Psychiatric Nursing Quotes

It was in fact the ordinary nature of everything preceding the event that prevented me from truly believing it had happened, absorbing it, incorporating it, getting past it. I recognize now that there was nothing unusual in this: confronted with sudden disaster we all focus on how unremarkable the circumstances were in which the unthinkable occurred, the clear blue sky from which the plane fell, the routine errand that ended on the shoulder with the car in flames, the swings where the children were playing as usual when the rattlesnake struck from the ivy. "He was on his way home from work — happy, successful, healthy — and then, gone," I read in the account of a psychiatric nurse whose husband was killed in a highway accident. In 1966 I happened to interview many people who had been living in Honolulu on the morning of December 7, 1941; without exception, these people began their accounts of Pearl Harbor by telling me what an "ordinary Sunday morning" it had been. "It was just an ordinary beautiful September day," people still say when asked to describe the morning in New York when American Airlines 11 and United Airlines 175 got flown into the World Trade towers. Even the report of the 9/11 Commission opened on this insistently premonitory and yet still dumbstruck narrative note: "Tuesday, September 11, 2001, dawned temperate and nearly cloudless in the eastern United States.

It just begged the question: If it took so long for one of the best hospitals in the world to get to this step, how many other people were going untreated, diagnosed with a mental illness or condemned to a life in a nursing home or a psychiatric ward?

The term 'deinstitutionalization' conceals some simple truths, namely, that old, unwanted persons, formerly housed in state hospitals, are now housed in nursing homes; that young, unwanted persons, formerly also housed in state hospitals, are now housed in prisons or parapsychiatric facilities; and that both groups of inmates are systematically drugged with psychiatric medications.

It was true that Al had asked her to move the jars and magazines, and there was probably a word for the way she'd stepped around those jars and magazines for the last eleven days, often nearly stumbling on them; maybe a psychiatric word with many syllables or maybe a simple word like "spite." But it seemed to her that he'd asked her to do more than "one thing" while he was gone. He'd also asked her to make the boys three meals a day, and clothe them and read to them and nurse them in sickness, and scrub the kitchen floor and wash the sheets and iron his shirts, and do it all without a husband's kisses or kind words. If she tried to get credit for these labors of hers, however, Al simply asked her whose labors had paid for the house and food and linens? Never mind that his work so satisfied him that he didn't need her love, while her chores so bored her that she needed his love doubly. In any rational accounting, his work canceled her work.

just begged the question: If it took so long for one of the best hospitals in the world to get to this step, how many other people were going untreated, diagnosed with a mental illness or condemned to a life in a nursing home or a psychiatric ward? CHAPTER 30 RHUBARB By my twenty-fifth day in the hospital, two days after the biopsy, with a preliminary diagnosis in sight, my doctors thought it was a good time to officially assess my cognitive skills to record a baseline.

You’ve—it seems—no other psychiatric history, Mr. McMurry?” “McMurphy, Doc.” “Oh? But I thought—the nurse was saying—” He opens the folder again, fishes out those glasses, looks the record over for another minute before he closes it, and puts his glasses back in his pocket. “Yes. McMurphy. That is correct. I beg your pardon.” “It’s okay, Doc. It was the lady there that started it, made the mistake. I’ve known some people inclined to do that.

But feeling ashamed and not telling anyone about it has NEVER HELPED. My hope is that by telling people about all this stuff, maybe others will relate. And then I won’t feel alone? And yes, of course, I’ll call my psychiatric nurse, Matt. Though he just changed insurances and I need to find somebody else. And Scott will call his therapist and his psychiatrist. And yes, we will call Deda and Jim from our Recovering Couples Anonymous meeting we’ve been attending and they will laugh. Deda will say, “Are you trying to scare each other?” Yes, yes we are! We thought it might help! And yes, twelve-steppers, we are “WORKING THE STEPS of the program,” you sanctimonious church basement carps! We are on step four, if you must know. I’d like to blame the above morning episode on myself or my poor diet or the city of Los Angeles or something about how and who I am that might be solved, but let’s just call it a Thursday.

