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anitalaff BSN, RN

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anitalaff's Latest Activity

  1. anitalaff

    What Else Can I Do For A Living?

    Yes to all of this!
  2. anitalaff

    What Else Can I Do For A Living?

    I can't decide which career is worse for your back.
  3. anitalaff

    Cannabis Nursing

    Hi. I'm not in the industry but I work in the community with clients who use cannabis for medical purposes. Do you have any experience with using cannabis for seizure disorders?
  4. I'm in the midst of applying to an online master's degree program (MHE) that focuses on health evaluation rather than public health (MPH) in general. Here is my rationale: In my area public health is a closed world and very hard to break into. I could take a huge chance on getting a MPH, which would qualify me for the same jobs I have been technically already qualified for. It seems like a lot of money to spend on getting a public health nursing job with a potential glass ceiling. Because I view public health as my career, I am thinking about adding a whole skill set to my repertoire by focusing on evaluating programs. This fits with my curious nature and my need to dig for answers, but also with my social side in engaging stakeholders. Has anyone else tried the end run to get into public health? What route did your career take? Was it intentional or by luck?
  5. anitalaff

    EMDR: Another Tool for Your Mental Health Toolbox

    What a great article. I feel like I have a good understanding of a treatment option that I knew nothing about before reading. Is it expensive?
  6. anitalaff

    A Feminist Approach to the Opioid Epidemic

    Hey OP. Getting a lot of flak about addiction and feminism there. Readiness for change through motivational interviewing is something that few HCPs have the skills or inclincation to assess. It's far easier to say "bad addict" and bring judgement to every patient who requires pain control, as some of the comments have illustrated. It's also easier to blame society than take the time to do reflective work on your nursing practice. I'm looking at YOU, commentators. I like how you are making the connection betweeen looking at the balance of power in health care through feminist theory. That's what feminist theory is all about. That said, balancing power and empowerment must be accompanied by building capacity in our patients. At this point, we have an uphill battle because we are reaching beyond healthcare into social and political arenas. It seems to me that you are hinting at building capacity when you talk about motivational interviewing. I want to challenge you on your statment that the opiod crisis finds its genesis in a (paraphrase) paternalistic framework of care. I'd like to see you expound on that (in a separate post?) because, like one other commentor, my inclincation is to say that it is in combination with financial/capitalist forces. Let us also review the literature and marketing that originally supported and encouraged the over prescription trend. I know you meant it to be a short post, but these are topics worth pursuing, given the current crisis. I'm a firm believer that as HCPs we have a duty to apply pressure to political and financial powers in order to accomplish the kind of changes that will improve health. On that point, I shy away from framing the opiod crisis within social theory alone. I would like to see you apply an economic perspective to the genesis and proposed treatment. Thanks for posting and responding in a mature and professional manner. It makes the thread fun to read.
  7. anitalaff

    A Feminist Approach to the Opioid Epidemic

    THANK YOU FOR POSTING THIS!!!!! We need to be students of history to make sense of the present.
  8. anitalaff

    A Feminist Approach to the Opioid Epidemic

    As always, FOLLOW THE MONEY. THis thread is so very interesting to read. My first thought in any seemingly intractable situation is to ask, "who benefits from maintaining the status quo?" When you find those people, you have some direction. Who will be paid to take the time to do motivational interviewing?
  9. anitalaff

    Living is a hard habit to break

    AN update on this client: As he was setting a third proposed date for his EOL, he developed an intractable bowel complication that was unrelieved by his prescribed pain meds. After an excruciating week, he was put on a PCA pump with hydromorph. At that time, he set his final day. He spent several days receiving visitors, saying goodbye to friends and family. Had this painful complication not ocurred, I believe he would have continued to be very conflicted about ending his life- he still had projects to finish. On his last day he was attended by his palliative physican and a colleague, an RN, and myself (another RN), close friends and family. It was a very large room, full of love and grief. In the end, the cost of his care did not cause him to choose his final day. However, it caused him much grief and stress during his last few months, worrying about having to die because he was running out of money. I want to continue my education so that I can investigate how situations like his develop and what we can do to change that.
  10. anitalaff

    Drug seeking- something to ponder

    This is not third grade. That argument needs to be debunked.
  11. anitalaff

    Patient's "right" to abuse nurses...I need your opinion

    I couldn't agree more!!
  12. anitalaff

    Ontario Nursing..should I or shouldn't I

    Former student nurse mom here. I did a year of pre-health because I had zero science background in highschool.
  13. anitalaff

    Ontario Nursing..should I or shouldn't I

    It will ALWAYS be too much. There will never be a perfect time to do it. I went for the 4 year degree when my children were 9 & 10, commuting 1 hr to classes and working part-time. It can be done. It was a bit nuts but once I had started, I decided there was no turning back. Don't let the doubt keep you from trying! Parents make awesome students.
  14. anitalaff

    Home Health Care Issues

    I work in home care and this issue arises from time to time. I don't have enough information to sound off much on your situation, but two alarm bells are going off here. Number one, your managers were not supporting you enough and you all needed to make a plan to put family in their place (so to speak). Client safety and care comes first. Yes, we cater to specific situations in home care, but interfering with proper care is never OK. Number two, if your client had agreed to allow family members to know details of his/her care, then all is well. If so, this should have been included in the chart upon admission. They can withdraw or change this agreement at any time, but they need to keep HCPs in the loop. So much of providing great homecare is having great support in the office. I'm sorry you had to quit over this.
  15. As the anaesthesia wore off, with steely determination, Bob made it clear that no masked question mark bandits would ever take his appendix alive.