Monday, June 20, 2011

Schizophrenia, Schizophrenics, Paranoid, Paranoia, Treatments, Symptoms, Psychiatric Mental Health Resources, 4Nursing.com, Nursing & Healthcare Resources

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About Schizophrenia.com:"Started in 1995, Schizophrenia.com is a leading web community dedicated to providing high quality information, support and education to the family members, caregivers and individuals who's lives have been impacted by schizophrenia. The site is managed by a group of about 10 independent volunteers around the world - all of whom are either family members (with sons & daughters, brothers and sisters, or parents who have suffered from schizophrenia) or people who have schizophrenia. While none of us are mental health professionals, we are very familiar with the disease both through direct personal experience and extensive reading on the topic. We rely upon what we believe are good sources of scientifically accurate materials relating to schizophrenia and frequently consult with an ever growing group of schizophrenia researchers who act as unofficial advisors to the site - these schizophrenia researchers who help on an unofficial basis by answering our questions and occasionally providing feedback on different areas of the site."
The Tides Center Workteam1, (Schizophrenia.com)
PO Box 29907
San Francisco, CA 94129
szwebmaster@yahoo.com
http://www.schizophrenia.com/

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Schizophrenia in Children, American Academy of Child and Adolescent Psychiatry (AACAP):"Schizophrenia is a medical illness that causes strange thinking, strange feelings, and unusual behavior. It is an uncommon psychiatric illness in children and is hard to recognize in its early phases. The behavior of children and adolescents with schizophrenia may differ from that of adults with this illness. Child and adolescent psychiatrists look for several of the following early warning signs in youngsters with schizophrenia: seeing things and hearing voices which are not real (hallucinations), odd and eccentric behavior, and/or speech, unusual or bizarre thoughts and ideas, confusing television and dreams from reality."
American Academy of Child and Adolescent Psychiatry
3615 Wisconsin Ave., N.W., Washington, D.C. 20016-3007
voice: 202-966-7300 fax: 202-966-2891
http://www.aacap.org/publications/factsfam/schizo.htm

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Schizophrenia, Associated Problems in Prepsychotic or Postpsychotic Phase, Internet Mental Health:"Reckless or Impulsive Behavior Obsessive Thinking or Compulsive Rituals Prolonged Anxiety, Tension or Worry Fidgeting, Pacing, or Hyperactivity Sad or Depressed Mood Irritability or Hostility Feeling Worthless or Guilty Fatigue (Physically Tired All Day) Poor Concentration or Attention Sleeping Problem Appetite or Eating Problem Poor Sexual Interest or Ability Overly Dependent Behavior Poor Physical Health."
editor@mentalhealth.com
http://www.mentalhealth.com/dis/p20-ps01.html

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Schizophrenia & Psychosis, Mental Help Net:"Schizophrenia is a mental disorder that severely impacts how 2.5 million Americans think, feel, and act. It is a disorder that makes it difficult for a person to tell the difference between real and imagined experiences, to think logically, to express normal emotional responses or to behave appropriately in social situations. Schizophrenia can be draining on both the person with schizophrenia and their families. People with schizophrenia often have difficulty functioning in society, at work and in school. Family members may have to help out financially and make sure that medication is taken as prescribed."
Mental Help Net A service of CenterSite, LLC
570 Metro Place Dublin, OH 43017
http://mentalhelp.net/poc/center_index.php?id=7

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Schizophrenia, Mental Wellness.com, Janssen Pharmaceutica Products:"Schizophrenia is a severe mental illness described by the American Psychiatric Association as "one of the most debilitating and baffling mental illnesses known." The mental disorder is characterized by a dysfunction of the thinking process, such as hallucinations and delusions, and withdrawal from the outside world. Years of research have shown that schizophrenia is a biologically based brain disease. The most recent advances in brain imaging have confirmed imbalances of two brain chemicals – dopamine and serotonin – in those who suffer from schizophrenia. Dopamine is responsible for emotions and motivation; serotonin acts as a messenger and stimulates muscle movement, switching nerves on and off. The brains of people with schizophrenia have elevated dopamine and serotonin activity."
Janssen Pharmaceutica Products, L.P 1-800-JANSSEN (526-7736) http://www.mentalwellness.com/schizophrenia/about/schizophrenia.jsp

