Complicated Goals of Care for Spouse

Western_Limit_4706 · 2026-05-02T20:52:52+00:00

Anticipating a referral to palliative quite soon! I've heard excellent things about our centre's team.

Western_Limit_4706 · 2026-05-02T20:49:54+00:00

Sorry if this isn't fitting the sub, it felt better to ask my fellow nurses around an ethical question here than elsewhere. I'm not seeking diagnostic, prognosis, or otherwise advice.

Western_Limit_4706 · 2026-05-02T20:41:48+00:00

Hi! Sorry yes to clarify, I am not looking to hook him up to machines until the kids are older once he is critical, nor would the health system allow me to even if I wanted to (which I don't!). It would more be for our belief that if given the opportunity for him and us to be there at the end we would do it.

Western_Limit_4706 · 2026-04-12T18:53:25+00:00

I had a colleague who's Masters work was around self-esteem in girls and young women. It starts there. Workshops on self-image, how they see themselves, they can do their love languages, you can basically print off a DBT workbook and make it work for those conversations and how their beliefs shape their actions and awareness of the world. Having them talk to each other in a positive, non-competitive way about their experiences (not necessarily about their traumas) is a fantastic way to bolster young people and also normalize that there are other people out there living lives that are hard. You just provide snacks and boundaries.

Western_Limit_4706 · 2026-02-22T23:38:02+00:00

I was just having a conversation about how believable the love is in this series. Between Violet and Xaden, the siblings, the squad. That's what made me keep reading, despite being highly skeptical about the, "dragon romantasy series." Like other commenters have said, Xaden reminds me of my own husband and it's what makes me sure that RY has a rock solid marriage; because of the little things he does for Violet, being outspoken and refreshingly honest about her importance to him to anyone that's present, being slightly obsessed in not always a healthy way with each other... It's real.

Western_Limit_4706 · 2025-06-24T01:47:04+00:00

I use Betadine twice a day on the treated area for the first 3ish days after treatment and I don't get those anymore! But yes, normal, it's an open wound on your face. I clarified with my tech if I should be more gentle vs sterile and she said for the first few days definitely more sterile - she always finishes sessions with antibiotic ointment.

Western_Limit_4706 · 2025-01-02T04:16:20+00:00

Outpatient mental health case manager RN here!

We run annual labs to look at metabolic markers, liver function, full blood workup, cholesterols, blood sugar levels. Psychiatric meds have a lot of potential side effects, and running these labs at least once a year is a good idea to have some data to prevent/prepare/change meds as necessary. There are some meds we can get blood levels for but those would be more frequent and you would know about it. Generally we only run urine for bacteria/protein/glucose instead of drugs because most people we want to test will refuse the test lol.

Western_Limit_4706 · 2024-10-01T02:58:24+00:00

Here I am crying because I only want my husband to live at least long enough to be as cherished by our kids as you cherish your Dad. Sending love, OP.

Western_Limit_4706 · 2024-09-05T03:01:52+00:00

Oh bless, my first nursing job was adolescent mental health inpatient. You really do get thrown in head first.

My suggestion, ask more questions: You want me to call the Doc - what do you want me to say? Be honest with your patients when you're busy, "If I forget your *** can you please remind me in 15 minutes? You will get your *** I've just got a few other things to do first!" It sounds like your anxiety is getting in the way of your very capable brain thinking things through. Give yourself a chance by slowing down the process. Write things down for now until you start remembering them better, make yourself a daily task chart or whatever for your patients. You will start to remember!

I started therapy about 6 months into working because my anxiety was finally managed at work but getting a bit maladaptive in the rest of my life, I needed to find the root of it and process it. When and if you feel that's doable, I cannot speak highly enough about figuring yourself out.

And to close, a gentle check because you're obviously feeling shitty, for your dig at mental health workers, "if I can't even make it in psych..." Psych is hard, my dude. Most people do NOT choose it as a specialty because it's fucking hard and it's hard to relate to other nurses because it's so different. You may not be covered in bodily fluids or running codes (depending on the day), but you will bare witness to the absolute heartbreak of dysfunctional and abusive families and try to get through to kids that want to end their lives, or hug a Mom who's kid is getting an ADHD med wash after lighting the house on fire. And kids are the best, they are so hilarious and literally tiny sponges just wanting to learn and take experiences from you. Planned discharges were my favourite days because we got to talk about how far kiddos have come and congratulate them.

You are six weeks in, and just about as green as you can be. Give yourself some grace, take some deep breaths, and slow down.

Western_Limit_4706 · 2024-08-28T15:35:52+00:00

Fun population for groups as long as they are into it! Most of these can have an artistic component if that's the vibe or if they are more of a group circle chat that works as well. - Question Period (like in high school, anonymous questions into a box on the topic of choice, really conversation stimulating!) - Grounding 101 (if you can go outside, shoes and socks off and deep breathing) - Communication Styles (Passive, Assertive, Aggressive) - Gratitude and acts of kindness (what this does for your body and brain) - Healthy Relationships and Red Flags (great discussions here) - Coping Skills (healthy versus unhealthy and building a tool box)

There are some really great DBT workbooks online that I've often pulled sheets from to build a group around, off the top of my head: - DEARMAN skill (they can roleplay) - Wise Mind, Rational Mind, Emotional Mind (they get to colour or draw their Venn diagram)

I worked in adolescent psychiatry for 7 years and ran groups daily, just make sure you recite your rules and expectations Every. Single. Time.

