements in hi-security psych have a lifetime of experience when it comes to dealing out damage. Although physical fitness and some classes in basic self-defense might help you in a confrontation, chances are they wont if youre mindset isnt right. If you are serious about wanting to learn self-defense that is appliccable in a psych setting i would start regular training (two times a week) in a training centre that teaches aikido, judo or ju-jitsu (A lot of the other martial arts have a tendency to be based on kicks or punches, which doesnt make your state bon very happy)

My workplace (forensic psych ward) does debriefs whenever someone on the shift feels the shift has been a bad one. The debrief takes place after the new shift has started (we get payed for an extra half hour), and is in a non-formal setting where people can talk about their day, the patients, and so on. Especially for the newer people on the shift it is usefull, as it is easy to start blaiming yourself, and not the patients illness, when a patient does something bad, or communicates how little they like you and what an evil person you are. It is a good way to let of a little steam. Im thinking it helps the personell a lot, and helps keep people working at a ward populated by somewhat difficult patients a lot longer. There are a couple of good books about debriefing out there, id do a search at amazon.com if i wanted to learn more about it

Im just wondering, how is the procedure done over in the Us? Do you do the same stuff as us booring europeans (local anastesia with xylocaine, rubber banding the toe/finger to empty it of blood, cutting the piece of nail out and then fenol to etch the unwanted piece of nail-root away?)

Extrakul: you have pm :)

I work in a norwegian security ward, most of the patients have a history of violence or other serious offences, and the rules are similar to the ones you have in malmô. We dont use restraints very much though, we most usually manage to cope without them. Rehabilitation is done through psychotherapy, environment therapy, medication and activities. Big emphasis on planning the activities.

One patient of mine was very paranoid about beeing spied on by various governement agencies, and believed his room was bugged. Instead of telling him there were no problem, I took the "well, if the room is bugged we need to find the bugs and remove them" approach, and me and the patient went through the whole room from top to bottom to find the bugs. After fifteen minutes of intense searching the patient got boored and told me he wasnt so sure afterall about the governement spying on him, and that we didnt need to search anymore. The topic never came up again after that. Problem solved. My point is, if you offer the patient to sit watch with him outside his room to avoid "people going through his stuff and slipping him messages", it might be that it wont take very long before he gets boored and realises that that paranoid thought was something he made up to make a booring hospital day go a little faster.

Im thinking its not the formaldehyde in the emmbalming fluid that the users are mostly interested in, more likely it is the pcp (also called angel dust) that is found in some types of enbalming fluid. Weed lased with pcp make the high much more profound but is also regarded as beeing higly brain-toxic and can lead to reduced cognitive skills and psychotic episodes when used regulary.

A lot of prosthetics use high-tech ceramics. Googling gave me these hits (and a lot more). http://www.science.uts.edu.au/cmfs/knee.html http://www.wmt.com/ceramic/patients/treferences.asp And, ceramic materials are the preferred materials for dental implants, mostly because of wear resistance and manufacturing price. Good luck on your paper

A couple of patients at my hospital have been treated with greenbottle fly larvae to cure problematic necrotic wounds. Anybody seen this done before? What results did you see, and would you recommend this treatment?

There are a lot of good absorbent bandages on the market , and a couple of them also have a charcoal filter (smith and nephews carbonet for example). Why dont you try that before you bandage the wound with something you know is not sterile and dont know the chemical makeup of?

Has it occured to any of the aids sceptics on this board that the posts you are making may cause someone with an hiv infection not to take their coctail? Or maybe to continue unsafe sexual contact or whatnot?

snorting out all the maggots from a homeless persons sacral decubitus without disinfexting your nose afterwards

I sure can answer, but the relevancy of my answer is maybe somewhat limited, considering i live in Europe, and not in the Us. In the psych facility I work (max security for violent patients), all staff except for the docs and the cleaning crew do security work. This includes holding people, flooring them, restraints and so on. The nurses float in the ward and are usually involved in some way or another when somebody gets agressive (considering most of the quarrels are about meds).

Do like me, get a tibia fracture and try convincing the ER staff (in the middle of the night) that the codeine/paracetamol combo tablets they gave me earlyer didnt work