Asked the doctor this morning. I told him that they come in a lot and he mentioned comfort care, which can mean many things, but it always means end-of-life.
They had come in to see their mom and I opened the discussion. "Why didn't the doctor tell us this?""Have you talked to him?" "Yes, this morning." "I guess because no one likes to talk about it so it falls to the nurses."
Anyway, I explained that there are various ways to handle their mom, including extensive measures and also including not even using antibiotics. I told them that she would recover from this bout of pneumonia but that her heart is failing and she will get penumonia again and soon. And that this will continue. I also assured them that should they decide to continue hospitalizing her that we would support that as well. And to take their time in figuring it out.
I got thanked for my honesty. They're going to call a family meeting and hash it out.
I love my job when I feel competent. But it's a bittersweet love.
Jun 21, '10
In this case, the doctor. Unless he specifically asked you to talk to them, this was his place.
Last edit by mamamerlee on Jun 21, '10
: Reason: addition