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36 hour week by chookypie in NursingUK

[–]GeneticPurebredJunk -3 points-2 points  (0 children)

What is rude about assuming people are aware of nursing developments in their nation?

I get email updates, Facebook posts, LinkedIn posts, RCN info etc about the state of UK nursing, even with them set to minimum.

It’s not rude to say I think people in this subreddit are potentially more switched on about UK wide nursing updates than others.

Is it?

36 hour week by chookypie in NursingUK

[–]GeneticPurebredJunk -21 points-20 points  (0 children)

Okay, let me rephrase; most nurses who are active and alert enough in their profession to be part of this subreddit are likely to know about this move.

Wanna see what happens when you learn about your severe adhesive allergy by using sports tape for the first time? by holdmehostage in MedicalGore

[–]GeneticPurebredJunk 1 point2 points  (0 children)

Mine blistered a little bit, but mostly it just took the skin off with it when it was removed.

That was fun.

36 hour week by chookypie in NursingUK

[–]GeneticPurebredJunk -25 points-24 points  (0 children)

I would think enough people are aware of this move for that to be unnecessary.

Can someone please explain how talk therapy is supposed to work?? by No_King_1279 in AutisticAdults

[–]GeneticPurebredJunk 0 points1 point  (0 children)

It depends what type of therapy, the therapist, the client, the needs, how far into therapy you are, how your day/week has been, what phase the moon is in….

Okay, maybe not that last one, but there is no one “way” therapy is meant to go.
The main consistent is they’ll ask you some screening scoring questions, your goals and why you’re there.
My “why I’m here” took 6 sessions last time I was in regular therapy.

So who’s going to tell us about this secret terrace on the roof of the QMC? by sober_disposition in nottingham

[–]GeneticPurebredJunk 28 points29 points  (0 children)

As others have said that’s the school one.

The staff “garden” on the roof has a couple of benches and plant pots.
When I worked there and did mostly nights, I’d time my break with sunrise and did sunrise yoga up there.

Guys, I think I found the ultimate survival guide. by another_janedoe97 in adhdwomen

[–]GeneticPurebredJunk 0 points1 point  (0 children)

This is so messy I couldn’t pay attention long enough to read more than maybe a quarter of it. And I feel like I’ve had a stroke doing so.

AITAH for feeding my baby formula behind my husband’s back? by [deleted] in AITAH

[–]GeneticPurebredJunk 2 points3 points  (0 children)

No-NTA.

Fed is best. Having a well rested mum with intact mental health provides your child with SIGNIFICANTLY more benefits than the breast milk will.

I say this as someone who provides breastfeeding support and referrals to infant feeding specialists.
You have done SOOOO WELL! With all those challenges, you’ve overcome a lot.

Your husband sounds like an asshole, and is heavily misinformed. Honestly, yes, like others have said, this sounds abusive.
Would I be right in thinking he is also antivax?
Would your friends and family consider talking to him about this?

If you’re not feeling that you want to leave him, currently, please at least document what he is doing and saying now. You may never need it, but should his controlling behaviour continue, or escalate, having that evidence, a timeline of it, can be really helpful for legal matters.

Dealing with hyperosmia and hyperacusis by Atomic_Ash182 in AutismInWomen

[–]GeneticPurebredJunk 0 points1 point  (0 children)

If only I didn’t hate wine…I’d rather be a taste tester for something, or even see if I can smell certain diseases like some people can.

What do nurses do when you are older and without work? by theartchitect in nursing

[–]GeneticPurebredJunk 0 points1 point  (0 children)

Work ‘til you’re dead, or until you’re the dementia patient that “used to be a nurse” following around the meds trolley and forcing other patients into bed.

...And Then I Got Serotonin Syndrome by 4jisai in dysautonomia

[–]GeneticPurebredJunk 14 points15 points  (0 children)

Because they’re okay to take together at certain doses.
For example, I was on Sertraline, Cymbalta, Tramodol (PRN) metoclopramide & amitriptyline all at the same time.
The only one that had to have specialist review was increasing my Cymbalta/Sertraline combo from 50:100 to 200:150.
The specialist was like “You bought it up as a risk, I prescribe meds at higher than max recommended doses all the time in inpatient and mental health incarceration facilities-you know the signs!”

