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MORE OKNT NEWS THIS WEEK

What is your nursing superpower? AllianceHealth Midwest Birth Center

For me, it’s teaching breastfeeding. That’s what I do. Chelsea Drake, RN

Probably humor. I laugh all the time. Shelly Green, RN

Leadership and supervision. That’s a nice way of saying bossy. Diana Stone-Edgar, RN

Being with patients, explaining things to them and making them feel at ease. Sherri Ausburn, RN

Vicki L Mayfield, M.Ed., R.N., LMFT Marriage and Family Therapy Oklahoma City If you would like to send a question to Vicki, email us at news@okcnursingtimes.com

Q. I think one of my co-workers is bipolar. She can be so nice and easy to work with then, unexpectedly she is mean and hateful. Sometimes it feels like I am walking on eggshells, unsure what might set her off. She does not maintain friendships. People try to stay away from her. Do you think she needs medication?

A. Your co-worker might be bipolar or she might have a personality disorder or she might have both. Frequently, the diagnoses are used together.
First let me help you understand bipolar. Before the diagnosis can be made the individual must meet the following criteria for a manic episode(as listed in the Diagnostic and Statistical Manual of Mental Disorders, DSM)
1. A distinct period of abnormally and persistently elevated, expansive or irritable mood lasting at least one week.
2.During the period of mood disturbance three of the following symptoms have been present to a significant degree: *inflated self esteem or grandiosity *decreased need for sleep *more talkative than usual/speech is pressured. *excessive involvement in pleasurable activities that have a high potential for painful consequences (i.e., unrestrained shopping sprees, sexual indiscretions, gambling)
Now lets look at some diagnostic criteria for Borderline Personality Disorder.
* A pervasive pattern of instability of interpersonal relationships, self-image, and marked impulsivity beginning by early adulthood and present in at least five of the following:
* A pattern of unstable and intense interpersonal relationships characterized by “I love you/I hate you.”
*Identity disturbance markedly and persistently unstable self-image.
*Affective instability….raging is the most profound of the borderline symptoms. Lack of affective moderation, the “zero to 100” is frequently seen.
*Inappropriate, intense anger or difficulty controlling anger (i,e,.frequent displays of temper, constant anger, mean/hateful comments about others
So now you have something to think about. Yes bipolar disorder can be pharmaceutically treated and people who stay on their medications can function very well. There is no medication that changes borderline personality. Therapy is recommended, although many do not make the commitment for the long term treatment.
It can be difficult to work with someone who is manic but not as difficult as working with someone who is borderline. I hope this information is helpful.

Kathryn Arrambide, M.D., F.A.C.P.
Kevin Tulipana, D.O.

 

Tulsa, Okla. – Cancer Treatment Centers of America® at Southwestern Regional Medical Center in Tulsa (CTCA) announces two recent physician changes – Kathryn Arrambide, M.D., F.A.C.P., has joined the hospital as a medical oncologist and hematologist and Kevin Tulipana, D.O., who served as a hospitalist in the special care unit, has been promoted to medical director of hospital medicine.
Dr. Arrambide has extensive experience in treating blood cancers and disorders, as well as lung, breast, cervical, uterine and advanced-staged cancers. In addition, she is board certified in medical oncology and hematology. Prior to joining CTCA®, Dr. Arrambide worked at a medical group in Quincy, Ill., where she was a partner and served as medical director of clinical research. Prior to that, she practiced at various clinics and hospitals in the Dallas area, where she grew up.
With a bachelor of science degree in clinical nutrition with an emphasis in nutrition in cancer patients from the University of Texas Health Science Center at Dallas, Dr. Arrambide received her doctor of medicine at the University of Texas Southwestern Medical Center and later completed her hematology/oncology fellowship there. She also served as chief fellow in hematology/medical oncology from 1994 to 1995.
Dr. Tulipana, who joined CTCA in January 2015, earned his bachelor’s degree in biology at Truman State University in Kirksville, Mo. He completed his doctor of osteopathy degree at Des Moines University College of Osteopathic Medicine & Surgery. He was a resident in Family Medicine at Mercy/Mayo Family Medical Center, serving as chief resident from 2002 to 2003.
Prior to joining CTCA, Dr. Tulipana provided family medical care at a large regional medical center in Missouri for seven years. He then served as hospitalist at a large health-care facility in Oklahoma. During his career, Dr. Tulipana has also held several administrative positions focused on quality improvement, innovation and other aspects of patient care.
“We are thrilled about Dr. Arrambide joining our team. Her background aligns strongly with the CTCA model of care, and she has a good grasp on the whole-person needs of cancer patients,” said Dr. Daniel Nader, chief of staff at the Tulsa hospital. “We are also excited about Dr. Tulipana’s promotion. He understands the importance of compassionate care, while also being committed to quality improvement and innovation.”

Poisoning is a common cause of childhood injury, especially among children 6 years old and younger. A poisoning can be caused by any substance that causes a toxic effect or bodily harm, such as medicines, liquid nicotine, or household products.
As part of National Poison Prevention Week 2017, March 19-25, the Oklahoma State Department of Health (OSDH) offers the following safety tips to prevent a poisoning.
* Store medicines, liquid nicotine, cleaning and laundry products (including detergent packets), paints/varnishes and pesticides in their original packaging in locked cabinets or containers, out of sight and reach of children.
* Safety latches that automatically lock when you close a cabinet door can help keep children away from dangerous products, but there is always a chance the device will fail. Never leave children alone with household products.
* Purchase and keep all medicines in containers with safety caps and keep out of reach of children. Discard unused medication. Note that safety caps are designed to be child resistant but are not fully childproof.
* Never refer to medicine as “candy” or another appealing name.
* Check the label each time you give a child medicine to ensure proper dosage. For liquid medicines, use the dosing device that came with the medicine. Never use a kitchen spoon.
* When taking medicines, do not put the next dose on the counter or table where children can reach them.
* If you use an e-cigarette, only buy liquid nicotine refills that use child resistant packaging, and keep refills locked up out of children’s reach.
* Put the Poison Control number, 1-800-222-1222, on or near every home telephone and cell phone for 24 hours a day, seven days a week access.
To learn more about how to prevent unintentional poisonings, contact the OSDH Injury Prevention Service at (405) 271-3430 or visit http://poison.health.ok.gov. For more information about the dangers of liquid nicotine, contact the OSDH Center for the Advancement of Wellness at 405-271-3619.
Additional information on poison prevention can be found at www.oklahomapoison.org.

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