Syringe driver terror - page 7

Hello I know that there will be allot of people disagree with me here Am I only nurse that is quite simply terrified of syringe drivers? I just feel like I'm helping someone die. I didn't... Read More

  1. by   traumaRUs
    Okay everyone - please post within the terms of service to which everyone agrees when they join.

    Posts have been edited/deleleted to conform to TOS
  2. by   Union-Jack
    OP - I have experienced life at both ends, as a doula (birth) and as a volunteer in hospice (death). What I can tell you is this, (and of course this is my own personal take on it so make of it what you will)...death, if handled with dignity and reverence (which it sounds like you do) can be as profoundly moving and positive as the birth. Yes, there is grief, and yes there is loss, but somehow in the midst of all that there is also the incredible experience of life's end, and it would be (again, IMHO) a terrible injustice to bring fear and anxiety to what could be a profound experience.

    There are some - many - moments when that experience is taken from us/the family/the patient because of injury or sudden illness, for example. But in palliative care environments, we have the opportunity - indeed, the responsibility - to embrace the inevitable and make it as pain-free and respectful as possible which encourages moments of true and lasting human connection for families and loved ones.
  3. by   Glycerine82
    Quote from luvmyc
    Palliative care (and then hospice care) was a godsend to me. My beautiful 3 year old son died next to me in bed at home. And everything was peaceful. I had watched him have a horrific code (30 minutes long and then ECMO) 16 months prior, so I decided I was going to choose a peaceful (and inevitable) death for him. The last part of his life, I didn't want him to struggle or feel pain! And thanks to palliative care (and hospice) it was very minimized. I wasn't stupid, I knew he was going to die. I'm thankful palliative care guided me through that process.

    Without those pain meds, my very young heart would have been ripped out even more watching him struggle.

    You are not killing anyone! When I started my son in palliative care, I already knew, their was no 'curing' or fixing what he was going to die from. It was about quality of life. And that is way more important than quantity. I was not in control, my son't doctors were not in control, and his nurses were certainly not in control.
    I wish I could wrap you up in a great big hug.

    Thank you for being brave enough to share your story so others can learn. I know it's got to be painful.
  4. by   Glycerine82
    Quote from soutthpaw
    You realize and understand you are giving them opioid or other medications to relieve their suffering and that you and the patient understand the adverse effect of the medication can be severe respiratory depression. But you are not giving it to depress respiration, you are giving it to relieve pain and suffering. If you believe or state that you are giving it for it's respiratory effects, then your are engaging in assisted suicide etc. That's how it as explained to me from a legal perspective.
    If you have it in a non-palliative/hospice patient and did not address respiration less than 12 or 10 or whatever with appropriate nursing interventions, then that would be a whole different topic.
    BEING MORTAL is a good read that I think will benefit you. The.video is quite different but you get the idea. The author is a physician. Being Mortal |

    FRONTLINE |

    PBS
    Morphine actually is a great respiratory drug. I just used it last night for a COPD pt with respirations in the 40's and SAT ing in the 80's.

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