Nursing notes

Semi regular harassment from the nurse's office

Guys, it's going to be 70 degrees all week!

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But anyway,


It seems that residents in some of our other group homes are testing positive for PCP. Since we deal mostly in meth and opiates here in AR I thought it might be good to send out a little education about the drug in question. Especially since Kansas City has a pretty profound problem with it. The downtown KC area is having a significant resurgence of both heroine and PCP. As the problem spreads through Jackson County the more we know the better so here are some facts: describes the effects of PCP in this way,

"A moderate amount of PCP often causes users to feel detached, distant, and estranged from their surroundings. Numbness of the extremities, slurred speech, and loss of coordination may be accompanied by a sense of strength and invulnerability. A blank stare, rapid and involuntary eye movements, and an exaggerated gait are among the more observable effects. Auditory hallucinations, image distortion, severe mood disorders, and amnesia may also occur. In some users, PCP may cause acute anxiety and a feeling of impending doom; in others, paranoia and violent hostility, and in some, it may produce a psychoses indistinguishable from schizophrenia."

One form of PCP is angel dust (not to be confused with the Morlock most notably featured in Deadpool this weekend).

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Although also harmful, this is not the correct Angel Dust.

Angel Dust

This form of the drug is a white powdery substance that looks a lot like cocaine and is primarily snorted in a similar way. People report feeling super human after inhaling angel dust. The action of the compound makes users feel nearly no pain. In addition to being impervious to painful stimuli someone high on angel dust may also become psychotic. He or she will be sensitive to other kinds of sensory input and hallucinate quite vividly. Many heavy users have been known to harm themselves and others during this break with reality. You might be familiar with the time Helen Hunt took a bump of angel dust in an after school special and then immediately jumped to her death. Pretty intense.


The most popular form of PCP use here in the metro is what is commonly called wet. Wet is a liquid form of PCP once used as an IV anesthetic in veterinary medicine. Rather than using the liquid to sedate horses (as science intended), users dip cigarettes in it and then smoke the compound in that way. To increase the effects of the PCP the cigarette may also be dipped in formaldehyde. In case you never took chem or had to dissect cats in A&P, that's embalming fluid. As you can imagine the effects on your body are terrible. These include everything from seizures to profound and prolonged psychosis to complete respiratory failure. I've seen folks on PCP become so out of control they aren't even aware that they're dying. They struggle right up to the point that they're intubated. It's an ugly thing. Many regular drug users are even frightened of PCP and its effects so let's stay vigilant. And finally here's a video that is totally ridiculous.
WKUK Gallon of PCP

Gateway Dudes

Groups with the GW men have been going well. They did express a strong desire to talk about the effects of stressful romantic relationships on the process of recovery. Since I'm licensed to science and not counsel I thought I should pass that on. Also, I am the last person that you should want processing romantic relationships with anyone. In fact, my therapist made me print out the Feeling Faces so that I could figure out how to label my emotions anything other than "gross" or "weird." Now my journal sounds like a scientific inquiry into what it's like to have an emotional IQ higher than that of a 12 year old.
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Infection control

I am super behind on TB tests so I will be stealing our friends from groups all week. Sorry to be a pest. Thanks for (presumably) loving me anyway.

Lotus House Ladies

I was trying to talk to the LH women about avoiding UTIs and doing their kegels and we ended up touching on miscarriage and so many of the ladies had stories to share. I'm sure you all talk about the subject in process groups and what not but I wanted to pass on that it's something that a couple of the women voiced that they have never actually talked about until this go round here at CMHS. It was a hard topic that I didn't have the time or skill to really work with appropriately.

National Eating Disorder Awareness Week update

I have an incredible nurse who I've worked with in the past who is hopefully going to come in and talk to the ladies about her struggle with disordered eating. She has a passion for mental health as she has benefited personally and professionally and I think the LH women will really enjoy the presentation. She herself completed an inpatient program for her condition and is doing so well in recovery. She's offering her time at no cost and I'm super thankful that she cares about the well being of our clients.

Also in the world of body positivity and inclusiveness a great thing happened this week. Check out the new Sports Illustrated Swimsuit cover. Ashley Graham, a size 16 curve model is totally slaying in a tiny purple bikini. It's a pretty huge step in helping women in the US to love their body at any size and what a great time for it to happen.

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