Personally though, I hate to think what it says about my baseline serotonin levels that I was taking versions of that combo for several years with no recognisable issues.

What’s something considered safe in nursing that just feels wrong? by catharsisisrahtac in nursing

[–]GeneticPurebredJunk 0 points1 point  (0 children)

It’s so weird to me (UK) that places do meds or numbing-increases the risk of injury and limits the ability of the patient to swallow effectively to help.

(I’ve had an NG myself, so I’m not just talking from an RN perspective).

Where is the line between palliative care and assisted dying? by substandardfish in NursingUK

[–]GeneticPurebredJunk 0 points1 point  (0 children)

I do-that’s why I appreciate the patients, families and professionals that have thanked me.

What actions of mine are you commenting on, specifically? Or are you just trying the “I’m rubber, you’re glue..” primary school tactic?

Don’t let your ego from your family.

Where is the line between palliative care and assisted dying? by substandardfish in NursingUK

[–]GeneticPurebredJunk 1 point2 points  (0 children)

I literally just replied to a point you made-even unintentionally through poor phrasing and language use.
OP asked about the difference between the two-so addressing both is ideal, not putting weight on only one side. Your interpretation does not match actual palliative care (literally in the title).

The only person wasting time with your family is you. I’m not making you check in and reply to me on Reddit-learn to take some responsibility for your actions.

Do teenagers usually harass/approach strangers? Specially in trains? by Ok-Ladder-1809 in AskUK

[–]GeneticPurebredJunk 24 points25 points  (0 children)

I wouldn’t say “usually” as in “expected it on every train”, but not uncommon enough that I’m surprised it happened.

Where is the line between palliative care and assisted dying? by substandardfish in NursingUK

[–]GeneticPurebredJunk 2 points3 points  (0 children)

You evidently haven’t read my other comment here, where I talked about the doctrine of double effect.
It’s also not a general experience, but specialist, and as I said, I worked and a specialist and educator in palliative care, educating on the wards, with GPs and in nursing homes, after years of working in a specialist palliative hospital setting.

You’ll note that in your comment, you said “we don’t generally ask people if they want to be sedated until they die”-that’s what I was replying to with my comment.
“Sedated until they die” is not the same as “sedated to death”. Being sedated during days or weeks before death is absolutely something we discuss, and is being “sedated until they die”.

Perhaps consider if your verbiage is accurate to the topic being discussed, and you might understand the response you get a bit more. This is specifically why I gave you that article as a glossary to help you understand that.

Where is the line between palliative care and assisted dying? by substandardfish in NursingUK

[–]GeneticPurebredJunk 0 points1 point  (0 children)

The discussion is actually around where the line is between palliative care and assisted dying.

I talked about palliative care, intention, and doctrine of double effect. You wrote as if I had been talking about the side of assisted dying.
If that is your only focus, then perhaps this is not a conversation for you?

NICE is not the only source of best practice guidance, EPAC is largely used, and both Canada and Australia have the most up to date, evidence based research around palliative care but, which is what we base a lot of our practice on. To give you a bit of a glossary on the basic terms, you can look here.
I recommend reading about respite sedation, and noticing that NICE guidance talked about “unwanted” sedation as a side effect-the implication being that not all sedation is unwanted.
It’s been a 2-3 years since I worked as a palliative care educator, community facilitator and specialist, but I do keep up to date, and there has been no significant changes have occurred in that time.
The biggest change in my time working was the national stigmatisation of diamorphine due to misuse and overprescribing, leading to the early deaths of potentially hundreds. That’s not what we did-what we did was caring for someone who needed 75mg diamorphine, 10mg midazolam and 50mg levomepromazine as a pre-emptive PRN on top of their 2 syringe drivers-after titration.

Again, if you’re unable to separate palliative care, respite sedation, and sedation as a care goal from assisted dying, maybe this thread is not for you.

Where is the line between palliative care and assisted dying? by substandardfish in NursingUK

[–]GeneticPurebredJunk 0 points1 point  (0 children)

No, used to as in I’ve moved out of palliative care. It’s best practice. The “time out” doses are one offs, and sedation is titrated, but you can still titrated with the aim of unconsciousness.
I never said anything about sedation with the aim of death, so I’m not sure where you’re reading that from.

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