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NARSAD: National Alliance for Research On Schizophrenia and Depression:"NARSAD is a private, not-for-profit public charity 501(C)(3) organized for the purpose of raising and distributing funds for scientific research into the causes, cures, treatments and prevention of severe psychiatric brain disorders, such as schizophrenia and depression."
NARSAD
60 Cutter Mill Road, Suite 404 Great Neck, New York 11021 USA
Main Line: 516 829-0091
Research Grants Program: 516 829-5576 FAX: 516 487-6930
(800) 829-8289 or e-mail info@narsad.org
http://www.narsad.org/

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Rethink (formerly The National Schizophrenia Fellowship):"Rethink is the largest severe mental illness charity in the UK. As of 2nd July 2002 'Rethink' is the new operating name for 'The National Schizophrenia Fellowship'. We are dedicated to improving the lives of everyone affected by severe mental illness, whether they have a condition themselves, care for others who do, or are professionals or volunteers working in the mental health field. With more than 30 years of experience, and over 1800 staff, Rethink provide a wide range of community services including employment projects, supported housing, day services, helplines, residential care, and respite centres. All our services try to help people take more control of their own lives by building their confidence and strengthening their skills. With nearly 400 services, we support around 5000 people every day."
Rethink, Head Office
30 Tabernacle Street London EC2A 4DD
Tel: 020 7330 9100/01 Fax: 020 7330 9102
National Advice Line Tel: 020 8974 6814 (open 10am to 3pm, Monday to Friday)
email info@rethink.org
http://www.rethink.org/

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Schizophrenia, Schizophrenia Society of Canada:"• Is a treatable biochemical brain disorder • Strikes 1 in 100 people • Manifests itself usually between the ages of 15 to 25 years • Causes 40% of people with schizophrenia to attempt suicide of which 10% complete the act. • Costs Canadian taxpayers an estimated $4 billion annually in direct and indirect costs It is NOT: The fault of the person or their family. Founded in 1979, the Schizophrenia Society of Canada (SSC) is a national registered charity. SSC works with 10 provincial societies and their over 100 chapters/branches, to alleviate the suffering caused by schizophrenia and related mental disorders. To this end, SSC and its provincial affiliates carry out public awareness & education, family support, advocacy and research funding initiatives and programs."
Schizophrenia Society of Canada
50 Acadia Avenue - Suite 205 Markham, ON L3R 0B3
Tel: (905) 415 - 2007 Fax: (905) 415-2337
Call Toll Free in Canada: 1-888-SSC-HOPE [1-888-772-4673] e-mail: info@schizophrenia.ca
http://www.schizophrenia.ca/

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Schizophrenics Anonymous (SA):"Schizophrenics Anonymous (SA) is a self-help group for persons who have schizophrenia or a schizophrenia-related illness. SA was founded in the Detroit area in July of 1985 and since that time, thousands of people have participated in meetings. There are currently more than 150 groups meeting throughout 31 states, as well as Australia, Brazil, Canada, Mexico, France, India and Venezuela" SARDAA Contact Information
PO Box 941222
Houston, TX 77094-8222
Phone: 240-423-9432
Toll-free: 866-800-5199
info@sardaa.org
http://www.sardaa.org

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WFSAD: World Fellowship for Schizophrenia & Allied Disorders:"The World Fellowship for Schizophrenia and Allied Disorders (WFSAD) is the only global organization dedicated to lightening the burden of schizophrenia and allied disorders for sufferers and their families. WFSAD strives to increase knowledge, understanding and compassion and reduce the fear, stigma, discrimination and abuse that accompany these difficult conditions. WFSAD and its member organizations focus on the humane treatment of people with mental illnesses and on their primary care, which falls frequently upon the family, most often the parents, and can last a lifetime. There is need for housing, rehabilitation, recreation and a decent life for those battling these difficult conditions. It is estimated that some 40% of sufferers have no contact with formal mental health systems. Support, training and education is necessary for families and their sick loved-ones, who have an enormous and continuing burden to shoulder."
124 Merton Street, Suite 507, Toronto, Ontario, M4S 2Z2, Canada
Tel: +1.416.961.2855 Fax: +1.416.961.1948 E-mail: info@world-schizophrenia.org
http://www.world-schizophrenia.org/

