Hollybobs

Hollybobs

ICU

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All Content by Hollybobs

  1. The Fifth Vital Sign

    I don't think there is an easy answer. But multi-modal analgesia and holistic pain management specific to the types of pain the patient may have (according to the WHO pain ladder and best practice...
  2. The Fifth Vital Sign

    I was responding to the bit about the hammer. I agree with the pharm & non-pharm therapy management, a holistic management of pain and a good use of the range of analgesia, not just narcs. If a...
  3. The Fifth Vital Sign

    They are using the pain scale to says "it hurts a lot". The pain scale is only part of any assessment of pain and good starting point. You could pretty much always make something hurt...
  4. Is 1.5 years in Med-Surg too short?

    I didn't mean those people! They are clearly uninformed. I meant everyone and anyone else. Sometimes good opportunities can come up as result of shining and performing well when you could become a bit...
  5. Tell the truth about being asked to resign?

    No need to state that you were asked to resign. You can always say the job wasn't a good fit, either because of the commute (which sounds horrendous) or because you wanted something different in some...
  6. Nursing Diagnosis conflict help!

    More about the rainbow please! On a serious note though, I hope if this was a patient in real life (after hearing from all these experienced nurses) that you would want to reduce her 6/10 pain...
  7. Ok, this is what works for me :) How to deal with this patient at the time: Let them talk and shout. Let them continue to do this. Listen and wait. Let them do this some more. They WILL slow down....
  8. Ah yes Janey...BUT! In addition! You can also apply those rules to psych patients. Especially Rule #1, #3 and #2. IN THAT
  9. What would a single payer system look like?

    It does look like that. I'm from the UK so it is universal access and different to single-payer but reading these boards, time and time again you guys are angry because of the emphasis upon customer...
  10. The Emotional Work of Nursing

    That's a lovely post Nurse
  11. Is 1.5 years in Med-Surg too short?

    Yes, it would be a shame to leave a job with so much going for it although I would be p***** off too. In fact, as others have said, this is a good chance for you to work on your own development and...
  12. How do you deal with your anxiety?

    Well it isn't very easy! A type of deep breathing really helps me, I use it if I have the first signs of nerves/panic/feeling overwhelmed/worrying in circles. The kind where you you breathe in...
  13. If you could empathise with your patient rather than judge her, that would go a long way. You found her reaction to her pain disproportional and judged her as exhibiting extreme behaviour and compared...
  14. Hello everyone :). I'm Hollybobs and I work in an ICU currently. I'm pretty new to this forum and this may be the wrong part of the forum to post in? I'm sorry if so. I was hoping for advice from...
  15. I love that line. After things are under control, just getting on with day-to-day tasks such as life-saving measures for an unstable, critically ill patient. ALL nurses should have a therapeutic 15...
  16. Supporting family member with severe depression?

    Hi Nurse Storm, Glad to hear that you have experienced an improvement, I am happy for you, i can almost hear the relief in your words. Thank you for the recommendations too. I like the phrasing of...
  17. Supporting family member with severe depression?

    Thanks Graduatenurse, that's kind of you to say. I think perhaps because I am a nurse and I like our unique role and perspective I wanted that insight from nurses specifically. I can't put my finger...
  18. Supporting family member with severe depression?

    Hi Tricia, thank you, that's very sweet to think of me :) I really am supported though, I am one of the most supported people I know, in general. I think it would be very useful to find out how other...
  19. Nursing is a passion?

    I don't think it has to be a passion for people, I've worked with amazing nurses who are there for the pay check only. I personally have to have passion to do my job or I wouldn't enjoy it. If there...
  20. Supporting family member with severe depression?

    Oh no, no offence taken and hopefully none given. I wanted to hear from people and feel privileged you shared your experiences, it has ALL been helpful. When I wrote my paragraph it was in a soft tone...
  21. Supporting family member with severe depression?

    Hi Gavin, it sounds like you've come a long way! You say you have a "soft spot" for the unwell- I hope you are able to show yourself similar compassion, I can't imagine you could would purposely make...
  22. Supporting family member with severe depression?

    Thanks Cola for your thoughts. It is a difficult balance! I'm getting a bit more of a clue how to do this I think. I wish you and Mr Cola the best also, and that things improve for you
  23. Supporting family member with severe depression?

    That makes perfect sense. I can do those things. I can stop trying to fix. I can be thoughtful in little ways and patient. "At some point she will reach out for help. You want her feel like someone...
  24. Supporting family member with severe depression?

    Hi Verene, more food for thought, thank you. Ah I didn't know that I could do that. I haven't also partly because of certain things about the PCP which I can't mention due to TOS but is good to know...
  25. Supporting family member with severe depression?

    It might come to that, probably at the point you mention (more scared of outside than inside). It is good to hear that it can be life-saving and life-changing both because it helped you and it could...