What are the emerging challenges in pediatric nursing

Staffing is always a problem everywhere. Cost-effective plans to keep the hospital in the black makes things difficult in all departments. Visitor policies can change back & forth. Type of new care for conditions will be a challenge! Keeping toddlers in beds or cribs is a constant challenge. New inventions for this & all care, brings about new challenges.

 Refer: Alice Regan

Why do most Americans leave their old family members in nursing homes or just avoid their parents in general

Most Americans don’t. It’s too expensive. There are a few reasons why it becomes necessary:

·         Most older people have very fixed opinions about how things should be that they first formed in their youth when the world was different. Hey, the world has changed! Trying to force your grown children or grandchildren to live in a world that doesn’t exist anymore can be just annoying, or it can be totally offensive. If the old folks can’t stop trying to run their adult children’s lives, they are not likely to be fondly embraced. Keep in mind that the world is changing much faster than it has in the past. Humans were never evolved to adapt to change this fast - the majority of learning takes place in childhood - it’s difficult to learn new ways of life after childhood. Older people can become an intolerable burden on their adult children. Some older people can have a very destructive influence on their grandchildren.

·         The multigenerational family propagages “family games” down the generations. Co-dependencies and enablements are taught to each new generation of children. This is how abuse (sexual, physical, and emotional) is passed down through the generations. Each new generation is taught to play a specific “role” in the family games. Often the only way to break the patterns of family games is to isolate the older game players away from the children.

·         At some point, many older folks have severe health problems. When this happens, children are faced with deciding whether it is better to place them in a facility that can care for them and preserve their lives for a little longer, or whether it is better to let them live with family and die a little sooner. Americans have been trained by their society to prolong life, even if it means prolonging suffering. We Americans are really cruel when it comes to suffering instead of being allowed to die.

 

        Refer: Tayoh Dey

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Are dental implants impossible for women who have had bone loss in their jaws due to the use of meds for osteoporosis and the treatment of estrogen receptor-positive breast cancer

Dental implants are an elective treatment modality. As in, they are not urgently and compulsarily required. There are substitutes available for them.

Dental implant surgery requires an efficient immune system, coagulative system, and reparative system. There are myriad of factors, which can disrupt either of these systems. Also, the recepient bone needs to be of a good density too.

The integration of dental implants with the bone requires a good vascular supply, normal functioning osteoblastic and osteoclastic cells, and a sound reparative capacity of the body.

Certain systemic conditions and medications alter the physiologic processes, leading to delayed or non-integration of dental implants. Such conditions may also predispose the patient towards early implant failure.

There are investigations available to find out if the systemic processes are in a physiologic state or not. If yes, and if the status can be maintained for long, implants can be done. If not, then it is better to go for substitutes or alternative treatment modalities, such as bridges and removable partial or complete dentures.

  Ref: Smiti

What is the most stressful part about being an oncology nurse

In my opinion the most stressful thing about being an oncology nurse is finding out that patients are terminal with no chance of recovery. It's very sad especially when you have to be in the room to break the news or list their options knowing there is no quality of life and they will likely be suffering their last days before entering hospice care if they wish to enter hospice care. They sometimes think they have early stage cancer, and it turns out to be so advanced sometimes the doctors don't even pursue either treatment and they enter into hospice care. It's a sad thing to watch and very very stressful.

 Refer: Desiree Valero Winkle

Is it wrong that I hate nursing schools and wish nurses/nursing lecturers rotted in hell? What can I do to save my soul after a "nursing" disaster

In addition to the other responses here, I'd like to add a story of mine:

I was part of a class that was accused of cheating (except for the one who told the administration). A fire alarm was pulled by a middle schooler that was on a field trip during our pharmacology final and we had to give our tests half completed to an instructor, who allowed us to go do whatever we wanted, even study, as we didn't know if we were returning later to finish the test. Later in the week were kept after our last final, forced to sign a contract that said that if we confessed to accessing online material to study during the alarm, we can get no higher than a C. If we didn't, they'd investigate and if they found out we had logged into our online education site, we could receive a failing grades and disciplinary action. We also heard that the instructor who was proctoring us, the one that took the tests

was facing possible termination (who also happened to be one of my cohort’s favorite instructors). This instance really set my cohort up to be very distrusting and pessimistic about our program. The program felt terrible, but after talking to other RNs, it seems a lot of people have had to go through some BS to get their BSN.

Now I'm happily working in an ICU. Hang in there. You have to jump through a lot of hoops.

 Refer: Ian Gabriel Garcia

Do doctors ever do surgery on themselves

A nurse here.

I gave myself a flu shot. I didn’t want to go to the CVS and pay $20 for it. We had gallons of it for the patients and I wanted to get one. That day I knew I couldn’t be a drug user (or a diabetic who had to give himself insulin!)

I once tried to draw my own blood. That was a disaster. I should not have closed my eyes when I stuck the needle into my arm. I thought to myself, “Oh shit, I missed!” and I was screaming when I wiggled it around (the front desk staff came in and screamed when she saw what I was doing to myself.)

I wanted to send out some blood for tests (the doctor whom I worked with was out that week and she signed the orders a few days prior to that.) I wouldn’t trust her to draw my blood either because she had not done it for years.

Never again!

I was working along (as a school nurse) years ago. Although I had a nursing supervisor (my boss) who was down the hall from me, her needle skills were bad (she had not started an IV for ages while I was doing it almost weekly there.)

  Refer: Winton Sawatdee

What is the most important part of being a good surgical nurse

First and foremost, we need to dissect what makes a “good” Nurse. I would say the key elements are having an empathetic, caring, and warm nature. You need to feel comfortable being around sick people and staying calm in stressful situations. You must be genuine and honest at all times, making sure you always put your patient first.

Secondly, Surgical Nurses are there to assist surgeons during surgery. This could be a minor or major procedure, but the fundamental requirements of a Surgical Nurse is the same.

Qualities of a good surgical nurse include being extremely organised, efficient, and forward thinking.

·         You must be okay with looking at blood, bone and other exposed body parts.

·         You must be able to comfort the anxious patient at what can be a very scary time for them.

·         Depending on local or general anaesthetic, you will need to talk to your patient and check on them throughout the surgery if they are awake.

·         You will need to advocate for them and uphold their dignity and rights at all times if they are asleep.

·         You will need to know what instrument the Doctor will require without him requesting it, and have it ready to put in his hand.

·         You need to be alert at all times, cleaning up blood off your patient so they are not covered in it.

·         You will need to cut sutures efficiently.

·         You will maintain a sterile field at ALL times.

·         Your job is basically to make the surgeons job as EASY as possible.

           Refer: Olivia Lewis