nurses-masquerading-as-doctors

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Nice and very ____ true. If you a person hasn't done it--or if they have done it and not fully appreciated and practiced with the full holistic model, the probably won't get it.

But obviously it has its limits.
I mean look at both of us RP. We're pre-med, so . . .


I think nursing needs to come out and clarify this DNP thing in specifics, or they are going to have one heck of a war on their hands.


Lol, thanks. The reason I want to go to med school is cuz I just can't cut the mustard as a nurse. 😉

In all seriousness, the limitations of nursing is NOT the reason I want to go to med school. I'm cool with the different scope and focus between nursing and medicine. (I have no stake in the NP/DNP controversy.) All frustrations of nursing aside, I do find nursing to be incredibly rewarding and am perfectly secure in my assertion of the irreplacable value of nursing (and medicine for that matter).

I just find that I'm more interested in pursuing a career as a medical examiner. Weird, huh? So med school it is. I could definitely see myself doing other residencies and fellowships as well, but the forensic patho is what is really my motivation to leave a rewarding, respectable career such as I have already.
 
No

Yes, but what physician would want to. Changing bedpans, linens, pushing meds, etc., etc. ----- EFF THAT NOISE!

What job description is this for? Does not in the least resemble any job description of any of the professionals I work with.

Maybe this is what you believe nurses are studying? No wonder everyone is in such a panic about letting such low-lifes call themselves "doctor."

Dr. Bedpan? No wonder you are so upset. You guys think that is what nurses do.
 
What job description is this for? Does not in the least resemble any job description of any of the professionals I work with.

Maybe this is what you believe nurses are studying? No wonder everyone is in such a panic about letting such low-lifes call themselves "doctor."

Dr. Bedpan? No wonder you are so upset. You guys think that is what nurses do.

Sounds more like a CNA job description. I don't think anybody thinks that is what nurses do all day, but the fact of the matter is that nurses do do a lot more of the dirty work with patients (God bless them).

I kind of resent the implication that nurses have a monopoly on "holisticity," as if they care more about patients than doctors do. Just because physicians don't have as much time to spend per patient as nurses don't mean that they care any less about that person.

To get the thread back on track, I agree with some posters on here in that I think the DNP thing is somewhat blown out of proportion, but I also think that it is important to recognize threats early and snuff them out before they have time to take root. I mean, if you have an infected wound that looks a little like MRSA, you're not going to wait til it blooms into something major before you start treating it with abx.
 
Lol, thanks. The reason I want to go to med school is cuz I just can't cut the mustard as a nurse. 😉

In all seriousness, the limitations of nursing is NOT the reason I want to go to med school. I'm cool with the different scope and focus between nursing and medicine. (I have no stake in the NP/DNP controversy.) All frustrations of nursing aside, I do find nursing to be incredibly rewarding and am perfectly secure in my assertion of the irreplacable value of nursing (and medicine for that matter).

I just find that I'm more interested in pursuing a career as a medical examiner. Weird, huh? So med school it is. I could definitely see myself doing other residencies and fellowships as well, but the forensic patho is what is really my motivation to leave a rewarding, respectable career such as I have already.


Darn the typos all to hell! LOL

I wish I'd stop that.

Oh cool. Like Dr. G., Medical Examiner!

I've always thought more medically with regard to pts. Think that is why I've tended to stay in critical care--lots of stuff to think through--and not as some may believe either--just supposedly merely following algorithms and protocols. I've always liked tweaking and finding the right "recipe" for each patient.

My friend's boyfriend wants to pursue forensic pathology. With him I'd say it's a little weird, b/c he leans a bit toward the Goth side of things. But he's a nice person and he's bright.

But I know what you mean. I have no stake in this controversy necessarily either. . .but who knows? Maybe one day it will be more of an issue. We'll see. Just don't think people are going to go hog wild over it. Worked with too many patients, and I think I have a feel for their general fix or preference on the whole deal.
 
I kind of resent the implication that nurses have a monopoly on "holisticity," as if they care more about patients than doctors do. Just because physicians don't have as much time to spend per patient as nurses don't mean that they care any less about that person.


Please don't take it that way. It's just that nursing is such that it allows and directly moves, or at least it is supposed to primarily focus and move from a holistic model more than a pathophysiological one.

Yes both professions work with understanding and using holistics as well as pathophysiology.
But it's about the primary focus and how much of it is used. While physicians certainly should include a holistic approach in their treatment of pts, their primary focus is disease-oriented. Nursing works out a primary holistic paradigm--pragmatically and otherwise--and thus their focus is with regard to responses of the person to various states affecting their whole person.

Some nurses may not buy into this so much--and it's probably why they let NANDA nursing diagnoses trouble them. I always thought it was an interesting way to approach meeting the needs of the patient. It doesn't mean you do not learn diseases or learn probable causes, treatments, and other such things. It means that nursing diagnoses are based on human holistic responses of the patient.

So again, please don't take it as if physicians aren't using a holistic approach. They may or may not be; and hopefully they are. Still, their primary focus is with regard to pathology and treatments affecting the pathology in one way or another.

The difference is primarily about the pragmatics of focus and approach.
 
Your mouth must hurt after all that bull**** you just spewed out
 
Your mouth must hurt after all that bull**** you just spewed out


To whom are attempting to uh "communicate?"

If it's me, not one thing is BS. It's basically the way it goes. Read some books and materials on professional nursing fundamentals and then read some books on nursing theorists.

Like I said, some take issue with it, but that is b/c it's less concrete--more abstract to some degree--in nature, and some people don't like to move in the realms.

Here's the bottom line that you might appreciate. . .or not. Nurses legally are NOT allowed to make medical diagnosis--well, perhaps some advanced practice nurses can, and then only to a point; but in general, nursing makes nursing diagnoses--like those set forth by NANDA. As I said, some nurses just learn it to get through school but don't buy into it. Others kind of make sense out of understanding and applying it and don't make a huge deal over it too much one way or the other--like me. And then others really get into pushing through nursing theories and such and sit on NANDA boards thinking up new diagnoses. Never got that far into. To me, it's like, "Hey it's one way to approach things." But I try to look at most things with balance.


Now I don't have the desire to whip out all that stuff from many moons ago; but if you are really interested I am sure you could google stuff on fundamental principles of nursing, nursing theories, NANDA, nursing diagnosis, and the like--I mean reallly, if you are (bet not) truly interested.

Until then, please try not call something BS if you haven't studied it. OTOH, if you have studied it and still think it is BS, good for you. You are entitled to your opinion. It's just wise to try and make it an educated one.

God the sdn attitude that comes up from from time to time is unbelievable.
 
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Please don't take it that way. It's just that nursing is such that it allows and directly moves, or at least it is supposed to primarily focus and move from a holistic model more than a pathophysiological one.

