Showing posts with label Nursing school. Show all posts
Showing posts with label Nursing school. Show all posts

Sunday, June 9, 2013

Epilepsy Education

I know very little about epilepsy and seizures. Growing up the little I knew came from the media like the rest of the world I suppose. I thought seizures were things people got and they shook and vomited and you had to keep them from swallowing their tongue or some weird shit like that.

I never knew anyone with epilepsy growing up (that I knew of at least). The first time anyone I knew had a seizure was when my aunt had one. She had more than one and I didn't understand it and I forget how my parents tried to explain it, obviously not the memorable part (she wound up having brain cancer and died and I'm not going to get into that).

I learned that certain things could trigger seizures from their warning labels: video/computer games, strobe lights, etc. That was all I knew. I figured it must really suck being triggered to have seizures by all that stuff. I don't remember if I understood what epilepsy was even or just thought people magically got seizures from video games.

Anyway. I have since encountered the wonderful Neurodivergent K. Their frustration with the inaccessibility of the world has made me more aware of epilepsy and more knowledgeable about it. I still know very little. I still don't really understand it. I will presumably learn a lot more in nursing school, but still not enough. So, Neurodivergent K has offered to help me out and fill in the blanks of my epilepsy knowledge and to help me review some of the information I'm receiving throughout my education from the perspective of somebody who actually gets what epilepsy is like.

I hope to have many more posts on epilepsy education but for now I have a handful of links to their blog posts to share and then the first textbook critique of the semester.

Partial WHAT?
What epilepsy is
Anticonvulsants & me
First Responders & Me
My seizure first aid



Textbook Game!
So, the image below was taken from Taylor's Clinical Nursing Skills: A Nursing Process Approach (3rd edition) by Pamela Lynn. It says that this is for a patient known to have seizures and how to protect them. 

Neurodivergent K's response: That's standard for people with tonic clonic seizures. For people with partial complex, it could be anything from "eh whatever" to "they trip on the guard rail because they go for a walk", which is all kinds of exciting. The persistant ignoring of partial seizures baffles me, since they're by far the most common.

So, I was curious why this seemed to be only directed at tonic clonic seizures. I thought maybe it had previously specified that the "seizures" they refer to here are tonic clonic and that those were the dangerous ones to be addressed blah blah. So, since I have ebooks I did searches within them.

Total instances in the textbook of the following phrases:
partial complex seizure: 0
partial seizure: 0
tonic clonic: 0
seizure: 63
epilepsy: 6

Hmmm. I hope I will be learning something about epilepsy in nursing school...otherwise, Neurodivergent K supplementary education!!

Might update this post later or post more fun epilepsy related things. 

Saturday, June 1, 2013

Welcome to Nursing School

Wow. So I had really meant to start blogging sooner and now I have too much to blog about all at once!

I had orientation for nursing school already and I have a lot of thoughts on that among other things and my mind is doing its usual non-linear pattern of thinking so I'm having trouble putting together all my thoughts on the current pieces of my life.

In general, I don't really want to edit myself. Like the above paragraph. I prefer to be able to use punctuation and words as they happen and just leave them as is. So, don't correct or comment on grammar, spelling, etc because I know it is mostly wrong and I'm already self-conscious about it but I want to be able to just write without stress (for once). I'm not wasting precious spoons on that. If however something is unclear because of how it is written, feel free to ask for clarification! Just don't tell me that I used a semicolon wrong or used affect instead of effect please.

So, orientation!!!

There were lots and lots of people. We were all put in the same room together for most of it. I had to figure out where to sit and lots of other things I hate doing. Lots of difficult social aspects of graduation!!

My default is to sit in a back corner because I can't deal with paying attention and sitting and listening when there is stuff going on behind me (something I'm going to have to deal with in the hospital). I tend to constantly look to see what the noises are etc. Also other issues and it is just one of the things I do and really appreciate when I'm in unfamiliar and overwhelming settings.

So, of course what happened was that there were no seats in the area I wanted. I instead sat about 3 or 4 rows from the back, all the way on the seat closest to the wall/aisle. First issue with this was that every time someone went to the bathroom I had to get up and maneuver my stuff around and it was awkward and inconvenient and often involved human touching which I don't like with strangers. Second issue. A row or two behind me there was a group of girls who talked the ENTIRE time. I couldn't focus on a lot of the presentations because they were talking. Not the type of talking where they whisper something every few minutes or comment on the presentation. They basically just sat there throughout every presentation having unrelated conversations with each other loudly enough that we could all clearly understand the whole conversation. It made it really difficult to follow and was upsetting me and I didn't know how to say something to them without being mean because I was getting upset. So that was fun (sarcasm).

One of the other big auditorium style presentations decided to do an "icebreaker". This was the same one I think that they did at accepted applicants visiting day whatever it was called. Basically "stand up if...". So, they had everyone standup who was an older sibling, then younger, etc. The idea being a way to ask basic not super personal information about each other and look around and see people who have meaningless things in common with you. For starters, obviously this is a problem because lots of people can't physically stand-up. However, generally speaking those folks aren't allowed into a lot of nursing programs anyway because of "essential qualifications" (I'm writing a post about "essential qualifications" but I'm not done yet, so I will try to remember to put the link to it back here when I finish it). On top of that, those of us with "invisible" physical disabilities are expected to do these things which we shouldn't. I am technically physically capable of standing up and sitting back down repeatedly. However, it is a bad idea and I will hurt myself. Just like I am capable of walking up a few flights of stairs but when I couldn't find the elevator the other day and was walking with a group of people and just went up the stairs with them, I was in pain for a few hours. I hate this type of shit.

