@cgraw1 For one shift in Emergency, my initial meeting with a man who was drunk & verbally abusive needing restraint with previous staff on day shift, I walked in to have him swear and demand apple juice. Was still restrained. I replied, he needed to not swear, use the word, 'please' 1/2
@cgraw1 if he wanted anything and that I was his nurse for the shift - 12 hrs. He was in a private room due to being so disruptive. I told him to think about what I had said, since he was a lot more sober than on admission hours before and I'd return in five minutes. I did make sure 2/3
@cgraw1 to return in those 5 minutes and he said, 'I'd like some apple juice, please." So, my setting boundaries was working well as I had a plan for this middle aged man. During the 5 minutes, I had a look through notes written for his previous admissions and his old chart was 3/4
@cgraw1 about 3 inches high - a huge chart in comparison to others and most admissions were due to his being drunk and he was always very aggressive and treating staff with verbal and even physical abuse. When I had some time a bit later, as I had other patients to care for as well, 4/5
@cgraw1 he was still awake and wanted his arms released from the restraints (please was in the request too) and so I said I expected him to behave respectfully toward me if I untied one of his arms. His legs were restrained too as he had been known to try and kick staff. I had brought5/6
@cgraw1 in the room his old chart. When I told him this was all his admissions and as I had read a lot of the notes, it was obvious his drinking was making him have these admissions and that with each one he was disruptive and abusive. He said he had no idea as he didn't remember 6/7
@cgraw1 being so drunk and having blackouts. I even read some of the notes by nurses about his behaviour, not to shame him but to give him a reality check as to this was his life and behaviour being addicted to alcohol. He told me he'd had some 'times' in his life when he was sober 7/8
@cgraw1 and most recently over 3 years sober. I asked him how he did this and he said going to AA was what made the difference. I suggested he consider this as a choice again. Then I left him for a few hours so he could sleep. In the early morning, he was totally sober, cooperative 8/9
@cgraw1 and I asked him what he thought about going back to AA, since it had helped him the first time. He said it sounded like a good idea. I then told him I'd found a meeting for 8 am, since he was being discharged in the morning and that I had made arrangements for him to have a 9/10
@cgraw1 taxi credit to that meeting as it was in his neighbourhood. he said he would go there. I then gave him a chance to wash up, provided him with some clothing from the closet of free clothes since his were soiled. He was a different man by 7 am. I saw him into the cab. Often 10/11
@cgraw1 have thought of him and wondered if that time was the turning point for him after having the 12 hours being my patient. I did go home thinking of the complex work as an RN we often do with patients of which the public are very unaware.
@cgraw1 Would appreciate an unroll, please and thank you for this about this important issue of alcoholism and it's impact often on the healthcare system. @UnrollHelper

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More from @perfectrose2011

4 Jul
@KayeSteinsapir You wouldn't have known of our late Canadian writer, storyteller, Stuart McLean who was such a treasure both in Canada and the world. He had an hour Canadian radio show on Sundays at noon reading his very amusing stories on @CBC radio. He died on the same date as
your beloved Molly but in 2017 of malignant melanoma and complications from immuno-therapy. I like to think of him 'being' there for Molly when she 'arrived' to where now spirits are free. Perhaps often somehow he is able to be there for her with more stories.
Many of his stories did revolve around a fictitious family of Dave (quite the bumbling well intentioned man)and Morley and their children. His story of Dave Cooks The Turkey is the top favourite. Here is a snippet of some of his stories:
Read 6 tweets
30 May
Tonight I was out walking after 6 pm and thinking about the 215 Indigenous children buried in Kamloops on the grounds of the residential prison-school without any family to grieve their deaths. Then I considered how the shoes on the Vancouver Art Gallery which I visited last
evening was such a poignant scene. Chilling to realize every pair of shoes was a child's life which obviously had no worth to the adults entrusted with their care. Then I thought, "What would 215 random children's names be like to read?" Meaning no disrespect to the children's
actual names, I searched for a listing of random boys and girls names and have now the list. I am going to add it here in a thread. It is a list which is added with deep respect for the actual names of these precious boys and girls anonymously buried. EMMA NOAH MIA SEBASTIAN
Read 11 tweets
30 May
Watching Global 6 pm news and a statement from an Archbishop of the Catholic Church in BC stating sentiments like: "we appreciate the pain" and "we'll do all we can to help in healing." Hollow words considering the church HID and still HIDES any abusive behaviour toward any of
their congregation let alone the thousands of children who were abused and ?killed in the Residential prison-schools which were nothing other than a way to kill the spirit and culture of generations of Aboriginal peoples in Canada. They KNEW what was happening in these so called,
schools where they forced English on these children, forbade them to even speak their own language with the few visits from parents. It was religious brainwashing too. What needed to happen was to be transparent decades ago. Now the generations of harm has been done. The horrors
Read 4 tweets
29 May
@ElizabethRBess @NeetuGarcha @GlobalBC Yes, agree with all you have written above. When I worked closely with other coordinators of the Stein Festival,(I managed the Medical Care for the 3 1/2 day festival on reserve land with 24,000 attending) I got to know a really nice Aboriginal man in his late 40's - he was 1/2
@ElizabethRBess @NeetuGarcha @GlobalBC the organizer for all the volunteers at the festival except mine who were GP's and RN's. One day we were chatting and I asked him about his life. He explained how he'd been a residential school child, how he was raped by the priest there repeatedly and abused in other ways. 2/3
@ElizabethRBess @NeetuGarcha @GlobalBC No one else was in the large office and I guess he trusted me and felt I would understand (he knew I was an RN) when he told me all that happened to him. When he left the school finally in his late teens, he didn't know his own language, didn't know his parents or family. He 3/4
Read 8 tweets
27 May
@EBraeden I'm aware you filmed the Neil Winters special show of remembering him weeks ago. At the same time, deeply feeling the script as it also pertained to the beloved Kristoff St. John, who was a friend for 27 years working together. It was great script for each of the cast
involved in this very tender hour of remembrances. Remember how both Bryton and Christel both saying after the sudden loss of Kristoff how he really was like a father to them. With that sentiment in their hearts, they brought much validity to their scenes. I'm sure a few tears
were shed after scenes were filmed and at the end of the day's work. Hard to believe he has been gone for over 2 years now. I've had a black and white photo of Kristoff on the top of my art easel since he passed. I sent him my poem which I wrote for him after the loss of his
Read 4 tweets
27 May
Story from my life: I never buy chips or pop due to the lack of nutritional value - it's zero. Tonight for some reason I saw a very small bag of cheezies and thought, "It must be at least 30 years since I've eaten a cheezie." So, bought the bag. Opened it once home and ate about
1/3 and didn't really enjoy them due to the salty taste. I have little salt in my diet normally. Checked the bag to see it was 630 mgms or 265 of the contents is salt. But the bag advertises they cheezies are made from real cheddar cheese. Unfortunately that much salt is the
recommended amount of salt in an adult's diet per day. Shocking to consider some people may eat a larger bag of cheezies and not even consider the high salt intake is harmful to their body causing an increase salt content of their blood which then needs excreting by the kidneys.
Read 5 tweets

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