Yes both professions work with understanding and using holistics as well as pathophysiology.
But it's about the primary focus and how much of it is used. While physicians certainly should include a holistic approach in their treatment of pts, their primary focus is disease-oriented. Nursing works out a primary holistic paradigm--pragmatically and otherwise--and thus their focus is with regard to responses of the person to various states affecting their whole person.

Some nurses may not buy into this so much--and it's probably why they let NANDA nursing diagnoses trouble them. I always thought it was an interesting way to approach meeting the needs of the patient. It doesn't mean you do not learn diseases or learn probable causes, treatments, and other such things. It means that nursing diagnoses are based on human holistic responses of the patient.

So again, please don't take it as if physicians aren't using a holistic approach. They may or may not be; and hopefully they are. Still, their primary focus is with regard to pathology and treatments affecting the pathology in one way or another.

The difference is primarily about the pragmatics of focus and approach.

My point was that the "holisticity" of the provider seems to be more based on their personality and how much they are willing or able to incorporate other aspects of a patient's life, rather than what area of medicine they hail from (nurse vs physician).

We are certainly taught in medical school to incorporate psychosocioeconomic factors into patient care; sadly, this is often the first area to fall by the wayside when time is of issue. In my experience, a physicians' emphasis on the "holistic" model is directly related to the amount of time they have to spend with a patient. This is increased in certain fields (psychiatry) or locales (having an FP practice in a local town for 20 years). In a hospital-based setting where an intern may have 10 patients (12 when I first started my MS3 rotations), this is less practical. Of course, this is when the nursing/social work staff become that much more important.

I would wager that nurses are similarly more "holistic" when they are 1:1 or 1:2 versus 1:4. But I stand by my original assertion that individuals are more or less holistic than professions are. If anything, I would say that certain fields (physicians, nurses, et al) are more holistic than others: pediatrics, geriatrics, etc.
 
ji lin,

Is it so hard to figure out why you raise such anger on these boards? Most people I would imagine don't even read your posts anymore or just click ignore.

You are long winded.... are an RN and a pre-med.... which allows you to "claim understanding of both sides" (even though you haven't attended medical school... yet, you seem to have an uncanny understanding of what we go through in medical school, weird?)

You claim medical training is only focusing on the pathophysiology is simply not true...

How many lectures did you have on alternative medicine? sexual issues/education? And more and more....I've had plenty...and have def had a focus on my training on the "whole patient" (I very much doubt, in comparing lecture hours nurses have such a 'well -rounded" education) (and no, before you say it my school is not unique I have friends at other medical schools that have had this experience)

All you do is spit out nursing "buzzwords" that propagate BS (as you were called out on---"nurses are more holistic, patient oriented".... this is BS--even though nurses and nursing organizations LOVE to spew it out)..... you were even called out by a FELLOW nurse in another forum...

Honestly, all you tend to do is create a more hostile environment... I can't believe you haven't seen that yet
 
ji lin,

Is it so hard to figure out why you raise such anger on these boards? Most people I would imagine don't even read your posts anymore or just click ignore.

You are long winded.... are an RN and a pre-med.... which allows you to "claim understanding of both sides" (even though you haven't attended medical school... yet, you seem to have an uncanny understanding of what we go through in medical school, weird?)

You claim medical training is only focusing on the pathophysiology is simply not true...

How many lectures did you have on alternative medicine? sexual issues/education? And more and more....I've had plenty...and have def had a focus on my training on the "whole patient" (I very much doubt, in comparing lecture hours nurses have such a 'well -rounded" education) (and no, before you say it my school is not unique I have friends at other medical schools that have had this experience)

All you do is spit out nursing "buzzwords" that propagate BS (as you were called out on---"nurses are more holistic, patient oriented".... this is BS--even though nurses and nursing organizations LOVE to spew it out)..... you were even called out by a FELLOW nurse in another forum...

Honestly, all you tend to do is create a more hostile environment... I can't believe you haven't seen that yet


"You claim medical training is only focusing on the pathophysiology. . ."


I didn't WRITE "only."

You missed the qualifying terms. Primarily is NOT only.

Don't attack me. For all I know you are the same singer from another choir, if you know what I mean. And don't attempt to speak for everyone. That's simply childish. But if you are a certain person that loves to make enemies with some folks, while kissing up to others, your game is sad and you have to know it by now. Interesting character for an avatar too. OTOH, if you are not not the "you" I'm referring to, don't worry about it.
I will simply click "ignore" if your silly, unnecessary attacks/comments, such as above, continue.


Yes, it's so BS, b/c you say so. And not too long ago various supplements and daily, vigorous physicial exercise were said not to matter too much in terms of quality of life and longevity.


Clearly you don't know what I posted is about, and you don't care to learn. That's fine. Gives you no place to comment intelligently on it though. Suffice it to say, you prefer to believe that nursing is essentially a technical/technician role with extra special focus on bodily clean-ups. LOL:laugh: Alrighty then. Whatever.


Believe what you want. LOL. It is funny that you think I would concern myself over something in which you have not educated yourself and in something that I personally can go either way with in terms of clarifying. You have Internet access. You must do your own homework. Come on already.

Some people at SDN are just about the hating and not about the understanding. Their loss.
 
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"You claim medical training is only focusing on the pathophysiology. . ."


I didn't WRITE "only."

You missed the qualifying terms. Primarily is NOT only.

Don't attack me. For all I know you are the same singer from another choir, if you know what I mean. And don't attempt to speak for everyone. That's simply childish. But if you are a certain person that loves to make enemies with some folks, while kissing up to others, your game is sad and you have to know it by now. Interesting character for an avatar too. OTOH, if you are not not the "you" I'm referring to, don't worry about it.
I will simply click "ignore" if your silly, unnecessary attacks/comments, such as above, continue.


Yes, it's so BS, b/c you say so. And not too long ago various supplements and daily, vigorous physicial exercise were said not to matter too much in terms of quality of life and longevity.


Clearly you don't know what I posted is about, and you don't care to learn. That's fine. Gives you no place to comment intelligently on it though. Suffice it to say, you prefer to believe that nursing is essentially a technical/technician role with extra special focus on bodily clean-ups. LOL:laugh: Alrighty then. Whatever.


Believe what you want. LOL. It is funny that you think I would concern myself over something in which you have not educated yourself and in something that I personally can go either way with in terms of clarifying. You have Internet access. You must do your own homework. Come on already.

Some people at SDN are just about the hating and not about the understanding. Their loss.


You can look through all my posting hx you want. I NEVER ssaid this.
 
Didn't say "only."

You are missed the qualifying terms.

Don't attack me. For all I know you are the same singer from one choice, if you know what I mean. Don't attempt to speak for everyone. That's simply childish. But if you are a certain person that loves to make enemies with some folks while kissing up to others, your game is sad and you have to know it. Interesting character for avatar too. OTOH if it is not the "you" I'm referring to, don't worry about it.
And I will simply click ignore if unnecessary attacks such as your comments above continue.