Kimbanguism is an extremely peace-loving religion, yet brimming with military allusions. Those symbols were not originally part of the religion, but were copied in the 1930s from the Salvation Army, a Christian denomination that, unlike theirs, was not banned at that time. The faithful believed that the S on the Christian soldiers’ uniform stood not for “Salvation” but for “Simon,” and became enamored of the army’s military liturgy. Today, green is still the color of Kimbanguism, and the hours of prayer are brightened up several times a day by military brass bands. Those bands, by the way, are truly impressive. It is a quiet Monday evening when I find myself on the square. While the martial music rolls on and on, played first by the brass section, then by flutes, the faithful shuffle forward to be blessed by the spiritual leader. In groups of four or five, they kneel before the throne. The spiritual leader himself is standing. He wears a gray, short-sleeved suit and gray socks. He is not wearing shoes. In his hand he holds a plastic bottle filled with holy water from the “Jordan,” a local stream. The believers kneel and let themselves be anointed by the Holy Spirit. Children open their mouths to catch a spurt of holy water. A young deaf man asks for water to be splashed on his ears. And old woman who can hardly see has her eyes sprinkled. The crippled display their aching ankles. Fathers come by with pieces of clothing belonging to their sick children. Mothers show pictures of their family, so the leader can brush them with his fingers. The line goes on and on. Nkamba has an average population of two to three thousand, plus a great many pilgrims and believers on retreat. People come from Kinshasa and Brazzaville, as well as from Brussels or London. Thousands of people come pouring in, each evening anew. For an outsider this may seem like a bizarre ceremony, but in essence it is no different from the long procession of believers who have been filing past a cave at Lourdes in the French Pyrenees for more than a century. There too, people come from far and near to a spot where tradition says unique events took place, there too people long for healing and for miracles, there too people place all their hope in a bottle of spring water. This is about mass devotion and that usually says more about the despair of the masses than about the mercy of the divine. After the ceremony, during a simple meal, I talk to an extremely dignified woman who once fled Congo as a refugee and has been working for years as a psychiatric nurse in Sweden. She loves Sweden, but she also loves her faith. If at all possible, she comes to Nkamba each year on retreat, especially now that she is having problems with her adolescent son. She has brought him along. “I always return to Sweden feeling renewed,” she says.

The type of review book you need while attending school should be separated into four or five subject areas. These main sections are medical-surgical, pediatrics, psychiatric, obstetrics, and sometimes a fifth topic called community health. The

Foucault’s conceptualization of genealogy, which is largely about uncovering subjugated, disqualified knowledge. Foucault identifies two elements within this term. First, it is the buried histories that have been subsumed by “formal systemization.”1 It is these excavated “blocks of historical knowledges” that have been obscured that he terms subjugated knowledges. The second meaning of subjugated knowledges, besides being buried, is forms of knowing that had been disqualified, considered nonsensical or nonscientific. It is “the knowledge of the psychiatrized, the patient, the nurse, the doctor, that is parallel to, marginal to, medical knowledge, the knowledge of the delinquent, what I would call, if you like, what people know.”2 By stating that it is the knowledge of what people know, Foucault is not referring to the taken for granted or dominant form of knowledge circulating but localized, particular, specific knowledges, what we might also call marginalized, experiential, or embodied knowledge.

keeps his tone soothingly soft, the mellow tones of a psychiatric nurse, as he informs me that I will have to give a speech. Then he waits for me to freak out. This speech is not your

There are literally hundreds of organizations that are replacing the family unit: nurseries, daycare centers, nursing homes, psychiatric wards, domestic abuse hot lines, homes for unwed mothers.... All of these services are a sign that the system has exchanged the family for institutionalism.... The human race seems to be on a crash course toward destruction. People living in major American cities are hardened, desensitized, and seem more like robots. Man is not just an intelligent animal endowed with a greater reasoning ability, as some philosophers contend. Rather, man is an entirely different species with a personality that has the capacity for compassion, love, humanity, and spirituality.

This means that more than 95% of the psychiatrists, psychologists, social workers, psychiatric nurses, masters-level therapists, occupational therapists, educational therapists, movement therapists, dance therapists, art therapists, music therapists, and others had never been given a lecture defining the mind.

