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Comments for There are still battles to be fought
https://tnipe.wordpress.com
A periodic blog on matters health, union, social justice, and the occasional random rant
Sat, 27 Feb 2021 03:44:48 +0000
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Comment on How many aged care deaths before the government acts? by Lyndel Echter
https://tnipe.wordpress.com/2021/02/25/how-many-aged-care-deaths-before-the-government-acts/comment-page-1/#comment-1387
Sat, 27 Feb 2021 03:44:48 +0000
https://tnipe.wordpress.com/?p=2400#comment-1387
Good read Tara,
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Comment on In praise of palliative care by Nurses and assisted dying part 1 | Nurse Uncut
https://tnipe.wordpress.com/2017/06/01/in-praise-of-palliative-care/comment-page-1/#comment-1356
Fri, 15 Nov 2019 03:15:04 +0000
https://tnipe.wordpress.com/?p=1205#comment-1356
[…] writes: I have written about the best kinds of dying trajectories and about the difference quality palliative care makes to […]
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Comment on Why I support Victoria’s voluntary assisted dying bill by Nurses and assisted dying part 1 | Nurse Uncut
https://tnipe.wordpress.com/2017/06/08/why-i-support-victorias-voluntary-assisted-dying-bill/comment-page-1/#comment-1351
Wed, 06 Nov 2019 03:27:09 +0000
https://tnipe.wordpress.com/?p=1290#comment-1351
[…] Tara Nipes is a registered nurse on a multiple medical specialty ward at one of Melbourne’s most acute tertiary hospitals. In the first of three blog posts about assisted dying, Tara writes about why her experience as a nurse leads her to support assisted dying. This was originally on Tara’s blog as Why I support Victoria’s voluntary assisted dying bill. […]
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Comment on On the matter of privilege by Tara Nipe
https://tnipe.wordpress.com/2018/03/25/on-the-matter-of-privilege/comment-page-1/#comment-1066
Thu, 29 Mar 2018 09:10:48 +0000
https://tnipe.com/2018/03/25/on-the-matter-of-privilege/#comment-1066
In reply to Paul McNamara.
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Comment on On the matter of privilege by My White Privilege | meta4RN
https://tnipe.wordpress.com/2018/03/25/on-the-matter-of-privilege/comment-page-1/#comment-1064
Wed, 28 Mar 2018 08:28:08 +0000
https://tnipe.com/2018/03/25/on-the-matter-of-privilege/#comment-1064
[…] Nipe (25/03/18) On the matter of privilege (this is the blog that I wish I wrote: it’s much clearer and more succinct than […]
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Comment on On the matter of privilege by Paul McNamara
https://tnipe.wordpress.com/2018/03/25/on-the-matter-of-privilege/comment-page-1/#comment-1059
Wed, 28 Mar 2018 02:27:54 +0000
https://tnipe.com/2018/03/25/on-the-matter-of-privilege/#comment-1059
Thanks for simplifying the argument Tara. Very clear. Disarmingly frank.
It’s terrific that we have articulate nurses like you: it helps the rest of us to cut through the bullshit. ]]>
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Comment on Medical support for voluntary assisted dying by What do AMA members really think about voluntary assisted dying? | We won! But the battle's not over
https://tnipe.wordpress.com/2017/10/29/medical-support/comment-page-1/#comment-942
Sun, 29 Oct 2017 13:02:37 +0000
https://tnipe.com/?p=2053#comment-942
[…] my previous post I wrote about why we (including the media) should pay less attention to the pronouncements of the […]
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Comment on 7.30 – a response by niasims
https://tnipe.wordpress.com/2017/08/22/7-30-a-response/comment-page-1/#comment-834
Wed, 23 Aug 2017 02:50:58 +0000
https://tnipe.wordpress.com/?p=1911#comment-834
I acknowlede that Dr Kaminsky has said she was “quoted out of context” but find it difficult to imagine what context could alter the meaning of her words regarding her concerns that she is not up-skilling/trained, and how the medication will be safely managed, and the risk of the medication being accessed by children. This last suggestion is particularly unlikely- safe management of medications in the home is well established practice. I lean to the conclusion that Dr Kaminsky is unaware of how the proposed framework thoroughly addresses these issues and provides solutions and safeguards and feel concerned that the public may have been mislead by these comments. Nia
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Comment on Caring at the end of life by Liz Barton
https://tnipe.wordpress.com/2017/08/07/caring-at-the-end-of-life/comment-page-1/#comment-819
Mon, 07 Aug 2017 00:57:49 +0000
https://tnipe.wordpress.com/?p=1909#comment-819
This is a very poignant article. However I was upset to read that this was a “palliative patient”, an uncomplicated dying. It is obvious to me that the patient’s pain issues were not being dealt with. If the writer had given all that was prescribed and the patient is still not comfortable it is time to agitate for a syringe driver of background opioid and midazolam.
This is why ” palliative care does not work for some” …..simply that doctors will not escalate to achieve total symptom relief. We need mass re- education of nurses and carers so that if maximum prescribed doses do not achieve comfort staff ask for urgent referral to palliative care services to achieve a regime of medication which will achieve pain free status. Dying patients only have now..no second chances.
And if specialist intervention cannot achieve pain free status there is the option for terminal sedation. Trouble is so many nurses do not keep pain and symptom charts, no- one asks ” is this the right drug for a particular pain type?” or can we use adjunct medication to relieve the patients suffering.
Instead of crying and feeling helpless nurses need to advocate for urgent specialist intervention if the current prescriber is not ordering sufficient/ correct medication to achieve a peaceful dying. ]]>
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Comment on In praise of palliative care by Nurses and assisted dying part 1Welcome to Nurse Uncut | Welcome to Nurse Uncut
https://tnipe.wordpress.com/2017/06/01/in-praise-of-palliative-care/comment-page-1/#comment-809
Fri, 28 Jul 2017 06:44:12 +0000
https://tnipe.wordpress.com/?p=1205#comment-809
[…] writes: I have written about the best kinds of dying trajectories and about the difference quality palliative care makes to […]
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Many many changes to age care needs to occur. It’s an issue of safety and human dignity and so much more.
]]>Thank you, Paul – coming from you that means a lot 🙂
]]>It’s terrific that we have articulate nurses like you: it helps the rest of us to cut through the bullshit. ]]>
This is why ” palliative care does not work for some” …..simply that doctors will not escalate to achieve total symptom relief. We need mass re- education of nurses and carers so that if maximum prescribed doses do not achieve comfort staff ask for urgent referral to palliative care services to achieve a regime of medication which will achieve pain free status. Dying patients only have now..no second chances.
And if specialist intervention cannot achieve pain free status there is the option for terminal sedation. Trouble is so many nurses do not keep pain and symptom charts, no- one asks ” is this the right drug for a particular pain type?” or can we use adjunct medication to relieve the patients suffering.
Instead of crying and feeling helpless nurses need to advocate for urgent specialist intervention if the current prescriber is not ordering sufficient/ correct medication to achieve a peaceful dying. ]]>