Yes, BS, b/c you say so. And not too long ago various supplements and daily, vigorous physicial exercise was said not to matter too much in terms of quality of life and longevity.


Clearly you don't know what these things are about and you don't care to learn. Suffice it to say, you prefer to believe that nursing is essentially a technical/technician role with extra special focus on bodily clean-ups. LOL:laugh: Alrighty then. Whatever.


Believe what you want. LOL. It is funny that you think I would concern myself over something in which you have not educated yourself and in something that I personally can go either way with in terms of clarifying. You have Internet access. You must do your own homework. Come on already.

Some are just about the hating and not about the understanding. Your loss.

I'm not sure what a lot of this post is referring to, but we'll leave that aside for now. While a little confrontational in nature, FutureDoc raises some valid points. You can't really comment on the depth or nature of our training any more than we can on yours.

All you can really say is something along the lines of "in my experience, nurses have a more holistic approach to patient care than doctors do," which I wouldn't doubt, especially if the majority of your time has been in the critical care setting. We are then free to counter your example with examples from our own training, and then we are at a stalemate.
 
Nothing strange... you claimed that I thought nursing

"is a technical role or technician role/ with a focus on bodily clean ups"

the part I bolded for you.

I never said that and I never thought that (look at my posting hx as I claimed). I respect nursing as profession. I don't respect people who make up false claims about another persons profession (as I feel like you do).

And now I am confused, because I feel like there were some comments that I was suppose to (individually) understand in your post that I don't get... and find it also confusing
 
I'm not sure what a lot of this post is referring to, but we'll leave that aside for now. While a little confrontational in nature, FutureDoc raises some valid points. You can't really comment on the depth or nature of our training any more than we can on yours.

All you can really say is something along the lines of "in my experience, nurses have a more holistic approach to patient care than doctors do," which I wouldn't doubt, especially if the majority of your time has been in the critical care setting. We are then free to counter your example with examples from our own training, and then we are at a stalemate.


Yes, we can. This is precisely what is taught in nursing fundamentals. Medicine focuses primarily on diseases. Nursing focuses primarily on individual responses of the patient.

Look, I'm done with this. Read about it on your own.

One advantage of being a nurse is many times you get a better peak into medical training and education than physicians or med students get in terms of them peaking into nursing education and training. Honestly while in training/education mode, you are doing your own thing--especially as you move through residency. Honestly more nurses are flocking to you about medicine and medical issues than docs coming to nurses inquiring about nursing and nursing issues. Most physicians or med students or the like are quite OK with not concentrating on nursing issues. Where we intersect, often if falls within the lines of medicine--what the patients' needs are and how we have to interact with you to deal with those needs. Is it a "one-down" dynamic? Perhaps. Some would say yes, others no. I see it for being naturally subwhat one-down in nature. I mean really, we are coming to you over issues more than you are coming to us---unless you want to know some data that is yet recorded or you want to get a general feel for how we are assessing the status of the patients.

You again are missing it. It's not about the art of medicine not involving a holistic approach. If this were the case, I wouldn't be pursuing it for God's sake.

It's about the primary focus afforded by either discipline.

Again, google away.
 
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Nothing strange... you claimed that I thought nursing

"is a technical role or technician role/ with a focus on bodily clean ups"

the part I bolded for you.

I never said that and I never thought that (look at my posting hx as I claimed). I respect nursing as profession. I don't respect people who make up false claims about another persons profession (as I feel like you do).

And now I am confused, because I feel like there were some comments that I was suppose to (individually) understand in your post that I don't get... and find it also confusing



? You can feel anyway you want. Read and study about it. Again, employ the use of Google if you are seriously inclined to do so. But honestly I feel like you have no right to disrespect anything until you intelligently explore and begin to understand it. Otherwise, the basis for such a reaction is purely emotional and not based on any solid information; thus it is illogical.

How can you respect a profession that you don't even understand? Again. Please consider googling.

Until then, I am not sure exactly who you are; but I do know people can play all sorts of games online. It's sad, but I've seen it. If that part that I referred does not pertain to you--and it may not--don't worry about it. (Maybe you haven't seen people play games with multiple online names or even hound people on line. It is indeed creepy. If you haven't, I hope you never experience it.) If, however, it does pertain to the "you" I spoke of, well, as usual, I feel very sad for you. Time will reveal it, and I will gladly just use the ignore feature.

A tiny piece of what I was referring to:


NURSING DIAGNOSIS
- Clinical judgment about an individual, family or community responses to actual and potential health problems
- Professional nurses are responsible for making nursing diagnosis.
- Nursing diagnosis describe a continuum of health states.

Potential Health

Actual Potential<------------------------------Problem-------------------------------------------- >Healthy Responses






NURSING DIAGNOSIS
-Focus on identifying human responses to health and illness
- Describe problems treated by nurses within the scope of independent nursing practice
- Changes from day to day as client responses change
MEDICAL DIAGNOSIS
- Identifies disease

- Describe problems for which the physician directs the primary treatment
- Remains the same for as long as the disease is present
 
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Well, this will be my last response to you because you are going on my ignore list.

Honestly, anyone with multiple names (which is against the TOS here) has to much time on their hands. I assure you that I am not 'whoever' it is you think I may be. A look through my posting hx will probably easily satisfy that curiosity.


Finally, it's convenient that your definition of "medicine" comes from a nursing textbook isn't it?

Again, I will reiterate for you... I think most physicians, medical students, residents etc. respect nursing as a profession (regardless of how little "you perceive" we know about it)....You make a lot of assumptions about medical training and you're understanding of medicine and the training of a physician, be careful with that..

Good luck.
 
Ok I googled, let me rephrase, ****ing bull****

Anyone that post such long and ranting posts has something seriously wrong mentally

Maybe you should get laid so you can relate better to your patients and the rest of humanity, cause not one person on this whole planet wants to listen to you for one second. Be holistic to somemother****r when you are infinitely and blindly subscribed to things that make you feel good. This is science. Alleviating mental and physical pain has science behind it too

I'd love to be a fly on the wall if you even get a med school interview
 
Well, this will be my last response to you because you are going on my ignore list.

Honestly, anyone with multiple names (which is against the TOS here) has to much time on their hands. I assure you that I am not 'whoever' it is you think I may be. A look through my posting hx will probably easily satisfy that curiosity.


Finally, it's convenient that your definition of "medicine" comes from a nursing textbook isn't it?

Again, I will reiterate for you... I think most physicians, medical students, residents etc. respect nursing as a profession (regardless of how little "you perceive" we know about it)....You make a lot of assumptions about medical training and you're understanding of medicine and the training of a physician, be careful with that..

Good luck.


If you think for one second that all people follow the TOS much less even read them, well, that's not based in reality. But I do apologize if you are one of those that do follow the TOS.