See also: Addictions, Substance Abuse, Mental Health Abuse

Clinical Nursing Case Studies, Malpractice Cases: http://www.nursingcasestudy.com

October 15, 2000: Physician Restraint Orders Unclear On Transfer, Do You Apply In The Interim?
Summary: The use of Mechanical or Physical Restraints on confused patients is highly controversial. Due to substantial Death & Injury attributed to their use they are considered a last resort measure in providing for the safety of a patient. In this case, orders specifying what restraints and when they were to be used were unclear. In a patient that was clearly at high risk for injury, should they have been applied till the physician could have been contacted?
Tousignant v. St. Louis County, 602 N.W.2d 882 - MN (1999)
http://www.nursefriendly.com/nursing/clinical.cases/2000/101500.htm

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September 19, 1999: Abusive Psychiatric Patient Restrained, Placed In Seclusion For Angering Nursing & Medical Staff?
Summary: In dealing with violent, abusive or angry psychiatric patients, the safety of the patient and staff are the priority concerns. When restraints or seclusion are deemed necessary, justification for the measures must be documented concisely. In this case, an unruly patient angered the nurse caring for him. When leather restraints were applied and maintained for a prolonged period of time, the patient would object and later sue for damages.
Alt v. John Umstead hospital 479 S.E. 2d 800
http://www.nursefriendly.com/nursing/clinical.cases/091999.htm

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August 15, 1999: Violent Psychiatric Patient Attacks Nurse,
No Legal Recourse Against Facility or Psychiatrist?
Charleston v. Larson, 696 N.E. 2d 793 – IL 1998
Summary: It would seem absurd, that if a physician admits and facility assigns a nurse to care for a known violent patient, that it has no legal obligation to protect that nurse against violence. In this case, a psychiatric patient sought admission to facility. On admission, he threatened to attack a nurse. When the patient would follow through on his threat, the nurse was denied legal recourse against the psychiatrist who could have taken precautions against the attack.
http://www.nursefriendly.com/nursing/clinical.cases/081599.htm

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Direct Patient Care Resources:

Violence & Violent Patients, Direct (Bedside Nursing) Patient Care
http://www.nursefriendly.com/violent/

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Drugs, Prescription Medications:

Abilify, Aripiprazole, Antpsychotic, Prescriptions Drugs, Medications, Medicines
http://www.prescriptionforviagra.com/abilify

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Ativan (Lorazepam), Anti Anxiety, Antianxiolytic, Sedative, Hypnotic
http://www.prescriptionforviagra.com/lorazepam/

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clonezapam (Klonopin), Benzodiazepines, Anticonvulsants, Antiseizure
http://www.prescriptionforviagra.com/clonezapam

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Ropinirole Hydrochloride, Requip, Parkinsons Disease, Dementia, Prescription Drugs, Medications
http://www.prescriptionforviagra.com/ropinirole/

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Nursing Humor:

Psychiatric, Mental Health Humor

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4nursinguniforms.com

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Nursing Chat, Nurse Discussion Forums:
http://nursingdiscussions.com

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The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.4nursing.com/direct-patient-care-psychiatric-mental-health-schizop...

Last updated by Andrew Lopez, RN on Friday, March 11, 2011

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Schizophrenia and Related Disorders Alliance of America (SARDAA) - Home

Our Vision: Every person with schizophrenia or a related disorder (mental illness involving psychosis) achieves recovery and a full life in a compassionate community free of stigma and discrimination.

