health-care-providers

rollingstone.com
Dr. Willie Parker Wants to Take Back the Moral High Ground on Abortion
Deep South abortion provider discusses why he "decided to exercise Christian compassion not by proxy, but with my own capable hands."

Those who believe in widespread access to abortion and contraception have for far too long ceded the moral high ground to anti-choicers, argues Deep South abortion provider Dr. Willie Parker in his new memoir, Life’s Work: A Moral Argument for Choice. Women, families and the country have suffered as a result, he says.

A trained obstetrician, Parker refused for years to perform abortions, instead referring his patients to other physicians when the need arose. But after working at an outpatient clinic for indigent people in Hawaii in the early 2000s, and seeing what happened when that clinic stopped provided abortions, Parker was forced to reckon with his indifference. Inspired by a group of young residents who courageously took matters into their own hands, as well as Martin Luther King’s final sermon, “I’ve Been to the Mountaintop,” Parker decided his life course had to change. Within two years, he had left his idyllic Hawaiian life to train full-time in abortion care and commit to Dr. King’s version of justice. “On that day, I decided to exercise Christian compassion not by proxy, but with my own capable hands,” Parker writes.

In his book, Parker – who now is board chair for the group Physicians for Reproductive Health and provides abortions at the last remaining clinic in Mississippi – delves into his religious upbringing in Alabama as well as the love of science and medicine that took him to Kentucky, Iowa, Michigan and Washington, D.C.. Parker makes a humanistic case for easy access to abortion, and says the Christian thing to do is help women in need, without judgment.

anonymous asked:

What would happen if a child struck a health care provider while in the midst of a panic attack? Would they be held to the same standards as a child who struck a health provider out of fear or anger or would it be more likely to be forgiven/understood? Also, if a child was just being a brat and injured a health care provider because they were angry about the situation, would they be charged with assault as a minor? What if they were terrified/panicking? Thank you!

Hey there nonny. You’ve asked a pretty thorny question. I’m going to answer it with the way the world works first, and then my personal input second.

Assaults on healthcare workers are theoretically felonies in most places, but the actual enforcement rate is absolute shit. Most of the time law enforcement doesn’t even get involved.

The situation gets even thornier when the person doing the assaulting is a child. You haven’t listed an age, and that part is really important, because a 2-year-old won’t know better, but a 17-year-old damn well should, and the two will be handled very differently.

The fundamental question is whether or not the character has the ability to know right from wrong, in the moment they’re committing the act (and whether that’s a change from normal for them). So for example, a ten-year-old who doesn’t strike other kids on the playground or have any sadistic tendencies who hits a nurse giving a shot is very different from a cruel and sadistic 10-year-old who hits a nurse for asking a question.

Striking a healthcare provider out of a “panic attack” is the same as striking a healthcare provider out of fear, but not out of anger. (Which, depending on who you believe, is just fear in disguise.)

Let’s see this from both ends of the spectrum. In the “best case” scenario, the kid got extremely scared and lashed out. They’re instantly remorseful, they start to cry with guilt and repeatedly apologize, and their parent is extremely remorseful and embarrassed. This shows a conscience. Assuming no serious injury, most nurses would be compassionate enough not to press charges but would still scold mom and the kid.

But in the “worst case” scenario, where the strike was out of malice, the child is unremorseful, and the parent doesn’t apologize and assumes it was the nurse’s fault? ….Even then it’s hard to tell. Nobody wants to prosecute a child for assault, and the tune will doubtless change if police or even a supervisor get involved–the little monster will become an angel, the event out of fear, the nurse into a mean nurse. And parents will always, always defend the child.

A really good facility that actually backs its employees might contact the police, especially if the child is older, but the odds are pretty slim.

If there’s serious injury to the provider it’s far more likely that the authorities will get involved, but even then, a single act of malice isn’t likely to get the kid charged.

And if the child truly goes out of control and becomes a danger to themselves and others – an apparently episode of psychosis – 911 will get involved to get the child taken to the hospital, not to jail.

Now, I said I had some personal feelings and thoughts on this. I’m going to share them. You don’t have to read this part if you don’t want to.

