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Bipolar ForumsGeneral & Supportyour experience with psychiatric nurses?
09/01/2011 10:23 AM
StoryCollector
StoryCollector
 
Posts: 63
Member

Without a psychiatric nurse who listened and cared, I would not have received an early and accurate diagnosis. (This was in 1978 when bipolar disorder was called "manic-depression," and it was not a common diagnosis nor understood by much of the medical community.)

I speak to student nurses next week. What would you like them to know to increase their understanding and to better help us?

Thanks for your time.

Rachel

There is one choice in life - fear or love.
Reply

09/01/2011 11:02 AM  Top
Cthebird
Cthebird
 
Posts: 2609
Senior Member

The psychiatric nurses at the hospitals I went to mostly gave out medication. They also tended to you either alone or with attendants when you became unruly or in an outburst. From my experience they were always convincing in what they wanted you to do (like go into the isolation room and get a shot) and if they weren't they let you stew on it a bit. Once I created quite an uproar when they wanted to put me into a 3 bed room (my bed was supposed to be the cot). I completely refused. They must have given me some Haldol or something because even though I was manic I fell asleep with my winter coat on in a chair in the lounge. They let me sleep there until my husband came for visiting hours and he was able to convince me to go into the room and take my coat off. They thanked him profusely. Not sure what they would have done otherwise. In any case I got my own room the next day. It was nice.
Bipolar 1, Simple Partial Seizures, and migraines

Psychiatric meds:

Lithium ER (900 mg)*Tegretol XR (1400 mg)*Lamictal (100 mg)*Geodon (160 mg)*Navane (5 mg)*Seroquel XR (100 mg)*Klonopin (.5 mg)

Ativan 1 mg "as needed" (I rarely take it.)*Seroquel regular 50 mg "as needed" (Only if I'm getting elevated.)

Other meds:

Propranolol (40 mg)*Levothyroxine (150 mcg)

My mix is side effect friendly for me.

09/01/2011 11:51 AM  Top
platelet60
platelet60
 
Posts: 282
Member

Maybe I'm lucky, but the best nurses I have encountered almost acted as mentors to me in the hospital. They were kind to you, without any agenda. We had to have goals every day. They would ask you what your goal for the day was and if you gave them a lame, vague answer they would kind of get on your case about narrowing it down to something specific and achievable. A lot of patients hated the guy who did that but I actually appreciated it. They quickly learned to interpret a patient's body language and would approach you to talk about what was bothering you in a natural, equalizing way, if you wanted to. Other nurses, the muscle, were clearly phoning it in, which I can understand, it must be a hard job. The funniest were the dutiful, proper nursing students who were doing psych hospital training and came and did little presentations on Risperdal to all the patients who were actually taking the drug, and who already knew everything about it.

Post edited by: platelet60, at: 09/01/2011 11:52 AM

Post edited by: platelet60, at: 09/01/2011 11:53 AM

Jesse

Lithium 1200mg
Risperidone 2.5mg
Lamotrigine 200mg
Bupropion 400mg

"As long as a word remains unspoken, you are its master; once you utter it, you are its slave." -- Solomon ibn Gabirol

"No bird soars too high, if he soars with his own wings." -- William Blake

Not a doctor or a therapist -- you know the deal. I hope that someday my humble opinion and experience, taken with a huge chunk of salt, can help somebody.

09/01/2011 03:43 PM  Top
soy70
soy70
 
Posts: 1774
Senior Member

It certainly does depend what facility you're at because I've had awful experiences with nurses. They've been insulting, (one calling me shameless), inaccessible (going up to the desk for xanax, they refuse to raise their head or acknowledge you so you have to feel like you're bothering them. Very few took an interest or treated me with dignity. This was a big university hospital with a lot of patients so maybe they had major burnout, but they were totally nasty, passive-aggresive people for the most part.

I would suggest taking measures to avoid burnout or make sure you have the coping skills to deal with challenging patients, rather than taking it out on them.

Bipolar
Wellbutrin 450
Prozac 20
Lamictal 200
Adderall 40

MS
Tysabri

09/01/2011 05:14 PM  Top
Bangbang
Bangbang
 
Posts: 6080
Group Leader

Hi....I was a Psych Nurse for 23 years in a State Hop and always made time for my patients and treated the patients with respect. However there were a few that were like said above burned out NASTY nurses. I often wrote them up and got some fired. I got sick(bipolar and PTSD) in 1997 and suddenly had to retire. My heart goes out for those nurses that can deal with Psych Nursing. It is very demanding and can be a very challenging emotional job.
You are not drunk unless you have to hang on while lying on the floor.

09/01/2011 05:28 PM  Top
randomeddie
randomeddie
 
Posts: 407
Member

The one's I've encountered were all underpaid saints...
Eddie

Keep me inside
I'll keep my head to the floor,
and one hand on the handle
of the mad/sane door...

Cymbalta 60mg
Lamictal 100mg
Risperdal 2mg
Ambien 10mg
Ativan 1mg (as needed)

09/01/2011 05:29 PM  Top
KimberlyR
KimberlyRPosts: 106
Member

The psych nurses I had basically raised me thru my teens and early 20s. They were like family to me. I was there aprox every 2 years. There were some bad apples one who said I was playing games. But then I was institutionalized in a state hospital. The male orderlys were mean and watched abuse happen and didn't do anything about it. It was a horrifying experience.
Nothing stays the same.......
K R

09/01/2011 05:56 PM  Top
StoryCollector
StoryCollector
 
Posts: 63
Member

Thanks to all for responding! The psych nurse coordinating my presentations is a dedicated and special woman who works in the hospital & teaches. I hope the nursing students can see "we are your neighbors, your friends, your relatives, your co-workers."

Again, thanks.

Rachel

There is one choice in life - fear or love.

09/01/2011 05:58 PM  Top
Enigma1969
Enigma1969
 
Posts: 2428
VIP Member
I'm an Advocate

The psychiatric nurses are busy doing other things (like updating everyone's chart) There's been issues with me and the med nurse not but nothing serious. They'd one on one you. The techs (orderly) are the ones that keep track of everyone and keeping drama load to a minimum. During the 10 stays that I've had since last year, both hospitals I went to the staff was well-trained for the most part.

Post edited by: Enigma1969, at: 09/01/2011 05:59 PM

Sincerely,
Chris, 43

BMD with psychotic features, OCD & GAD

Clozapine - 400mg (BID)
Lithium - 300mg (BID)
Lamictal - 400mg (BID)
Neurontin - 1200mg (TID)
Klonopin - 0.5mg (BID)
Abilify - 10mg (Once Daily)
Buspar - 45mg (TID)
Vistaril - 25mg (Bedtime)(PRN)
Restoril - 30mg (Bedtime) (PRN)

"I see myself as an intelligent, sensitive human, with the soul of a clown which forces me to blow it at the most important moments."

Jim Morrison

I am not a doctor or licensed therapist, nor do I resemble one.

09/01/2011 06:28 PM  Top
globalmind
globalmind
 
Posts: 154
Member

Like Soy, I've had some bad experiences. A relative that I loved was a psych nurse though and she was awesome.

It's just that I think it is the kind of position where someone is given absolute power over other people and it's hard for some folks not to abuse that somewhat.

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