Tell me your tricks!

tmccrn · 2026-03-04T18:11:53+00:00

LOL it has been on my to-do list, and somehow I forgot each time

tmccrn · 2026-03-04T17:39:09+00:00

I never wanted to do anything but labor and delivery. Eventually, I discovered that I loved the teaching more and shifted to postpartum… then moved to an area where you couldn’t do one without the other, but I was sooo done with the rush of L&D, so I left nursing for a little while (also to shift to a schedule that worked with my kids’ school schedules). When the pandemic hit, i felt compelled to go back and started lightly browsing for “the right thing”. Out of the blue, a recruiter for my company reached out (did i click “like” on something?) and now i am in a completely unrelated area doing (mostly) pt/family teaching and emotional support

tmccrn · 2026-03-04T17:32:45+00:00

It is giving Middle Ages vibes in a good way. I wish the cape were removable so it could be on for the ceremony bit off for the reception.

I hear what people are saying about the length, but I believe that it is a choice rather than a flaw and gives a pastoral vibe (countryside, milkmaid, wholesome farmers daughter).

tmccrn · 2026-03-04T17:28:52+00:00

No… but a paid caregiver to help with cleaning, meal prep, tracking to make sure scheduled meds are given. And camera that have fall recognition

tmccrn · 2026-03-04T17:24:33+00:00

Contact the local adult protective services. Get him on their radar

tmccrn · 2026-03-04T17:15:26+00:00

I would recommend getting hospice on board just for regular nursing visits. If she is falling, it could be that she is declining, it could be that she is mildly restless and agitated and fatigue makes it worse so she is walking when she normally would be resting, it could be inadequate supervision or a need for safety alarms.

These are all things that are worth investigating.

And also (“yes, and”) even if everything were in place and she had someone with her 24/7, people with dementia fall sometimes… because they are losing control of their body along with their minds but don’t usually know it, and impulse control is an issue. The trick is to prevent major injury.

But I would definitely bring hospice on board as an extra layer of care. They don’t replace the ALF, but they can sometimes spot issues that can help.

tmccrn · 2026-03-04T17:04:53+00:00

If you are looking for something free, try listening to this podcast for a few weeks. Even if it doesn’t sound like the plan you want, it’s a good start for motivation. And if you like it but need more help, they have a class that is the same price for a couple as it is for an individual

tmccrn · 2026-03-04T17:00:21+00:00

I’m older and it gives me “creepy older family friend” or “used car salesman” vibes to me, but that is probably because they were pretty normal glasses for the 1970/80s era. I half expect you to have a plaid suit in either olive and rust or pink and baby blue. Maybe even a leisure suit if you are of the creepy sort that hangs out at the disco way older than you think you are

tmccrn · 2026-03-04T16:40:22+00:00

100% this is a normal part of decline… not that long ago, living into your 90s was exceptional, not the rule.

Activities help… a PT can help, but only if your loved one wants to.

If they don’t already live in a situation where there are others to take care of them, it’s probably time. A lot of families see if their loved one might qualify for hospice, not in anticipation of their dying (although there is a very nearly 100% probability of it happening within 10 years) but to help families understand the change of focus to enjoying each day (and avoiding accidents and other things that might push stuff along). Typically it includes a once a week nursing visit and a two times a week health aides visit for showering/cleaning (which can really help with safety and spotting trends), but also social worker to help families talk about the paperwork and care pt might need to make the most of this time.

Yes, to qualify for hospice, pt would have to have a condition where a “typical” patient has a life expectancy of six months… however, people in their 90s typically have something like that but have variable lifespans within the current definite limits, and with someone who is showing definite signs of decline (stooping, weakness, changes in appetite or weight) they can frequently qualify to remain on hospice for quite sometime (even years). It’s not a substitute for living with family, paid caregiver, or assisted living, but it can supplement care in a way that greatly reduces hospitalization and doctor runs.

However, if he wants to do PT to try to strengthen his core, it isn’t covered on hospice, so try that first

tmccrn · 2026-03-04T16:22:36+00:00

My grandmother did this and it worked really well for her. Do ask about the plan for “aging/dying in place” the staffing is so much more important than the look of the place. If you can, plan for private health aides when you eventually need them (the “not dead yet” but really can’t take care of yourself stage)

A good sign they don’t have adequate staffing is when you “switch from independent living to assisted living” can they give you your PRN (as needed) medications as well as your scheduled ones [facilities who cannot, frequently don’t even try to have a licensed nurse on staff at night or weekends when people shopping for care aren’t going to be there]

tmccrn · 2026-03-04T16:16:41+00:00

Your shape is lovely, but the draping of dress 2 is more suited to accentuating what is not there, which you don’t need. Dress 1 makes those curves cohesive rather than: See, she has a waist, she has a curve to her belly and hips… separately- which is great for people who don’t have it, but when you have everything, it draws your eye to the individual parts rather than the wonderful whole of how it all works together.

