#fireworkscampaign - show your kids this.

Hey the Greater Manchester Police have a thing in place:

£80 fine for possession of a firework in public.
And a video showing the DANGERS of playing with fireworks

What Manchester is doing about antisocial behaviour and fireworks over Halloween and Bonfire night period can be found on the page this link leads to:

Show your kids the video.

http://www.gmp.police.uk/mainsite/pages/AE2566A33F8C45B4802577BA0044FA1A.htm

Nil-by-mouth

Nil-by-mouth

Twice in a week this has had to be the case. 

Monday I broke the Fluids timelimits.

Today I shall not.

Theres a replacement to mondays tests in the near future too. 

The more you think about nil-by-mouth procedures it seems the more you worry - AND the more hungry you are! Dry Mouth too.

I read this and quote it here quite enlightening: 

Julie Rees, is a second-year nursing student, University College of Medicine, Cardiff

I initially read Best's article (2004) because the topic had recently been debated in our clinical skills lab. We h...

I initially read Best's article (2004) because the topic had recently been debated in our clinical skills lab. We had discussed the problems of preoperative fasting with regard to delayed healing time in acute wounds. We will soon be going on our surgical placements and reading this article has broadened my understanding.

Interestingly, the author used patients undergoing radiological and gastrointestinal endoscopy procedures in her investigations. I reflected upon my own experience not just as a nurse but also as a patient. I too have undergone gastrointestinal endoscopy. My experiences were very similar to the findings highlighted by Best.

I had received written information about preoperative fasting, which detailed the length of time I would have to fast for before surgery. It did not state why this was necessary. Nor did the letter state when I could start eating and drinking again, or how to make my dry mouth feel more comfortable. When I consider my patients who have had to undergo preoperative fasting, I noted that very little information was offered to them about why it was necessary to remain nil by mouth, what they could do to relieve a dry mouth or indeed when they could look forward to their next meal or cup of tea.

This lack of information is an aspect of my nursing that I hadn't previously considered, and I will now give patients as much information as possible, which I hope will increase patient comfort and help allay anxiety.

The article also highlighted that patients tend to fast for longer periods than is necessary. I could relate to this and also identified with the 'symptom list' on the authors' questionnaire. I too had experienced hunger, thirst and headache, which I attributed to a lack of food. However, the tiredness I felt was probably caused by my lack of sleep due to the anxiety of the procedure and test results, rather than a lack of food - although I realise that this could have been a contributing factor.

I appreciate that this is a personal perspective, but when I go on my surgical placement I will look for changes in patient behaviour, mood and body language that indicate their discomfort during the period of fasting. The ideas for relieving a dry mouth were very useful. Simple ideas such as brushing teeth and rinsing the mouth seem obvious to me now and I shall put this information into practice on the wards.

As a novice nurse, understanding the protocols for patients who have diabetes or are on drugs that need to be taken with food and yet have to be nil by mouth remain problematic. The potential for giving misinformation and delaying surgery is a cause of anxiety.

This article has broadened my understanding of the potential problems of preoperative fasting and how to overcome them. I will take the recommendations on board for my practice. The article has helped me to identify my own learning needs and has prompted me to ask further questions about this topic. I now feel the need to go and carry out more research.

______________________________________________________________________

Also I personally think clarity for Patients is paramount. Things like "aspiration" avoidance etc NOT mentioned in any leaflets.

The Answer Hit me....

I was thinking of a thought but the thought wasn't there, the sense didnt have form, but the unease existed. I knew a thought was developing. So I asked the question:  What is the thought?

The answer hit me.......like a high velocity bullet.

• I dont OWE enough to be invisible.
• I dont OWE enough to be offered alternate financial arrangements.
• I dont OWE enough to be pardoned and excused.

On the other hand I try and pay bills, and get SLAMMED if arrangements slip by a day or a week.

Because I dont OWE enough - I'm treated as a mental punch-bag, valid target for harassment, and someone who gets mandatory decisions made on their behalf of when where and how I should pay stuff - even if a minor adjustment is needed through no fault of mine, and that change is in good faith, with explanation.

If I owed MORE, I'd be given more freedom.

How TWISTED is that?

I knew that thought lived inside, I just had to germinate it.

Dead Cross Dresser

Slightly worrying:

Kings Cross - Transvestite dies under tube train http://www.thesun.co.uk/sol/homepage/news/3200468/Tube-track-shove-accused-in-court.html

The Morning...A British Description

Well its bright, with a whitish grey sky. Could be rain later.

I know the grass is wet, but so's the roof on the bin store. You see the scaffold round it, its getting a resin roof - maybe not today- because threat of rain, but it will be soon.
Now they will be sorting out the lighting inside the bin store, cos thats busted too.
All good.

Payment dates/ Draconian Collection Methods

United Utilities (water company)  took my payments, only their computer threw a YOU HAVENT PAID FOR AGES CONTACT US NOW letter.

Changed payment from a friday to a monday, couldnt be helped.

Oh yeah, they accept NOW the new thing.... But Draconian Threats and Letters That Seem Way OTT is NOT THE WAY to treat people. Especially if they ARE paying.

And TV licencing, payment will be a week late, but they TEXT me and say CALL to pay now.

So I just want people to know that for a combination of £17.56 across the two , the  ADMIN costs at both companies, me calling both, wow the add on cost.

And they dont get the money any quicker.

Can they rethink these High pressure shits they dosh out to people.

Just a thought. Some people are VALIDLY trying to pay their bills, and get shit for trying.

The rescheduled Test

Jules_Clarke Jules Clarke 

Needs to get changed..... back in a bit.

Jules_Clarke Jules Clarke 

Tweeting on a bus isn't easy. They throw them about.

Jules_Clarke Jules Clarke 

Old lady just had to get off as the driver said Yes when she got on but it was wrong bus. Shame

Jules_Clarke Jules Clarke 

Someone talking about limits on housing benefit means they'll have to move. Yet they both work.

Jules_Clarke Jules Clarke 

At hospital no signs in this department mobile phones so unless they shout . . . Lol.

Jules_Clarke Jules Clarke 

Three other people appear around my age. The rest are relatively older.

Jules_Clarke Jules Clarke 

Absolutely starving hungry. As usual when i finish there's a chippy across the road i shall visit.

Jules_Clarke Jules Clarke 

Some people moaning about waiting. I'm here slightly early so hope i don't have extended wait.

Jules_Clarke Jules Clarke 

And Jeremy Kyle on the tv. Omg. Car crash telly.

Jules_Clarke Jules Clarke 

I may have to inform reception i will be popping outside. One fella here commentating on the programme ffs

Jules_Clarke Jules Clarke 

They said half four. I said book another day. Only because i had coffee 2 hours ago.

Jules_Clarke Jules Clarke 

They weren't clear over the 4 hours no liquid. I was of impression it was 2 hours for liquid.

Jules_Clarke Jules Clarke 

Food is minimum 6 hours desirable 8 which i did. Can't even have water for 4 hours. Now i know.

Jules_Clarke Jules Clarke 

Will be another day now.

Jules_Clarke Jules Clarke 

Waiting for bus . It's due any second.

Jules_Clarke Jules Clarke 

I shall have words. Because i asked was it same as scans rules and answer was yes. Bollocks . Its not.

Jules_Clarke Jules Clarke 

Just gone past Bernard Manning embassy club

Jules_Clarke Jules Clarke 

I've had a few jars in there before now. Lol.

Jules_Clarke Jules Clarke 

Ooh Queen's Road. Ha ha ha