The fact is that healthcare workers get assaulted every single day in this country. I’ve had more than my fair share of assaults and attempted assaults, not a single one of which involved my attacker getting prosecuted. The closest I came was when a patient decided to hit and bite me as I was helping her out of the back of the ambulance, and the police came, put the patient in handcuffs, and she became so physically violent and agitated that they called another ambulance to take her to a different hospital rather than charge her with anything. She was observed  for intoxication, and walked out of the ER. She was never even seen by a psychiatrist, which was the whole reason for the transfer and for sending her to an ER in the first place.

Meanwhile I received wound care and 30 days HIV prophylaxis, which caused me horrendous GI distress. While I know this isn’t technically true, my feeling was that I got punished for being assaulted, and the absolute piece of waste that was my patient got absolutely nothing except a free hospital trip.

I’ve had adults grab my ass. I’ve seen people try to kiss nurses against their will. I’ve had colleagues throttled and nearly killed, colleagues murdered in the line of duty, colleagues have their nose broken in an ER because a patient fucking felt like it. And all of them were felonies and only the homicide got prosecuted.

“He was drunk, so he couldn’t control his actions” is the #1 reason I get when I ask why prosecutions aren’t initiated. And yet I’m damn sure that if that same person got behind the wheel of a car and was driving erratically,  they’d get prosecuted  for drunk driving. I’m damn sure that if it was a cop they’d bitten they’d get done for assaulting an officer. If that patient had choked a cop instead of my colleague, the guy would have gotten more than probation. It would have been attempted murder.

I want nothing more than to help people in their time of need. But routinely, healthcare workers get spit on, yelled at, verbally abused, physically abused, attacked. Sometimes patients can control it, and they want to control us. Sometimes patients have a reason they can’t control. But the assault remains the same, and in my (very one-sided) view, any assault on a healthcare worker should be treated equally. Fear is not a reason to hit someone trying to help you. Neither is psychosis. I would love to see 100% of assaults against EMS, nurses, and hospital staff prosecuted to the fullest extent of the law regardless of cause. But that’s never going to happen.

I’m going to put my little soapbox down, and go and read something pleasant, because I’ve made myself sad. But I hope this helps answer your question!

xoxo, Aunt Scripty

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Quite honestly – and this might be a controversial opinion – but: people in prisons deserve humane and ethical treatment regardless of the reason why they’re in prison. Prisons should not torture and abuse inmates. Prisons should give inmates adequate health care. Prisons should provide opportunities for rehabilitation to inmates who are responsive to it. Prisons should not exploit the labor of their inmates. Prisons should not house minors with adults. etc. Torture and abuse aren’t stopping crime from happening, because they are crimes in themselves. 

"Hey you're in nursing school right? I'm having these symptoms..."

“Hey, can you take a look at this?” “Does this look infected?” “What medicine should I take for XYZ?” “I’ve got this thing growing on my-” FRIENDS I LOVE YOU BUT I’M NOT A DOCTOR I’LL HELP YOU IN EVERY WAY I CAN BUT YALL I DON’T WANNA ACCIDENTALLY FUCK YOU UP So yeah, please call your health care provider.

Originally posted by lilsparrow72

Originally posted by n-wordbelike

5 Safety Precautions to Take Before You Exercise

Diabetes is complex. Don’t rely on advice from the “experts” at your local gym. (HEALTH/ISTOCKPHOTO)

Exercise is safe-and highly recommended-for most people with type 2 diabetes, including those with complications. It’s an important tool that will help you lower blood sugar (along with diet and medication) and lose weight if you need to do so.

However, check with your health-care provider before starting an exercise program. There are some type 2 diabetes complications, such as heart disease, retinopathy, and neuropathy, that may require fine-tuning of your exercise program.

“A few precautions would allow almost anyone with diabetes to exercise,” says Gerald Bernstein, MD, director of the diabetes management program at the Gerald J. Friedman Diabetes Institute at Beth Israel Medical Center in New York City. You should always get approval from your doctor, he adds, and you may also need to take a stress test before starting an exercise program.

