Lots of good and potentially not so good stuff going on today, so some fantasies readily become reality and some we wish would just go away.
First, one of our patients who was very depressed during his/her stay came to us in a very good mood. Said patient has a goal--to go hunting this fall. All patient needs is a letter from us so patient can get a special permit from our nearby state to participate in a special program. We wished patient well and hopefully, this fall, we'll see some venison sausage and lots of smiles. If only we could convince more of our patients to participate in the Wheelchair Games!
Second, lots of things were discussed recently with our team, which includes the nurses. One of the worst patients the place has ever seen may be returning to the unit. Said patient is so abusive and mean to staff that some long-serving nurses have threatened to quit if said patient is brought back. It's all about policy and paperwork, so we'll see what happens.
Third, my patient who's been wanting to get out of bed for days got his wish. His bowel problems resolved enough that I was able to get him out of bed for his allotted hours. He went to therapy and worked his arms so much he was tired by the time he got back, so I put him to bed.
Finally, our facility is cutting more costs. Our own "Chainsaw Al" is willing to burn and pillage to make a name. We can only wait to see what happens next, as I pretty much kiss any hope of anything extra for school or certification goodbye.
Maybe that lottery fantasy comes true, so while I wait, I'm still filling out scholarship forms. It's a long shot, but at least, most scholarships have better odds than the lottery.
More later...