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Cake day: July 18th, 2023

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  • Going to add to this, the confusion comes from people saying something is a tax wire off as being a good thing. That confusion comes from the fact that a tax write off is essentially a “discount” compared to paying for something out of your own pocket post tax. You’re essentially buying it for whatever percent cheaper you tax rate is. This is good if it’s something that you gain value from, but bad if it’s something like a wasted investment (though that gets complicated when you start actually assigning percentages to an investment’s potential return as you hedge it, that’s so far outside of my wheelhouse that it might as well be on the moon).











  • For a 40 year old, I have a come to jesus moment. I say you need this for your a. fib, or whatever, or you’re gonna throw a clot and have a stroke. If you don’t want to take it, that’s fine, but that’s a choice you’re gonna be making. I tell them that we administer medications at set times to maintain effective prophylaxis. I’ll jot a quick note, and if I have the time call the whoever ordered it and inform them of the refusal. If they want to place an ORDER for me to leave medication by the bedside, I will. But that’s what it would take for me not write a refusal to take medication on the time it’s ordered as anything but a refusal.


  • roguetrick@kbin.socialtoNo Stupid Questions@lemmy.worlddad
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    6 months ago

    We’re on the same page. That’s what I meant about a patient refusing to take it “right now.” That’s a refusal and you just document it in the notes and try again after you round on everybody else.

    That said, the floor and the ED act a bit different when we’re talking about scheduled medications. Things can be a bit more flexible on the floor.


  • Oh, it happens plenty. Let’s just say the nursing home nurses have it down to a science to speed folks up with all the patients they’re administering medication to. Usually part of our report to other nurses on shift change, and what strategies we’re using. Some folks want to talk, some folks are trying to exercise the very little control they have in a situation where their life has completely spiraled out.