"You make a lot of assumptions about medical training and you're understanding of medicine and the training of a physician, be careful with that.."No I have not. Sorry you feel that way; it save me the trouble of clicking on it. Your comments were w/ re: to nursing--re-read them--BS statements--BTW, it was not any textbook. I simply did what I asked you to do. Not hard to procure. If you don't like how nursing schools or their texts or ppts or whatever state that, please feel free to let them know. When I get the chances I drop a line at say ANCCC for you if you'd like. But mostly it's just more of the same unnecessary, adversarial stuff.

Again for the umpteenth time, it's is not about not being taught holistic models. It is about primary focus comparatively. Wow.

To the topic, again so much of this is just unnecessary hate. And nursing unions are not as strong as you think, and they are nearly as many as you think, what's more there are nothing like say the NEA. No way they are going to take over physicians roles. I don't want them to, you don't want them to, the patients don't want them to.

So what's with the need for some sort of pizzing contest with nursing? Holy crap. Too much hating going on.
 
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Ok I googled, let me rephrase, ****ing bull****

Anyone that post such long and ranting posts has something seriously wrong mentally

Maybe you should get laid so you can relate better to your patients and the rest of humanity, cause not one person on this whole planet wants to listen to you for one second. Be holistic to somemother****r when you are infinitely and blindly subscribed to things that make you feel good. This is science. Alleviating mental and physical pain has science behind it too

I'd love to be a fly on the wall if you even get a med school interview


Typical childish response. Get over it already. Hahaha. I will say that I had read some of your other replies to folks on SDN.

Some of the were truly comical. And others, like the comment about how you hoped someone's dad molested them, eeeeeeeh not so good. Someone with that kind of mentality, well, I'd love to be a fly on the wall while you are running the ropes through residency.


Listen, haters never prosper--not in the long run. You only wish you had my love life. LOL

That's a class act right there.
 
Recognize changes in assessment that indicate early signs of decompensation, responding in the appropriate manner when that occurs, adjusting medications and other therapy based on assessment findings, making decisions whether medications or other therapies are appropriate in the first place, assuaging fears, teaching, providing comfort, managing hygiene, dealing with abusive behaviors of crazy and/or entitled patients and/or families, making sure the hospital doesn't lose accreditation (and therefore income) by making sure that regulations are followed, etc, etc.

Yeah, clearly not everyone has what it takes to be a rockstar nurse.

CLEARLY :laugh:
 
Yes, we can. This is precisely what is taught in nursing fundamentals. Medicine focuses primarily on diseases. Nursing focuses primarily on individual responses of the patient.

Look, I'm done with this. Read about it on your own.

One advantage of being a nurse is many times you get a better peak into medical training and education than physicians or med students get in terms of them peaking into nursing education and training. Honestly while in training/education mode, you are doing your own thing--especially as you move through residency. Honestly more nurses are flocking to you about medicine and medical issues than docs coming to nurses inquiring about nursing and nursing issues. Most physicians or med students or the like are quite OK with not concentrating on nursing issues. Where we intersect, often if falls within the lines of medicine--what the patients' needs are and how we have to interact with you to deal with those needs. Is it a "one-down" dynamic? Perhaps. Some would say yes, others no. I see it for being naturally subwhat one-down in nature. I mean really, we are coming to you over issues more than you are coming to us---unless you want to know some data that is yet recorded or you want to get a general feel for how we are assessing the status of the patients.

You again are missing it. It's not about the art of medicine not involving a holistic approach. If this were the case, I wouldn't be pursuing it for God's sake.

It's about the primary focus afforded by either discipline.

Again, google away.

"Yes we can" what? Comment on medical training? The point remains that just because you interact with medical students and residents on a daily basis doesn't mean that you are privy to their education anymore than I am privy to the education the nurses and nursing students I've worked with received.

I'm not going to argue with you that the primary focus of the two disciplines is different. Well, I will, sorta, because the primary focus of both should be the patient. But the way they approach patients is different. You have different responsibilities, so you are taught to look for different things. I appreciate you recognizing that medicine is not entirely devoid of a "holistic" component," but my argument is that one approach is not more "holistic" than another.

In fact, the more I use the word, the more ridiculous it seems. For awhile it seemed that applicants to DO schools used that as "why" they were applying that route, but most of the DO grads I've talked to say that DO education is basically the same as MD with the addition of osteopathic manipulation.

I had originally entered into this discussion because for the most part your responses were mature and thought out, and I have no problem disagreeing with people. But for whatever reason (goading by other posters, something else), your replies have degraded towards reactionary and comical. You may have figured this out by now from your probationary status, but regardless of how "right" or "wrong" it is, as a guest on SDN (as a nurse), you're probably held to a higher standard of maturity than others. SDN allows nurses, and immaturity (to a degree), but immature nurses get the banhammer pretty quick, in my experience.
 
Please don't take it that way. It's just that nursing is such that it allows and directly moves, or at least it is supposed to primarily focus and move from a holistic model more than a pathophysiological one.

Yes both professions work with understanding and using holistics as well as pathophysiology.
But it's about the primary focus and how much of it is used. While physicians certainly should include a holistic approach in their treatment of pts, their primary focus is disease-oriented. Nursing works out a primary holistic paradigm--pragmatically and otherwise--and thus their focus is with regard to responses of the person to various states affecting their whole person.

Some nurses may not buy into this so much--and it's probably why they let NANDA nursing diagnoses trouble them. I always thought it was an interesting way to approach meeting the needs of the patient. It doesn't mean you do not learn diseases or learn probable causes, treatments, and other such things. It means that nursing diagnoses are based on human holistic responses of the patient.

So again, please don't take it as if physicians aren't using a holistic approach. They may or may not be; and hopefully they are. Still, their primary focus is with regard to pathology and treatments affecting the pathology in one way or another.

The difference is primarily about the pragmatics of focus and approach.


Some nurses....No my dear, most nurses, don't practice that way. We get taught all this stuff in the osteopathic schools. The approach to patient care is individualistic. Two people from the same exact school of thought will practice differently. It can be done by a nurse or by a physician. Most nurses don't do this, I see it everyday, so give it a rest.
 
Typical childish response. Get over it already. Hahaha. I will say that I had read some of your other replies to folks on SDN.

Some of the were truly comical. And others, like the comment about how you hoped someone's dad molested them, eeeeeeeh not so good. Someone with that kind of mentality, well, I'd love to be a fly on the wall while you are running the ropes through residency.


Listen, haters never prosper--not in the long run. You only wish you had my love life. LOL

That's a class act right there.

Very childish reply yourself. Where's that holistic attitude now? Lost it? It's probably better to take the high road in these instances, so you don't loose credibility. 😉
 
I don't understand this nonsense about the "nursing diagnosis" being centered around the "patient's response to health and illness." What the hell does that even mean? The "clinical judgement" about a response to an illness? So...the diagnosis of the illness is based on the patient's response to an illness? Logic fail?