How One Heart Attack Survivor Exercises Nancy had a heart attack-now she works out at a cardiac rehabilitation center Read more More about exercising safely if you have diabetes

Don’t rely on the “experts” at the local gym for advice on what is safe, says Jacqueline Shahar, a certified diabetes educator and manager of the exercise physiology department at the Joslin Diabetes Center in Boston.

“Club managers who don’t know about diabetes complications are probably not able to advise you on what is safe for any complications you might have,” she says. “Your risk, depending on complications, can include bleeding from the eye, increases in high blood pressure, falling (because the nerves in your feet may be numb), and wounds that could become infected if your socks and shoes don’t fit well and feel comfortable.”

“I definitely recommend to meet with a certified diabetes educator to get an activity plan that is tailored to your diabetes complications or other medical issues you may have,” Shahar adds.

She recommends the following:

  1. Wear your medical identification or other ID.
  2. Always carry food or glucose tablets so that you’ll be ready to treat hypoglycemia (low blood sugar is more common if you are taking insulin or certain oral medications).
  3. Carry your glucose meter with you and check your blood glucose before and after you exercise. If you’ll be exercising for more than an hour, check your blood glucose at regular intervals during your workout. You may need snacks before you finish. You should also be sure to check after you finish, as hypoglycemia can occur up to five hours after exercise.
  4. Be sure to wear socks and sneakers that are comfortable and fit well to help prevent foot irritation. And after you exercise, check your feet for blisters, sores, and cuts. Left unattended, foot irritations can lead to a serious infection.
  5. Drink plenty of fluids during your exercise regimen; dehydration can cause your blood sugar levels to rise.

This article was originally published on health.com

time.com
Medicine Is About to Get Personal

How can Americans get better health care for less money? There’s a quiet experiment going on among primary-care physicians, and the results are intriguing

“Direct primary care” – if you’re interested in doing “traditional” family medicine in the US without going insane from the meddling insurance companies and politicians, this seems to be the way to do it. (Right, thuc?)

(Thanks to lilbita for the link!)

To all the health care providers. To all my fellow nurses.

We, health care providers, are tasked to aid in curing the unwell and in alleviating the pain and suffering of our patients, but still, He is the only one who has the power to make the impossible things possible. I have been a nurse for six years and what transpired today was really an eye-opener. Life itself is a constant search for fulfillment, contentment, and happiness. Hence, let us not waste the gift of life. I am deeply grateful that I am a nurse for it is one reason why the gift of life is a precious one.

To all the health care providers out there, most especially my fellow nurses, take time to realize how special you are in the eyes of those who are struggling and fighting for their own lives. Indeed, we make a huge difference in this world. The things that we do will always be incomparable and the actions that we perform round-the-clock are totally irreplaceable.

In spite of all the dilemmas and humiliation that we experience on a daily basis, be proud and thankful that you are one of the chosen few in this world who can make others’ lives worth living. So, if there are moments in your life that you feel blue and down because no one appreciates the things that you do, just remember, the world will never be the same without nurses. Our craft may not be of great importance to a number of people, but I truly believe, people’s lives are special because we are part of it.

To my work mates in the hospital, I salute all of you. We have always been a part of a patient’s life every hour, minute, and second. Continue to inspire other people and be inspired from their situation. Always feel special because you are. Indeed, it has always been a job well done.

KUDOS!

Why in the world did I choose "Health Care Delivery Systems" as my nursing elective?!

I’m dying because I don’t understand all this legislative jargon! WHY. WHYYYYY?!??!?!?! Anyone want to meet me at starbucks/panera and teach me everything about the health care reform and health benefit exchanges in the state of California? BECAUSE I DON’T KNOW WHAT I’M READING. T_T

Why must politics have to be included in health care? Why can ’t it just be an island off the coast of San Francisco, and when we’re sick we get shipped there to get better. LOL. As ridiculous as it may seem. 

The reason I’m a nurse is because I like helping people, not to be a damn health care politician/lobbyist. LOL. But ughh… this is so annoying. I understand nursing theory and pathophysiological changes in the body related to illnesses and diseases, however, I don’t know how the population of the US interacts with the health care system. Macro vs. micro. Hmff. 

But seriously? Why is the legislative arena of health care so damn confusing. I’m dying.