Tolerating Abuse from Grieving Families - page 2

Hi Everyone, I've been working as an on-call hospice nurse (Fri 5p - Mon 8a, 63 consecutive hours) for just four months and had a real crisis this past weekend on two death visits. The previous... Read More

  1. by   evelynkarirn
    Quote from Brightideas9
    One day, people will understand our work better and this is why I encourage people to support HR 3119, the bill is stuck in the House of Representatives. Lord, if you are up there, please help get that bill passed! : )
    Considering what a "growth" industry palliative care is, it makes sense that more education should be available in this field. The company I work for is growing at an astonishing pace and can't find/keep enough qualified RNs to serve the patients: Many of the hospice nurses formerly worked at SNFs versus having specialized palliative care experience/knowledge. All have the heart to do the job, the experience to manage the myriad issues that arise when caring for patients with extensive co-morbidities, but few have the advanced pharmacological and pathophysiological knowledge allowing them to determine root causes and the most effective interventions when "standard" pain interventions are ineffective.

    Didn't realize HR 3119 was introduced almost two years ago. Hope it gets the attention and funds it needs and deserves to properly care for the growing population opting for hospice care (and often passing at home). YES on HR 3119!
  2. by   jeannepaul
    I am on call weekends also. I have had large families gang up around me throwing questions at me, thinking I was going to kill the pt. with medicine.in 15 years of hospice, only once did I call the police. They were gang members talking about drive by shooting someone so the social worker and I went to my van, called the police and waited until they got there and took over.

    The case manager should have been preparing them as soon as pt came on services. Sorry you had to through that.
  3. by   Brightideas9
    When people get blunt with me like that I will get blunt back. I know I shouldn't but sometimes being an advocate for your pt requires something drastic to redirect their thinking. So it goes something like this: "I will tell you that whether I am here or not, your loved one is going to pass. Whether they do that in comfort or in agonizing pain and respiratory distress is literally up to you. Because whether or not they have one dose of morphine, 10 doses, 50, it doesn't matter. They will go when they are ready and not likely a minute before that." Hospice is 90% teaching, remember that. Redirect thinking and you become a great advocate for your patient.

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