This isn’t about sympathy. I’ve made people feel sorry for me before, mostly psychiatric nurses – either the newly qualified ones who haven’t learnt to get a grip, or the gooey-eyed maternal ones who take one look at me and see what could have happened to their own. A student nurse once told me how my patient notes had nearly made her cry. I told her to go fuck herself. That finished the job off.

There will be no funeral homes, no hospitals, no abortion clinics, no divorce courts, no brothels, no bankruptcy courts, no psychiatric wards, and no treatment centers. There will be no pornography, dial-a-porn, no teen suicide, no AIDS, no cancer, no talks shows, no rape, no missing children . . . no drug problems, no drive-by shootings, no racial tension, and no prejudice. There will be no misunderstandings, no injustice, no depression, no hurtful words, no gossip, no hurt feelings, no worry, no emptiness, and no child abuse. There will be no wars, no financial worries, no emotional heartaches, no physical pain, no spiritual flatness, no relational divisions, no murders, and no casseroles. There will be no tears, no suffering, no separations, no starvation, no arguments, no accidents, no emergency departments, no doctors, no nurses, no heart monitors, no rust, no perplexing questions, no false teachers, no financial shortages, no hurricanes, no bad habits, no decay, and no locks. We will never need to confess sin. Never need to apologize again. Never need to straighten out a strained relationship. Never have to resist Satan again. Never have to resist temptation. Never!

This was Susan’s second round at boot camp. The only thing that kept her coming back was that it helped her shed what everyone called the ‘Dubai stone’, a whopping 14 pounds. She had gained it since moving to the most glamorous place on earth, with lots of temptation and not too much work. After she and her husband had moved to Dubai, she had decided to take a break from the psychiatric nursing she’d been doing for 13 years.

They sent me to see a community psychiatric nurse for counselling about coming to terms with what I'd done, but I have a feeling the bones will be mended long before my conscience. Like I said, the worst part is knowing that, if I was ever in the same situation, I'd do exactly the same thing again. No doubt about it. It doesn't sit well with me, that – the realisation that I have not only the knowledge, but the instinct to kill. It sets you apart from the other people you pass in the street, makes you feel alone, less human than they are. I proved Dave wrong, though. Given a straight fight between a man and a woman, neither with any particular advantage in skill over the other, it isn't a foregone conclusion that the man will always win. I suppose then, right at the end, I could have said to him, “I told you so.” Just as long as I'd said it fast enough.

Mid June 2012 …Young, as time passed, I missed you more than ever. My exasperation with Toby festered with each passing day. When I finally could not tolerate our tempestuous relationship, I confronted the young man. After a heated emotional argument, Toby left our unfinished discussion in a state of vexation. I did not realize he was using the age-old psychological threat of overdosing himself to obtain my attention. I found him unconscious, foaming at the corner of his mouth from consuming an entire bottle of sleeping pills. He was rushed to hospital. I would not have been able to live with my guilt if Toby had died. He recovered from this ordeal, but my respect for him had plummeted. Instead of loving him, I felt sorry and pitied him. This was a malignant sign of what was to come. To appease him, we often kissed and made up after impassioned disputes. I made false promises that I had no intention of keeping. These desolate pledges soon dissolved into self-abhorrence. I had allowed myself to be trapped into a situation, and I could not figure out a solution. Throughout this ordeal, I threw myself into my engineering studies, channeling my unhappiness into what I enjoyed best. I could not give myself fully to the boy, and had little respect for him. When we made love, I shut him out. Instead, I saw you in our sexual liaisons. Toby was merely a vehicle to satisfy my sexual desires to be with you. Throughout the years we were together, it was you I made love to, not Toby or anyone else. I could not and would not release you from my mind. The pain of losing you was too oppressive, until the fateful day I suffered a nervous breakdown. I ended up in a hospital, in the psychiatric ward. Aria and Ari came to nurse me back to health. Aria stayed for two weeks until I could commence classes again. I knew I had to get away from this toxic relationship. The day I graduated I enrolled in a postgraduate program in Alberta, Canada. I desired to be as far away from New Zealand as possible; I needed to be away from Toby and to find myself again. I finally had a solid and legitimate excuse to separate from the boy. I was glad when Toby’s parents demanded their son’s return to the Philippines after his graduation so that he could take over his father’s business. Toby did not wish to return to Manila, but had no choice. His father threatened to cut off his financial support if he did not return. Thanks to universal intervention, my freedom was restored. I began a new life in Canada. That, my dearest Young, was the beginning of a new chapter in my life. The rest will be revealed to you in our next correspondence. For now, be happy, be well, and most importantly, be you at all times: the Young whom I love and cherish. Andy, Xoxoxo

