Outright Waffle

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Preliminary Draft of the DSM-V Committee on Cyber Disorders

The Cyber Disorders section includes disorders that have a dependency upon cyber existence as the predominant feature. The section is divided into three parts. The first part describes e-mail episodes that serve as the building blocks for the disorder diagnoses. The second part describes the Cyber Disorders themselves. The criteria sets for most of the Cyber Disorders require the presence or absence of the e-mail episodes described in the first part of the section. The third part includes the specifiers that describe either the most recent e-mail episode, or the course of recurrent episodes.

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I saw this recently in a local paper while I was away for the weekend. It underlines much (I think) with what is wrong with today’s no blame culture.

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A little over a week, the great Doc Crippen pleasured us with this guest post.

Within the commentary of this discourse, I believe it was firmly and established that this offer of…

I will bet you all a virtual pint that more than 75% of newly qualified nurses are under 25.

…was irrefutably and evidentially proven to be in err by Gallowgate and seconded by Zarathustra with this:

Gallowgate said…

According to the now defunct NMAS (Nursing and Midwifery Admissions Service) website: In 2007, 15226 of accepted applicants were 25 and under and 10260 were 26 and over.

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Everything’s far too affable and agreeable here. So, cat, meet pigeons :

Why have nurses in mental health?

Really, stop and think for a moment. Maybe on in-patient units, where arguably nursing may still have a role for some patients some of the time (but is it RMN stuff?), some nurses may be needed some of the time. But not necessarily.

In the community, shouldn’t they all be banned?

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In healthcare and government leadership, responsibility and direction has more or less been driven by the need for a healthier nation. For the larger part this means ensuring living for a long time.

So it is somewhat shocking and revealing to find this article that provides a new and significant departure from what might be considered traditional medicine.

In this article it is clearly stated:

People who have more birthdays live longer

What implications is this astonishing fact going to have on healthcare for now and the future?

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For those of you with a classical education you may like these Latin sayings which I found here . My particular favorites are:

QUI ME AMAT, AMAT ET CANEM MEAM
Love me, love my dog.

LUKE SUM IPSE PATREM TE
Luke, I am your father.

POTESTATEM OBSCURI LATERIS NESCIS
You don’t know the power of the dark side.

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This week I started on my first community placement. I am in a team that covers primary under 65’s, severe and enduring and over 65’s.

I will be spending time with 3 different CPN’s based in the same office. I will mainly be with the primary under 65 however.

Having gained almost all of my knowledge about CPN’s from this site (ha), I was expecting even better treatment that I have previously had in ward based placements, the truth, however, was not comparable.

In the entire week I have been there……prepare yourself, the following story is not nice.

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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 »

I make no bones aout it, I`ve got three too few stomachs to be a vegetarian.  I can`t stand the smug, gaunt, sunken eyed, sickly looking  minority with prominent veins across their foreheads who berate me as a murderer.  I`m simply doing what Mother Nature designed me to do.  I love my fruit and vegetables.  I love the berries and nuts so beloved of the vegans who conveniently forget that our ancient foraging forebears lived on coastlines and in river valleys where game and fish were plentiful too. At the end of the day I want some meat on my plate.  I`m not interested in the health scare stories.  If I ate game exclusively I don`t think there would be any health implications but I`m partial to domesticated animals.  I may hit the pavement in my 70`s but to my mind that`s preferrable to fading away with angina, arthritis and Alzheimer`s.

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Recently, as some people may have noticed, Mr Ian has taken to spreading his learned wisdom to anyone who happens to click the wrong link…. linklink…. (and thanks Mental for the use of bandwidth lately!)

I’ve become somewhat (and perhaps momentarily) drawn into the world of ‘blogging’ and ‘posting’. Sat here at 4am, it’s possibly become something of an obsession (although I’m only awake cos some mozzie decided to take a banquet out of on my back) .

So in my ponderings, I began to wonder … what attracts me to this new-age techno forum?

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This was going to be Mental Illness: Three: Alternative Interventions. The intended tone is closer to a Cynic’s Guide type post.

I notice in recent comments both Bloo and Zarathustra have foreshadowed what I intended. I intend to totally steal their ideas.

Intervention: Building A Therapeutic Relationship - One
Action: Ignoring Clients With Challenging Behaviour

“Just ignore him nurse, he is only banging his head off the wall to get attention”

All time classic this one. Generally used with ars people with a diagnosis of personality disorder, or just those who decide to be loudly unwell when it is time for a tea break. The theory is that time spent with nursing staff is such a wonderful experience that clients will do anything to repeat it. If they do something loud and messy (slash wrists, kick doors, take a tiny overdose) they will get time from staff. The untaught response to a client in distress, like this, is to ignore them. Otherwise they will just do it again when they want something. Ignoring them reduces the reward leading to a cessation of the disturbing behaviour. Fabulous lack of intervention. Very person centred and never ever leads to increasingly bad behaviour leading to an admission to IPCU or even more fun discharge ! If nothing else makes the nurses look like a bunch of … to the rest of the ward.

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Dear Mental,

You might be quite surprised to be receiving a letter from yourself. I remember that I was.Or do I ? Do you remember that Italian patient, Chris Agliostro ? Said he was immortal. Well that turned out not to be the case. But it turned out his claim of having invented a time machine was a bit more accurate. So I thought I would post me this letter on my way back in time to assassinate Margaret Thatcher, hopefully she will not turn out to have been my grandfather !

The future holds some surprises. Oldschoolbaby as head of the NMC was a shocker. Zarathustra as RCN spokesperson not so much. We get outed by one too many Guardian articles and fired from work. It causes a flurry on the Interweb but nobody pays any attention. Luckily we use our new found fame to publish a line of Mills and Boon Stories. The ECT: Doctors and Nurses series was a best seller. The first book is to be called The Atmosphere Was Electric ™.

On to the future.

Or roughly the next ten years. I forget. Turns out Alzheimer’s disease was viral. No one saw that coming.

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The pioneering anthropologist Bronislaw Malinowski first described the Kula exchange system among tribal peoples in the South Pacific. This refers to certain items (such as necklaces made of sea-shells) that had little or no inherent value, other than to be exchanged as gifts. This led to Marcel Mauss’ seminal work The Gift, which theorised that in these sorts of societies, the act of gift-giving was used to reinforce social relationships rather than to actually transfer goods.

On the wards among the nurses, there is a similar gift economy in action. However, instead of circulating necklaces made of seashells, the commodity is pens.

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Way back in 1981 I was a guinea pig in the “new modular scheme of training” where all nurses shared a common foundation programme for the first 18 months. So our first year at college consisted of learning things like the anatomy the eye and useful practical skills like making beds and injecting oranges. We then spent several months as slaves on medical and surgical wards. All essential stuff for us budding RMNs. You can imagine how excited we were when in our 2nd year we got our first actual lesson (they weren’t yet called lectures) in psychiatric nursing! We had a great tutor who had spent years nursing on the wards. One of the practical skills he told us about was how to display empathy, how to let someone know you had some idea of what they were feeling. He cited some good examples and also recounted a real incident with a patient where he displayed empathy by saying “That must have been very frightening for you”.

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In an effort to derail the racism thread I thought I would make another, lighter, post. I was thinking about Zarathustra’s post about the funny things patients say.

I was thinking about superstition.

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