Josh L.Ac.

Josh L.Ac.

Pain Management

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All Content by Josh L.Ac.

  1. Curious...using the title "Doctor" for a DNP...

    Josh L.Ac. replied to justme1972's topic in Doctoral Nursing Degrees

    Where is the evidence that medicine is male-dominated and therefore physicians make more than women nurses? Sounds like the biased, unscientific claims made in my Graduate Nursing Theory book...or...

  2. Curious...using the title "Doctor" for a DNP...

    Josh L.Ac. replied to justme1972's topic in Doctoral Nursing Degrees

    And sometimes an obese, sedentary smoker lives longer than a person that eats clean and runs marathons. Outliers of the group do not somehow confer special qualities to the group. In general, better...

  3. Curious...using the title "Doctor" for a DNP...

    Josh L.Ac. replied to justme1972's topic in Doctoral Nursing Degrees

    So you have a PhD in physics and just happened to pop into a nursing website and give an outside rebuttal about the physician vs doctor debate in your one and only post, then in closing, make...

  4. Nurses Past Their Prime

    Josh L.Ac. replied to dialysis12041999's topic in General Nursing

    Just to clarify, ageism is discriminating against an older [or younger] person and prejudging their abilities based solely on their age. Each nurse should be evaluate by their ability to carry out...

  5. CRNA vs Med school, tough decision, heres my story

    Josh L.Ac. replied to Crossfit SRNA2b's topic in Student Registered Nurse Anesthetist

    Perhaps that is true, but it really doesn't justify the other poster's claim that anesthesiologists are practicing

  6. CRNA vs Med school, tough decision, heres my story

    Josh L.Ac. replied to Crossfit SRNA2b's topic in Student Registered Nurse Anesthetist

    How are anesthesiologists performing

  7. narcotics

    Josh L.Ac. replied to twalker's topic in Nurse Practitioners, NP

    In my office, we are required to run drug screens at least once a year on all our narcotic-using patients, and supposedly governmental regs are suggesting we do it more frequently. Be sure to become...

  8. kckcc any positive feedback???

    Josh L.Ac. replied to butterflies135's topic in General Nursing

    One of my wife's good friends relocated to KC after Katrina and did the ADN program at KCKCC. I spoke with her frequently about the program and her clinical skills seem quite competent. She did...

  9. Driving Abilities NOT Impaired w/ Long-term OPIOID Use

    Josh L.Ac. replied to I love my cat!'s topic in Pain Management

    For the 2nd study, I was not able to pull up a full text version [sigh], but I did find a critique cited in a later article: Assessing Cognitive and Psychomotor Performance Under Long-Term Treatment...

  10. Driving Abilities NOT Impaired w/ Long-term OPIOID Use

    Josh L.Ac. replied to I love my cat!'s topic in Pain Management

    I'm going to look for the original articles on

  11. CRNA vs AA

    Josh L.Ac. replied to grifftith's topic in Student Registered Nurse Anesthetist

    Even if an AA is accepted into school with zero medical experience [cough], don't they still get more clinical hours in their program than

  12. Drug seeking or real pain? How do you tell?

    Josh L.Ac. replied to JudyPRN's topic in Pain Management

    I am going to have to disagree a bit on your first point - I think there is a difference between a drug addicted patient and a patient that is receiving ineffective pain control. One of the questions...

  13. Drug seeking or real pain? How do you tell?

    Josh L.Ac. replied to JudyPRN's topic in Pain Management

    this sounds great in theory for an inpatient setting but how do you safely give a chronic pain patient that is addicted to narcotics more narcotics in the outpatient setting? both the doctors i work...

  14. CRNA vs AA

    Josh L.Ac. replied to grifftith's topic in Student Registered Nurse Anesthetist

    I have done both and I can safely say that my bachelor's in biology was significantly more difficult than my accelerated

  15. RN's w/chronic pain, using narcotics

    Josh L.Ac. replied to SRbear's topic in Pain Management

    Do you know the parameters of the study, and how long will it

  16. RN's w/chronic pain, using narcotics

    Josh L.Ac. replied to SRbear's topic in Pain Management

    If you are in chronic pain that needs to be managed with narcotics then you obviously should take them. I've worked with people that were on methadone for chronic pain and they performed just as well...

  17. Drug seeking or real pain? How do you tell?

    Josh L.Ac. replied to JudyPRN's topic in Pain Management

    So is it being advocated on this thread that we should give narcotics to patients that are going through withdrawals because they are

  18. Need suggestions for pt uncontrolled pain

    Josh L.Ac. replied to Periwinkle Finkle's topic in Pain Management

    Try to get the patient assessed by a pain doc since she might be a candidate for an epidural steroid injection (or perhaps something

  19. RN's w/chronic pain, using narcotics

    Josh L.Ac. replied to SRbear's topic in Pain Management

    If you don't mind giving out some information...how long have you had it, what condition do you have, and what treatments did you fail before you got down the list to the stimulator? Don't feel...

  20. RN's w/chronic pain, using narcotics

    Josh L.Ac. replied to SRbear's topic in Pain Management

  21. I *do* recognize the need for nursing theory

    Josh L.Ac. replied to carachel2's topic in Post Graduate Students

    The two classes that I am in to start my master's degree are Graduate Research and Advanced Nursing Theory. Yeah. I will readily admit that my Nursing Theory class is not as bad as I thought it would...

  22. Pain Management Pain Scale

    Josh L.Ac. replied to lezanne's topic in Pain Management

    [wipes dust off thread] I know that when it comes down to it, the patient's subjective score is the best indicator we have about the quality and quantity of their pain, but in some cases, it is not...

  23. Pain Management Books

    Josh L.Ac. posted a topic in Pain Management

    Does anyone have a Pain Management book that they highly regard? One of the respected Pain Management nurses in my area suggested the following two books that I ordered from Amazon: Postoperative Pain...

  24. Pain Management Books

    Josh L.Ac. replied to Josh L.Ac.'s topic in Pain Management

    These two books have been great, although the Abram book seems more relevant to my job [mostly outpatient and procedural]: In addition, Pain: Clinical Manual by McCafferty has been a good read,...

  25. Pain Management Pain Scale

    Josh L.Ac. replied to lezanne's topic in Pain Management

    If I could, I would use the Face Scale to determine what the patient's pain score is instead of using their self-report. "No, you don't have a 10/10 pain. This is what a 10/10 looks like." [points at...