New hospice nurse: Burned out!!! - page 4

I HAVE BEEN A HOSPICE NURSE NOW FOR 10 MONTHS NOW AND IM FEELING COMPLETELY BURNED OUT. I HAVE CONSIDERED LEAVING MY JOB FOR THE LAST 2 MONTHS. THE PROBLEM WITH THIS IS THAT I LOVE HOSPICE. I LOVE... Read More

  1. by   evelynkarirn
    Quote from helen09
    I'm trying to think of CRITICAL skills needed for hospice. Pain and anxiety management is all; patients are not being medically treated.
    I disagree - critical thinking skills are very much needed in this type of nursing.

    Last week I saw a gentleman with extremely painful 4+ pitting edema and ascites. He had been seen by two other nurses -the first initiated furosemide and the second increased the dosage: Neither of them questioned why it had gotten so bad so fast. In doing a more thorough hx, it was discovered that family had d/c'd his anti-hyperglycemic meds for T2DM. The high sugars had contributed to excessive thirst, his fluid intake (of sugary beverages) was greatly increased, and his CHF was exacerbated, thus the fluid retention, thirst, and extreme edema.

    I had family re-initiate anti-hyperglycemic meds to decrease thirst and blood sugars, change fluid quantity and type (sugar-free), initiate spironolactone, d/c potassium, and continue Lasix; his edema and pain were greatly relieved. Pathophysiology was key in understanding how to help this client with his pain.
    Last edit by evelynkarirn on Jun 22 : Reason: typo
  2. by   KYRNCA
    I'm curious about WHY the "all caps" is such a big deal that you would consider not helping an obviously frustrated fellow nurse. That's no way to show how caring you are.

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