December 2007

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Is this Normal??

(This is a post added by a reader seeking advice - Z.)

HI there. The dad of my baby has been ill of Schizophrenia for 6
years or so, and have been 8 times in hospital. He takes ABILIFY 25mg .

He only heard voices or see visions when he stops his
meds and has a relapse, but even taking meds, his behaviour is not
normal, or at least I dont think so. Read the rest of this entry »

It’s nearly New Year, it’s time for a treat, and since the sordid truth is now out, it’s time for a Mental Nurse updating of the famous Mills and Boon medical romances. This one is entitled A Blog To Remember.

Dr Crippen knew he should never have agreed to do a locum shift at the local A&E. He had already felt sure that he would be working alongside some jumped-up quacktitioner, but he never realised that he would be standing before his arch-nemesis; none other than the Queen of Quacktitioning, the Heiress of Evidence-Based Nursing, it was his old blogging foe The A&E Charge Nurse.

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When I trained as a nurse, I recall the ongoing debate of the ‘theory/practice gap’. In the advent of the Health & Safety turbo-charged steamroller (recently convereted here to run on “Duty of Care” fuel), over the last 20 years or so, I would like to declare the “panic/common-sense gap” our new clear winner.I know I’m not the first to post on this topic, and surely am not the only one to have noticed or take issue with this. However, I am interested in the international perspective on this and will state from the outset, I’ve never seen in-patient healthcare quite so bad as I have where I am for being a Nanny State & Big Brother combined.

Health & Safety will hereafter be referred to as H&S (or UB, for “utter bollox”, depending on context and my mood).  Read the rest of this entry »

As New Years Eve approaches, and the nation prepares to projectile vomit its way into 2008, it’s now time for the final edition of 2007 of This Week in Mentalists.

To nominate a blog for This Week in Mentalists, e-mail zarathustra at mentalnurse dot org dot uk

Read the rest of this entry »

As regular readers of this blog and of blogs in general will know, Dr Crippen aka NHS Blog doctor is missing in action possibly dead. To judge by the emotive reaction of some commentators on the comments thread of his last post some feel personally distressed by the admittedly rather poor jest played by the self proclaimed troll posing as Dr P who reported the untimely demise of the good Doctor.
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So.

I’ve just finished my second long day in a row (12 hours).
Only qualified on duty for both shifts.
Newly qualified.
No KSF supervision.
No supervision.
No band 6 or 7 on the ward for 3 weeks.

What do I do?

Read the rest of this entry »

Merry Christmas everyone!

Hopefully no one is reading this on the day itself. Just thought I would write a quick message to try and sum up the last year and some news on upcoming changes.

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As Noddy Holder said in his typically understated way, “IIIIIIIT’S CHRIIIIIIIIIISTMAAAAAAAAS”, but not for me. My patience has finally snapped after hearing Fairytale of sodding New York for the 57th bastard time and having to fight my way through yet another scrum of shoppers. Therefore I’m quitting from Christmas and converting to the Norse religion so I don’t have to deal with it. I will therefore now devote my energies to building a longship and raiding the north coast of England.

But for those of you who haven’t yet allowed the wonder of mighty Thor into your soul, here is a Christmassy edition of This Week in Mentalists.
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An online resource that might be of interest to some of you.

I hope you dont mind me messaging but a few people from the Mental Health Nursing group have joined my forum for people with phobias, depression and anxiety and I would like to ask if you would like to help out there also? The site is http://www.ofear.com so you can take a look.

Trolls are like children having a tantrum. Start yelling back at them, and you’re giving them the attention they desperately crave.

I’m going to briefly risk giving one of them a bit of attention (albeit to make a point). As some of you may be aware, one such troll recently announced the death of Dr Crippen.

Just to reassure you all, I should point out that various bloggers have now established that the good Dr Crippen is most definitely alive and well, and that this is nothing more than a malicious hoax.
Read the rest of this entry »

I’ve been a bit quiet about posting lately. There’s a reason for this. Big changes are about to take place in my personal and professional life. I’ll tell you all about it in the New Year.

In the meantime, it’s Christmas, so let’s talk about something fun. Let’s talk about nursing superstitions.

If we’re talking about superstition and mental health nurses, there’s one that everyone will have heard at some point, which is that on a locked psychiatric ward, the patients become more agitated and aggressive at the full moon.

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I have been thinking about this for quite some time now, but I haven’t heard anyone else talk about it, or read anything worthwhile so decided to put my thoughts down here and you can tell me your opinion on it. I really don’t think I could be the first person to think like this! Read the rest of this entry »

Yep, it’s time for our weekly look at what blogs more talented than us have been writing.

To nominate a blog for This Week in Mentalists, e-mail zarathustra at mentalnurse dot org dot uk

Read the rest of this entry »

The 1800 Criminal Lunatics Act was one of the first pieces of legislation to directly address “the Safe Custody of Insane Persons Charged with Offenses”. Previously, Blackstone’s commentary on common law in the 18th Century mental health held that

the absolute madmen… are not answerable for their actions, they should not be permitted the liberty of acting unless under proper control, and in particular, they should not be suffered to go loose, to the terror of the king’s subjects. It was the doctrine of our ancient law, that persons deprived of their reason might be confined till they recovered their senses, without waiting for the forms of commission or other special authority from the crown; and now by the vagrant acts, a method is chalked out for imprisoning, chaining, and sending them to their proper homes.”

In a previous posting I did threaten to write about mental health legislation as a form of social control.

So, how far have we come in the last 200+ years to progress the needs of those “absolute madmen”?

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Do you think Alan Johnson reads this blog?

In my post here, I said this: -

Here’s a wee idea of mine. How about giving older people some proper purchasing power? Special grants for groups of older people (who could all be friends or family members, say, or who could have hitched up for the sole purpose of getting a group house) to buy and, if necessary, adapt houses for them to live in. Then, through an expanded and boosted direct payments scheme give them some cash to buy in the health and social care they want and need. Make them the employers, let them call the shots about who comes to - say - give them a bath and when. That’s certainly how I would like to run my old age.

And now the Health Sec announces this

Elderly people in England are to be given cash to fund their own social care, the health secretary has said.

From April, millions of pensioners will be handed control over how the money is spent, rather than relying on social workers to make the decisions.

Alan Johnson, who officially announced the scheme on Monday, said it was a “radical transfer of power from the state to the public”.

Younger disabled people could also be allocated a “personal budget” for care.

Councils will be given £520m over three years to improve services.

Individuals will be means-tested to assess their health and personal needs, and councils will then pay the cash into their bank accounts or those of nominated relatives.

OK, so it’s not exactly what I said, but it’s near as makes no difference!

Alan, if you’re reading - nice one! And can you chuck the ancillary workers a few more quid please? Thanks.