[SPAMMSG] - [NP-Clinical] Hematuria and elder psych question... -Bayesian Filter detected spam

[C. Minch & J. Wildauer]

Each state usually has its own regulations regarding involuntary commitment to a psychiatric facility/unit.

Jean
  ----- Original Message ----- 
  From: Patricia.Thompson at hattiesburgclinic.com 
  To: np-clinical at nurse.net 
  Sent: Monday, July 30, 2007 10:51 AM
  Subject: RE: [SPAMMSG] - [NP-Clinical] Hematuria and elder psych question... -Bayesian Filter detected spam


  In my practice as a urology nurse for five years If it is persistent and C&S are negative urology will cysto and determine no bladder cancer then the patient will have persistent Hematuria nothing to worry unless RBC's become visible or leukocytes or nitrates are positive.  The patient is to always tell there provider that they have been work up for hematuria and they have a history of hematuria.
  As for question 2 Cant the daughter take her to the hospital or psych facility for evaluation since the neuro says she's of sound mind?
  Patricia T CFNP
  -----Original Message-----
  From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]On Behalf Of Dennis and Rebecca Logue
  Sent: Friday, July 27, 2007 11:36 PM
  To: 'NP Clinical'
  Subject: [SPAMMSG] - [NP-Clinical] Hematuria and elder psych question... - Bayesian Filter detected spam




  Hi all hope you had a nice week...thoughts on the following..



  1.)     If you have persistent hematuria with positive small blood and negative RBC do you have to continue to work up for hematuria?  The NP I work with does not investigate hematuria if RBC's are not present on micro.  Just wanted to know what you all do.  I have been sending C&S and cytology and, if persists.to urology for workup and cystocopy.



  2.)     I got a very disturbing call from the daughter of one of my 84 year old patients who suffers from post herpatic encephalitis and neuralgia.  She has become quite demented since her last hospitalization and her neuro has written a letter deeming her incompetent to allow for her daughter to assume her assigned POA role.  It is currently caught up with the lawyer.  In the mean time, this lady lives in an independent/assited/skilled facility and has her own independent apartment.  She is refusing her meds (HTN meds, Zoloft/Clonazepam, Elavil) and has become verbally abusive to staff and her daughter.  She has begun to hallucinate and refuses to see me or her neurologist since we give her "crazy medication".  In the independent living environment the staff cannot force meds and without the meds her mental state is rapidly deteriorating.  What would you do next either as the family member or the primary care??



  Thanks for your wisdom and timely responses!



  Rebecca Logue



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