Quote from MLOS
This infuriates me ... because IMHO, sending someone to the ER is NOT hospice care, unless the patient has spelled out that he/she does not wish to die at home (many people choose to do just that, others don't want their families left w/that memory within the house). In that instance, the pt. should be admitted, ideally directly from home without going through the ER.
Hospice care can be so wonderful - it makes me angry when some type of home care has the "hospice" label slapped on it, but what the provider and/or the pt.'s PCP are overseeing is NOT hospice/palliative care. (note: I am NOT knocking home care)
I'll be waiting to read what the outcome was, but this is a perfect example of inappropriate use of the ER.
Bingo. Had this happen recently- it made me so mad, and so sad for the patient. DNR, end stage CA with multi mets. Came in for unresponsiveness. Her h/h was low, family agreed to transfuse her. Thank goodness we didn't get it started before she got a bed upstairs. Except she died in the elevator on the way to the floor.
God, it peeved me off. Three hours- this lady could have stayed at home and died in her own bed in her own house, surrounded by her family there. Instead it was her husband and a CNA in a damn elevator.
Rambling... If you were going to do something about those vitals, then yeah, I'd hold the morphine and recheck. But if you're giving the morphine to a DNR to help ease their respirations and to ease their pain, then why put them thru the added vitals mess- let them rest as much as possible.