Rate me late, but I have to know. How the fuck does someone screw up this badly? I'm just a retard on the internet that knows jack shit about medicine, but on what planet does abdominal pain = ear infection?Whoopsies part 2:
They didn't post a lot of details, but I assume this is a kid too young to speak/point to where on their body it hurts.
Referred pain can be weird, where the pain in one area of the body is caused by injury in another part, but I don't think I've ever run across anything involving ears. @Aunt Carol probably has it right, the kid was most likely too young to really communicate.
Sleeping on it, I'm better able to articulate my irritation at that article, and this is part of it. They make us do this stupid, unhelpful charting, and it turns out the very customers whose asses we're trying to kiss just see it as "those kids and their Nintendos."
Sounds like defensive medicine gone wild to me. Wrongful death suits for kids have gigantic judgements.
Suicide screening in non-behavioral settings is broken all over. So many of the questions are "have you ever " and dude, if someone's 80, of course they have. It'd make more sense to ask "so are you gonna kill yourself in the next uhhhh week?" because otherwise it's just "hey do you want your visit for CHF exacerbation to become really awkward and longer and do you like finger food? yeah your adult kids are totally going to figure out why you have a sitter and/or q15 checks."
Why fluoxetine and risperdal, of course.
If you’re not willing to wake up at (or stay up till) 6AM to get your fix, are you really an addict? Maybe you just identify as one.
(Sorry for the late reply, but I think this is a super interesting issue) I can’t remember exact numbers because I heard about this in a class awhile ago, but the thinking is based on a study that found that some high number of completed suicides were predated by a visit to the doctor. I want to say over half involved a person who saw their doctor within the few months before, usually with a poorly defined and presumably psychosomatic complaint. Suicidal people also generally saw their doctors more than average. So I think it makes sense for PCPs to ask, but god they do it badly. “Have you ever thought” is pointless and “have you thought about suicide” is confusing, and non-MH people do both all the time. It would be better to use a standardized tool like the ASQ screen for all patients 12+, for example, than to say “just ask, there’s no harm”. And that doesn’t even touch on the total lack of structure regarding next steps for PCPs when a patient does report MH issues.
Thanks for making me feel ashamed to be a nurse. I'm sure #1 in particular people love working with her.
I had to look this up but if you're going to make every nurse take a personality disorder test there will be like 2 nurses in the whole hospital.
If these kids had functional parents there would be no need to park them anywhere at all. Even assuming one parent had to work without interruption constantly, the other one could clear the decks and sit with that kid at home, setting up constructive activities and hiding any hazardous objects. Even an imperfect implementation of this would be a thousand fold better than the best hospital "milieu." But the kids with psych problems are split between the children of complete dysfunctional lowlife degenerates on the one hand, and helplessly stupid affluenza sufferers on the other, and neither of those groups would parent if a life literally depended on it. It has to be farmed out to institutions and authorities.
I'd caution against taking such a black/white stance on it. Functional, responsible people are capable of creating an absolutely toxic home life for a particular child. Once you know a nine year old wants to hang themselves and you don't know anything about the child and their home beyond their medical chart, what do you do?
This one probably has nothing to do with pedos: Hebe was the goddess of youth in Greek mythology. She's cringe af though.
