June, 2008 Archive

July 1, 2016, 9:06 pm

Cialis Cost

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Cialis cost Did you know there was actually a call for nurses in the Revolutionary War?

Cialis cost I found this blurb on the Women in the U.S. Cialis cost Army website, cialis cost which is also where I found this poster.

Cialis cost I’ll reproduce it here, cialis cost I have no actual author to credit, cialis cost but the reference is the link above:

Cialis cost “Shortly after establishment of the Continental Army on 14 June 1775, cialis cost Major General Horatio Gates reported to Commander-in-Chief George Washington that “the sick suffered much for want of good female Nurses.” General Washington then asked Congress for “a matron to supervise the nurses, cialis cost bedding, cialis cost etc., cialis cost” and for nurses “to attend the sick and obey the matron’s orders.” In July 1775, cialis cost a plan was submitted to the Second Continental Congress that provided one nurse for every ten patients and provided “that a matron be allotted to every hundred sick or wounded.’ “

Cialis cost Hey – they actually had patient ratios back then (“one nurse for every ten…”)! I guess we don’t “obey the Matron” anymore. Cialis cost Now the “Matron” is called Joint Commission!

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The title of this post is in keeping with Dr. Cialis cost Rich’s Grand Rounds theme of “Independence Day”. Cialis cost Of course the first thing I wanted to do was put up a pic of Jeff Goldblum, cialis cost but he meant the actual holiday!

So, cialis cost a paraphrase of Patrick Henry’s famous statement inspired the following post.

It doesn’t take a bit of government intervention to implement.

That alone is amazing.

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Empathy: the ability to understand and share the feelings of another.

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She’s in her mid thirties. Cialis cost First pregnancy, cialis cost just found out she was expecting earlier in the week. Cialis cost Home pregnancy test; hasn’t even had time to make an appointment with her doctor.

Tonight she began spotting. Cialis cost Nothing major, cialis cost but she knows something isn’t right. Cialis cost She is cramping. Cialis cost And she is shaking. Cialis cost Tearful. Cialis cost Her husband is at her side. Cialis cost He doesn’t know what to say, cialis cost but he is worried. Cialis cost Asking a lot of questions.

What does she need?

She needs a nurse who can empathize with what she is going through. Cialis cost You see, cialis cost we know that many, cialis cost many pregnancies end in a miscarriage. Cialis cost We also know that you can have spotting early in pregnancy and still have a perfectly healthy pregnancy/baby. Cialis cost We know that if you are having a miscarriage, cialis cost there is nothing in the world that will stop it.

But she doesn’t. Cialis cost She’s scared, cialis cost she is bleeding, cialis cost and will probably be grieving the loss of her baby within a few hours. Cialis cost She doesn’t need a nurse who rolls their eyes because she is “over-reacting”.

She needs empathy.

*******

He is in his mid-twenties. Cialis cost He vomited once (or twice) and has abdominal pain. Cialis cost Feels like hell, cialis cost is pale and pretty sure is he is about to vomit again. Cialis cost He called his mom to drive him into the ER.

Pretty dramatic presentation. Cialis cost Dizzy when upright, cialis cost mom wheeled him in via wheelchair.

He’s scared. Cialis cost He’s uncomfortable and honestly thinks he may be dying, cialis cost or at least on the verge of dehydration. Cialis cost All he wants is to stop vomiting and feel better.

We know that vomiting is self-limiting. Cialis cost We know this is most likely a viral gastroenteritis. Cialis cost We know he’s in no danger. Cialis cost We know his symptoms can easily be allieviated with medication.

But he doesn’t. Cialis cost He doesn’t even know the term “gastroenteritis”. Cialis cost He just knows that it feels like something is horribly wrong. Cialis cost He doesn’t need a nurse who rolls their eyes and silently calls him a “wimp”.

He needs empathy.

*******

She’s in her mid-forties. Cialis cost She arrives in the middle of the night in sunglasses, cialis cost holding her plastic garbage can in front of her face. Cialis cost Migraine. Cialis cost Three days. Cialis cost Vomiting. Cialis cost 24 hours. Cialis cost Photosensitive. Cialis cost Extreme.

She’s tired. Cialis cost Tired of being in pain. Cialis cost Tired of not being able to get on with life. Cialis cost She tried every one of her medications, cialis cost more than once. Cialis cost Keeping them down is another story.

We know this is probably a typical migraine. Cialis cost We know that many people come in to the ER with the same complaint and are discharged after receiving some pretty heavy-duty drugs. Cialis cost We often see them many times in one month. Cialis cost We know the drill.

And so does she. Cialis cost She knows there will be some suspicion. Cialis cost She can hear it in the tone, cialis cost she can see it in the face of the nurse who takes down her triage information. Cialis cost What she doesn’t need is someone who doesn’t believe her pain is a 10/10 and rolls their eyes because she is allergic to Toradol and Phenergan.

She needs empathy.

*******

Empathy is at the heart of our profession.

As in synonymous with “caring”. Cialis cost It’s what we do. Cialis cost It’s what we have to offer as nurses. Cialis cost We give of ourselves so that others can feel better. Cialis cost In the ER specifically, cialis cost we work quickly to get them as comfortable as possible.

But we absolutely must have empathy. Cialis cost The opposite? Apathy.

And apathy is just another word for nothing left to feel.

God help us if we get to that point in our practice.

God help our patients when we get to that point in our practice.

They expect medical care from their doctors.

They need empathy and caring from their nurse.

It’s what we do.

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July 1, 2016, 5:06 pm

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10:43 am

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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