The schizophrenia of patient-centered care

Is it me or sometimes do the wide interpretations within the State Operations Manual (the dreaded "RED book") make you want to question your entire existence? I mean, we've been working so diligently toward Culture Change and the true meaning of person-centered care. Nationally, I thought we were making headway. But nooooooo.

Bed A and Bed B are people!

As a Charlton Heston movie once illustrated in an indirect way, it's important to know about the lives of who is living in our home. It's about relationships, not about heads in the beds.

The Walking (Half-) Dead

OK, I'll admit it. I am a huge fan of the AMC show, "The Walking Dead," which incidentally had a blockbuster Season 5 premier Sunday. It's really bizarre because I am a big weenie when it comes to scary movies. I can't even watch the previews for a horror movie on TV without hiding under a blanket.

A nurse invented that! (But most likely didn't get credit for it)

Nurses have invented some really cool stuff. But most likely they've received just pats on the heads for coming up with a "work-around" or a "creative solution." Then someone else slaps a patent on it and becomes the financial victor.

The fault in our (5) stars

So, let me start off by saying that I am sure a lot of us have our own rating systems. For example, my sisters and I have a tissue-box rating system for tearjerker books and movies. The book the "Fault in Our Stars" (excellent in my opinion) was a 5-tissue-box book. The movie "Terms of Endearment" a 5-tissue-box movie, for sure.

Why it really is the most wonderful time of the year

It's back to school time. For most of the world, figuring out childcare just got easier. But it isn't so easy when you have to be at work before school starts, or after it ends AND you're making the money a nursing assistant makes. Here's a possible solution.

If you want it, YOU have to make it happen!

A recent article on Medline Nursing alleged that the average registered nurse (RN) wants more sleep, authority respect and work-life balance. We can get what we want. We just have to learn to "ask" in the right way. And who should we ask? Well, mostly ourselves.

How old is too old to work?

A recent article in Health Affairs centered on nurses delaying retirement and claimed this is boosting the workforce. Should we believe this?

Just say NO — to giving in to patients

I'm just going to say it: Nurses in long-term care are really guilty when it comes to giving in to patients who want non-clinically necessary treatment. You know what I mean.

AAADD — Ack! Why you should arrange to be interrupted

OK can I just sound off a bit? I hate being interrupted multiple times throughout the day when it is just not necessary. I mean, I am at an age where I am seriously affected with AAAD (Age Associated Attention Deficit Disorder). It's hard enough to concentrate some days as it is, without constant interruptions that could have waited.

The Real Nurse Jackie

The Real Nurse Jackie is written by Jacqueline Vance, RNC, CDONA/LTC, a 2012 APEX Award of Excellence winner for Blog Writing. Vance is a real life long-term care nurse. A nationally respected nurse educator and past national LTC Nurse Administrator of the Year, she also is an accomplished stand-up comedienne. The opinions supplied here are her own and do not necessarily reflect those of her employer or her professional affiliates.

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