Posts

Showing posts from October, 2012

The Right to Choose - Upholding Patient Autonomy Within Structural Constraints

Yesterday I went to work and noticed that there were flyers up for a memorial service for a client. I later learned from a co-worker that this client died earlier in the week. I found out that this client had broken some bones in an accident and made the decision to not seek medical treatment. I was unclear about what exactly led to their death but I assume it was related to the fractures and complications related to their compromised health status. This is the first client that I have personally known, in my almost 5 years in nursing, that has died. Working in mental health and addictions I know that there are definitely clients that I have cared for who have died.  When I worked as a care-aide during the first part of my nursing undergrad degree I witnessed people's deaths; I participated in the process of wrapping the body. But this experience was different, this was the first person that I actually had a health care professional-client relationship with, someone I knew, who die

Nursing and the Vancouver DTES

Working in mental health and addictions in Vancouver is tough. I think that there are many challenges to trying to "fix" the "problem" of the downtown eastside. And I'm pretty sure the answer isn't gentrification, pushing the visibly homeless further east or pouring more and more money in to the supply side of the illegal drug trade. This is not a novel idea that I have. If you do not believe me, think about this: There are many different stores that sell high calorie, low nutritional value foods that taste great. If one store that sells these products closes down, even a big store, like Safeway, the demand for these items does not decrease. People will still want to buy junk food. You severely decrease the supply, but people will still crave junk food and will probably go out of their way to seek it out. So why wouldn't a good entreprenuer step in and provide this product for those who want it? They make money, the public gets what it wants. Everyone wi

For Love or For Money - Professional Nurses Forging Forward

Last night I attended the BC Nurses Union update dinner. The members of the BCNU will have a ratification vote on October 18th, 2012 for the proposed contract. From what I understand it seems that the bargaining unit did a good job. The new contract had some gains, uses very clearly worded language that is easy to understand and implement, we will be returning to a 37.5 hour work week and there will be 2125 new full-time equivalent (FTE) jobs added provincially. Some people at the dinner seemed happy with this and some people at the dinner seemed frustrated by the lack of gains. However, I think that we have to understand that ultimately, it is not the failure of the bargaining team that is the result of seemingly wishful gains like a cost of living wage increase, more money for education and safer staffing province wide, it is the public and the tax payers collectively that decide what we are worth. I think that many people complain when taxes go up, when they have to pay sales tax

The Blind Leading the Blind - Life in the Transition From New Grad to Seasoned Clinician

How much "free time" do you percieve you have when you're working a shift? How much do you believe that it is part of your responsiblity as a professional Registered Nurse to nurture students, new graduates and new employees in your workplace setting? I remember when I was pregnant with my first child I worked in a community health centre as an addiction nurse. This was a temporary position that I took over from a nurse who had only been in the position a couple weeks and was asked to stop working there during my first orientation shift. My orientation (or lack thereof) left me bewildered about what the position actually entailed. With a little less than two years of experience as a Registered Nurse and my first position working semi-independently in a community setting I did not have complete understanding of what I was supposed to be doing. I spent most of my shifts waiting for phone calls from potential clients, taking stock of the nicotine replacement dispensed and p