Pen Point 20

No one is so rich that he cannot receive. No one is so poor that he cannot give.

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To serve, not protect

This is your police and they vowed “to serve and protect” the Filipino people. Which part of this report/video shows that? Oh yes, I remember.

The police is there
1) To serve the President in his war on drugs by killing thousands of innocent, helpless lives; and
2) To protect themselves and the president by going above and twisting the laws of the land.

This is shameful. More importantly, this is sad.

 

LINK: https://www.reuters.com/investigates/special-report/philippines-drugs-surveillance/

CIDP and IVIG

A few days ago, I had the chance to meet a patient diagnosed with CIDP. CIDP is an acquired immune-mediated in inflammatory disorder of the peripheral nervous system. It is a treatable disease.
 
The patient was eventually sent home because our fiscal didn’t approve the procurement of IVIG for her use because we failed to substantiate our claim that the treatment would be beneficial for her.
 
So I was curious about this disease and found out that the main treatment options are (1) IVIG, (2) cortocosteroids, and (3) plasma exchange. There are numerous studies that prove IVIG effective in the management of CIDP cases as cited by this article.
 
I learn more every day. And I hope we could offer better help to patients with rare diseases like this.
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Care for those who care

VIOLENCE IN THE HOSPITAL EXISTS.

We seldom talk about it because we think it’s “part of the job” or that we “signed up for it”. This is a skewed view of what nursing really is. Priority is given to patient care but self-care should be given equal importance. I believe violence in the hospital – be it physical, emotional, or verbal – coming from either patient or fellow HCP is obviously underrated and often unreported or underreported.

We, nurses, often struggle with role conflict between our duty to care for others and one’s duty to self when providing care especially following a critical incident that involves violence.

I believe what we need is an (1) immediate debriefing following a violent incident and (2) a good supportive work environment to prevent violence (both from patient/caregiver and fellow HCPs) and, maybe, enhance resilience.

Much like the lauded newly-established customer care center, we deserve the same mechanism where nurses (and other HCPs) could voice out their concerns, struggles, grievances of any sort without the prejudice of being judged, ridiculed, and sanctioned (especially by seniors) for basically just stepping up for one’s human rights.

We’ve got a long way to go before we finally realize that job satisfaction and quality of life affect the quality of care we render to our patients and the overall patient outcome and satisfaction. While hospital services and health care delivery have been improved in the past months, I cannot help but ask, what about us? People who care for other people also need to be cared for.

I cannot accept that “this has been the practice” and that “we cannot do anything about it”. We shouldn’t stick with practices that are clearly outdated, irrelevant, and ineffective. And yes, we can do something about it and the rest of the many issues and challenges we are facing day after day.

Care for those who care?

UP Manila says ‘No’ to Medical Cannabis Legalization in the Philippines

I agree that:

1) further research on Cannabis’ efficacy and safety should be done under strict protocols (provided by national institutions) to ensure patient safety and safeguard public health.

2) any policy, especially public health policies, should be evidence-based.

“UP Manila says ‘NO’ to Medical Cannabis Legalization”
Download whole document: https://www.upm.edu.ph/node/2264

No to HCP shaming

Pt asks about procedure

Pt: Sabi nung nurse… Pre-res: Wag kayo maniwala sa nurses. Sa amin ka maniwala, sa mga gaya kong naka-white coat.

Conversations like this support the misconception that nurses are dumb and “alila ng doktor”.  Maybe we could simply correct the wrong statement (if indeed it’s wrong) and do away with statements like “wag maniwala”.

A good HCP will strive to make the entire HC team better in terms of knowledge, skills, attitude.

I say no to doctor shaming but I also say no to shaming nurses and other HCPs. We are a team and we use a multidisciplinary approach. 🙂