[identity profile] marionravenwood.livejournal.com
Hi, can anyone point me to studies on whether having clients wear hospital gowns has an effect on client outcomes, either medical or emotional?

My understanding is that in the US, clients are often given hospital gowns for medical appointments where they aren't strictly medically necessary, whereas in the UK and Austrailia they are much less likely to be used outside of surgery or medical imaging. (For example, in the US, clients are gowned for pap tests, but they rarely are in the UK--you could just wear a long, loose skirt. Clients are also routinely gowned for non-gyn physicals in the US, but there's not a lot of medical justification for that.) My gut feeling is that wearing gowns makes a significant portion of people (obviously not everyone) feel more disempowered and/or uncomfortable in a situation where they already feel vulnerable, but I haven't seen any formal studies confirming or denying this. I would love to read if wearing gowns increases clients perception of pain or discomfort, or makes people less likely to meet with heathcare providers. Conversely, if there are studies showing that clients who wear gowns have better medical outcomes than those who don't, I would like to see this too.

I have seen several posts in childbirth communities on how individuals felt better laboring in their own (comfortable, loose) clothes, but that's more anecdata.

Thanks.

Effexor XR

Feb. 2nd, 2013 02:23 pm
[identity profile] bambiblake007.livejournal.com
I've been on Effexor XR for a few yrs now..less than 10, possibly more than 5..I can't remember the exact yr I started on em. Anyway. I've never really thought much about the Effexor XR contributing to any of my symptoms (last x I posted on here it was about Chronic Fatigue Syndrome). Today I found a group on Facebook that is against Effexor XR. It claims the drug is bad news && even if you do come off of it the right way (you can't just quit cold-turkey with it I was already told) you'll suffer from side effects for yrs if not the rest of ur life..esp the zapping feeling you get in ur head (I've had it happen a couple times when I wasn't able to fill my prescription && it is not a fun feeling at all..in fact it's down-right miserable && you start to think, or at least I start to think, that you can go X-Men && start shooting electricity out ur fingertips!!). I personally do not want to live with zapping thru my brain for the rest of my life. But I'm tryin to get pregnant && one of the things me && my gyno have discussed is that I'll have to come off my Effexor XR (there arent a lot of studies on how it affects the fetus) and put on Prozac. I'm not afraid to take Prozac bc I wouldnt abuse it like sum ppl do..but I don't want to take Prozac && have side effects from the Effexor XR while pregnant for the 1st x co-insiding..assuming I have symptoms of side effects even if they ease me off the Effexor XR && gradually add me on Prozac..

I had been on Paxil from 17 to my early 20s. But when Paxil was recalled, my PCP put me on something else. It didnt hold my nerves at all. Soo Effexor XR was introduced. I started out on the lowest dose possible && rn I'm on 150mg (which tbh isnt as high a dose as I've heard sum ppl were on, ex. 300mg). I've been consistent with my Effexor XR except like I stated above, I've missed a couple times when I couldnt get a Rx  && the withdrawal was horrible :/ I am also on Klonopin for my panic attacks && it's only a 5mg && I only take it if i need it. I've not taken it consistently for about a yr now..if not longer..

My concerns are mostly 2 things..Is the Effexor XR to blame for all the symptoms I've been having (no energy, aches && pains, most nites having insomnia, but sleeping a lot when I do go to sleep -- pretty much all day if no one interrupts me, etc). And I'm concerned with having the possible side effects when I come off it if/when I get pregnant. 

Any information..Advice..Experience..about Effexor XR would be greatly appreciated. Thnx.

P.S. I plan to talk to my counselor about it, but I can't get into c her atm. 
[identity profile] bambiblake007.livejournal.com
i had posted a few days ago that i had missed my period && i took a pregnancy test on day 4, but it was negative..i went to my gyno today && they did a urine test && it was negative as well. anyway, the reason i missed my period was probably bc i've been off my diabetic meds :/ well once all of that is regulated && my period comes back (the dr gave me sum hormone meds to take for 10 days && she said i should get my period in the next week after the meds are finished, fingers crossed)

me && my husband have been TTC for a lil while now, like less than 6mons / right at 6mons && i had an app on my HTC Desire that tracked my periods, ovulations, etc. but now i don't have the phone service (i can still access the app, or atleast i think i can) but i was wondering if ya'll had any suggestions for an online app that i can track my ovulation with..? i want something that is as reliable as possible && free :)

once i get my diabetes back in line && my period regulated again, imma start charting my ovulation, my temperature, && do urine ovulation testing (idk anything about any of this lol, just wat my dr told me about it at my visit today) she said that if i don't conceive in the next 6mons, we'll look into wat might be physically wrong with me (or my husband) && we'll do the tests that need to be done && go from there..

also, i am on Effexor XR && without it i feel like i have electricity running thru my head && it's pretty intense (i was off it for 3 days && i was a mess, thinkin if i just put my hand up like an X-Men i'd shoot electricity out my fingertips :/) anyway, my dr said she wasn't sure wat would happen if i became pregnant && on Effexor bc there wasn't really anything out there to say yay or nay on the drug && pregnancy..she suggested i might wanna look into Prozac since there is evidence that the drug doesn't interfere with pregnancy / the baby's development / etc. does anyone kno anything about anti-depressants / anxiety meds and pregnancy?

thanx in advance! <3

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