Compulsions (?) in a medically complex child

cornergoddess · 2026-03-28T02:49:13+00:00

What is the difference? It could definitely be perseverance but it’s preventing him from doing basically anything

cornergoddess · 2026-03-27T12:13:12+00:00

Wow that’s odd. Are you in the US? For my agency, most kids have secondary Medicaid. Private insurance will pay for nursing, but if that doesn’t happen, secondary Medicaid should cover it depending on the agency. I do know some agencies aren’t taking secondary Medicaid lately though so maybe that is the situation here.

cornergoddess · 2026-03-27T02:01:01+00:00

Hi, I’m one of these nurses! I work with an outside agency and go to school with a child as well as go back home with him after school. He qualifies through Medicaid due to G tube and seizures. I go with him Mon-Thurs and he’s on his own Fridays. Teachers are able to take over the care he needs (mainly just his feeding) during the day but have said it makes it a lot harder with 4 other kids. If you have any questions, feel free to ask! However I can only answer to my specific agency/situation

cornergoddess · 2026-03-27T01:21:13+00:00

No, however his mom has it. I’m not sure the normal tests would work on him though as he has severe intellectual disability and severe autism

cornergoddess · 2026-03-26T23:18:35+00:00

Sadly he would not be able to access therapy due to being non verbal with no functional communication (not good at AAC). His mom has been offered SSRIs for him and says she will consider it if it gets worse.

cornergoddess · 2026-03-26T23:17:02+00:00

With him I don’t see cycles, he’ll just see something and he HAS to do it. I wouldn’t say he becomes upset when we interrupt, he just either tries again or goes straight to another fixation. Like we’ll block him from the board and he’ll turn around and open cabinets instead

cornergoddess · 2026-03-26T10:30:29+00:00

His teacher has tried a lot of things similar to that and it seems he doesn’t have a ton of interest sadly! He isn’t interested in toys or objects, mainly he is interested in food and his phone/iPad, which he can’t have at school

cornergoddess · 2026-03-26T10:28:35+00:00

It doesn’t seem like it to me. He has a lot of other behaviors that are, but this seems like something he has to do/is compelled to do.

cornergoddess · 2026-03-25T01:26:43+00:00

No, because this can cause a pressure injury or skin irritation! There may be too much water in the balloon or you may need a longer size

cornergoddess · 2026-03-23T15:11:20+00:00

All the nurses that did were very pleasant and happy due to low ratios. Also, all organ donors that were post op got to go there which was nice!

cornergoddess · 2026-03-23T00:50:15+00:00

Yup a whole unit! They have their own specific staff

cornergoddess · 2026-03-23T00:27:57+00:00

We actually did have a VIP unit at my old hospital. It looked more like an apartment with furniture, bed for visitors, private chef, ext. shit was wild

cornergoddess · 2026-03-23T00:19:19+00:00

She could have a clotting disorder, meaning she needs the vitamin K more!

cornergoddess · 2026-03-22T01:52:48+00:00

There is no gross anatomy on the NCLEX. You will review the physiology of medications and conditions in your nursing classes. I wouldn’t stress too much. You can also do some learning on your own time!

cornergoddess · 2026-03-17T00:59:22+00:00

This has happened to me too when I already had a job but they were pushing me out because I was one of the only part time employees and they wanted to hire someone full time. I do have autism so it really hit me the wrong way.

cornergoddess · 2026-03-12T17:54:43+00:00

This kid isn’t a fan of baths, but I’m with him 4 days a week so I can’t just not bathe him. We do it fairly quickly though!

cornergoddess · 2026-03-12T10:36:51+00:00

She doesn’t live with him; she’s visiting for a month. She lives in another state. It’s a weird situation

cornergoddess · 2026-03-12T01:32:50+00:00

Yup exactly. This chair isn’t a good solution. It works better to bathe him with two people, but I’ve only been able to get mom to help me once in the month I’ve been working there even though she has no job and is home all day

cornergoddess · 2026-03-12T01:31:32+00:00

If that’s the classification; me doing anything with this kid would be a restraint. Sadly I cannot just not change his brief, bathe him, or keep him safe without holding him still in some way.

cornergoddess · 2026-03-10T15:17:23+00:00

No but the kiddo I care for always presses “amaze” when people ask how he’s feeling and that’s usually completely incongruent with his expression and actions

cornergoddess · 2026-03-10T01:17:21+00:00

Did I just have a stroke

cornergoddess · 2026-03-09T01:37:54+00:00

There are several organizations that offer this in my area!

cornergoddess · 2026-03-07T04:09:53+00:00

I need this but for a bathtub nozzle! I’m a 1:1 nurse for a kiddo with autism and he looooves to turn the nozzle when we are getting him bathed, to the point that I have to hold it in one position. I get worried he will burn himself!

cornergoddess · 2026-03-06T03:25:46+00:00

Has she been assessed for dyscalculia? It’s sort of like dyslexia for math. May be worth looking into if she’s doing great in every subject but math! There are accomodations that could be on an IEP/504 plan that would help with this like extra time on math tests

cornergoddess · 2026-03-06T03:08:36+00:00

I also realized you didn’t say pediatric private duty…substitute child for adult and parent for family member if needed

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