S.P. is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately 2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise and is relieved with rest. Two years ago, S.P. could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. S.P. has smoked two to three packs of cigarettes per day (PPD) for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral vascular disease (PVD), and osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG × 4) 3 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed, he continues to eat anything he wants, and continues to smoke two to three PPD. Other surgical history includes open reduction internal fixation of the right femoral fracture 20 years ago. S.P. is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that, besides the calf pain, he is experiencing right hip pain that gets worse with exercise, the pain doesn't go away promptly with rest, some days are worse than others, and his condition is not affected by a resting position. � Chart View General Assessment Weight 261 lb Height 5 ft, 10 in. Blood pressure 163/91 mm Hg Pulse 82 beats/min Respiratory rate 16 breaths/min Temperature 98.4° F (36.9° C) Laboratory Testing (Fasting) Cholesterol 239 mg/dL Triglycerides 150 mg/dL HDL 28 mg/dL LDL 181 mg/dL Current Medications Lisinopril (Zestril) 20 mg/day Metoprolol (Lopressor) 25 mg twice a day Aspirin 325 mg/day Simvastatin (Zocor) 20 mg/day Case Study 4 Name Class/Group Date ____________________ Group Members INSTRUCTIONS All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several

Over the next couple of years, Cole and the rest of psychiatry settled on a trial design for testing psychotropic drugs. Psychiatrists and nurses would use “rating scales” to measure numerically the characteristic symptoms of the disease that was to be studied. Did a drug for schizophrenia reduce the patient’s “anxiety”? His or her “grandiosity”? “Hostility”? “Suspiciousness”? “Unusual thought content”? “Uncooperativeness”? The severity of all of those symptoms would be measured on a numerical scale and a total “symptom” score tabulated, and a drug would be deemed effective if it reduced the total score significantly more than a placebo did within a six-week period. At least in theory, psychiatry now had a way to conduct trials of psychiatric drugs that would produce an “objective” result. Yet the adoption of this assessment put psychiatry on a very particular path: The field would now see short-term reduction of symptoms as evidence of a drug’s efficacy. Much as a physician in internal medicine would prescribe an antibiotic for a bacterial infection, a psychiatrist would prescribe a pill that knocked down a “target symptom” of a “discrete disease.” The six-week “clinical trial” would prove that this was the right thing to do. However, this tool wouldn’t provide any insight into how patients were faring over the long term. Were they able to work? Were they enjoying life? Did they have friends? Were they getting married? None of those questions would be answered. This was the moment that magic-bullet medicine shaped psychiatry’s future. The use of the clinical trial would cause psychiatrists to see their therapies through a very particular prism, and even at the 1956 conference, New York State Psychiatric Institute researcher Joseph Zubin warned that when it came to evaluating a therapy for a psychiatric disorder, a six-week study induced a kind of scientific myopia. “It would be foolhardy to claim a definite advantage for a specified therapy without a two- to five-year follow-up,” he said. “A two-year follow-up would seem to be the very minimum for the long-term effects.

A natural hierarchy arose in the hospital, guided by both our own sense of functionality and the level of functionality perceived by the doctors, nurses, and social workers who treated us. Depressives, who constituted most of the ward’s population, sat at the top of the chain, even if they were receiving electroconvulsive therapy. Because we were in the Yale Psychiatric Institute (now the Yale New Haven Psychiatric Hospital), many of those hospitalized were Yalies, and therefore considered bright people who’d simply wound up in bad situations. We had already proved ourselves capable of being high-functioning, and thus contained potential if only we could be steered onto the right track. In the middle of the hierarchy were those with anorexia and bipolar disorder. I was in this group, and was perhaps even ranked as highly as the depressives, because I came from Yale. The patients with schizophrenia landed at the bottom—excluded from group therapy, seen as lunatic and raving, and incapable of fitting into the requirements of normalcy.