comfort care? - page 2

by RNstrong

1,636 Views | 12 Comments

I am anew RN grad that finally found a job at a SNF. My acute care training didn't provide me with LTC experience regarding "comfort care". I would appreciate any advice for my situation. I have a resident that has had all... Read More


  1. 0
    Anti- depressants are indicated too-we will only d/c them when the resident is in the dying trajectory and having difficulty swallowing(same for thyroid meds,anti HTN's,insulin etc although the goal for blood sugar coverage is much more liberal).If she is having urinary retention she needs a foley,if the feeling of needing to void continues an antibiotic can be considered palliative care. I have learned over the years that sometimes the best way to get things like this done is to have the request originate from the family,then you are out of the line of fire from peers and other depts. The MDS nurse knows the family well but needs someeducation regarding palliative care.DNR or comfort care does NOT mean DO NOT TREAT
  2. 0
    Comfort care means keeping the patient comfortable. It sounds like this patient is not. I agree with all the previous suggestions.
  3. 1
    OP you are correct and I'm not sure why MDS is challenging you on this. When I worked in LTC and had actively dying patients, we would administer morphine, Ativan and an anti-cholinergic around the clock and that was it.
    sallyrnrrt likes this.


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