Our Objectives:

  • Promote hope and recovery for persons with schizophrenia and related disorders
  • Eliminate the stigma and myths about schizophrenia
  • Raise awareness so that early diagnosis and treatment increase the chance for recovery
  • Ensure that consumer-driven and recovery-oriented services are fully accessible

This sites also offer Schizophrenics Anonymous information for patients/family looking for information and resources.

SARDAA Contact Information
PO Box 941222
Houston, TX 77094-8222
Phone: 240-423-9432
Toll-free: 866-800-5199
info@sardaa.org

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Top Ten Reasons I Went Into Nursing, Nurse Jokes, Healthcare Humor

10. I love to wear white support hose.

9. I get a kick out of arrogant doctors.

8. It's more challenging than brain surgery.

7. I get free latex gloves.

6. The scrubs are so flattering to my figure.

5. The world doesn't need any more lawyers.

4. I actually like vending machine food.

3. Somebody has to train the residents.

2. I get to spend the holidays with my friends... at work.

1. I always wanted to say, "This won't hurt a bit."

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See also:

New!
10 Greatest Novels for Nurses, February 23rd, 2011, Nursingschools.net:"One great way to escape the pressures and stresses of nursing school or work is to read a great novel. These literary works, featuring nurses and health care facilities, will provide you with a much-needed dose of fun and fantasy while reminding you why you chose the profession in the first place. So if you want to re ignite your passion for nursing or just spend a wonderful evening kicking back, check out one of these amazing novels." http://www.nursingschools.net/blog/2011/02/10-greatest-novels-for-nurses/

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Top 10 Qualities of a Great Nurse, NursingLink.com:"Nurses are pretty amazing. Great nurses aren't just compassionate and kind — they have all the medical smarts of a doctor too! Plus, a career as a nurse offers a sense of personal satisfaction that you just can't beat."
http://nursinglink.monster.com/careers/articles/5019-top-10-qualities-of-a-gr...

Categories:
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Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs), http://www.nursefriendly.com/lpn
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Nursing Profession, About The, http://www.nursefriendly.com/profession
Registered Nurses (RNs)http://www.nursefriendly.com/rn/
Traits & Qualities That Make Nurses Excellent Entrepreneurs, http://www.nursingentrepreneurs.com/qualities
Traveling Nurses, Travel Nursing Agencies, http://www.4travelnursing.com

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Top Ten Most Commonly Used Nursing Phrases:"10. "No, really, I don't mind changing the TV channel for you . . . again."

9. "I'm sorry, it's not THAT kind of Tylenol."
http://www.nursinghumor.com/phrases

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Top Ten Reasons I Went Into Nursing, Nurse Jokes, Healthcare Humor:"10. I love to wear white support hose. 9. I get a kick out of arrogant doctors."
http://www.nursinghumor.com/went

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Top Ten Dog Pet Peeves With Humans, Pet Jokes, Animal Humor:
http://www.nursinghumor.com/humans

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Top Ten Lies Told by Paramedics, EMS Jokes, Paramedic Humor:"1. Its not my fault, he kept moving. 2. This might stick a little."
http://www.nursinghumor.com/lies

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Top Ten Reasons Why God Created Eve, Battle of The Sexes Jokes, Top Ten Humor:
http://www.nursinghumor.com/created

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Top Ten Reasons I Went Into Nursing, Top Ten Jokes, Bedside Nursing Humor
http://www.nursinghumor.com/into

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Top Ten Reasons To Date A Nurse! Nursing Jokes, Top Ten Humor:"White scrubs are see through. We asses all areas of the body. Scrubs make for easy access."
http://www.nursinghumor.com/date

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Top Ten Signs of A Bad Hangover, Top Ten Jokes, Drinking/Bar Humor:
http://www.nursinghumor.com/hangover

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Top Ten Signs You Need A New Doctor, Medical Jokes, Top Ten Humor:"- He calls you at two in the morning "just to talk." Instead of rubber surgical gloves he wears oven mitts."
http://www.nursinghumor.com/need

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Top Ten Things You Don't Want To Hear When Regaining Consciousness, Medical Jokes, Operating Room Humor:
http://www.nursinghumor.com/regaining