This sounds like a bunch of bologna that the nursing powers in charge made up to distinguish their practice from medical practice, to give the illusion they stand on their own by practicing "advanced nursing" instead of trying to practice medicine. Whether you want to admit it or not, advanced nursing is just a catch phrase that means "a nurse with some additional training who is trying to have a physician-like career."

And is it your actual contention that a physician does not change a medical diagnosis and/or treatment as the patient's condition changes?

For the record, I think NPs have an important role in health care. But I do not agree with independent NP practices and I do not buy into this nursing jargon bullcrap.
 
QUOTE]
I had originally entered into this discussion because for the most part your responses were mature and thought out, and I have no problem disagreeing with people.


WholeLotta, I am responding quickly to you, since I am shutting down here of my own volition. So I choose to not receive pms and such&#8212;and am trying to do that whole account closing thing--although I don't think it can totally be done. Maybe if I wrote to someone. IDK.

I will say I have enjoyed many things at SDN--reviewing or reading answers to questions I have as I move through this long and difficult process--and that has been a good thing. But I don't want to risk being banned, especially for things like this. I don't spam, troll, and I don't want to incite but discuss. Trolls by definition seek out in order to destroy and such. Not what I am or was about.

I apologize especially to you, b/c you have been respectful. I think we simply disagree about the semantics of things. I didn't write these things--people that were in the field long before I entered it did. I was simply sharing them with you. I never, not once stated physicians are not holistic or are less or more so. It's simply about the way things are defined in terms of primary focus--that was what I was talking about--and again, I didn't write those comparisons and am not a theorist of such. So why shoot the messenger?


For the record before I leave I would like to state once more that I personally am NOT for anyone masquerading as a doctor/physician. I've stated that it's illogical to me for such a thing to occur, period. I realize others differ on this, but I pretty much am not sensing DNPs will be the total threat that some fear. I may be wrong on that, IDK. I hope I am not. I'm just talking in terms of likelihood. Don't know what more I can say to communicate my genuine feelings on that.

But I do thank you for being civil. Again I think we were disagreeing on semantics.

Plus I forgot the 1 + 1 rule. 🙂 It's like this: You state a POV. When it is either not accepted or even misunderstood in a defensive way, you may try ONLY ONCE MORE to present it, and then you let it go. If I am guilty of anything, it is breaking this unspoken rule. I honestly do not believe breaking this unspoken rule is trolling or inciting anything necessarily. None of that was ever my intent.

Good luck with your current and future endeavors.
 
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I don't understand this nonsense about the "nursing diagnosis" being centered around the "patient's response to health and illness." What the hell does that even mean? The "clinical judgement" about a response to an illness? So...the diagnosis of the illness is based on the patient's response to an illness? Logic fail?

This sounds like a bunch of bologna that the nursing powers in charge made up to distinguish their practice from medical practice

I'm responding to you in a non-argumentitive way. Nursing diagnoses are not something new. They have been around since the early 70's, long before any of these advanced practice issues came up. I'm sure if you knew what they were instead of what people may think they are, you would see them as an important part of patient care.

What is the difference between a medical diagnosis and a nursing diagnosis?A medical diagnosis deals with disease or medical condition. A nursing diagnosis deals with human response to actual or potential health problems and life processes. For example, a medical diagnosis of Cerebrovascular Attack (CVA or Stroke) provides information about the patient's pathology. The complimentary nursing diagnoses of Impaired verbal communication, risk for falls, interrupted family processes and powerlessness provide a more holistic understanding of the impact of that stroke on this particular patient and his family &#8211; they also direct nursing interventions to obtain patient-specific outcomes.


In reality, I have never used a nursing diagnosis since I have been in nursing. On the nursing flow sheets, you can check off things that apply, but I would hope any good nurse would know about the nursing care of patients with different illnesses without them, such as your stroke patient could fall, so institute nursing measures that ensure your patient doesn't.

This is not meant to suggest that MD's don't care about holistic care. I think when these nursing dx were developed, there wasn't that much of a focus in holistic care in medicine as there is today.
 
I don't understand this nonsense about the "nursing diagnosis" being centered around the "patient's response to health and illness." What the hell does that even mean? The "clinical judgement" about a response to an illness? So...the diagnosis of the illness is based on the patient's response to an illness? Logic fail?

This sounds like a bunch of bologna that the nursing powers in charge made up to distinguish their practice from medical practice, to give the illusion they stand on their own by practicing "advanced nursing" instead of trying to practice medicine. Whether you want to admit it or not, advanced nursing is just a catch phrase that means "a nurse with some additional training who is trying to have a physician-like career."

And is it your actual contention that a physician does not change a medical diagnosis and/or treatment as the patient's condition changes?

For the record, I think NPs have an important role in health care. But I do not agree with independent NP practices and I do not buy into this nursing jargon bullcrap.


Just wanted to politely point out that these "nursing diagnoses" are for RNs. I don't completely understand it either (and I am an RN), but it is supposed to be a way for nurses to identify the needs of patients without applying medical diagnoses, since as an RN you are not allowed to diagnosis.

Advanced Practice Nursing does not use "nursing diagnoses" at all... you are required to use medical diagnoses, and will fail horribly if you do not.

Best regards...🙂
 
I'm responding to you in a non-argumentitive way. Nursing diagnoses are not something new. They have been around since the early 70's, long before any of these advanced practice issues came up. I'm sure if you knew what they were instead of what people may think they are, you would see them as an important part of patient care.

What is the difference between a medical diagnosis and a nursing diagnosis?A medical diagnosis deals with disease or medical condition. A nursing diagnosis deals with human response to actual or potential health problems and life processes. For example, a medical diagnosis of Cerebrovascular Attack (CVA or Stroke) provides information about the patient’s pathology. The complimentary nursing diagnoses of Impaired verbal communication, risk for falls, interrupted family processes and powerlessness provide a more holistic understanding of the impact of that stroke on this particular patient and his family – they also direct nursing interventions to obtain patient-specific outcomes.


In reality, I have never used a nursing diagnosis since I have been in nursing. On the nursing flow sheets, you can check off things that apply, but I would hope any good nurse would know about the nursing care of patients with different illnesses without them, such as your stroke patient could fall, so institute nursing measures that ensure your patient doesn't.

This is not meant to suggest that MD's don't care about holistic care. I think when these nursing dx were developed, there wasn't that much of a focus in holistic care in medicine as there is today.


NYRN that was well stated, and I wish I had stated them as you have. 🙂
 
What is the difference between a medical diagnosis and a nursing diagnosis? A medical diagnosis deals with disease or medical condition. A nursing diagnosis deals with human response to actual or potential health problems and life processes. For example, a medical diagnosis of Cerebrovascular Attack (CVA or Stroke) provides information about the patient’s pathology. The complimentary nursing diagnoses of Impaired verbal communication, risk for falls, interrupted family processes and powerlessness provide a more holistic understanding of the impact of that stroke on this particular patient and his family – they also direct nursing interventions to obtain patient-specific outcomes.

