I feel like we are rapidly reaching jump ship level. My own sister (in her 40s with 4 kids and natural born Texas/US citizen) is actively migrating her family to Canada next year. Her daughter with a clef pallet cost her family 90K last year WITH insurance. Her husband makes $150K a year, so they managed...but Christ! My sister is so serious that she already submitted all her immigration papers and is waiting to hear back.
I work in a clinic. The ER at the hospital I work for has sent critical patients to our clinic because they 1) apparently have no staff that know how to evaluate for a emergency (I say this having 8 years ER experience under my belt). I had a patient go to the ER twice in 24 hours for urinary pain, bleeding 1 week post op. They sent him to the clinic pale AF, orthostatic blood pressure 80/40, bladder scan showed 330 after voiding (ended up being a giant number of clots that I got to try to hand irrigate in the OFFICE!). The ER did a UA at both visits and NOTHING ELSE.
You might want to say this is my institution in particular...however I haven't held a job at 1 institution for more than 3 years. I've traveled. So, yes, there are better and worse.....but they are ALL getting worse. Process improvement usually involve trying to make up care gaps with unlicensed, under educated, unqualified people OR have one qualified person do the work of 3-4 people (both of which create gross care gaps).
I wish I could go with my sister. This has only gotten worse in the 15 years I've been a nurse. I'm not proud of my field.
You know what? You know that our profit driven system victimizes we the people? You know that this system is not sustainable and that nurses are suffering as profit is prioritized over patients while a fantasy world is marketed to the general public?
But, more to this point. I'm well aware of our profit driven system, however unlike some of you, I think the reach extends beyond one system. I think it's multi-system driven, not just political.
You know what? You know that our profit driven system victimizes we the people? You know that this system is not sustainable and that nurses are suffering as profit is prioritized over patients while a fantasy world is marketed to the general public?
hmmm, your post followed hoosiers comment and I knew he would get pushback so when I replied I knew it, in a kind of "told you so" way, your comment was the first in a line of pushback but it was really meant for hoosier, not you...
Specializes in NICU, PICU, Transport, L&D, Hospice.
HiddenAngels said:
But, more to this point. I'm well aware of our profit driven system, however unlike some of you, I think the reach extends beyond one system. I think it's multi-system driven, not just political.
Maybe you could discuss your thinking and beliefs with us.
hmmm, your post followed hoosiers comment and I knew he would get pushback so when I replied I knew it, in a kind of "told you so" way, your comment was the first in a line of pushback but it was really meant for hoosier, not you...
It's called fat shaming, and that's a whole other discussion. Fat shaming is totally wrong and that's most likely what started the movement. The problem we have as HCW is trying to find the balance between preventing someone from having a chronic illness who we see as overweight and criticizing/critiquing said person because of their weight.
HiddenAngels said:
This is a thing. Once they're on a sitter one-to-one or in mitts or restraints they won't get put in Skilled or Rehab (they have to be off for 24 h.) But in that 24 h period they will most likely injure themselves or staff or worse, fall. Huge Problem.
Please someone just give me the poison jello if this day should ever happen. We should be able to sign a permission on our driver's license for this to happen and pick our flavor of jello in advance.
Not interested in discussion of the factors you mentioned?
Interested, but the post above that was a playful dig at me, so I got a chuckle, and took that post to be that way as well, even though it directly quoted you. Not everything has to be an argument
Specializes in NICU, PICU, Transport, L&D, Hospice.
Hoosier_RN said:
Interested, but the post above that was a playful dig at me, so I got a chuckle, and took that post to be that way as well, even though it directly quoted you. Not everything has to be an argument
Hahahahah! This is not entirely true. You can give someone all the advice in the world, if it is not advice they can use it is worthless. Diabetic doctor "Take your insulin as ordered.” Diabetic "I have to ration my insulin because I'm trying to live off of $1400 a month.”
Primary doctor "Eat healthy.” Me "Well sliced turkey is $13 a pound...hard salami is $6.”
Like I said, the phlebotomist I work with, who works full time and has a side job can barely afford rent....and she has no lids or spouse. Good advice is only for people of privilege.
well yes and no... A can of beans is significantly cheaper than either turkey or salami...And perhaps if you had eaten more of those over your lifetime you would not need to be spending most of your income on insulin...
Specializes in NICU, PICU, Transport, L&D, Hospice.
coffeeismydrugofchoice said:
well yes and no... A can of beans is significantly cheaper than either turkey or salami...And perhaps if you had eaten more of those over your lifetime you would not need to be spending most of your income on insulin...
This isn't a simple problem with simple fixes. The government can't mandate eating habits anymore than they can mandate masks or vaccines for the general public during a deadly pandemic.
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Marketplace food portions have increased in size and now exceed federal standards. Portion sizes began to grow in the 1970s, rose sharply in the 1980s, and have continued in parallel with increasing body weights.
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vious suggestion is food consumed outside the home, which accounted for 34% of the food budget in 19709 but 47% by the late 1990s.10 Another possibility is the size of food portions. Many observations hint that out-of-home portion sizes are increasing.11 Larger portions not only contain more energy but also encourage people to eat more,12–14 making it more difficult to balance static levels of physical activity.
It's difficult for public health to be effective public educators when our politicians have targeted that funding for austerity.
While industry increased portion sizes and advertised the heck out of unhealthy foods funding for public health and public education has stagnated. Those institutions are even scoffed at in our modern society.
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Real (inflation-adjusted) per capita public health expenditures peaked at $281 per capita (2014 dollars) in 2008, falling 9.3% to $255 in 2014 (Figure 1 and Table A, available as a supplement to the online version of this article at http://www.ajph.org). Public health's share of total health expenditures rose from 1.36% in 1960 to a high of 3.18% in 2002 (when spending briefly surged in the wake of the 9/11 attacks4). By 2014 it had fallen to 2.65%—a decline of 17%.
well yes and no... A can of beans is significantly cheaper than either turkey or salami...And perhaps if you had eaten more of those over your lifetime you would not need to be spending most of your income on insulin...
You do realize that a diabetic cannot eat a can of beans? This is probably one of nastiest things I've read here recently.
You do realize that a diabetic cannot eat a can of beans? This is probably one of nastiest things I've read here recently.
Wait what? Beans would be an excellent choice for protein, fiber and lots of good nutrients. Is it the "whole can" you're objecting to? They don't need to be eaten all at once.
1/2 cup of beans would be healthier than 1 oz of deli turkey and much cheaper. In fact cook from dry even cheaper
HiddenAngels
1,060 Posts
But, more to this point. I'm well aware of our profit driven system, however unlike some of you, I think the reach extends beyond one system. I think it's multi-system driven, not just political.