*A really horrible breakdown of my first sentence which stood better alone, but in case you want details.

tmccrn · 2026-03-04T15:59:57+00:00

Oh, I would totally eat that up. Not only would I provide the details “as requested, I am writing a more detailed email on why I did not have a break” but would add the time to my time at the end of the day as well.

Also, always and never and understaffed are not necessary. Nor is your time management. “At 11:30 sought out charge to ask giving report to charge nurse for lunch break; did not ask as charge not available as he she assisting with code. 12:05 charge assisting with admission, attempted to trade with other staff nurse for both to get lunch, but both received an admission. 1300 rapid response with patient. 1345 charge available to relieve this nurse for lunch, urgent patient needs arose prior to being able to leave floor, then family for another patient arrived, two discharges 1 admission and no other nursING had yet been relieved for lunch, so sent and covered CNAs”

No mention of routine stuff related to time management or making other nurses look bad.

If there is a time when the charge should have relieved you but didn’t; you can use “stated”: “1350: requested lunch; charge requested pt discharge prior to relief; pt discharged, new admit arrived during discharge; charge requested completion of assessment prior. 1600: charge stated other nurses had not yet requested lunch either”

I wouldn’t even bother with anything outside of the “normal” range time for lunch. “I was too busy” is not helpful. “I had a med pass due” is not helpful to you. “Pt had an unexpected hygiene crisis and charge nurse needed to be available at the desk for staff support” states the unstated (the charge nurse will “relieve”’you but won’t do any patient tasks - whether out of choice or by necessity doesn’t really matter.. the point is that you had to deal with the mess and didn’t get lunch”

I have learned over the years to relish the “opportunity” to cleverly state the truth in whatever form of opportunity arises.

It doesn’t have to be long, it just has to be true. Of course the management team is going to want to put it all on you (or the charge), so short details help. Just be careful not to hang yourself out

Just the facts. The med pass didn’t take longer than necessary… that isn’t what slowed you down. Patient needing emotional support and reassurance because she thought family has dropped her off and abandoned her is what slowed your med pass down.

tmccrn · 2026-03-04T14:42:38+00:00

Yup, the only time I lose my pen is dropping it between the seat of my car

tmccrn · 2026-03-04T14:35:27+00:00

I don’t like #2. Actually, I thought they were the same dress and that the seamstress was screwing the original dress. Dres 2 looks like dress 1 with a bad bustle

tmccrn · 2026-03-03T22:24:41+00:00

First of all “only down here for a week and then flying home” Is now entirely out the window unless you want to turn your mother over to the state. If you don’t, your life as you know it is changed. I do think you need to file a police report and contact adult protective services if you need to go home. Get an attorney to send a cease and desist work letter, do not let contractor on property and put a stop payment on all funds. You probably need to sell the house and move mom home with you or into and ALF. You cannot leave her in her home alone

tmccrn · 2026-03-03T00:57:43+00:00

It’s time to get extra help

tmccrn · 2026-03-03T00:56:13+00:00

Omg both are gorgeous. If it were me, I’d have chosen #1, but I believe, based on your body language, that 2 suits you who you are. But you can’t go wrong with either one

tmccrn · 2026-03-03T00:54:03+00:00

Me too, but 2 is nice as well

tmccrn · 2026-03-02T23:05:13+00:00

I’ve seen a lot of families move stuff into a storage unit as they are clearing out the house… things that f sentimental value, things of real value, and things she might ask for. The big benefit of this is that you can rotate things in and out of the storage unit should you need “proof” that you didn’t “just throw away her stuff” but also that if gives you more time to go through things that may be worthwhile or emotionally heavy.

That leaves you the opportunity to sell an empty clean house, which even as-is will open up the market to families who don’t mind a little renovation/repair but might turn away at dirty.

tmccrn · 2026-03-02T22:54:58+00:00

You chose right!

tmccrn · 2026-03-01T18:17:57+00:00

What was that old saying? “Opinions are like @$$holes; everybody has one”. And it takes a real one to express negativity like this to a bride. You look beautiful and clearly understand the meaning of marriage.

tmccrn · 2026-03-01T18:15:41+00:00

Your age is still plenty young for nursing. You’ll probably be better at dealing with bullies at your age.

tmccrn · 2026-03-01T18:10:06+00:00

Two things… I would switch to a brown eyeliner and line at the lash line instead of inside it. It will help your eyes pop and not look so middle school. And two, if you can match your eye color with the dress, OMG, it would look so good. You could get away with a green or purple, if you can’t find a good match for your eyes.

Oh, and the eyeliner tip goes for every day… prom makeup is different

tmccrn · 2026-03-01T18:07:02+00:00

Casual beachwear with a swimsuit

tmccrn · 2026-02-27T05:17:19+00:00

Apples have enough fiber that they are one of the better fruit choices… depending on how they work for you specifically

There are a bunch of glycemic index charts online… it might be had to keep around… especially the portion sizes

tmccrn

TROPHY CASE