My bro-in-law's mom just passed away and he said that they (hospice) gave her MSO4 with a "couple drops under her tongue". I've never seen that.
Are pain meds given IV routinely or via nebulizer or subQ?
I'm not a hospice nurse. I used to work oncology. It was emotionally tough at times but the staff were all really close and supportive. I miss them but when we had babies, I resigned to be SAHM. That was 7 years ago.
I'm presently working per diem at a small hospital and have been there for almost 3 years. I rarely start IVs. ANd I think I'm afraid my clinical skills - particularly starting IVs - is a fear I have in relation to being a hospice nurse. But I also have confidence that this skill can "come back" with the opportunity to actually do it.
Anyway... what exactly does a hospice nurse do? My family often tells me that they think I'd be a good hospice nurse.
She must have received Roxanol ,it is a immediate release morphine that is used under the tongue. It starts quickly and last a couple of hours depending on the person and the amount of pain. Roxanol can be given every 15 min if needed usually this is toward the end of life . Alot of times it must be given every 1 to two hours just to get the pain under control. Roxanol is very thin not thick, it is given with a dropper or in small syringes. Hospice provides comfort care only or that is the goal. However, I have taken care of one patient on hospice with a PICC for cont morphine. We do neb tx but not when we get close to the end. ALthough I have given Morphine neb treatments close to the end works real well with respiratory decline and pain. To be a good hospice nurse you must be very compassionate, loaded with empathy and willing to deal with families in crises. You are not going to get to use your IV skills that much in hospice but you will use alot of other very important skills. Hospice is the only place I have worked where I come home at the end of the day and feel like I have actually done something good for my patients. Good luck to you...:spin:
Last edit by txspadequeenRN on Jul 30, '04
I have several hospice pts. on my unit they are truly a blessed sort, U deal with entire grieving process for the family which is different for the patients process in my opinion. I'm big on pain controll both objective and subjection,I find the difficulty lies when resps are low and the realtity of MSIR sl and explaining to the family that the resps could fall more, with hospice its extremely major to treat the dying with extreme love and dont hurry with care , they know, and sometimes braver with u as to their family members, i enjoy comforting the pt at end of life care, i personally dont like anyone to die alone or in discomfort*
Last edit by 3skilled on Sep 6, '04