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Top Ten Things You'll Never Hear a Dad Say, Parenting Jokes, Top Ten Humor:
http://www.nursinghumor.com/say

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Top Ten Subtle Differences Between Nursing School and Hell, Nursing Jokes, Top Ten Humor:
http://www.nursinghumor.com/differences

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Top Ten Reasons To Work An Overtime Shift On The Weekend, Nursing Jokes, Top Ten Humor:
http://www.nursinghumor.com/weekend

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Top Ten Signs Your Family Might Be Dysfunctional:
http://www.nursinghumor.com/dysfunctional

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Top Ten Signs That You Might Be A Frustrated Mom:
http://www.nursinghumor.com/frustrated

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Top Ten Reasons For Becoming An Anesthesiologist, Medical Jokes, Hospital Humor:
http://www.nursinghumor.com/anesthesiologist

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Top Ten Signs You May Be Working For The Wrong Dentist, Top Ten Jokes, Dental Humor:
http://www.nursinghumor.com/dentist

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Top Fourteen Things PMS Stands For, Top Ten Jokes, Battle of The Sexes Humor:
http://www.nursinghumor.com/pms

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Top Signs That You Are Broke, Top Ten Jokes, Signs of The Times Humor:
http://www.nursinghumor.com/broke

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Top Ten Worst Hospital Visitors, Bedside Nursing Jokes, Top Ten Humor:
http://www.nursinghumor.com/worst

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Top Ten Ways To Tell You're A New Dad, Top Ten Jokes, Parenting Humor:
http://www.nursinghumor.com/dad

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Top Ten Reasons To Become A Nurse
http://www.nursinghumor.com/nurse

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Top Ten Worst Prognostic Signs For A Patient In The Emergency Department
http://www.nursinghumor.com/prognostic

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Top Ten Signs of Burn-Out
http://www.nursinghumor.com/burnout/

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Top 10 Things Only Women Understand, Top Ten Jokes & Humor
http://www.nursinghumor.com/understand

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Top Ten Fatal Things to say when your wife is pregnant, Labor & Delivery Jokes
http://www.nursinghumor.com/fatal

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The 8 Simple Rules for Dating My Daughter:
http://www.nursinghumor.com/daughter

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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http://www.nursingexperts.com
http://www.nursinghumor.com

Most Baby Boomers are Unprepared to Care For Aging Parents | The Intentional Caregiver

Yesterday, I was fortunate to be able to interview Mr. Jeff Huber, President of Home Instead Senior Care, the largest provider of in-home care services for seniors in the world and was the first company to offer franchise opportunities.

Most professionals involved with eldercare are aware that adult children are not prepared to care for their parents when they receive “that call” that throws them into the caregiving role.  But the Home Instead Senior Care network  wanted to learn more about that and so in conjunction with The Boomer Project, a study of 600 baby boomer aged adults was conducted. 

The results surprised me:

  • Less than 50% were knowledgeable about their parents’ medical history
  •  49% were unable to name any of their parents’ current medications
  • More than 30% did not know just how many medications their parent(s) was taking

Thank you Shelley for bringing attention to this critical topic. It is a phone call we will each be getting eventually. It is much better to be prepared.

Click on the "VIA" link to read the full article.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Friday, June 17, 2011

Teens skimp on exercise, but not sodas: CDC | Reuters

Only about one in 10 U.S. teens is getting enough exercise and one in four has a soda a day, adding to concerns about obesity among American youth, government researchers said on Thursday.

A team at the Centers for Disease Control and Prevention looked to see how many students were meeting targets for youth physical activity.

They found about one out of 10 U.S. high school students met U.S. targets for both aerobic and muscle strengthening activities set for the federal government's Healthy People initiative, a list of public health goals.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Thursday, June 16, 2011

The National Patients' Report Card Gives Nurses an A+

WINNIPEG, MANITOBA--(Marketwire - June 16, 2011) - A new national poll shows that Canadian patients overwhelmingly approve of treatment they receive from the nation's nurses, despite the clearly visible nursing shortage in hospitals.