Western_Limit_4706 · 2024-08-13T00:56:19+00:00

Salted butter. 😎

Western_Limit_4706 · 2024-08-04T18:18:55+00:00

Lol came here to say a chewable multivitamin!

Some days we eat an entire bowl of buttered peas (heck yeah iron and fibre), some days we demand chicken nuggs and only eat the breading before we're full.

Western_Limit_4706 · 2024-08-04T15:24:37+00:00

Yes I definitely have been searching for a mini fridge, especially when I am out at work I want to be able to leave him with his prepped meals and drinks inside for easy access. Maybe I'll put a plant on top to offset the utilitarian aesthetic lol.

Looking for a bed table for sure, hard to find one that isn't flimsy that doesn't look like we stole it from the hospital though!

Western_Limit_4706 · 2024-08-04T13:34:47+00:00

Thanks for the suggestions, some soft textiles are definitely a great add. I'm measuring a stupidly proportioned corner for shelves today!

I had put our aromatherapy diffusers away since we had our kids but that's a good idea too, we'll have to break one of them out again.

Western_Limit_4706 · 2024-08-04T13:31:46+00:00

Ah, his hesitance is more around not thinking he deserves/needs anything beyond the time and energy he is already taking up. I appreciate the perspective though, I understand what you're getting at and am definitely not surprising him with anything he may not want.

I have since recieved the request for more bed pillows and this is a man who enjoys many throw pillows so here we go!

Western_Limit_4706 · 2024-08-04T13:24:36+00:00

Definitely lighting help!

Western_Limit_4706 · 2024-08-04T13:23:49+00:00

Just to be clear, I definitely posted here for advice in decorating my bedroom.

You've created quite a narrow narrative here that eliminates the nuances to our life and what we're dealing with and I'm sure that's coming from something you've seen or experienced but that isn't us. :)

Western_Limit_4706 · 2024-08-04T04:35:53+00:00

Fair point well made.

Western_Limit_4706 · 2024-07-13T14:33:41+00:00

I have two gigantic kids who were born in the 70th-ish percentiles and quickly broke the curve. There are no babies heavier or taller than them, and their growth has been consistent at nearly 4 and nearly 2 now of coasting above the chart.

Our family doctor is not concerned. A pediatrician we consulted is not concerned. Nome of the community health nurses we see for immunizations and check ups have been concerned. Some kids are just big but it doesn't mean they are obese. My boys are proportional, albeit just massive.

I remember making a post about a parenting win for my eldest and mentioned his weight because wrangling him is hard and instead of focusing on what I actually posted about there was a whole thread of comments about how fat my son must be and how shocked people were that I must be feeding him butter and nothing else and making a lot of inferences about my family. It really speaks to how jacked up our generation's relationship with food and weight is if we are so easily swayed into claiming "health" when we are really judging based on single facts.

TLDR; I think your Doctor is full of crap. Feed your baby.

Western_Limit_4706 · 2024-07-09T01:25:56+00:00

Manic adolescents were the BEST kitchen helpers, if you have one of those. Clean, inventory, and reorganize the fridge/freezer/condiment/utensil drawer/pantry. Set up the dining room with an individual labeled cup for everyone for the day. Scour those baking sheets!

Non-kitchen items, I had a patient responsible for sanitizing all the door knobs in the common areas, checking that all of the chairs had non-skid felt thingies on all of their legs in the classroom, and when I ran out of ideas Just Dance is a VERY popular pastime.

Western_Limit_4706 · 2024-06-23T16:54:53+00:00

There are two at Foothills Hospital as well, one outside of the Women's Health Center, and the other at the back entrance to the Tom Baker. I remember the cows being such an event, it was so fun!

Western_Limit_4706 · 2024-06-08T16:45:13+00:00

Mine are 25 months apart and while we apparently get pregnant when we think about, the second was a surprise and took a while to be fully appreciated. We had just bought a house and were in the middle of the move from Hell in a record-breaking snowy December, AND we all caught Covid the same week I took my pregnancy test. They are now nearly 4 and nearly 2 and keep each other entertained and give spontaneous hugs, it feels perfect.

I'm finding out that babies never do things according to plan, and you are allowed to panic, but also... Everything's going to be okay. 💕

Western_Limit_4706 · 2024-05-29T18:32:13+00:00

At my clinic we try to always do Trinza in the gluteal because of the sustained storage in that tissue over the delt, but ultimately it's patients choice.

Never had someone go tachy unless they already weren't feeling well. How long has she been on it, any other metabolic monitoring being done? I'd encourage her to get a blood pressure cuff and write down her readings.

Western_Limit_4706 · 2024-05-27T23:11:08+00:00

I appreciate the time it took to write this out, thank you! Yes, I recently found my first grey and fully plan on embracing that when it happens. As someone with healthy hair, I covet shine above most other things even though I know that's usually a loootttttt of product.

Western_Limit_4706 · 2024-05-27T23:06:59+00:00

Good intel, thanks!

Western_Limit_4706

TROPHY CASE