The entire thing was way too loud. There were too many people. I had to leave one of the socializing parts of the week and hide in the bathroom to hyperventilate. I couldn't take my antianxiety meds though because then I couldn't take my adderall and without my adderall I can't focus on the presentations and stuff. A lot of it involved too much social stuff for me to understand or be able to deal with.

I lost my phone this past week so I didn't have it for part of orientation (I got it back). Apparently our scrubs are made out of a not comfy material. So unlike every single other pair of scrubs I have ever felt which I would be fine wearing, our scrubs are probably going to bother me. I bought a pair of used scrubs which seem to be a different fabric so I might just wear those and then wash the brand new ones a bunch of times in the laundry and see if it helps. I think if I tried to get an accommodation to wear a different scrub fabric they would throw a fit.

I made some friends, I think. I managed to finally at the very end of the first day actually have a conversation with another incoming student for more than 10 seconds. I don't know if I made friends. You know why? Because the world doesn't work the way that my Sims game does. Sometimes, I wish it did. For those of you who haven't played Sims this is what I mean. When you make two players interact, they have choices on how to interact. They can do stuff like be nice to each other. If they do friendly things, it makes the friend meter go up between them. Once it hits the top they level up in relationship status and you can move from stranger through a number of other statuses to best friends. There are also ways to interact romantically or in mean ways and that can make them become romantically involved to the point of getting married or to be nemeses. Basically, in the game the more you are nice to a person the more you are friends and there are clearly defined linear guidelines for "acquaintances" and "friends" "good friends" etc. In real life, it isn't like that. I have no idea how to not scare people away who I want to be friends with. I don't know at what point I can say "oh, yeah, my friend Bob". It just makes it even harder and adds another layer to this stuff. Especially when you throw in gender and things like that. *sigh*

The other amusing thing was that they did FIT testing for me. For those who don't know what that is basically they test your size for these protective masks. Part of the testing they put you in this big hood and they spray this stuff in a hole and tell you to stick out your tongue and tell them after how many pumps you smell or taste anything. The lady hadn't even finished the first pump when I was disgusted by the bitter taste of it. Yeah. Luckily I fit one of the standard sizes so I don't need a special one.

So, that is the basic and boring summary of how orientation went. Stay tuned!

Thursday, March 21, 2013

Why I want to do what I want to do

[trigger warnings for all of the mentioned articles about ableism, abuse, neglect, and general lack of respect for the lives of people with disabilities]

Most people do not understand why I would want to focus on people with disabilities in a medical practice. 


The LGBTQ part some people understand or just realize they totally don't understand and let it go. However, most people assume that the medical realm, doctor's offices, hospitals, etc is THE place that caters to people with disabilities. So why on earth would you need a special place?!

Well, Doctors Turning Away Patients With Disabilities - Disability Scoop Just because a place is medical in nature, does not make it accessible. 


Of course there are also many many articles about this case "Woman claims hospital restrained autistic son, left him to suffer" [Trigger warnings for: medical neglect, abuse, graphic images, and restraints]. 

And of course not being allowed organs: Disability Bias Clouding Organ Transplants, Report Finds


I could of course go on and on and on for hours. I don't want to though. I can't. It is too upsetting. It is simply unacceptable. 

I should not have to do anything special to be a medical provider for people with disabilities. It should be the norm. But it isn't. It makes me furious. However, being furious doesn't do anything if it doesn't lead to anything. So, here I am. Overworking myself with prerequisites so that I can start nursing school in a few months. Hopefully, one day I can try to make a difference for at least some people. I would like to not have to. But, until then. I will just be furious and try to make something worthwhile out of it. 



Sunday, March 3, 2013

Welcome


Hello whoever is reading this,

I wanted to welcome you to my blog. I should be doing homework right now but I have to take a break to reduce the massive level of anxiety I'm feeling.

I started this blog because I realized there is a lot of pontificating and venting I will need to be doing (even more than usual) once I start graduate school. I was accepted to a joint program to get certified as an NP and get an MPH. That means, I will be doing an accelerated program to do a Bachelors of Science in nursing (for people with a BA in another field) which takes about a year and then the same program I would be continuing to get my Masters in nursing. Then during this there is time set aside for me to get a masters of public health as well (all in the same university). It is about 3.5 years for all of it if I just do those programs. If I continue and get a DNP (doctorate of nursing practice, the clinical doctorate degree for nurses) that would add another 2 years.

I'm a feminist, vegetarian, queer, pansexual, cisgendered, Jewish, white, Autistic, physically disabled (yet not visibly so), geeky female. I hate ableism, racism, transphobia, sexism, and all that other stuff. I however also really love biomedical sciences and public health. Being part of the medical industrial complex while still using phrases like the medical industrial complex is really difficult and requires a certain amount of cognitive dissonance. Additionally, being white, passable as straight, passable as able-bodied, and cisgendered means that there is a lot of privilege I have in that institution which I'm really uncomfortable with given the communities I want to work with and care about. I want to work with the LGBTQ communities and disabled communities primarily. I essentially want to work with those people who are told that they are too abnormal for doctors to understand how to treat them and that it isn't worth their time to try. I want to take that time.

Already, reading the list of competency requirements I'm curling up inside myself to compartmentalize and find a way to deal with who I am and who I must be in order to succeed in graduate school.

So, to anybody reading this...I hope your night is less stressful than mine and I will speak to you again soon.

-Me