The poll, conducted by Vector Poll in early June for the Canadian Federation of Nurses Unions (CFNU) for its 30th Anniversary Biennial Convention being held in Winnipeg, showed that nurses get a great report card from their patients.

The National Patients' Report Card on Nurses found:

  • 88 % of respondents who saw a nurse the last time they needed health care said they were listened to carefully and had their questions answered;

Click on the "VIA" link for the full article.

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Tuesday, June 14, 2011

Sheriff to serve 100 days, lose license for retaliating against nurses - Mywesttexas.com: Top Stories

Winkler County Sheriff Roberts L. Roberts will serve 100 days in jail and lose his Texas Peace Officers License for retaliating against two whistleblower nurses, a judge order Tuesday.

Visiting Judge Robert Moore handed out the punishment in a Midland County court Tuesday afternoon after the sheriff was found guilty of six charges in the case: two third-degree felony counts of retaliation, two third-degree felony counts of misuse of official information, and two class A misdemeanor counts of official suppression.

Roberts faced up to 10 years in prison on the charges. Moore however sentenced the sheriff to four years in prison, which  were suspended for four years of probation; 100 days in Winkler County jail, which the sheriff will serve; a $1,000 fine for each charge ($6,000 total); a removal from office as sheriff; a waive of his right to an appeal; and a permanent surrender of his Texas Peace Officers License.

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856-415-9617, (fax) 415-9618

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Monday, June 13, 2011

Good Samaritan Laws & Acts. Do They Cover Nurses Volunteering Nursing Care When A Citizen Goes Anaphylactic.

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Summary:  "Off-duty" healthcare professionals rendering
Emergency aid are in most cases "covered" by the Good
Samaritan Acts.  These are laws enacted in each state
that provide some degree of immunity from liability for
good faith efforts in giving emergency care.  In this
case, a nurse and physician were sued for providing
assistance in a volunteer function at a "first-aid" station.
Good Samaritan "immunity" was not recognized by the
courts.

A nurse, physician and several others volunteered to help
out with a first-aid station at a food festival being held locally.
 During the festivities one attendee would suffer an anaphylactic
attack.

The man had a known allergy to fish and helped himself to a
"gumbo" mix that contained the allergen.  He proceeded to experience
an anaphylactic allergic reaction.  The event "first aid squad" was
notified only of a "problem" and the person's location.

"Anaphylactic Shock

is the most severe form of allergy which is a medical emergency,
is a type I reaction in Gell And Coombs Classification .An often
severe and sometimes fatal systemic reaction in a susceptible
individual upon exposure to a specific antigen (as wasp venom
or penicillin) after previous sensitization that is characterized
especially by respiratory symptoms, fainting, itching, urticaria,
swelling of the throat or other mucous membranes and a sudden
decline in blood pressure."2

Of those present, all but a nurse remained at the station.  With the
physician and others on the way to assist the victim, clearly someone
had to stay at the station in case there were other emergencies.  The
question would arise of whether or not their actions were covered
under existing Good Samaritan Laws.  A key consideration is whether
or not a legal "duty to assist" the victim was created when the
responsibility to "volunteer" was accepted.

"Flynn v. United States, 681 F. Supp. 1500, 1506 (D. Utah 1988),
modified in part, 902 F.2d 1524 (10th Cir. 1990). Good Samaritan
laws responded to the common law rule that made one liable for
negligently rendering voluntary emergency assistance by extending
immunity from suit, thereby encouraging humanitarian acts by
licensed medical providers."3

Arriving on the scene, not knowing what to expect, they found
the person symptomatic, still conscious and standing on his own.
He indicated that he'd had a reaction and was in need of "a shot."

"Symptoms of anaphylactic shock include dizziness, loss of
consiousness, labored breathing, swelling of the tongue and
breathing tubes, blueness of the skin, low blood pressure, and
death bronchospasm"1

The physician recognizing the anaphylactic nature of the situation
requested one of the others obtain "epinephrine," while she stayed
with the patient.

