I have a palliative care case that might be hospice I'd they had insurance. It's of a Spanish speaking lady with pancreatic cancer.
Her daughter cares for her who is very emotional and " needy". The patient does not want to go to the hospital. She was recently vomiting blood. I had to have the serious talk with the patient about DNR and comfort care at home. She is AAOx4. I had a translaotor with me. She says she doesn't want to go to the hospital. When I explained a DNR, she says she wants everything done to save her life.....
I'm confused to be honest. She understood me too. It also says int he ER note when she had a visit in jan that hospice was discussed with patient with a translator and that they fully agreed and understood.
I had brought this up to the doctor and he got frustrated and said " these people can't decide, you shouldn't even bother going"
True, we would pay for pain and comfort meds out of a fund we have, then the patient would refuse to take them. After much education. Then I would leave the house and get a call 10 min later " momis in so much pain"
Completely draining. I don't know how to tackle this one. My hands are tied.