I think the thing physicians/med students on here are taking offense to is the implication that physicians stop at the medical diagnosis: "this patient has had a CVA." But as part of our H&Ps, we collect all the same information used for these "nursing diagnoses": mobility/speech issues, fall history/risk factors, caretaker concerns/stressors. The difference is that physicians might write "bed rails up, ambulate with OT/PT," or the generic "falls precautions," and nurses are tasked with the hour-to-hour, minute-to-minute implication of said issues.

This is not meant to suggest that MD's don't care about holistic care. I think when these nursing dx were developed, there wasn't that much of a focus in holistic care in medicine as there is today.

I'd agree with this statement. My understanding is that there has been much more of a push in the last 20 years to incorporate psychosocioeconomic factors into patient care. As other med students will attest, sometimes it is even rammed down our throats, which occasionally leads to push back.
 
I think the thing physicians/med students on here are taking offense to is the implication that physicians stop at the medical diagnosis: "this patient has had a CVA." But as part of our H&Ps, we collect all the same information used for these "nursing diagnoses": mobility/speech issues, fall history/risk factors, caretaker concerns/stressors. The difference is that physicians might write "bed rails up, ambulate with OT/PT," or the generic "falls precautions," and nurses are tasked with the hour-to-hour, minute-to-minute implication of said issues.

It's a good thing when an MD recognizes the importance of these things. Some of these things are within the nursing scope of practice and don't require an MD order, such as skin precautions, fall precautions, and even skin/dietary consults. Other things such as OT/PT require an MD order. I don't care who is in charge of these things, as long as they are done.

I'd agree with this statement. My understanding is that there has been much more of a push in the last 20 years to incorporate psychosocioeconomic factors into patient care. As other med students will attest, sometimes it is even rammed down our throats, which occasionally leads to push back.

From my experience, it absolutely has been. The younger docs are more likely to incorporate these things into their plan of care than some of the old school MD's are.

Either way, whether we like it or not, we have to get accustomed to it. Society as a whole is more focused on accomidation than assimilation like it was years ago. Healthcare workers are being held to legal and professional standards that require us to take these things into consideration.
 
Thanks for clearing up the "nursing diagnosis" business. Now I'm not sure why it was brought up in the first place on this thread, however, because that definitely made it seem to be a feature of nurse PRACTITIONING. No one is concerned about RNs masquerading as physicians.

It's just giving a (slightly misleading) name to what nurses are supposed to do: nursing.

And yes, MD/DOs do take all of those social and behavioral factors into consideration, but an RN is not going to see every aspect of the physician's assessment and treatment plan. As WholeLottaGame said, the nurse's job is then to carry out the daily actions required.
 
Thanks for clearing up the "nursing diagnosis" business. Now I'm not sure why it was brought up in the first place on this thread, however, because that definitely made it seem to be a feature of nurse PRACTITIONING. No one is concerned about RNs masquerading as physicians.

It's just giving a (slightly misleading) name to what nurses are supposed to do: nursing.

And yes, MD/DOs do take all of those social and behavioral factors into consideration, but an RN is not going to see every aspect of the physician's assessment and treatment plan. As WholeLottaGame said, the nurse's job is then to carry out the daily actions required.

r u a doctor?
 
Thanks for clearing up the "nursing diagnosis" business. Now I'm not sure why it was brought up in the first place on this thread, however, because that definitely made it seem to be a feature of nurse PRACTITIONING. No one is concerned about RNs masquerading as physicians.

It's just giving a (slightly misleading) name to what nurses are supposed to do: nursing.

And yes, MD/DOs do take all of those social and behavioral factors into consideration, but an RN is not going to see every aspect of the physician's assessment and treatment plan. As WholeLottaGame said, the nurse's job is then to carry out the daily actions required.

I don't disagree that its our job to carry out these things, but it should be understood that a nursing education teaches us about the disease process, in order to understand why we need to do these things, we don't blindly follow orders. Just because the MD didn't write an order to keep the siderails up, the nurse should know better that this patient could fall due to the hemiplegia in stroke patients.

This difference is clear when you are talking with nurse's aides. They don't understand why we can't feed the stroke patient or get them out of bed, or why they have to change the patient so often if they are dirty. Since a nurse understands the disease process of a CVA, we know that these patients are at risk for falling, aspiration, contractures, and skin breakdown. There are many things that nurses alone can do to prevent some of these things from happening, that do not require an MD order.

I don't think the nursing diagnoses are misleading, if you see how they are worded. A nursing diagnosis would be something like "alterations in skin integrity" or "alterations in comfort" or "potential for falls". I don't think anyone would confuse a nursing dx with a medical dx.

Its impossible for one discipline to cover every possible aspect of care. Nursing does have some level of independance in a hospital setting to make sure that the patient is safe, and getting the care they need within the legal scope of nursing practice. (I'm not talking about advanced practice)
 
I don't disagree that its our job to carry out these things, but it should be understood that a nursing education teaches us about the disease process, in order to understand why we need to do these things, we don't blindly follow orders.

Yeah. No one said that, you don't need to be defensive.

Just because the MD didn't write an order to keep the siderails up, the nurse should know better that this patient could fall due to the hemiplegia in stroke patients.

This difference is clear when you are talking with nurse's aides. They don't understand why we can't feed the stroke patient or get them out of bed, or why they have to change the patient so often if they are dirty.

Oh, really. That's sort of an arrogant statement, don't you think? Almost every NA I know is in nursing school. I'm an NA and I have a masters degree in biomedical science. Don't make assumptions. It doesn't take a rocket scientist to know that stroke patients can have trouble speaking or eating, or that dirty people should be cleaned.

Since a nurse understands the disease process of a CVA, we know that these patients are at risk for falling, aspiration, contractures, and skin breakdown. There are many things that nurses alone can do to prevent some of these things from happening, that do not require an MD order.

ok.

I don't think the nursing diagnoses are misleading, if you see how they are worded. A nursing diagnosis would be something like "alterations in skin integrity" or "alterations in comfort" or "potential for falls". I don't think anyone would confuse a nursing dx with a medical dx.

Its impossible for one discipline to cover every possible aspect of care. Nursing does have some level of independance in a hospital setting to make sure that the patient is safe, and getting the care they need within the legal scope of nursing practice. (I'm not talking about advanced practice)

I never intended to debate the need for RNs, nor did I ever imply they were not needed.
.
 

You are the one getting defensive. I didn't say that your personally said that RN's blindly follow orders nor did I say that nurses were not needed. I was trying to get the point across that we don't blindly follow orders as some people on this forum think we do.

I also never said that ALL NA's don't understand disease, but teaching about disease process is not part of the curriculum of NA training. They learn about patients with specific illnesses on the job. That is why RN's can't legally delegate tasks that require assessment or clinical judgement to NA's. The typical NA does not have a masters degree, so you can't use yourself as an example of the typical NA. Many of them will complain about having to do xyz because they don't understand why it is important to do so.