When the other member of the squad returned with a single "Epi pen."
 The physician administered a dose.  The patient claimed to not have
obtained any relief.  A second shot was requested.  The pen was a
single dose unit only.  Having already used the available dose, the
physician explained it would be nearly empty.  There was no other
immediate source of epinephrine available at the time.  Unable to
offer an alternative, the physician gave the patient a second shot with
the same injector hoping it might still contain "some" medication.

Again the patient did not obtain relief.  With symptoms persisting,
the patient's condition deteriorated.  At this point an ambulance was
on the way, the nurse had been relieved at the station and came up
to assist, still unaware of what the problem had been.

When she came upon the patient, the best she could do was stay
with him until the emergency medical personnel arrived.  The
patient would complain of increasing shortness of breath.  En route
to the hospital, he would slip into a coma.  He would die the next day.

A lawsuit was filed naming both the physician and the nurse alleging
a "wrongful death."  Both the nurse and physician fought this in court.
 In the initial trial, the complaint was dismissed.

They argued for protection under the Good Samaritan Acts of the state.
  This legislation was enacted to encourage health professionals to
render aid at the roadside.  Previously, professionals had and still do
hesitate to assist for fear of being sued by the injured party.

"Because of the pervasive myth of liability in the medical professions,
most states have enacted some form of Good Samaritan law prohibiting
a patient from suing a physician or other health care professional for
injuries from a Good Samaritan act. To trigger the protection of such
an act, two conditions must be satisfied: it must be a volunteer act, and
the actions must be a good-faith effort to help. Displacing a neck fracture
in an effort to do rescue breathing might be malpractice in the Emergency
Room, but it is not bad faith on the roadside."4

While a Good Samaritan Act may protect you in state-specific circumstances
from being found and held liable, it will not protect you (nor will an
employer's malpractice insurance policy) from being sued in the first place.

In most states there is no obligation for a bystander to render aid or
legislation to penalize those that do not decide to get involved.
Minnesota, Vermont and Wisconsin are exceptions to this rule.
Minnesota statutes follow:

"A person at the scene of an emergency who knows that another person
is exposed to or has suffered grave physical harm shall, to the extent
that the person can do so without danger or peril to self or others, give
reasonable assistance to the exposed person. Reasonable assistance
may include obtaining or attempting to obtain aid from law enforcement
or medical personnel. A person who violates this subdivision is guilty
of a petty misdemeanor. "5

A common thread in each of the Good Samaritan laws is that no
immunity will be afforded for specific exceptions.

"The most commonly stated exception to immunity is for conduct that
is willful and wanton. Many jurisdictions also exclude other categories
of conduct, such as conduct that is grossly negligent, reckless, malicious,
in bad faith, fraudulent, or intentionally tortious or that is a knowing
violation of law. A few even included ordinary negligence, which arguably
negates the protection afforded."6

In the state of Rhode Island, in which this event occurred, there are
no specific laws requiring that a bystander give assistance.

Interestingly, immunity by the state laws is granted in the following
which do not specify volunteer medical and first aid activities.

"Rhode Island law also grants immunity from civil damages to:

(1) Persons rendering service as, or assisting, a manager, coach, instructor,
umpire, referee or official in certain interscholastic or intramural
sports programs;

(2) Any uncompensated person voluntarily serving as or assisting a
manager, coach, instructor, umpire, referee or official in a youth
sports program organized and conducted by or under the auspices
of a nonprofit corporation; or

(3) Directors, officers, trustees or employees of any nonprofit
organization, authorized to do business in the state, that organizes,
conducts or sponsors a youth sports program.208"6

It is debatable whether the initial trial led to a dismissal on grounds
of protection under existing Good Samaritan laws, or simply a lack
of evidence to prove negligence.  Of these, the latter is more likely.

With the complaint initially dismissed, the patient's estate appealed.

Questions to be answered.

1. In rendering care to the patient in a state of anaphylaxis, did
both the nurse and physician perform to the best of their abilities
with the resources available to them.

