Quote from kicnic
Having worked for hospice before, I know that this is true. Fever is a natural part of the dying process. If the fever does not seem to be bothering the patient, then it is unecessary to give the suppository. It will only make the patient uncomfortable.
why would a tylenol suppository make them uncomfortable?
i agree, it's going to depend on various factors, but the bottom line, fever is uncomfortable.
if the pt is mostly unconscious, then i give apap supp pr q3-4 hrs.
i'm sorry, but i disagree just because it's a natural part of dying, doesn't mean it's comfortable.
there are sev'l "natural" parts of dying, that we intervene with.
Quote from HollyHobby
Most importantly, if your patient does not have any loved ones to sit vigil at the bedside, make doing this your top priority. Never leave a dying patient alone, even if you have to ask someone else to sit with him/her while you do other tasks, or ask someone else to do those things for you. No one should ever die alone. Hold his/her hand. Let him/her know it is okay to let go, that you will be there, there is nothing to fear, they are not alone.
holly, thank you.
your entire post was considerate and sensitive.
but as an old, experienced hospice nurse, i have a couple of observations.
again, temperature (esp high temps) is uncomfortable.
even when unconscious, one can always see a change in facial tone/expression when the pt is uncomfortable vs "at peace".
and tylenol or washcloths on the head, under arms, is due.
but i especially wanted to point out, that your perspective of "never leave a dying patient alone", is not always accurate.
i've known many pts who chose to die alone.
my mil was one such person...
true to her nature, she just would not die.
her room was filled with her entire family...
and she was lingering, i'm sure knowing we were all hovering over her.
i finally suggested we all leave for an hour.
within 15min she was gone.
many folks that are like her...
just something to keep in mind.