I'm going to stick 2 questions in one here. In my hospice we take vital signs routinely on visits. If we don't one time, no big deal, but we usually do. My question is why? What do we do with them? I mean I guess if a patient choses to stay on a BP medication or Dig or something it's good to monitor. But if now, I don't understand why if we are not going to treat the VS!
And, another tricky/annoying case I have. Man has many comorbidites, is bed bound, contraced, peg, foley, and on hospice. Wife is NUTSO. His skin is sooooo fragile, the man sweats, the wife doesn't touch him from like 9pm ot 7 am..... so in the morning his back is awful, closed skin, but red and perspiring and the sheet was greenish, but after cleaned, and aired out, back looks great. No reason to call the doctor right away. because he had recently seen his back according to her. patient is afebrile, the most comfortable I have ever seen him, no pain. Wife goes off, because I do in a few days call the doctor because she was worried about something else, turns out he was going to make a home visit that day. She tells me today after some other big fiasco he has a horrible infection and was prescribed antibiotics which she didnt even start yet. I look at his back and it looks better than I have ever seen. She was mad, I consoled her.... she has alienated pretty much every hospital in the area and nursing home already so I didn't take it personally.
But in a hospice nurses opinion..... if he is comfortable, pain free, back looks good after actually being cleaned...... are you running to the doctor?
My supervisors fine me not at fault at all thank god. But it makes me question myself, how far do you take it in hospice?