2. In rendering emergency aid to the patient, were they covered by
the state's existing "Good Samaritan" laws.

The plaintiff's attorneys would argue that negligence had been
a factor in the patient's death.  They accused the physician and
nurse of arriving on the scene "unprepared" to deal with the situation.

Interestingly, the plaintiff could offer no expert witness testimony
to support this.

In deciding the second question, the court explicitly stated that
"it assumed the defendants were not covered under Good Samaritan Laws."

This is alarming in that if the plaintiff had been able to produce
sufficient expert testimony to prove negligence, the nurse and
physician may well have been held liable.

In light of these circumstances,  the ruling of the lower court was
affirmed.

It sends a frightening message to nurses, medical and health care
personnel who chose to "volunteer" their expertise in times of need.
Some state laws do require action in specific circumstances:

It is unclear whether this opinion was offered because the assistance
was "organized."  Is an exception made to the Good Samaritan Acts
for First Aid Squads and Organized Emergency Medical Personnel
regardless of whether or not they charge the patient for their services?

Troubling questions for the individual when deciding whether or not
to render aid.  The answers and exceptions are defined in individual
state laws that vary widely.

Many nurses rely on malpractice insurance provided by their
employers to cover them at work.  It is highly unlikely that such
a policy would cover them while performing volunteer duties.

If you accept responsibility to perform expected duties either on
a paid or volunteer basis, for a profit or non-profit organization, you
may not be covered under otherwise applicable Good Samaritan Statutes.
If you chose to protect yourself by carrying malpractice insurance
policy, it would be wise to make sure this coverage is specifically included.

Related link Sections:

Direct Patient Care Links
http://www.nursefriendly.com/nursing/linksections/directpatientcarelinks.htm

Emergency Department Nurses on the Nurse Friendly:
http://www.nursefriendly.com/nursing/directory/spec/ed.html

Good Samaritan Laws & Acts:
http://www.legalnursingconsultant.org/legal.nurse.consultants.lnc/good.samari...

Ethics:
http://www.nursefriendly.com/nursing/directpatientcare/ethics.htm

Medical Legal Consulting Nurse Entrepreneurs:
http://www.nursefriendly.com/nursing/ymedlegal.htm

Sources:

1. 38 RRNL 4 (September 1997)

2. Health on The Net Foundation. July 2, 1998.  HON Allergy Glossary Anaphylactic Shock. Retrieved July 18, 1999 from the World Wide Web:  http://wolfgang.hcuge.ch/Library/Theme/Allergy/Glossary/shock.html

3. Utah State Courts. Filed November 14, 1997.  Hirpa v. IHC Hospitals, Inc., No. 960180.  Retrieved July 18, 1999 from the World Wide Web:  http://courtlink.utcourts.gov/opinions/supopin/hirpa.htm

4. Law and the Physician Homepage.  No Date Given.  Good Samaritan Laws. Retrieved July 18, 1999 from the World Wide Web:   http://plague.law.umkc.edu/Xfiles/x894.htm

5. LawGuide.  1998.  Minnesota Good Samaritan Law.  Retrieved July 18, 1999 from the World Wide Web:  http://www.lawstreet.com/lawguide/sigsgomn.HTML

6. Carter-Yamauchi, Charlotte A. 1996.  Volunteerism - A Risky Business? Retrieved July 18, 1999 from the World Wide Web:  http://www.hawaii.gov/lrb/vol/volchp3.html
 

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Send comments and mail to Andrew Lopez, RN

Created on July 14, 1999

Last updated by Andrew Lopez, RN on Monday, February 28, 2011

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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With nurse shortage looming, America needs shot in the arm - Washington Times

Sunday, June 12, 2011

Second opinions, shared decision making and the personality of an injury on Vimeo by Howard Luks

Not all findings on MRIs or X-rays require surgery. Quite the contrary, many do not. How do you decide? This video should help point you in the right direction to obtaining meaningful opinions, etc. If not, let me know why...

To read the full article, click on the "Via" article link.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.inspirationalnursing.com
http://www.legalnursingconsultant.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com
http://www.nursinghumor.com