[introspectiveRN]

Originally Posted by motorcycle mama

There was a big mess over my suggestion of hospice. The LPN (I say she is the one who got the mess started) but apparently every doctor the patient has ever had was called and the main office this morning called me and said doctors had been calling the home health office to let us know the family did NOT want hospice...come to find out, one of the nurses working private duty on nights also works for hospice and she made the same suggestion I had to the oncologist before I even thought about calling him.
But at any rate, I made a huge mistake. Shame on me for trying to be a do gooder, I guess.
I really want to get out of this business. It just has me torn up all the time.

((((((((motorcyclemama)))))))))) (hugs)

You did the right thing- you just got bitten by a passive-aggressive, bullying culture. It's sickening how many truly disturbed folks there are in health"care". C'mon over to hospice . 'taint perfect but the water's fine .

[safta24]

Something doesn't sound quite right. The LPN at present giving care should be thrilled at the idea of being involved with the hospice authorities., hence being assured that their care will be magnified in its efficiency quotient.
Can't visualise all the doctores being confused about ordering hospice.
Surly one primary doc would talk with patient & between them decide
good luck to the patient
safta24

[traumaRUs]

This post is over two years old so perhaps the situation has changed.

[safta24]

Thanks , I didn;'t notice the date, I'm sure the situation is
no longer as mentioned.
Safta24

[Mamanurse62]

The hospice company I work with, we provide a service called "Crisis Care" we keep staff at the bedside around the clock. This is started, if there is a change in the level of care, significant change in vital signs, LOC, intake, etc. or if death is emminant. We also provide it for caregiver brakedown. We are located in South Carolina

[boozenurse]

Sometimes all the crap we deal with sucks but ultimately you did what was best for the pt. Be proud of that and keep it up even if some ppls feelings get hurt. You are the patient's advocate, not staff or family advocate. Without you who is looking out for them??

[boozenurse]

Just read post and you mentioned that you do crisis care for caregiver breakdown. Our company has stated medicare states that is not an appropriate reason for CC. Any written back up for that. I have many situations where cc would be very helpful but cant order because of that stipulation.

[safta24]

Don't even want to go there, but interesting reading
safta24

[jj1986]

Hopefully the family is ready to accept the decline and has all the facts re:Hospice intervention.I am not a Hospice nurse but I am an advocate of pain management. Unfortunately though, the Doc is more likely to O.K. the reccomendation for analgesics and sedatives from Hospice nurses, because that is thier area of expertise.{much admiration Hospice!} And hopefully the ethics of the LPN will allow her not to sway the family in the direction of her own beliefs.

[Passion for the Job]

Unfortunately, we are selfish (human) and think we know what is best for the pt. and only we can do it. A hospice nurse can provide the same service but also get meds at home and administer them, educate the family on the dying process, provide a chaplin in home and also a social worker to work with the pt and the family in how to let go and help with this transition. Also, a lot of Dr. will not want a pt to die at home an not be on hospice~most likely when they get called the pt is dying, they want them to go to ER. Bad statistics for the docs to have the pt getting acute treatment such as chemo and die at home.