Quote from txspadequeen921
I agree!!! I handle meds for alot of hospice patients and it burns me when I walk into report and hear the patient has been pain free all night then I go into the room and he has increased SOB, grimicing and facial frowning. LAWD , I spend all day getting the patient comfortable again.. Which is not my complaint but if the patient had been medicated properly it would have saved the patient alot of undue pain and anxiety.
I have to post one of those "personal experience" stories. It just explains my point well.
My Dad had terminal colon CA, he died 4/26/05. When I flew home to say my good bye's I knew it was the last time we would *really* be able to talk but honestly, I didn't think I was going to be attending a funeral as well.
I got home and I found my Dad suffering. His vitals showed extreme pain, he was moaning and groaning, he was obviously hurting. His meds were typical, some PRNs, some other stuff, and Oxy's 20mg q8h. Nobody could figure out why he was in so much pain with all the Oxy's and prn Vicoden. He was vomiting about 30cc of blood every 10 minutes or so. Gee, I wonder why those pain meds weren't working??? Grrrrrrrrrr
I had to beg, plead, and fight for an order for Duragesic. You know how long it takes for those to kick in, it isn't like IV Morphine where they are better after a few minutes. He was really hurting.
I called and requested a Fentanyl drip, PCA, anything. They said no, his pain was managed with Oxy's. I explained, it did no good.
Do you know I actually thought about crushing some Oxy's and blowing them up his nose? I just wasn't sure how to get it up there to be really honest.
Why should a terminally ill CA pt on hospice be in pain due to stupidity?
I put his 100mcg Duragesic patch on his arm and heated it up with a blow dryer. He looked at me like I was nuts but you know what? It worked.
Then he died a couple of hours later. My poor Dad, I will never forget the pain he was in. That image is burned into my brain for the rest of my days. I can't imagine the pain he experienced.
I think I had this weird belief that I don't know where it came from. If we really work hard and take care of our patients, the world pays us back by taking care of us and our own when it is our time. I don't think I realized I had that line of thinking until my Dad died. Then I realized that this line of thinking? Total crap.
People die in pain and there is no reason for that. It's due to stupidity and lazy staff and nothing more.