On the other hand, having a good NA is worth his/her weight in gold 100x over. In fact, I always say that the worst enemy of a good NA is the other NA's who are lazy. The good ones wind up getting worked to death while the other disappear or sit on their butts.
 
How about we change the title of this thread to:

"Nurses masquerading as long winded, lecturingly pedantic fusspots"

Then we could at let it die a peaceful death.

I want to congratulate the moderators for doing their job here. Just because some poses as a even tempered discussionista. Doesn't mean we should have to hear them carry on incessantly where they're are not needed nor wanted. And as was demonstrated slyly disruptive on the whole.
 
How about we change the title of this thread to:

"Nurses masquerading as long winded, lecturingly pedantic fusspots"

Then we could at let it die a peaceful death.

I want to congratulate the moderators for doing their job here. Just because some poses as a even tempered discussionista. Doesn't mean we should have to hear them carry on incessantly where they're are not needed nor wanted. And as was demonstrated slyly disruptive on the whole.


Nas, I;ve pretty much liked a lot of your input at SDN. You definitely seem like the kind of person to kick back and have a drink with.

Again I apologize for anything that seems unduly negativity on my part. I also allowed others to push my buttons, and that is totally my bad and no one else's. I must be in control and be accountable for how I choose to respond to things, period--so I totally own that. If the last comment above was with regard to me, rest assured, I was never "slyly disruptive." And this definitely was not my intent. Unfair characterizations are caustic and unnecessary. I would not seek to misjudge you that way.


Yes I am taking a nice long break here from responding by my own choice, b/c I don't think you can totally close an account--as in take down your name completely, etc. I tried.

Like so many negative turns in discussions, I think basically some of it comes down to semantics and misunderstandings and miscommunications. Still, I do think NYRN should be commended for clarifying some things. I think he/she did a good job. Like I said, we didn't write this; we learned it this way.

Again please realize that it seems that a fair number of us pre-meds that just happen to be nurses are NOT stakeholders in this whole DNP thing. From what I read, all the pre-med nurses, and a good deal of those that are not pre-med, are NOT FOR IT--or for anyone masquerading as physican-doctors.

And for the record, I do plan to speak out against it with nurses, professors, whomever at every turn--primarily b/c it is HIGHLY PROBLEMATIC. I genuinely mean that. Why would I support something that I wouldn't do myself--that is, I see physicians, especially for serious health problems--same thing w/ my family. Eg., I want an experienced reputable surgeon working on me or my family member, period. I mean I understand residents need to learn too, but they are supposed to be directly supervised by experienced, reputable attending surgeons. Most of my work has been with regard to recovering critical heart pts--adults and peds. You better believe I put a lot of stake in the surgeon doing the work. I have recovered enough pts to know how much it can make a difference in what is going on with them post-operatively. So again, this is an example of where I say why would not support something (midlevels usurping the role of physicians) that I don't even believe in or would allow myself?


About anyone being addressed as Dr. in the hospital setting--well it is clearly a good point that it could be confusing to patients and families. As such, if this is the hospital's policy, then it needs to be respected, period.

Hospitals, as you know (b/c I think you work in a hospital or some kind of clinic setting) have rules that govern them, but they are still mostly run like businesses in their own right.
OK, so, it's not like, at least in this country for now, a government agency can come in and mandate that all non-physician doctors be referred to as Dr in their hospital's setting. NO. The hospitals are relatively free to function by way of their own policies--and have a good degree of legitimate sovereignity in that.

As long as this country is free and allows businesses and such to pretty much operate that way, places will establish their OWN policies. So the hospital policy re: refer only to physicians in the hospital as doctors would stand, if that is the case.

I feel like a good way to bring about change in this regard is one place at a time. It's sort of like the ED physician on one of these threads that was able to persuade the board to eliminate or limit NP training in the ED where he worked. I mean if medicine sees this as legitimate encroachment, then they have to do what they have to do. My point is this: you have to make change where you are--one place at a time.

Good luck to you too Nas. I have a special place in my heart for musicians. Congrats about MS. Knock em dead. . .well, you know what I mean. 🙂
 
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? You can feel anyway you want. Read and study about it. Again, employ the use of Google if you are seriously inclined to do so. But honestly I feel like you have no right to disrespect anything until you intelligently explore and begin to understand it. Otherwise, the basis for such a reaction is purely emotional and not based on any solid information; thus it is illogical.

How can you respect a profession that you don't even understand? Again. Please consider googling.

Until then, I am not sure exactly who you are; but I do know people can play all sorts of games online. It's sad, but I've seen it. If that part that I referred does not pertain to you--and it may not--don't worry about it. (Maybe you haven't seen people play games with multiple online names or even hound people on line. It is indeed creepy. If you haven't, I hope you never experience it.) If, however, it does pertain to the "you" I spoke of, well, as usual, I feel very sad for you. Time will reveal it, and I will gladly just use the ignore feature.

A tiny piece of what I was referring to:


NURSING DIAGNOSIS
- Clinical judgment about an individual, family or community responses to actual and potential health problems
- Professional nurses are responsible for making nursing diagnosis.
- Nursing diagnosis describe a continuum of health states.

Potential Health

Actual Potential<------------------------------Problem-------------------------------------------- >Healthy Responses






NURSING DIAGNOSIS
-Focus on identifying human responses to health and illness
- Describe problems treated by nurses within the scope of independent nursing practice
- Changes from day to day as client responses change
MEDICAL DIAGNOSIS
- Identifies disease

- Describe problems for which the physician directs the primary treatment
- Remains the same for as long as the disease is present

The way you natter on about nursing, I don't understand it either, and I have been a nurse for 25 years. Sheesh. Ever hear of being concise? It would serve you well.

Oh, BTW, NANDA is crap.
 
How about we change the title of this thread to:

"Nurses masquerading as long winded, lecturingly pedantic fusspots"

Then we could at let it die a peaceful death.

I want to congratulate the moderators for doing their job here. Just because some poses as a even tempered discussionista. Doesn't mean we should have to hear them carry on incessantly where they're are not needed nor wanted. And as was demonstrated slyly disruptive on the whole.

Well stated.
 
The way you natter on about nursing, I don't understand it either, and I have been a nurse for 25 years. Sheesh. Ever hear of being concise? It would serve you well.
Oh, BTW, NANDA is crap.

Well stated.


The purpose for such replies in someone looking for peace within a thread? Could it be to undermine my last post? It was authentic and genuine.

Leave it alone please.


[FONT=Arial, Helvetica, sans-serif]"The traditional definition of a troll refers to a member of a community or usenet group who makes posts .[FONT=Arial, Helvetica, sans-serif]deliberately.[FONT=Arial, Helvetica, sans-serif] designed to attract responses of outrage or indignation. It is the troll's intent to "hook" unsuspecting members into responding, (hence the term "trolling"), thus providing him/her self with the satisfaction of knowing they have impact on others..

