I have a friend in her 80's that I have known since I was an infant. I am sure at one point she changed my diapers and now it is my turn to return the favor.
She is in renal failure and liver failure. She has been given an expiration of 2 weeks about a week ago. She barely eats anything anymore and she has said she is ready to die. She is refusing oxygen, she fears it will prolong her life. She has begun to itch. At present she is not on any Roxanol. She suffers from nausea.
She is coming home today and I want to make sure I do everything for her that I can and offer suggestions to her other caregivers as well. She will be cared for by loved ones round the clock. Hospice is coming today and I will ask this of them as well but you have such wonderful informative threads on this forums I thought I would as here as well. I have been a nurse over 6 years but not in this field. This is my plan:
Turn and prop q2 hours
Washing and Eucerin to itchy areas
Protective cream to her bottom when incontinent.
Toileting PRN and q2 hours or more when she becomes unresponsive and incontinent.
Bed bath in AM and cleansing as needed throughout the day.
Its the weekend, I do not know what meds she is on yet or if I can get them filled today. I'm so worried that she will become agitated and I will have nothing to offer her. We can already see mental status changes in her that lead toward agitated and mean.
What else can we do for her to keep her comfortable? Thank you so much for your input.