pumpkinspice

pumpkinspice

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All Content by pumpkinspice

  1. How would this be a sign of diverting narcotics? Please elaborate, I don't
  2. Can a confused resident refuse care?

    A resident in LTC in Ontario is confused and has COPD. They are often noncompliant with their supplemental oxygen and constantly removing nasal cannula. Consequently there O2 sat frequently drop to...
  3. Can a confused resident refuse care?

    I was thinking that would only be battery if the patient is oriented. This pt is confused so not necessarily able to make best choice for himself. To be clear, I provide a lot of encouragement...
  4. Hello, I've been unable to find a clear answer for this scenario despite my research efforts. I'd really appreciate any input! Thanks in advance! A resident has prn dilaudid q4h and scheduled...
  5. Administration of PRN narcs too close to scheduled meds??

    Thank you for your replies! Yes both same dose of 1mg. I know it wouldn't be detrimental to give that low dose 2 hrs apart but just was wondering the proper way to
  6. coping with difficult pt in LTC

    I think you're right.
  7. coping with difficult pt in LTC

    I've been trying to cope with a residents difficult behaviors and am scared I will jeopardize my license because of her actions. She is pill seeking and requests prns frequently despite reminders...
  8. Is this ethical?

    Hypothetical situation: A 90+ year old woman with advanced dementia and cancer wants to nap during day. However, POA insists she does not sleep and be engaged entire day. Would you consider not...
  9. Is this ethical?

    Thanks for
  10. Is this ethical?

    Yes, that's what I'll do. Thank
  11. Is this ethical?

    I'm in
  12. Is this ethical?

    Psw. Not private
  13. Is this ethical?

    Kept awake through activities. But the client has very limited interests and attention span due to cognitive impairment. It's very difficult to keep her awake by continously introducing new...
  14. Is this ethical?

    No, this isn't homework. I'm not a student. I personally feel it's wrong to refuse to allow someone to nap, especially someone in the state of health. I was hoping to hear reasoning from someone who...
  15. Therapeutic Communication question

    Hi, I would really appreciate some advice for this situation. It is a school assignment question. A patient underwent a radical mastectomy 2 days ago. She was given health teaching regarding exercises...
  16. Therapeutic Communication question

    Hi, Thank you so much for your input:) I didn't consider giving her more control..These are all great points that I will apply in my clinical practice and will be very compassionate and empathetic....
  17. "Don't Work" Isn't An Answer

    Many people in my school are working. It's definitely more difficult as it leaves less time for studying, but they seem to make it. Everyone has different situations, so when someone says "It can't be...
  18. Therapeutic Communication question

    Very good advice, will be helpful when I start clinical next week. Thank
  19. Therapeutic Communication question

    Hi Everyone, Thank you for your explanations, I completely understand now. I definitively have good intentions and look forward to being a part of this site:) I'd like to explain my reasoning in the...
  20. Therapeutic Communication question

    why would you comment on this being my first post.?? I just signed up !! I think we all started off with one post at some point, don't you? Should I be ashamed Im asking for advice? Isn't giving and...
  21. Therapeutic Communication question

    Wow, I'm really surprised by the snappy comments. I'm not looking for someone to do my homework. I have my own ideas and just wanted some input since I've never dealt with anything like this....