[FONT=Arial, Helvetica, sans-serif]A distinction must be made between .[FONT=Arial, Helvetica, sans-serif]true.[FONT=Arial, Helvetica, sans-serif] trolls, newbies who are undergoing growing pains as they attempt to adjust to community standards, and regular community members who simply have strong but otherwise harmless, dissenting opinions.".
 
I'm the troll here? Really. 🙄

I think you're more irritated that a fellow nurse disagrees with you and doesn't drink the Kool-Aid.
 
I'm the troll here? Really. 🙄

I think you're more irritated that a fellow nurse disagrees with you and doesn't drink the Kool-Aid.


NAIL ON HEAD Fab4Fan!!
 
NAIL ON HEAD Fab4Fan!!


I will say this and then I won't reply here anymore. BTW, you can't just delete an account here. It doesn't seem to work that way--in case a comment addresses that part of things.

So with all due respect PICUNP, the comment "nail on head" is wrong, b/c I don't care even a little if a nurse or anyone else believes in nursing diagnosis, NANDA, or the approach to nursing they taught us in school. People go to school, and then it is up to them to choose how they will practice and out of what paradigms or philosohies or approaches.

I was just relating what was taught to me and most of us in college while we were pursuing nursing. I see both sides of the approach, and again NYRN did a better job than I did relating them.

I've used different ways to focus on pt problems as a nurse. The nursing dx approach and philosophy isn't a bad one. I think most of us think that way to some degree when looking holistically at pt needs, whether we write it up as such or not, and while we still consider the medical diagnoses that may or may not be given.

If I were a NP, I think I'd take your view on DNPs. As it is now as a pre-med, I find the DNP issue problematic. But I think most of the NPs I've worked with or spoken with think like you do about it; i.e., they feel it is unnecessary and will just add to more confusion for the patients.
 
I will say this and then I won't reply here anymore. BTW, you can't just delete an account here. It doesn't seem to work that way--in case a comment addresses that part of things.

So with all due respect PICUNP, the comment "nail on head" is wrong, b/c I don't care even a little if a nurse or anyone else believes in nursing diagnosis, NANDA, or the approach to nursing they taught us in school. People go to school, and then it is up to them to choose how they will practice and out of what paradigms or philosohies or approaches.

I was just relating what was taught to me and most of us in college while we were pursuing nursing. I see both sides of the approach, and again NYRN did a better job than I did relating them.

I've used different ways to focus on pt problems as a nurse. The nursing dx approach and philosophy isn't a bad one. I think most of us think that way to some degree when looking holistically at pt needs, whether we write it up as such or not, and while we still consider the medical diagnoses that may or may not be given.

If I were a NP, I think I'd take your view on DNPs. As it is now as a pre-med, I find the DNP issue problematic. But I think most of the NPs I've worked with or spoken with think like you do about it; i.e., they feel it is unnecessary and will just add to more confusion for the patients.

Having an account doesn't mean you have to post. Do you realize you've started basically every single post with "This is my last post..."
 
I agree with Fab that NANDA is "crap." I can appreciate no practical reason to utilise the nursing diagnosis and it's related jargon other than to put a nursing spin on a concept that has already been well defined.

I remember studying for the CEN when the nursing process was well integrated into the exam. It's stupid when homie g comes into the er missing half a face because his business partner shot it off during intense substance related negotiations, I cannot say he has an airway obstruction. Instead, I have to put a special nursing diagnosis to this rather obvious problem and say he has "ineffective airway clearance."

Reminds me of my Army days when the Rangers developed a really cool way of placing an IV that allowed quick connect and disconnect. It was funny when some ranger medic came out with a video we had to watch and he was calling this cool procedure a "Ranger saline lock." it has been a saline lock for quite some time, yet the name was changed to reflect a specific group. Same concept in nursing IMHO. Except, a Ranger diagnosis sound a whole lot cooler than nursing diagnosis, but I digress.
 
I will say this and then I won't reply here anymore. BTW, you can't just delete an account here. It doesn't seem to work that way--in case a comment addresses that part of things.

So with all due respect PICUNP, the comment "nail on head" is wrong, b/c I don't care even a little if a nurse or anyone else believes in nursing diagnosis, NANDA, or the approach to nursing they taught us in school. People go to school, and then it is up to them to choose how they will practice and out of what paradigms or philosohies or approaches.

I was just relating what was taught to me and most of us in college while we were pursuing nursing. I see both sides of the approach, and again NYRN did a better job than I did relating them.

I've used different ways to focus on pt problems as a nurse. The nursing dx approach and philosophy isn't a bad one. I think most of us think that way to some degree when looking holistically at pt needs, whether we write it up as such or not, and while we still consider the medical diagnoses that may or may not be given.

If I were a NP, I think I'd take your view on DNPs. As it is now as a pre-med, I find the DNP issue problematic. But I think most of the NPs I've worked with or spoken with think like you do about it; i.e., they feel it is unnecessary and will just add to more confusion for the patients.

You remind me of something an English teacher once said to me:

"You are inebriated with the exuberance of your own verbosity."

Probably one of the things that led me to become the laconic personality that I am today.
 
I agree with Fab that NANDA is "crap." I can appreciate no practical reason to utilise the nursing diagnosis and it's related jargon other than to put a nursing spin on a concept that has already been well defined.

I remember studying for the CEN when the nursing process was well integrated into the exam. It's stupid when homie g comes into the er missing half a face because his business partner shot it off during intense substance related negotiations, I cannot say he has an airway obstruction. Instead, I have to put a special nursing diagnosis to this rather obvious problem and say he has "ineffective airway clearance."

Reminds me of my Army days when the Rangers developed a really cool way of placing an IV that allowed quick connect and disconnect. It was funny when some ranger medic came out with a video we had to watch and he was calling this cool procedure a "Ranger saline lock." it has been a saline lock for quite some time, yet the name was changed to reflect a specific group. Same concept in nursing IMHO. Except, a Ranger diagnosis sound a whole lot cooler than nursing diagnosis, but I digress.

Thank you.

When I have a pt. who is short of breath, I don't think, "Ineffective airway clearance r/t blah, blah, blah as evidenced by yada, yada, yada." No. I think, "Crap, dude looks like he can't breathe. Better take a listen to him, get the O2 on him." I don't think about "Ineffective airway exchange, blah, blah blah..." Crimeny. The pt could be blue till I got through all that gobbeldy-gook. When my patient has pain, I don't stand around thinking about "Alteration in comfort, yak, yak, yak..." I get on the phone and ask for an order for something. (I work in an outpt setting where there usually aren't standing orders for pain meds.)

We don't even write care plans where I work. I hope I never see another nursing care plan again in my career; they make my eyes bleed.
 
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